search
Back to results

A Single Ascending Dose Study in Adults (Stage 1) and Single Ascending Dose-Finding Study (Stage 2) in Elderly Subjects With ASP3772, A Pneumococcal Vaccine

Primary Purpose

Healthy Volunteers, Pneumococcal Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ASP3772
PCV13
PPSV23
Sponsored by
Affinivax, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Healthy Volunteers focused on measuring Pneumococcal vaccine, Vaccine, Pneumococccal Disease, ASP3772

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Stage 1: Subject is healthy male or female between 18 and 64 year of age inclusive, at screening.
  • Stage 2: Subject is a male or female between 65 and 85 years of age, inclusive, at screening who is healthy or has chronic controlled, stable disease with no change in disease severity, medical therapy and no hospitalization records in last 12 weeks as determined by medical history, physical examination and laboratory data.
  • A female subject is eligible to participate if not pregnant and at least 1 of the following conditions applies:

    • Not a woman of childbearing potential (WOCBP) OR
    • WOCBP who agrees to follow the contraceptive guidance at screening and for at least 28 days after the study vaccine administration.
  • Female subject must agree not to breastfeed starting at screening and for 28 days after the study vaccine administration.
  • Female subject must not donate ova starting at screening and for 28 days after the study vaccine administration.
  • A male subject with female partner(s) of childbearing potential must agree to use contraception at screening and for at least 28 days after the study vaccine administration.
  • Male subject must not donate sperm starting at screening and for 90 days after the study vaccine administration.
  • Male subject with a pregnant or breastfeeding partner(s) must agree to remain abstinent or use a condom for the duration of the pregnancy or time partner is breastfeeding at screening and for 28 after the study vaccine administration.
  • Subject agrees not to participate in another interventional study while participating in the present study.

Exclusion Criteria:

  • Subject has a known or suspected hypersensitivity to ASP3772, its comparators or any components of the formulations used.
  • Subject has had previous exposure with ASP3772.
  • Subject has had known previous exposure with PPSV23.
  • Subject has received PCV13 or any other licensed or investigational pneumococcal vaccine at any time. (Note: This exclusion criterion is not applicable to Group 3; those subjects 65 to 85 years of age who previously received immunization with PCV13. Prior PCV13 immunization should have taken place no less than 10 months and no more than 2 years prior to study vaccine administration. These subjects are eligible to be enrolled in the nonrandomized arm of Stage 2, Group 3.
  • Subject has a history of microbiologically-proven invasive disease caused by S. pneumoniae.
  • Subject has an immune disorder(s) (including autoimmune disease) and/or clinical conditions requiring immunosuppressive drugs.
  • Subject has any evidence of any unstable or active clinically significant cardiovascular, gastrointestinal, endocrine, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal and/or other major disease or malignancy, e.g., uncontrolled hypertension, uncontrolled diabetes, heart failure, uncontrolled chronic obstructive pulmonary disease, end-stage renal disease.
  • Subject has history of illicit drug(s) or alcohol abuse that will interfere with the protocol requirements and/or a positive urine drug test (for Stage 1 subjects only) at screening.
  • Subject has any clinically significant history of allergic conditions including drug allergies, asthma or anaphylactic reactions, but excluding untreated asymptomatic seasonal allergies prior to study vaccine administration.
  • Subject has a coagulation disorder contraindicating intramuscular immunization.
  • Subject has a positive serology test for hepatitis B surface antigen (HBsAg), hepatitis A virus antibodies (immunoglobulin M), hepatitis C virus antibodies (anti-HCV) confirmed by reflex testing (HCV-RNA) or antibodies to human immunodeficiency virus (HIV) type 1 and/or type 2 at screening.
  • Subject has/had febrile illness (> 100.4°F oral equivalent) or symptomatic, viral, bacterial (including upper respiratory infection) or fungal (noncutaneous) infection within 1 week prior to day 1.
  • Subject has any clinically significant abnormality from the physical examination, ECG and clinical laboratory tests during screening.
  • Subject is unlikely to adhere to study procedures, keep appointments, is planning to relocate during the study or cannot be adequately followed for safety according to the protocol.
  • Subject has any other condition, which precludes the subject's participation in the study.
  • Subject has received any vaccines within 30 days prior of receipt of the study vaccine (exception: Influenza virus vaccine given according to recommended guidelines must be given at least 7 days prior to receiving study vaccine).
  • Subject has had significant blood loss, donated 1 unit (450 mL or more) or received transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to day 1.
  • Subject has received any systemically absorbed antibiotics during the 7-day period prior to day 1.

Sites / Locations

  • Advanced Clinical Research-Rancho Paseo
  • Artemis Institute
  • Artemis Institute
  • Research Centers of America
  • Meridian Clinical Research
  • Sundance Clinical Research
  • Meridian Clinical Research
  • United Medical Associates
  • PMG Research of Raleigh
  • PMG Research of Hickory, LLC
  • Piedmont HealthCare, PA
  • Wilmington Health
  • PMG Research of Winston-Salem, LLC
  • Tekton Research - George Town
  • PMG Research
  • PMG Research
  • Advanced Clinical Research Institute
  • Texas Healthcare, PLLC
  • Benchmark Research
  • Texas Center for Drug Development
  • Healthcare Associatiates of Texas
  • DM Clinical Research
  • Benchmark Research
  • Clinical Trials of Texas
  • Martin Diagnostic Clinic
  • CRA of Tidewater Inc

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Active Comparator

Arm Label

Stage 1, Group 1 ASP3772 in Adults

Stage 1, Group 1 PCV13 in Adults

Stage 2, Group 2 ASP3772 in Elderly

Stage 2, Group 2 PCV13 in Elderly

Stage 2, Group 3 PPSV23 in Elderly

Arm Description

Participants will receive a single dose of ASP3772 administered as an intramuscular injection on Day 1 at one of three dose levels.

Participants will receive a single intramuscular injection of the standard dose of PCV13 on Day 1.

Participants will receive a single dose of ASP3772 administered as an intramuscular injection on Day 1 at one of three dose levels

Participants will receive a single intramuscular injection of the standard dose of PCV13 on Day 1.

Participants will receive a single intramuscular injection of the standard dose of PPSV23 on Day 1.

Outcomes

Primary Outcome Measures

Percentage of participants reporting treatment emergent adverse events (TEAEs) including serious AEs (SAEs), medically attended adverse events (MAAEs), potentially immune mediated medical conditions (PIMMCs) and new onset chronic diseases (NOCDs)
Percentage of participants with adverse events (AEs), SAEs, MAAEs including NOCDs, and PIMMCs.
Percentage of participants experiencing abnormal vital signs
Percentage of participants with potentially clinically significant vital sign values.
Percentage of participants reporting solicited systemic adverse reactions for up to 7 days after vaccination
Systemic reactions include nausea/vomiting, diarrhea, headache, fever, fatigue, joint pain/arthralgia and muscle discomfort or pain/myalgia.
Percentage of participants reporting solicited local adverse reactions for up to 7 days after vaccination
Local reactions include pain, tenderness, redness/erythema, and swelling/induration.
Percentage of participants with laboratory value abnormalities and/or adverse events (AEs)
Percentage of participants with potentially clinically significant laboratory values.
Percentage of participants with physical examination abnormalities and/or adverse events (AEs)
Percentage of participants with potentially clinically significant physical examination values.
Safety assessed by 12-lead electrocardiogram (ECG)
A 12-lead, resting is to be recorded.

Secondary Outcome Measures

Immunological response of PCV13 at Day 30
Immunological response of PCV13 will be determined at Day 30 (Stage 1, Group 1 and Stage 2, Group 2).
Immunological response of ASP3772 at Day 30
Immunological response of ASP3772 will be determined at Day 30 (Stage 1, Group 1 and Stage 2, Group 2).
Immunological response of PPSV23 at Day 30
Immunological response of PPSV23 will be determined at Day 30 (Stage 2, Group 3).

Full Information

First Posted
January 11, 2019
Last Updated
April 27, 2022
Sponsor
Affinivax, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT03803202
Brief Title
A Single Ascending Dose Study in Adults (Stage 1) and Single Ascending Dose-Finding Study (Stage 2) in Elderly Subjects With ASP3772, A Pneumococcal Vaccine
Official Title
A Phase 1/2, Randomized, Single Ascending Dose Study in Adults (Stage 1) and Randomized, Single Ascending Dose-Finding Study (Stage 2) in Elderly Subjects With ASP3772, a Pneumococcal Vaccine
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
January 24, 2019 (Actual)
Primary Completion Date
September 28, 2020 (Actual)
Study Completion Date
September 28, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Affinivax, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of 3 different dose levels of ASP3772 in comparison to the active comparator Prevnar 13® (PCV13) in adults 18 to 64 years of age in Stage 1. Stage 2 will evaluate the safety, tolerability, and immunogenicity of 3 different dose levels of ASP3772 in comparison to the active comparator PCV13 in elderly 65 to 85 years of age. In addition, Stage 2 will evaluate the immunogenicity of 3 different dose levels of ASP3772 relative to the response seen following administration of Pneumovax® 23 (PPSV23) for the serotypes not included in PCV13.
Detailed Description
The study population will consist of 3 different groups: Group 1 - Stage 1 PCV13 naïve participants randomized within 3 sequential cohorts to ASP3772 or PCV13; Group 2 - Stage 2 PCV13 naïve participants randomized within 3 sequential cohorts to ASP3772 or PCV13; and Group 3 - Stage 2 participants previously vaccinated with PCV13 that will receive PPSV23.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers, Pneumococcal Disease
Keywords
Pneumococcal vaccine, Vaccine, Pneumococccal Disease, ASP3772

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
630 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Stage 1, Group 1 ASP3772 in Adults
Arm Type
Experimental
Arm Description
Participants will receive a single dose of ASP3772 administered as an intramuscular injection on Day 1 at one of three dose levels.
Arm Title
Stage 1, Group 1 PCV13 in Adults
Arm Type
Active Comparator
Arm Description
Participants will receive a single intramuscular injection of the standard dose of PCV13 on Day 1.
Arm Title
Stage 2, Group 2 ASP3772 in Elderly
Arm Type
Experimental
Arm Description
Participants will receive a single dose of ASP3772 administered as an intramuscular injection on Day 1 at one of three dose levels
Arm Title
Stage 2, Group 2 PCV13 in Elderly
Arm Type
Active Comparator
Arm Description
Participants will receive a single intramuscular injection of the standard dose of PCV13 on Day 1.
Arm Title
Stage 2, Group 3 PPSV23 in Elderly
Arm Type
Active Comparator
Arm Description
Participants will receive a single intramuscular injection of the standard dose of PPSV23 on Day 1.
Intervention Type
Biological
Intervention Name(s)
ASP3772
Intervention Description
Intramuscular Injection
Intervention Type
Biological
Intervention Name(s)
PCV13
Other Intervention Name(s)
Prevnar 13
Intervention Description
Intramuscular Injection
Intervention Type
Biological
Intervention Name(s)
PPSV23
Other Intervention Name(s)
Pneumovax 23
Intervention Description
Intramuscular Injection
Primary Outcome Measure Information:
Title
Percentage of participants reporting treatment emergent adverse events (TEAEs) including serious AEs (SAEs), medically attended adverse events (MAAEs), potentially immune mediated medical conditions (PIMMCs) and new onset chronic diseases (NOCDs)
Description
Percentage of participants with adverse events (AEs), SAEs, MAAEs including NOCDs, and PIMMCs.
Time Frame
Up to Day 180
Title
Percentage of participants experiencing abnormal vital signs
Description
Percentage of participants with potentially clinically significant vital sign values.
Time Frame
Up to Day 30
Title
Percentage of participants reporting solicited systemic adverse reactions for up to 7 days after vaccination
Description
Systemic reactions include nausea/vomiting, diarrhea, headache, fever, fatigue, joint pain/arthralgia and muscle discomfort or pain/myalgia.
Time Frame
Up to Day 7
Title
Percentage of participants reporting solicited local adverse reactions for up to 7 days after vaccination
Description
Local reactions include pain, tenderness, redness/erythema, and swelling/induration.
Time Frame
Up to Day 7
Title
Percentage of participants with laboratory value abnormalities and/or adverse events (AEs)
Description
Percentage of participants with potentially clinically significant laboratory values.
Time Frame
Up to Day 30
Title
Percentage of participants with physical examination abnormalities and/or adverse events (AEs)
Description
Percentage of participants with potentially clinically significant physical examination values.
Time Frame
Up to Day 30
Title
Safety assessed by 12-lead electrocardiogram (ECG)
Description
A 12-lead, resting is to be recorded.
Time Frame
Up to Day 30
Secondary Outcome Measure Information:
Title
Immunological response of PCV13 at Day 30
Description
Immunological response of PCV13 will be determined at Day 30 (Stage 1, Group 1 and Stage 2, Group 2).
Time Frame
Day 30
Title
Immunological response of ASP3772 at Day 30
Description
Immunological response of ASP3772 will be determined at Day 30 (Stage 1, Group 1 and Stage 2, Group 2).
Time Frame
Day 30
Title
Immunological response of PPSV23 at Day 30
Description
Immunological response of PPSV23 will be determined at Day 30 (Stage 2, Group 3).
Time Frame
Day 30

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Stage 1: Subject is healthy male or female between 18 and 64 year of age inclusive, at screening. Stage 2: Subject is a male or female between 65 and 85 years of age, inclusive, at screening who is healthy or has chronic controlled, stable disease with no change in disease severity, medical therapy and no hospitalization records in last 12 weeks as determined by medical history, physical examination and laboratory data. A female subject is eligible to participate if not pregnant and at least 1 of the following conditions applies: Not a woman of childbearing potential (WOCBP) OR WOCBP who agrees to follow the contraceptive guidance at screening and for at least 28 days after the study vaccine administration. Female subject must agree not to breastfeed starting at screening and for 28 days after the study vaccine administration. Female subject must not donate ova starting at screening and for 28 days after the study vaccine administration. A male subject with female partner(s) of childbearing potential must agree to use contraception at screening and for at least 28 days after the study vaccine administration. Male subject must not donate sperm starting at screening and for 90 days after the study vaccine administration. Male subject with a pregnant or breastfeeding partner(s) must agree to remain abstinent or use a condom for the duration of the pregnancy or time partner is breastfeeding at screening and for 28 after the study vaccine administration. Subject agrees not to participate in another interventional study while participating in the present study. Exclusion Criteria: Subject has a known or suspected hypersensitivity to ASP3772, its comparators or any components of the formulations used. Subject has had previous exposure with ASP3772. Subject has had known previous exposure with PPSV23. Subject has received PCV13 or any other licensed or investigational pneumococcal vaccine at any time. (Note: This exclusion criterion is not applicable to Group 3; those subjects 65 to 85 years of age who previously received immunization with PCV13. Prior PCV13 immunization should have taken place no less than 10 months and no more than 2 years prior to study vaccine administration. These subjects are eligible to be enrolled in the nonrandomized arm of Stage 2, Group 3. Subject has a history of microbiologically-proven invasive disease caused by S. pneumoniae. Subject has an immune disorder(s) (including autoimmune disease) and/or clinical conditions requiring immunosuppressive drugs. Subject has any evidence of any unstable or active clinically significant cardiovascular, gastrointestinal, endocrine, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal and/or other major disease or malignancy, e.g., uncontrolled hypertension, uncontrolled diabetes, heart failure, uncontrolled chronic obstructive pulmonary disease, end-stage renal disease. Subject has history of illicit drug(s) or alcohol abuse that will interfere with the protocol requirements and/or a positive urine drug test (for Stage 1 subjects only) at screening. Subject has any clinically significant history of allergic conditions including drug allergies, asthma or anaphylactic reactions, but excluding untreated asymptomatic seasonal allergies prior to study vaccine administration. Subject has a coagulation disorder contraindicating intramuscular immunization. Subject has a positive serology test for hepatitis B surface antigen (HBsAg), hepatitis A virus antibodies (immunoglobulin M), hepatitis C virus antibodies (anti-HCV) confirmed by reflex testing (HCV-RNA) or antibodies to human immunodeficiency virus (HIV) type 1 and/or type 2 at screening. Subject has/had febrile illness (> 100.4°F oral equivalent) or symptomatic, viral, bacterial (including upper respiratory infection) or fungal (noncutaneous) infection within 1 week prior to day 1. Subject has any clinically significant abnormality from the physical examination, ECG and clinical laboratory tests during screening. Subject is unlikely to adhere to study procedures, keep appointments, is planning to relocate during the study or cannot be adequately followed for safety according to the protocol. Subject has any other condition, which precludes the subject's participation in the study. Subject has received any vaccines within 30 days prior of receipt of the study vaccine (exception: Influenza virus vaccine given according to recommended guidelines must be given at least 7 days prior to receiving study vaccine). Subject has had significant blood loss, donated 1 unit (450 mL or more) or received transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to day 1. Subject has received any systemically absorbed antibiotics during the 7-day period prior to day 1.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Global Development, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Advanced Clinical Research-Rancho Paseo
City
Banning
State/Province
California
ZIP/Postal Code
92220
Country
United States
Facility Name
Artemis Institute
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Artemis Institute
City
San Marcos
State/Province
California
ZIP/Postal Code
92078
Country
United States
Facility Name
Research Centers of America
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Meridian Clinical Research
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
Sundance Clinical Research
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Meridian Clinical Research
City
Norfolk
State/Province
Nebraska
ZIP/Postal Code
68701
Country
United States
Facility Name
United Medical Associates
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Facility Name
PMG Research of Raleigh
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27604
Country
United States
Facility Name
PMG Research of Hickory, LLC
City
Rocky Mount
State/Province
North Carolina
ZIP/Postal Code
27804
Country
United States
Facility Name
Piedmont HealthCare, PA
City
Statesville
State/Province
North Carolina
ZIP/Postal Code
28625
Country
United States
Facility Name
Wilmington Health
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
PMG Research of Winston-Salem, LLC
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Tekton Research - George Town
City
Yukon
State/Province
Oklahoma
ZIP/Postal Code
73099
Country
United States
Facility Name
PMG Research
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37912
Country
United States
Facility Name
PMG Research
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37938
Country
United States
Facility Name
Advanced Clinical Research Institute
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States
Facility Name
Texas Healthcare, PLLC
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Benchmark Research
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76135
Country
United States
Facility Name
Texas Center for Drug Development
City
Houston
State/Province
Texas
ZIP/Postal Code
77081
Country
United States
Facility Name
Healthcare Associatiates of Texas
City
McKinney
State/Province
Texas
ZIP/Postal Code
75070
Country
United States
Facility Name
DM Clinical Research
City
Pearland
State/Province
Texas
ZIP/Postal Code
77584
Country
United States
Facility Name
Benchmark Research
City
San Angelo
State/Province
Texas
ZIP/Postal Code
76904
Country
United States
Facility Name
Clinical Trials of Texas
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Martin Diagnostic Clinic
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
CRA of Tidewater Inc
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as compounds terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Conditions and exceptions are described under the Sponsor Specific Details for Astellas on www.clinicalstudydatarequest.com.
IPD Sharing Time Frame
Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.
IPD Sharing Access Criteria
Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.
IPD Sharing URL
https://www.clinicalstudydatarequest.com/
Citations:
PubMed Identifier
35690500
Citation
Chichili GR, Smulders R, Santos V, Cywin B, Kovanda L, Van Sant C, Malinoski F, Sebastian S, Siber G, Malley R. Phase 1/2 study of a novel 24-valent pneumococcal vaccine in healthy adults aged 18 to 64 years and in older adults aged 65 to 85 years. Vaccine. 2022 Jul 29;40(31):4190-4198. doi: 10.1016/j.vaccine.2022.05.079. Epub 2022 Jun 9.
Results Reference
derived

Learn more about this trial

A Single Ascending Dose Study in Adults (Stage 1) and Single Ascending Dose-Finding Study (Stage 2) in Elderly Subjects With ASP3772, A Pneumococcal Vaccine

We'll reach out to this number within 24 hrs