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Study to Evaluate Safety, Reactogenicity and Immunogenicity of the Pneumococcal Protein PhtD Vaccine in Healthy Adults

Primary Purpose

Pneumococcal Disease

Status
Completed
Phase
Phase 1
Locations
Belgium
Study Type
Interventional
Intervention
PhtD vaccine with/without adjuvant
Pneumovax 23TM
NaCl
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pneumococcal Disease focused on measuring Safety, Pneumococcal Infections, Immunogenicity, PhtD vaccine, Healthy adults, Reactogenicity

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who the investigator believes will comply with the requirements of the protocol should be enrolled in the study.
  • A male or female between, and including, 18 and 45 years at the time of the first vaccination.
  • Written informed consent obtained from the subject.
  • Free of obvious health problems as established by medical history and clinical examination before entering into the study.
  • If the subject is female, she must be of non-childbearing potential, i.e., either surgically sterilized or one year post-menopausal; or, if of childbearing potential, she must be abstinent or have used adequate contraceptive precautions for 30 days prior to vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series.

Exclusion Criteria:

  • Use of any investigational or non-registered product other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period or participation to another pharmaceutical/vaccine study.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
  • Use of any anticoagulants.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol within 2 weeks of the first dose of vaccines.
  • Previous vaccination against Streptococcus pneumoniae.
  • Bacterial pneumonia within 3 years prior to 1st vaccination.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  • Current serious neurologic or mental disorders.
  • Inflammatory processes such as known chronic active infections.
  • All malignancies (excluding non-melanic skin cancer) and lymphoproliferative disorders diagnosed or treated actively during the past 5 years.
  • History of administration of an experimental vaccine containing 3-deacylated Monophosphoryl Lipid A (MPL) or Quillaja saponaria 21 (QS21).
  • Acute disease at the time of enrolment. All vaccines can be administered to persons with a minor illness such as diarrhea, mild upper respiratory infection with or without low-grade febrile illness, i.e., Oral temperature <37.5°C or Axillary temperature <37.5°C.
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests, at the discretion of the investigator.
  • Pregnant or lactating female.
  • History of chronic alcohol consumption and/or intravenous drug abuse.

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Arm Label

PhtD Group 1

PhtD Group 2

PhtD Group 3

PhtD Group 4

PhtD Group 5

23 PPV Group

Arm Description

Subjects will receive PhtD vaccine formulation 1 without any adjuvant.

Subjects will receive adjuvanted PhtD vaccine formulation 2.

Subjects will receive adjuvanted PhtD vaccine formulation 3.

Subjects will receive adjuvanted PhtD vaccine formulation 4.

Subjects will receive adjuvanted PhtD vaccine formulation 5.

Subjects will receive the Pneumovax 23TM vaccine and NaCl.

Outcomes

Primary Outcome Measures

Occurrence, intensity and relationship of any solicited local and general signs and symptoms
Occurrence, intensity and relationship to vaccination of unsolicited local and general signs and symptoms
Occurrence of all serious adverse events (SAEs)
Anti-PhtD antibody concentration in all vaccine groups (measured by ELISA)
Anti-PhtD antibody concentration in all vaccine groups (measured by ELISA)

Secondary Outcome Measures

Number and percentage of subjects with normal or abnormal values, for biochemical assessments and for hematological analysis
Anti-PhtD antibody concentration in all groups (measured by ELISA)
Anti-PhtD antibody avidity (measured by ELISA)
Evaluation of protection afforded by passive transfer of anti PhtD antibodies sera pooled from all individuals (passive transfer mice model assay)
Frequency of PhtD-specific plasma cells generated by in vitro cultivated memory B-cells in a subset of subjects (measured by B-cell ELISPOT)
Frequency of CD4 and/or CD8 T cells that produce cytokines IL-2, IL-4, IFNg, CD40L and/or GM-CSF, upon PhtD re-stimulation in vitro, to evaluate the T-cell response, in a subset of subjects (measured by intracellular cytokine cytometry)
Anti-polysaccharide total gamma class immunoglobulin (IgG) concentration in the 23 valent Polysaccharide Pneumococcal Vaccine(23 PPV) group for 11 serotypes (1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, 23F) (ELISA)
Opsonophagocytic activity titers in the 23 PPV group for 11 serotypes (1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, 23F (OPA assay)
Frequency of polysaccharide(PS)-specific plasma cells generated by in vitro cultivated memory B-cells in the 23 PPV group in a subset of subjects (measured by B-cell ELISPOT)
Circulating serum cytokines Interferon-gamma (INFγ) and Tumor necrosis factor-alpha (TNFα) content in all groups (measured by ELISA)

Full Information

First Posted
January 10, 2013
Last Updated
January 10, 2013
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01767402
Brief Title
Study to Evaluate Safety, Reactogenicity and Immunogenicity of the Pneumococcal Protein PhtD Vaccine in Healthy Adults
Official Title
A Study to Evaluate the Safety, Reactogenicity and Immunogenicity of the Pneumococcal Protein PhtD Vaccine Without or With Adjuvant, Administered at 2 Different Concentrations According to a 0-2 Month Schedule, in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
October 2003 (undefined)
Primary Completion Date
November 2004 (Actual)
Study Completion Date
November 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to examine the safety, reactogenicity and immunogenicity of the GlaxoSmithKline (GSK) Biologicals candidate pneumococcal vaccine containing PhtD in healthy elderly population aged 18-45 years of age.
Detailed Description
The safety profile of the PhtD vaccine will be assessed in comparison to a comparator vaccine (Pneumovax 23TM). In order to further increase the immune response to vaccination, a novel adjuvant system will also be examined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pneumococcal Disease
Keywords
Safety, Pneumococcal Infections, Immunogenicity, PhtD vaccine, Healthy adults, Reactogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PhtD Group 1
Arm Type
Experimental
Arm Description
Subjects will receive PhtD vaccine formulation 1 without any adjuvant.
Arm Title
PhtD Group 2
Arm Type
Experimental
Arm Description
Subjects will receive adjuvanted PhtD vaccine formulation 2.
Arm Title
PhtD Group 3
Arm Type
Experimental
Arm Description
Subjects will receive adjuvanted PhtD vaccine formulation 3.
Arm Title
PhtD Group 4
Arm Type
Experimental
Arm Description
Subjects will receive adjuvanted PhtD vaccine formulation 4.
Arm Title
PhtD Group 5
Arm Type
Experimental
Arm Description
Subjects will receive adjuvanted PhtD vaccine formulation 5.
Arm Title
23 PPV Group
Arm Type
Active Comparator
Arm Description
Subjects will receive the Pneumovax 23TM vaccine and NaCl.
Intervention Type
Biological
Intervention Name(s)
PhtD vaccine with/without adjuvant
Intervention Description
Two doses of different formulations of PhtD vaccine administered intramuscularly in the deltoid region of the right arm at month 0 and month 2.
Intervention Type
Biological
Intervention Name(s)
Pneumovax 23TM
Intervention Description
One dose of Pneumovax 23TM vaccine administered intramuscularly in the deltoid region of the right arm at month 0.
Intervention Type
Biological
Intervention Name(s)
NaCl
Intervention Description
One dose administered intramuscularly in the deltoid region of the right arm at month 2.
Primary Outcome Measure Information:
Title
Occurrence, intensity and relationship of any solicited local and general signs and symptoms
Time Frame
During a 7-day follow up period (i.e. Days 0-6) after each vaccine dose
Title
Occurrence, intensity and relationship to vaccination of unsolicited local and general signs and symptoms
Time Frame
During a 30-day follow up period (i.e. Days 0-29) after each vaccine dose
Title
Occurrence of all serious adverse events (SAEs)
Time Frame
During the 12 months of the study
Title
Anti-PhtD antibody concentration in all vaccine groups (measured by ELISA)
Time Frame
One month after the first injection
Title
Anti-PhtD antibody concentration in all vaccine groups (measured by ELISA)
Time Frame
One month after two injections
Secondary Outcome Measure Information:
Title
Number and percentage of subjects with normal or abnormal values, for biochemical assessments and for hematological analysis
Time Frame
At month 0, 1, 3 and 12
Title
Anti-PhtD antibody concentration in all groups (measured by ELISA)
Time Frame
At 12 months after the first vaccination
Title
Anti-PhtD antibody avidity (measured by ELISA)
Time Frame
At month 0, 1, 3 and 12
Title
Evaluation of protection afforded by passive transfer of anti PhtD antibodies sera pooled from all individuals (passive transfer mice model assay)
Time Frame
At month 0, 1, 3 and 12
Title
Frequency of PhtD-specific plasma cells generated by in vitro cultivated memory B-cells in a subset of subjects (measured by B-cell ELISPOT)
Time Frame
At month 0, 3 and 12
Title
Frequency of CD4 and/or CD8 T cells that produce cytokines IL-2, IL-4, IFNg, CD40L and/or GM-CSF, upon PhtD re-stimulation in vitro, to evaluate the T-cell response, in a subset of subjects (measured by intracellular cytokine cytometry)
Time Frame
At month 0, 3 and 12
Title
Anti-polysaccharide total gamma class immunoglobulin (IgG) concentration in the 23 valent Polysaccharide Pneumococcal Vaccine(23 PPV) group for 11 serotypes (1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, 23F) (ELISA)
Time Frame
At month 0, 1 and 12
Title
Opsonophagocytic activity titers in the 23 PPV group for 11 serotypes (1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, 23F (OPA assay)
Time Frame
At month 0, 1 and 12
Title
Frequency of polysaccharide(PS)-specific plasma cells generated by in vitro cultivated memory B-cells in the 23 PPV group in a subset of subjects (measured by B-cell ELISPOT)
Time Frame
At month 0, 1 and 12
Title
Circulating serum cytokines Interferon-gamma (INFγ) and Tumor necrosis factor-alpha (TNFα) content in all groups (measured by ELISA)
Time Frame
At Day 0, 1, 60 and 61

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who the investigator believes will comply with the requirements of the protocol should be enrolled in the study. A male or female between, and including, 18 and 45 years at the time of the first vaccination. Written informed consent obtained from the subject. Free of obvious health problems as established by medical history and clinical examination before entering into the study. If the subject is female, she must be of non-childbearing potential, i.e., either surgically sterilized or one year post-menopausal; or, if of childbearing potential, she must be abstinent or have used adequate contraceptive precautions for 30 days prior to vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series. Exclusion Criteria: Use of any investigational or non-registered product other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period or participation to another pharmaceutical/vaccine study. Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose. Use of any anticoagulants. Planned administration/ administration of a vaccine not foreseen by the study protocol within 2 weeks of the first dose of vaccines. Previous vaccination against Streptococcus pneumoniae. Bacterial pneumonia within 3 years prior to 1st vaccination. Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection. History of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Current serious neurologic or mental disorders. Inflammatory processes such as known chronic active infections. All malignancies (excluding non-melanic skin cancer) and lymphoproliferative disorders diagnosed or treated actively during the past 5 years. History of administration of an experimental vaccine containing 3-deacylated Monophosphoryl Lipid A (MPL) or Quillaja saponaria 21 (QS21). Acute disease at the time of enrolment. All vaccines can be administered to persons with a minor illness such as diarrhea, mild upper respiratory infection with or without low-grade febrile illness, i.e., Oral temperature <37.5°C or Axillary temperature <37.5°C. Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests, at the discretion of the investigator. Pregnant or lactating female. History of chronic alcohol consumption and/or intravenous drug abuse.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium

12. IPD Sharing Statement

Citations:
PubMed Identifier
24176494
Citation
Leroux-Roels I, Devaster JM, Leroux-Roels G, Verlant V, Henckaerts I, Moris P, Hermand P, Van Belle P, Poolman JT, Vandepapeliere P, Horsmans Y. Adjuvant system AS02V enhances humoral and cellular immune responses to pneumococcal protein PhtD vaccine in healthy young and older adults: randomised, controlled trials. Vaccine. 2015 Jan 15;33(4):577-84. doi: 10.1016/j.vaccine.2013.10.052. Epub 2013 Oct 29.
Results Reference
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Study to Evaluate Safety, Reactogenicity and Immunogenicity of the Pneumococcal Protein PhtD Vaccine in Healthy Adults

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