Evaluation of Immunogenicity and Safety of a New Vaccine Schedule Using the Vaccine Candidate Sm14 Against Schistosomiasis in Adults With a History of S. Mansoni and / or S. Haematobium Infection.
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- assessment of Immunogenicity 1
研究概览
简要总结
Previous clinical trials have already demonstrated the safety of the candidate vaccine in adults as well as in children, in good health or infected with schistosomiasis. Regarding the induced immune response, more than 80% of vaccinated subjects were seroconverted after three vaccine injections. The induced immune response was substantial but transient. In order to obtain a more lasting immune response, the investigator will experiment with a new vaccination schedule (2 injections 1-month interval and the 3rd injection 5 months after the first dose), versus the vaccine schedule initially used (3 injections at 1-month interval).
This trial will be the last phase 2 before testing the efficacy of the rSm14 vaccine candidate.
详细描述
Adults with a history of infection with S. mansoni and / or S. haematobium, aged 18 to 49 years, pretreated with PZQ before the first vaccine injection (Inclusion) and living in villages in the Saint Louis region where schistosomiasis is endemic.
Comparative test with modification of the vaccine schedule previously used:
- The reference vaccine administration schedule consists of three vaccine administrations one-month interval (Group Vacc3).
- The new vaccine injection schedule will consist of a primary vaccination with two administrations of the vaccine one month apart, then a booster five (5) months after the first injection (Group Vacc2+1). Immunogenicity and safety will be evaluated and compared in these 2 groups.
These two groups of adults will be formed after randomization and pretreatment with PZQ (4 to 8 weeks before their first vaccine administration).
Main objective: to compare the immunological quality of the new vaccination schedule (amplitude and duration) versus the vaccination schedule used in the previous trials, by studying the Sm14 specific antibody response induced both quantitatively and qualitatively. The hypothesis is to obtain a mean response quantitatively higher with the new vaccine schedule.
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
- None
盲法说明
open label
入排标准
- 年龄范围
- 18 Years 至 49 Years(Adult)
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Man living in villages in the Saint Louis region where schistosomiasis is endemic.
- •Having an infectious history of schistosomiasis.
- •Adult between 18 and 49 years old at the time of the first injection.
- •Have received pre-treatment with PZQ four to eight weeks before inclusion.
- •Consent signed by the volunteer after information.
- •Satisfactory state of health, confirmed on clinical examination and following biological assessment (Vpi / W-1).
- •Available for the duration of the trial.
- •To be negative to the Covid-19 antigenic test
排除标准
- •(Non inclusion criteria) :
- •Subject not meeting one of the inclusion criteria.
- •Participation to a previous anti-schistosomiasis vaccine clinical trial.
- •Participation in another ongoing clinical research
- •Current or previous chronic administration (defined as more than 14 days) of immunosuppressive drugs or other immune modulating drugs.
- •Known hypersensitivity to any component present in the Sm14 vaccine, or to any given vaccine, and / or history of allergic disease.
- •Acute illness at the time of inclusion.
- •Other conditions which, according to the PI, can potentially represent a danger to the subject to be included.
结局指标
主要结局
assessment of Immunogenicity 1
时间窗: Day 1
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 2
时间窗: Day 56
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 3
时间窗: Day 84
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 4
时间窗: Day 140
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 5
时间窗: Day 168
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 6
时间窗: Day 224
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 7
时间窗: Day 308
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of Immunogenicity 8
时间窗: Day 392
The anti-Sm14 IgG isotypes (Total IgG; IgG1; IgG3; IgG4; IgE) antibody response using an indirect ELISA
assessment of immunogenicity 9
时间窗: Day 1
Measure expression change in membrane markers expression of PBMC under in vitro Sm14 antigen activation
assessment of immunogenicity 10
时间窗: Day 84
Measure expression change in membrane markers expression of PBMC under in vitro Sm14 antigen activation (for Group Vacc3)
assessment of immunogenicity 11
时间窗: Day 168
Measure expression change in membrane markers expression of PBMC under in vitro Sm14 antigen activation (for Group Vacc2+1)
assessment of immunogenicity 12
时间窗: Day 1
12. Measure cytokine production (ELISA) by PBMC under in vitro Sm14 antigen activation
assessment of immunogenicity 13
时间窗: Day 84
12. Measure cytokine production (ELISA) by PBMC under in vitro Sm14 antigen activation (for Group Vacc3)
assessment of immunogenicity 14
时间窗: Day 168
12. Measure cytokine production (ELISA) by PBMC under in vitro Sm14 antigen activation (for Group Vacc2+1)
次要结局
- Safety of the vaccine candidate Sm14 -1(from Day 1 to Day 442)
- Safety of the vaccine candidate Sm14 - 2(from Day 1 to Day 3)
- Safety of the vaccine candidate Sm14 -3(from Day 28 to Day 30)
- Safety of the vaccine candidate Sm14 -4(from Day 56 to Day 58)
- Safety of the vaccine candidate Sm14 -5(from Day 140 to Day 142)
- Safety of the vaccine candidate Sm14 _6(from Day 1 to Day 3)
- Safety of the vaccine candidate Sm14 -7(from Day 28 to Day 30)
- Safety of the vaccine candidate Sm14 -8(from Day 56 to Day 58)
- Safety of the vaccine candidate Sm14 -9(from Day 140 to Day 142)
研究者
MIRIAM TENDLER
MD, PhD
Oswaldo Cruz Foundation
