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Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317) (WRAIR)

Primary Purpose

Chikungunya

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Chikungunya
Sponsored by
Bavarian Nordic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Chikungunya

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age 18 to 65 years old (inclusive)
  • For women of childbearing potential, a negative pregnancy test at screening and on vaccination day, practicing highly effective contraception for at least 30 days prior to vaccination, and willing to use a highly effective method of contraception through study completion.
  • Able and willing to provide informed consent for study participation prior to screening procedures.
  • Free of obvious health problems as established by medical history and clinical examination at screening and enrollment.
  • Available to participate for the duration of the study (approximately 8 months).
  • For the cohort of prior alphavirus vaccine recipients, a documented history of prior alphavirus vaccination.

Exclusion Criteria:

  • Acute disease or febrile illness at the time of screening or enrollment.
  • Clinically significant cardiac, respiratory, rheumatologic or other medical or psychiatric condition that, in the opinion of the Investigator, places the subject at increased risk or affects their ability to understand and comply with study procedures.
  • Abnormal screening lab test result that, in the opinion of the investigator, obscures interpretation of the safety data or suggests a clinically significant cardiac, respiratory, rheumatologic or other medical condition that places the subject at increased risk.
  • Pregnant, lactating or planning to become pregnant during the study period.
  • Laboratory evidence of infection with Hepatitis B, C or HIV.
  • History of naturally (non-laboratory) acquired chikungunya or other alphavirus infection or travel to a WHO-designated chikungunya-endemic region within 30 days prior to Day 1.
  • History of acute allergic reaction to any component of CHIKV-VLP vaccine or Alhydrogel®.
  • Current (30 days prior to Day 1) or anticipated use of systemic immunomodulatory or immunosuppressive medications.
  • History of splenectomy, immunosuppressive condition, autoimmune disease, or immunodeficient condition.
  • Family history of congenital or hereditary immunodeficiency.
  • Suspected or known current alcohol abuse that, in the opinion of the Investigator, would interfere with the subject's ability to understand and comply with study procedures.
  • Current intravenous drug use.
  • Prior receipt of an investigational chikungunya vaccine.
  • Receipt or planned receipt of any licensed vaccine from 30 days prior to Day 1 through Day 29 study visit.
  • Participation in another clinical trial during the study period in which an investigational product is administered.
  • For the alphavirus naïve group, history of prior alphavirus vaccination is exclusionary.

Sites / Locations

  • United States Army Medical Research Institute of Infectious Diseases
  • Walter Reed Army Institute of Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Prior Alpha

Control: Naïve Alpha

Arm Description

All study participants will receive the same Investigational Product according to the same schedule. Subjects are prior recipients of experimental alphavirus vaccines.

All study participants will receive the same Investigational Product according to the same schedule. The alphavirus vaccine naïve subjects will serve as controls for determining the effect of pre-existing alphavirus immunity on vaccine safety and immunogenicity.

Outcomes

Primary Outcome Measures

Neutralizing Antibody Response
Evaluate the neutralizing antibody response to chikungunya virus induced by PXVX0317 when administered to prior alphavirus vaccine recipients versus gender- and age-matched controls

Secondary Outcome Measures

Full Information

First Posted
June 18, 2019
Last Updated
June 29, 2023
Sponsor
Bavarian Nordic
Collaborators
Walter Reed Army Institute of Research (WRAIR), Emergent BioSolutions
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1. Study Identification

Unique Protocol Identification Number
NCT03992872
Brief Title
Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317)
Acronym
WRAIR
Official Title
A Phase 2 Open-label Study to Assess the Safety and Immunogenicity of an Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317) in Prior Recipients of Other Alphavirus Vaccines Versus Alphavirus Naïve Controls.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
November 20, 2019 (Actual)
Primary Completion Date
January 19, 2021 (Actual)
Study Completion Date
January 19, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bavarian Nordic
Collaborators
Walter Reed Army Institute of Research (WRAIR), 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
This is a Phase 2 parallel-group age- and gender-matched open label study in healthy adults 18-65 years of age to assess the safety and immunogenicity of an alum-adjuvanted chikungunya virus-like particle vaccine (PXVX0317) in prior recipients of other alphavirus vaccines versus alphavirus naïve controls.
Detailed Description
It is currently unknown whether prior exposure to heterologous alphaviruses will enhance or interfere with immune responses to chikungunya virus (CHIKV) exposure or vaccination. The objective of this study is to evaluate the safety and immunogenicity of the chikungunya vaccine candidate PXVX0317 when administered to prior recipients of experimental alphavirus vaccines versus alphavirus naïve gender- and age-matched controls.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Open Label Safety and Immunogenicity
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Prior Alpha
Arm Type
Experimental
Arm Description
All study participants will receive the same Investigational Product according to the same schedule. Subjects are prior recipients of experimental alphavirus vaccines.
Arm Title
Control: Naïve Alpha
Arm Type
Active Comparator
Arm Description
All study participants will receive the same Investigational Product according to the same schedule. The alphavirus vaccine naïve subjects will serve as controls for determining the effect of pre-existing alphavirus immunity on vaccine safety and immunogenicity.
Intervention Type
Biological
Intervention Name(s)
Chikungunya
Intervention Description
Virus Like Particle
Primary Outcome Measure Information:
Title
Neutralizing Antibody Response
Description
Evaluate the neutralizing antibody response to chikungunya virus induced by PXVX0317 when administered to prior alphavirus vaccine recipients versus gender- and age-matched controls
Time Frame
182 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18 to 65 years old (inclusive) For women of childbearing potential, a negative pregnancy test at screening and on vaccination day, practicing highly effective contraception for at least 30 days prior to vaccination, and willing to use a highly effective method of contraception through study completion. Able and willing to provide informed consent for study participation prior to screening procedures. Free of obvious health problems as established by medical history and clinical examination at screening and enrollment. Available to participate for the duration of the study (approximately 8 months). For the cohort of prior alphavirus vaccine recipients, a documented history of prior alphavirus vaccination. Exclusion Criteria: Acute disease or febrile illness at the time of screening or enrollment. Clinically significant cardiac, respiratory, rheumatologic or other medical or psychiatric condition that, in the opinion of the Investigator, places the subject at increased risk or affects their ability to understand and comply with study procedures. Abnormal screening lab test result that, in the opinion of the investigator, obscures interpretation of the safety data or suggests a clinically significant cardiac, respiratory, rheumatologic or other medical condition that places the subject at increased risk. Pregnant, lactating or planning to become pregnant during the study period. Laboratory evidence of infection with Hepatitis B, C or HIV. History of naturally (non-laboratory) acquired chikungunya or other alphavirus infection or travel to a WHO-designated chikungunya-endemic region within 30 days prior to Day 1. History of acute allergic reaction to any component of CHIKV-VLP vaccine or Alhydrogel®. Current (30 days prior to Day 1) or anticipated use of systemic immunomodulatory or immunosuppressive medications. History of splenectomy, immunosuppressive condition, autoimmune disease, or immunodeficient condition. Family history of congenital or hereditary immunodeficiency. Suspected or known current alcohol abuse that, in the opinion of the Investigator, would interfere with the subject's ability to understand and comply with study procedures. Current intravenous drug use. Prior receipt of an investigational chikungunya vaccine. Receipt or planned receipt of any licensed vaccine from 30 days prior to Day 1 through Day 29 study visit. Participation in another clinical trial during the study period in which an investigational product is administered. For the alphavirus naïve group, history of prior alphavirus vaccination is exclusionary.
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
United States Army Medical Research Institute of Infectious Diseases
City
Fort Deterick
State/Province
Maryland
ZIP/Postal Code
21702
Country
United States
Facility Name
Walter Reed Army Institute of Research
City
Silver Spring
State/Province
Maryland
ZIP/Postal Code
20910
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317)

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