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Trial of a Chikungunya Vaccine, PXVX0317 CHIKV-VLP, in Healthy Adults

Primary Purpose

Chikungunya Virus Infection

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CHIKV VLP/unadjuvanted
CHIKV VLP/adjuvanted
Placebo
Sponsored by
Bavarian Nordic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Chikungunya Virus Infection

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female
  2. Age 18 to 45 years old (inclusive)
  3. Using an acceptable method of contraception (if female of childbearing potential).
  4. Able and willing to provide informed consent for study participation.

Exclusion Criteria:

  1. Current acute febrile illness.
  2. Clinically significant cardiac, respiratory, or rheumatologic disease, in the opinion of the Investigator.
  3. Pregnant or breast-feeding.
  4. Laboratory evidence of infection with Hepatitis B/C or HIV.
  5. History of chikungunya virus infection.
  6. Travel to a World Health Organization-designated chikungunya-endemic region within 30 days prior to Day 1.
  7. History of allergic reaction to any component of CHIKV-VLP vaccine, Diluent, or Alhydrogel®.
  8. Inability to discontinue systemic immunomodulatory or immunosuppressive medications 30 days prior to Day 1.
  9. Received or plans to receive any licensed vaccine from 30 days prior to Day 1 through Day 57.
  10. Received or plans to receive an investigational agent from 30 days prior to Day 1 through the duration of study participation.
  11. Any other condition that, in the opinion of the Investigator, creates an unacceptable risk to the subject.
  12. Any other condition that, in the opinion of the Investigator, may interfere with the conduct of the study or the validity of the data.
  13. Any other condition that, in the opinion of the Investigator, creates an unacceptable safety risk for apheresis (Group 9 & 10 only).
  14. Restricted venous access that would prevent the collection of PBMCs, plasma, and lymphocytes necessary for participation (Group 9 & 10 only).
  15. Weight < 110 pounds (Group 9 & 10 only)

Sites / Locations

  • Johnson County Clin-Trials
  • The Center for Pharmaceutical Research
  • Advanced Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1: 20 mcg/unadjuvanted (Day 1 & 29)

Group 2: 6 mcg/adjuvanted (Day 1 & 29)

Group 3: 10 mcg/adjuvanted (Day 1 & 29)

Group 4: 20mcg/adjuvanted (Day 1 & 29);40mcg/adjuvant (Day 547)

Group 5: 6 mcg/adjuvanted (Day 15 & 29)

Group 6: 10 mcg/adjuvanted (Day 15 & 29)

Group 7: 20 mcg/adjuvanted (Day 15 & 29)

Group 8: 40 mcg/adjuvanted (Day 29)

Group 9: 20 mcg/adjuvanted (Day 1 & 29)

Group 10: 40 mcg/adjuvanted (Day 1)

Arm Description

20 mcg CHIKV VLP/unadjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/unadjuvanted (Day 29)

6 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)

10 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)

20 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29) // 40 mcg CHIKV (Day 547)

Placebo (Day 1) // 6 mcg CHIKV VLP/adjuvanted (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)

Placebo (Day 1) // 10 mcg CHIKV VLP/adjuvanted (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)

Placebo (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29)

Placebo (Day 1) // Placebo (Day 15) // 40 mcg CHIKV VLP/adjuvanted (Day 29)

20 mcg CHIKV VLP/adjuvanted (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 29). This group will also have plasmapheresis performed on Day 57 and Leukapheresis on Day 182

40 mcg CHIKV VLP/adjuvanted (Day 1). This group will also have plasmapheresis performed on Day 22.

Outcomes

Primary Outcome Measures

Anti-CHIKV Neutralizing Antibody Geometric Mean Titer 28 Days After the Last Injection for Groups 2-8.
To assess the induction of anti-chikungunya virus (CHIKV) neutralizing antibody geometric mean titers by different formulations and schedules, as measured at 28 days after the last injection (Day 57) for Groups 2-8.

Secondary Outcome Measures

Kinetics of Anti-chikungunya Virus (CHIKV) Neutralizing Antibody Geometric Mean Titer for Groups 2-8.
To describe the kinetics of induction of anti-CHIKV neutralizing antibody geometric mean titers by different formulations and schedules for Groups 2-8.
Differences in Persistence of Neutralizing Antibody Geometric Mean Titer for Groups 2-8.
To assess differences in persistence of neutralizing antibody geometric mean titers induced by different formulations and schedules, as measured up to 731 days after the last injection (Day 760) relative to earlier time points for Groups 2-8.
Boosting of Vaccine-induced Neutralizing Antibody Geometric Mean Titer by a Booster Dose of PXVX0317 for Group 4 Only.
To assess the effect of a booster dose of PXVX0317 on neutralizing antibody geometric mean titers when given at Day 547 for Group 4 only. Antibody levels will be measured at Day 547 prior to the booster dose and again 28 days later on Day 575 and then at Day 760.
Percentage of Participants With an Anti-CHIKV Neutralizing Antibody Titer Exceeding the Following Cutoff Values: ≥15, 40, 160, 640, and 4-fold Rise Over Baseline.
Percentage of participants with an anti-CHIKV neutralizing antibody titer exceeding the following cutoff values: ≥15, 40, 160, 640, and 4-fold rise over baseline.

Full Information

First Posted
March 16, 2018
Last Updated
June 29, 2023
Sponsor
Bavarian Nordic
Collaborators
Emergent BioSolutions
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1. Study Identification

Unique Protocol Identification Number
NCT03483961
Brief Title
Trial of a Chikungunya Vaccine, PXVX0317 CHIKV-VLP, in Healthy Adults
Official Title
A Phase 2 Parallel-Group, Randomized, Double-Blind Study to Assess the Safety and Immunogenicity of PXVX0317 (Chikungunya Virus Virus-Like Particle Vaccine [CHIKV-VLP], Unadjuvanted or Alum-adjuvanted)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
April 18, 2018 (Actual)
Primary Completion Date
September 14, 2020 (Actual)
Study Completion Date
September 21, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bavarian Nordic
Collaborators
Emergent BioSolutions

4. Oversight

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

5. Study Description

Brief Summary
The goal of this Phase 2 trial is to evaluate the immune response to and safety profile of various doses/formulations/and schedules of administration of PXVX0317 in healthy adults. Primary Objective: To assess the immune response to the vaccine Secondary Objectives: To assess the kinetics of the immune response to different doses/formulations/schedules To assess the persistence of immune responses to different doses/formulations/schedules To assess the effect of a booster dose of the vaccine Safety Objective: To assess local and systemic reactions to the vaccine and to describe the safety profile of the vaccine
Detailed Description
The trial will explore 8 formulation/schedule combinations of CHIKV VLP vaccine with or without Alhydrogel adjuvant, and will also explore different dose schedules of Day 1 and 15 or Day 1 and 29 or Day 29 only.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chikungunya Virus Infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
445 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: 20 mcg/unadjuvanted (Day 1 & 29)
Arm Type
Experimental
Arm Description
20 mcg CHIKV VLP/unadjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/unadjuvanted (Day 29)
Arm Title
Group 2: 6 mcg/adjuvanted (Day 1 & 29)
Arm Type
Experimental
Arm Description
6 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)
Arm Title
Group 3: 10 mcg/adjuvanted (Day 1 & 29)
Arm Type
Experimental
Arm Description
10 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)
Arm Title
Group 4: 20mcg/adjuvanted (Day 1 & 29);40mcg/adjuvant (Day 547)
Arm Type
Experimental
Arm Description
20 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29) // 40 mcg CHIKV (Day 547)
Arm Title
Group 5: 6 mcg/adjuvanted (Day 15 & 29)
Arm Type
Experimental
Arm Description
Placebo (Day 1) // 6 mcg CHIKV VLP/adjuvanted (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)
Arm Title
Group 6: 10 mcg/adjuvanted (Day 15 & 29)
Arm Type
Experimental
Arm Description
Placebo (Day 1) // 10 mcg CHIKV VLP/adjuvanted (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)
Arm Title
Group 7: 20 mcg/adjuvanted (Day 15 & 29)
Arm Type
Experimental
Arm Description
Placebo (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29)
Arm Title
Group 8: 40 mcg/adjuvanted (Day 29)
Arm Type
Experimental
Arm Description
Placebo (Day 1) // Placebo (Day 15) // 40 mcg CHIKV VLP/adjuvanted (Day 29)
Arm Title
Group 9: 20 mcg/adjuvanted (Day 1 & 29)
Arm Type
Experimental
Arm Description
20 mcg CHIKV VLP/adjuvanted (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 29). This group will also have plasmapheresis performed on Day 57 and Leukapheresis on Day 182
Arm Title
Group 10: 40 mcg/adjuvanted (Day 1)
Arm Type
Experimental
Arm Description
40 mcg CHIKV VLP/adjuvanted (Day 1). This group will also have plasmapheresis performed on Day 22.
Intervention Type
Biological
Intervention Name(s)
CHIKV VLP/unadjuvanted
Intervention Description
Vaccine consists of virus-like particles of chikungunya virus antigens
Intervention Type
Biological
Intervention Name(s)
CHIKV VLP/adjuvanted
Intervention Description
Adjuvanted formulation includes Alhydrogel
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo is vaccine diluent alone
Primary Outcome Measure Information:
Title
Anti-CHIKV Neutralizing Antibody Geometric Mean Titer 28 Days After the Last Injection for Groups 2-8.
Description
To assess the induction of anti-chikungunya virus (CHIKV) neutralizing antibody geometric mean titers by different formulations and schedules, as measured at 28 days after the last injection (Day 57) for Groups 2-8.
Time Frame
Day 57 (from Day 1 vaccination), 28 days after the last injection.
Secondary Outcome Measure Information:
Title
Kinetics of Anti-chikungunya Virus (CHIKV) Neutralizing Antibody Geometric Mean Titer for Groups 2-8.
Description
To describe the kinetics of induction of anti-CHIKV neutralizing antibody geometric mean titers by different formulations and schedules for Groups 2-8.
Time Frame
At Days 8, 15, 22, 29, 36, and 57.
Title
Differences in Persistence of Neutralizing Antibody Geometric Mean Titer for Groups 2-8.
Description
To assess differences in persistence of neutralizing antibody geometric mean titers induced by different formulations and schedules, as measured up to 731 days after the last injection (Day 760) relative to earlier time points for Groups 2-8.
Time Frame
At Days 182, 365, 547, and 760.
Title
Boosting of Vaccine-induced Neutralizing Antibody Geometric Mean Titer by a Booster Dose of PXVX0317 for Group 4 Only.
Description
To assess the effect of a booster dose of PXVX0317 on neutralizing antibody geometric mean titers when given at Day 547 for Group 4 only. Antibody levels will be measured at Day 547 prior to the booster dose and again 28 days later on Day 575 and then at Day 760.
Time Frame
Antibody levels will be measured at Day 547 prior to the booster dose and again 28 days later on Day 575 and then at Day 760.
Title
Percentage of Participants With an Anti-CHIKV Neutralizing Antibody Titer Exceeding the Following Cutoff Values: ≥15, 40, 160, 640, and 4-fold Rise Over Baseline.
Description
Percentage of participants with an anti-CHIKV neutralizing antibody titer exceeding the following cutoff values: ≥15, 40, 160, 640, and 4-fold rise over baseline.
Time Frame
Day 57 (from Day 1 vaccination), 28 days after the last injection.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female Age 18 to 45 years old (inclusive) Using an acceptable method of contraception (if female of childbearing potential). Able and willing to provide informed consent for study participation. Exclusion Criteria: Current acute febrile illness. Clinically significant cardiac, respiratory, or rheumatologic disease, in the opinion of the Investigator. Pregnant or breast-feeding. Laboratory evidence of infection with Hepatitis B/C or HIV. History of chikungunya virus infection. Travel to a World Health Organization-designated chikungunya-endemic region within 30 days prior to Day 1. History of allergic reaction to any component of CHIKV-VLP vaccine, Diluent, or Alhydrogel®. Inability to discontinue systemic immunomodulatory or immunosuppressive medications 30 days prior to Day 1. Received or plans to receive any licensed vaccine from 30 days prior to Day 1 through Day 57. Received or plans to receive an investigational agent from 30 days prior to Day 1 through the duration of study participation. Any other condition that, in the opinion of the Investigator, creates an unacceptable risk to the subject. Any other condition that, in the opinion of the Investigator, may interfere with the conduct of the study or the validity of the data. Any other condition that, in the opinion of the Investigator, creates an unacceptable safety risk for apheresis (Group 9 & 10 only). Restricted venous access that would prevent the collection of PBMCs, plasma, and lymphocytes necessary for participation (Group 9 & 10 only). Weight < 110 pounds (Group 9 & 10 only)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James McCarty, MD
Organizational Affiliation
Emergent BioSolutions
Official's Role
Study Director
Facility Information:
Facility Name
Johnson County Clin-Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
The Center for Pharmaceutical Research
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
Advanced Clinical Research
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35709798
Citation
Bennett SR, McCarty JM, Ramanathan R, Mendy J, Richardson JS, Smith J, Alexander J, Ledgerwood JE, de Lame PA, Royalty Tredo S, Warfield KL, Bedell L. Safety and immunogenicity of PXVX0317, an aluminium hydroxide-adjuvanted chikungunya virus-like particle vaccine: a randomised, double-blind, parallel-group, phase 2 trial. Lancet Infect Dis. 2022 Sep;22(9):1343-1355. doi: 10.1016/S1473-3099(22)00226-2. Epub 2022 Jun 13.
Results Reference
derived

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Trial of a Chikungunya Vaccine, PXVX0317 CHIKV-VLP, in Healthy Adults

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