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IM Recombinant Ricin Toxin Vaccine (RVEc) - 3-Dose Primary Series With Boost

Primary Purpose

Ricin Poisoning

Status
Withdrawn
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RVEc
Sponsored by
U.S. Army Medical Research and Development Command
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Ricin Poisoning

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Study participants must read and sign an approved informed consent.
  • Study participants must be at least 18 years old at time of screening and no older than 50 years old at time of first study vaccination.
  • Participants must weigh at least 110 pounds at time of screening.
  • Participants must be in good health as judged from medical history, physical examination, electrocardiogram, chest x-ray, hematology, clinical chemistries, urinalysis, hepatitis serology, and human immunodeficiency virus antibody test and must be medically cleared for participation by an investigator.
  • Females of childbearing potential must have a negative pregnancy test on screening and the morning of each vaccination prior to receipt of the vaccine and must agree to use a highly effective method of birth control from screening through 3 months following last study vaccination. 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, combined oral contraceptives, intrauterine devices (IUDs), female sterilization (tubal ligation), sexual abstinence, or a vasectomized partner.
  • Female participants must also agree not to breastfeed from screening through 3 months following last study vaccination.
  • Study participants must be willing to return for all follow-up visits.
  • Study participants must agree to report any adverse events (AE) that may or may not be associated with administration of the investigational product through duration of study participation.
  • Study participants must agree to abstain from excessive exercise (more than the usual routine) and excessive alcohol consumption (exceeds 2 drinks for males or exceeds 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 or topical corticosteroids or eye drops, will not be permitted.
  • Severe hypersensitivity to any vaccine.
  • History of asthma, chronic obstructive pulmonary disease, or other current/residual diseases of the lungs.
  • Clinically significant abnormal laboratory tests.
  • Current smoker, to include use of electronic cigarettes..
  • Any known allergies to sodium succinate, Polysorbate 20 (a detergent), Alhydrogel, or kanamycin.
  • Receipt of any vaccine or investigational product within 30 days before or after vaccination with RVEc (the only exception is the inactivated influenza vaccine that can be received at least 30 days after RVEc Dose 3 or 4).
  • Receipt of RVEc is contraindicated based on shoulder injury related to vaccine administration (SIRVA) checklist/screening, as determined by principle investigator. (For this Phase 1 study, we will not administer product to subjects with bilateral shoulder injuries.)
  • Creatine phosphokinase levels that are consistently elevated more than 2 × normal
  • Previous vaccination with RVEc or any other ricin vaccine candidate by any route.

Sites / Locations

  • Department of Clinical Research, USAMRIID

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group 1: 10 μg RVEc

Group 2: 50 μg RVEc

Group 3: 75 μg RVEc

Arm Description

10 μg RVEc is to be administered in the lower two-thirds of the deltoid region by intramuscular (IM) injection with a needle and syringe (0.5 mL/dose). There are 4 doses planned for this group: 1 primary dose on Days 0, 28, and 106, and a booster dose on Day 365 (1 year).

50 μg RVEc is to be administered in the lower two-thirds of the deltoid region by intramuscular (IM) injection with a needle and syringe (0.5 mL/dose). There are 4 doses planned for this group: 1 primary dose on Days 0, 28, and 106, and a booster dose on Day 365 (1 year).

75 μg RVEc is to be administered in the lower two-thirds of the deltoid region by intramuscular (IM) injection with a needle and syringe (0.5 mL/dose). There are 4 doses planned for this group: 1 primary dose on Days 0, 28, and 106, and a booster dose on Day 365 (1 year).

Outcomes

Primary Outcome Measures

Percentage of vaccinated subjects without adverse events by Day 730
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Percentage of vaccinated subjects with adverse events by Day 730
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Percentage of vaccinated subjects with any severity of local reactions (Grades 1-4) by Day 730
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Percentage of vaccinated subjects with systemic reactions of any severity (Grades 1-4) by Day 730
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Percentage of vaccinated subjects with generalized allergic reactions by Day 730
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Percentage of vaccinated subjects with each adverse event by Day 730
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.

Secondary Outcome Measures

Total anti-ricin immunoglobulin G (IgG) antibody titers as determined by ELISA at each time point
Anti-ricin toxin-neutralizing antibody titers as determined by the colorimetric toxin neutralization assay (TNA)

Full Information

First Posted
February 26, 2015
Last Updated
December 30, 2019
Sponsor
U.S. Army Medical Research and Development Command
Collaborators
US Army Medical Research Institute of Infectious Diseases
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1. Study Identification

Unique Protocol Identification Number
NCT02385825
Brief Title
IM Recombinant Ricin Toxin Vaccine (RVEc) - 3-Dose Primary Series With Boost
Official Title
Phase 1b Escalating Study to Evaluate the Safety and Immunogenicity of Recombinant Ricin Toxin A-Chain 1-33/44-198 (rRTA 1-33/44-198) Vaccine (RVEc™) Administered Intramuscularly to Healthy Adults as a 3-Dose Primary Series and Booster
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Withdrawn
Why Stopped
lack of funding
Study Start Date
April 2016 (undefined)
Primary Completion Date
June 2017 (Anticipated)
Study Completion Date
December 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command
Collaborators
US Army Medical Research Institute of Infectious Diseases

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study seeks to determine the safety and immunogenicity of a series of 3 primary vaccinations and a booster vaccination of Recombinant ricin toxin A-chain 1-33/44-198 (rRTA 1-33/44-198) vaccine (RVEc) at 10, 50, or 75 μg IM. This study is evaluating if RVEc will display an acceptable safety profile as determined by adverse event (AE) data and if RVEc will elicit anti-ricin antibody titers and ricin toxin-neutralizing antibodies in vaccine recipients.

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
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: 10 μg RVEc
Arm Type
Experimental
Arm Description
10 μg RVEc is to be administered in the lower two-thirds of the deltoid region by intramuscular (IM) injection with a needle and syringe (0.5 mL/dose). There are 4 doses planned for this group: 1 primary dose on Days 0, 28, and 106, and a booster dose on Day 365 (1 year).
Arm Title
Group 2: 50 μg RVEc
Arm Type
Experimental
Arm Description
50 μg RVEc is to be administered in the lower two-thirds of the deltoid region by intramuscular (IM) injection with a needle and syringe (0.5 mL/dose). There are 4 doses planned for this group: 1 primary dose on Days 0, 28, and 106, and a booster dose on Day 365 (1 year).
Arm Title
Group 3: 75 μg RVEc
Arm Type
Experimental
Arm Description
75 μg RVEc is to be administered in the lower two-thirds of the deltoid region by intramuscular (IM) injection with a needle and syringe (0.5 mL/dose). There are 4 doses planned for this group: 1 primary dose on Days 0, 28, and 106, and a booster dose on Day 365 (1 year).
Intervention Type
Biological
Intervention Name(s)
RVEc
Other Intervention Name(s)
Recombinant ricin toxin A-chain 1-33/44-198 (rRTA 1-33/44-198) vaccine
Intervention Description
The composition of the final drug product, prior to any dilution, is 0.2 mg recombinant ricin toxin A-chain 1-33/44-198 (RVEc) in buffer and 0.2% Alhydrogel® at a final volume of 1 mL per vial.
Primary Outcome Measure Information:
Title
Percentage of vaccinated subjects without adverse events by Day 730
Description
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Time Frame
Day 730
Title
Percentage of vaccinated subjects with adverse events by Day 730
Description
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Time Frame
Day 730
Title
Percentage of vaccinated subjects with any severity of local reactions (Grades 1-4) by Day 730
Description
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Time Frame
Day 730
Title
Percentage of vaccinated subjects with systemic reactions of any severity (Grades 1-4) by Day 730
Description
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Time Frame
Day 730
Title
Percentage of vaccinated subjects with generalized allergic reactions by Day 730
Description
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Time Frame
Day 730
Title
Percentage of vaccinated subjects with each adverse event by Day 730
Description
Adverse events will be evaluated for subjects in the assessment population on vaccination days and at follow-up time points.
Time Frame
Day 730
Secondary Outcome Measure Information:
Title
Total anti-ricin immunoglobulin G (IgG) antibody titers as determined by ELISA at each time point
Time Frame
Days 0, 14, 28, 42, 56, 106, 120, 134, 180, 270, 365, 379, 393, 455, 555, 730
Title
Anti-ricin toxin-neutralizing antibody titers as determined by the colorimetric toxin neutralization assay (TNA)
Time Frame
Days 0, 14, 28, 42, 56, 106, 120, 134, 180, 270, 365, 379, 393, 455, 555, 730

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 participants must read and sign an approved informed consent. Study participants must be at least 18 years old at time of screening and no older than 50 years old at time of first study vaccination. Participants must weigh at least 110 pounds at time of screening. Participants must be in good health as judged from medical history, physical examination, electrocardiogram, chest x-ray, hematology, clinical chemistries, urinalysis, hepatitis serology, and human immunodeficiency virus antibody test and must be medically cleared for participation by an investigator. Females of childbearing potential must have a negative pregnancy test on screening and the morning of each vaccination prior to receipt of the vaccine and must agree to use a highly effective method of birth control from screening through 3 months following last study vaccination. 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, combined oral contraceptives, intrauterine devices (IUDs), female sterilization (tubal ligation), sexual abstinence, or a vasectomized partner. Female participants must also agree not to breastfeed from screening through 3 months following last study vaccination. Study participants must be willing to return for all follow-up visits. Study participants must agree to report any adverse events (AE) that may or may not be associated with administration of the investigational product through duration of study participation. Study participants must agree to abstain from excessive exercise (more than the usual routine) and excessive alcohol consumption (exceeds 2 drinks for males or exceeds 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 or topical corticosteroids or eye drops, will not be permitted. Severe hypersensitivity to any vaccine. History of asthma, chronic obstructive pulmonary disease, or other current/residual diseases of the lungs. Clinically significant abnormal laboratory tests. Current smoker, to include use of electronic cigarettes.. Any known allergies to sodium succinate, Polysorbate 20 (a detergent), Alhydrogel, or kanamycin. Receipt of any vaccine or investigational product within 30 days before or after vaccination with RVEc (the only exception is the inactivated influenza vaccine that can be received at least 30 days after RVEc Dose 3 or 4). Receipt of RVEc is contraindicated based on shoulder injury related to vaccine administration (SIRVA) checklist/screening, as determined by principle investigator. (For this Phase 1 study, we will not administer product to subjects with bilateral shoulder injuries.) Creatine phosphokinase levels that are consistently elevated more than 2 × normal Previous vaccination with RVEc or any other ricin vaccine candidate by any route.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Phillip R Pittman, MD, MPH
Organizational Affiliation
US Army Medical Research Institute of Infectious Diseases
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Clinical Research, USAMRIID
City
Fort Deterick
State/Province
Maryland
ZIP/Postal Code
21702
Country
United States

12. IPD Sharing Statement

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IM Recombinant Ricin Toxin Vaccine (RVEc) - 3-Dose Primary Series With Boost

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