A Phase 1 Double-blind, Randomized, Dose Finding Clinical Trial With an Open-label run-in Part to Assess the Safety and Immunogenicity of an Inactivated, Adjuvanted Whole Zika Virus Vaccine Candidate (VLA1601) in Healthy Flavivirus-naïve Adults Aged 18 to 49 Years
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 4
- 主要终点
- Neutralizing antibodies against ZIKA virus (ZIKV)
研究概览
简要总结
This phase 1 clinical trial consists of an initial open-label sentinel run-in (n=25) and a randomized, double-blind, dose-finding (n=125) investigating three antigen dose levels (low, medium and high) of VLA1601 and bedside mixing of the low-dose formulation with one of the two additional adjuvants (CpG1018®, 3M-052-AF/AP 60-702). VLA1601 will be administered according to a two-dose regimen (i.e., on Day 1 and Day 29).
The primary objective of this trial is to assess the safety and tolerability of the vaccine candidate up to 7 days after each vaccination; and to assess the immune response induced by the vaccine candidate 28 days after the second vaccination. Additionally, safety and immune response of the vaccine candidate will be monitored throughout the trial.
详细描述
VLA1601 is a second generation, highly purified, inactivated, whole ZIKV vaccine candidate (adsorbed on aluminum hydroxide) designed for active immunization for the prevention of disease caused by the flavivirus ZIKV.
This is a phase 1 trial, consisting of an initial open-label sentinel run-in (n=25) phase and a randomized, double-blind, dose-finding trial (n=125) in flavivirus naïve adults aged 18 to 49 years. In total approximately 150 participants will be vaccinated in this trial.
The trial will investigate three antigen dose levels (low, medium and high) of VLA1601. In addition, CpG 1018® or 3M-052-AF/AP 60-702 are investigated as add-on adjuvants in the low dose group (bedside mixing). Each dose is formulated with alum (aluminum hydroxide) adjuvant.
In each of the five treatment arms 30 participants (each with 5 sentinel/run-in and 25 randomized participants) will be vaccinated. Each participant will receive 2 vaccinations, one on Day 1 and one on Day 29, which will be administered intramuscularly (i.m.) in the deltoid muscle (non-dominant arm). The screening period can last up to 21 days.
The trial began with the vaccination of 25 sentinel participants (5 participants in each of the 5 treatment arms) in a sequential open-label, staggered dose-escalation manner.
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, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 49 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 to 49 years of age
- •BMI of ≥18.5 and <30 kg/m2
- •generally healthy as determined by the investigator's clinical judgement based on medical history, physical examination, and screening laboratory tests.
- •If trial participant is of childbearing potential: negative pregnancy test; employ adequate birth control measures up to Day
- •Male participant agrees to employ adequate birth control measures up to 90 days after last vaccination.
排除标准
- •Participant
- •has a known history of the following flavivirus infection: Zika Virus (ZIKV), Japanese Encephalitis Virus (JEV), Dengue Virus (DENV), Yellow Fever Virus (YFV), West-Nile Virus (WNV), or Tick-Borne Encephalitis Virus (TBEV).
- •received or has plans to receive a licensed or investigational flavivirus vaccine during the course of the trial.
- •travelled within 4 weeks prior to trial enrollment or has plans to travel to areas (including within the US) with Zika virus (ZIKV), Japanese Encephalitis Virus (JEV), Dengue Virus (DENV) or Yellow Fever Virus (YFV) active transmission/circulation during the course of the trial .
- •received active or passive immunization within 4 weeks prior or planned to get such vaccination after any trial-vaccination.
- •presents with clinically significant abnormal laboratory values, as determined by the investigator.
- •tests positive for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
- •has history of significant cardiovascular, respiratory (including asthma), metabolic, neurological (including Guillain-Barre syndrome [GBS]), psychiatric, hepatic, rheumatic, autoimmune, hematological, gastrointestinal, or renal disorder.
- •with known or suspected defect of the immune system that would prevent an immune response to the vaccine.
- •received immuno-suppressive therapy within 4 weeks prior to first vaccination. Radiation therapy or immunosuppressive cytotoxic drugs/ monoclonal antibodies in the previous 3 years.
- •with a history of severe hypersensitivity reactions or anaphylaxis.
- •with a history of any vaccine related contraindicating event .
- •with acute febrile infections within two weeks prior to vaccination in this trial.
- •donated blood within 4 weeks or received blood-derived products (e.g. plasma) within 12 weeks prior to vaccination in this trial or plans to donate blood or use blood products during the course of the trial.
- •has a rash, dermatological condition or tattoos that would, in the opinion of the investigator, interfere with injection site reaction rating.
- •presents with clinical conditions representing a contraindication to intramuscular vaccination and blood draws.
- •is currently enrolled (ICF signed) or has participated in another clinical trial involving an investigational medicinal product (IMP) or device within 4 weeks prior to trial enrollment or is scheduled to participate in another clinical trial involving an IMP or investigational device during the course of this trial.
- •has a known or suspected problem with alcohol or drug abuse
研究组 & 干预措施
VLA1601 Low dose
干预措施: VLA1601 (Biological)
VLA1601 Low dose + CpG 1018®
干预措施: VLA1601 (Biological)
VLA1601 Low dose + CpG 1018®
干预措施: CpG 1018® (Biological)
VLA1601 Low dose + 3M-052-AF
干预措施: VLA1601 (Biological)
VLA1601 Low dose + 3M-052-AF
干预措施: 3M-052-AF (Biological)
VLA1601 Medium dose
干预措施: VLA1601 (Biological)
VLA1601 High dose
干预措施: VLA1601 (Biological)
结局指标
主要结局
Neutralizing antibodies against ZIKA virus (ZIKV)
时间窗: Day 57
Geometric mean titer (GMT) for neutralizing antibodies against (ZIKV) determined by virus neutralization assay
Solicited Adverse Events
时间窗: 7 days after each vaccination
frequency of solicited AEs (injection site and systemic reactions)
次要结局
- Any vaccine-related AEs(Day 395)
- Any Vaccine-related AEs(Day 395)
- ZIKV-specific neutralizing antibodies(up to Day 395 (including Day 1, 15, 29, 43, 208))
- Seroconversion rate (SCR)(up to Day 395 (including Day 1, 15, 29, 43, 57, 208))
- Geometric Mean Fold Increase (GMFI)(up to Day 395 (including Day 1, 15, 29, 43, 57, 208))
- Unsolicited AEs(Day 395)
- Vaccine-related unsolicited AEs(Day 395)
- Any AEs(Day 395)
- Adverse Events of Special Interest (AESI)(Day 395)
- Vaccine-related Adverse Events of Special Interest (AESI)(Day 395)
- Serious Adverse Events (SAE)(Day 395)
- Vaccine-related Serious Adverse Events (SAE)(Day 395)
- Solicited Adverse Events(7 days after any vaccination)
