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A Phase 2, Double-blind Study to Evaluate Intranasal Trivalent Influenza Virus Vaccine in Healthy Adult

Primary Purpose

Influenza Infection

Status
Completed
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
AD07010
Inactivated trivalent influenza vaccine
Sponsored by
Advagene Biopharma Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza Infection focused on measuring adjuvant, vaccine, mucosa, IgA, Escherichia coli Enterotoxin

Eligibility Criteria

20 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Adult male and female subjects aged between 20-70 (included) years.
  • Should be physically and mentally healthy and free of significant medical condition as determined by Medical history, Physical examination and Clinical judgment of the Investigator.
  • Negative urine β-human chorionic gonadotropin in women of childbearing potential (WOCBP; defined as women ≤ 50 years old of age or history of amenorrhea for ≤12 months) prior to administration of first dose of Investigational Product.
  • WOCBP and male subjects having female partners, who are WOCBP, should be protected by effective contraceptive method (e.g. oral contraceptive and condom, intra- uterine device and condom, diaphragm with spermicide and condom) throughout the study period.
  • Willing and able to give written informed consent prior to Screening and comply with study procedure.

Exclusion Criteria:

  • Received vaccination against influenza within 6 months prior to Screening.
  • Received any vaccination (other than influenza) within 28 days prior to Screening.
  • Has previously experienced anaphylaxis or a life-threatening reaction; or has history of allergy or hypersensitivity to egg proteins, chicken proteins, any of the components of Investigational Product, or other vaccine containing same substances.
  • History of influenza infection (confirmed either clinically, serologically or microbiologically) within the 6 months prior to administration of first dose of Investigational Product.
  • Had active allergic rhinitis within 28 days prior to administration of first dose of Investigational Product.
  • Has documented history of diarrhea within 28 days prior to administration of first dose of Investigational Product.
  • Have used or been administered any intranasal medication or nasal topical treatment within 7 days prior to Screening.
  • Acute respiratory illness within 7 days prior to administration of first dose of Investigational Product.
  • Had administration of systemic antibiotics or antivirals within 7 days prior to Screening (excluding topical/external use of antibiotics).
  • Acute sinusitis or chronic sinusitis accompanying acute symptoms within 3 days prior to administration of first dose of Investigational Product.
  • With acute disease (defined as fever with body temperature >38.0°C), within 3 days prior to administration of first dose of Investigational Product.
  • Having any serious chronic illness, including but not limited to, cardiovascular, pulmonary, hepatic, metabolic, renal or any auto-immune disorders, at a stage that could interfere with trial conduct or completion.
  • Any confirmed or suspected immunosuppressive or immune-deficient condition, based on medical history and physical examination.
  • Documented history of Bell's palsy or neurological disorder.
  • Receive aspirin (Salicylate) anytime in the study from screening (Visit 1)
  • A positive test for HIV antibody
  • Receipt of any immunoglobulins and/or blood products within 3 months of study Screening.
  • Pregnant or breast-feeding women
  • Require extended long-term use of steroids including parenteral steroids or high dose inhaled steroids or have used within 28 days prior to Screening
  • Participated in any other clinical investigation or use of any investigational therapy other than AD07030, within 4 weeks (28 days) or 5 half-lives, whichever is longer, before Screening.
  • Unable to communicate reliably with the Investigator or unlikely to cooperate with the requirements of the study procedures or schedule, or other cases judged by the Investigator to be ineligible for participation in the study.
  • Other cases judged by the Investigator to be ineligible for participation in the study.

Sites / Locations

  • Advagene Biopharma

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

30 μg of AD07010

45 μg of AD07010

AD07010

Arm Description

All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine in 30 μg of AD07010

All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine in 45 μg of AD07010

All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine

Outcomes

Primary Outcome Measures

Geometric mean titer changes on Day 29
Change from pre- to post-vaccination serum Geometric mean titers (GMT) of hemagglutinin inhibition (HI) antibody at Day 29(±2)

Secondary Outcome Measures

Immunogenicity (HI titers)
Derived variables: in terms of HI titers for: Seroconversion Rate (SCR), Seroconversion Factor (SCF), and Seroprotection Rate (SPR)
Immunogenicity (IgA titers)
Change from pre- to post-vaccination GMT of mucosal anti-HA IgA antibody
Immunogenicity (anti-LTh(αK) antibodies)
Change from pre- to post-vaccination GMT of anti- LTh(αK) antibodies
Viral neutralization
Change from pre- to post-vaccination GMT of virus neutralization titer

Full Information

First Posted
December 20, 2018
Last Updated
December 21, 2018
Sponsor
Advagene Biopharma Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03784885
Brief Title
A Phase 2, Double-blind Study to Evaluate Intranasal Trivalent Influenza Virus Vaccine in Healthy Adult
Official Title
A Phase 2, Double-blind, Randomized Controlled Study to Evaluate Immunogenicity and Safety of Intranasal Trivalent Influenza Virus Vaccine in Healthy Adult V Olunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
September 1, 2017 (Actual)
Primary Completion Date
January 7, 2018 (Actual)
Study Completion Date
October 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Advagene Biopharma Co. Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The objectives of this phase 2 study are to evaluate immunogenicity, safety and tolerability of AD07030, a trivalent influenza virus antigens vaccine, given intranasally in 2 doses in healthy adult volunteers.
Detailed Description
This is a Phase 2 prospective, randomized controlled, double-blind, multi-center study to evaluate the immunogenicity, safety and tolerability of AD07030, a trivalent influenza virus antigens vaccine, given intranasally in healthy adult volunteers. About 358 healthy subjects, meeting all the eligibility criteria will be enrolled into the study and randomized into 3 study groups (in 2:2:1 ratio) to receive either the study vaccine at one of the dose levels of adjuvant AD07010 (30μg or 45μg LTh(αK)) in combination with hemagglutinin (HA) antigens or to receive control vaccine consisting of HA antigens alone. The 3 study groups are as follows: Group 1: 22.5μg HA with 30μg AD07010 Group 2: 22.5μg HA with 45μg AD07010 Group 3: 22.5μg HA alone Each subject will receive intranasal administration of 2 doses of IP (study or control vaccine) at same dosages, given 7 days apart on study Day 1 and Day 8. Solicited local and general AEs will be recorded after each vaccination in the subject's diary card for up to 7 days (the vaccine administration day and 6 days following it). Subjects will be followed up for monitoring of safety and immunogenicity for 180 days. AE and SAE and concomitant medication/vaccination will be collected throughout the study. There will be total of 6 study visits and a telephone call.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza Infection
Keywords
adjuvant, vaccine, mucosa, IgA, Escherichia coli Enterotoxin

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
30 μg of AD07010
Arm Type
Experimental
Arm Description
All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine in 30 μg of AD07010
Arm Title
45 μg of AD07010
Arm Type
Experimental
Arm Description
All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine in 45 μg of AD07010
Arm Title
AD07010
Arm Type
Active Comparator
Arm Description
All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine
Intervention Type
Biological
Intervention Name(s)
AD07010
Other Intervention Name(s)
LTh(αK), Escherichia coli heat-labile enterotoxin
Intervention Description
A protein based adjuvant
Intervention Type
Biological
Intervention Name(s)
Inactivated trivalent influenza vaccine
Intervention Description
Inactivated trivalent seasonal influenza vaccine
Primary Outcome Measure Information:
Title
Geometric mean titer changes on Day 29
Description
Change from pre- to post-vaccination serum Geometric mean titers (GMT) of hemagglutinin inhibition (HI) antibody at Day 29(±2)
Time Frame
29 days
Secondary Outcome Measure Information:
Title
Immunogenicity (HI titers)
Description
Derived variables: in terms of HI titers for: Seroconversion Rate (SCR), Seroconversion Factor (SCF), and Seroprotection Rate (SPR)
Time Frame
29, 90 and 180 days
Title
Immunogenicity (IgA titers)
Description
Change from pre- to post-vaccination GMT of mucosal anti-HA IgA antibody
Time Frame
29, 90 and 180 days
Title
Immunogenicity (anti-LTh(αK) antibodies)
Description
Change from pre- to post-vaccination GMT of anti- LTh(αK) antibodies
Time Frame
29, 90 and 180 days
Title
Viral neutralization
Description
Change from pre- to post-vaccination GMT of virus neutralization titer
Time Frame
29, 90 and 180 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adult male and female subjects aged between 20-70 (included) years. Should be physically and mentally healthy and free of significant medical condition as determined by Medical history, Physical examination and Clinical judgment of the Investigator. Negative urine β-human chorionic gonadotropin in women of childbearing potential (WOCBP; defined as women ≤ 50 years old of age or history of amenorrhea for ≤12 months) prior to administration of first dose of Investigational Product. WOCBP and male subjects having female partners, who are WOCBP, should be protected by effective contraceptive method (e.g. oral contraceptive and condom, intra- uterine device and condom, diaphragm with spermicide and condom) throughout the study period. Willing and able to give written informed consent prior to Screening and comply with study procedure. Exclusion Criteria: Received vaccination against influenza within 6 months prior to Screening. Received any vaccination (other than influenza) within 28 days prior to Screening. Has previously experienced anaphylaxis or a life-threatening reaction; or has history of allergy or hypersensitivity to egg proteins, chicken proteins, any of the components of Investigational Product, or other vaccine containing same substances. History of influenza infection (confirmed either clinically, serologically or microbiologically) within the 6 months prior to administration of first dose of Investigational Product. Had active allergic rhinitis within 28 days prior to administration of first dose of Investigational Product. Has documented history of diarrhea within 28 days prior to administration of first dose of Investigational Product. Have used or been administered any intranasal medication or nasal topical treatment within 7 days prior to Screening. Acute respiratory illness within 7 days prior to administration of first dose of Investigational Product. Had administration of systemic antibiotics or antivirals within 7 days prior to Screening (excluding topical/external use of antibiotics). Acute sinusitis or chronic sinusitis accompanying acute symptoms within 3 days prior to administration of first dose of Investigational Product. With acute disease (defined as fever with body temperature >38.0°C), within 3 days prior to administration of first dose of Investigational Product. Having any serious chronic illness, including but not limited to, cardiovascular, pulmonary, hepatic, metabolic, renal or any auto-immune disorders, at a stage that could interfere with trial conduct or completion. Any confirmed or suspected immunosuppressive or immune-deficient condition, based on medical history and physical examination. Documented history of Bell's palsy or neurological disorder. Receive aspirin (Salicylate) anytime in the study from screening (Visit 1) A positive test for HIV antibody Receipt of any immunoglobulins and/or blood products within 3 months of study Screening. Pregnant or breast-feeding women Require extended long-term use of steroids including parenteral steroids or high dose inhaled steroids or have used within 28 days prior to Screening Participated in any other clinical investigation or use of any investigational therapy other than AD07030, within 4 weeks (28 days) or 5 half-lives, whichever is longer, before Screening. Unable to communicate reliably with the Investigator or unlikely to cooperate with the requirements of the study procedures or schedule, or other cases judged by the Investigator to be ineligible for participation in the study. Other cases judged by the Investigator to be ineligible for participation in the study.
Facility Information:
Facility Name
Advagene Biopharma
City
Taipei
ZIP/Postal Code
104
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
31812463
Citation
Pan SC, Hsu WT, Lee WS, Wang NC, Chen TJ, Liu MC, Pai HC, Hsu YS, Chang M, Hsieh SM. A double-blind, randomized controlled trial to evaluate the safety and immunogenicity of an intranasally administered trivalent inactivated influenza vaccine with the adjuvant LTh(alphaK): A phase II study. Vaccine. 2020 Jan 29;38(5):1048-1056. doi: 10.1016/j.vaccine.2019.11.047. Epub 2019 Dec 4.
Results Reference
derived

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A Phase 2, Double-blind Study to Evaluate Intranasal Trivalent Influenza Virus Vaccine in Healthy Adult

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