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Safety and Immunogenicity of CHIKV VLP Vaccine PXVX0317 in Adults ≥65 Years

Primary Purpose

Chikungunya Virus

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
CHIKV VLP/adjuvant
Placebo
Sponsored by
Bavarian Nordic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Chikungunya Virus focused on measuring chikungunya, virus like particle (VLP), PXVX0317, vaccine, immunogenicity

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Able and willing to provide informed consent voluntarily signed by participant. Must verbalize understanding of the general procedures of, and reason for the study.
  • Males or females, ≥65 years of age.
  • Able to complete all scheduled visits and comply with all study procedures.
  • Women who are not of childbearing potential (CBP): surgically sterile (at least six weeks post bilateral tubal ligation, bilateral oophorectomy or hysterectomy); or post-menopausal (defined as a history of ≥12 consecutive months without menses prior to randomization in the absence of other pathologic or physiologic causes, following cessation of exogenous post menopausal sex-hormonal treatment).
  • Participants must be in stable health in the opinion of the Investigator for at least 30 days prior to screening (e.g., no hospital admission for acute illness in the last 30 days prior to screening).

Exclusion Criteria:

  • Participation or planned participation in an investigational clinical trial (e.g., vaccine, drug, medical device, or medical procedure) within 30 days of Day 1 and for the duration of the study. Note: Participation in an observational trial or follow-up phase of a trial may be allowed; however, these instances should be discussed with the Sponsor's Medical Monitor (MM) prior to enrollment.
  • Prior receipt of any CHIKV vaccine.
  • Positive laboratory evidence of current infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV).
  • Body Mass Index (BMI) ≥35 kg/m^2
  • History of any known or suspected allergy or history of anaphylaxis to any component of the investigational product (IP).
  • History of any known congenital or acquired immunodeficiency or immunosuppressive condition that could impact response to vaccination (e.g., leukemia, lymphoma, malignancy, functional or anatomic asplenia, alcoholic cirrhosis). Note: History of basal cell and squamous cell carcinoma of the skin or carcinoma in situ of the cervix considered cured would not be exclusionary. History of a malignancy considered cured from over five years from the date of screening with minimal risk of recurrence is not exclusionary.
  • Prior or anticipated use of systemic immunomodulatory or immunosuppressive medications from six months prior to screening through Day 22. Note: Systemic corticosteroid use at a dose or equivalent dose of 20 mg of prednisone daily for 14 days or more within 90 days of screening through Day 22 is exclusionary. The use of inhaled, intranasal, topical, or ocular steroids is allowed.
  • Bleeding disorder or receipt of anticoagulants in the 21 days prior to screening, contraindicating intramuscular (IM) vaccination, as judged by the Investigator.
  • Moderate or severe acute illness with or without fever (oral temperature ≥100.4°F or 38.0°C).
  • Receipt or anticipated receipt of immunoglobulin from 180 days prior to screening through Day 22.
  • Medical condition (such as dementia) that, in the opinion of the Investigator, could adversely impact the participant's participation in or conduct of the study.
  • Evidence of substance abuse that, in the opinion of the Investigator, could adversely impact the participant's participation in or conduct of the study.
  • Identified as an Investigator or employee of an Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse) of the Investigator or employee with direct involvement in the proposed study.
  • Receipt or anticipated receipt of any vaccine from 30 days prior to Day 1 through Day 22.
  • Receipt or anticipated receipt of blood or blood-derived products from 90 days prior to screening through Day 22.
  • Any planned elective surgery that may interfere with study participation or conduct.
  • Any other medical condition that, in the opinion of the Investigator, could adversely impact the participant's participation in or conduct of the study.

Sites / Locations

  • Panax Clinical Research
  • Suncoast Research Associates, LLC
  • Global Clinical Research Professionals (GCP)
  • AMR Kansas City
  • Rochester Clinical Research, Inc.
  • Coastal Carolina Research Center
  • DM Clinical Research CyFair
  • BHFC Research
  • DM Clinical Research Tomball
  • Spaulding Clinical

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Group 1 - PXVX0317

Group 2 - Placebo

Arm Description

Outcomes

Primary Outcome Measures

Anti-CHIKV SNA seroresponse rates at Day 22 in baseline seronegative participants
Difference in anti-CHIKV SNA seroresponse rate (PXVX0317 minus placebo) and associated 95% confidence interval (CI) at Day 22.
Anti-CHIKV SNA GMTs at Day 22
Anti-CHIKV SNA GMT and associated 95% CIs at Day 22 for PXVX0317 and placebo.
Incidence of solicited adverse events (AE)
Incidence of solicited AEs through Day 8
Incidence of unsolicited AEs
Incidence of unsolicited AEs through Day 29
Incidence of Serious Adverse Events (SAE)
Incidence of SAEs through Day 183
Incidence of Medically Attended Adverse Events (MAAE)
Incidence of MAAEs through Day 183
Incidence of Adverse Events of Special Interest (AESI)
Incidence of AESI through Day 183

Secondary Outcome Measures

Anti-CHIKV SNA seroresponse rates at Days 15 and 183
Difference in anti-CHIKV SNA seroresponse rate (PXVX0317 minus placebo) with associated 95% CIs at Day 15 and Day 183.
Anti-CHIKV SNA GMTs at Days 15 and 183
Anti-CHIKV SNA GMTs by study arm with associated 95% CIs at Day 15 and Day 183.
Anti-CHIKV SNA Geometric Mean Fold Increase (GMFI)
Geometric mean fold increase (GMFI) from Day 1 to subsequent collection time points.
Subjects with anti-CHIKV SNA titer ≥15 and 4-fold rise over baseline
Number and percentage of participants with an anti-CHIKV SNA titer ≥15 and 4-fold rise over baseline.

Full Information

First Posted
April 21, 2022
Last Updated
September 8, 2023
Sponsor
Bavarian Nordic
Collaborators
Catalyst Clinical Research, LLC, Emergent BioSolutions
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1. Study Identification

Unique Protocol Identification Number
NCT05349617
Brief Title
Safety and Immunogenicity of CHIKV VLP Vaccine PXVX0317 in Adults ≥65 Years
Official Title
A Phase 3 Safety and Immunogenicity Trial of the VLP-Based Chikungunya Virus Vaccine PXVX0317 in Adults ≥65 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
May 12, 2022 (Actual)
Primary Completion Date
June 19, 2023 (Actual)
Study Completion Date
August 8, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bavarian Nordic
Collaborators
Catalyst Clinical Research, LLC, Emergent BioSolutions

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
The purpose of this phase 3, randomized, double-blind, placebo-controlled study is to evaluate the safety and immunogenicity to PXVX0317 in adults ≥65 years of age.
Detailed Description
Co-primary Objectives: To compare the anti-CHIKV serum neutralizing antibody (SNA) response to PXVX0317 and placebo at Day 22, as measured by geometric mean titer (GMT) and clinically relevant difference in seroresponse rate (PXVX0317 minus placebo) in adults ≥65 years of age. To evaluate the safety of PXVX0317 in adults ≥65 years of age Secondary Objectives: To compare the anti-CHIKV SNA response to PXVX0317 and placebo at Day 15 and Day 183, as measured by GMT and seroresponse rate. To compare the anti-CHIKV SNA response to PXVX0317 and placebo in participants ≥65 to <75 and ≥75 years of age as measured by GMT and seroresponse rate.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chikungunya Virus
Keywords
chikungunya, virus like particle (VLP), PXVX0317, vaccine, immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Participants will be randomized in a 1:1 ratio to receive PXVX0317 or placebo within each age stratum. Participants will be stratified in two age subgroups (≥65 to <75 and ≥75 years of age). This study will be conducted in the US, using up to 10 sites.
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
413 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 - PXVX0317
Arm Type
Experimental
Arm Title
Group 2 - Placebo
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
CHIKV VLP/adjuvant
Intervention Description
PXVX0317 vaccine is comprised of chikungunya virus-like particles (CHIKV VLP), adsorbed on aluminum hydroxide adjuvant 2%
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo is comprised of formulation buffer
Primary Outcome Measure Information:
Title
Anti-CHIKV SNA seroresponse rates at Day 22 in baseline seronegative participants
Description
Difference in anti-CHIKV SNA seroresponse rate (PXVX0317 minus placebo) and associated 95% confidence interval (CI) at Day 22.
Time Frame
21 days post vaccination
Title
Anti-CHIKV SNA GMTs at Day 22
Description
Anti-CHIKV SNA GMT and associated 95% CIs at Day 22 for PXVX0317 and placebo.
Time Frame
21 days post vaccination
Title
Incidence of solicited adverse events (AE)
Description
Incidence of solicited AEs through Day 8
Time Frame
7 days post vaccination
Title
Incidence of unsolicited AEs
Description
Incidence of unsolicited AEs through Day 29
Time Frame
28 days post vaccination
Title
Incidence of Serious Adverse Events (SAE)
Description
Incidence of SAEs through Day 183
Time Frame
182 days post vaccination
Title
Incidence of Medically Attended Adverse Events (MAAE)
Description
Incidence of MAAEs through Day 183
Time Frame
182 days post vaccination
Title
Incidence of Adverse Events of Special Interest (AESI)
Description
Incidence of AESI through Day 183
Time Frame
182 days post vaccination
Secondary Outcome Measure Information:
Title
Anti-CHIKV SNA seroresponse rates at Days 15 and 183
Description
Difference in anti-CHIKV SNA seroresponse rate (PXVX0317 minus placebo) with associated 95% CIs at Day 15 and Day 183.
Time Frame
182 days post vaccination
Title
Anti-CHIKV SNA GMTs at Days 15 and 183
Description
Anti-CHIKV SNA GMTs by study arm with associated 95% CIs at Day 15 and Day 183.
Time Frame
182 days post vaccination
Title
Anti-CHIKV SNA Geometric Mean Fold Increase (GMFI)
Description
Geometric mean fold increase (GMFI) from Day 1 to subsequent collection time points.
Time Frame
182 days post vaccination
Title
Subjects with anti-CHIKV SNA titer ≥15 and 4-fold rise over baseline
Description
Number and percentage of participants with an anti-CHIKV SNA titer ≥15 and 4-fold rise over baseline.
Time Frame
182 days post vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Able and willing to provide informed consent voluntarily signed by participant. Must verbalize understanding of the general procedures of, and reason for the study. Males or females, ≥65 years of age. Able to complete all scheduled visits and comply with all study procedures. Women who are not of childbearing potential (CBP): surgically sterile (at least six weeks post bilateral tubal ligation, bilateral oophorectomy or hysterectomy); or postmenopausal (defined as a history of ≥12 consecutive months without menses prior to randomization in the absence of other pathologic or physiologic causes, following cessation of exogenous post menopausal sex-hormonal treatment). Participants must be in stable health in the opinion of the investigator for at least 30 days prior to screening (eg, no hospital admission for acute illness in the last 30 days prior to screening). Exclusion Criteria: Participation or planned participation in an investigational clinical trial (eg, vaccine, drug, medical device, or medical procedure) within 30 days of Day 1 and for the duration of the study. Note: Participation in an observational trial or follow-up phase of a trial may be allowed; however, these instances should be discussed with the sponsor's medical monitor (MM) prior to enrollment. Prior receipt of any CHIKV vaccine. Positive laboratory evidence of current infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV). Body mass index (BMI) ≥35 kg/m^2 History of any known or suspected allergy or history of anaphylaxis to any component of the investigational product (IP). History of any known congenital or acquired immunodeficiency or immunosuppressive condition that could impact response to vaccination (eg, leukemia, lymphoma, malignancy, functional or anatomic asplenia, alcoholic cirrhosis). Note: History of basal cell and squamous cell carcinoma of the skin or carcinoma in situ of the cervix considered cured would not be exclusionary. History of a malignancy considered cured from over five years from the date of screening with minimal risk of recurrence is not exclusionary. Prior or anticipated use of systemic immunomodulatory or immunosuppressive medications from six months prior to screening through Day 22. Note: Systemic corticosteroid use at a dose or equivalent dose of 20 mg of prednisone daily for 14 days or more within 90 days of screening through Day 22 is exclusionary. The use of inhaled, intranasal, topical, or ocular steroids is allowed. Bleeding disorder or receipt of anticoagulants in the 21 days prior to screening, contraindicating intramuscular (IM) vaccination, as judged by the investigator. Moderate or severe acute illness with or without fever (oral temperature ≥100.4°F or 38.0°C). Receipt or anticipated receipt of immunoglobulin from 180 days prior to screening through Day 22. Medical condition (such as dementia) that, in the opinion of the investigator, could adversely impact the participant's participation in or conduct of the study. Evidence of substance abuse that, in the opinion of the investigator, could adversely impact the participant's participation in or conduct of the study. Identified as an investigator or employee of an Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse) of the investigator or employee with direct involvement in the proposed study. Receipt or anticipated receipt of any vaccine from 30 days prior to Day 1 through Day 22. Receipt or anticipated receipt of blood or blood-derived products from 90 days prior to screening through Day 22. Any planned elective surgery that may interfere with study participation or conduct. Any other medical condition that, in the opinion of the investigator, could adversely impact the participant's participation in or conduct of the study.
Facility Information:
Facility Name
Panax Clinical Research
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Suncoast Research Associates, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
Global Clinical Research Professionals (GCP)
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33705
Country
United States
Facility Name
AMR Kansas City
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
Rochester Clinical Research, Inc.
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
Coastal Carolina Research Center
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29405
Country
United States
Facility Name
DM Clinical Research CyFair
City
Houston
State/Province
Texas
ZIP/Postal Code
77065
Country
United States
Facility Name
BHFC Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78249
Country
United States
Facility Name
DM Clinical Research Tomball
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
Spaulding Clinical
City
West Bend
State/Province
Wisconsin
ZIP/Postal Code
53095
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
35709798
Citation
Bennett SR, McCarty JM, Ramanathan R, Mendy J, Richardson JS, Smith J, Alexander J, Ledgerwood JE, de Lame PA, Royalty Tredo S, Warfield KL, Bedell L. Safety and immunogenicity of PXVX0317, an aluminium hydroxide-adjuvanted chikungunya virus-like particle vaccine: a randomised, double-blind, parallel-group, phase 2 trial. Lancet Infect Dis. 2022 Sep;22(9):1343-1355. doi: 10.1016/S1473-3099(22)00226-2. Epub 2022 Jun 13.
Results Reference
derived

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Safety and Immunogenicity of CHIKV VLP Vaccine PXVX0317 in Adults ≥65 Years

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