Safety and Immunogenicity Study of ChimeriVax West Nile Vaccine in Healthy Adults (WinVax004)
Primary Purpose
West Nile Fever
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ChimeriVax-WN02 vaccine
ChimeriVax-WN02 vaccine
ChimeriVax-WN02 vaccine
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for West Nile Fever focused on measuring West Nile Fever, ChimeriVax, West Nile Virus Vaccine
Eligibility Criteria
Inclusion Criteria:
- Written informed consent
- Medically stable, ambulatory male or female ≥ 50 years of age.
- Attend all scheduled visits and to comply with all study procedures.
- Negative serum pregnancy test at Screening, and a negative urine pregnancy test on Day 0.
Exclusion Criteria:
- Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term (at least 2 weeks within the previous 3 months) systemic corticosteroids therapy (at a dose of at least 10 mg of prednisone or equivalent), or depot preparation within the previous 3 months. Topical steroids are allowed.
- Administration of immunoglobulins and/or any blood products within 3 months before enrollment or planned administration during treatment period of study.
- Presence of acute or chronic illness associated with an oral temperature of >38.0 °C or requiring hospitalization at time of enrollment.
- Any of the following serological findings at Screening:
positive Hepatitis B surface antigen (HBsAg), positive Hepatitis C (anti-HCV), or positive human immunodeficiency virus (HIV).
- Personal or family history of thymic pathology (e.g., thymoma), thymectomy, or myasthenia.
- History of significant allergic reaction to the vaccine components
- Asplenia, functional asplenia, or any condition resulting in the absence or removal of the spleen.
- Active or potentially progressive neurologic disease or injury including but not limited to: Parkinson's, Guillain Barré, epilepsy, seizures (except febrile seizures under the age of 2), cerebrovascular accident, head trauma requiring hospitalization within the preceding 3 years, or any other neurologic condition thought to impact the integrity of the blood brain barrier.
- Clinically significant abnormal ECG findings at Screening
- Impaired hepatic function, and/or clinically significant or unexplained elevations of alanine aminotransferase (ALT, SGPT), or aspartate aminotransferase (AST, SGOT) > 3X the upper limit of normal.
- Impaired renal function, as shown by but not limited to, serum creatinine >2.0 mg/dL.
- Impaired hematopoietic function and/or clinically significant hematological laboratory abnormalities.
- A history of alcohol or drug abuse within 12 months prior to study entry.
- Pregnant or lactating women and women of childbearing potential who are not using an acceptable method of contraception at least 28 days prior to enrollment. Post menopausal women will be considered not of childbearing potential 1 year after last menstrual period.
- Behavioral, cognitive, or psychiatric disease that, in the opinion of the Investigator affects the ability of the subject to understand the scope of the study and/or unlikely to be able to be compliant with the study procedures and visits.
- Any other condition, which in the Investigator's judgment, might result in an increased risk to the subject, or would affect the subject's participation in the study.
- Participation in another clinical trial investigating a vaccine, drug or medical procedure in the 30 days preceding informed consent.
- Any vaccine administered within 30 days prior to study vaccination. Note: Influenza vaccine can be administered 1 week preceding study vaccination.
- Planned participation in another clinical trial during the present trial period.
- Planned receipt of any vaccine in the 4 weeks following the trial vaccination.
- Research site personnel or their family members cannot be enrolled as subjects in this trial.
Sites / Locations
- Advanced Clinical Research Inst.
- Lynn Health Science Institute
- Miami Research
- Advanced Clinical Research- Idaho
- Idaho Falls Infectious diseases
- Johnson County Clinical Trials
- Vince & Associates
- Bio-Kinetic
- Big Sky Clinical Research
- Infectious Disease Specialists, PC
- Odyssey Research
- Lynn Health Science Institute
- Research Across America
- Benchmark
- Radiant Research
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
ChimeriVax WN02 vaccine, low dose
ChimeriVax-WN02 vaccine, medium dose
ChimeriVax-WN02 vaccine, high dose
Placebo
Arm Description
Participants randomized to receive ChimeriVax WN02 vaccine, low dose
Participants randomized to receive ChimeriVax-WN02 vaccine, medium dose
Participants randomized to receive ChimeriVax-WN02 vaccine, high dose
Participants randomized to receive Placebo (Saline)
Outcomes
Primary Outcome Measures
Geometric Mean Titers (GMTs) of Antibodies to Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine
Antibodies to the vaccine antigens were measured by the Plaque Reduction Neutralization Test.
Number of Participants With Seroconversion Following Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine.
Antibodies to vaccine were measured by the Plaque Reduction Neutralization Test.
Seroconversion was defined as a four-fold or greater rise in titer between pre- and post-injection samples; or a post-vaccination (Day 28) titers of ≥ 1:20 in participants with baseline titer ≤ 1:10.
Number of Participants Reporting Solicited Injection Site or Systemic Reactions Following Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine.
Secondary Outcome Measures
Number of Participants Developing Viremia After Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine.
Viremia is defined as number of subjects in the analysis population dose group with detected (≥ 20 Plaque forming units [pfu]/mL) viremia at the reported visit.
Full Information
NCT ID
NCT00746798
First Posted
September 2, 2008
Last Updated
March 17, 2015
Sponsor
Sanofi Pasteur, a Sanofi Company
1. Study Identification
Unique Protocol Identification Number
NCT00746798
Brief Title
Safety and Immunogenicity Study of ChimeriVax West Nile Vaccine in Healthy Adults
Acronym
WinVax004
Official Title
Randomized, Modified, Double-blind, Placebo-controlled, Phase II, Dose-ranging Study of the Safety and Immunogenicity of Single Dose ChimeriVax-WN02 Vaccine in Healthy Adults.
Study Type
Interventional
2. Study Status
Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
December 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine if ChimeriVax West Nile vaccine is safe and effective in preventing West Nile disease in adults over 50 years of age.
Detailed Description
Currently, the only method of prevention of West Nile infection is control of the mosquito vectors associated or avoidance of mosquito bites, which has proven largely ineffective. Developing a safe, effective vaccine and making it widely available will enhance the prospects of prevention and control of this disease. In addition, natural infections with the YF virus and WN virus are more severe in the elderly. Therefore, a study among healthy older subjects or those with well controlled chronic diseases will provide data to determine a ChimeriVax-WN02 vaccine dose that is immunogenic and well tolerated.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
West Nile Fever
Keywords
West Nile Fever, ChimeriVax, West Nile Virus Vaccine
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
479 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ChimeriVax WN02 vaccine, low dose
Arm Type
Experimental
Arm Description
Participants randomized to receive ChimeriVax WN02 vaccine, low dose
Arm Title
ChimeriVax-WN02 vaccine, medium dose
Arm Type
Experimental
Arm Description
Participants randomized to receive ChimeriVax-WN02 vaccine, medium dose
Arm Title
ChimeriVax-WN02 vaccine, high dose
Arm Type
Experimental
Arm Description
Participants randomized to receive ChimeriVax-WN02 vaccine, high dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants randomized to receive Placebo (Saline)
Intervention Type
Biological
Intervention Name(s)
ChimeriVax-WN02 vaccine
Intervention Description
low dose, approximately 4 x 3log10, given one time subcutaneously
Intervention Type
Biological
Intervention Name(s)
ChimeriVax-WN02 vaccine
Intervention Description
medium dose, approximately 4 x 4log10, given one time
Intervention Type
Biological
Intervention Name(s)
ChimeriVax-WN02 vaccine
Intervention Description
high dose, approximately 4 x 5log10, given one time subcutaneously
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
0.9%Normal Saline for Injection, given one time subcutaneously
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMTs) of Antibodies to Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine
Description
Antibodies to the vaccine antigens were measured by the Plaque Reduction Neutralization Test.
Time Frame
Day 0 and Day 28 post-vaccination
Title
Number of Participants With Seroconversion Following Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine.
Description
Antibodies to vaccine were measured by the Plaque Reduction Neutralization Test.
Seroconversion was defined as a four-fold or greater rise in titer between pre- and post-injection samples; or a post-vaccination (Day 28) titers of ≥ 1:20 in participants with baseline titer ≤ 1:10.
Time Frame
Day 0 and Day 28 post-vaccination
Title
Number of Participants Reporting Solicited Injection Site or Systemic Reactions Following Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine.
Time Frame
Day 0 up to Day 14 post-vaccination
Secondary Outcome Measure Information:
Title
Number of Participants Developing Viremia After Vaccination With ChimeriVax™ WN02 or a Placebo Vaccine.
Description
Viremia is defined as number of subjects in the analysis population dose group with detected (≥ 20 Plaque forming units [pfu]/mL) viremia at the reported visit.
Time Frame
Day 2 up to Day 14 post-vaccination
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Written informed consent
Medically stable, ambulatory male or female ≥ 50 years of age.
Attend all scheduled visits and to comply with all study procedures.
Negative serum pregnancy test at Screening, and a negative urine pregnancy test on Day 0.
Exclusion Criteria:
Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term (at least 2 weeks within the previous 3 months) systemic corticosteroids therapy (at a dose of at least 10 mg of prednisone or equivalent), or depot preparation within the previous 3 months. Topical steroids are allowed.
Administration of immunoglobulins and/or any blood products within 3 months before enrollment or planned administration during treatment period of study.
Presence of acute or chronic illness associated with an oral temperature of >38.0 °C or requiring hospitalization at time of enrollment.
Any of the following serological findings at Screening:
positive Hepatitis B surface antigen (HBsAg), positive Hepatitis C (anti-HCV), or positive human immunodeficiency virus (HIV).
Personal or family history of thymic pathology (e.g., thymoma), thymectomy, or myasthenia.
History of significant allergic reaction to the vaccine components
Asplenia, functional asplenia, or any condition resulting in the absence or removal of the spleen.
Active or potentially progressive neurologic disease or injury including but not limited to: Parkinson's, Guillain Barré, epilepsy, seizures (except febrile seizures under the age of 2), cerebrovascular accident, head trauma requiring hospitalization within the preceding 3 years, or any other neurologic condition thought to impact the integrity of the blood brain barrier.
Clinically significant abnormal ECG findings at Screening
Impaired hepatic function, and/or clinically significant or unexplained elevations of alanine aminotransferase (ALT, SGPT), or aspartate aminotransferase (AST, SGOT) > 3X the upper limit of normal.
Impaired renal function, as shown by but not limited to, serum creatinine >2.0 mg/dL.
Impaired hematopoietic function and/or clinically significant hematological laboratory abnormalities.
A history of alcohol or drug abuse within 12 months prior to study entry.
Pregnant or lactating women and women of childbearing potential who are not using an acceptable method of contraception at least 28 days prior to enrollment. Post menopausal women will be considered not of childbearing potential 1 year after last menstrual period.
Behavioral, cognitive, or psychiatric disease that, in the opinion of the Investigator affects the ability of the subject to understand the scope of the study and/or unlikely to be able to be compliant with the study procedures and visits.
Any other condition, which in the Investigator's judgment, might result in an increased risk to the subject, or would affect the subject's participation in the study.
Participation in another clinical trial investigating a vaccine, drug or medical procedure in the 30 days preceding informed consent.
Any vaccine administered within 30 days prior to study vaccination. Note: Influenza vaccine can be administered 1 week preceding study vaccination.
Planned participation in another clinical trial during the present trial period.
Planned receipt of any vaccine in the 4 weeks following the trial vaccination.
Research site personnel or their family members cannot be enrolled as subjects in this trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Sanofi Pasteur Inc
Official's Role
Study Director
Facility Information:
Facility Name
Advanced Clinical Research Inst.
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Lynn Health Science Institute
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
Miami Research
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Advanced Clinical Research- Idaho
City
Boise
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Idaho Falls Infectious diseases
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
Johnson County Clinical Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
Vince & Associates
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Bio-Kinetic
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65802
Country
United States
Facility Name
Big Sky Clinical Research
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
Facility Name
Infectious Disease Specialists, PC
City
Missoula
State/Province
Montana
ZIP/Postal Code
59802
Country
United States
Facility Name
Odyssey Research
City
Fargo
State/Province
North Dakota
ZIP/Postal Code
88104
Country
United States
Facility Name
Lynn Health Science Institute
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Research Across America
City
Dallas
State/Province
Texas
ZIP/Postal Code
75234
Country
United States
Facility Name
Benchmark
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76135
Country
United States
Facility Name
Radiant Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.sanofipasteur.com
Description
Related Info
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Safety and Immunogenicity Study of ChimeriVax West Nile Vaccine in Healthy Adults
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