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Study of a DNA-based Venezuelan Equine Encephalitis Virus DNA Vaccine Administered by Electroporation in Healthy Volunteers

Primary Purpose

Venezuelan Equine Encephalitis Virus Infection

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
0.9% saline placebo
Sponsored by
Ichor Medical Systems Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Venezuelan Equine Encephalitis Virus Infection focused on measuring Venezuelan equine encephalitis virus, DNA vaccine, electroporation, intradermal, intramuscular

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult male or non-pregnant, non-lactating female, ages 18-49 (inclusive) at time of screening
  • Have provided written informed consent before screening
  • Free of clinically significant health problems or clinical lab abnormalities, as determined by pertinent medical history, lab evaluations, and clinical examination before entry into the study
  • Available and able to participate for all study visits and procedures
  • If sexually active, known to be at least 1 year post-menopausal, or willing to use an effective method of contraception (e.g., birth control pill, diaphragm, cervical cap, intrauterine device, condom, anatomical sterility [self or partner]) from the date of screening until at least 6 months after the last injection
  • Negative VEEV IgG antibody test result at screening (ELISA)

Exclusion Criteria:

  • History or serologic evidence of prior infection with VEE virus or prior participation in a VEE virus vaccine trial
  • History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions
  • History of Guillain-Barre Syndrome
  • Ongoing participation in another clinical trial
  • Receipt or planned receipt of any experimental or licensed vaccine, except for a licensed seasonal influenza vaccine, within the period 30 days prior to initial injection through 60 days after the Day 70 follow-up. (~ 6 month period in total)
  • Receipt or planned receipt of any allergy treatments involving antigen injections within the period 30 days prior to the first injection through the period 60 days after Study Day 70 (~6 month period in total)
  • Individuals in whom a skinfold measurement of the cutaneous and subcutaneous tissue for the eligible injection sites (left and right medial deltoid region) exceeds 40 mm
  • Individuals in whom the ability to observe possible local reactions at the eligible injection sites (deltoid region) is, in the opinion of the investigator, unacceptably obscured due to a physical condition or permanent body art
  • Therapeutic or traumatic metal implant in the skin or muscle of either deltoid region.
  • Acute or chronic, clinically significant hematologic, pulmonary, cardiovascular, or hepatic or renal functional abnormality as determined by the investigator based on medical history, physical examination, EKG, and/or laboratory screening test
  • Pregnant or lactating female, or female who intends to become pregnant during the study period
  • Administration of immunoglobulins and/or any blood products within the 120 days preceding study entry or planned administration during the study period
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including HIV infection
  • Administration of chronic (defined as more than 14 days) immunosuppressant's or other immune-modifying drugs within 6 months of study entry
  • For corticosteroids, this will mean prednisone, or equivalent, greater than or equal to 0.5 mg/kg/day; Inhaled and topical steroids are allowed
  • Any chronic or active neurologic disorder, including seizures and epilepsy, excluding a single febrile seizure as a child
  • Syncopal episode within 12 months of screening
  • Suspected or known current alcohol abuse as defined by the American Psychiatric Association in DSM IV (Diagnostic and Statistical Manual of Mental Disorders-4th edition)
  • Chronic or active illicit and/or intravenous drug use by history
  • Unwilling to allow storage and use of blood for future alphavirus-related research
  • Any other significant finding that in the opinion of the investigator would increase the risk of the individual having an adverse outcome from participating in this study

Sites / Locations

  • Accelovance

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

VEEV DNA Vaccine 0.5 mg/ml Intramuscular

VEEV DNA Vaccine 0.5 mg/ml Intradermal

VEEV DNA Vaccine 2.0 mg/ml Intramuscular

VEEV DNA Vaccine 2.0 mg/ml Intradermal

Placebo: 0.9% saline

Arm Description

Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate

Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate

Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate

Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate

0.9% saline

Outcomes

Primary Outcome Measures

The nature, frequency, and severity of local and systemic adverse events or serious adverse events associated with electroporation-based administration of the VEEV DNA vaccine candidate

Secondary Outcome Measures

The frequency, magnitude, and duration of serum anti-VEEV antibody responses
Anti-VEEV immune response will be assessed by 80% Plaque Reducing Neutralization Test (PRNT80). PRNT80 titers of >= 1:10 will constitute a response.
Response to a questionnaire based assessment of acute procedure tolerability.
Immediately following procedure administration, subjects will complete a Visual Analog Scale (VAS) based questionnaire to assess procedure tolerability.

Full Information

First Posted
September 23, 2013
Last Updated
August 24, 2015
Sponsor
Ichor Medical Systems Incorporated
Collaborators
US Army Medical Research Institute of Infectious Diseases
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1. Study Identification

Unique Protocol Identification Number
NCT01984983
Brief Title
Study of a DNA-based Venezuelan Equine Encephalitis Virus DNA Vaccine Administered by Electroporation in Healthy Volunteers
Official Title
A Phase I, Randomized, Observer-blind, Placebo Controlled Study to Assess the Safety, Reactogenicity, and Immunogenicity of a Venezuelan Equine Encephalitis DNA Vaccine Candidate Administered Intramuscularly or Intradermally by Electroporation to Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
December 2013 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
May 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ichor Medical Systems Incorporated
Collaborators
US Army Medical Research Institute of Infectious Diseases

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The Phase I study will assess the basic safety, tolerability, and immunogenicity of a DNA-based Venezuelan equine encephalitis virus (VEEV)vaccine candidate delivered by electroporation . The study will enroll 40 healthy adult volunteers ages 18-49 and will comprise evaluation of intradermal or intramuscular administration by electroporation. Administration of the vaccine candidate will be at two DNA dose levels (0.5 mg/ml and 2.0 mg/ml) for each route of administration. Electroporation will be administered using the TriGrid Delivery System devices for intramuscular and intradermal delivery. An additional group of subjects will serve as a placebo control, receiving injections of saline with electroporation. The overall goal of this study will be to determine if further human clinical studies of the vaccine candidate are warranted and, if so, to aid in the selection of dose and route of administration for future studies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Venezuelan Equine Encephalitis Virus Infection
Keywords
Venezuelan equine encephalitis virus, DNA vaccine, electroporation, intradermal, intramuscular

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
VEEV DNA Vaccine 0.5 mg/ml Intramuscular
Arm Type
Experimental
Arm Description
Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Arm Title
VEEV DNA Vaccine 0.5 mg/ml Intradermal
Arm Type
Experimental
Arm Description
Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Arm Title
VEEV DNA Vaccine 2.0 mg/ml Intramuscular
Arm Type
Experimental
Arm Description
Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Arm Title
VEEV DNA Vaccine 2.0 mg/ml Intradermal
Arm Type
Experimental
Arm Description
Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Arm Title
Placebo: 0.9% saline
Arm Type
Placebo Comparator
Arm Description
0.9% saline
Intervention Type
Biological
Intervention Name(s)
Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Intervention Type
Other
Intervention Name(s)
0.9% saline placebo
Primary Outcome Measure Information:
Title
The nature, frequency, and severity of local and systemic adverse events or serious adverse events associated with electroporation-based administration of the VEEV DNA vaccine candidate
Time Frame
12 months
Secondary Outcome Measure Information:
Title
The frequency, magnitude, and duration of serum anti-VEEV antibody responses
Description
Anti-VEEV immune response will be assessed by 80% Plaque Reducing Neutralization Test (PRNT80). PRNT80 titers of >= 1:10 will constitute a response.
Time Frame
12 months
Title
Response to a questionnaire based assessment of acute procedure tolerability.
Description
Immediately following procedure administration, subjects will complete a Visual Analog Scale (VAS) based questionnaire to assess procedure tolerability.
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male or non-pregnant, non-lactating female, ages 18-49 (inclusive) at time of screening Have provided written informed consent before screening Free of clinically significant health problems or clinical lab abnormalities, as determined by pertinent medical history, lab evaluations, and clinical examination before entry into the study Available and able to participate for all study visits and procedures If sexually active, known to be at least 1 year post-menopausal, or willing to use an effective method of contraception (e.g., birth control pill, diaphragm, cervical cap, intrauterine device, condom, anatomical sterility [self or partner]) from the date of screening until at least 6 months after the last injection Negative VEEV IgG antibody test result at screening (ELISA) Exclusion Criteria: History or serologic evidence of prior infection with VEE virus or prior participation in a VEE virus vaccine trial History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions History of Guillain-Barre Syndrome Ongoing participation in another clinical trial Receipt or planned receipt of any experimental or licensed vaccine, except for a licensed seasonal influenza vaccine, within the period 30 days prior to initial injection through 60 days after the Day 70 follow-up. (~ 6 month period in total) Receipt or planned receipt of any allergy treatments involving antigen injections within the period 30 days prior to the first injection through the period 60 days after Study Day 70 (~6 month period in total) Individuals in whom a skinfold measurement of the cutaneous and subcutaneous tissue for the eligible injection sites (left and right medial deltoid region) exceeds 40 mm Individuals in whom the ability to observe possible local reactions at the eligible injection sites (deltoid region) is, in the opinion of the investigator, unacceptably obscured due to a physical condition or permanent body art Therapeutic or traumatic metal implant in the skin or muscle of either deltoid region. Acute or chronic, clinically significant hematologic, pulmonary, cardiovascular, or hepatic or renal functional abnormality as determined by the investigator based on medical history, physical examination, EKG, and/or laboratory screening test Pregnant or lactating female, or female who intends to become pregnant during the study period Administration of immunoglobulins and/or any blood products within the 120 days preceding study entry or planned administration during the study period Any confirmed or suspected immunosuppressive or immunodeficient condition, including HIV infection Administration of chronic (defined as more than 14 days) immunosuppressant's or other immune-modifying drugs within 6 months of study entry For corticosteroids, this will mean prednisone, or equivalent, greater than or equal to 0.5 mg/kg/day; Inhaled and topical steroids are allowed Any chronic or active neurologic disorder, including seizures and epilepsy, excluding a single febrile seizure as a child Syncopal episode within 12 months of screening Suspected or known current alcohol abuse as defined by the American Psychiatric Association in DSM IV (Diagnostic and Statistical Manual of Mental Disorders-4th edition) Chronic or active illicit and/or intravenous drug use by history Unwilling to allow storage and use of blood for future alphavirus-related research Any other significant finding that in the opinion of the investigator would increase the risk of the individual having an adverse outcome from participating in this study
Facility Information:
Facility Name
Accelovance
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
27206386
Citation
Hannaman D, Dupuy LC, Ellefsen B, Schmaljohn CS. A Phase 1 clinical trial of a DNA vaccine for Venezuelan equine encephalitis delivered by intramuscular or intradermal electroporation. Vaccine. 2016 Jun 30;34(31):3607-12. doi: 10.1016/j.vaccine.2016.04.077. Epub 2016 May 17.
Results Reference
derived

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Study of a DNA-based Venezuelan Equine Encephalitis Virus DNA Vaccine Administered by Electroporation in Healthy Volunteers

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