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Prevention, Randomized, Double-Blinded, Placebo-Controlled, Parallel Assignment, Safety/Efficacy Study

Primary Purpose

Traveler's Diarrhea

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Biological: heat-labile enterotoxin of E. coli (LT)
Sponsored by
Intercell USA, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Traveler's Diarrhea focused on measuring LT, Healthy Adults, Dose Ranging, Patch, Vaccine

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Subjects must meet all of the following criteria to be eligible to participate in the study:

Inclusion Criteria:

  • Healthy adult males or females 18 to 40 years of age with signed informed consent.
  • Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and within 24 hours prior to each vaccination with understanding (through informed consent process) to not become pregnant over the duration of the study, and must agree to employ an effective form of birth control for the duration of the study.
  • Acceptable forms of birth control are: abstinence, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom, diaphragm with spermicide), and IUD.

Subjects meeting any of the following criteria are not eligible for participation in the study:

Exclusion Criteria:

  • Laboratory abnormalities.
  • Abnormalities at physical examination
  • Known allergies to any component of the vaccine.
  • Known disturbance of coagulation.
  • Known allergies to adhesives.
  • Participated in unrelated research involving investigational product within 30 days before planned date of first vaccination.
  • Ever received investigational enterotoxigenic E. coli, LT, or LT(R192G) or NasalFlu, Berna Biotech, Ltd.
  • Ever received cholera toxin or vaccine (e.g. Orochol™, Dukoral™).
  • Medical history of acute or chronic skin disease at vaccination site(s).
  • Active skin allergy.
  • Recent or regular use of oral or injected steroid medications.
  • Use of immunosuppressive systemic steroid medications including inhaled steroids within three months prior to first vaccination.
  • Comorbid conditions or treatments that are immunosuppressive, including cancer, diabetes, end-stage renal disease, as determined by the Investigator.
  • Positive serology for HIV-1, HIV-2, HBsAg, or HCV.
  • History of severe atopy. Signs or history of acute skin infection, sunburn or skin abnormalities on the vaccination area(s) including fungal infections, severe acne, history of keloid formation, or active contact dermatitis.
  • Artificial tanning (UV radiation) over the duration of the study including the screening period.
  • Hirsute (significant amount of hair) at vaccination area(s).
  • Visible tattoos or marks (tattoos/scars) at the vaccination area(s) that would prevent appropriate dermatological monitoring of the vaccination site(s).
  • Fever equal to or greater than 38.0°C (≥100.4°F) at the time of planned vaccination.
  • Suspicion of or recent history of alcohol or substance abuse.
  • Donated blood or blood products such as plasma within the past 30 days.
  • Women who are pregnant or breastfeeding.
  • Employee of the investigational site.
  • Medical history of achlorhydria.
  • History of abdominal surgery (excluding C-section, hysterectomy, cosmetic surgery, liposuction, appendectomy, cholecystectomy, ventral hernia repair, and other surgeries not pertaining to gastrointestinal problems) or history of, or recent acute gastrointestinal illness.

Sites / Locations

  • Solano Clinical Research
  • QUEST Research Institute
  • Asthma and Allergy Associates PC
  • Radiant Research - Cincinnati
  • Clinical Trials of Texas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

1

2

3

4

5

6

7

8

9

10

Arm Description

7.5µg LT Dose placed at the Deltoid on Day 0 and Day 21

7.5µg LT Dose placed at the Lower Back on Day 0 and Day 21

22.5µg LT Dose placed at the Deltoid on Day 0 and Day 21

22.5µg LT Dose placed at the Lower Back on Day 0 and Day 21

37.5µg LT Dose placed at the Deltoid on Day 0 and Day 21

37.5µg LT Dose placed at the Lower Back on Day 0 and Day 21

50µg LT Dose placed at the Deltoid on Day 0 and Day 21

50µg LT Dose placed at the Lower Back on Day 0 and Day 21

Placebo (0µg LT) placed at the Deltoid on Day 0 and Day 21

Placebo (0µg LT) placed at the Lower Back on Day 0 and Day 21

Outcomes

Primary Outcome Measures

To evaluate the immunogenicity of LT application at different doses

Secondary Outcome Measures

To evaluate the safety of LT application at different doses
To evaluate the safety of the skin preparation system
To compare patch performance (safety and immunogenicity) on different anatomical parts of the body

Full Information

First Posted
May 2, 2008
Last Updated
March 13, 2012
Sponsor
Intercell USA, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00672035
Brief Title
Prevention, Randomized, Double-Blinded, Placebo-Controlled, Parallel Assignment, Safety/Efficacy Study
Official Title
Randomized, Double-Blinded, Placebo-Controlled, Dose Ranging Study to Assess the Immunogenicity and Safety of LT Application in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
March 2012
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
December 2006 (Actual)
Study Completion Date
July 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intercell USA, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The main purpose of this study is to evaluate the body's immune response to the LT patch at different doses. The secondary purpose of this study is to evaluate the safety of the LT patches at different doses and the safety of the skin preparation system. Another secondary purpose is to compare the safety and the body's immune response to LT patches placed on the upper arm versus the lower back.
Detailed Description
This is a randomized, double-blind, placebo-controlled, dose ranging, multicenter study. Subjects will be assigned to one of ten treatment groups and vaccinated according to the study group designation. Treatments will remain the same for first and second vaccinations (alternating left and right sides).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Traveler's Diarrhea
Keywords
LT, Healthy Adults, Dose Ranging, Patch, Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
406 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
7.5µg LT Dose placed at the Deltoid on Day 0 and Day 21
Arm Title
2
Arm Type
Experimental
Arm Description
7.5µg LT Dose placed at the Lower Back on Day 0 and Day 21
Arm Title
3
Arm Type
Experimental
Arm Description
22.5µg LT Dose placed at the Deltoid on Day 0 and Day 21
Arm Title
4
Arm Type
Experimental
Arm Description
22.5µg LT Dose placed at the Lower Back on Day 0 and Day 21
Arm Title
5
Arm Type
Experimental
Arm Description
37.5µg LT Dose placed at the Deltoid on Day 0 and Day 21
Arm Title
6
Arm Type
Experimental
Arm Description
37.5µg LT Dose placed at the Lower Back on Day 0 and Day 21
Arm Title
7
Arm Type
Experimental
Arm Description
50µg LT Dose placed at the Deltoid on Day 0 and Day 21
Arm Title
8
Arm Type
Experimental
Arm Description
50µg LT Dose placed at the Lower Back on Day 0 and Day 21
Arm Title
9
Arm Type
Placebo Comparator
Arm Description
Placebo (0µg LT) placed at the Deltoid on Day 0 and Day 21
Arm Title
10
Arm Type
Placebo Comparator
Arm Description
Placebo (0µg LT) placed at the Lower Back on Day 0 and Day 21
Intervention Type
Biological
Intervention Name(s)
Biological: heat-labile enterotoxin of E. coli (LT)
Intervention Description
LT patch applied on either the deltoid or the lower back.
Primary Outcome Measure Information:
Title
To evaluate the immunogenicity of LT application at different doses
Time Frame
6 months
Secondary Outcome Measure Information:
Title
To evaluate the safety of LT application at different doses
Time Frame
6 months
Title
To evaluate the safety of the skin preparation system
Time Frame
6 months
Title
To compare patch performance (safety and immunogenicity) on different anatomical parts of the body
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Subjects must meet all of the following criteria to be eligible to participate in the study: Inclusion Criteria: Healthy adult males or females 18 to 40 years of age with signed informed consent. Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and within 24 hours prior to each vaccination with understanding (through informed consent process) to not become pregnant over the duration of the study, and must agree to employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: abstinence, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom, diaphragm with spermicide), and IUD. Subjects meeting any of the following criteria are not eligible for participation in the study: Exclusion Criteria: Laboratory abnormalities. Abnormalities at physical examination Known allergies to any component of the vaccine. Known disturbance of coagulation. Known allergies to adhesives. Participated in unrelated research involving investigational product within 30 days before planned date of first vaccination. Ever received investigational enterotoxigenic E. coli, LT, or LT(R192G) or NasalFlu, Berna Biotech, Ltd. Ever received cholera toxin or vaccine (e.g. Orochol™, Dukoral™). Medical history of acute or chronic skin disease at vaccination site(s). Active skin allergy. Recent or regular use of oral or injected steroid medications. Use of immunosuppressive systemic steroid medications including inhaled steroids within three months prior to first vaccination. Comorbid conditions or treatments that are immunosuppressive, including cancer, diabetes, end-stage renal disease, as determined by the Investigator. Positive serology for HIV-1, HIV-2, HBsAg, or HCV. History of severe atopy. Signs or history of acute skin infection, sunburn or skin abnormalities on the vaccination area(s) including fungal infections, severe acne, history of keloid formation, or active contact dermatitis. Artificial tanning (UV radiation) over the duration of the study including the screening period. Hirsute (significant amount of hair) at vaccination area(s). Visible tattoos or marks (tattoos/scars) at the vaccination area(s) that would prevent appropriate dermatological monitoring of the vaccination site(s). Fever equal to or greater than 38.0°C (≥100.4°F) at the time of planned vaccination. Suspicion of or recent history of alcohol or substance abuse. Donated blood or blood products such as plasma within the past 30 days. Women who are pregnant or breastfeeding. Employee of the investigational site. Medical history of achlorhydria. History of abdominal surgery (excluding C-section, hysterectomy, cosmetic surgery, liposuction, appendectomy, cholecystectomy, ventral hernia repair, and other surgeries not pertaining to gastrointestinal problems) or history of, or recent acute gastrointestinal illness.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael J Noss, MD
Organizational Affiliation
Radiant Research, Cincinnati
Official's Role
Principal Investigator
Facility Information:
Facility Name
Solano Clinical Research
City
Davis
State/Province
California
ZIP/Postal Code
95616
Country
United States
Facility Name
QUEST Research Institute
City
Bingham Farms
State/Province
Michigan
ZIP/Postal Code
48025
Country
United States
Facility Name
Asthma and Allergy Associates PC
City
Cortland
State/Province
New York
ZIP/Postal Code
13045
Country
United States
Facility Name
Radiant Research - Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45249
Country
United States
Facility Name
Clinical Trials of Texas
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

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Prevention, Randomized, Double-Blinded, Placebo-Controlled, Parallel Assignment, Safety/Efficacy Study

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