A Study of Anthrax Vaccines Px563L and RPA563 in Healthy Adult Subjects
Primary Purpose
Anthrax
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Px563L, RPA563, or placebo
Sponsored by
About this trial
This is an interventional prevention trial for Anthrax
Eligibility Criteria
Inclusion Criteria:
- Willing and able to read and understand the consent process and sign an informed consent form (ICF).
- Females or males between the ages of 18 and 55, inclusive, at the time of informed consent.
- Healthy or with stable medical conditions not requiring continuous medication.
Exclusion Criteria:
- Female subjects who are pregnant or breastfeeding.
- A history of anthrax disease or receipt of an anthrax vaccine at any time in the past, exposure to or infection with B. anthracis, or has received any investigational anthrax vaccine or treatment (e.g., monoclonal antibodies, anthrax immune globulin).
- Positive test for human immunodeficiency virus (HIV), hepatitis C or hepatitis B (surface antigen).
- History of any malignant neoplasm or receipt of anti-neoplastic agents within the last 5 years, with the exception of adequately treated, localized or in situ non-melanoma of the skin (e.g., basal cell carcinoma) or of the cervix.
- History of immunodeficiency, chronic illness requiring continuous or frequent medical intervention, autoimmune disease, bleeding disorder, hemoglobinopathy, prior solid organ or bone marrow transplant, or any known history in the past 5 years of cardiac disease.
- Evidence of alcohol abuse (i.e., requiring treatment) or substance abuse (i.e., any use of illicit drugs) within 6 months prior to screening.
- History of severe allergy (e.g., anaphylaxis) to latex or rubber.
- Subjects who have significant scarring, tattoos, abrasions, rash, or other skin abnormality at the planned vaccination site that could interfere with evaluation of injection site..
- Use of any systemic steroids or other immunosuppressive agents within 2 years prior to screening; or use of topical, intranasal, or inhaled corticosteroids for ≥10 consecutive days within 1 year prior to screening.
- Administration of any licensed vaccines within 30 days prior to screening.
- History of anaphylaxis or other serious adverse reaction to vaccines.
- Donation or loss of >500 mL of blood or donation of plasma within 2 months of screening, or recipient of blood or blood products within 2 months of screening.
- Present or former member of US military or reservist who may have or will receive the licensed anthrax vaccine, or who has served in any military arena from January 1990 through present time.
- May be at risk for exposure to anthrax or may be required to receive the licensed anthrax vaccine (e.g., postal workers).
- Has previously participated in any anthrax vaccine or anti-protective antigen (PA) monoclonal antibody clinical trial.
Sites / Locations
- Quintiles Phase One Services
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Cohort 1 of Px563L, RPA563, or placebo
Cohort 2 of Px563L, RPA563, or placebo
Cohort 3 of Px563L, RPA563, or placebo
Arm Description
Intramuscular injections of Px563L, RPA563, or placebo
Intramuscular injections of Px563L, RPA563, or placebo
Intramuscular injections of Px563L, RPA563, or placebo
Outcomes
Primary Outcome Measures
Adverse events (AE) and adverse events of special interest (AESI) for vaccines
Secondary Outcome Measures
Anthrax toxin neutralizing antibody (TNA) 50% neutralization factor (NF50) value
Full Information
NCT ID
NCT02655549
First Posted
January 12, 2016
Last Updated
July 7, 2017
Sponsor
Pfenex, Inc
Collaborators
Department of Health and Human Services
1. Study Identification
Unique Protocol Identification Number
NCT02655549
Brief Title
A Study of Anthrax Vaccines Px563L and RPA563 in Healthy Adult Subjects
Official Title
A Phase 1a Double-Blind, Randomized, Placebo-Controlled, Dose-Escalation Study Assessing Safety and Immunogenicity of Px563L and RPA563 Administered by Intramuscular Injection in Healthy Adult Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
December 2015 (Actual)
Primary Completion Date
June 2017 (Actual)
Study Completion Date
June 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfenex, Inc
Collaborators
Department of Health and Human Services
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The trial investigates Px563L and RPA563, two formulations of a novel anthrax vaccine.
Detailed Description
This is a Phase 1, double-blind, randomized, placebo-controlled study to evaluate the safety, tolerability, and immunogenicity of Px563L or RPA563 administered intramuscularly. All subjects will be followed for safety and tolerability for 393 days after the initial vaccination. Immunogenicity analyses will be performed for up to 182 days, including an interim analysis based on Day 70 results, after the initial vaccination.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anthrax
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
54 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1 of Px563L, RPA563, or placebo
Arm Type
Experimental
Arm Description
Intramuscular injections of Px563L, RPA563, or placebo
Arm Title
Cohort 2 of Px563L, RPA563, or placebo
Arm Type
Experimental
Arm Description
Intramuscular injections of Px563L, RPA563, or placebo
Arm Title
Cohort 3 of Px563L, RPA563, or placebo
Arm Type
Experimental
Arm Description
Intramuscular injections of Px563L, RPA563, or placebo
Intervention Type
Biological
Intervention Name(s)
Px563L, RPA563, or placebo
Intervention Description
Two intramuscular injections
Primary Outcome Measure Information:
Title
Adverse events (AE) and adverse events of special interest (AESI) for vaccines
Time Frame
393 days
Secondary Outcome Measure Information:
Title
Anthrax toxin neutralizing antibody (TNA) 50% neutralization factor (NF50) value
Time Frame
182 days
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:
Willing and able to read and understand the consent process and sign an informed consent form (ICF).
Females or males between the ages of 18 and 55, inclusive, at the time of informed consent.
Healthy or with stable medical conditions not requiring continuous medication.
Exclusion Criteria:
Female subjects who are pregnant or breastfeeding.
A history of anthrax disease or receipt of an anthrax vaccine at any time in the past, exposure to or infection with B. anthracis, or has received any investigational anthrax vaccine or treatment (e.g., monoclonal antibodies, anthrax immune globulin).
Positive test for human immunodeficiency virus (HIV), hepatitis C or hepatitis B (surface antigen).
History of any malignant neoplasm or receipt of anti-neoplastic agents within the last 5 years, with the exception of adequately treated, localized or in situ non-melanoma of the skin (e.g., basal cell carcinoma) or of the cervix.
History of immunodeficiency, chronic illness requiring continuous or frequent medical intervention, autoimmune disease, bleeding disorder, hemoglobinopathy, prior solid organ or bone marrow transplant, or any known history in the past 5 years of cardiac disease.
Evidence of alcohol abuse (i.e., requiring treatment) or substance abuse (i.e., any use of illicit drugs) within 6 months prior to screening.
History of severe allergy (e.g., anaphylaxis) to latex or rubber.
Subjects who have significant scarring, tattoos, abrasions, rash, or other skin abnormality at the planned vaccination site that could interfere with evaluation of injection site..
Use of any systemic steroids or other immunosuppressive agents within 2 years prior to screening; or use of topical, intranasal, or inhaled corticosteroids for ≥10 consecutive days within 1 year prior to screening.
Administration of any licensed vaccines within 30 days prior to screening.
History of anaphylaxis or other serious adverse reaction to vaccines.
Donation or loss of >500 mL of blood or donation of plasma within 2 months of screening, or recipient of blood or blood products within 2 months of screening.
Present or former member of US military or reservist who may have or will receive the licensed anthrax vaccine, or who has served in any military arena from January 1990 through present time.
May be at risk for exposure to anthrax or may be required to receive the licensed anthrax vaccine (e.g., postal workers).
Has previously participated in any anthrax vaccine or anti-protective antigen (PA) monoclonal antibody clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Barbara K Lomeli, M.D.
Organizational Affiliation
Quintiles Phase One Services, LLC
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Hubert C Chen, M.D.
Organizational Affiliation
Pfenex, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Quintiles Phase One Services
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Yes
Citations:
PubMed Identifier
34544599
Citation
Schneider JC, Chen HC, Bautista E, Retallack D. Safety and immunogenicity of Px563L, a recombinant anthrax vaccine candidate, in a two-dose regimen for post-exposure prophylaxis in healthy adults. Vaccine. 2021 Oct 8;39(42):6333-6339. doi: 10.1016/j.vaccine.2021.08.075. Epub 2021 Sep 17.
Results Reference
derived
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A Study of Anthrax Vaccines Px563L and RPA563 in Healthy Adult Subjects
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