A Phase 1 Dose Escalating Study of Two Enterotoxigenic Escherichia Coli Prototype Adhesin-based Vaccines With or Without Modified Heat-labile Enterotoxin by Intradermal or Transcutaneous Immunization
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Escherichia Coli Infection
- Sponsor
- U.S. Army Medical Research and Development Command
- Enrollment
- 57
- Locations
- 1
- Primary Endpoint
- Safety - Occurrence of Adverse Events
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of the study is to determine if immunization with a chimeric E. coli protein, dsc14CfaE-sCT2/LTB5, is safe and immunogenic when administered by vaccination under the skin.
Detailed Description
The purpose of the study is to evaluate the safety and immunogenicity of dsc14cfaEsCTA2/LTB5 (Chimera) and dscCfaE administered with and without LTR192G by intradermal (ID) immunization and to gather additional data on the administration of dsCfaE and LTR192G via transcutaneous immunization (TCI) route. If vaccines are found to be safe and adequately immunogenic in humans, a down-selection would occur and a phase 2b vaccination/challenge study would be undertaken to further evaluate vaccine safety and allow a preliminary assessment of efficacy of one of these candidates by the ID or TCI route. With favorable evidence for safety, immunogenicity, efficacy, complemented by advances in standard methodology to combine multiple adhesins with an appropriate LT enterotoxoid form, a multivalent vaccine would be constructed and evaluated for further clinical development.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy, adult, male or female, age 18 to 45 years (inclusive) at the time of enrollment.
- •Completion and review of comprehension test (achieved \> 70% accuracy).
- •Signed informed consent document.
- •Available for the required follow-up period and scheduled clinic visits.
- •Women: Negative pregnancy test with understanding (through informed consent process) to not become pregnant during the study or within three (3) months following study completion.
Exclusion Criteria
- •Health problems (for example, chronic medical conditions such as psychiatric conditions, diabetes mellitus, hypertension or any other conditions that might place the subjects at increased risk of adverse events. Study clinicians, in consultation with the PI, will use clinical judgment on a case-by-case basis to assess safety risks under this criterion. The PI will consult with the Research Monitor as appropriate.
- •Clinically significant abnormalities on physical examination.
- •Use of immunosuppressive medications (systemic corticosteroids or chemotherapeutics that may influence antibody development), or immunosuppressive illness, including IgA deficiency (defined by serum IgA below the detectable limit).
- •Women who are pregnant or planning to become pregnant during the study period plus 3 months beyond the last study safety visit and currently nursing women.
- •Participation in research involving another investigational product (defined as receipt of investigational product or exposure to invasive investigational device) 30 days before planned date of first vaccination or anytime through the last study safety visit.
- •Positive blood test for HBsAg, HCV, HIV-
- •Clinically significant abnormalities on basic laboratory screening.
- •Exclusionary skin history/findings that would confound assessment or prevent appropriate local monitoring of AEs, or possibly increase the risk of an AE.
- •History of chronic skin disease (clinician judgment).
- •History of atopy such as active eczema.
Outcomes
Primary Outcomes
Safety - Occurrence of Adverse Events
Time Frame: 1 year
Occurrence of related and unrelated to vaccine AE's
Secondary Outcomes
- Antigen-Specific IgA Geometric Mean Titers(Day 0, 21,42, 56, 70)
- Number of Participants With Immune Responses to Vaccine Antigens(baseline and post dose)