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Evaluating the Live-Attenuated Human Parainfluenza Virus Type 3 Vectored Vaccine Candidate Expressing Ebolavirus Zaire Glycoprotein as the Sole Envelope Glycoprotein

Primary Purpose

Ebola Virus Disease

Status
Suspended
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
HPIV3/ΔHNF/EbovZ GP 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 Ebola Virus Disease focused on measuring Healthy Volunteer

Eligibility Criteria

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

Inclusion Criteria:

  • Adult males and non-pregnant females between 18 and 50 years of age inclusive
  • 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
  • Able to demonstrate understanding of key study concepts, study rationale, and study participation requirements by scoring greater than or equal to 70% on a written comprehension assessment in less than or equal to 3 attempts.
  • Willingness to participate in the study as evidenced by signing the informed consent document
  • Female subjects of childbearing potential must agree to have used effective birth control methods beginning at least one month prior to vaccination, and continuing with 'per label/fully effective use' for the chosen method for the duration of the study, from amongst these:

    • pharmacologic/hormonal contraceptives, including oral, parenteral, subcutaneous, and transcutaneous delivery;
    • condoms with spermicide;
    • diaphragm with spermicide;
    • intrauterine device;
    • absolute abstinence from heterosexual intercourse as a matter of normal preferred lifestyle;
    • or must be surgically sterile, or must be age 50 AND have had no menses at all for at least one full year.
    • All females must provide samples for urine and serum pregnancy testing prior to enrollment (immediately prior to each vaccination), as well as a statement of menstrual history and a summary of all potentially reproductive sexual activity for the month prior to each vaccination, and at each study contact throughout the study, and report if they may be pregnant immediately.
  • Willingness to refrain from blood donation during the course of the study
  • Willingness to refrain from receiving other vaccines or investigational products during the first 4 months of the study after enrollment
  • Willingness to follow admission and isolation requirements for the indicated duration per protocol.

Exclusion Criteria:

  • Pregnancy as determined by a positive human choriogonadotropin (ß-HCG) test or history of recent unprotected intercourse in a woman of reproductive capacity
  • Currently breastfeeding
  • Evidence of clinically significant neurological, cardiac, pulmonary, hepatic, rheumatological, autoimmune, or renal disease by history, physical examination, and/or laboratory studies
  • History of intranasal pathology or evidence of structural abnormalities of the sinuses or nasal cavity upon examination
  • Behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, affects the subject's ability to understand and cooperate with the study protocol
  • Positive urine drug toxicology test indicating narcotic use or history of dependency
  • Have medical, occupational, or family problems as a result of alcohol or illicit drug use during the past 12 months
  • 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
  • Current diagnosis of asthma or reactive airway disease (within the past 2 years)
  • Current history of allergic rhinitis requiring the use of medication in the 2 weeks before enrollment or the first 56 days of the study
  • History of Bell's palsy
  • Positive enzyme-linked immunosorbent assay (ELISA) and confirmatory test (e.g., Western blot or HIV-1/HIV-2 differentiation assay) for human immunodeficiency virus-1 (HIV-1)
  • Positive ELISA and confirmatory test (e.g., polymerase chain reaction (PCR) for virus) for hepatitis C virus (HCV)
  • Positive hepatitis B virus surface antigen (HBsAg) by ELISA test
  • Known immunodeficiency syndrome or history suggestive of impaired immune function
  • 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
  • History of asplenia.
  • Body mass index (BMI) less than 18.5 or greater than 40
  • Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to study vaccination
  • Current tobacco user unwilling to refrain from smoking, snuffing, vaping, or chewing for the duration of the inpatient study (subjects may use nicotine patches if needed)
  • Travel to an Ebola-endemic region at the time when cases were present or planned travel to West or Central Africa during the study period
  • Receipt of another investigational vaccine or drug within 30 days prior to study vaccination
  • Previous receipt of an investigational Ebola or Marburg virus vaccine, a chimpanzee adenovirus, or human parainfluenza virus (HPIV)-vectored vaccine, or any other investigational vaccine likely to affect interpretation of the trial data
  • Current or past (in the last 4 weeks) user of intranasal medications (including steroids, decongestants, or hormonal medications), or planning to use them within 28 days of study vaccination
  • Live or have close contact with vulnerable individuals, including infants, the elderly, or immunocompromised individuals (those with HIV/AIDS, malignancy, or transplant patients)
  • History of Liver disease.

Sites / Locations

  • Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health
  • CIR Inpatient Unit, Johns Hopkins Bayview Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Cohort 1: HPIV3/ΔHNF/EbovZ GP vaccine

Cohort 1: Placebo

Cohort 2: HPIV3/ΔHNF/EbovZ GP vaccine

Cohort 2: Placebo

Arm Description

Participants will receive two doses of 10^6.0 PFU/mL of HPIV3/ΔHNF/EbovZ GP vaccine on Days 0 and 28 (+28).

Participants will receive two doses of placebo on Days 0 and 28 (+28).

Participants will receive two doses of 10^7.0 PFU/mL of HPIV3/ΔHNF/EbovZ GP vaccine on Days 0 and 28 (+28).

Participants will receive two doses of placebo on Days 0 and 28 (+28).

Outcomes

Primary Outcome Measures

Frequency of vaccine-related solicited adverse events
Graded according to Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1, March 2017
Area under the curve of nasal virus shedding after each dose of vaccine
Assessed by liquid titration of nasal secretions on LLC-MK2 monkey kidney cells
Development of serum antibody to the EbovZ GP
As measured by enzyme-linked immunosorbent assay (ELISA)

Secondary Outcome Measures

Full Information

First Posted
March 6, 2018
Last Updated
March 21, 2023
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT03462004
Brief Title
Evaluating the Live-Attenuated Human Parainfluenza Virus Type 3 Vectored Vaccine Candidate Expressing Ebolavirus Zaire Glycoprotein as the Sole Envelope Glycoprotein
Official Title
Phase 1 Evaluation of a Live-Attenuated Human Parainfluenza Virus Type 3 Vectored Vaccine Candidate Expressing Ebolavirus Zaire Glycoprotein as the Sole Envelope Glycoprotein
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Suspended
Why Stopped
On hold due to pandemic
Study Start Date
March 5, 2018 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, infectivity, and immunogenicity of two doses of the HPIV3/ΔHNF/EbovZ GP vaccine candidate when administered intranasally in healthy adults.
Detailed Description
This study will evaluate the safety, infectivity, and immunogenicity of two doses of the HPIV3/ΔHNF/EbovZ GP vaccine candidate when administered intranasally in healthy adults. Participants will be enrolled sequentially in two cohorts. Participants in Cohort 1 will be randomly assigned to receive two doses of either 10^6.0 PFU/mL of HPIV3/ΔHNF/EbovZ-GP vaccine or placebo. The first dose will be given on Day 0 and the second dose will be given 4-8 weeks later. Participants in Cohort 2 will be randomly assigned to receive two doses of either 10^7.0 PFU/mL of HPIV3/ΔHNF/EbovZ-GP vaccine or placebo on Days 0 and 28. Participants will be admitted to the inpatient unit 2 days prior to receiving their first dose of the vaccine or placebo. While in the inpatient unit, study procedures will include physical examinations, nasal washes, and blood collection. Participants will be discharged from the inpatient unit on Day 8 or thereafter once two consecutive rRT-PCR assay results are below the pre-determined threshold. An additional study visit will occur on Day 14. On Day 26 (+28), participants will be readmitted to the inpatient unit, and will receive their second dose of the vaccine or placebo on Day 28 (+28). Participants will undergo the same study procedures that occurred during the first inpatient stay, and will be discharged 7 days after the second dose, or once the subject is without respiratory symptoms and rRT-PCR assay is below the pre-determined threshold (around Day 35). Additional study visits will occur on Days 42 ± 3, 56 ± 5, 84 ± 5, 112 ± 7, 180 ± 14, 270 ± 14, and 360 ± 30.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ebola Virus Disease
Keywords
Healthy Volunteer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: HPIV3/ΔHNF/EbovZ GP vaccine
Arm Type
Experimental
Arm Description
Participants will receive two doses of 10^6.0 PFU/mL of HPIV3/ΔHNF/EbovZ GP vaccine on Days 0 and 28 (+28).
Arm Title
Cohort 1: Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive two doses of placebo on Days 0 and 28 (+28).
Arm Title
Cohort 2: HPIV3/ΔHNF/EbovZ GP vaccine
Arm Type
Experimental
Arm Description
Participants will receive two doses of 10^7.0 PFU/mL of HPIV3/ΔHNF/EbovZ GP vaccine on Days 0 and 28 (+28).
Arm Title
Cohort 2: Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive two doses of placebo on Days 0 and 28 (+28).
Intervention Type
Biological
Intervention Name(s)
HPIV3/ΔHNF/EbovZ GP vaccine
Intervention Description
Administered intranasally
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Administered intranasally
Primary Outcome Measure Information:
Title
Frequency of vaccine-related solicited adverse events
Description
Graded according to Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1, March 2017
Time Frame
Measured through Day 35
Title
Area under the curve of nasal virus shedding after each dose of vaccine
Description
Assessed by liquid titration of nasal secretions on LLC-MK2 monkey kidney cells
Time Frame
Measured through Day 35
Title
Development of serum antibody to the EbovZ GP
Description
As measured by enzyme-linked immunosorbent assay (ELISA)
Time Frame
Measured through Day 360

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: Adult males and non-pregnant females between 18 and 50 years of age inclusive 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 Able to demonstrate understanding of key study concepts, study rationale, and study participation requirements by scoring greater than or equal to 70% on a written comprehension assessment in less than or equal to 3 attempts. Willingness to participate in the study as evidenced by signing the informed consent document Female subjects of childbearing potential must agree to have used effective birth control methods beginning at least one month prior to vaccination, and continuing with 'per label/fully effective use' for the chosen method for the duration of the study, from amongst these: pharmacologic/hormonal contraceptives, including oral, parenteral, subcutaneous, and transcutaneous delivery; condoms with spermicide; diaphragm with spermicide; intrauterine device; absolute abstinence from heterosexual intercourse as a matter of normal preferred lifestyle; or must be surgically sterile, or must be age 50 AND have had no menses at all for at least one full year. All females must provide samples for urine and serum pregnancy testing prior to enrollment (immediately prior to each vaccination), as well as a statement of menstrual history and a summary of all potentially reproductive sexual activity for the month prior to each vaccination, and at each study contact throughout the study, and report if they may be pregnant immediately. Willingness to refrain from blood donation during the course of the study Willingness to refrain from receiving other vaccines or investigational products during the first 4 months of the study after enrollment Willingness to follow admission and isolation requirements for the indicated duration per protocol. Exclusion Criteria: Pregnancy as determined by a positive human choriogonadotropin (ß-HCG) test or history of recent unprotected intercourse in a woman of reproductive capacity Currently breastfeeding Evidence of clinically significant neurological, cardiac, pulmonary, hepatic, rheumatological, autoimmune, or renal disease by history, physical examination, and/or laboratory studies History of intranasal pathology or evidence of structural abnormalities of the sinuses or nasal cavity upon examination Behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, affects the subject's ability to understand and cooperate with the study protocol Positive urine drug toxicology test indicating narcotic use or history of dependency Have medical, occupational, or family problems as a result of alcohol or illicit drug use during the past 12 months 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 Current diagnosis of asthma or reactive airway disease (within the past 2 years) Current history of allergic rhinitis requiring the use of medication in the 2 weeks before enrollment or the first 56 days of the study History of Bell's palsy Positive enzyme-linked immunosorbent assay (ELISA) and confirmatory test (e.g., Western blot or HIV-1/HIV-2 differentiation assay) for human immunodeficiency virus-1 (HIV-1) Positive ELISA and confirmatory test (e.g., polymerase chain reaction (PCR) for virus) for hepatitis C virus (HCV) Positive hepatitis B virus surface antigen (HBsAg) by ELISA test Known immunodeficiency syndrome or history suggestive of impaired immune function 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 History of asplenia. Body mass index (BMI) less than 18.5 or greater than 40 Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to study vaccination Current tobacco user unwilling to refrain from smoking, snuffing, vaping, or chewing for the duration of the inpatient study (subjects may use nicotine patches if needed) Travel to an Ebola-endemic region at the time when cases were present or planned travel to West or Central Africa during the study period Receipt of another investigational vaccine or drug within 30 days prior to study vaccination Previous receipt of an investigational Ebola or Marburg virus vaccine, a chimpanzee adenovirus, or human parainfluenza virus (HPIV)-vectored vaccine, or any other investigational vaccine likely to affect interpretation of the trial data Current or past (in the last 4 weeks) user of intranasal medications (including steroids, decongestants, or hormonal medications), or planning to use them within 28 days of study vaccination Live or have close contact with vulnerable individuals, including infants, the elderly, or immunocompromised individuals (those with HIV/AIDS, malignancy, or transplant patients) History of Liver disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kawsar Talaat, MD
Organizational Affiliation
Johns Hopkins Bloomberg School of Public Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
CIR Inpatient Unit, Johns Hopkins Bayview Medical Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States

12. IPD Sharing Statement

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Evaluating the Live-Attenuated Human Parainfluenza Virus Type 3 Vectored Vaccine Candidate Expressing Ebolavirus Zaire Glycoprotein as the Sole Envelope Glycoprotein

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