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RSV F Dose-Ranging Study in Women

Primary Purpose

Respiratory Syncytial Virus Infections

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Low dose RSV F Antigen
High dose RSV F Antigen
Dose 1 of Aluminum Adjuvant
Dose 2 of Aluminum Adjuvant
Dose 3 of Aluminum Adjuvant
Dose 4 of Aluminum Adjuvant
Placebo
Sponsored by
Novavax
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Respiratory Syncytial Virus Infections

Eligibility Criteria

18 Years - 35 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

Subjects must meet the following criteria to be eligible to participate:

  1. Healthy adult females, ≥ 18 and ≤ 35 years of age. "Healthy" shall be defined by the absence of any illness, acute or chronic, that requires ongoing systemic therapy for the control of symptoms or prevention of disability.

    • Subjects on stable (no change in ≥ 3 months) therapy for findings (e.g., hypertension or hyperlipidemia) that are not associated with symptoms or disability are eligible, as are users of hormonal contraceptives.
    • Subjects who receive intermittent prophylaxis for risks associated with asymptomatic findings (e.g., antibiotic prophylaxis prior to dental procedures in a subject with mitral valve prolapse) are eligible.
    • Ongoing therapy will be defined as continuous or, if intermittent, more frequent than once every 3 months (e.g., use of an inhaled bronchodilator for exercise-induced bronchospasm more than once every 3 months). Immunosuppressives are subject to exclusion criterion #5 below.
    • Persons being treated for illnesses or conditions that would become acutely symptomatic or disabling in the absence of treatment are not eligible.
  2. Willing and able to give informed consent prior to study enrollment.
  3. Able to comply with study requirements.
  4. Women who are not surgically sterile must have a negative urine pregnancy test prior to each vaccination; will be advised through the Informed Consent process to avoid becoming pregnant over the duration of the study, and must assert that they will employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: credible history of continuous abstinence from heterosexual activity, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom or diaphragm, with spermicide), and IUD.

Exclusion Criteria:

Subjects will be excluded if they fulfill any of the following criteria:

  1. Participation in research involving investigational product (drug / biologic / device) within 45 days before planned date of first vaccination.
  2. History of a serious reaction to any prior vaccination.
  3. Received any vaccine in the 4 weeks preceding the study vaccination; or any RSV vaccine at any time.
  4. Any known or suspected immunosuppressive condition, acquired or congenital, as determined by history and/or physical examination.
  5. Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine. An immunosuppressant dose of glucocorticoid will be defined as a systemic dose ≥10mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids will be permitted.
  6. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or during the study.
  7. Donated blood within 3 weeks of the planned date of first vaccination.
  8. Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature >38.0°C on the planned day of vaccine administration).
  9. Known disturbance of coagulation.
  10. Women who are pregnant or breastfeeding, or plan to become pregnant during the study.
  11. Suspicion or recent history (within one year of planned vaccination) of alcohol or other substance abuse.
  12. Any condition that in the opinion of the Investigator would pose a health risk to the subject if enrolled or could interfere with evaluation of the vaccine or interpretation of study results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).

Sites / Locations

  • Diablo Clinical Research
  • Clincal Research of Atlanta
  • Advanced Clinical Research
  • Johnson County Clin-Trials
  • QPS Bio-Kinetic
  • Wake Research Associates
  • Coastal Carolina Research
  • Research Across America
  • Clinical Trials of Texas
  • Jean Brown Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Low dose RSV F Vaccine with Dose 1 of Aluminum Adjuvant

Low dose RSV F Vaccine with Dose 2 of Aluminum Adjuvant

Low dose RSV F Vaccine with Dose 3 of Aluminum Adjuvant

Low dose RSV F Vaccine with Dose 4 of Aluminum Adjuvant

High dose RSV F Vaccine with Dose 2 of Aluminum Adjuvant

High dose RSV F Vaccine with Dose 3 of Aluminum Adjuvant

High dose RSV F Vaccine with Dose 4 of Aluminum Adjuvant

Placebo

Arm Description

Day 0: Low dose RSV F Antigen with Dose 1 of aluminum adjuvant Day 28: Placebo

Day 0: Low dose RSV F Antigen content with Dose 2 of aluminum adjuvant Day 28: Low dose RSV F Antigen content with Dose 2 of aluminum adjuvant

Day 0: Low dose RSV F Antigen with Dose 3 of aluminum adjuvant Day 28: Low dose RSV F Antigen with Dose 3 of aluminum adjuvant

Day 0: Low dose RSV F Antigen with Dose 4 of aluminum adjuvant Day 28: Low dose RSV F Antigen with Dose 4 of aluminum adjuvant

Day 0: High dose RSV F Antigen with Dose 2 of aluminum adjuvant Day 28: Placebo

Day 0: High dose RSV F Antigen with Dose 3 of aluminum adjuvant Day 28: Placebo

Day 0: High dose RSV F Antigen content with Dose 4 of aluminum adjuvant Day 28: Placebo

Day 0: Placebo Day 28: Placebo

Outcomes

Primary Outcome Measures

Immunogenicity as assessed by serum IgG antibody titers specific for the F-Protein antigen across treatment groups
Serum IgG antibody concentrations as ELISA units (EUs) specific for the F protein antigen. Derived/calculated endpoints based on these data will include: Geometric mean concentrations as EU (GMEU) Geometric mean ratio (GMR) Geometric mean fold-rise (GMFR) Seroconversion rate (SCR) Seroresponse rate (SRR)
Assessment of Safety
Numbers and percentages of subjects with solicited local and systemic adverse events over the seven days post-injection; and all adverse events, solicited and unsolicited, including adverse changes in clinical laboratory parameters. In addition, Medically Attended Events, Serious Adverse Events, and Significant New Medical Conditions will be collected for six months.

Secondary Outcome Measures

Immunogenicity based on neutralizing antibody titer
Kinetics of serum IgG antibody titers specific for the F-Protein antigen across time
Immunogenicity based on antibodies sharing specificity with Palivizumab

Full Information

First Posted
October 8, 2013
Last Updated
April 27, 2016
Sponsor
Novavax
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1. Study Identification

Unique Protocol Identification Number
NCT01960686
Brief Title
RSV F Dose-Ranging Study in Women
Official Title
A Phase II Randomized, Observer-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Immunogenicity and Safety of Multiple Formulations of an RSV F Particle Vaccine With Aluminum, in Healthy Women of Child-Bearing Age
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
April 2014 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the immunogenicity and safety of multiple formulations of an RSV-F protein nanoparticle vaccine, with aluminum, in healthy women of child-bearing age.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Syncytial Virus Infections

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
720 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low dose RSV F Vaccine with Dose 1 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: Low dose RSV F Antigen with Dose 1 of aluminum adjuvant Day 28: Placebo
Arm Title
Low dose RSV F Vaccine with Dose 2 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: Low dose RSV F Antigen content with Dose 2 of aluminum adjuvant Day 28: Low dose RSV F Antigen content with Dose 2 of aluminum adjuvant
Arm Title
Low dose RSV F Vaccine with Dose 3 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: Low dose RSV F Antigen with Dose 3 of aluminum adjuvant Day 28: Low dose RSV F Antigen with Dose 3 of aluminum adjuvant
Arm Title
Low dose RSV F Vaccine with Dose 4 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: Low dose RSV F Antigen with Dose 4 of aluminum adjuvant Day 28: Low dose RSV F Antigen with Dose 4 of aluminum adjuvant
Arm Title
High dose RSV F Vaccine with Dose 2 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: High dose RSV F Antigen with Dose 2 of aluminum adjuvant Day 28: Placebo
Arm Title
High dose RSV F Vaccine with Dose 3 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: High dose RSV F Antigen with Dose 3 of aluminum adjuvant Day 28: Placebo
Arm Title
High dose RSV F Vaccine with Dose 4 of Aluminum Adjuvant
Arm Type
Experimental
Arm Description
Day 0: High dose RSV F Antigen content with Dose 4 of aluminum adjuvant Day 28: Placebo
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Day 0: Placebo Day 28: Placebo
Intervention Type
Biological
Intervention Name(s)
Low dose RSV F Antigen
Intervention Type
Biological
Intervention Name(s)
High dose RSV F Antigen
Intervention Type
Biological
Intervention Name(s)
Dose 1 of Aluminum Adjuvant
Intervention Type
Biological
Intervention Name(s)
Dose 2 of Aluminum Adjuvant
Intervention Type
Biological
Intervention Name(s)
Dose 3 of Aluminum Adjuvant
Intervention Type
Biological
Intervention Name(s)
Dose 4 of Aluminum Adjuvant
Intervention Type
Biological
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Immunogenicity as assessed by serum IgG antibody titers specific for the F-Protein antigen across treatment groups
Description
Serum IgG antibody concentrations as ELISA units (EUs) specific for the F protein antigen. Derived/calculated endpoints based on these data will include: Geometric mean concentrations as EU (GMEU) Geometric mean ratio (GMR) Geometric mean fold-rise (GMFR) Seroconversion rate (SCR) Seroresponse rate (SRR)
Time Frame
Day 0 to Day 56
Title
Assessment of Safety
Description
Numbers and percentages of subjects with solicited local and systemic adverse events over the seven days post-injection; and all adverse events, solicited and unsolicited, including adverse changes in clinical laboratory parameters. In addition, Medically Attended Events, Serious Adverse Events, and Significant New Medical Conditions will be collected for six months.
Time Frame
Day 0 to Day 182
Secondary Outcome Measure Information:
Title
Immunogenicity based on neutralizing antibody titer
Time Frame
Day 0 to Day 56
Title
Kinetics of serum IgG antibody titers specific for the F-Protein antigen across time
Time Frame
Day 0 to Day 91
Title
Immunogenicity based on antibodies sharing specificity with Palivizumab
Time Frame
Day 0 to 91

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must meet the following criteria to be eligible to participate: Healthy adult females, ≥ 18 and ≤ 35 years of age. "Healthy" shall be defined by the absence of any illness, acute or chronic, that requires ongoing systemic therapy for the control of symptoms or prevention of disability. Subjects on stable (no change in ≥ 3 months) therapy for findings (e.g., hypertension or hyperlipidemia) that are not associated with symptoms or disability are eligible, as are users of hormonal contraceptives. Subjects who receive intermittent prophylaxis for risks associated with asymptomatic findings (e.g., antibiotic prophylaxis prior to dental procedures in a subject with mitral valve prolapse) are eligible. Ongoing therapy will be defined as continuous or, if intermittent, more frequent than once every 3 months (e.g., use of an inhaled bronchodilator for exercise-induced bronchospasm more than once every 3 months). Immunosuppressives are subject to exclusion criterion #5 below. Persons being treated for illnesses or conditions that would become acutely symptomatic or disabling in the absence of treatment are not eligible. Willing and able to give informed consent prior to study enrollment. Able to comply with study requirements. Women who are not surgically sterile must have a negative urine pregnancy test prior to each vaccination; will be advised through the Informed Consent process to avoid becoming pregnant over the duration of the study, and must assert that they will employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: credible history of continuous abstinence from heterosexual activity, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom or diaphragm, with spermicide), and IUD. Exclusion Criteria: Subjects will be excluded if they fulfill any of the following criteria: Participation in research involving investigational product (drug / biologic / device) within 45 days before planned date of first vaccination. History of a serious reaction to any prior vaccination. Received any vaccine in the 4 weeks preceding the study vaccination; or any RSV vaccine at any time. Any known or suspected immunosuppressive condition, acquired or congenital, as determined by history and/or physical examination. Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine. An immunosuppressant dose of glucocorticoid will be defined as a systemic dose ≥10mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids will be permitted. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or during the study. Donated blood within 3 weeks of the planned date of first vaccination. Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature >38.0°C on the planned day of vaccine administration). Known disturbance of coagulation. Women who are pregnant or breastfeeding, or plan to become pregnant during the study. Suspicion or recent history (within one year of planned vaccination) of alcohol or other substance abuse. Any condition that in the opinion of the Investigator would pose a health risk to the subject if enrolled or could interfere with evaluation of the vaccine or interpretation of study results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
D. Nigel Thomas, Ph.D.
Organizational Affiliation
Novavax, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Diablo Clinical Research
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
Clincal Research of Atlanta
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
Advanced Clinical Research
City
Boise
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Johnson County Clin-Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
QPS Bio-Kinetic
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65802
Country
United States
Facility Name
Wake Research Associates
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Coastal Carolina Research
City
Mt. Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
Research Across America
City
Dallas
State/Province
Texas
ZIP/Postal Code
75234
Country
United States
Facility Name
Clinical Trials of Texas
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Jean Brown Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84124
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28579233
Citation
August A, Glenn GM, Kpamegan E, Hickman SP, Jani D, Lu H, Thomas DN, Wen J, Piedra PA, Fries LF. A Phase 2 randomized, observer-blind, placebo-controlled, dose-ranging trial of aluminum-adjuvanted respiratory syncytial virus F particle vaccine formulations in healthy women of childbearing age. Vaccine. 2017 Jun 27;35(30):3749-3759. doi: 10.1016/j.vaccine.2017.05.045. Epub 2017 Jun 1.
Results Reference
derived

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RSV F Dose-Ranging Study in Women

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