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A Study to Evaluate the Safety, Reactogenicity and Immunogenicity of Vaccine CVSQIV in Healthy Adults

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
Panama
Study Type
Interventional
Intervention
CVSQIV
Sponsored by
CureVac
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Safety, Reactogenicity, Immunogenicity, Vaccine

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy male or female subjects between the ages of 18 and 55 years, inclusive, at enrollment (Younger Adults groups) or aged ≥65 years at enrollment (Older Adults groups). A healthy subject is defined as an individual who is in good general health, according to the Investigator's assessment. Chronic health conditions are acceptable if the condition is considered stable and well controlled with treatment according to the discretion of the Investigator.
  • Signed informed consent obtained before any trial procedures.
  • Expected to be compliant with protocol procedures and available for clinical follow-up through the last planned contact.
  • Physical examination without clinically significant findings according to the Investigator's assessment.
  • Body mass index (BMI) ≥18.0 and ≤32.0kg/m2.
  • Females: At the time of enrollment, negative human chorionic gonadotropin (hCG) pregnancy test (serum) for women presumed to be of childbearing potential on the day of enrollment. On Day 1 (pre-vaccination): negative urine pregnancy test (hCG), (only required if serum pregnancy test was performed more than 3 days before). Note: Women that are postmenopausal (defined as amenorrhea for ≥12 consecutive months prior to enrollment without an alternative medical cause) or permanently sterilized will be considered as not having reproductive potential.
  • Females of childbearing potential must use highly effective methods of birth control from 1 month before until 3 months after the trial vaccine administration. The following methods of birth control are considered highly effective when used consistently and correctly:

    • Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal);
    • Progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable);
    • Intrauterine devices;
    • Intrauterine hormone-releasing systems;
    • Bilateral tubal occlusion;
    • Vasectomized partner;
    • Same sex relationships.

Sexual abstinence (periodic abstinence [e.g., calendar, ovulation, symptothermal and post-ovulation methods] and withdrawal) are not acceptable methods.

Exclusion Criteria:

  • Use of any investigational or non-registered product (vaccine or drug) other than the trial vaccine within 28 days preceding the trial vaccine administration, or planned use during the trial.
  • Receipt of any influenza vaccine within 90 days of enrollment.
  • Receipt of any mRNA vaccine within 2 months of enrollment.
  • Receipt of any other vaccines within 28 days prior to enrollment or planned receipt of any vaccine within 28 days of trial vaccine administration.
  • Any treatment with immunosuppressants or other immune-modifying drugs (including, but not limited to, corticosteroids, biologicals and methotrexate) for >14 days total within 6 months prior to the trial vaccine administration or planned use during the trial, with the exception of inhaled or topically-applied steroids. For corticosteroid use, this means prednisone or equivalent, 0.5 mg/kg/day for 14 days or more.
  • Any medically diagnosed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination, including known human immunodeficiency virus infection.
  • Chronic hepatitis B virus infection and chronic hepatitis C virus infection.
  • History of pIMD
  • History of angioedema.
  • History of any neurological disorders or seizures including Guillain-Barré syndrome, with the exception of febrile seizures during childhood.
  • History of allergy to any component of CVSQIV, or to aminoglycoside or beta-lactam antibiotics.
  • History of any severe allergic reaction or anaphylactic reaction.
  • History of or current alcohol and/or drug abuse.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the trial vaccine administration.
  • Presence or evidence of significant acute or chronic medical or psychiatric illness.
  • Current or past malignancy, unless completely resolved without sequelae for >5 years.
  • For females: pregnancy or lactation.
  • Subjects with impaired coagulation or any bleeding disorder in whom an intramuscular injection or a blood draw is contraindicated.
  • Subjects employed by the Sponsor, Investigator or trial site, or relatives of research staff working on this trial.

Sites / Locations

  • International Vaccination and Research Center (CEVAXIN) Avenida Mexico, 33 Street
  • International Vaccination and Research Center (CEVAXIN) Panama Clinic, Ramon H Jurado Street, Pacific Center, Level 12
  • Unidad de Investigación Clínica INDICASAT AIP / Hospital Paitilla

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Younger Adults group aged 18-55 years

Adults group aged ≥65 years

Arm Description

Subjects will be enrolled in a staggered manner in up to 5 dose levels (provisional dose levels of 3, 6, 12, 20 and 28µg). All subjects will receive a single dose of CVSQIV on Day 1.

Subjects will be enrolled in a staggered manner in up to 5 dose levels (provisional dose levels of 3, 6, 12, 20 and 28µg). All subjects will receive a single dose of CVSQIV on Day 1.

Outcomes

Primary Outcome Measures

The frequencies of Grade 3 ARs and any SAR within at least 20 hours after the trial vaccine administration by dose level, for decisions on subsequent vaccination of additional sentinel subjects with the same dose level.
The frequencies of Grade 3 ARs and any SAR within at least 60 hours after the trial vaccine administration by dose level, for decisions on dose escalation as well as continuation of enrollment at the same dose level.
The frequencies, intensities and duration of solicited local ARs on the day of vaccination and the following 7 days by dose level, for the characterization of the safety and reactogenicity profile.
The frequencies, intensities, duration and relationship to trial vaccination of solicited systemic AEs on the day of vaccination and the following 7 days by dose level, for the characterization of the safety and reactogenicity profile.
The occurrence, intensities and relationship to trial vaccination of unsolicited AEs on the day of vaccination and the following 28 days by dose level, for the characterization of the safety and reactogenicity profile.
The occurrence and relationship to trial vaccination of SAEs and AESIs throughout the trial, for the characterization of the safety and reactogenicity profile.

Secondary Outcome Measures

For each antigen, the proportion of subjects with antigen-specific serum HAI assay titers.
For each antigen, geometric mean titers (GMTs) of antigen-specific HAI antibody titers.
For each antigen, the proportion of subjects with antigen-specific seroconversion measured by HAI assay.
For each antigen, the percentage of subjects with a post-vaccination HAI antibody titer ≥1:20, ≥1:40 and ≥1:80.

Full Information

First Posted
January 26, 2022
Last Updated
June 5, 2023
Sponsor
CureVac
Collaborators
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT05252338
Brief Title
A Study to Evaluate the Safety, Reactogenicity and Immunogenicity of Vaccine CVSQIV in Healthy Adults
Official Title
A Phase 1, Open-label, Dose-escalation, First-in-human, Clinical Trial to Evaluate the Safety, Reactogenicity and Immunogenicity of the Investigational Seasonal Quadrivalent Influenza mRNA Vaccine CVSQIV Administered Intramuscularly in Healthy Younger and Older Adults
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
February 7, 2022 (Actual)
Primary Completion Date
September 27, 2022 (Actual)
Study Completion Date
September 27, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CureVac
Collaborators
GlaxoSmithKline

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
This study aims to evaluate the safety and reactogenicity profile of CVSQIV at different dose levels.
Detailed Description
This is a Phase 1, open-label, dose-escalation FIH trial to evaluate the safety, reactogenicity and immunogenicity of different dose levels of CVSQIV using an adaptive dose-finding design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Safety, Reactogenicity, Immunogenicity, Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
240 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Younger Adults group aged 18-55 years
Arm Type
Experimental
Arm Description
Subjects will be enrolled in a staggered manner in up to 5 dose levels (provisional dose levels of 3, 6, 12, 20 and 28µg). All subjects will receive a single dose of CVSQIV on Day 1.
Arm Title
Adults group aged ≥65 years
Arm Type
Experimental
Arm Description
Subjects will be enrolled in a staggered manner in up to 5 dose levels (provisional dose levels of 3, 6, 12, 20 and 28µg). All subjects will receive a single dose of CVSQIV on Day 1.
Intervention Type
Biological
Intervention Name(s)
CVSQIV
Intervention Description
Participants will receive an intramuscular injection by needle in the deltoid area.
Primary Outcome Measure Information:
Title
The frequencies of Grade 3 ARs and any SAR within at least 20 hours after the trial vaccine administration by dose level, for decisions on subsequent vaccination of additional sentinel subjects with the same dose level.
Time Frame
up to day 2
Title
The frequencies of Grade 3 ARs and any SAR within at least 60 hours after the trial vaccine administration by dose level, for decisions on dose escalation as well as continuation of enrollment at the same dose level.
Time Frame
up to day 3
Title
The frequencies, intensities and duration of solicited local ARs on the day of vaccination and the following 7 days by dose level, for the characterization of the safety and reactogenicity profile.
Time Frame
up to day 8
Title
The frequencies, intensities, duration and relationship to trial vaccination of solicited systemic AEs on the day of vaccination and the following 7 days by dose level, for the characterization of the safety and reactogenicity profile.
Time Frame
up to day 8
Title
The occurrence, intensities and relationship to trial vaccination of unsolicited AEs on the day of vaccination and the following 28 days by dose level, for the characterization of the safety and reactogenicity profile.
Time Frame
up to day 29
Title
The occurrence and relationship to trial vaccination of SAEs and AESIs throughout the trial, for the characterization of the safety and reactogenicity profile.
Time Frame
through study completion, an average of 6 months
Secondary Outcome Measure Information:
Title
For each antigen, the proportion of subjects with antigen-specific serum HAI assay titers.
Time Frame
On Day 22 and Day 183
Title
For each antigen, geometric mean titers (GMTs) of antigen-specific HAI antibody titers.
Time Frame
On Day 22 and Day 183
Title
For each antigen, the proportion of subjects with antigen-specific seroconversion measured by HAI assay.
Time Frame
On Day 22 and Day 183
Title
For each antigen, the percentage of subjects with a post-vaccination HAI antibody titer ≥1:20, ≥1:40 and ≥1:80.
Time Frame
On Day 22 and Day 183

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or female subjects between the ages of 18 and 55 years, inclusive, at enrollment (Younger Adults groups) or aged ≥65 years at enrollment (Older Adults groups). A healthy subject is defined as an individual who is in good general health, according to the Investigator's assessment. Chronic health conditions are acceptable if the condition is considered stable and well controlled with treatment according to the discretion of the Investigator. Signed informed consent obtained before any trial procedures. Expected to be compliant with protocol procedures and available for clinical follow-up through the last planned contact. Physical examination without clinically significant findings according to the Investigator's assessment. Body mass index (BMI) ≥18.0 and ≤32.0kg/m2. Females: At the time of enrollment, negative human chorionic gonadotropin (hCG) pregnancy test (serum) for women presumed to be of childbearing potential on the day of enrollment. On Day 1 (pre-vaccination): negative urine pregnancy test (hCG), (only required if serum pregnancy test was performed more than 3 days before). Note: Women that are postmenopausal (defined as amenorrhea for ≥12 consecutive months prior to enrollment without an alternative medical cause) or permanently sterilized will be considered as not having reproductive potential. Females of childbearing potential must use highly effective methods of birth control from 1 month before until 3 months after the trial vaccine administration. The following methods of birth control are considered highly effective when used consistently and correctly: Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal); Progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable); Intrauterine devices; Intrauterine hormone-releasing systems; Bilateral tubal occlusion; Vasectomized partner; Same sex relationships. Sexual abstinence (periodic abstinence [e.g., calendar, ovulation, symptothermal and post-ovulation methods] and withdrawal) are not acceptable methods. Exclusion Criteria: Use of any investigational or non-registered product (vaccine or drug) other than the trial vaccine within 28 days preceding the trial vaccine administration, or planned use during the trial. Receipt of any influenza vaccine within 90 days of enrollment. Receipt of any mRNA vaccine within 2 months of enrollment. Receipt of any other vaccines within 28 days prior to enrollment or planned receipt of any vaccine within 28 days of trial vaccine administration. Any treatment with immunosuppressants or other immune-modifying drugs (including, but not limited to, corticosteroids, biologicals and methotrexate) for >14 days total within 6 months prior to the trial vaccine administration or planned use during the trial, with the exception of inhaled or topically-applied steroids. For corticosteroid use, this means prednisone or equivalent, 0.5 mg/kg/day for 14 days or more. Any medically diagnosed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination, including known human immunodeficiency virus infection. Chronic hepatitis B virus infection and chronic hepatitis C virus infection. History of pIMD History of angioedema. History of any neurological disorders or seizures including Guillain-Barré syndrome, with the exception of febrile seizures during childhood. History of allergy to any component of CVSQIV, or to aminoglycoside or beta-lactam antibiotics. History of any severe allergic reaction or anaphylactic reaction. History of or current alcohol and/or drug abuse. Administration of immunoglobulins and/or any blood products within the 3 months preceding the trial vaccine administration. Presence or evidence of significant acute or chronic medical or psychiatric illness. Current or past malignancy, unless completely resolved without sequelae for >5 years. For females: pregnancy or lactation. Subjects with impaired coagulation or any bleeding disorder in whom an intramuscular injection or a blood draw is contraindicated. Subjects employed by the Sponsor, Investigator or trial site, or relatives of research staff working on this trial.
Facility Information:
Facility Name
International Vaccination and Research Center (CEVAXIN) Avenida Mexico, 33 Street
City
Panama
State/Province
Calidonia, Panama City
Country
Panama
Facility Name
International Vaccination and Research Center (CEVAXIN) Panama Clinic, Ramon H Jurado Street, Pacific Center, Level 12
City
Panama
Country
Panama
Facility Name
Unidad de Investigación Clínica INDICASAT AIP / Hospital Paitilla
City
Panama
Country
Panama

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Safety, Reactogenicity and Immunogenicity of Vaccine CVSQIV in Healthy Adults

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