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Proof of Concept Trial of Adjuvant Activity of SWE, a Squalene-based -Oil-in-water Emulsion

Primary Purpose

Influenza

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Unadjuvanted seasonal influenza vaccine
SWE adjuvant mixed with unadjuvanted seasonal influenza vaccine shortly before dosing (SWE + QIV)
MF59 adjuvanted seasonal influenza vaccine
Sponsored by
Bill & Melinda Gates Medical Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring vaccine, influenza, adjuvant

Eligibility Criteria

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

Inclusion Criteria:

  1. Be willing to participate in the study, as demonstrated by signing the written informed consent form approved by the Ethics Committee/Institutional Review Board (EC/IRB) before any study procedure is performed.
  2. Be able to comprehend the full nature and purpose of the study, including possible risks.
  3. Be a healthy male or female without acute or chronic medical condition per the Investigator's judgement between 18 to 50 years of age (Part 1) and ≥65 years of age (Part 2) on the day of randomization, inclusive.
  4. Have a BMI between 18.0 kg/m2 and 32.0 kg/m2. BMI values should be rounded to the nearest integer (e.g., round down 32.4 to 32.0, round up 18.6 to 19.0).
  5. All female participants: have a negative pregnancy test or post-menopausal status. Postmenopausal status is defined as 12 months with no menses without alternative medical cause. Female participants of childbearing potential (Part 1): have a negative serum pregnancy test at screening and a negative urine pregnancy test on Day 1 prior to randomization, not breastfeeding, and willing to use highly effective methods of contraception 14 days before study drug administration through last scheduled follow up visit (End of Study). Male participants with female partners of child-bearing potential (Part 1): agree to use one of the following contraception methods from the day of randomization to the last follow-up visit of the partner: vasectomy with documentation of azoospermia, or male condom use; agree to not donate sperm prior to the last scheduled follow-up visit (End of Study).
  6. Be able to co-operate with the study staff and comply with the requirements of the study.

Exclusion Criteria:

  1. Have a history of intolerance, hypersensitivity, or allergy to any component of the study products and/or have a history of anaphylaxis to any drug or vaccines.
  2. Have a history of Guillain-Barre Syndrome
  3. Have a clinically significant history of hepatic, renal, cardiovascular, or any other disease or disorder, including psychological or psychiatric, that in the investigator's opinion may increase the risk to the participant, and/or jeopardize the participant's compliance with the study procedures.
  4. Have a history of primary immunodeficiency or secondary immunodeficiency including HIV and anatomical or functional asplenia.
  5. Have one or more abnormal laboratory values at the screening visit that in the opinion of the Investigator, are clinically significant, including but not limited to the following: Alanine Aminotransferase (ALT) > 2 x upper limit of normal (ULN) Serum creatinine above the ULN Bilirubin > 2 x ULN Internal Normalized Ratio (INR), Prothrombin Time (PT), Partial Thromboplastin Time (PTT) above the ULN Hemoglobin < 12 g/dL in men, and <11 g/dL in women Platelets below the lower limit of normal (LLN)
  6. Have had clinical signs and symptoms consistent with Coronavirus Disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV2) infection-19 (COVID-19), i.e. fever, cough, dyspnea, sore throat, fatigue, loss of smell, loss of taste, or confirmed SARS-CoV-2 infection by appropriate laboratory test in the 1 month preceding the screening visit.
  7. Have had influenza-like illness (ILI) in the 3 months preceding the screening visit. ILI is defined as fever (oral temperature ≥37.8 C / ≥100 F) and cough or sore throat (CDC definition).
  8. Have received an investigational drug or vaccine in the 3 months preceding the screening visit, including COVID-19 investigational vaccine or treatment. Note: vaccination with an approved vaccine for the prevention of COVID-19 is allowed.
  9. Have taken immunosuppressants and oral or parenteral corticosteroids in the 6 months preceding the screening visit. Inhaled corticosteroids for asthma are allowed.
  10. Have received any influenza vaccine in the current and past season, i.e. in the 8 months preceding the screening visit.
  11. Have a history of drug or alcohol abuse in the 1 year preceding the screening visit.
  12. Have a history of basal cell carcinoma or non-invasive squamous cell carcinoma of the skin in the 1 year preceding the screening visit and/or a history of any other malignancy in the 5 years preceding the screening visit.
  13. Have any other condition or situation that in the investigator's opinion might increase the risk to the participant or jeopardize the participant's compliance with study procedures.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Experimental

    Active Comparator

    Arm Label

    Arm i - Seasonal influenza vaccine

    Arm ii - SWE and unadjuvanted seasonal influenza vaccine

    Arm iii - MF59 adjuvanted seasonal influenza vaccine

    Arm Description

    Single 0.5 mL intramuscular (IM) injection of an unadjuvanted seasonal influenza vaccine

    Single 0.8 mL IM injection of SWE mixed with unadjuvanted seasonal influenza vaccine

    Single 0.5 mL IM injection of MF59 adjuvanted seasonal influenza vaccine

    Outcomes

    Primary Outcome Measures

    Characterize the severe/serious adverse event (SAE) burden of SWE combined with a seasonal influenza vaccine over 28 days.
    Severe systemic solicited AEs from Day 1 through Day 7
    Characterize the severe/serious adverse event (SAE) burden of SWE combined with a seasonal influenza vaccine over 28 days.
    Severe and serious unsolicited TEAEs from Day 1 through Day 28
    Characterize the adjuvant effect of SWE on the hemagglutinin inhibition (HI) antibody response to the A/H3N2 vaccine strain.
    HI antibody titer to the influenza A H3N2 (A/H3N2) vaccine strain on Day 29

    Secondary Outcome Measures

    Characterize reactogenicity of SWE and MF59 combined with a seasonal influenza vaccine.
    Local solicited AEs from Day 1 through Day 7
    Characterize reactogenicity of SWE and MF59 combined with a seasonal influenza vaccine.
    Systemic solicited AEs from Day 1 through Day 7
    Characterize treatment-emergent adverse events (TEAEs) of SWE and MF59 combined with a seasonal influenza vaccine.
    TEAEs from Day 1 through Day 28
    Characterize treatment-emergent adverse events (TEAEs) of SWE and MF59 combined with a seasonal influenza vaccine.
    SAEs from Day 1 through Day 169 (end of study)
    Characterize safety laboratory values.
    Hematology assessments (complete blood count (red blood cells, hemoglobin, platelets and white blood cells) and differential (absolute counts) including neutrophils, lymphocytes, monocytes, eosinophils and basophils)) at 29 Days and 169 Days (End of Study)
    Characterize safety laboratory values.
    Serum Chemistry assessments (ALT, AST, ALP, total bilirubin, creatinine, BUN, CRP, sodium and potassium, and chloride) at 29 Days and 169 Days (End of Study)
    Characterize safety laboratory values.
    Serum Coagulation assessments (PT,PTT, and INR) at 29 Days and 169 Days (End of Study)
    Characterize the adjuvant effect of SWE on HI antibody responses to homologous and heterologous influenza vaccine strains through HI antibody titer, peripheral blood mononuclear cell(PBMC), and exploratory laboratory assessments.
    HI antibody titers to the homologous strains included in the vaccines on Day 29 and Day 169
    Characterize the adjuvant effect of SWE on HI antibody responses to homologous and heterologous influenza vaccine strains through HI antibody titer, peripheral blood mononuclear cell(PBMC), and exploratory laboratory assessments.
    HI antibody titers to the selected non vaccine (heterologous) strains on Day 29 and Day 169

    Full Information

    First Posted
    August 31, 2021
    Last Updated
    November 15, 2022
    Sponsor
    Bill & Melinda Gates Medical Research Institute
    Collaborators
    Iqvia Pty Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05035680
    Brief Title
    Proof of Concept Trial of Adjuvant Activity of SWE, a Squalene-based -Oil-in-water Emulsion
    Official Title
    Proof of Concept Trial of Adjuvant Activity of SWE, a Squalene-based -Oil-in-water Emulsion
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study cancelled
    Study Start Date
    July 14, 2022 (Anticipated)
    Primary Completion Date
    March 25, 2023 (Anticipated)
    Study Completion Date
    November 25, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bill & Melinda Gates Medical Research Institute
    Collaborators
    Iqvia Pty Ltd

    4. Oversight

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

    5. Study Description

    Brief Summary
    The purpose of the study is to characterize safety and tolerability of the squalene-based adjuvant candidate SWE and its potential to enhance the immune response to seasonal influenza vaccine antigens in healthy older adults.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Influenza
    Keywords
    vaccine, influenza, adjuvant

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Arm i - Seasonal influenza vaccine
    Arm Type
    Active Comparator
    Arm Description
    Single 0.5 mL intramuscular (IM) injection of an unadjuvanted seasonal influenza vaccine
    Arm Title
    Arm ii - SWE and unadjuvanted seasonal influenza vaccine
    Arm Type
    Experimental
    Arm Description
    Single 0.8 mL IM injection of SWE mixed with unadjuvanted seasonal influenza vaccine
    Arm Title
    Arm iii - MF59 adjuvanted seasonal influenza vaccine
    Arm Type
    Active Comparator
    Arm Description
    Single 0.5 mL IM injection of MF59 adjuvanted seasonal influenza vaccine
    Intervention Type
    Biological
    Intervention Name(s)
    Unadjuvanted seasonal influenza vaccine
    Intervention Description
    Single 0.5 mL IM injection
    Intervention Type
    Biological
    Intervention Name(s)
    SWE adjuvant mixed with unadjuvanted seasonal influenza vaccine shortly before dosing (SWE + QIV)
    Intervention Description
    Single 0.8 mL IM injection
    Intervention Type
    Biological
    Intervention Name(s)
    MF59 adjuvanted seasonal influenza vaccine
    Intervention Description
    Single 0.5 mL IM injection of MF59 adjuvanted seasonal influenza vaccine
    Primary Outcome Measure Information:
    Title
    Characterize the severe/serious adverse event (SAE) burden of SWE combined with a seasonal influenza vaccine over 28 days.
    Description
    Severe systemic solicited AEs from Day 1 through Day 7
    Time Frame
    7 days
    Title
    Characterize the severe/serious adverse event (SAE) burden of SWE combined with a seasonal influenza vaccine over 28 days.
    Description
    Severe and serious unsolicited TEAEs from Day 1 through Day 28
    Time Frame
    28 days
    Title
    Characterize the adjuvant effect of SWE on the hemagglutinin inhibition (HI) antibody response to the A/H3N2 vaccine strain.
    Description
    HI antibody titer to the influenza A H3N2 (A/H3N2) vaccine strain on Day 29
    Time Frame
    Day 29
    Secondary Outcome Measure Information:
    Title
    Characterize reactogenicity of SWE and MF59 combined with a seasonal influenza vaccine.
    Description
    Local solicited AEs from Day 1 through Day 7
    Time Frame
    7 days
    Title
    Characterize reactogenicity of SWE and MF59 combined with a seasonal influenza vaccine.
    Description
    Systemic solicited AEs from Day 1 through Day 7
    Time Frame
    7 days
    Title
    Characterize treatment-emergent adverse events (TEAEs) of SWE and MF59 combined with a seasonal influenza vaccine.
    Description
    TEAEs from Day 1 through Day 28
    Time Frame
    28 Days
    Title
    Characterize treatment-emergent adverse events (TEAEs) of SWE and MF59 combined with a seasonal influenza vaccine.
    Description
    SAEs from Day 1 through Day 169 (end of study)
    Time Frame
    169 Days (End of Study)
    Title
    Characterize safety laboratory values.
    Description
    Hematology assessments (complete blood count (red blood cells, hemoglobin, platelets and white blood cells) and differential (absolute counts) including neutrophils, lymphocytes, monocytes, eosinophils and basophils)) at 29 Days and 169 Days (End of Study)
    Time Frame
    29 Days and 169 Days (End of Study)
    Title
    Characterize safety laboratory values.
    Description
    Serum Chemistry assessments (ALT, AST, ALP, total bilirubin, creatinine, BUN, CRP, sodium and potassium, and chloride) at 29 Days and 169 Days (End of Study)
    Time Frame
    29 Days and 169 Days (End of Study)
    Title
    Characterize safety laboratory values.
    Description
    Serum Coagulation assessments (PT,PTT, and INR) at 29 Days and 169 Days (End of Study)
    Time Frame
    29 Days and 169 Days (End of Study)
    Title
    Characterize the adjuvant effect of SWE on HI antibody responses to homologous and heterologous influenza vaccine strains through HI antibody titer, peripheral blood mononuclear cell(PBMC), and exploratory laboratory assessments.
    Description
    HI antibody titers to the homologous strains included in the vaccines on Day 29 and Day 169
    Time Frame
    Day 29 and Day 169
    Title
    Characterize the adjuvant effect of SWE on HI antibody responses to homologous and heterologous influenza vaccine strains through HI antibody titer, peripheral blood mononuclear cell(PBMC), and exploratory laboratory assessments.
    Description
    HI antibody titers to the selected non vaccine (heterologous) strains on Day 29 and Day 169
    Time Frame
    Day 29 and Day 169

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Be willing to participate in the study, as demonstrated by signing the written informed consent form approved by the Ethics Committee/Institutional Review Board (EC/IRB) before any study procedure is performed. Be able to comprehend the full nature and purpose of the study, including possible risks. Be a healthy male or female without acute or chronic medical condition per the Investigator's judgement between 18 to 50 years of age (Part 1) and ≥65 years of age (Part 2) on the day of randomization, inclusive. Have a BMI between 18.0 kg/m2 and 32.0 kg/m2. BMI values should be rounded to the nearest integer (e.g., round down 32.4 to 32.0, round up 18.6 to 19.0). All female participants: have a negative pregnancy test or post-menopausal status. Postmenopausal status is defined as 12 months with no menses without alternative medical cause. Female participants of childbearing potential (Part 1): have a negative serum pregnancy test at screening and a negative urine pregnancy test on Day 1 prior to randomization, not breastfeeding, and willing to use highly effective methods of contraception 14 days before study drug administration through last scheduled follow up visit (End of Study). Male participants with female partners of child-bearing potential (Part 1): agree to use one of the following contraception methods from the day of randomization to the last follow-up visit of the partner: vasectomy with documentation of azoospermia, or male condom use; agree to not donate sperm prior to the last scheduled follow-up visit (End of Study). Be able to co-operate with the study staff and comply with the requirements of the study. Exclusion Criteria: Have a history of intolerance, hypersensitivity, or allergy to any component of the study products and/or have a history of anaphylaxis to any drug or vaccines. Have a history of Guillain-Barre Syndrome Have a clinically significant history of hepatic, renal, cardiovascular, or any other disease or disorder, including psychological or psychiatric, that in the investigator's opinion may increase the risk to the participant, and/or jeopardize the participant's compliance with the study procedures. Have a history of primary immunodeficiency or secondary immunodeficiency including HIV and anatomical or functional asplenia. Have one or more abnormal laboratory values at the screening visit that in the opinion of the Investigator, are clinically significant, including but not limited to the following: Alanine Aminotransferase (ALT) > 2 x upper limit of normal (ULN) Serum creatinine above the ULN Bilirubin > 2 x ULN Internal Normalized Ratio (INR), Prothrombin Time (PT), Partial Thromboplastin Time (PTT) above the ULN Hemoglobin < 12 g/dL in men, and <11 g/dL in women Platelets below the lower limit of normal (LLN) Have had clinical signs and symptoms consistent with Coronavirus Disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV2) infection-19 (COVID-19), i.e. fever, cough, dyspnea, sore throat, fatigue, loss of smell, loss of taste, or confirmed SARS-CoV-2 infection by appropriate laboratory test in the 1 month preceding the screening visit. Have had influenza-like illness (ILI) in the 3 months preceding the screening visit. ILI is defined as fever (oral temperature ≥37.8 C / ≥100 F) and cough or sore throat (CDC definition). Have received an investigational drug or vaccine in the 3 months preceding the screening visit, including COVID-19 investigational vaccine or treatment. Note: vaccination with an approved vaccine for the prevention of COVID-19 is allowed. Have taken immunosuppressants and oral or parenteral corticosteroids in the 6 months preceding the screening visit. Inhaled corticosteroids for asthma are allowed. Have received any influenza vaccine in the current and past season, i.e. in the 8 months preceding the screening visit. Have a history of drug or alcohol abuse in the 1 year preceding the screening visit. Have a history of basal cell carcinoma or non-invasive squamous cell carcinoma of the skin in the 1 year preceding the screening visit and/or a history of any other malignancy in the 5 years preceding the screening visit. Have any other condition or situation that in the investigator's opinion might increase the risk to the participant or jeopardize the participant's compliance with study procedures.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    BM Gates MRI
    Organizational Affiliation
    Bill & Melinda Gates Medical Research Institute
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Links:
    URL
    https://www.fda.gov/media/135432/download
    Description
    Fluad® Package Insert, 2021.

    Learn more about this trial

    Proof of Concept Trial of Adjuvant Activity of SWE, a Squalene-based -Oil-in-water Emulsion

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