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Study of a Respiratory Syncytial Virus/Human Metapneumovirus Vaccine Candidate

Phase 1
Active, not recruiting
Conditions
Healthy Volunteers
Respiratory Syncytial Virus Infection
Human Metapneumovirus
Interventions
Biological: RSV/hMPV vaccine candidate Dose L
Biological: RSV/hMPV vaccine candidate Dose B
Biological: Placebo
Biological: RSV/hMPV vaccine candidate Dose A
Registration Number
NCT06134648
Lead Sponsor
Sanofi Pasteur, a Sanofi Company
Brief Summary

The purpose of this study is to assess the safety and immunogenicity of a single intramuscular (IM) injection of different doses of an respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) vaccine candidate, in adult participants aged 60 years and older. In addition, the study will evaluate the safety and immunogenicity of a booster vaccination administered 12 months after the primary vaccination in a subset of the study population.

Detailed Description

Study duration per participant:

12 months for the Sentinel and Main Cohorts and 24 months overall for the subset of participants enrolled in the Booster Cohort.

Treatment Duration:

Sentinel Cohort: 1 IM injection. Participants will be followed for 12 months post-vaccination.

Main Cohort: 1 IM injection. Participants will be followed for 12 months post-vaccination.

Booster Cohort: 1 IM injection 12 months after the primary vaccination (Main Cohort). Participants will be followed for 12 months after administration of the booster dose.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
646
Inclusion Criteria
  • Aged 60 years or older on the day of inclusion
  • A female participant is eligible to participate if she is not pregnant or breastfeeding and is of non-childbearing potential.
  • Participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion Note: Participants with pre-existing stable disease, defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 6 weeks before enrollment, can be included.
Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

  • Any screening laboratory parameter with laboratory abnormalities deemed clinically significant by the investigator
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy. Persons living with stable human immunodeficiency virus (HIV) are not excluded
  • Known systemic hypersensitivity to any of the study intervention components (eg, polyethylene glycol, polysorbate); history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances; any allergic reaction (eg, anaphylaxis) after administration of mRNA coronavirus disease 2019 (COVID-19) vaccine
  • History of RSV and/or hMPV-associated illness, diagnosed clinically, serologically, or microbiologically in the last 12 months
  • Previous history of myocarditis, pericarditis, and/or myopericarditis
  • Screening electrocardiogram that is consistent with possible myocarditis, pericarditis, and/or myopericarditis or, in the opinion of the investigator, demonstrates clinically relevant abnormalities that may affect participant safety or study results
  • Thrombocytopenia or bleeding disorder, contraindicating intramuscular (IM) injection based on investigator's judgment
  • Receipt of anticoagulants in the 3 weeks preceding inclusion
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
  • Alcohol, prescription drug, or substance abuse that, in the opinion of the investigator, might interfere with the study conduct or completion
  • History of acute infection symptoms or a positive severe acute respiratory syndrome coronavirus reverse transcription polymerase chain reaction (SARS-CoV-2 RT-PCR) or antigen test in the 10 days prior to the visit. A prospective participant should not be included in the study until the condition has resolved
  • Receipt of any vaccine other than mRNA vaccine in the 4 weeks preceding any study intervention administration or planned receipt of any vaccine other than mRNA vaccine in the 4 weeks following any study intervention administration
  • Receipt of any mRNA vaccine in the 60 days preceding any study intervention administration or planned receipt of any mRNA vaccine in the 60 days following any study intervention administration
  • Previous vaccination against RSV and/or hMPV (with a licensed or investigational vaccine either as a monovalent vaccine or any combination of the antigens)
  • Receipt of immune globulins, blood, or blood-derived products in the past 3 months
  • Participation at the time of study enrollment (or in the 4 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Sentinel Cohort: RSV/hMPV Group 0 (Dose L)RSV/hMPV vaccine candidate Dose LParticipants will be randomized to receive a single IM injection of RSV/hMPV vaccine candidate
Sentinel Cohort: RSV/hMPV Group 2 (Dose B)RSV/hMPV vaccine candidate Dose BParticipants will be randomized to receive a single IM injection of RSV/hMPV vaccine candidate
Sentinel Cohort: Placebo-Group 3PlaceboParticipants will be randomized to receive a single IM injection of placebo
Booster Cohort-RSV/hMPVRSV/hMPV vaccine candidate Dose AParticipants will be randomized to receive a determined dose of single IM injection of RSV/hMPV vaccine candidate from a subset of Main cohort
Main Cohort: RSV/hMPV Group 1 (Dose A)RSV/hMPV vaccine candidate Dose AParticipants will be randomized to receive a single IM injection of RSV/hMPV vaccine candidate
Main Cohort: RSV/hMPV Group 2 (Dose B)RSV/hMPV vaccine candidate Dose BParticipants will be randomized to receive a single IM injection of RSV/hMPV vaccine candidate
Booster Cohort-PlaceboPlaceboParticipants will be randomized to receive of single IM injection of placebo from a subset of Main cohort
Main Cohort: Placebo-Group 3PlaceboParticipants will be randomized to receive a single IM injection of placebo
Sentinel Cohort: RSV/hMPV Group 1 (Dose A)RSV/hMPV vaccine candidate Dose AParticipants will be randomized to receive a single IM injection of RSV/hMPV vaccine candidate
Booster Cohort-RSV/hMPVRSV/hMPV vaccine candidate Dose BParticipants will be randomized to receive a determined dose of single IM injection of RSV/hMPV vaccine candidate from a subset of Main cohort
Primary Outcome Measures
NameTimeMethod
Presence of unsolicited systemic immediate adverse events (AEs)Within 30 minutes after primary vaccination

Number of participants experiencing immediate an immediate unsolicited systemic adverse event

Presence of solicited injection site or systemic reactionsWithin 7 days after primary vaccination

Number of participants reporting:

* injection site reactions: pain, erythema and swelling

* systemic reactions: fever, headache, fatigue, myalgia, arthralgia and chills

Presence of unsolicited AEsWithin 28 days after vaccination

Number of participants experiencing unsolicited AEs

Presence of medically attended adverse events (MAAEs)Up to 6 months after primary injection

Number of participants experiencing MAAEs

Presence of serious adverse events (SAEs)Up to 6 months after primary injection

Number of participants experiencing SAEs

Presence of adverse events of special interest (AESIs)Up to 6 months after primary injection

Number of participants experiencing AESIs

Presence of related SAEsThroughout study (approximately 24 months)

Number of participants experiencing related SAEs

Presence of related AESIsThroughout study (approximately 24 months)

Number of participants experiencing related AESIs

Presence of fatal SAEsThroughout study (approximately 24 months)

Number of participants experiencing fatal SAEs

Presence of out-of-range biological test resultsWithin 7 days after vaccination

Number of participants with biological safety assessment values out of normal range (as per the laboratory performing the test, including shift from baseline values)

RSV-A serum neutralizing antibody (nAb) titers at pre-vaccination (D01) and 28 days post- primary vaccination (D29) in Phase IIa (Main/Booster Cohort)Day 1 and Day 29

RSV-A serum neutralizing antibody (nAb) titers at pre-vaccination (D01) and 28 days post- primary vaccination (D29)

hMPV serum nAb titers at pre-vaccination (D01), 28 days post-primary vaccination (D29) in Phase IIa (Main/Booster Cohort)Day 1 and Day 29

hMPV serum nAb titers at pre-vaccination (D01), 28 days post-primary vaccination (D29)

Secondary Outcome Measures
NameTimeMethod
RSV-A serum neutralizing antibody (nAb) titers at pre-vaccination (D01) and 28 days post-primary vaccination (D29)Day 1 and Day 29

RSV-A serum nAb titers at pre-vaccination (D01), 28 days (D29) post-primary vaccination

RSV-B serum neutralizing antibody (nAb) titers at pre-vaccination (D01) and 28 days post-primary vaccination (D29)Day 1 and Day 29

RSV-B serum nAb titers at pre-vaccination (D01), 28 days (D29) post-primary vaccination

RSV A serum nAb titers at pre-vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

RSV A serum nAb titers at pre-vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccination

RSV B serum nAb titers at pre-vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

RSV B serum nAb titers at pre-vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccination

RSV A serum anti-F immunoglobulin G (IgG) antibody (Ab) titers at pre-vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

RSV A serum anti-F immunoglobulin G (IgG) antibody (Ab) titers at pre-vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccination

RSV A serum nAb titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post-booster vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

RSV A serum nAb titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post-booster vaccination

hMPV serum nAb titers at pre vaccination (D01), 28 days post-primary vaccination (D29)Day 1 and Day 29

hMPV serum nAb titers at pre-vaccination (D01), 28 days (D29) post-primary vaccination

hMPV A serum nAb titers at pre vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

hMPV A serum nAb titers at pre vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccination

hMPV A serum anti-F IgG Ab titers at pre vaccination (D01), 28 days (D29), 3, 6, 9 and 12 months post-primary vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

hMPV A serum anti-F IgG Ab titers at pre vaccination (D01), 28 days (D29), 3 months (D91), and 6 months (D181) post vaccination

RSV B serum nAb titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post-booster vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

RSV B serum nAb titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post-booster vaccination

RSV A serum anti-F IgG Ab titers at pre-booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post- booster vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

RSV A serum anti-F IgG Ab titers at pre-booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post- booster vaccination

hMPV A serum nAb titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post booster vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

hMPV A serum nAb titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post-booster vaccination

hMPV serum anti-F IgG Ab titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post booster vaccinationDay 1, Day 29, Month 3, Month 6, Month 9 and Month 12

hMPV serum anti-F IgG Ab titers at pre booster vaccination (D01), 28 days (D29), and 3, 6, 9, and 12 months post- booster vaccination

Trial Locations

Locations (13)

Velocity Clinical Research, Sioux City Site Number : 8400012

🇺🇸

Sioux City, Iowa, United States

AMR Lexington Site Number : 8400008

🇺🇸

Lexington, Kentucky, United States

Investigational Site Number : 6300001

🇵🇷

San Juan, Puerto Rico

Investigational Site Number : 6300003

🇵🇷

San Juan, Puerto Rico

DM Clinical Research - Tomball Site Number : 8400004

🇺🇸

Tomball, Texas, United States

Matrix Clinical Research Site Number : 8400011

🇺🇸

Los Angeles, California, United States

AMR Chicago, Oakbrook Terrace Site Number : 8400019

🇺🇸

Oakbrook Terrace, Illinois, United States

Collaborative Neuroscience Research Site Number : 8400017

🇺🇸

Los Alamitos, California, United States

Peninsula Research Associates Site Number : 8400001

🇺🇸

Rolling Hills Estates, California, United States

Investigational Site Number : 6300002

🇵🇷

Guayama, Puerto Rico

AMR Knoxville Site Number : 8400010

🇺🇸

Knoxville, Tennessee, United States

Suncoast Research Associates, LLC Site Number : 8400002

🇺🇸

Miami, Florida, United States

AMR Kansas City Site Number : 8400014

🇺🇸

Kansas City, Missouri, United States

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