Primary Outcome Measures:
- Occurrence, intensity and relationship to vaccination of solicited local and general symptoms. [ Time Frame: During the 7-day follow-up period after each vaccine dose. ] [ Designated as safety issue: Yes ]
- Occurrence, intensity and relationship to vaccination of unsolicited symptoms. [ Time Frame: During the 30-day follow-up period after each vaccine dose. ] [ Designated as safety issue: Yes ]
- Occurrence and relationship to vaccination of serious adverse events. [ Time Frame: During the entire study period. ] [ Designated as safety issue: Yes ]
- Haematological and biochemical levels. [ Time Frame: Prior to, one day, one week and one month after each vaccination. ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Antigen-specific antibody titres as measured by ELISA. [ Time Frame: Prior to each vaccination and one month and one year after the last dose in all groups and in addition, approximately two years and three years after the last dose in Groups A and B. ] [ Designated as safety issue: No ]
- Antigen-specific CD4+/CD8+ T cells expressing cytokines by flow cytometry using ICS staining on frozen PBMCs. [ Time Frame: Prior to each vaccination and one month and one year after the last dose in all groups and in addition, approximately two years and three years after the last dose in Groups A and B. ] [ Designated as safety issue: No ]
- Frequency of cells expressing cytokines above cut-off. [ Time Frame: Prior to each vaccination and one month and one year after the last dose in all groups and in addition, approximately two years and three years after the last dose in Groups A and B. ] [ Designated as safety issue: No ]
- Concentrations of IFN-γ produced in serum samples. [ Time Frame: Prior to and one day after each vaccination. ] [ Designated as safety issue: No ]
- Concentrations of TNF-α produced in serum samples. [ Time Frame: Prior to, 1-2 hours and 1 day after each vaccination. ] [ Designated as safety issue: No ]
The study is designed to have a vaccination phase (includes screening, 2 doses of vaccine 1 month apart and follow-up until 1 month post dose 2), which will be performed in an observer blinded manner. This will be followed by 3 years of follow-up which will continue in an open manner.
No new subjects will be recruited at the follow-up phase. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007