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Safety, Tolerability and Immunogenicity of an Inactivated Whole-cell Pneumococcal Vaccine Gamma-PN3.

Primary Purpose

Pneumococcal Infections

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Gamma-PN3
Prevenar-13
Pneumovax-23
Placebo
Sponsored by
GPN Vaccines
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pneumococcal Infections

Eligibility Criteria

50 Years - 69 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Male or female volunteers aged 50 to 69 years inclusive at Screening. In good health as determined by the outcome of medical history, physical examination, and clinical judgement by the Investigator. Chronic stable non-inflammatory conditions such as hypertension, hyperlipidemia, well-controlled type 2 diabetes, stable asthma, controlled psychiatric conditions such as anxiety or depression, stable ischemic heart disease without heart failure are permitted, as determined by the Investigator. Willing and able to give voluntary written informed consent before screening assessments commence. Vital signs within the following ranges (inclusive): Body temperature 35.5 to 37.7°C Heart rate 50 to 100 beats per minute Respiratory rate 12 to 22 breaths per minute Systolic blood pressure 90 to 160 mmHg Diastolic blood pressure 50 to 95 mmHg 12-lead electrocardiogram (ECG) parameters within the following ranges: QTcB & QTcF - males ≤450 msec. females ≤470 msec PR 100 to 240 msec inclusive HR 50 to 100 bpm inclusive Willing and able to communicate with the Investigator and study team and understands the requirements of the study. Willing and able to undertake the study visits and all assessments, including possessing a suitable device and access to the internet for using the web-based electronic diary (e.g., smartphone, tablet, or computer) and able to use the device for this purpose. Vaccinated against severe acute respiratory syndrome corona virus 2 (SARS-CoV-2; COVID-19) as per State Health advice at the time of recruitment. Exclusion Criteria: History of a previous Pneumovax 23® vaccination. History of a previous Prevenar 13® vaccination. Splenectomy or cochlear implant, due to likelihood of having received pneumococcal vaccination at age less than 70 years. Positive serology blood test for human immunodeficiency virus (HIV) antibodies, hepatitis B virus (HBV) surface antigen or Hepatitis C virus (HCV) antibodies. Infectious disease including but not limited to COVID-19 and influenza within 30 days before Screening and any time between Screening and Day 1 first dose, as this may confound immune response to study vaccine. Liver function tests (including aspartate aminotransferase [AST], alanine aminotransferase [ALT], bilirubin) >1.5 upper limit of normal (ULN). Clinically significant abnormalities in laboratory tests (biochemistry, haematology, coagulation, urinalysis), physical examination, 12-lead ECG or vital signs during the Screening period that, in the opinion of the Investigator, would affect immune response to vaccination and/or ability to fully participate in the study and/or not be in the individual's best interest to participate in the study. One retest per abnormality is permitted. Participation in another clinical study of any investigational or licensed product (including investigational COVID-19 vaccines, drugs, medical devices) or medical procedure within 4 weeks from last study visit before screening. Plan to have a vaccine during the study period including COVID-19 booster. Have had a live vaccine within three months of the first dose of study product or any other vaccine (including any COVID-19 vaccine) within 28 days of the first dose of study product. Examples of live vaccines include, but are not limited to the following: measles, mumps, rubella, chicken pox/zoster, monkeypox, yellow fever, rabies, Bacillus Calmette-Guérin, and typhoid (oral) vaccines. Seasonal influenza vaccines for injection are generally killed virus vaccines and are permitted if administered at least 28 days before the first dose of study treatment and not during the enrollment or the study period. However, intranasal influenza vaccines are live attenuated vaccines and are not permitted within three months of first dose. Have received blood or blood-derived products in the last three months before screening, which might interfere with assessment of the immune response. Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the last six months before screening; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than two consecutive weeks within the last month before screening, depot or intraarticular steroids within 3 months before screening). A systemic inflammatory condition such as rheumatoid arthritis or inflammatory bowel disease. History of severe allergic reaction e.g., severe cutaneous adverse reaction or anaphylaxis to any medicinal product or to any of the study products, including excipients. Current alcohol abuse (> 21 U/week for men and 14 U/week for women), substance dependence including nicotine/tobacco smoking (defined as more than 5 cigarettes or tobacco/nicotine equivalent per day; smoking or vaping will not be permitted while at the study unit), any use of illicit drugs or other addiction which might interfere with the ability to comply with study procedures in the opinion of the Investigator, positive drugs of abuse screen (tricyclic antidepressants are not exclusionary if consistent with medical history) or positive alcohol breath test at Screening or pre-dose. One re-test permitted for drugs of abuse screen where justified (e.g., false positive suspected). Clinically significant chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion. Examples include congestive heart failure, COAD with breathlessness interfering with daily activities; psychiatric conditions, poorly controlled asthma, or diabetes Any chronic medical condition e.g., asthma, gout, which is likely to need systemic corticosteroid therapy during the study. -

Sites / Locations

  • CMAXRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

Gamma-PN3

Placebo

Prevenar-13

Pneumovax-23

Arm Description

Inactivated whole-cell pneumococcal vaccine at 50, 250 or 1000 mcg of protein content. One dose on Day 1 and second dose Day 29

Saline on Day 1 and second dose Day 29

Licensed pneumococcal vaccine on Day 1 and saline on Day 29

Licensed pneumococcal vaccine on Day 1 and saline on Day 29

Outcomes

Primary Outcome Measures

Adverse events and clinical laboratory measures
Safety
Immunogenicity
Frequency of participants with > 4 fold increase in IgG titre at 29 and 57 days.

Secondary Outcome Measures

OPKA response
Opsonophagocytic antibodies effective against different serotypes of Streptococcus pneumoniae will be assessed at Days 29 and 57

Full Information

First Posted
December 19, 2022
Last Updated
February 21, 2023
Sponsor
GPN Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT05667740
Brief Title
Safety, Tolerability and Immunogenicity of an Inactivated Whole-cell Pneumococcal Vaccine Gamma-PN3.
Official Title
A Phase 1, Randomised, Placebo-controlled, Double-blind, Sequential Ascending-dose Study to Evaluate the Safety, Tolerability, and Immunogenicity of an Inactivated Whole-cell Pneumococcal Vaccine (Gamma-PN3) in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 16, 2023 (Actual)
Primary Completion Date
September 30, 2023 (Anticipated)
Study Completion Date
September 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GPN Vaccines

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 is a randomised placebo-controlled first-in-man dose-ranging study to determine safety and markers of efficacy.
Detailed Description
The study is of double-blind; parallel groups dose escalation design. In each cohort of 39 participants 30 will receive Gamma-PN3; 3 will receive Prevenar; 3 will receive Pneumovax and 3 saline placebo. The doses of Gamma-PN3 will be 50mcg; 250 mcg and 1000 mcg of protein content.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
117 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Gamma-PN3
Arm Type
Experimental
Arm Description
Inactivated whole-cell pneumococcal vaccine at 50, 250 or 1000 mcg of protein content. One dose on Day 1 and second dose Day 29
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Saline on Day 1 and second dose Day 29
Arm Title
Prevenar-13
Arm Type
Active Comparator
Arm Description
Licensed pneumococcal vaccine on Day 1 and saline on Day 29
Arm Title
Pneumovax-23
Arm Type
Active Comparator
Arm Description
Licensed pneumococcal vaccine on Day 1 and saline on Day 29
Intervention Type
Biological
Intervention Name(s)
Gamma-PN3
Intervention Description
Inactivated whole-cell pneumococcal vaccine
Intervention Type
Biological
Intervention Name(s)
Prevenar-13
Intervention Description
Licensed polysaccharide conjugate pneumococcal vaccine
Intervention Type
Biological
Intervention Name(s)
Pneumovax-23
Intervention Description
Licensed polysaccharide pneumococcal vaccine
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Saline
Primary Outcome Measure Information:
Title
Adverse events and clinical laboratory measures
Description
Safety
Time Frame
57 days
Title
Immunogenicity
Description
Frequency of participants with > 4 fold increase in IgG titre at 29 and 57 days.
Time Frame
57 days
Secondary Outcome Measure Information:
Title
OPKA response
Description
Opsonophagocytic antibodies effective against different serotypes of Streptococcus pneumoniae will be assessed at Days 29 and 57
Time Frame
57 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female volunteers aged 50 to 69 years inclusive at Screening. In good health as determined by the outcome of medical history, physical examination, and clinical judgement by the Investigator. Chronic stable non-inflammatory conditions such as hypertension, hyperlipidemia, well-controlled type 2 diabetes, stable asthma, controlled psychiatric conditions such as anxiety or depression, stable ischemic heart disease without heart failure are permitted, as determined by the Investigator. Willing and able to give voluntary written informed consent before screening assessments commence. Vital signs within the following ranges (inclusive): Body temperature 35.5 to 37.7°C Heart rate 50 to 100 beats per minute Respiratory rate 12 to 22 breaths per minute Systolic blood pressure 90 to 160 mmHg Diastolic blood pressure 50 to 95 mmHg 12-lead electrocardiogram (ECG) parameters within the following ranges: QTcB & QTcF - males ≤450 msec. females ≤470 msec PR 100 to 240 msec inclusive HR 50 to 100 bpm inclusive Willing and able to communicate with the Investigator and study team and understands the requirements of the study. Willing and able to undertake the study visits and all assessments, including possessing a suitable device and access to the internet for using the web-based electronic diary (e.g., smartphone, tablet, or computer) and able to use the device for this purpose. Vaccinated against severe acute respiratory syndrome corona virus 2 (SARS-CoV-2; COVID-19) as per State Health advice at the time of recruitment. Exclusion Criteria: History of a previous Pneumovax 23® vaccination. History of a previous Prevenar 13® vaccination. Splenectomy or cochlear implant, due to likelihood of having received pneumococcal vaccination at age less than 70 years. Positive serology blood test for human immunodeficiency virus (HIV) antibodies, hepatitis B virus (HBV) surface antigen or Hepatitis C virus (HCV) antibodies. Infectious disease including but not limited to COVID-19 and influenza within 30 days before Screening and any time between Screening and Day 1 first dose, as this may confound immune response to study vaccine. Liver function tests (including aspartate aminotransferase [AST], alanine aminotransferase [ALT], bilirubin) >1.5 upper limit of normal (ULN). Clinically significant abnormalities in laboratory tests (biochemistry, haematology, coagulation, urinalysis), physical examination, 12-lead ECG or vital signs during the Screening period that, in the opinion of the Investigator, would affect immune response to vaccination and/or ability to fully participate in the study and/or not be in the individual's best interest to participate in the study. One retest per abnormality is permitted. Participation in another clinical study of any investigational or licensed product (including investigational COVID-19 vaccines, drugs, medical devices) or medical procedure within 4 weeks from last study visit before screening. Plan to have a vaccine during the study period including COVID-19 booster. Have had a live vaccine within three months of the first dose of study product or any other vaccine (including any COVID-19 vaccine) within 28 days of the first dose of study product. Examples of live vaccines include, but are not limited to the following: measles, mumps, rubella, chicken pox/zoster, monkeypox, yellow fever, rabies, Bacillus Calmette-Guérin, and typhoid (oral) vaccines. Seasonal influenza vaccines for injection are generally killed virus vaccines and are permitted if administered at least 28 days before the first dose of study treatment and not during the enrollment or the study period. However, intranasal influenza vaccines are live attenuated vaccines and are not permitted within three months of first dose. Have received blood or blood-derived products in the last three months before screening, which might interfere with assessment of the immune response. Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the last six months before screening; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than two consecutive weeks within the last month before screening, depot or intraarticular steroids within 3 months before screening). A systemic inflammatory condition such as rheumatoid arthritis or inflammatory bowel disease. History of severe allergic reaction e.g., severe cutaneous adverse reaction or anaphylaxis to any medicinal product or to any of the study products, including excipients. Current alcohol abuse (> 21 U/week for men and 14 U/week for women), substance dependence including nicotine/tobacco smoking (defined as more than 5 cigarettes or tobacco/nicotine equivalent per day; smoking or vaping will not be permitted while at the study unit), any use of illicit drugs or other addiction which might interfere with the ability to comply with study procedures in the opinion of the Investigator, positive drugs of abuse screen (tricyclic antidepressants are not exclusionary if consistent with medical history) or positive alcohol breath test at Screening or pre-dose. One re-test permitted for drugs of abuse screen where justified (e.g., false positive suspected). Clinically significant chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion. Examples include congestive heart failure, COAD with breathlessness interfering with daily activities; psychiatric conditions, poorly controlled asthma, or diabetes Any chronic medical condition e.g., asthma, gout, which is likely to need systemic corticosteroid therapy during the study. -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tim Hirst, PhD
Phone
+61 420 942 824
Email
tim@gpnvaccines.com
First Name & Middle Initial & Last Name or Official Title & Degree
Lauren Giorgio, PhD
Phone
+61 8 8313 4671
Email
lauren@gpnvaccines.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sepehr Shakib, MD
Organizational Affiliation
CMAX
Official's Role
Principal Investigator
Facility Information:
Facility Name
CMAX
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jane Kelly
Phone
+61-8-7088 7900
Email
jane.kelly@cmax.com.au
First Name & Middle Initial & Last Name & Degree
Zoe Harrison
Phone
+61-8-7088 7900
Email
zoe.harrison@cmax.com.au
First Name & Middle Initial & Last Name & Degree
Sepehr Shakib, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety, Tolerability and Immunogenicity of an Inactivated Whole-cell Pneumococcal Vaccine Gamma-PN3.

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