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A Phase 1/2 Clinical Trial of an Alphavirus Replicon Vaccine for Influenza

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AVX502
AVX502
AVX502
AVX502
AVX502
AVX502
AVX502
AVX502
Placebo
Placebo
Placebo
Placebo
Sponsored by
AlphaVax, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, Flu, A/Wyoming/03/2003, Alphavirus

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Between 18 and 40 years of age, inclusive;
  2. Good general health without significant physical examination findings or clinically significant abnormal laboratory results;
  3. Available to participate for the entire study period of approximately 4 months;
  4. For women of childbearing potential, a negative urine pregnancy test at screening and before each immunization, and agreement to consistently use contraception from 28 days prior to enrollment until the last protocol visit, for sexual activity that could lead to pregnancy;
  5. Acceptable laboratory parameters: hemoglobin ≥ 11.2 g/dL for women, ≥ 12.8 g/dL for men, white blood cell count 3,300 - 12,000 cells/mm3, platelet count 125,000 - 550,000/mm3, alanine aminotransferase (ALT) within normal range for study laboratory, serum creatinine within normal range for study laboratory, normal urine dipstick (negative glucose, negative hemoglobin, and negative or trace protein), negative hepatitis B virus (HBV) and hepatitis C virus (HCV) blood tests, negative HIV blood test;
  6. Willingness to have blood stored for up to 10 years for use in additional assays to evaluate immune responses to influenza or the alphavirus vector if such assays become available
  7. Willingness to participate in the study as evidenced by signed informed consent obtained before screening.

Exclusion Criteria:

  1. Venous access deemed inadequate for the phlebotomy demands of the study;
  2. Women who are breast feeding;
  3. In female subjects, a positive urine pregnancy test at screening or on the day of any vaccine injection;
  4. Receipt of any influenza vaccine within 12 months prior to enrollment;
  5. Receipt of any other vaccine within 30 days prior to enrollment;
  6. Use of any investigational agent within 30 days prior to enrollment;
  7. Receipt of immunoglobulin or blood products within 60 days prior to enrollment;
  8. Use of cytotoxic medications within 6 months prior to enrollment;
  9. Use of systemic corticosteroids within 6 months prior to enrollment (except that participants who have completed a course of prednisone, at up to 20 mg per day for up to 7 days, at least 1 month prior to enrollment are eligible for enrollment);
  10. Presence of any factor that places the individual at increased risk for severe complications from influenza;
  11. History of serious adverse reactions to any vaccine, including anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema or abdominal pain;
  12. History of autoimmune disease;
  13. History of splenectomy;
  14. History of malignancy within the last 3 years (except that participants with a diagnosis of basal cell carcinoma of the skin are eligible for enrollment);
  15. Psychiatric condition that may interfere with the ability to comply with the protocol requirements. Specifically excluded are persons with history of psychosis within the past 3 years or history of suicidal attempt or gesture within the past 3 years;
  16. History of medical, occupational or family problems as a result of alcohol or illicit drug use during the past 12 months;
  17. Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation.

Sites / Locations

  • Johnson County Clin-Trials

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Placebo Comparator

Placebo Comparator

Placebo Comparator

Arm Label

T1

T2

T3

T4

T5

T6

T7

T8

C1

C2

C3

C4

Arm Description

Outcomes

Primary Outcome Measures

Evaluate safety of AVX502 in healthy volunteers via frequency of Grade 2-4 systemic reactogenicity events, grade 3 or 4 local vaccine reactions and all AE's

Secondary Outcome Measures

Evaluate immunogenicity of AVX502 in healthy volunteers via serum antibody concentration

Full Information

First Posted
February 23, 2007
Last Updated
November 7, 2008
Sponsor
AlphaVax, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00440362
Brief Title
A Phase 1/2 Clinical Trial of an Alphavirus Replicon Vaccine for Influenza
Official Title
A Single-Site, Phase 1/2, Double-Blind, Safety and Immunogenicity Trial of an Alphavirus Replicon Vaccine Expressing Influenza A/Wyoming/03/2003 Hemagglutinin (AVX502) in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
November 2008
Overall Recruitment Status
Completed
Study Start Date
April 2007 (undefined)
Primary Completion Date
September 2007 (Actual)
Study Completion Date
September 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
AlphaVax, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
AVX502, an alphavirus replicon vaccine expressing an influenza HA protein, is a candidate vaccine against influenza. The objectives of this Phase 1 study are to test the safety of the vaccine and the immune response to the vaccine in healthy volunteers 18-40 years of age. Volunteers will be assigned by randomization to receive either the vaccine or an inactive substance (placebo) by injections in each arm on one or two occasions over 2 months. The study will last 4 months and will have a total of 8 visits.
Detailed Description
This is a randomized, double-blind, placebo-controlled Phase 1/2 study of the safety and immunogenicity of AVX502 vaccine at two dosage levels and two routes of administration in healthy volunteers conducted at a single research center. A total of 216 participants will be enrolled. Participants will be randomized to receive active vaccine at one of two dosage levels or placebo in a 4:4:1 ratio. Within each active dosage level or placebo subgroup, participants will be randomized to receive their injections by either IM or SC injection in a 1:1 ratio, and will also be randomized to receive either 1 injection (at Week 0) or 2 injections (1 at each of two visits at Weeks 0 and 8) in a 1:1 ratio. Vaccine will be administered by a study nurse in an outpatient setting and all participants will be followed for 4 months after the first immunization. Safety data will include local and systemic reactogenicity after each dose of vaccine, collected in a systematic format using a subject memory aid and a standard grading scale, specific safety laboratory parameters and general AEs. Immunogenicity data will be obtained by collecting blood at defined time points before and after immunization and separating serum (for measurement of antibodies to HA by ELISA and hemagglutination inhibition assays and to the vaccine vector by a VRP neutralization assay) and peripheral blood mononuclear cells (PMBC) (for measurement of cellular immune responses to HA peptides).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza, Flu, A/Wyoming/03/2003, Alphavirus

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
216 (Actual)

8. Arms, Groups, and Interventions

Arm Title
T1
Arm Type
Active Comparator
Arm Title
T2
Arm Type
Active Comparator
Arm Title
T3
Arm Type
Active Comparator
Arm Title
T4
Arm Type
Active Comparator
Arm Title
T5
Arm Type
Active Comparator
Arm Title
T6
Arm Type
Active Comparator
Arm Title
T7
Arm Type
Active Comparator
Arm Title
T8
Arm Type
Active Comparator
Arm Title
C1
Arm Type
Placebo Comparator
Arm Title
C2
Arm Type
Placebo Comparator
Arm Title
C3
Arm Type
Placebo Comparator
Arm Title
C4
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
1 dose at 2e8 IU given at t=0 via IM route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
1 dose at 2e7 IU given at T=0 via the IM route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
1 dose at 2e7 IU given at t=0 via the SC route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
1 dose at 2e8 IU given at T=0 via the SC route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
2 doses at 2e7 IU given at T=0 and 8 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
2 doses at 2e8 IU given at T=0 and 8 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
2 doses of 2e7 IU given at t=0 and 8 weeks via the SC route
Intervention Type
Biological
Intervention Name(s)
AVX502
Intervention Description
2 doses at 2e8 IU given at T=0 and 8 weeks via the SC route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
1 dose of placebo given at T=0 via the IM route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
1 dose of placebo given at T=0 via the SC route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
2 doses of placebo given at T=0 and 8 weeks via the IM route
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
2 doses of placebo given at T=0 and 8 weeks via the SC route
Primary Outcome Measure Information:
Title
Evaluate safety of AVX502 in healthy volunteers via frequency of Grade 2-4 systemic reactogenicity events, grade 3 or 4 local vaccine reactions and all AE's
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Evaluate immunogenicity of AVX502 in healthy volunteers via serum antibody concentration
Time Frame
4 weeks post first dose of vaccine

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Between 18 and 40 years of age, inclusive; Good general health without significant physical examination findings or clinically significant abnormal laboratory results; Available to participate for the entire study period of approximately 4 months; For women of childbearing potential, a negative urine pregnancy test at screening and before each immunization, and agreement to consistently use contraception from 28 days prior to enrollment until the last protocol visit, for sexual activity that could lead to pregnancy; Acceptable laboratory parameters: hemoglobin ≥ 11.2 g/dL for women, ≥ 12.8 g/dL for men, white blood cell count 3,300 - 12,000 cells/mm3, platelet count 125,000 - 550,000/mm3, alanine aminotransferase (ALT) within normal range for study laboratory, serum creatinine within normal range for study laboratory, normal urine dipstick (negative glucose, negative hemoglobin, and negative or trace protein), negative hepatitis B virus (HBV) and hepatitis C virus (HCV) blood tests, negative HIV blood test; Willingness to have blood stored for up to 10 years for use in additional assays to evaluate immune responses to influenza or the alphavirus vector if such assays become available Willingness to participate in the study as evidenced by signed informed consent obtained before screening. Exclusion Criteria: Venous access deemed inadequate for the phlebotomy demands of the study; Women who are breast feeding; In female subjects, a positive urine pregnancy test at screening or on the day of any vaccine injection; Receipt of any influenza vaccine within 12 months prior to enrollment; Receipt of any other vaccine within 30 days prior to enrollment; Use of any investigational agent within 30 days prior to enrollment; Receipt of immunoglobulin or blood products within 60 days prior to enrollment; Use of cytotoxic medications within 6 months prior to enrollment; Use of systemic corticosteroids within 6 months prior to enrollment (except that participants who have completed a course of prednisone, at up to 20 mg per day for up to 7 days, at least 1 month prior to enrollment are eligible for enrollment); Presence of any factor that places the individual at increased risk for severe complications from influenza; History of serious adverse reactions to any vaccine, including anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema or abdominal pain; History of autoimmune disease; History of splenectomy; History of malignancy within the last 3 years (except that participants with a diagnosis of basal cell carcinoma of the skin are eligible for enrollment); Psychiatric condition that may interfere with the ability to comply with the protocol requirements. Specifically excluded are persons with history of psychosis within the past 3 years or history of suicidal attempt or gesture within the past 3 years; History of medical, occupational or family problems as a result of alcohol or illicit drug use during the past 12 months; Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert A Olmsted, Ph.D.
Organizational Affiliation
AlphaVax, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Johnson County Clin-Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.alphavax.com
Description
AlphaVax, Inc.
URL
http://www.jococt.com
Description
Johnson County Clin-Trials

Learn more about this trial

A Phase 1/2 Clinical Trial of an Alphavirus Replicon Vaccine for Influenza

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