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Study of the Safety, Tolerability and Immunogenicity of an Intranasal Influenza Vaccine Administered to Healthy Adults

Phase 1
Completed
Conditions
Flu, Human
Interventions
Biological: DCB07010
Biological: HA antigens
Registration Number
NCT03293732
Lead Sponsor
Advagene Biopharma Co. Ltd.
Brief Summary

The objectives of this study were to assess the safety and tolerability of DCB07010 when given intranasally at escalating dose levels of 7.5μg, 15μg, 30μg and 45μg, in combination with 22.5μg of influenza HA antigen (7.5μg HA of each of three strains) and to generate sufficient immunogenicity data to enable dose selection for larger and more definitive Phase 2 studies.

This was a single center, double-blind, randomized (2:1), dose-escalation study to assess the safety, tolerability and immunogenicity of 4 different vaccine-adjuvant doses in comparison to influenza HA alone. The 4 treatment cohorts were given DCB07010 in a dose- escalating manner.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  1. Non-smoking adult aged between 20-40 years old;
  2. Physically and mentally healthy subjects as confirmed by an interview, medical history, clinical examination, chest X-rays, ophthalmoscopy, cardiac echo, and electrocardiogram;
  3. Body Mass Index (BMI) between 18.5 and 25, inclusive, (BMI will be calculated as weight in kilogram [kg]/height in meters2 [m2]);
  4. Normal hematology, biochemistry and urinalysis determinations;
  5. Subject is willing and able to comply with study procedures and sign informed consent
Exclusion Criteria
  1. Subject with serious underlying chronic illness;

  2. Documented evidence of allergic rhinitis;

  3. Subject with acute sinusitis or chronic sinusitis accompanying acute symptoms within 3 days prior to enrollment;

  4. Immunosuppressed subjects as result of illness or treatment;

  5. Female subject of childbearing potential who:

    • is lactating; or
    • has positive urine pregnancy test at Visit 2 or Visit 3; or
    • refuse to adopt reliable method of contraception during the study;
  6. Subject received blood products or immunoglobulin within 3 months prior enrollment;

  7. Subjects with long-term use of steroids, including parenteral steroids or high dose inhaled steroids within 28 days prior to enrollment;

  8. Subject has received any intranasal medication or nasal topical treatment within 7 days prior to enrollment;

  9. Subject has received any investigational agent within 28 days or 5 half- lives, whichever is longer, prior to the first dose of investigational product;

  10. Subject has previously experienced anaphylaxis;

  11. Subject has allergy to eggs or prior influenza vaccine;

  12. Subject with laboratory-confirmed influenza or has been vaccinated against influenza within 6 months prior to enrollment;

  13. Subject with acute respiratory illness or administered antibiotics or antivirals within 7 days prior to enrollment;

  14. Subject with body temperature high than 38°C within 3 days prior to enrollment;

  15. Subject with documented history of Bell's palsy or neurological disorder.

  16. Subject with documented history of diarrhea within one month prior to study enrollment

  17. A positive test for HIV antibody.

  18. Subject has received Chinese medication or herbal medication within 28 days prior to enrollment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
15 μg of DCB07010HA antigensAll subjects in this group received 15 μg of DCB07010 in 22.2 μg HA antigens twice.
7.5 μg of DCB07010DCB07010All subjects in this group received 7.5 μg of DCB07010 in 22.2 μg HA antigens twice.
HA antigen onlyHA antigensAll subjects in this group received 2 doses of 22.2 μg HA antigens
15 μg of DCB07010DCB07010All subjects in this group received 15 μg of DCB07010 in 22.2 μg HA antigens twice.
7.5 μg of DCB07010HA antigensAll subjects in this group received 7.5 μg of DCB07010 in 22.2 μg HA antigens twice.
30 μg of DCB07010DCB07010All subjects in this group received 30 μg of DCB07010 in 22.2 μg HA antigens twice.
30 μg of DCB07010HA antigensAll subjects in this group received 30 μg of DCB07010 in 22.2 μg HA antigens twice.
45 μg of DCB07010DCB07010All subjects in this group received 45 μg of DCB07010 in 22.2 μg HA antigens twice.
45 μg of DCB07010HA antigensAll subjects in this group received 45 μg of DCB07010 in 22.2 μg HA antigens twice.
Primary Outcome Measures
NameTimeMethod
Geometric Mean Titers (GMT) against all three strains of viral antigenDay=0, 28

Geometric Mean Titers (GMT) against all three strains of viral antigen after 2 doses of DCB07010 adjuvanted egg-derived vaccines or egg-derived vaccine. The geometric mean titers against all three-vaccine strains were assessed by egg-derived antigen haemagglutination inhibition (HI) assay.

Statistic tests were two-sided and were set for alpha = 0.05. The purpose of this study was exploratory in safety and the formal statistical analysis was not necessary.

Secondary Outcome Measures
NameTimeMethod
Seroconversion Rates (SCR) measurementsDay=0, 28

Seroconversion Rates (SCR) is defined the percentage of subjects with pre-vaccination HI titers \< 1:10 and a post-vaccination titer ≥ 1:40 or a pre-vaccination titer ≥ 1:10 and at least a 4-fold increase in post-vaccination titer to each of the three vaccine components on Day 28.

Geometric Mean Ratio (GMR) after 2 dose of vaccinesDay=0, 28

Geometric Mean Ratio (GMR) after 2 dose of egg-based vaccine and DCB07010-adjuvanted vaccines. Statistic tests were two-sided and were set for alpha = 0.05. The purpose of this study was exploratory in safety and the formal statistical analysis was not necessary.

Trial Locations

Locations (1)

National Taiwan Univserity Hospital

🇨🇳

Taipei, Taiwan

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