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A Controlled Human Pneumococcal Infection Model (PIM) Study (PIM)

Primary Purpose

Streptococcus Pneumoniae Infection

Status
Completed
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
Sp_6B
Amoxicillin 500 mg
Sponsored by
Radboud University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Streptococcus Pneumoniae Infection focused on measuring Controlled human infection model, Streptococcus pneumoniae, Asymptomatic infection, Colonization, Healthy adults

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Participant is aged ≥ 18 and < 50 years on the day of the baseline visit.
  2. Participant is in good health as confirmed by review of medical history and physical examination.
  3. Participant has adequate understanding of the procedures of the study and agrees to abide strictly thereby.
  4. Participant has a home address within the Netherlands.
  5. Participant is fully conversant in the Dutch language
  6. Participant is able to communicate easily by both mobile telephone and text messaging
  7. Participant is available to attend all study visits.
  8. Participant agrees to inform his/her general practitioner (GP), in case applicable, about participation in the study and signs a request to release any relevant medical information concerning possible contra-indications for participation in the study by the GP.
  9. Participant agrees to provide access to information regarding the vaccination background
  10. Participant agrees to provide a treating physician access to all study-related information and data in case an adverse event occurs
  11. Participant is able to arrive within 3h at the Radboudumc at any time during the study participation and participant is able to arrive within 1h at the Radboudumc from his/her home address. The participant must have a home address and live in the Netherlands.
  12. Participant is willing to take an antibiotic regiment after inoculation with S. pneumoniae according to the study protocol.
  13. Participant has signed informed consent.
  14. Participant is able to answer all questions of the pre-consent questionnaire correctly.

Exclusion Criteria:

  1. Any history, or evidence at screening, of clinically significant symptoms, physical signs or abnormal laboratory values suggestive of systemic conditions which could compromise the health of the volunteer during the study or interfere with the interpretation of the study results.
  2. Smoking: Any smoking event in the last month, including (e-)cigarette, joint, cigar and pipe
  3. Previous pneumococcal vaccination or infection with the pneumococcus at screening or inclusion visit
  4. Close physical contact with at risk individuals, i.e. children under 5 years of age, immunosuppressed adults, frail elderly, chronically ill individuals. Close physical contact is defined as:

    • living in the same household
    • having work-related contact
    • spending more than 1 hour/day together with an at risk individual at less than 1.5 meter distance.
  5. Illness at screening visit, illness at baseline (including mild upper respiratory tract infection, common cold, running nose), acute illness within 3 days prior to inoculation
  6. Any antibiotic treatment within 2 weeks before inoculation
  7. For female participants: pregnancy, lactation or intention to become pregnant during the study. Female volunteers are required to use an effective form of contraception during this study.
  8. Known hypersensitivity to or contra-indications (including co-medication) for use of penicillin
  9. Receipt of any vaccinations in the two weeks prior to the start of the study (inoculation) or plans to receive any other vaccinations during the study period.
  10. Participation in any other clinical study (unless observational) in the three months prior to the start of the study or during the study period.
  11. Being an employee or student of the department of Laboratory Medicine, Radboudumc.
  12. Any other condition or situation that would, in the opinion of the investigator, place the participant at an unacceptable risk of injury or render the participant unable to meet the requirements of the protocol.

Sites / Locations

  • Radboudumc

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Streptococcus pneumoniae 6B (Sp_6B) inoculated

Arm Description

Outcomes

Primary Outcome Measures

Percentage of volunteers infected with S. pneumoniae serotype 6B following inoculation.

Secondary Outcome Measures

The number of participants with sollicited AEs that are related to infection
The number, type and severity of sollicited AEs that are related to infection
Number of sampling timepoints with S. pneumoniae culture-positive nasal wash samples post-inoculation
Number of colony forming units (CFUs) per ml detected in nasal wash of infected participants at each sampling timepoint
Concentrations of S. pneumoniae-specific antibodies in blood and mucosal samples at the various sampling time points

Full Information

First Posted
April 29, 2022
Last Updated
February 21, 2023
Sponsor
Radboud University Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT05361499
Brief Title
A Controlled Human Pneumococcal Infection Model (PIM) Study
Acronym
PIM
Official Title
A Controlled Human Pneumococcal Infection Model (PIM) Study
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
May 31, 2022 (Actual)
Primary Completion Date
February 16, 2023 (Actual)
Study Completion Date
February 16, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Radboud University Medical Center

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
Infection with Streptococcus pneumoniae (the pneumococcus) is the leading cause of pneumonia, bacterial meningitis and bacteraemia worldwide in the very young and the elderly. Although pneumococcal vaccines exist, they do not provide complete protection and new strategies to combat this pathogen are urgently needed. Asymptomatic infection of S. pneumoniae in the human nasopharynx precedes the development of pneumococcal disease. Previously, an Experimental Human Pneumococcal Carriage (EHPC) model has been developed at the Liverpool School of Tropical Medicine (LSTM). The current study entails to establish this model in healthy adults living in the Netherlands using the inoculation dose currently used at LSTM. Healthy adult participants (M/F) will be inoculated intranasally with strain BHN418, a penicillin sensitive serotype 6B strain of S. pneumoniae that was previously isolated from a healthy carrier. Following inoculation, participants will be monitored and blood and nasal samples will be collected over a period of 28 ± 3 days. Participants will receive a course of amoxicillin to eradicate infection on or shortly after the last visit at day 28 ± 3, unless S. pneumoniae is not detected on both day 14 and 28 ± 3 post-inoculation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Streptococcus Pneumoniae Infection
Keywords
Controlled human infection model, Streptococcus pneumoniae, Asymptomatic infection, Colonization, Healthy adults

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Single dose open label intervention study
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Streptococcus pneumoniae 6B (Sp_6B) inoculated
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Sp_6B
Intervention Description
Intranasal inoculation of Streptococcus pneumoniae serotype 6B, 160,000 colony forming units (CFU)
Intervention Type
Drug
Intervention Name(s)
Amoxicillin 500 mg
Intervention Description
Amoxicillin, 7 days, 2x 500 mg
Primary Outcome Measure Information:
Title
Percentage of volunteers infected with S. pneumoniae serotype 6B following inoculation.
Time Frame
up to 4 weeks after inoculation
Secondary Outcome Measure Information:
Title
The number of participants with sollicited AEs that are related to infection
Time Frame
from the baseline visit (between day -1 and -6) till the end of the study (day 28 ± 3)
Title
The number, type and severity of sollicited AEs that are related to infection
Time Frame
from the baseline visit (between day -1 and -6) till the end of the study (day 28 ± 3)
Title
Number of sampling timepoints with S. pneumoniae culture-positive nasal wash samples post-inoculation
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Number of colony forming units (CFUs) per ml detected in nasal wash of infected participants at each sampling timepoint
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Concentrations of S. pneumoniae-specific antibodies in blood and mucosal samples at the various sampling time points
Time Frame
On day 3, 7, 14 and 28 after inoculation
Other Pre-specified Outcome Measures:
Title
Bacterial load as determined by PCR of pneumococcal genes at each sampling time point
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Cellular responses in blood and mucosal samples at various timepoints
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Soluble mediators in mucosal or blood samples at various timepoints
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Expression level of host genes at various timepoints
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Expression level of S. pneumoniae genes at various timepoints
Time Frame
On day 3, 7, 14 and 28 after inoculation
Title
Presence of species other than S. pneumoniae in nasal washes at various timepoints
Time Frame
On day 3, 7, 14 and 28 after inoculation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participant is aged ≥ 18 and < 50 years on the day of the baseline visit. Participant is in good health as confirmed by review of medical history and physical examination. Participant has adequate understanding of the procedures of the study and agrees to abide strictly thereby. Participant has a home address within the Netherlands. Participant is fully conversant in the Dutch language Participant is able to communicate easily by both mobile telephone and text messaging Participant is available to attend all study visits. Participant agrees to inform his/her general practitioner (GP), in case applicable, about participation in the study and signs a request to release any relevant medical information concerning possible contra-indications for participation in the study by the GP. Participant agrees to provide access to information regarding the vaccination background Participant agrees to provide a treating physician access to all study-related information and data in case an adverse event occurs Participant is able to arrive within 3h at the Radboudumc at any time during the study participation and participant is able to arrive within 1h at the Radboudumc from his/her home address. The participant must have a home address and live in the Netherlands. Participant is willing to take an antibiotic regiment after inoculation with S. pneumoniae according to the study protocol. Participant has signed informed consent. Participant is able to answer all questions of the pre-consent questionnaire correctly. Exclusion Criteria: Any history, or evidence at screening, of clinically significant symptoms, physical signs or abnormal laboratory values suggestive of systemic conditions which could compromise the health of the volunteer during the study or interfere with the interpretation of the study results. Smoking: Any smoking event in the last month, including (e-)cigarette, joint, cigar and pipe Previous pneumococcal vaccination or infection with the pneumococcus at screening or inclusion visit Close physical contact with at risk individuals, i.e. children under 5 years of age, immunosuppressed adults, frail elderly, chronically ill individuals. Close physical contact is defined as: living in the same household having work-related contact spending more than 1 hour/day together with an at risk individual at less than 1.5 meter distance. Illness at screening visit, illness at baseline (including mild upper respiratory tract infection, common cold, running nose), acute illness within 3 days prior to inoculation Any antibiotic treatment within 2 weeks before inoculation For female participants: pregnancy, lactation or intention to become pregnant during the study. Female volunteers are required to use an effective form of contraception during this study. Known hypersensitivity to or contra-indications (including co-medication) for use of penicillin Receipt of any vaccinations in the two weeks prior to the start of the study (inoculation) or plans to receive any other vaccinations during the study period. Participation in any other clinical study (unless observational) in the three months prior to the start of the study or during the study period. Being an employee or student of the department of Laboratory Medicine, Radboudumc. Any other condition or situation that would, in the opinion of the investigator, place the participant at an unacceptable risk of injury or render the participant unable to meet the requirements of the protocol.
Facility Information:
Facility Name
Radboudumc
City
Nijmegen
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Controlled Human Pneumococcal Infection Model (PIM) Study

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