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Phase 1 Dose-escalation Study of FluBHPVE6E7 in HPV16-infected Women

Primary Purpose

HPV Infection, HPV-Related Cervical Carcinoma

Status
Recruiting
Phase
Phase 1
Locations
Slovakia
Study Type
Interventional
Intervention
FluBHPVE6E7
Placebo
Sponsored by
BlueSky Immunotherapies GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HPV Infection

Eligibility Criteria

18 Years - 49 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Females, 18-49 years of age with HPV16 infection and cervical cytological evaluation negative for intraepithelial lesion or malignancy (NILM), atypical squamous cells of undetermined significance (ASC-US), low grade squamous intraepithelial lesion (LSIL), or low-grade cervical intraepithelial neoplasia (CIN1) HPV16 infection has been confirmed at least twice by a validated HPV test separated by at least 3 months Satisfactory colposcopy No clinically significant out of range haematological, renal or hepatic laboratory tests Normal screening ECG or screening ECG with no clinically significant findings, as judged by the investigator Negative serum pregnancy test at screening Agree to use a reliable form of contraception during the whole study period. Provides written informed consent Exclusion Criteria: Any vaccination within 6 weeks of day 0 Active significant viral infections including influenza, CMV, and EBV within 30 days of receiving study treatment Co-infection with hepatitis B, hepatitis C, or HIV or having other immune deficient states Current Bacterial Vaginosis (BV) infection Current high-grade cervical intraepithelial neoplasia (CIN2/3) Prior history of or current malignancy, vulvar intraepithelial neoplasia (VIN), vaginal intraepithelial neoplasia (VAIN), atypical glandular cells (AGC), adenocarcinoma in situ (AIS) or any suspicion of either micro-invasive or invasive disease Pregnancy, breastfeeding Influenza-like illness (ILI) within 3 months of day 0 Known hypersensitivity to oseltamivir or any of its components Any anatomical condition of the cervix, including that resulting from previous cervical surgery, congenital malformation or other condition, that would interfere with a complete evaluation of the cervix Current pelvic inflammatory disease, cervicitis, or other gynaecological infection as per colposcopy and clinical examination Serious, concomitant disorder, including active systemic infection requiring treatment Presence of acute or chronic bleeding or clotting disorder, or use of blood thinners within 2 weeks of day 0 A proven or suspected autoimmune disease Immunosuppression including any concurrent condition requiring the continued use of systemic or topical steroids, or the use of immunosuppressive agents, disease modifying doses of anti-rheumatic drugs, and biologic disease modifying drugs. Any immunosuppressive agents containing corticosteroids or monoclonal antibodies specific for the treatment of obstructive airway, ear or vestibular diseases are permissible. Acute or history of Herpes genitalis Prior major surgery within 4 weeks of day 0 Administration of any blood product within 3 months of enrolment Any current significant cardiac, hepatic or renal disease or history of clinically significant, medically unstable disease Any current or history of neurological disease including history of seizures Participation in another experimental protocol/use of investigational drug during the prior two months

Sites / Locations

  • Univerzitná nemocnica BratislavaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

FluBHPVE6E7

Placebo

Arm Description

intracervical and intramuscular 0.5 ml per dose 3 doses (12 weeks)

intracervical and intramuscular 0.5 ml per dose 3 doses (12 weeks)

Outcomes

Primary Outcome Measures

Frequency and severity of adverse events (AEs)
The severity of the adverse event is assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.

Secondary Outcome Measures

Induction of HPV-specific T-cell response following FluBHPVE6E7 administration
To evaluate the induction of HPV16 E6- and E7-specific T-cells (%) by IFN-gamma ELISPOT analysis.
Hemagglutination Inhibition (HAI) Geometric Mean Titers (GMTs) following FluBHPVE6E7 administration
To evaluate the induction of systemic vector-specific antibodies by HAI assay.
Local HPV clearance
To evaluate the status of HPV-16 infection by HPV test (yes or no).
Cervical cytology
To evaluate changes in cervical cytology by Pap smear. Results are reported as Pap results according to the Bethesda System.
Biodistribution: Detection of FluBHPVE6E7 in blood samples
To evaluate the presence of FluBHPVE6E7 by quantification of FluBHPVE6E7 genome copies in blood samples by RT-qPCR (copies per ml blood).
Biodistribution: Detection of FluBHPVE6E7 in saliva
To evaluate the presence of FluBHPVE6E7 by qualitative real-time PCR assay specific for influenza B virus (positive or negative).
Viral shedding: Detection of FluBHPVE6E7 in vaginal secretion samples
To evaluate the presence of FluBHPVE6E7 by quantification of FluBHPVE6E7 genome copies in vaginal secretion samples by RT-qPCR (copies per sample).
Number of participants with adverse events (type, frequency, severity).
To assess the safety and tolerability of FluBHPVE6E7 by monitoring the type, frequency, and severity of AEs.

Full Information

First Posted
April 11, 2023
Last Updated
September 13, 2023
Sponsor
BlueSky Immunotherapies GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT05829629
Brief Title
Phase 1 Dose-escalation Study of FluBHPVE6E7 in HPV16-infected Women
Official Title
Randomised, Double-blind, Placebo-controlled Phase 1 Dose-escalation Study of FluBHPVE6E7 in HPV16-infected Women With NILM, ASC-US, LSIL or Low-grade CIN
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 12, 2023 (Actual)
Primary Completion Date
September 2024 (Anticipated)
Study Completion Date
November 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BlueSky Immunotherapies GmbH

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
BS-02 is a randomised, double-blind, placebo-controlled, phase 1 dose escalation study to assess the safety, tolerability and immunogenicity of FluBHPVE6E7, in women infected with HPV-16. with cervical cytological evaluation negative for intraepithelial lesion or malignancy (NILM), atypical squamous cells of undetermined significance (ASC-US), low grade squamous intraepithelial lesion (LSIL), or low-grade cervical intraepithelial neoplasia (CIN1).
Detailed Description
FluBHPVE6E7 is an influenza virus vector that was modified on several levels to be used as an immunotherapeutic agent against human papillomavirus (HPV) infections, and precancers and cancers induced by HPV. Study BS-02 investigates the safety, tolerability and immunogenicity of FluBHPVE6E7 in HPV-16 infected women. FluBHPVE6E7 is administered three times at two dose levels. The first dose is administered into the cervix, subsequent doses are administered intramuscularly.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HPV Infection, HPV-Related Cervical Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
FluBHPVE6E7
Arm Type
Experimental
Arm Description
intracervical and intramuscular 0.5 ml per dose 3 doses (12 weeks)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
intracervical and intramuscular 0.5 ml per dose 3 doses (12 weeks)
Intervention Type
Biological
Intervention Name(s)
FluBHPVE6E7
Intervention Description
Intracervical administration for first dose followed by intramuscular administration for subsequent doses at recommended dose level and determined schedule
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intracervical administration for first dose followed by intramuscular administration for subsequent doses at determined schedule
Primary Outcome Measure Information:
Title
Frequency and severity of adverse events (AEs)
Description
The severity of the adverse event is assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Time Frame
7 days
Secondary Outcome Measure Information:
Title
Induction of HPV-specific T-cell response following FluBHPVE6E7 administration
Description
To evaluate the induction of HPV16 E6- and E7-specific T-cells (%) by IFN-gamma ELISPOT analysis.
Time Frame
16 weeks
Title
Hemagglutination Inhibition (HAI) Geometric Mean Titers (GMTs) following FluBHPVE6E7 administration
Description
To evaluate the induction of systemic vector-specific antibodies by HAI assay.
Time Frame
16 weeks
Title
Local HPV clearance
Description
To evaluate the status of HPV-16 infection by HPV test (yes or no).
Time Frame
16 weeks
Title
Cervical cytology
Description
To evaluate changes in cervical cytology by Pap smear. Results are reported as Pap results according to the Bethesda System.
Time Frame
16 weeks
Title
Biodistribution: Detection of FluBHPVE6E7 in blood samples
Description
To evaluate the presence of FluBHPVE6E7 by quantification of FluBHPVE6E7 genome copies in blood samples by RT-qPCR (copies per ml blood).
Time Frame
16 weeks
Title
Biodistribution: Detection of FluBHPVE6E7 in saliva
Description
To evaluate the presence of FluBHPVE6E7 by qualitative real-time PCR assay specific for influenza B virus (positive or negative).
Time Frame
16 weeks
Title
Viral shedding: Detection of FluBHPVE6E7 in vaginal secretion samples
Description
To evaluate the presence of FluBHPVE6E7 by quantification of FluBHPVE6E7 genome copies in vaginal secretion samples by RT-qPCR (copies per sample).
Time Frame
16 weeks
Title
Number of participants with adverse events (type, frequency, severity).
Description
To assess the safety and tolerability of FluBHPVE6E7 by monitoring the type, frequency, and severity of AEs.
Time Frame
16 weeks

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
Participants are assigned females at birth.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females, 18-49 years of age with HPV16 infection and cervical cytological evaluation negative for intraepithelial lesion or malignancy (NILM), atypical squamous cells of undetermined significance (ASC-US), low grade squamous intraepithelial lesion (LSIL), or low-grade cervical intraepithelial neoplasia (CIN1) HPV16 infection has been confirmed at least twice by a validated HPV test separated by at least 3 months Satisfactory colposcopy No clinically significant out of range haematological, renal or hepatic laboratory tests Normal screening ECG or screening ECG with no clinically significant findings, as judged by the investigator Negative serum pregnancy test at screening Agree to use a reliable form of contraception during the whole study period. Provides written informed consent Exclusion Criteria: Any vaccination within 6 weeks of day 0 Active significant viral infections including influenza, CMV, and EBV within 30 days of receiving study treatment Co-infection with hepatitis B, hepatitis C, or HIV or having other immune deficient states Current Bacterial Vaginosis (BV) infection Current high-grade cervical intraepithelial neoplasia (CIN2/3) Prior history of or current malignancy, vulvar intraepithelial neoplasia (VIN), vaginal intraepithelial neoplasia (VAIN), atypical glandular cells (AGC), adenocarcinoma in situ (AIS) or any suspicion of either micro-invasive or invasive disease Pregnancy, breastfeeding Influenza-like illness (ILI) within 3 months of day 0 Known hypersensitivity to oseltamivir or any of its components Any anatomical condition of the cervix, including that resulting from previous cervical surgery, congenital malformation or other condition, that would interfere with a complete evaluation of the cervix Current pelvic inflammatory disease, cervicitis, or other gynaecological infection as per colposcopy and clinical examination Serious, concomitant disorder, including active systemic infection requiring treatment Presence of acute or chronic bleeding or clotting disorder, or use of blood thinners within 2 weeks of day 0 A proven or suspected autoimmune disease Immunosuppression including any concurrent condition requiring the continued use of systemic or topical steroids, or the use of immunosuppressive agents, disease modifying doses of anti-rheumatic drugs, and biologic disease modifying drugs. Any immunosuppressive agents containing corticosteroids or monoclonal antibodies specific for the treatment of obstructive airway, ear or vestibular diseases are permissible. Acute or history of Herpes genitalis Prior major surgery within 4 weeks of day 0 Administration of any blood product within 3 months of enrolment Any current significant cardiac, hepatic or renal disease or history of clinically significant, medically unstable disease Any current or history of neurological disease including history of seizures Participation in another experimental protocol/use of investigational drug during the prior two months
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BlueSky Clinical Operations
Phone
+43 664 1888028
Email
clinical@bluesky-itx.com
Facility Information:
Facility Name
Univerzitná nemocnica Bratislava
City
Bratislava
ZIP/Postal Code
82606
Country
Slovakia
Individual Site Status
Recruiting
Facility Contact:
Phone
00421 2 48234
Ext
111

12. IPD Sharing Statement

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Phase 1 Dose-escalation Study of FluBHPVE6E7 in HPV16-infected Women

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