search
Back to results

Safety, Tolerability, Immunogenicity and Efficacy of NDV-3A Vaccine in Preventing Recurrent Vulvovaginal Candidiasis

Primary Purpose

Vulvovaginal Candidiasis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
NDV-3A
NDV-3
Placebo
Sponsored by
NovaDigm Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Vulvovaginal Candidiasis focused on measuring recurrent vulvovaginal candidiasis, candida, NDV3, vaginal thrush, chronic yeast infection

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Has been informed of the nature of the study and has agreed to and is able to read, review, and sign the informed consent document prior to Screening.
  • Is a female between 18-50 years of age, inclusive, at the time of vaccination on an acceptable form of birth control.
  • Has a current episode of VVC (at Screening/Day -14) that can be confirmed with acute signs and symptoms of VVC (Composite Questionnaire score of ≥3) and a positive vaginal mycological culture for C. albicans.
  • Has a history of 2 or more documented episodes of VVC in the 12 months prior to Screening, including at least one of the previous episodes confirmed by positive results from a diagnostic lab test specific for the presence of Candida. Additional episodes may be self-reported.
  • Has a normal Papanicolaou (Pap) smear from the previous 12 months, or has no clinically significant abnormalities on a Pap smear taken at study entry as judged and documented by the investigator(s).
  • Is in general good health as judged and documented by the investigator(s)

Exclusion Criteria:

  • Reports receiving any systemic or topical vaginal antifungal therapy for 4 weeks prior to study entry.
  • Mycological results from Study Day -14 or earlier cultures taken within 4 weeks prior to vaccination that show other yeast species (e.g., C. glabrata, C. tropicalis, etc.) as the cause of vaginitis.
  • Has other active infectious cause(s) of vulvovaginitis (e.g., bacterial vaginosis, Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhea, symptomatic Herpes Simplex Virus-1 (HSV-1), symptomatic HSV-2, or symptomatic human papilloma virus) at Screening or other vaginal or vulvar conditions that would confound the interpretation of clinical response as judged by the investigator(s).
  • Will be under treatment or surgery at the start of the study for cervical intraepithelial neoplasia (CIN) or cervical carcinoma.
  • Reports any presence or history of a clinically significant disorder involving the cardiovascular, respiratory, renal, gastrointestinal, immunologic, hematologic, endocrine, or neurologic system(s), diagnosed diabetes mellitus (controlled or not) or psychiatric disease that would confound the interpretation of clinical response as judged by the investigator(s).
  • Reports a history of allergic response(s) or other serious reactions to nickel, aluminum, or yeast products
  • Reports a history of clinically significant allergies including food or drug allergies, anaphylaxis (or other serious reaction) to vaccines.
  • Has a known history of or active infection with hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
  • Reports receiving or planning to receive any investigational drug, investigational vaccine, or investigational device within 4 weeks prior to vaccination, and at any other time during their participation in the study.
  • Reports receiving or planning to receive any other live vaccine within 3 weeks prior to vaccination and for 3 weeks after vaccination.
  • Reports having or shows evidence of a recent history of drug or alcohol abuse.
  • Reports the use or planned use of any immunosuppressive drugs, including systemic or topical vaginal corticosteroids, within 4 weeks prior to vaccination, with the exception of topical steroids (e.g., Over-The-Counter hydrocortisone) used elsewhere on the body.
  • Reports the use or planned use of any medications or treatments that may alter immune responses to the study vaccine within 3 weeks prior to vaccination
  • Reports receiving any blood products within 3 months prior to vaccination and throughout the study.
  • Reports donating blood/plasma within 4 weeks prior to vaccination.
  • Is pregnant or intends to become pregnant over the course of the study, breastfeeding, or has any other medical and/or social (e.g., non-compliant) reason which, in the opinion of the investigator(s), would prevent participation in the study.

Sites / Locations

  • Precision Trials LLC
  • Arkansas Women's Center
  • Women's Health Care Research Corp
  • McCann MD Research, Inc.
  • Women's Medical Research Group, LLC
  • KO Clinical Research, LLC
  • Community Medical Research
  • Miami Clinical Research, LLC
  • Community Medical Research LLC
  • MedPharmics
  • WSU Physician's Group
  • Saginaw Valley Medical Research Group, LLC
  • Lawrence OB/Gyn Clinical Research
  • SUNY Downstate Medical Center
  • Suffolk Ob/Gyn
  • Drexel University College of Medicine
  • Magnolia OB/GYN Research Center, LLC
  • Advanced Research Associates
  • Discovery Clinical Trials- HCWC, LLC
  • TMC Life Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

NDV-3A

NDV-3

Placebo

Arm Description

Experimental Vaccine: a purified, recombinant antigen (rAls3) formulated with aluminum hydroxide adjuvant

Experimental Vaccine: a purified, recombinant antigen (rAls3 with 6-His tag) formulated with aluminum hydroxide adjuvant

Placebo: aluminum hydroxide adjuvant

Outcomes

Primary Outcome Measures

Summary of Injection Site Reactions for the Safety Population Over the 12-months Post Vaccination Period
Summary of injection site reactions for the safety population over the 12-months post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.

Secondary Outcome Measures

Number of Patients <40 Years Old Who Were Recurrence-free Over the 12-month Post-vaccination Period
Number of patients <40 years old with documented RVVC who were recurrence-free over the 12-month post-vaccination period in the NDV-3A vaccine group and the placebo group
Number of Patients Who Were Recurrence-free Over the 12-month Post-vaccination Period
Number of patients with documented RVVC who were recurrence-free over the 12-month post-vaccination period in the NDV-3A vaccine group and the placebo group
Time to First VVC Episode From Study Day 17 to 360 - Participants <40 Years Old
Time-to-onset of first VVC episode from Study Day 17 for the NDV-3A vaccine group and the placebo group
Time to First VVC Episode From Study Day 17 to 360 - All Participants
Time-to-onset of first VVC episode from Study Day 17 for the NDV-3A vaccine group and the placebo group
Serum Anti-Als3 IgG Titers Over the 12-month Post-vaccination Period
Serum anti-Als3 IgG titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Serum Anti-Als3 IgA1 Titers Over the 12-month Post-vaccination Period
Serum anti-Als3 IgA1 titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Cervicovaginal Wash Anti-Als3 IgG Titers Over the 12-month Post-vaccination Period
Cervicovaginal wash anti-Als3 IgG titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Cervicovaginal Wash Anti-Als3 IgA1 Titers Over the 12-month Post-vaccination Period
Cervicovaginal wash anti-Als3 IgA1 titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Als3-specific T-cell Production of Interferon Gamma Over the Post-vaccination Period
Als3-specific T-cell production of interferon gamma will be measured by enzyme-linked immunospot (ELISpot) at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Als3-specific T-cell Production of Interleukin-17A Over the Post-vaccination Period
Als3-specific T-cell production of interleukin-17A will be measured by enzyme-linked immunospot (ELISpot) at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.

Full Information

First Posted
August 9, 2013
Last Updated
June 22, 2018
Sponsor
NovaDigm Therapeutics, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT01926028
Brief Title
Safety, Tolerability, Immunogenicity and Efficacy of NDV-3A Vaccine in Preventing Recurrent Vulvovaginal Candidiasis
Official Title
Phase 1b/2a, Multi-center, Double-blind, Randomized, Placebo-controlled Study of a Single Dose of NDV-3A or NDV-3 Vaccine to Evaluate Safety, Tolerability, Immunogenicity and Efficacy in Preventing Recurrent Vulvovaginal Candidiasis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
July 2013 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
May 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NovaDigm Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a multi-center, randomized, double-blind, placebo-controlled study intended to assess the safety, tolerability and humoral and cellular immune response over a 12-month period after receiving one dose of either the NDV-3A vaccine, NDV-3 vaccine, or placebo. In addition, the clinical efficacy of NDV-3A vaccine in lowering the recurrence rate of vulvovaginal candidiasis (VVC) in patients with recurrent VVC (RVVC) will be evaluated relative to placebo.
Detailed Description
The purpose of the Phase 1b portion of this study is to compare the NDV-3A vaccine, the NDV-3 vaccine and the placebo head-to-head in the patient population of interest (women with RVVC) to evaluate safety and immunogenicity. The study size for comparing safety and immunogenicity (N=15 per group) is based on the dose comparison design used in study NDV3-001 (clinical trials.gov Identifier NCT01273922). The primary purpose of the Phase 2a portion of this study is to further evaluate safety, tolerability, and immunogenicity of the NDV-3A vaccine compared to placebo in a patient population of interest (women with RVVC). The secondary purpose is to determine whether the NDV-3A vaccine decreases the recurrence rate of VVC in 18-50 year old women with RVVC when compared to placebo. The study size for evaluating efficacy (N=87 per group) is based on assuming a 50% rate of VVC recurrences over the 6 month post-vaccination period in the placebo group and a 50% vaccine efficacy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vulvovaginal Candidiasis
Keywords
recurrent vulvovaginal candidiasis, candida, NDV3, vaginal thrush, chronic yeast infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
188 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NDV-3A
Arm Type
Experimental
Arm Description
Experimental Vaccine: a purified, recombinant antigen (rAls3) formulated with aluminum hydroxide adjuvant
Arm Title
NDV-3
Arm Type
Experimental
Arm Description
Experimental Vaccine: a purified, recombinant antigen (rAls3 with 6-His tag) formulated with aluminum hydroxide adjuvant
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo: aluminum hydroxide adjuvant
Intervention Type
Biological
Intervention Name(s)
NDV-3A
Intervention Description
0.5mL injection IM
Intervention Type
Biological
Intervention Name(s)
NDV-3
Intervention Description
0.5mL injection IM
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
aluminum hydroxide and buffered saline
Primary Outcome Measure Information:
Title
Summary of Injection Site Reactions for the Safety Population Over the 12-months Post Vaccination Period
Description
Summary of injection site reactions for the safety population over the 12-months post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
12-month
Secondary Outcome Measure Information:
Title
Number of Patients <40 Years Old Who Were Recurrence-free Over the 12-month Post-vaccination Period
Description
Number of patients <40 years old with documented RVVC who were recurrence-free over the 12-month post-vaccination period in the NDV-3A vaccine group and the placebo group
Time Frame
12 months
Title
Number of Patients Who Were Recurrence-free Over the 12-month Post-vaccination Period
Description
Number of patients with documented RVVC who were recurrence-free over the 12-month post-vaccination period in the NDV-3A vaccine group and the placebo group
Time Frame
12 months
Title
Time to First VVC Episode From Study Day 17 to 360 - Participants <40 Years Old
Description
Time-to-onset of first VVC episode from Study Day 17 for the NDV-3A vaccine group and the placebo group
Time Frame
12 months
Title
Time to First VVC Episode From Study Day 17 to 360 - All Participants
Description
Time-to-onset of first VVC episode from Study Day 17 for the NDV-3A vaccine group and the placebo group
Time Frame
12 months
Title
Serum Anti-Als3 IgG Titers Over the 12-month Post-vaccination Period
Description
Serum anti-Als3 IgG titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
0, 14, 28, 90, 180 and 360 days
Title
Serum Anti-Als3 IgA1 Titers Over the 12-month Post-vaccination Period
Description
Serum anti-Als3 IgA1 titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
0, 14, 28, 90, 180 and 360 days
Title
Cervicovaginal Wash Anti-Als3 IgG Titers Over the 12-month Post-vaccination Period
Description
Cervicovaginal wash anti-Als3 IgG titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
0, 14, 28, 90, 180 and 360 days
Title
Cervicovaginal Wash Anti-Als3 IgA1 Titers Over the 12-month Post-vaccination Period
Description
Cervicovaginal wash anti-Als3 IgA1 titers will be measured by ELISA at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
0, 14, 28, 90, 180 and 360 days
Title
Als3-specific T-cell Production of Interferon Gamma Over the Post-vaccination Period
Description
Als3-specific T-cell production of interferon gamma will be measured by enzyme-linked immunospot (ELISpot) at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
0, 14, 90 days
Title
Als3-specific T-cell Production of Interleukin-17A Over the Post-vaccination Period
Description
Als3-specific T-cell production of interleukin-17A will be measured by enzyme-linked immunospot (ELISpot) at pre-defined time points over the 12-month post-vaccination period in the NDV-3A vaccine group, the NDV-3 vaccine group, and the placebo group.
Time Frame
0, 14, 90 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has been informed of the nature of the study and has agreed to and is able to read, review, and sign the informed consent document prior to Screening. Is a female between 18-50 years of age, inclusive, at the time of vaccination on an acceptable form of birth control. Has a current episode of VVC (at Screening/Day -14) that can be confirmed with acute signs and symptoms of VVC (Composite Questionnaire score of ≥3) and a positive vaginal mycological culture for C. albicans. Has a history of 2 or more documented episodes of VVC in the 12 months prior to Screening, including at least one of the previous episodes confirmed by positive results from a diagnostic lab test specific for the presence of Candida. Additional episodes may be self-reported. Has a normal Papanicolaou (Pap) smear from the previous 12 months, or has no clinically significant abnormalities on a Pap smear taken at study entry as judged and documented by the investigator(s). Is in general good health as judged and documented by the investigator(s) Exclusion Criteria: Reports receiving any systemic or topical vaginal antifungal therapy for 4 weeks prior to study entry. Mycological results from Study Day -14 or earlier cultures taken within 4 weeks prior to vaccination that show other yeast species (e.g., C. glabrata, C. tropicalis, etc.) as the cause of vaginitis. Has other active infectious cause(s) of vulvovaginitis (e.g., bacterial vaginosis, Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhea, symptomatic Herpes Simplex Virus-1 (HSV-1), symptomatic HSV-2, or symptomatic human papilloma virus) at Screening or other vaginal or vulvar conditions that would confound the interpretation of clinical response as judged by the investigator(s). Will be under treatment or surgery at the start of the study for cervical intraepithelial neoplasia (CIN) or cervical carcinoma. Reports any presence or history of a clinically significant disorder involving the cardiovascular, respiratory, renal, gastrointestinal, immunologic, hematologic, endocrine, or neurologic system(s), diagnosed diabetes mellitus (controlled or not) or psychiatric disease that would confound the interpretation of clinical response as judged by the investigator(s). Reports a history of allergic response(s) or other serious reactions to nickel, aluminum, or yeast products Reports a history of clinically significant allergies including food or drug allergies, anaphylaxis (or other serious reaction) to vaccines. Has a known history of or active infection with hepatitis B, hepatitis C, or human immunodeficiency virus (HIV). Reports receiving or planning to receive any investigational drug, investigational vaccine, or investigational device within 4 weeks prior to vaccination, and at any other time during their participation in the study. Reports receiving or planning to receive any other live vaccine within 3 weeks prior to vaccination and for 3 weeks after vaccination. Reports having or shows evidence of a recent history of drug or alcohol abuse. Reports the use or planned use of any immunosuppressive drugs, including systemic or topical vaginal corticosteroids, within 4 weeks prior to vaccination, with the exception of topical steroids (e.g., Over-The-Counter hydrocortisone) used elsewhere on the body. Reports the use or planned use of any medications or treatments that may alter immune responses to the study vaccine within 3 weeks prior to vaccination Reports receiving any blood products within 3 months prior to vaccination and throughout the study. Reports donating blood/plasma within 4 weeks prior to vaccination. Is pregnant or intends to become pregnant over the course of the study, breastfeeding, or has any other medical and/or social (e.g., non-compliant) reason which, in the opinion of the investigator(s), would prevent participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John P. Hennessey, Jr., Ph.D.
Organizational Affiliation
NovaDigm Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Precision Trials LLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
Arkansas Women's Center
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Women's Health Care Research Corp
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
McCann MD Research, Inc.
City
Torrance
State/Province
California
ZIP/Postal Code
90505
Country
United States
Facility Name
Women's Medical Research Group, LLC
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33759
Country
United States
Facility Name
KO Clinical Research, LLC
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33316
Country
United States
Facility Name
Community Medical Research
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33141
Country
United States
Facility Name
Miami Clinical Research, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Community Medical Research LLC
City
North Miami
State/Province
Florida
ZIP/Postal Code
33181
Country
United States
Facility Name
MedPharmics
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
WSU Physician's Group
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Saginaw Valley Medical Research Group, LLC
City
Saginaw
State/Province
Michigan
ZIP/Postal Code
48604
Country
United States
Facility Name
Lawrence OB/Gyn Clinical Research
City
Lawrenceville
State/Province
New Jersey
ZIP/Postal Code
08648
Country
United States
Facility Name
SUNY Downstate Medical Center
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11203
Country
United States
Facility Name
Suffolk Ob/Gyn
City
Port Jefferson
State/Province
New York
ZIP/Postal Code
11777
Country
United States
Facility Name
Drexel University College of Medicine
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19102
Country
United States
Facility Name
Magnolia OB/GYN Research Center, LLC
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29752
Country
United States
Facility Name
Advanced Research Associates
City
Corpus Christi
State/Province
Texas
ZIP/Postal Code
78414
Country
United States
Facility Name
Discovery Clinical Trials- HCWC, LLC
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
TMC Life Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77054
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Presentations at scientific meetings and publication
Citations:
PubMed Identifier
29697768
Citation
Edwards JE Jr, Schwartz MM, Schmidt CS, Sobel JD, Nyirjesy P, Schodel F, Marchus E, Lizakowski M, DeMontigny EA, Hoeg J, Holmberg T, Cooke MT, Hoover K, Edwards L, Jacobs M, Sussman S, Augenbraun M, Drusano M, Yeaman MR, Ibrahim AS, Filler SG, Hennessey JP Jr. A Fungal Immunotherapeutic Vaccine (NDV-3A) for Treatment of Recurrent Vulvovaginal Candidiasis-A Phase 2 Randomized, Double-Blind, Placebo-Controlled Trial. Clin Infect Dis. 2018 Jun 1;66(12):1928-1936. doi: 10.1093/cid/ciy185.
Results Reference
derived
Links:
URL
http://www.novadigmtherapeutics.com
Description
Company Web Site

Learn more about this trial

Safety, Tolerability, Immunogenicity and Efficacy of NDV-3A Vaccine in Preventing Recurrent Vulvovaginal Candidiasis

We'll reach out to this number within 24 hrs