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Evaluating the Safety and Immunogenicity of a Live Attenuated Virus Vaccine to Prevent Influenza H3N2v Disease

Primary Purpose

Influenza

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
H3N2v MN 2010/AA ca live attenuated influenza vaccine (LAIV)
H3N2v inactivated subvirion influenza vaccine
Placebo
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring H3N2v Influenza Viruses

Eligibility Criteria

6 Years - 26 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Males and non-pregnant females between 6 and 26 years of age inclusive.
  • For children, presence of an adult caregiver who is in good health and able to understand and carry out the requirements
  • General good health, without significant medical illness, physical examination findings, or significant laboratory abnormalities as determined by the investigator.
  • Agree to storage of blood specimens for future research.
  • Available for the duration of the trial.
  • Willingness to participate in the study as evidenced by signing the informed consent document. Verbal assent will be obtained from minors 6 to 12 years of age and signed assent will be obtained from minors 13 and older.
  • Female subjects of childbearing potential must agree to use effective birth control methods for the duration of the study (e.g., pharmacologic contraceptives including oral, parenteral, and transcutaneous delivery; condoms with spermicide; diaphragm with spermicide; intrauterine device; abstinence from heterosexual intercourse, surgical sterilization).

Exclusion Criteria:

  • Anticipated direct routine [e.g. weekly or more frequent] contact with individuals younger than the designated age groups being studied as a result of household contact, occupation, or participation in day care with such individuals.
  • Pregnancy as determined by a positive urine or serum human choriogonadotropin (β-HCG) test.
  • Currently breast-feeding.
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease by history or physical examination.
  • Behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, affects the ability of the subject to understand and cooperate with the study protocol.
  • Other condition that, in the opinion of the investigator, would jeopardize the safety or rights of a subject participating in the trial or would render the subject unable to comply with the protocol.
  • History of anaphylaxis.
  • Allergy to oseltamivir as determined by subject report.
  • Current diagnosis of asthma or reactive airway disease (within the past 2 years).
  • Use of aspirin or salicylate-containing medications within 28 days prior to randomization or expected receipt through 28 days after final vaccination.
  • History of Guillain-Barré Syndrome.
  • Known history of HIV, hepatitis C, or active hepatitis B infection.
  • Known immunodeficiency syndrome.
  • Use of corticosteroids (excluding topical preparations) or immunosuppressive drugs within 30 days prior to vaccination.
  • Receipt of a live vaccine within 4 weeks or a killed vaccine within 2 weeks prior to study vaccination.
  • Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to study vaccination.
  • Travel to the Southern Hemisphere within 14 days prior to study vaccination.
  • Travel on a cruise ship within 14 days prior to study vaccination.
  • Receipt of another investigational vaccine or drug within 30 days prior to study vaccination.
  • Allergy to eggs or egg products, gentamicin, or gelatin.
  • Chronic use of intranasal medications.

Sites / Locations

  • University of Rochester Medical Center (URMC), Vaccine Research Unit (Outpatient)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Group 1: H3N2v Seronegative Adults: H3N2v LAIV

Group 2: H3N2v Seropositive Adolescents: H3N2v LAIV

Group 2: H3N2v Seropositive Adolescents: Placebo

Group 3: H3N2v Seronegative Adolescents: H3N2v LAIV

Group 3: H3N2v Seronegative Adolescents: Placebo

Group 4: Children: H3N2v LAIV

Group 4: Children: Placebo

Arm Description

Participants will receive one dose of H3N2v LAIV on Day 0 (study entry). They will then receive one dose of H3N2v IIV on Day 84.

Participants will receive two doses of H3N2v LAIV, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.

Participants will receive two doses of placebo, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.

Participants will receive two doses of H3N2v LAIV, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.

Participants will receive two doses of placebo, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.

Participants will receive two doses of H3N2v LAIV, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.

Participants will receive two doses of placebo, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.

Outcomes

Primary Outcome Measures

Frequency of vaccine-related reactogenicity events (REs) that occur during the acute monitoring phase of the study
Area under the curve of nasal virus shedding after each dose of vaccine
As assessed by liquid titration of nasal secretions on Madin Darby canine kidney (MDCK) cells at 33°C
Development of serum antibody
Assessed by either hemagglutination inhibition (HAI) or microneutralization (MN) assays

Secondary Outcome Measures

Development of a significant increase in nasal secretion hemagglutinin (HA)-specific antibody
Assessed by enzyme-linked immunosorbent assay (ELISA), luminex or microneutralization assay

Full Information

First Posted
August 25, 2016
Last Updated
May 1, 2018
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT02883426
Brief Title
Evaluating the Safety and Immunogenicity of a Live Attenuated Virus Vaccine to Prevent Influenza H3N2v Disease
Official Title
Evaluation of the Safety and Immunogenicity of Live Influenza A Vaccine H3N2v (6-2) AA ca Recombinant (A/Minnesota/11/2010 (H3N2v) x A/Ann Arbor/6/60 ca), a Live Attenuated Virus Vaccine Candidate for Prevention of Influenza H3N2v Disease
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Terminated
Study Start Date
September 2016 (undefined)
Primary Completion Date
January 5, 2017 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will evaluate the safety and immunogenicity of the H3N2v MN 2010/AA ca live attenuated influenza vaccine (H3N2v LAIV) in healthy children and adults, 6 to 26 years old.
Detailed Description
The potential for widespread human disease due to the H3N2v influenza viruses is considerable. Infection with these viruses would most likely impact young children. This study will evaluate the safety and immunogenicity of the H3N2v MN 2010/AA ca live attenuated influenza vaccine (H3N2v LAIV) in healthy children and adults, 6 to 26 years old. The study will enroll participants sequentially in four groups: Group 1 will include H3N2v seronegative adults ages 18-26 years; Group 2 will include H3N2v seropositive adolescents ages 13-17 years; Group 3 will include H3N2v seronegative adolescents ages 13-17 years; and Group 4 will include children ages 6 to 12 years, who will not be screened for H3N2v serostatus. At study entry (Day 0), participants in Group 1 will receive one dose of H3N2v LAIV. Participants in Groups 2, 3, and 4 will be randomly assigned to receive two doses of either H3N2v LAIV or placebo, receiving the first dose on Day 0 and the second dose on Day 28. On Day 84, all participants will receive one dose of H3N2v IIV (an inactivated booster vaccine). Participants will attend several additional study visits through Day 180. These visits may include a physical examination; respiratory examination; and collection of blood, urine, or nasal fluids.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
H3N2v Influenza Viruses

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: H3N2v Seronegative Adults: H3N2v LAIV
Arm Type
Experimental
Arm Description
Participants will receive one dose of H3N2v LAIV on Day 0 (study entry). They will then receive one dose of H3N2v IIV on Day 84.
Arm Title
Group 2: H3N2v Seropositive Adolescents: H3N2v LAIV
Arm Type
Experimental
Arm Description
Participants will receive two doses of H3N2v LAIV, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.
Arm Title
Group 2: H3N2v Seropositive Adolescents: Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive two doses of placebo, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.
Arm Title
Group 3: H3N2v Seronegative Adolescents: H3N2v LAIV
Arm Type
Experimental
Arm Description
Participants will receive two doses of H3N2v LAIV, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.
Arm Title
Group 3: H3N2v Seronegative Adolescents: Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive two doses of placebo, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.
Arm Title
Group 4: Children: H3N2v LAIV
Arm Type
Experimental
Arm Description
Participants will receive two doses of H3N2v LAIV, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.
Arm Title
Group 4: Children: Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive two doses of placebo, the first dose on Day 0 (study entry) and the second dose on Day 28. They will then receive one dose of H3N2v IIV on Day 84.
Intervention Type
Biological
Intervention Name(s)
H3N2v MN 2010/AA ca live attenuated influenza vaccine (LAIV)
Other Intervention Name(s)
H3N2v LAIV
Intervention Description
Approximately 10^7.0 Fluorescent Focus Units (FFU) per 0.2 mL dose; administered intranasally
Intervention Type
Biological
Intervention Name(s)
H3N2v inactivated subvirion influenza vaccine
Other Intervention Name(s)
H3N2v IIV
Intervention Description
15 μg; administered intramuscularly
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Administered by nasal spray
Primary Outcome Measure Information:
Title
Frequency of vaccine-related reactogenicity events (REs) that occur during the acute monitoring phase of the study
Time Frame
Measured through Day 180
Title
Area under the curve of nasal virus shedding after each dose of vaccine
Description
As assessed by liquid titration of nasal secretions on Madin Darby canine kidney (MDCK) cells at 33°C
Time Frame
Measured through Day 180
Title
Development of serum antibody
Description
Assessed by either hemagglutination inhibition (HAI) or microneutralization (MN) assays
Time Frame
Measured through Day 180
Secondary Outcome Measure Information:
Title
Development of a significant increase in nasal secretion hemagglutinin (HA)-specific antibody
Description
Assessed by enzyme-linked immunosorbent assay (ELISA), luminex or microneutralization assay
Time Frame
Measured through Day 180

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
26 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and non-pregnant females between 6 and 26 years of age inclusive. For children, presence of an adult caregiver who is in good health and able to understand and carry out the requirements General good health, without significant medical illness, physical examination findings, or significant laboratory abnormalities as determined by the investigator. Agree to storage of blood specimens for future research. Available for the duration of the trial. Willingness to participate in the study as evidenced by signing the informed consent document. Verbal assent will be obtained from minors 6 to 12 years of age and signed assent will be obtained from minors 13 and older. Female subjects of childbearing potential must agree to use effective birth control methods for the duration of the study (e.g., pharmacologic contraceptives including oral, parenteral, and transcutaneous delivery; condoms with spermicide; diaphragm with spermicide; intrauterine device; abstinence from heterosexual intercourse, surgical sterilization). Exclusion Criteria: Anticipated direct routine [e.g. weekly or more frequent] contact with individuals younger than the designated age groups being studied as a result of household contact, occupation, or participation in day care with such individuals. Pregnancy as determined by a positive urine or serum human choriogonadotropin (β-HCG) test. Currently breast-feeding. Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease by history or physical examination. Behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, affects the ability of the subject to understand and cooperate with the study protocol. Other condition that, in the opinion of the investigator, would jeopardize the safety or rights of a subject participating in the trial or would render the subject unable to comply with the protocol. History of anaphylaxis. Allergy to oseltamivir as determined by subject report. Current diagnosis of asthma or reactive airway disease (within the past 2 years). Use of aspirin or salicylate-containing medications within 28 days prior to randomization or expected receipt through 28 days after final vaccination. History of Guillain-Barré Syndrome. Known history of HIV, hepatitis C, or active hepatitis B infection. Known immunodeficiency syndrome. Use of corticosteroids (excluding topical preparations) or immunosuppressive drugs within 30 days prior to vaccination. Receipt of a live vaccine within 4 weeks or a killed vaccine within 2 weeks prior to study vaccination. Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to study vaccination. Travel to the Southern Hemisphere within 14 days prior to study vaccination. Travel on a cruise ship within 14 days prior to study vaccination. Receipt of another investigational vaccine or drug within 30 days prior to study vaccination. Allergy to eggs or egg products, gentamicin, or gelatin. Chronic use of intranasal medications.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Treanor, M.D.
Organizational Affiliation
University of Rochester
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Rochester Medical Center (URMC), Vaccine Research Unit (Outpatient)
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Evaluating the Safety and Immunogenicity of a Live Attenuated Virus Vaccine to Prevent Influenza H3N2v Disease

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