A Phase I Study to Evaluate Safety and Immunogenicity of DNA Vaccine N-pVAX1 Against Crimean Congo Hemorrhagic Fever
Overview
- Phase
- Phase 1
- Intervention
- N-pVAX1
- Conditions
- Crimean Congo Hemorrhagic Fever
- Sponsor
- Karolinska Institutet
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Local reactions
- Status
- Completed
- Last Updated
- last month
Overview
Brief Summary
This First-in-human dose-escalation vaccine phase I study aims to evaluate safety and reactogenicity of the investigational vaccine N-pVAX1, against Crimean Congo Hemorrhagic Fever, delivered by in vivo EP given as three im doses at weeks 0, 4 and 12.
Detailed Description
This First-in-human dose-escalation vaccine phase I study aims to evaluate safety and reactogenicity of the investigational vaccine N-pVAX1, against Crimean Congo Hemorrhagic Fever, delivered by in vivo EP given as three im doses at weeks 0, 4 and 12. The study vaccine dose is planned to be staggered, starting with the low-dose group (0.45 mg), followed by the mid-dose group (0.9 mg), and finally the high-dose group (1.8 mg). In total 15 healthy volunteers at the ages of 18-60 will be enrolled. Primary objective: • The primary objective of this study is to assess the safety and reactogenicity of the investigational vaccine N-pVAX1 delivered by in vivo EP given as three im doses at weeks 0, 4 and 12. The secondary objectives: • To investigate the humoral immune response to the investigational vaccine administered as three doses, by measuring CCHF nucleocapsid antibody levels. Exploratory objective: • To investigate in more detail the humoral response and to analyze the cellular immune response to the investigational vaccine. Trial participants will be followed-up for local and systemic adverse reactions throughout the study period. Blood samples to measure presence of antibody levels to the vaccine components and cellular immunity will be taken at Day 14 and 28 post first and second vaccine dose and at Day 14 and 3 months post last vaccine dose.
Investigators
Matti Sällberg
Director of Department of Laboratory Medicine
Karolinska Institutet
Eligibility Criteria
Inclusion Criteria
- •Men and women between the ages of 18 and 60 years (at the time of consent).
- •Healthy participant, according to the investigator's clinical judgment, as established by medical history, vital signs, physical examination, and laboratory assessments.
- •No clinically significant laboratory abnormalities as determined by the investigator at screening.
- •Note: one retest of lab tests is allowed within the screening window.
- •Negative HIV 1/2 antibody/antigen test, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody at screening.
- •Participant with a body mass index (BMI) 20-30.0 kg/m
- •Provide written informed consent before initiation of any study procedures.
- •A female participant is eligible for this study if she is one of the following:
- •of non-childbearing potential (i.e., women who have had a hysterectomy or tubal ligation or are postmenopausal, as defined by no menses in greater than or equal to 1 year)
- •of childbearing potential but agrees to practice highly effective contraception or abstinence (if this is the preferred and usual lifestyle of the participant) from 30 days prior to vaccination up to 3 months after last vaccination.
Exclusion Criteria
- •History of presence of pulmonary disorders (chronic obstructive pulmonary lung disease etc) or asthma (exception of allergic asthma, which is allowed).
- •History or presence of thrombocytopenia and/or bleeding disorders.
- •A positive serum pregnancy test at screening or urine pregnancy test prior to study injection, women who are planning to become pregnant during the study, or women who are breastfeeding.
- •Clinically relevant history of renal, hepatic, gastrointestinal, cardiovascular, respiratory, skin, haematological, endocrine, inflammatory, autoimmune, central nervous system or neurological diseases.
- •Use of immunosuppressive drugs as e.g. corticosteroids (excluding topical preparations and inhalers) within 3 months prior to vaccination or 6 months for chemotherapies and all along the study.
- •Vaccination within 2 weeks prior to vaccination or planning to receive a licensed vaccine before month 3 (e.g. inactivated influenza vaccine).
- •History of severe adverse reactions to vaccine administration, including anaphylaxis and related symptoms, such as urticaria, respiratory difficulty, angioedema and abdominal pain to vaccines, or history of known or suspected allergic reaction likely to be exacerbated by any component of the Investigational vaccine.
- •Participation in another investigational clinical study within four weeks before the screening visit or planned before the study completion.
- •Subjects with confirmed or suspected immunodeficiency.
- •Any condition that in the opinion of the principal investigator (PI) would jeopardize the safety or rights of a person participating in the trial or would render the person unable to comply with the protocol.
Arms & Interventions
Vaccine
N-pVAX1 vaccine
Intervention: N-pVAX1
Outcomes
Primary Outcomes
Local reactions
Time Frame: For up to 7 days after each vaccine dose
Local reactions (pain at the injection site, redness, and swelling) for up to 7 days after each vaccine dose.
Visual analogue scale (VAS) score
Time Frame: At vaccination (0 minutes), and after 5, 15, 30 and 60 minutes post-EP
Visual analogue scale (VAS) score to rate the level of pain experienced immediately (0 minutes), and after 5, 15, 30 and 60 minutes post-EP.
Systemic events
Time Frame: For 7 days after each vaccine dose
Systemic events (fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain) for 7 days after each vaccine dose.
Unsolicited AEs
Time Frame: From the first study dose to 28 days after the last vaccination
Unsolicited AEs from the first study dose to 28 days after the last vaccination.
Serious Adverse Events (SAEs)/suspected unexpected serious adverse reactions (SUSARs)
Time Frame: From the first study dose until the study end at 3 months after last vaccination
Serious Adverse Events (SAEs)/suspected unexpected serious adverse reactions (SUSARs) from the first study dose until the study end at 3 months after last vaccination.
Secondary Outcomes
- Change in antibody levels to the CCHF nucleocapsid protein(At Baseline, day 14 and 28 post vaccine dose and at 3 months post last vaccine dose)