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Evaluation of the Safety and Immunogenicity of a Sublingual Influenza Vaccine NSV0001 in Healthy Male Volunteers

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
NSV0001
Influenza HA vaccine "Biken HA"
Placebo
Sponsored by
Nitto Denko Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza

Eligibility Criteria

20 Years - 49 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject is 20 to 49 years of age on the date of informed consent
  2. Individuals who are determined eligible healthy adult to participate clinical study from the results of medical history, medical examination and clinical estimation by principal investigator / sub-investigator.
  3. Written informed consent was obtained from the subject. And the subject whom principal investigator/ sub-investigator judged about the following conditions; the subject will be able to follow study instructions, subject will be able to receive medical examination and tests prescribed in the protocol and subject will be able to inform indication, etc.
  4. Individuals who will be able to receive telephone communication during clinical trial participations

Exclusion Criteria:

  1. History of administration of seasonal influenza HA vaccine within 180 days
  2. History of infection of influenza within 180 days
  3. History of receiving live attenuated vaccine within 28 days or inactivated vaccine/ toxoid within 7 days
  4. History of receiving any of following treatment such as medical drugs I. Within 28 days: 1. Interferon products, 2. Drugs affected to immune system (e.g., immunosuppressant), 3. Systemic or inhalant adrenocorticosteroid, 4. G-CSF and M-CSF II. Within 84 days: 1. HGG products, 2. Blood products, 3. blood transfusion (including blood component transfusion) III. Within 180 days: 1. massive dose therapy of HGG products (≥200 mg/kg)
  5. History of previous causing of anaphylaxis by intake of foods or drugs (including vaccine)
  6. History of previous finding to be suspected allergic reaction of oral cavity, pharynx or laryngeal mucosa
  7. Individuals who have hypersensitivity against seasonal influenza HA vaccine or chicken egg, chicken meat and other chicken derived materials
  8. Individuals who have experience of fever more than 39.0℃ or finding to be suspected allergic reaction e.g. generalized rash within two days after previous preventive treatment (seasonal influenza vaccine and other vaccines)
  9. History of anamnestic convulsion (excluding anamnestic fever convulsion in childhood)
  10. History of previously diagnosis of immunodeficiency, or individuals who have close relatives (within third degree) with congenital immunodeficiency syndrome
  11. History of anamnestic Guillain-Barre syndrome or ADE (Acute Disseminated Encephalomyelitis)
  12. Individuals who have poorly controlled cardiovascular, hematological, hepatic, renal, gastrointestinal, urological or endocrine metabolic diseases, and such diseases possibly affect to the participation of clinical study or study results
  13. Individuals who have respiratory diseases e.g. interstitial pneumonia and bronchial asthma
  14. Individuals who is associated with allergic rhinitis, and have a symptom
  15. Individuals who have experienced whole blood donation of not less than 400 mL within 12 weeks, whole blood donation of not less than 200 mL within 4 weeks, or apheresis within 2 weeks
  16. Individuals who have received other study medication within 4 months
  17. Individuals who have inflammation, swelling or uncomfortable feeling, or mechanical problem in oral cavity, sublingual, tongue, pharynx or laryngeal mucosa, which disturbing sublingual administration or affecting absorption
  18. Individuals who have not recovered from injury of laryngeal mucosa caused by treatment of dental extraction etc. (excluding treatment of carious teeth)
  19. Individuals who is associated with disease with abnormal salivation (Sjogren's syndrome, well-defined dry mouth / xerostomia etc.)
  20. Individuals who have positive reaction against any of STS (serological test for syphilis) (TP antibody, lipid antibodies), HBs antigen, HCV antibody, or HIV antigen/ antibody
  21. History of anamnestic drug abuse (defined as illegal drug use) or alcoholism within one year before IMP dosing, or individuals who will not give up consuming excessive alcohol
  22. Individuals who have clinically problematic abnormality in 12-lead electrocardiogram in the examination
  23. Individuals who have been found abnormal value in clinical laboratory tests, which suggesting clinically problematic complications, or individuals who have been found abnormal value in the following test items: ALT and/ or AST that is more than 3 times of the upper limit of standard value.
  24. In addition, individuals whom principal investigator/ sub-investigator judged inappropriate as the subject of such clinical trial

Sites / Locations

  • OPHAC Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

NSV0001(Cohort1)

NSV0001(Cohort2)

NSV0001(Cohort3)

Placebo

Influenza HA vaccine "Biken HA"

Arm Description

15 µg of hemagglutinin [HA] antigen per strain with 150 µg of ND002 adjuvant, administration by sublingual route

30 µg of hemagglutinin[HA] antigen per strain with 300 µg of ND002 adjuvant, administration by sublingual route

60 µg of hemagglutinin[HA] antigen per strain with 600 µg of ND002 adjuvant, administration by sublingual route

0 µg of hemagglutinin[HA] antigen per strain with 0 µg of ND002 adjuvant, administration by sublingual route

Seasonal quadrivalent influenza vaccine, administration by subcutaneous injection route

Outcomes

Primary Outcome Measures

Number of subjects with local and systemic reactions and subjects reporting one or more adverse events

Secondary Outcome Measures

Seroconversion rate of serum HI antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
GMT ratio of serum HI antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Reciprocal cumulative frequency distribution of serum HI antibody titer for each four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Sero-protection rate of serum HI antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Seroconversion rate of serum neutralizing antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
GMT ratio of serum neutralizing antibody for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Reciprocal cumulative frequency distribution of serum neutralizing antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)

Full Information

First Posted
November 2, 2016
Last Updated
September 14, 2017
Sponsor
Nitto Denko Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02955030
Brief Title
Evaluation of the Safety and Immunogenicity of a Sublingual Influenza Vaccine NSV0001 in Healthy Male Volunteers
Official Title
Phase 1 Study to Determine the Safety and Immunogenicity of a Sublingual Administration of NSV0001 in Healthy Male Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Completed
Study Start Date
October 2016 (Actual)
Primary Completion Date
March 2017 (Actual)
Study Completion Date
September 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nitto Denko Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and immunogenicity of a sublingual administration of NSV0001 in healthy male volunteers.
Detailed Description
NSV0001 is a quadrivalent influenza vaccine with the new adjuvant (ND002) administered by sublingual route. This study will enroll healthy male adults. Participants will receive two doses of the vaccine, 4 weeks apart, and will stay in the investigational site for 2 consecutive days after each vaccination. Participants will keep a patient diary to record the local and systemic reactions for one week after each vaccination. In addition, the safety monitoring will be extended through 6 months from the last vaccination to detect the potential immune mediated disorders (pIMD).

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
NSV0001(Cohort1)
Arm Type
Experimental
Arm Description
15 µg of hemagglutinin [HA] antigen per strain with 150 µg of ND002 adjuvant, administration by sublingual route
Arm Title
NSV0001(Cohort2)
Arm Type
Experimental
Arm Description
30 µg of hemagglutinin[HA] antigen per strain with 300 µg of ND002 adjuvant, administration by sublingual route
Arm Title
NSV0001(Cohort3)
Arm Type
Experimental
Arm Description
60 µg of hemagglutinin[HA] antigen per strain with 600 µg of ND002 adjuvant, administration by sublingual route
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
0 µg of hemagglutinin[HA] antigen per strain with 0 µg of ND002 adjuvant, administration by sublingual route
Arm Title
Influenza HA vaccine "Biken HA"
Arm Type
Active Comparator
Arm Description
Seasonal quadrivalent influenza vaccine, administration by subcutaneous injection route
Intervention Type
Biological
Intervention Name(s)
NSV0001
Intervention Description
sublingual
Intervention Type
Biological
Intervention Name(s)
Influenza HA vaccine "Biken HA"
Intervention Description
subcutaneous
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
sublingual
Primary Outcome Measure Information:
Title
Number of subjects with local and systemic reactions and subjects reporting one or more adverse events
Time Frame
28 days after last vaccination
Secondary Outcome Measure Information:
Title
Seroconversion rate of serum HI antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Title
GMT ratio of serum HI antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Title
Reciprocal cumulative frequency distribution of serum HI antibody titer for each four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Title
Sero-protection rate of serum HI antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Title
Seroconversion rate of serum neutralizing antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Title
GMT ratio of serum neutralizing antibody for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Title
Reciprocal cumulative frequency distribution of serum neutralizing antibody titer for each of four strains(A/H1N1, A/H3N2, B/Yamagata, and B/Victoria)
Time Frame
28 days after last vaccination
Other Pre-specified Outcome Measures:
Title
Change of immunological response of IgA ELISA specific for A/H1N1 in serum
Time Frame
28 days after last vaccination
Title
Change of immunological response of IgA ELISA specific for A/H1N1 in the nasal wash
Time Frame
28 days after last vaccination
Title
GMT ratio of immunological response of IgA ELISA specific for A/H1N1 in the nasal wash
Time Frame
28 days after last vaccination
Title
Change of immunological response of IgA ELISA specific for A/H1N1 in saliva
Time Frame
28 days after last vaccination
Title
GMT ratio of immunological response of IgA ELISA specific for A/H1N1 in saliva
Time Frame
28 days after last vaccination

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is 20 to 49 years of age on the date of informed consent Individuals who are determined eligible healthy adult to participate clinical study from the results of medical history, medical examination and clinical estimation by principal investigator / sub-investigator. Written informed consent was obtained from the subject. And the subject whom principal investigator/ sub-investigator judged about the following conditions; the subject will be able to follow study instructions, subject will be able to receive medical examination and tests prescribed in the protocol and subject will be able to inform indication, etc. Individuals who will be able to receive telephone communication during clinical trial participations Exclusion Criteria: History of administration of seasonal influenza HA vaccine within 180 days History of infection of influenza within 180 days History of receiving live attenuated vaccine within 28 days or inactivated vaccine/ toxoid within 7 days History of receiving any of following treatment such as medical drugs I. Within 28 days: 1. Interferon products, 2. Drugs affected to immune system (e.g., immunosuppressant), 3. Systemic or inhalant adrenocorticosteroid, 4. G-CSF and M-CSF II. Within 84 days: 1. HGG products, 2. Blood products, 3. blood transfusion (including blood component transfusion) III. Within 180 days: 1. massive dose therapy of HGG products (≥200 mg/kg) History of previous causing of anaphylaxis by intake of foods or drugs (including vaccine) History of previous finding to be suspected allergic reaction of oral cavity, pharynx or laryngeal mucosa Individuals who have hypersensitivity against seasonal influenza HA vaccine or chicken egg, chicken meat and other chicken derived materials Individuals who have experience of fever more than 39.0℃ or finding to be suspected allergic reaction e.g. generalized rash within two days after previous preventive treatment (seasonal influenza vaccine and other vaccines) History of anamnestic convulsion (excluding anamnestic fever convulsion in childhood) History of previously diagnosis of immunodeficiency, or individuals who have close relatives (within third degree) with congenital immunodeficiency syndrome History of anamnestic Guillain-Barre syndrome or ADE (Acute Disseminated Encephalomyelitis) Individuals who have poorly controlled cardiovascular, hematological, hepatic, renal, gastrointestinal, urological or endocrine metabolic diseases, and such diseases possibly affect to the participation of clinical study or study results Individuals who have respiratory diseases e.g. interstitial pneumonia and bronchial asthma Individuals who is associated with allergic rhinitis, and have a symptom Individuals who have experienced whole blood donation of not less than 400 mL within 12 weeks, whole blood donation of not less than 200 mL within 4 weeks, or apheresis within 2 weeks Individuals who have received other study medication within 4 months Individuals who have inflammation, swelling or uncomfortable feeling, or mechanical problem in oral cavity, sublingual, tongue, pharynx or laryngeal mucosa, which disturbing sublingual administration or affecting absorption Individuals who have not recovered from injury of laryngeal mucosa caused by treatment of dental extraction etc. (excluding treatment of carious teeth) Individuals who is associated with disease with abnormal salivation (Sjogren's syndrome, well-defined dry mouth / xerostomia etc.) Individuals who have positive reaction against any of STS (serological test for syphilis) (TP antibody, lipid antibodies), HBs antigen, HCV antibody, or HIV antigen/ antibody History of anamnestic drug abuse (defined as illegal drug use) or alcoholism within one year before IMP dosing, or individuals who will not give up consuming excessive alcohol Individuals who have clinically problematic abnormality in 12-lead electrocardiogram in the examination Individuals who have been found abnormal value in clinical laboratory tests, which suggesting clinically problematic complications, or individuals who have been found abnormal value in the following test items: ALT and/ or AST that is more than 3 times of the upper limit of standard value. In addition, individuals whom principal investigator/ sub-investigator judged inappropriate as the subject of such clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Senior fellow
Organizational Affiliation
Nitto Denko Corporation
Official's Role
Study Chair
Facility Information:
Facility Name
OPHAC Hospital
City
Osaka
ZIP/Postal Code
532-0003
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of the Safety and Immunogenicity of a Sublingual Influenza Vaccine NSV0001 in Healthy Male Volunteers

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