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A Study to Determine the Safety and Attack Rate of the Seasonal Flu in Healthy Volunteers

Phase 1
Completed
Conditions
Influenza, Human
Interventions
Drug: H3N2
Registration Number
NCT04372719
Lead Sponsor
SGS Life Sciences, a division of SGS Belgium NV
Brief Summary

This is a non-controlled, open-label, single-centre, dose-escalation study to determine the safety, infectivity and immunology of the potential novel influenza virus H3N2 challenge strain. The term 'challenge agent' used in this protocol refers to the Influenza virus H3N2 A/Belgium/4217/2015. The study utilises an adaptive study design and consists of 2 parts.

Detailed Description

In Part 1, the primary objective is to determine the viral challenge strain dose that has an acceptable safety profile and an observed attack rate of \>60% (i.e., at least 8 out of 12 subjects should be infected). After Part 1, a formal interim analysis will be performed to select the viral challenge strain dose for Part 2 by evaluating the primary objective of Part 1. In case no viral challenge strain dose can be selected, the study will not proceed to Part 2.

In Part 2, the primary objective is to determine the infectivity rate in healthy volunteers of the selected viral challenge strain dose for use in subsequent human challenge intervention studies.

All subjects will be screened prior to viral inoculation to assess their suitability to enter the study. Eligible subjects will be admitted to the clinical centre for a single intranasal inoculation with influenza A (H3N2). In this study, up to 64 healthy subjects will receive the investigational challenge agent: 36 subjects in Part 1 and 18 or 28 subjects in Part 2.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
H3N2 10EXP5 TCID50/mLH3N2A/Belgium/4217/2015 (H3N2) (SGS Code: SGS 421-7), Wild-type, influenza A (H3N2) human challenge strain
Primary Outcome Measures
NameTimeMethod
Efficacy: observed attack ratethrough study completion, an average of 3 months

Observed attack rate expressed in percentage

safety profilethrough study completion, an average of 3 months

Number of subjects with SAEs considered by the Investigator to be related to the challenge agent, moderate or severe lower respiratory symptoms as indicated on the symptom score card, or confirmed cytokine-related AEs.

Efficacy: Infectivitythrough study completion, an average of 3 months

Attack rate defined as number of inoculated subjects with any of the following:

* Fever

* At least one other (i.e., not fever) influenza symptom At least 2 consecutive swabs positive for H3N2

Secondary Outcome Measures
NameTimeMethod
Safety: Incidence of Related virus-emergent adverse eventsthrough study completion, an average of 1 year

Safety: Incidence of Related virus-emergent adverse events

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