Booster Dose (50 µg) of Recombinant Ricin Toxin Vaccine (RVEc™) in Previously Vaccinated Healthy Adults (RVEc)
Primary Purpose
Ricin Poisoning
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
50-μg booster dose RVEc
Sponsored by
About this trial
This is an interventional prevention trial for Ricin Poisoning
Eligibility Criteria
Inclusion Criteria:
- Study subjects must have received the 3 priming doses of RVEc at the 50-µg dosage.
- Study subjects must be 18 years old at time of screening and no older than 50 years old at time of vaccination.
- Subjects must weigh at least 110 pounds at time of screening.
- Subjects must be in good health as judged from medical history, physical examination, EKG, hematology, clinical chemistries, urinalysis, hepatitis serology, and HIV antibody test (Table 4) and be medically cleared for participation by an investigator. If any HIV or hepatitis testing is positive, the individual will be provided with counseling and referral for health care.
- Females of child-bearing potential must have a negative pregnancy test on screening and the morning of vaccination prior to receipt of the vaccine and must agree to use a highly effective method of birth control during the first 3 months following receipt of RVEc. A highly effective method of birth control is defined as one with a failure rate of less than 1% per year. Acceptable birth control methods that meet this criterion include hormonal implants and injectables (Norplant, Depo-Provera, Lunelle, and Etonogestrel), combined oral contraceptives, the intrauterine devices (IUDs) Copper T (380-A) or Mirena (Levonorgestrel Intrauterine System), female sterilization (tubal ligation), sexual abstinence, or a vasectomized partner.
- Female subjects must also agree not to breastfeed until at least 3 months after receiving the RVEc.
- Study subjects must read and sign an approved informed consent.
- Study subjects must be willing to return for all follow-up visits.
- Study subjects must agree to report any AE that may or may not be associated with administration of the investigational product through the 6-month follow-up/closeout visit.
- Study subjects must agree to abstain from excessive exercise (more than the usual routine) and excessive alcohol consumption (exceeds more than 2 drinks for males or 1 drink for females daily or binge drinking) for the duration of study participation.
Exclusion Criteria:
- Acute or chronic medical conditions or immunodeficiency from a medical condition or medical treatment, medications, or dietary supplements that, in the investigator's opinion, would impair the subject's ability to respond to vaccination. Use of corticosteroids, other than inhaled corticosteroids, will not be permitted.
- Severe hypersensitivity to any vaccine (anaphylaxis, angioedema, bronchospasm, or laryngospasm).
- History of asthma, chronic obstructive pulmonary disease, or other current/residual diseases of the lungs.
- Clinically significant abnormal laboratory tests.
- Current smoker.
- Any known allergies to sodium succinate, Tween-20 (a detergent), aluminum hydroxide, or kanamycin.
- Receipt of any vaccine or investigational product within 30 days before or after vaccination with RVEc.
- Receipt of RVEc is contraindicated based on SIRVA checklist/screening, as determined by PI.
Sites / Locations
- Department of Clinical Research, USAMRIID
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
50-μg booster dose RVEc
Arm Description
Subjects will be receive one 50-μg dose of RVEc
Outcomes
Primary Outcome Measures
Number of Vaccinated Participants Who Experienced Adverse Events by Nature and Severity.
Secondary Outcome Measures
Number of Subjects Who Developed Total ELISA IgG Titers (≥ 1:500)
Number of Subjects Who Developed TNA Anti-ricin Toxin-neutralizing Antibody Titers (≥ 1:50)
Full Information
NCT ID
NCT01846104
First Posted
April 30, 2013
Last Updated
December 17, 2019
Sponsor
U.S. Army Medical Research and Development Command
1. Study Identification
Unique Protocol Identification Number
NCT01846104
Brief Title
Booster Dose (50 µg) of Recombinant Ricin Toxin Vaccine (RVEc™) in Previously Vaccinated Healthy Adults
Acronym
RVEc
Official Title
Safety and Immunogenicity of a Booster Dose (50 µg) of Recombinant Ricin Toxin A-Chain 1-33/44-198 (rRTA 1-33/44-198) Vaccine (RVEc™) in Previously Vaccinated Healthy Adults
Study Type
Interventional
2. Study Status
Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
April 30, 2013 (Actual)
Primary Completion Date
June 30, 2013 (Actual)
Study Completion Date
June 30, 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and immunogenicity of a single 50-μg booster dose of RVEc. Subjects will be recruited from the cohort that received three 50-μg doses of RVEc in a Phase 1 trial (NCT01317667).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ricin Poisoning
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
4 (Actual)
8. Arms, Groups, and Interventions
Arm Title
50-μg booster dose RVEc
Arm Type
Experimental
Arm Description
Subjects will be receive one 50-μg dose of RVEc
Intervention Type
Biological
Intervention Name(s)
50-μg booster dose RVEc
Other Intervention Name(s)
Ricin Vaccine
Intervention Description
Subjects will be recruited from the 10 subjects who received three 50-μg doses of RVEc during the Phase 1 trial. Subjects will receive a single booster dose only and will be followed for 6 months after vaccination.
Primary Outcome Measure Information:
Title
Number of Vaccinated Participants Who Experienced Adverse Events by Nature and Severity.
Time Frame
Six months
Secondary Outcome Measure Information:
Title
Number of Subjects Who Developed Total ELISA IgG Titers (≥ 1:500)
Time Frame
Six months
Title
Number of Subjects Who Developed TNA Anti-ricin Toxin-neutralizing Antibody Titers (≥ 1:50)
Time Frame
Six months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Study subjects must have received the 3 priming doses of RVEc at the 50-µg dosage.
Study subjects must be 18 years old at time of screening and no older than 50 years old at time of vaccination.
Subjects must weigh at least 110 pounds at time of screening.
Subjects must be in good health as judged from medical history, physical examination, EKG, hematology, clinical chemistries, urinalysis, hepatitis serology, and HIV antibody test (Table 4) and be medically cleared for participation by an investigator. If any HIV or hepatitis testing is positive, the individual will be provided with counseling and referral for health care.
Females of child-bearing potential must have a negative pregnancy test on screening and the morning of vaccination prior to receipt of the vaccine and must agree to use a highly effective method of birth control during the first 3 months following receipt of RVEc. A highly effective method of birth control is defined as one with a failure rate of less than 1% per year. Acceptable birth control methods that meet this criterion include hormonal implants and injectables (Norplant, Depo-Provera, Lunelle, and Etonogestrel), combined oral contraceptives, the intrauterine devices (IUDs) Copper T (380-A) or Mirena (Levonorgestrel Intrauterine System), female sterilization (tubal ligation), sexual abstinence, or a vasectomized partner.
Female subjects must also agree not to breastfeed until at least 3 months after receiving the RVEc.
Study subjects must read and sign an approved informed consent.
Study subjects must be willing to return for all follow-up visits.
Study subjects must agree to report any AE that may or may not be associated with administration of the investigational product through the 6-month follow-up/closeout visit.
Study subjects must agree to abstain from excessive exercise (more than the usual routine) and excessive alcohol consumption (exceeds more than 2 drinks for males or 1 drink for females daily or binge drinking) for the duration of study participation.
Exclusion Criteria:
Acute or chronic medical conditions or immunodeficiency from a medical condition or medical treatment, medications, or dietary supplements that, in the investigator's opinion, would impair the subject's ability to respond to vaccination. Use of corticosteroids, other than inhaled corticosteroids, will not be permitted.
Severe hypersensitivity to any vaccine (anaphylaxis, angioedema, bronchospasm, or laryngospasm).
History of asthma, chronic obstructive pulmonary disease, or other current/residual diseases of the lungs.
Clinically significant abnormal laboratory tests.
Current smoker.
Any known allergies to sodium succinate, Tween-20 (a detergent), aluminum hydroxide, or kanamycin.
Receipt of any vaccine or investigational product within 30 days before or after vaccination with RVEc.
Receipt of RVEc is contraindicated based on SIRVA checklist/screening, as determined by PI.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Matthew S Chambers, MD, MPH
Organizational Affiliation
USAMRIID
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Clinical Research, USAMRIID
City
Frederick
State/Province
Maryland
ZIP/Postal Code
21702
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
26546259
Citation
Pittman PR, Reisler RB, Lindsey CY, Guerena F, Rivard R, Clizbe DP, Chambers M, Norris S, Smith LA. Safety and immunogenicity of ricin vaccine, RVEc, in a Phase 1 clinical trial. Vaccine. 2015 Dec 16;33(51):7299-7306. doi: 10.1016/j.vaccine.2015.10.094. Epub 2015 Nov 3.
Results Reference
result
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Booster Dose (50 µg) of Recombinant Ricin Toxin Vaccine (RVEc™) in Previously Vaccinated Healthy Adults
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