Safety Study of Live Attenuated Influenza Vaccine, CodaVax, Delivered Via Intranasal Spray
Primary Purpose
Influenza
Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
CodaVax-H1N1 influenza vaccine
Normal Saline Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Influenza focused on measuring live-attenuated vaccine, influenza vaccine
Eligibility Criteria
Inclusion Criteria:
- Adult volunteers, aged 18 to 45 years (at the time of screening) in good general health in the opinion of the Medical Investigator or delegate, with no significant medical history and no clinically significant abnormal findings at screening.
- Participants must use highly effective, double contraception from the Screening Visit and up to the Follow-up Visit (Day 30).
Must be willing to comply with the following conditions to prevent the spread of Genetically modified organisms (GMO) according the Office of Gene Technology Regulator (OGTR) Licence (DIR 144):
- Hygiene measures intended to prevent interpersonal transmission of study drug must be implemented, including but not limited to frequent handwashing with soap or hand disinfectant, respiratory hygiene and cough etiquette within 7 days following vaccination
- Blood, tissue or organs must not be donated within 7 days of vaccination
- Severely immunosuppressed persons who require a protective environment are not to be cared for by the participant within 7 days of vaccination
- Contact is not to be made with severely immunosuppressed persons who require a protective environment within 7 days of vaccination
- All tissues and materials used to collect respiratory secretions are to be sealed in a primary container and placed within a secondary container so that it is not accessible to children or animals for 7 days until it is returned to the study site for disposal, for 7 days within vaccination
- Contact is not to be made with infants <6 months of age within 7 days of vaccination.
- Adequate venous access in the left or right arms to allow collection of a number of blood samples.
- Must be sero-susceptible ≤10 hemagglutination inhibition (HAI) titre to CA/07/2009 Influenza virus (pre-screen).
Laboratory Testing:
- Full blood examination and biochemistry within the laboratory defined normal range unless deemed not clinically significant by the investigator, however a small drop below the normal range for Absolute Neutrophil Count (ANC) may be acceptable as per investigator discretion;
- Urinalysis: Negative urine glucose, negative or trace urine protein, negative or trace urine hemoglobin (if trace hemoglobin is present on dipstick, a microscopic urinalysis within institutional range)
- Able to communicate effectively with study personnel and considered reliable, willing and cooperative in terms of compliance with the protocol requirements
- Participant does not intend to start or change an existing physical conditioning regimen prior to or during the study period
- Participant has voluntarily given written informed consent to participate in the study (prior study entry)
- Participant is available for the duration of the study
Exclusion Criteria:
- Immunodeficiency (including HIV) or autoimmune disorder, or participant is currently taking drugs (excluding steroids, see exclusion criteria 16) or was undergoing a form of treatment within 3 months prior to study entry that affects the immune system, or participant is living with somebody with the same
- Participant is not to have had Guillain-Barre Syndrome
- Received blood or blood products in the 3 months prior to screening
- Received another vaccine within 30 days before screening
- Received another influenza vaccine from 2016 to present year
- Participants with plans to travel to the Northern Hemisphere during the Screening period
- Participated in another clinical study (involving any investigational product or device) within 60 days before screening
- Suffered previous anaphylactic reaction to foods, vaccines, drugs or hymenoptera stings, or has a history of severe allergic reactions (e.g. clinically severe urticaria, asthma)
- Participants with active asthma or a history of childhood asthma which was treated with corticosteroids.
- Participants with a known egg allergy
- If female, pregnant, planning to become pregnant, or lactating, or participants is living with somebody who is pregnant or lactating.
- Participant has a history of, or current evidence at the time of screening of abuse of alcohol or any drug substance, licit or illicit, or current alcohol consumption is > 4 standard drinks (or equivalent) per day
- History of any psychiatric illness or psychological disorder which may impair the ability to provide written informed consent or participate in the study
- Current or history of significant neurological, cardiovascular, pulmonary (including asthma), hepatic, rheumatic, autoimmune, hematological, metabolic or renal disorder
- Clinically significant abnormal laboratory value at screening as determined by the Investigator
- Known or suspected impairment/alteration of immune function, including: Chronic use of oral steroids (equivalent to 20 mg/day prednisone ≥12 weeks /≥2 mg/kg body weight / day prednisone ≥2 weeks) within 60 days prior to Day 0 (use of inhaled, IN, or topical corticosteroids is allowed, unless used for the management of asthma - see exclusion criteria 9). Receipt of parenteral steroids (equivalent to 20 mg/day prednisone ≥12 weeks /≥2 mg/kg body weight/day prednisone ≥ 2 weeks) within 60 days prior to Day 0. Or participant is living with somebody with the same
- Unusual dietary habits and excessive or unusual vitamin intake likely, in the opinion of the Investigator, to affect safety parameters
- Participant is sero-positive to hepatitis C virus or hepatitis B virus.
- Body temperature (oral) ≥38.0ºC or acute illness within 5 days prior to vaccination
- Any other significant finding that, in the opinion of the Investigator, would increase the risk of the individual having an adverse outcome from participating in this study
- Participant is a member of the team or is related or in a dependent relationship with a member of the study team, as defined as the Sponsor or study site personnel
Sites / Locations
- Q-Pharm Pty Limited
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
Normal Saline Placebo
CodaVax-H1N1
Arm Description
Saline (0.9%)
Live-attenuated influenza vaccine
Outcomes
Primary Outcome Measures
Reactions to vaccine
Number of solicited local and systemic reactions for CodaVax-H1N1 and placebo
Adverse events (AEs)
Number of subjects with AEs for CodaVax-H1N1 and placebo
Serious adverse events (SAEs)
Number of subjects with SAEs for CodaVax-H1N1 and placebo
Secondary Outcome Measures
HAI antibody titers against A/California/07/2009
Geometric mean titers (GMT) of anti-A/California/07/2009 (H1N1) antibodies (Hemagglutination inhibition, HAI) for each treatment arm
Increase in HAI titer against A/California/07/2009
Geometric mean fold increase (GMFI) of anti-A/California/07/2009 (H1N1) HAI serum antibodies for each treatment arm
HAI sero-response
The proportion of participants, regardless of sero-status, within each treatment arm who experience an H1N1 CA/07/2009 specific sero-response post-dose. Sero-response is defined as a ≥4-fold rise in HAI titer from baseline.
Serum IgG response
The proportion of participants within each treatment arm with a greater or equal to 2-fold rise in serum lgG antibody responses to whole virus CA/07/2009 by ELISA
Increase in serum IgG
Geometric mean fold increase (GMFI) within each treatment arm in serum lgG antibody responses to whole virus CA/07/2009 by ELISA
Serum IgA response
The proportion of participants within each treatment arm with a greater or equal to 2-fold rise in serum lgA antibody responses to whole virus CA/07/2009 by ELISA
Increase in serum IgA
Geometric mean fold increase (GMFI) within each treatment arm in serum lgA antibody responses to whole virus CA/07/2009 by ELISA
Salivary IgA Response
The proportion of participants within each treatment arm with a greater or equal to 2-fold rise in salivary lgA antibody responses to whole virus CA/07/2009 by ELISA
Increase in salivary IgA
Geometric mean fold increase (GMFI) within each treatment arm in salivary lgA antibody responses to whole virus CA/07/2009 by ELISA
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04146623
Brief Title
Safety Study of Live Attenuated Influenza Vaccine, CodaVax, Delivered Via Intranasal Spray
Official Title
A Randomized Double-Blind, Placebo Controlled, Phase I Study of the Safety, Tolerability and Immunogenicity of a Live Attenuated H1N1 Vaccine in Healthy Individuals
Study Type
Interventional
2. Study Status
Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
May 7, 2019 (Actual)
Primary Completion Date
October 11, 2020 (Actual)
Study Completion Date
November 11, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Codagenix, Inc
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
This study is being conducted to assess the safety, tolerability, and immunogenicity of the live-attenuated CodaVax-H1N1 influenza vaccine as compared to normal saline placebo both administered via intranasal spray to healthy adults.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
live-attenuated vaccine, influenza vaccine
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
33 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Normal Saline Placebo
Arm Type
Placebo Comparator
Arm Description
Saline (0.9%)
Arm Title
CodaVax-H1N1
Arm Type
Experimental
Arm Description
Live-attenuated influenza vaccine
Intervention Type
Biological
Intervention Name(s)
CodaVax-H1N1 influenza vaccine
Intervention Description
CodaVax-H1N1, a live attenuated vaccine (LAIV) strain based on the A/California/07/2009 (H1N1) influenza virus, administered once intranasally via a sprayer at a dose of 8 x10^5 plaque forming units (PFU).
Intervention Type
Biological
Intervention Name(s)
Normal Saline Placebo
Intervention Description
Saline (0.9%) administered intranasally via sprayer
Primary Outcome Measure Information:
Title
Reactions to vaccine
Description
Number of solicited local and systemic reactions for CodaVax-H1N1 and placebo
Time Frame
6 days
Title
Adverse events (AEs)
Description
Number of subjects with AEs for CodaVax-H1N1 and placebo
Time Frame
30 days
Title
Serious adverse events (SAEs)
Description
Number of subjects with SAEs for CodaVax-H1N1 and placebo
Time Frame
180 days
Secondary Outcome Measure Information:
Title
HAI antibody titers against A/California/07/2009
Description
Geometric mean titers (GMT) of anti-A/California/07/2009 (H1N1) antibodies (Hemagglutination inhibition, HAI) for each treatment arm
Time Frame
Day 0 and 30
Title
Increase in HAI titer against A/California/07/2009
Description
Geometric mean fold increase (GMFI) of anti-A/California/07/2009 (H1N1) HAI serum antibodies for each treatment arm
Time Frame
Day 0 and 30
Title
HAI sero-response
Description
The proportion of participants, regardless of sero-status, within each treatment arm who experience an H1N1 CA/07/2009 specific sero-response post-dose. Sero-response is defined as a ≥4-fold rise in HAI titer from baseline.
Time Frame
Day 0 and 30
Title
Serum IgG response
Description
The proportion of participants within each treatment arm with a greater or equal to 2-fold rise in serum lgG antibody responses to whole virus CA/07/2009 by ELISA
Time Frame
Day 0 and 30
Title
Increase in serum IgG
Description
Geometric mean fold increase (GMFI) within each treatment arm in serum lgG antibody responses to whole virus CA/07/2009 by ELISA
Time Frame
Day 0 and 30
Title
Serum IgA response
Description
The proportion of participants within each treatment arm with a greater or equal to 2-fold rise in serum lgA antibody responses to whole virus CA/07/2009 by ELISA
Time Frame
Day 0 and 30
Title
Increase in serum IgA
Description
Geometric mean fold increase (GMFI) within each treatment arm in serum lgA antibody responses to whole virus CA/07/2009 by ELISA
Time Frame
Day 0 and 30
Title
Salivary IgA Response
Description
The proportion of participants within each treatment arm with a greater or equal to 2-fold rise in salivary lgA antibody responses to whole virus CA/07/2009 by ELISA
Time Frame
Day 0 and 30
Title
Increase in salivary IgA
Description
Geometric mean fold increase (GMFI) within each treatment arm in salivary lgA antibody responses to whole virus CA/07/2009 by ELISA
Time Frame
Day 0 and 30
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:
Adult volunteers, aged 18 to 45 years (at the time of screening) in good general health in the opinion of the Medical Investigator or delegate, with no significant medical history and no clinically significant abnormal findings at screening.
Participants must use highly effective, double contraception from the Screening Visit and up to the Follow-up Visit (Day 30).
Must be willing to comply with the following conditions to prevent the spread of Genetically modified organisms (GMO) according the Office of Gene Technology Regulator (OGTR) Licence (DIR 144):
Hygiene measures intended to prevent interpersonal transmission of study drug must be implemented, including but not limited to frequent handwashing with soap or hand disinfectant, respiratory hygiene and cough etiquette within 7 days following vaccination
Blood, tissue or organs must not be donated within 7 days of vaccination
Severely immunosuppressed persons who require a protective environment are not to be cared for by the participant within 7 days of vaccination
Contact is not to be made with severely immunosuppressed persons who require a protective environment within 7 days of vaccination
All tissues and materials used to collect respiratory secretions are to be sealed in a primary container and placed within a secondary container so that it is not accessible to children or animals for 7 days until it is returned to the study site for disposal, for 7 days within vaccination
Contact is not to be made with infants <6 months of age within 7 days of vaccination.
Adequate venous access in the left or right arms to allow collection of a number of blood samples.
Must be sero-susceptible ≤10 hemagglutination inhibition (HAI) titre to CA/07/2009 Influenza virus (pre-screen).
Laboratory Testing:
Full blood examination and biochemistry within the laboratory defined normal range unless deemed not clinically significant by the investigator, however a small drop below the normal range for Absolute Neutrophil Count (ANC) may be acceptable as per investigator discretion;
Urinalysis: Negative urine glucose, negative or trace urine protein, negative or trace urine hemoglobin (if trace hemoglobin is present on dipstick, a microscopic urinalysis within institutional range)
Able to communicate effectively with study personnel and considered reliable, willing and cooperative in terms of compliance with the protocol requirements
Participant does not intend to start or change an existing physical conditioning regimen prior to or during the study period
Participant has voluntarily given written informed consent to participate in the study (prior study entry)
Participant is available for the duration of the study
Exclusion Criteria:
Immunodeficiency (including HIV) or autoimmune disorder, or participant is currently taking drugs (excluding steroids, see exclusion criteria 16) or was undergoing a form of treatment within 3 months prior to study entry that affects the immune system, or participant is living with somebody with the same
Participant is not to have had Guillain-Barre Syndrome
Received blood or blood products in the 3 months prior to screening
Received another vaccine within 30 days before screening
Received another influenza vaccine from 2016 to present year
Participants with plans to travel to the Northern Hemisphere during the Screening period
Participated in another clinical study (involving any investigational product or device) within 60 days before screening
Suffered previous anaphylactic reaction to foods, vaccines, drugs or hymenoptera stings, or has a history of severe allergic reactions (e.g. clinically severe urticaria, asthma)
Participants with active asthma or a history of childhood asthma which was treated with corticosteroids.
Participants with a known egg allergy
If female, pregnant, planning to become pregnant, or lactating, or participants is living with somebody who is pregnant or lactating.
Participant has a history of, or current evidence at the time of screening of abuse of alcohol or any drug substance, licit or illicit, or current alcohol consumption is > 4 standard drinks (or equivalent) per day
History of any psychiatric illness or psychological disorder which may impair the ability to provide written informed consent or participate in the study
Current or history of significant neurological, cardiovascular, pulmonary (including asthma), hepatic, rheumatic, autoimmune, hematological, metabolic or renal disorder
Clinically significant abnormal laboratory value at screening as determined by the Investigator
Known or suspected impairment/alteration of immune function, including: Chronic use of oral steroids (equivalent to 20 mg/day prednisone ≥12 weeks /≥2 mg/kg body weight / day prednisone ≥2 weeks) within 60 days prior to Day 0 (use of inhaled, IN, or topical corticosteroids is allowed, unless used for the management of asthma - see exclusion criteria 9). Receipt of parenteral steroids (equivalent to 20 mg/day prednisone ≥12 weeks /≥2 mg/kg body weight/day prednisone ≥ 2 weeks) within 60 days prior to Day 0. Or participant is living with somebody with the same
Unusual dietary habits and excessive or unusual vitamin intake likely, in the opinion of the Investigator, to affect safety parameters
Participant is sero-positive to hepatitis C virus or hepatitis B virus.
Body temperature (oral) ≥38.0ºC or acute illness within 5 days prior to vaccination
Any other significant finding that, in the opinion of the Investigator, would increase the risk of the individual having an adverse outcome from participating in this study
Participant is a member of the team or is related or in a dependent relationship with a member of the study team, as defined as the Sponsor or study site personnel
Facility Information:
Facility Name
Q-Pharm Pty Limited
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4006
Country
Australia
12. IPD Sharing Statement
Plan to Share IPD
No
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Safety Study of Live Attenuated Influenza Vaccine, CodaVax, Delivered Via Intranasal Spray
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