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Phase 3, Randomized, Safety, Lot Consistency and Clinical Benefit Study of Recombinant Botulinum Vaccine A/B (rBV A/B)

Primary Purpose

Botulism

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
rBV A/B
Placebo (USP sterile saline for injection)
Sponsored by
DynPort Vaccine Company LLC, A GDIT Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Botulism focused on measuring Defender Study, experimental vaccine, inhalational intoxication

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. The volunteer is a U.S. citizen or permanent resident alien of the U.S.
  2. The volunteer has signed the informed consent form.
  3. The volunteer is 18 to 55 years of age.
  4. The volunteer agrees not to donate blood or blood product for therapeutic or research purposes.
  5. The volunteer is willing to comply with the requirements of the protocol through the last scheduled visit.
  6. The volunteer is accessible by telephone or electronic mail to receive reminders from the investigative site.
  7. Female volunteers of childbearing potential must not be pregnant or lactating and agree to use two types of an acceptable form of FDA-approved contraception through end of study.
  8. The volunteer is in good health.
  9. The volunteer has clinical laboratory tests within acceptable ranges listed in the protocol.

Exclusion Criteria:

  1. The volunteer has a history of botulism or prior receipt of any botulinum vaccine, toxoid or antitoxin.
  2. The volunteer has previously been treated or expects to be treated with any therapeutic products containing BoNTs such as Botox®, Myobloc®/Neurobloc™ and Botox® Cosmetic.
  3. The volunteer has a history of hypersensitivity or significant adverse reaction to other vaccines, aluminum compounds or yeast.
  4. The volunteer has a history of severe allergic reactions or anaphylaxis.
  5. The volunteer has donated one or more units of blood (≥ 450 mL) or undergone plasmapheresis within the past 28 days prior to receiving first administration of study product.
  6. The volunteer received any blood product or immunoglobulin in the previous 6 months prior to receiving first vaccination or plans to receive such products during the clinical trial.
  7. The volunteer received any investigational vaccine in the previous 6 months.
  8. The volunteer received or intends to receive any licensed nonliving vaccine within 14 days before or after a scheduled administration of study product.
  9. The volunteer received or intends to receive any licensed live vaccine, including FluMist® within 60 days before or after a scheduled administration of study product.
  10. Vaccination with commercially available inactivated or non-living influenza vaccine preparations (other than FluMist®) if received 14 days before and after a scheduled administration of study product.
  11. The volunteer received any investigational drug therapy within 30 days before the first vaccination or before the last scheduled visit.
  12. The volunteer received therapy with immunosuppressive agents, including use of moderate to high-dose oral inhaled or systemic corticosteroids (prednisone-equivalent dose of ≥ 20 mg/day).
  13. The volunteer has or develops medically diagnosed chronic migraine headaches (persistent and recurrent) or a neurological condition associated with a cranial nerve or spasticity or abnormal muscle contraction, demyelination, other abnormalities of smooth or skeletal muscle function or hyperhidrosis.
  14. The volunteer had systemic or recurrent disease or condition that would place the volunteer at an unacceptable risk of injury or requires frequent or continuous medical intervention for treatment, has required hospitalization, or is likely to require surgical intervention during the course of the study.
  15. The volunteer has current active mental illness, history of mental illness or hospitalization for mental illness within the past 12 months prior to first of administration of study product is exclusionary.
  16. The volunteer has a history of immunodeficiency or autoimmune disease.
  17. The volunteer has a systemic medical condition that is ongoing or has required hospitalization or administration of antimicrobial agents within 6 months before screening.
  18. The volunteer has a history of or active rheumatoid arthritis or any autoimmune mediated arthritis.
  19. The volunteer has an acute self-limited illness that has not resolved by the time of first vaccination including oral temperature greater than 99.5 °F.
  20. The volunteer has a history of abuse of alcohol or drugs within the 12 months before clinical trial screening.
  21. The volunteer has occupational or other responsibilities that would prevent completion of participation in the clinical trial in the opinion of the Investigator.
  22. The volunteer has a body mass index (BMI) ≥ 35 kg/m2.
  23. The volunteer is a member of the team conducting this clinical trial or is in a dependent relationship with the clinical trial investigator.
  24. The volunteer has a confirmed positive result on a urine drug screen that tests for common substances of abuse such as amphetamines, barbiturates, benzodiazepines, cocaine, opiates and cannabinoids.
  25. The volunteer was seropositive on screening tests for human HIV, Hepatitis C virus or hepatitis B surface antigen.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Placebo Comparator

    Arm Label

    rBV A/B

    Placebo

    Arm Description

    0.5 mL dose of rBV A/B (40 µg) will be administered intramuscularly (IM) in a three-dose dosing schedule given at Days 0, 28 ± 5 days, and 182 ± 9 days

    0.5 mL dose of placebo will be administered intramuscularly (IM) given at Days 0, 28 ± 5 days, and 182 ± 9 days

    Outcomes

    Primary Outcome Measures

    The primary safety objective is to demonstrate the safety of rBV A/B through Day 365.
    The primary safety endpoints are the incidence, severity and relationship to treatment of solicited local, systemic and neuromuscular adverse events (AEs) with onset on the day of and for 7 days after each administration of study product; treatment-emergent AEs (TEAEs) with onset within 28 days after each administration of study product; and medically-attended AEs (MAEs), neuromuscular AEs and serious AEs (SAEs) from the time of first dose (Day 0) through 6 months after the last dose (Day 365).
    The primary immunogenicity objectives are to demonstrate lot consistency for three lots of rBV A/B and to infer clinical benefit of rBV A/B.
    The criterion to demonstrate lot consistency will be based on the geometric mean ratios of neutrailzing antibodies concentrations (NAC) to vaccine antigens BoNT/A1 and BoNT/B1. The criterion to demonstrate clinical benefit is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously.

    Secondary Outcome Measures

    The secondary safety objective is to demonstrate the safety of rBV A/B from Day 365 through Day 547.
    The secondary safety endpoints are the incidence, severity and relationship to treatment of MAEs, neuromuscular AEs and SAEs.
    The secondary immunogenicity endpoints is duration of protection through Day 547.
    The criterion to demonstrate duration of protection is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously.

    Full Information

    First Posted
    September 6, 2013
    Last Updated
    November 30, 2018
    Sponsor
    DynPort Vaccine Company LLC, A GDIT Company
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01940315
    Brief Title
    Phase 3, Randomized, Safety, Lot Consistency and Clinical Benefit Study of Recombinant Botulinum Vaccine A/B
    Acronym
    rBV A/B
    Official Title
    A Phase 3, Double Blind, Placebo Controlled, Randomized, Multicenter Clinical Trial to Demonstrate the Safety, Lot Consistency and Clinical Benefit of Recombinant Botulinum Vaccine A/B (rBV A/B)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2018
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor decision due to product manufacturing and redesign of clinical trial.
    Study Start Date
    October 2017 (Anticipated)
    Primary Completion Date
    March 2019 (Anticipated)
    Study Completion Date
    September 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    DynPort Vaccine Company LLC, A GDIT Company

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This Phase 3 clinical trial is a double blind, placebo-controlled, randomized, multicenter investigation of rBV A/B in male and female healthy adults 18 to 55 years of age.
    Detailed Description
    Currently, there are no licensed vaccines or pre-exposure prophylactic medical countermeasures available to provide protection against botulism. The rBV A/B is under development to provide protection of adults 18 to 55 years of age from fatal botulism caused by inhalational intoxication with botulinum neurotoxin complex (BoNT) serotype A, subtype A1 (BoNT/A1) and botulinum neurotoxin complex serotype B, subtype B1 (BoNT/B1). Volunteers will not be exposed to botulism. Protective antibody titers will be measured in serum after vaccination.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Botulism
    Keywords
    Defender Study, experimental vaccine, inhalational intoxication

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    rBV A/B
    Arm Type
    Active Comparator
    Arm Description
    0.5 mL dose of rBV A/B (40 µg) will be administered intramuscularly (IM) in a three-dose dosing schedule given at Days 0, 28 ± 5 days, and 182 ± 9 days
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    0.5 mL dose of placebo will be administered intramuscularly (IM) given at Days 0, 28 ± 5 days, and 182 ± 9 days
    Intervention Type
    Biological
    Intervention Name(s)
    rBV A/B
    Intervention Description
    0.5 mL dose of rBV A/B (40 µg) given at Days 0, 28 ± 5 days, and 182 ± 9 days
    Intervention Type
    Biological
    Intervention Name(s)
    Placebo (USP sterile saline for injection)
    Intervention Description
    0.5 mL dose of Placebo will be given at Days 0, 28 ± 5 days, and 182 ± 9 days
    Primary Outcome Measure Information:
    Title
    The primary safety objective is to demonstrate the safety of rBV A/B through Day 365.
    Description
    The primary safety endpoints are the incidence, severity and relationship to treatment of solicited local, systemic and neuromuscular adverse events (AEs) with onset on the day of and for 7 days after each administration of study product; treatment-emergent AEs (TEAEs) with onset within 28 days after each administration of study product; and medically-attended AEs (MAEs), neuromuscular AEs and serious AEs (SAEs) from the time of first dose (Day 0) through 6 months after the last dose (Day 365).
    Time Frame
    1 year after first dose [Dose 1] / 6 months after the last dose [Dose 3]
    Title
    The primary immunogenicity objectives are to demonstrate lot consistency for three lots of rBV A/B and to infer clinical benefit of rBV A/B.
    Description
    The criterion to demonstrate lot consistency will be based on the geometric mean ratios of neutrailzing antibodies concentrations (NAC) to vaccine antigens BoNT/A1 and BoNT/B1. The criterion to demonstrate clinical benefit is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously.
    Time Frame
    Study Day 210, approximately 28 days after the last dose [Dose 3]
    Secondary Outcome Measure Information:
    Title
    The secondary safety objective is to demonstrate the safety of rBV A/B from Day 365 through Day 547.
    Description
    The secondary safety endpoints are the incidence, severity and relationship to treatment of MAEs, neuromuscular AEs and SAEs.
    Time Frame
    1 year after last dose [Dose 3] in a subset of volunteers
    Title
    The secondary immunogenicity endpoints is duration of protection through Day 547.
    Description
    The criterion to demonstrate duration of protection is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously.
    Time Frame
    Evalution through Study Days 365 and 547 (6 months and 1 year after last dose [Dose 3])

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: The volunteer is a U.S. citizen or permanent resident alien of the U.S. The volunteer has signed the informed consent form. The volunteer is 18 to 55 years of age. The volunteer agrees not to donate blood or blood product for therapeutic or research purposes. The volunteer is willing to comply with the requirements of the protocol through the last scheduled visit. The volunteer is accessible by telephone or electronic mail to receive reminders from the investigative site. Female volunteers of childbearing potential must not be pregnant or lactating and agree to use two types of an acceptable form of FDA-approved contraception through end of study. The volunteer is in good health. The volunteer has clinical laboratory tests within acceptable ranges listed in the protocol. Exclusion Criteria: The volunteer has a history of botulism or prior receipt of any botulinum vaccine, toxoid or antitoxin. The volunteer has previously been treated or expects to be treated with any therapeutic products containing BoNTs such as Botox®, Myobloc®/Neurobloc™ and Botox® Cosmetic. The volunteer has a history of hypersensitivity or significant adverse reaction to other vaccines, aluminum compounds or yeast. The volunteer has a history of severe allergic reactions or anaphylaxis. The volunteer has donated one or more units of blood (≥ 450 mL) or undergone plasmapheresis within the past 28 days prior to receiving first administration of study product. The volunteer received any blood product or immunoglobulin in the previous 6 months prior to receiving first vaccination or plans to receive such products during the clinical trial. The volunteer received any investigational vaccine in the previous 6 months. The volunteer received or intends to receive any licensed nonliving vaccine within 14 days before or after a scheduled administration of study product. The volunteer received or intends to receive any licensed live vaccine, including FluMist® within 60 days before or after a scheduled administration of study product. Vaccination with commercially available inactivated or non-living influenza vaccine preparations (other than FluMist®) if received 14 days before and after a scheduled administration of study product. The volunteer received any investigational drug therapy within 30 days before the first vaccination or before the last scheduled visit. The volunteer received therapy with immunosuppressive agents, including use of moderate to high-dose oral inhaled or systemic corticosteroids (prednisone-equivalent dose of ≥ 20 mg/day). The volunteer has or develops medically diagnosed chronic migraine headaches (persistent and recurrent) or a neurological condition associated with a cranial nerve or spasticity or abnormal muscle contraction, demyelination, other abnormalities of smooth or skeletal muscle function or hyperhidrosis. The volunteer had systemic or recurrent disease or condition that would place the volunteer at an unacceptable risk of injury or requires frequent or continuous medical intervention for treatment, has required hospitalization, or is likely to require surgical intervention during the course of the study. The volunteer has current active mental illness, history of mental illness or hospitalization for mental illness within the past 12 months prior to first of administration of study product is exclusionary. The volunteer has a history of immunodeficiency or autoimmune disease. The volunteer has a systemic medical condition that is ongoing or has required hospitalization or administration of antimicrobial agents within 6 months before screening. The volunteer has a history of or active rheumatoid arthritis or any autoimmune mediated arthritis. The volunteer has an acute self-limited illness that has not resolved by the time of first vaccination including oral temperature greater than 99.5 °F. The volunteer has a history of abuse of alcohol or drugs within the 12 months before clinical trial screening. The volunteer has occupational or other responsibilities that would prevent completion of participation in the clinical trial in the opinion of the Investigator. The volunteer has a body mass index (BMI) ≥ 35 kg/m2. The volunteer is a member of the team conducting this clinical trial or is in a dependent relationship with the clinical trial investigator. The volunteer has a confirmed positive result on a urine drug screen that tests for common substances of abuse such as amphetamines, barbiturates, benzodiazepines, cocaine, opiates and cannabinoids. The volunteer was seropositive on screening tests for human HIV, Hepatitis C virus or hepatitis B surface antigen.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    George A Saviolakis, M.D., Ph.D.
    Organizational Affiliation
    DynPort Vaccine Company LLC, A GDIT Company
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Phase 3, Randomized, Safety, Lot Consistency and Clinical Benefit Study of Recombinant Botulinum Vaccine A/B

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