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A First-in-human Safety Trial of BNT331 Administered as Single Ascending Doses in Healthy Women and as Multiple Ascending Doses in Women Diagnosed With Bacterial Vaginosis

Phase 1
Active, not recruiting
Conditions
Bacterial Vaginosis
Interventions
Other: Placebo
Registration Number
NCT06469164
Lead Sponsor
BioNTech SE
Brief Summary

This is a two-part, randomized, double-blind, placebo-controlled study to assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy (for Part B) of BNT331 in healthy women (Part A) and in women diagnosed with bacterial vaginosis (BV) (Part B).

Detailed Description

Part A will include single ascending dose levels and will assess the safety of BNT331 and describe the incidence of adverse events (AEs) for participants randomized at a ratio of 3:1 to BNT331 or placebo. Participants will receive one single dose of study treatment.

Part B will include multiple ascending dose levels. Participants will be randomized at a ratio of 2:1 to BNT331 or placebo. Participants with BV will receive study treatment for five consecutive days.

The vaginal inserts will be self-administered by the participant. The participants will receive detailed instructions from the investigator on how to self-administer the vaginal inserts at home.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
102
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
BNT331 - Part B Dose 1BNT331Fixed dose for 5 consecutive days
BNT331 - Part B Dose 2BNT331Fixed dose for 5 consecutive days
BNT331 - Part ABNT331Single ascending dose levels
Placebo - Part APlaceboSingle dose
Placebo - Part BPlaceboMultiple dose
Primary Outcome Measures
NameTimeMethod
Part A - Percentage of participants with adverse events (AEs) with onset after first treatment dose and until 7 days post-dosefrom first dose of study treatment up to 7 days post-dose

In participants who have received at least one dose of BNT331 or placebo. For each dose level cohort of BNT331 and for the combined placebo group.

Part B - Percentage of participants with adverse events (AEs) with onset after first treatment dose and until 120 days after the first dosefrom first dose of study treatment up to 120 days after first dose

In participants who have received at least one dose of BNT331 or placebo. For each dose level cohort of BNT331 and for the combined placebo group.

Part A - Percentage of participants with serious adverse events (SAEs) with onset after first treatment dose and until 7 days post-dosefrom first dose of study treatment up to 7 days post-dose

In participants who have received at least one dose of BNT331 or placebo. For each dose level cohort of BNT331 and for the combined placebo group.

Part B - Percentage of participants with SAEs with onset after first treatment dose and until 120 days after the first dosefrom first dose of study treatment up to 120 days after first dose

In participants who have received at least one dose of BNT331 or placebo. For each dose level cohort of BNT331 and for the combined placebo group.

Secondary Outcome Measures
NameTimeMethod
Part A - Serum concentrations of BNT331 active substance at pre-specified timepointsfrom pre-dose up to 12 days post-dose

For each cohort. In participants who received one single administration.

Part B - Serum concentrations of BNT331 active substance at pre-specified timepointsfrom pre-dose up to 30 days after first dose

For each cohort. In participants who received all scheduled administrations.

Part A - Anti-drug antibody (ADA) prevalence and change of binding titers against BNT331 active substance in blood before study treatment and at 7 days post-dosefrom pre-dose up to 7 days post-dose

For each cohort.

Part B - ADA prevalence and change of binding titers against BNT331 active substance in blood before study treatment and at 6 days after the first dose, 21 to 30 days after the first dose, and 120 days after the first dosefrom pre-dose up to 120 days after first dose

For each cohort.

Part B - Number of participants with clinical cureAt 6 days after first dose and 21 to 30 days after the first dose

For each cohort of BNT331 group and for the combined placebo group. Normalization of the vaginal discharge, a negative potassium hydroxide (KOH) "Whiff" test, and clue cells \<20% of the total epithelial cells/high power field on microscopic examination of the vaginal fluid.

Part B - Number of participants with Nugent score cure/Microbiological cureAt 6 days after first dose and 21 to 30 days after the first dose

For each cohort of BNT331 group and for the combined placebo group. Nugent score of \<4.

Part B - Responder outcome - Number of participants with clinical cure and normal Nugent score of <4At 6 days after first dose and 21 to 30 days after the first dose

For each cohort of BNT331 group and for the combined placebo group.

Trial Locations

Locations (6)

UAB Sexual Health Research Clinic

🇺🇸

Birmingham, Alabama, United States

Praetorian Pharmaceutical Research, LLC

🇺🇸

Marrero, Louisiana, United States

Southern Clinical Research Associates - Metairie

🇺🇸

Metairie, Louisiana, United States

Women Under Study, LLC

🇺🇸

New Orleans, Louisiana, United States

Nucleus Network

🇺🇸

Saint Paul, Minnesota, United States

Chattanooga Medical Research, LLC

🇺🇸

Chattanooga, Tennessee, United States

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