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Efficacy, Immunogenicity and Safety of OVX836 Influenza Vaccine 480μg

Primary Purpose

Influenza

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
OVX836 480µg
Saline Solution
Sponsored by
Osivax
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Written informed consent
  2. Healthy male or female subjects, as determined by medical history and medical examination.
  3. Between the ages of 18 and 55 years, inclusive.
  4. Reliable and willing to make themselves available for the duration of the study, and willing and able to follow study procedures
  5. Able to read, understand and complete an electronic Diary and electronic Patient Reported Outcome, and availability of a person who can complete the electronic Diary/electronic Patient Reported Outcome in case of illness.

Exclusion Criteria:

  1. Previous influenza vaccination within 6 months before the day of vaccination or planned to receive influenza vaccination during the whole study period.
  2. Formal indication for influenza vaccination on an individual basis according to local recommendations, for example based on occupational risk, or underlying medical conditions.
  3. Any known or suspected immunodeficient conditions.
  4. Past or current history of significant autoimmune diseases, as judged by the Investigator.
  5. Known or suspected infection with human immunodeficiency virus, hepatitis C virus, or hepatitis B virus.
  6. Current history of significant uncontrolled medical illness such as diabetes, hypertension, heart, renal or hepatic diseases, as judged by the Investigator.
  7. Planned gender reassignment during the study.
  8. Having received another vaccination within 3 months prior to the day of study vaccination for live attenuated vaccines, or within 1 month prior to the day of study vaccination for inactivated vaccines, except Severe Acute Respiratory Syndrome Coronavirus-2 (COVID-19) vaccine.
  9. Planning to receive other vaccines during the first 28 days following the study vaccine administration.
  10. Having received a COVID-19 vaccination within 2 weeks prior to the day of study vaccination.
  11. Planning to receive COVID-19 vaccine during the first week (within 7 days) following the study vaccine administration. An interval of preferably 14 days is recommended. If for scheduling reasons, COVID-19 vaccine has to be given on Day 8, the vaccination should be administered after completion of the study procedures.
  12. Administration of any investigational or non-registered drug or vaccine within 3 months prior to the administration of study vaccines, or planned administration of any such product during the whole study period.
  13. History of receiving blood, blood components or immunoglobulins within 3 months prior to the day of vaccination, or planned to receive such product during the whole study period.
  14. Presence of an acute febrile illness on the day of planned vaccination (oral temperature >38.0°C; temporary exclusion criterion).
  15. Ongoing or recently recovered long COVID.
  16. Presence of a condition in the ear-nose-throat area, such as nasal septum deviation, atrophic rhinitis, etc…, that could render nasal and nasopharyngeal swabs more difficult to perform, or increase the risk of bleeding; to be confirmed by medical history question and inspection of nasal passage.
  17. Past or current history of any progressive or severe uncontrolled neurological disorder, seizure disorder or Guillain-Barré syndrome.
  18. Behavioral or cognitive impairment, or psychiatric disease that, in the opinion of the Investigator, may interfere with the subject's ability to participate in the study.
  19. Past (stopped less than 6 months before enrolment) or current smoking habit above 10 cigarettes per day.
  20. Past (stopped less than 6 months before enrolment) or current history of alcohol abuse or use of recreational drugs.
  21. Treatment that can affect immune response such as systemic or high dose inhaled corticosteroids (>800 μg/day beclomethasone or equivalent; occasional inhaled corticosteroids for asthma therapy are allowed), radiation treatment, cytotoxic drugs, or current or recent (within 30 days before study entry) chronic or prolonged (>10 days) use of systemic non-steroidal anti-inflammatory drugs, acetylsalicylic acid, paracetamol, ibuprofen, interferon, immunomodulators, allergy shots, as judged by the Investigator. Occasional, non-continuous use of acetylsalicylic acid, paracetamol, ibuprofen or non-steroidal anti-inflammatory drugs on an as-needed basis is allowed.
  22. Prophylactic or therapeutic use of any anti(retro)virals during the study.
  23. History of severe allergic reactions and/or anaphylaxis, or serious adverse reactions to vaccines or allergy to kanamycin.
  24. Any contraindication to intramuscular administration, as judged by the Investigator.
  25. Individuals with history of any illness that, in the opinion of the Investigator, might interfere with the results of the study, or pose additional risk to the subjects due to participation in the study, either directly or through any treatments administered for that illness.
  26. Technical difficulties or other inability to use of an eDiary.
  27. Sponsor employees or Investigator site personnel directly affiliated with this study, and their immediate families. Immediate family is defined as a spouse (or assimilated), parent, child or sibling, whether biological or legally adopted.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    OVX836 480µg

    Placebo

    Arm Description

    Adjuvant-free recombinant influenza candidate vaccine based on Nucleoprotein in the influenza virus. One single administration intramuscularly of 480µg dose on Day1.

    Saline solution (B. Braun Ecoflac Plus) Saline solution (Nacl 0.9%), B. Braun Ecoflac Plus 50mL. One single administration intramuscularly of a 0.8mL dose on Day1.

    Outcomes

    Primary Outcome Measures

    First occurrence of RT-PCR-confirmed influenza Type A symptomatic disease

    Secondary Outcome Measures

    First occurrence of RT-PCR-confirmed influenza symptomatic disease irrespective of strain/type.
    First of occurrence of RT-PCR-confirmed influenza Type B symptomatic disease
    Number of subtype of virus in RT-PCR-confirmed influenza Type A cases.
    Severity and duration of Influenza Like Illness episodes
    First occurence of clinical influenza-like disease irrespective of causal agent
    Number of occurence of solicited local and systemic signs and symptoms
    Number of occurence of subjects reporting unsolicited AEs
    Number of occurence of subjects reporting Serious Adverse Events
    Cell-mediated immune response in Peripheral Blood Mononuclear Cells, measured by Interferon Gamma Enzyme-Linked Immunospot Assay.
    Elispot
    Number and percentage of subjects with NP-specific T-cell measured by Interferon Gamma Enzyme-Linked Immunospot Assay.
    Elispot
    Percentage of NP specific CD4+ and CD8+ T-cell measured by flow cytometry on PBMCs as expressing IL-2, TNFα and/or IFNγ at pre-injection baseline (Day 1)
    ICS
    Number and percentage of subjects with a percentage of NP specific CD4+ and CD8+ T-cell expressing IL-2, TNFα and/or IFNγ at Day 8 or Day 29 higher than the percentile 95 of the pre-injection baseline (Day 1)
    ICS
    Geometric Mean Titer of anti-Nucleoprotein immunoglobulin G (Enzyme-Linked Immunosorbent Assay, serum).
    Elisa
    Number and percentage of subjects with a four-fold increase of anti-Nucleoprotein immunoglobulin G (Enzyme-Linked Immunosorbent Assay, serum) titre with respect to pre-injection baseline (Day 1)
    Elisa

    Full Information

    First Posted
    October 3, 2022
    Last Updated
    October 5, 2022
    Sponsor
    Osivax
    Collaborators
    Hôpital Cochin, Clinact
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05569239
    Brief Title
    Efficacy, Immunogenicity and Safety of OVX836 Influenza Vaccine 480μg
    Official Title
    Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Immunogenicity and Safety of One Dose of OVX836 Influenza Vaccine 480μg, After Intramuscular Administration in Healthy Subjects Aged 18-55 Years
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 1, 2023 (Anticipated)
    Primary Completion Date
    December 1, 2023 (Anticipated)
    Study Completion Date
    July 1, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Osivax
    Collaborators
    Hôpital Cochin, Clinact

    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 present study will evaluate the efficacy, immunogenicity and safety of one dose of OVX836 influenza vaccine 480μg, after intramuscular administration in healthy subjects aged 18-55 years.
    Detailed Description
    This Phase 2b proof-of-concept field efficacy study is designed as a randomized, double-blind, parallel groups, placebo-controlled, multi-country, multicenter clinical trial, with adaptive design in terms of number of subjects vaccinated and influenza seasons followed-up. This design of prospective interventional trial is the gold standard in evaluating absolute efficacy of a product in preventing a disease or an outcome. An adequate number of observations is ensured by the multicenter approach.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Model Description
    A total number of 1,500 subjects are planned to be randomized (in a 1:1 ratio) into 2 groups to receive a single intramuscular injection of either OVX836 (480μg) or placebo.
    Masking
    ParticipantInvestigator
    Masking Description
    Double blind
    Allocation
    Randomized
    Enrollment
    1500 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    OVX836 480µg
    Arm Type
    Experimental
    Arm Description
    Adjuvant-free recombinant influenza candidate vaccine based on Nucleoprotein in the influenza virus. One single administration intramuscularly of 480µg dose on Day1.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Saline solution (B. Braun Ecoflac Plus) Saline solution (Nacl 0.9%), B. Braun Ecoflac Plus 50mL. One single administration intramuscularly of a 0.8mL dose on Day1.
    Intervention Type
    Biological
    Intervention Name(s)
    OVX836 480µg
    Intervention Description
    One single administration intramuscularly at Day 1.
    Intervention Type
    Biological
    Intervention Name(s)
    Saline Solution
    Intervention Description
    One single administration intramuscularly at Day 1.
    Primary Outcome Measure Information:
    Title
    First occurrence of RT-PCR-confirmed influenza Type A symptomatic disease
    Time Frame
    During the whole study duration, up to 270 days
    Secondary Outcome Measure Information:
    Title
    First occurrence of RT-PCR-confirmed influenza symptomatic disease irrespective of strain/type.
    Time Frame
    During the whole study duration, up to 270 daysDuring the whole study duration, up to 270 days
    Title
    First of occurrence of RT-PCR-confirmed influenza Type B symptomatic disease
    Time Frame
    During the whole study duration, up to 270 days
    Title
    Number of subtype of virus in RT-PCR-confirmed influenza Type A cases.
    Time Frame
    During the whole study duration, up to 270 days
    Title
    Severity and duration of Influenza Like Illness episodes
    Time Frame
    During the whole study duration, up to 270 days
    Title
    First occurence of clinical influenza-like disease irrespective of causal agent
    Time Frame
    During the whole study duration, up to 270 days
    Title
    Number of occurence of solicited local and systemic signs and symptoms
    Time Frame
    During 7 days after vaccine administration
    Title
    Number of occurence of subjects reporting unsolicited AEs
    Time Frame
    During 29 days after vaccine administration
    Title
    Number of occurence of subjects reporting Serious Adverse Events
    Time Frame
    During the whole study period, 270 days
    Title
    Cell-mediated immune response in Peripheral Blood Mononuclear Cells, measured by Interferon Gamma Enzyme-Linked Immunospot Assay.
    Description
    Elispot
    Time Frame
    At Day 1, Day 8 and Day 29
    Title
    Number and percentage of subjects with NP-specific T-cell measured by Interferon Gamma Enzyme-Linked Immunospot Assay.
    Description
    Elispot
    Time Frame
    At Day 8 and Day 29
    Title
    Percentage of NP specific CD4+ and CD8+ T-cell measured by flow cytometry on PBMCs as expressing IL-2, TNFα and/or IFNγ at pre-injection baseline (Day 1)
    Description
    ICS
    Time Frame
    At Day 1 and Day 8
    Title
    Number and percentage of subjects with a percentage of NP specific CD4+ and CD8+ T-cell expressing IL-2, TNFα and/or IFNγ at Day 8 or Day 29 higher than the percentile 95 of the pre-injection baseline (Day 1)
    Description
    ICS
    Time Frame
    At Day 8 and Day 29
    Title
    Geometric Mean Titer of anti-Nucleoprotein immunoglobulin G (Enzyme-Linked Immunosorbent Assay, serum).
    Description
    Elisa
    Time Frame
    At Day 1, Day 8 and Day 29
    Title
    Number and percentage of subjects with a four-fold increase of anti-Nucleoprotein immunoglobulin G (Enzyme-Linked Immunosorbent Assay, serum) titre with respect to pre-injection baseline (Day 1)
    Description
    Elisa
    Time Frame
    At Day 8 and Day 29

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Written informed consent Healthy male or female subjects, as determined by medical history and medical examination. Between the ages of 18 and 55 years, inclusive. Reliable and willing to make themselves available for the duration of the study, and willing and able to follow study procedures Able to read, understand and complete an electronic Diary and electronic Patient Reported Outcome, and availability of a person who can complete the electronic Diary/electronic Patient Reported Outcome in case of illness. Exclusion Criteria: Previous influenza vaccination within 6 months before the day of vaccination or planned to receive influenza vaccination during the whole study period. Formal indication for influenza vaccination on an individual basis according to local recommendations, for example based on occupational risk, or underlying medical conditions. Any known or suspected immunodeficient conditions. Past or current history of significant autoimmune diseases, as judged by the Investigator. Known or suspected infection with human immunodeficiency virus, hepatitis C virus, or hepatitis B virus. Current history of significant uncontrolled medical illness such as diabetes, hypertension, heart, renal or hepatic diseases, as judged by the Investigator. Planned gender reassignment during the study. Having received another vaccination within 3 months prior to the day of study vaccination for live attenuated vaccines, or within 1 month prior to the day of study vaccination for inactivated vaccines, except Severe Acute Respiratory Syndrome Coronavirus-2 (COVID-19) vaccine. Planning to receive other vaccines during the first 28 days following the study vaccine administration. Having received a COVID-19 vaccination within 2 weeks prior to the day of study vaccination. Planning to receive COVID-19 vaccine during the first week (within 7 days) following the study vaccine administration. An interval of preferably 14 days is recommended. If for scheduling reasons, COVID-19 vaccine has to be given on Day 8, the vaccination should be administered after completion of the study procedures. Administration of any investigational or non-registered drug or vaccine within 3 months prior to the administration of study vaccines, or planned administration of any such product during the whole study period. History of receiving blood, blood components or immunoglobulins within 3 months prior to the day of vaccination, or planned to receive such product during the whole study period. Presence of an acute febrile illness on the day of planned vaccination (oral temperature >38.0°C; temporary exclusion criterion). Ongoing or recently recovered long COVID. Presence of a condition in the ear-nose-throat area, such as nasal septum deviation, atrophic rhinitis, etc…, that could render nasal and nasopharyngeal swabs more difficult to perform, or increase the risk of bleeding; to be confirmed by medical history question and inspection of nasal passage. Past or current history of any progressive or severe uncontrolled neurological disorder, seizure disorder or Guillain-Barré syndrome. Behavioral or cognitive impairment, or psychiatric disease that, in the opinion of the Investigator, may interfere with the subject's ability to participate in the study. Past (stopped less than 6 months before enrolment) or current smoking habit above 10 cigarettes per day. Past (stopped less than 6 months before enrolment) or current history of alcohol abuse or use of recreational drugs. Treatment that can affect immune response such as systemic or high dose inhaled corticosteroids (>800 μg/day beclomethasone or equivalent; occasional inhaled corticosteroids for asthma therapy are allowed), radiation treatment, cytotoxic drugs, or current or recent (within 30 days before study entry) chronic or prolonged (>10 days) use of systemic non-steroidal anti-inflammatory drugs, acetylsalicylic acid, paracetamol, ibuprofen, interferon, immunomodulators, allergy shots, as judged by the Investigator. Occasional, non-continuous use of acetylsalicylic acid, paracetamol, ibuprofen or non-steroidal anti-inflammatory drugs on an as-needed basis is allowed. Prophylactic or therapeutic use of any anti(retro)virals during the study. History of severe allergic reactions and/or anaphylaxis, or serious adverse reactions to vaccines or allergy to kanamycin. Any contraindication to intramuscular administration, as judged by the Investigator. Individuals with history of any illness that, in the opinion of the Investigator, might interfere with the results of the study, or pose additional risk to the subjects due to participation in the study, either directly or through any treatments administered for that illness. Technical difficulties or other inability to use of an eDiary. Sponsor employees or Investigator site personnel directly affiliated with this study, and their immediate families. Immediate family is defined as a spouse (or assimilated), parent, child or sibling, whether biological or legally adopted.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Odile Launay
    Phone
    +33 (0)1 58 41 28 60
    Email
    secretariat.cic@cch.aphp.fr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Odile Launay
    Organizational Affiliation
    Paris Cochin, Centre d'Investigation Clinique (CIC) de Vaccinologie Cochin-Pasteur (CIC VCP)
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Efficacy, Immunogenicity and Safety of OVX836 Influenza Vaccine 480μg

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