NCT05657782招募中1 期
PanChol-100: Safety and Immunogenicity of PanChol: First-in-Human Study of a Novel Live Attenuated Oral Cholera Vaccine
适应症
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 53
- 试验地点
- 2
- 主要终点
- The incidence of solicited and unsolicited adverse events, including serious adverse events, following PanChol vaccination.
研究概览
简要总结
This study is a first-in-human, Phase 1 study of the safety, tolerability, and immunogenicity of PanChol in healthy volunteers. There will be three modules in this clinical trial assessing dosing, safety, and immunogenicity:
- a fixed dose-ranging module,
- an adaptive dose-finding/optimization module, and
- a placebo-controlled expansion module.
详细描述
The primary objectives of this study are:
- To evaluate the reactogenicity and the safety of a single-dose PanChol over a range of doses in healthy volunteers.
- To evaluate the immunogenicity of a single-dose PanChol over a range of doses as measured by vibriocidal antibody titers.
The secondary objectives of this study are:
- To further characterize PanChol immune response, such as the magnitude of vibriocidal titers, the IgG, IgA, and IgM antibodies targeting Inaba- and Ogawa-specific polysaccharides, cholera toxin B subunit, and TCP, IgA- and IgG-antibody secreting cell responses (ALS/plasmablast responses) and/or the memory B cell (MBC) response.
- To characterize the stool shedding of the PanChol organisms after vaccination.
- To evaluate the changes of the gut microbiota after PanChol vaccination and to compare these changes with cholera-induced changes on microbiota
Participants will be enrolled at the Brigham and Women's Hospital (BWH). For the first days of the trial, participants will be inpatients in BWH, for optimal safety monitoring and for fecal and blood samples collection. PanChol or placebo will be administered on Day 1. On Day 6, participants will be starting doxycycline to eradicate the shedding of the vaccine organisms. On Day 7, those who are no longer excreting PanChol in their stool will be discharged. After discharge, volunteers will return on days 15, 29, 57, and 180 for monitoring of general health, AE assessment, immune responses, and fecal microbiota composition. Approximately 53 adult healthy volunteers are planned to be enrolled in this study if all planned treatment groups are conducted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy adults aged from 18 to 55 years old.
- •Considered healthy, as judged by the clinical investigator, according to medical history, physical examination, vital signs, screening laboratories, and medication history.
- •Understanding and agreeing to comply with the study protocol including the inpatient period.
- •Female participants must be non-pregnant and non-lactating and either
- •surgically sterile (history of bilateral ligation, bilateral salpingectomy, bilateral oophorectomy, total hysterectomy) or postmenopausal (defined as as amenorrhea for at least 12 consecutive months before screening without an alternative medical cause)
- •be of child-bearing potential and practicing an acceptable method of contraception or abstaining from all activities that could result in pregnancy for at least 28 days before vaccination until 3 months after receiving the IP.
- •Acceptable methods of contraception include barrier methods (such as condom, diaphragm, or cervical cap used in conjunction with spermicide), intrauterine device, hormonal contraception (that may be taken or administered by oral, intravaginal, transdermal, subdermal or IM route), vasectomized partner (the vasectomized partner should be the sole partner for that participant).
排除标准
- •Each participant must not meet any of the following exclusion criteria to be eligible for enrollment in the study:
- •Confirmed or suspected immunosuppressive condition, as a result of a disease (e.g., primary immune deficiency, malignancy, HIV infection) or have taken any systemic immunosuppressive therapy within 6 months of enrollment.
- •Pregnant or lactating women
- •History of gastrointestinal (GI) disorder, such as previous major GI surgery, malabsorption, or any chronic GI disorders that would interfere, according to the investigator, with the IP.
- •Acute GI or febrile illness within 7 days of enrollment.
- •Have any acute or chronic medical condition that, in the opinion of the investigator, would make vaccination unsafe or interfere with the evaluation of immune response to study vaccination.
- •History of cholera vaccination
- •History of cholera infection
- •Abnormal stool pattern, defined as < 3 or >21 stools per week.
- •Allergy or intolerance to PanChol or placebo component (sodium bicarbonate, lactose, ascorbic acid)
- •Use of any systemic antibiotics within 1 month of PanChol administration
- •Receipt of a live vaccine in the previous 4 weeks or planned in the 4 weeks following enrollment
- •Receipt of a killed or subunit (non-live) vaccine in the previous 2 weeks or planned in the 2 weeks following enrollment.
- •Individuals who do not speak English will not be enrolled into this trial. This study involves more than minimal risk and no prospect of direct benefit for participants. Additionally, a subject who did not speak English may not be able to easily communicate safety concerns in a timely fashion to the study investigators
- •Childcare workers with direct contact with children ≤ 2 years of age
- •Individuals whose occupation involves handling of food
- •Healthcare workers who have direct contact with patients who are immunodeficient, HIV-positive, or have an unstable medical condition
- •Use laxatives regularly
- •Have diarrhea within 48 hours before enrollment
- •Have a history of hypersensitivity to any of the tetracyclines
- •Have a history of hypersensitivity to streptomycin or any aminoglycoside due to the known cross-sensitivity of patients to drugs in this class.
结局指标
主要结局
The incidence of solicited and unsolicited adverse events, including serious adverse events, following PanChol vaccination.
时间窗: 180 days
The seroconversion (4-fold rise titer over baseline) of the vibriocidal titers to both Inaba and Ogawa V. cholerae between pre- and post-vaccination with PanChol.
时间窗: 180 days
次要结局
- The magnitude of pre- and post-vaccination serum vibriocidal titers to both Inaba and Ogawa V. cholerae.(180 days)
- The stool shedding of PanChol organisms using stool cultures.(180 days)
研究者
Lindsey R. Baden, MD
Attending Physician, Infectious Diseases
Brigham and Women's Hospital
研究点 (2)
Loading locations...
相似试验
终止
1 期
A Study of PHN-010 in Patients With Advanced Solid TumorsEndometrial CancerAdvanced Solid TumorAdvanced CancerOvarian CancerCervical CancerColon CancerLung CancerNCT06457997Pheon Therapeutics26
已完成
1 期
A Phase I Study to Determine the Safety and Immunogenicity of the Candidate Influenza Vaccine ChAdOx1-NP+M1InfluenzaNCT01623518University of Oxford15
已完成
1 期
A Study of Safety, Tolerability and Immunogenicity of HPV-L2 Vaccine in Healthy Adult Male and Female SubjectsPapillomavirus InfectionsNCT039291722A Pharma AB20
已完成
1 期
A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Immunogenicity of MEDI9929 After Single Administration in Healthy Male Japanese SubjectsHealthyNCT01913028AstraZeneca64
已完成
1 期
Study of Novel Types 1 and 3 Oral Poliomyelitis VaccinesPoliomyelitisNCT04529538PATH205