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Study Confirming A Human Challenge Model and Investigating The Safety Of VLA1701

Primary Purpose

Enterotoxigenic Escherichia Coli Infection, Diarrhea

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
VLA1701
Placebo
Challenge Strain
Sponsored by
Valneva Austria GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Enterotoxigenic Escherichia Coli Infection

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male and non-pregnant female subjects aged 18 to <50 years;
  2. BMI of 19.0 to 35.0 kg/m2
  3. Willingness to participate after informed consent has been obtained from the subject prior to any study related procedures.
  4. Completion of a training session and demonstration of comprehension of the protocol procedures and knowledge of ETEC-associated illness by passing a written examination.
  5. If subject is of childbearing potential:

    1. Negative pregnancy test at screening with understanding to not become pregnant within 28 days after challenge;
    2. Subject has practiced an effective method of contraception during the 30 days before screening (Visit 0);
    3. Subject agrees to employ adequate birth control measures for the duration of the study.

Exclusion Criteria

  1. Participated in research involving investigational product within 30 days before planned date of first vaccination or planned use through Day 44;
  2. Any prior exposure to ETEC (including LSN03-016011/A) or cholera occupationally or received LT (Or any mutant forms of LT (e.g., LTR192G, LTR192GL211A), ETEC, or cholera vaccine);
  3. Subjects with known abnormal stooling patterns (fewer than 3 per week or more than 3 per day);
  4. Known allergies to any component of the vaccine;
  5. Subjects with known allergies to more than 1 planned antibiotics:
  6. History of diarrhea while traveling in a developing country within the last 3 years;
  7. Subjects whose occupation involves handling of ETEC or cholera bacteria;
  8. Women who are pregnant or breastfeeding;
  9. Significant medical conditions including chronic, immunosuppressive, malignant, or gastrointestinal diseases (e.g. History of Irritable Bowel Syndrome (as defined by the Rome III criteria or medical diagnosis) or gastric ulcer disease) or enteric, pulmonary, cardiac, liver or renal disease. Some medical conditions which are adequately treated and stable may be acceptable in the study (e.g. hypertension);
  10. Significant abnormalities in screening lab hematology or serum chemistries;
  11. Use of any medication known to effect the immune system (e.g. systemic corticosteroids) within 30 days of vaccination or planned use during active study period (excluding inhaled steroids);
  12. Evidence of confirmed infection with HIV, Hepatitis B or Hepatitis C;
  13. Subjects with IgA (Immunoglobulin A) deficiency (serum IgA < 7 mg/dl or limit of detection of assay);
  14. Regular use of antacids, antidiarrheal, loperamide, bismuth subsalicylate, diphenoxylate or similar medication less than 2 weeks prior to enrolling in the study and through the inpatient portion of the study;
  15. Known or suspected alcohol abuse or illicit drug use within the last year, positive urine toxicology for drugs of abuse;
  16. Persons who are committed to an institution (by virtue of an order issued either by the judicial or the administrative authorities);
  17. Persons who are in a dependent relationship with the sponsor, an investigator or other study team members, or the study center.
  18. Any other criteria which, in the investigator's opinion, would compromise the ability of the subject to participate in the study, the safety of the study, or the results of the study.

Sites / Locations

  • Department of International Health Johns Hopkins University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

VLA1701

Placebo

Arm Description

VLA1701 is an investigational oral vaccine against LT-ETEC (Labile Toxin-Enterotoxigenic E coli) The vaccine is administered orally in 2 doses about 1 week apart.

The buffer component of VLA1701 will be used as Placebo. The vaccine is administered orally in 2 doses about 1 week apart.

Outcomes

Primary Outcome Measures

Percentage of Subjects With Moderate to Severe Diarrhea
within 120 hours of challenge with ETEC strain LSN03-016011/A.

Secondary Outcome Measures

Disease Severity Score After Challenge With ETEC Strain LSN03-016011/ A
ETEC diarrhea disease severity score with a score ranging from 0 (no disease) to 8 (most severe disease) utilizing objective signs, subjective Symptoms and stool output.
Percentage of Subjects With Solicited Adverse Events
adverse events covered by the subjects memory card
Percentage of Subjects With Any Adverse Events (AE)
Number of Subjects With Serious Adverse Events
Percentage of Subjects With Any IMP (Investigational Medicinal Product) Related Adverse Events
unsolicited events
Percentage of Subjects With IMP-related Serious Adverse Events

Full Information

First Posted
May 15, 2018
Last Updated
March 29, 2021
Sponsor
Valneva Austria GmbH
Collaborators
Johns Hopkins University, Naval Medical Research Center
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1. Study Identification

Unique Protocol Identification Number
NCT03576183
Brief Title
Study Confirming A Human Challenge Model and Investigating The Safety Of VLA1701
Official Title
Randomized Double-Blinded Pilot Study Confirming A Human Challenge Model Using LSN03-016011/A Expressing LT And CS17 And Investigating The Safety Of VLA1701 (An Investigational Oral Cholera And ETEC (Enterotoxigenic E Coli) (Vaccine)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
June 4, 2018 (Actual)
Primary Completion Date
June 26, 2018 (Actual)
Study Completion Date
November 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Valneva Austria GmbH
Collaborators
Johns Hopkins University, Naval Medical Research Center

4. Oversight

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

5. Study Description

Brief Summary
This is a single-center, double-blind, placebo-controlled, Phase II vaccination and challenge study designed to confirm a human challenge model with E. coli strain LSN03-016011/A.
Detailed Description
This is a single-center, double-blind, placebo-controlled, Phase II vaccination and challenge study designed to confirm a human challenge model with E. coli strain LSN03-016011/A (LT+ (Labile toxin), ST- (Stable toxin), CS17), as well as collect expanded safety and immunogenicity data. The study will be carried out in two phases: Vaccination phase: up to 34 subjects will be randomized 1:1 to receive 2 doses of either VLA1701 or placebo orally. The doses will be given 7 days apart and subjects will be followed as an outpatient for safety. Challenge Phase: 30 Subjects, out of the 34 subjects, will be challenged. After challenge, subjects will be monitored for diarrhea and other signs/symptoms of enteric illness by daily medical checks, vital sign determinations, grading and weighing of all stools.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Enterotoxigenic Escherichia Coli Infection, Diarrhea

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Masking Description
Double (Participant, Investigator)
Allocation
Randomized
Enrollment
34 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VLA1701
Arm Type
Active Comparator
Arm Description
VLA1701 is an investigational oral vaccine against LT-ETEC (Labile Toxin-Enterotoxigenic E coli) The vaccine is administered orally in 2 doses about 1 week apart.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
The buffer component of VLA1701 will be used as Placebo. The vaccine is administered orally in 2 doses about 1 week apart.
Intervention Type
Biological
Intervention Name(s)
VLA1701
Intervention Description
VLA1701 is an investigational oral vaccine against LT-ETEC (Labile Toxin-Enterotoxigenic E coli)
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
buffer component of VLA1701
Intervention Type
Other
Intervention Name(s)
Challenge Strain
Intervention Description
LSN03-016011/A
Primary Outcome Measure Information:
Title
Percentage of Subjects With Moderate to Severe Diarrhea
Description
within 120 hours of challenge with ETEC strain LSN03-016011/A.
Time Frame
5 days after challenge
Secondary Outcome Measure Information:
Title
Disease Severity Score After Challenge With ETEC Strain LSN03-016011/ A
Description
ETEC diarrhea disease severity score with a score ranging from 0 (no disease) to 8 (most severe disease) utilizing objective signs, subjective Symptoms and stool output.
Time Frame
7 days after challenge
Title
Percentage of Subjects With Solicited Adverse Events
Description
adverse events covered by the subjects memory card
Time Frame
7days after each vaccination
Title
Percentage of Subjects With Any Adverse Events (AE)
Time Frame
until Month 6
Title
Number of Subjects With Serious Adverse Events
Time Frame
until Month 6
Title
Percentage of Subjects With Any IMP (Investigational Medicinal Product) Related Adverse Events
Description
unsolicited events
Time Frame
up to Visit 4 (day of challenge, 23 days post first vaccination)
Title
Percentage of Subjects With IMP-related Serious Adverse Events
Time Frame
up to Visit 4 (day of challenge, 23 days post first vaccination)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male and non-pregnant female subjects aged 18 to <50 years; BMI of 19.0 to 35.0 kg/m2 Willingness to participate after informed consent has been obtained from the subject prior to any study related procedures. Completion of a training session and demonstration of comprehension of the protocol procedures and knowledge of ETEC-associated illness by passing a written examination. If subject is of childbearing potential: Negative pregnancy test at screening with understanding to not become pregnant within 28 days after challenge; Subject has practiced an effective method of contraception during the 30 days before screening (Visit 0); Subject agrees to employ adequate birth control measures for the duration of the study. Exclusion Criteria Participated in research involving investigational product within 30 days before planned date of first vaccination or planned use through Day 44; Any prior exposure to ETEC (including LSN03-016011/A) or cholera occupationally or received LT (Or any mutant forms of LT (e.g., LTR192G, LTR192GL211A), ETEC, or cholera vaccine); Subjects with known abnormal stooling patterns (fewer than 3 per week or more than 3 per day); Known allergies to any component of the vaccine; Subjects with known allergies to more than 1 planned antibiotics: History of diarrhea while traveling in a developing country within the last 3 years; Subjects whose occupation involves handling of ETEC or cholera bacteria; Women who are pregnant or breastfeeding; Significant medical conditions including chronic, immunosuppressive, malignant, or gastrointestinal diseases (e.g. History of Irritable Bowel Syndrome (as defined by the Rome III criteria or medical diagnosis) or gastric ulcer disease) or enteric, pulmonary, cardiac, liver or renal disease. Some medical conditions which are adequately treated and stable may be acceptable in the study (e.g. hypertension); Significant abnormalities in screening lab hematology or serum chemistries; Use of any medication known to effect the immune system (e.g. systemic corticosteroids) within 30 days of vaccination or planned use during active study period (excluding inhaled steroids); Evidence of confirmed infection with HIV, Hepatitis B or Hepatitis C; Subjects with IgA (Immunoglobulin A) deficiency (serum IgA < 7 mg/dl or limit of detection of assay); Regular use of antacids, antidiarrheal, loperamide, bismuth subsalicylate, diphenoxylate or similar medication less than 2 weeks prior to enrolling in the study and through the inpatient portion of the study; Known or suspected alcohol abuse or illicit drug use within the last year, positive urine toxicology for drugs of abuse; Persons who are committed to an institution (by virtue of an order issued either by the judicial or the administrative authorities); Persons who are in a dependent relationship with the sponsor, an investigator or other study team members, or the study center. Any other criteria which, in the investigator's opinion, would compromise the ability of the subject to participate in the study, the safety of the study, or the results of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christian Taucher, PhD
Organizational Affiliation
Valneva Austria GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Department of International Health Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Study Confirming A Human Challenge Model and Investigating The Safety Of VLA1701

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