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A Study of Safety, Tolerability and Immunogenicity of HPV-L2 Vaccine in Healthy Adult Male and Female Subjects

Primary Purpose

Papillomavirus Infections

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
AAVLP-HPV
Placebo
Sponsored by
2A Pharma AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Papillomavirus Infections focused on measuring HPV-L2

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Subjects must fulfill all of the following inclusion criteria to be eligible for participation in the study:

  1. Healthy, adult, male or female aged between 18 and 45 years, inclusive, at screening.
  2. Body Mass Index (BMI) ≥ 18 and ≤ 32.0 kg/m2 at screening.
  3. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee.
  4. For a female of childbearing potential: either be sexually inactive (abstinent as a lifestyle*) for 28 days prior to the first dosing and throughout the study or be using one of the following acceptable birth control methods:

    • hormonal oral contraceptives, vaginal ring, transdermal patch, or hormone releasing intrauterine device for at least 3 months prior to the first dosing with either a physical (e.g., condom, diaphragm, or other) or a chemical (e.g., spermicide) barrier method from the time of screening and throughout the study.
    • depot/implantable hormone (e.g., Depo-provera®, Implanon) for at least 3 months prior to the first dosing and throughout the study.

    In addition, female subjects of childbearing potential will be advised to remain sexually inactive or to keep the same birth control method for at least 28 days following the last dose.

    * True abstinence is defined as refraining from heterosexual intercourse in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods), declaration of abstinence for the duration of exposure to study drug, and withdrawal are not acceptable methods of contraception.

  5. For a female of non-childbearing potential: must have undergone one of the following sterilization procedures at least 6 months prior to the first dosing:

    • hysteroscopic sterilization;
    • bilateral tubal ligation or bilateral salpingectomy;
    • hysterectomy;
    • bilateral oophorectomy; or be postmenopausal with amenorrhea for at least 1 year prior to the first dosing and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status.
  6. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.

Exclusion Criteria:

Subjects must not be enrolled in the study if they meet any of the following criteria:

  1. Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
  2. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee.
  3. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  4. History or presence of alcoholism or drug abuse within the past 2 years prior to the first dosing.
  5. History or presence of hypersensitivity or idiosyncratic reaction to the study drugs or related compounds.
  6. Prior vaccination against HPV.
  7. Positive for HPV antibodies against HPV types 6, 11, 16, and 18.
  8. Have received an investigational vaccination within 90 days before screening.
  9. Have received any licensed vaccination within 30 days before screening.
  10. Any condition that may interfere with the intended administration of the study drug.
  11. Suffered from febrile or infectious illness within 7 days prior to Day 1.
  12. Subjects who plan to become pregnant/start a family during the study.
  13. Female subjects with a positive pregnancy test or who are lactating.
  14. Drink alcohol in excess of 21 glasses/units (425 g) per week for males or 14 glasses/units (284 g) per week for females, with one unit = 150 mL of wine or 360 mL of beer or 45 mL of 45% alcohol.
  15. Positive urine drug or alcohol results at screening or Day -1.
  16. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
  17. Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening.
  18. Seated heart rate is lower than 40 bpm or higher than 99 bpm at screening.
  19. QTcF interval is >460 msec (males) or >470 msec (females) or has ECG findings deemed abnormal with clinical significance by the PI or designee at screening.
  20. Unable to refrain from or anticipates the use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements that could adversely affect the immune system during 3 months prior to vaccination and throughout the study. Inhaled and topical corticosteroids will be allowed. Medication listed as part of acceptable birth control methods and hormone replacement therapy will be allowed. After randomization, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee. Appropriate sources will be consulted by the PI or designee to confirm interaction with study drugs. Subjects may not initiate new prescription medication within 1 month prior to screening, with exceptions, or must be on a stable dose for at least 90 days prior to vaccination as approved in advance by the PI or designee.
  21. Donation of blood or plasma within 90 days prior to the first dosing.
  22. Donation of bone marrow within the last 6 months prior to the first dosing.
  23. Participation in another clinical study with an investigational agent within the 90 days prior to first dosing. The 90-day window will be derived from the date of the last dosing, whichever is later, in the previous study to Day 1 of the current study.
  24. Has tattoo(s) or scarring at or near the site of vaccine administration or any other condition which may interfere with injection site examination, in the opinion of the PI.

Sites / Locations

  • Celerion Inc.

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

AAVLP-HPV Vaccine Arm

Placebo Arm

Arm Description

Subjects will receive a total of 3 vaccinations: a prime on Day 1, and boosts on Day 57 (± 2 days) and Day 180 (± 1 week).

Subjects will receive a total of 3 vaccinations: a prime on Day 1, and boosts on Day 57 (± 2 days) and Day 180 (± 1 week).

Outcomes

Primary Outcome Measures

Percentage of Subjects Reporting Solicited Local Symptoms
Solicited local symptoms assessed including pain, tenderness, redness, swelling, and induration.
Percentage of Subjects Reporting Solicited General Symptoms
Solicited general symptoms assessed including fever, headache, fatigue, nausea, diarrhea, vomiting, myalgia, allergic reaction.
Percentage of Subjects Reporting Unsolicited Adverse Events (AEs)
An unsolicited adverse event is defined as any adverse event (AE) reported in addition to those solicited during the clinical study.
Percentage of Subjects Reporting New Onset of Chronic Illness (NOCI)
A NOCI is defined as diagnosis post study drug administration of a new medical condition, which is chronic in nature, including those potentially controllable by medication (e.g., diabetes, asthma)
Percentage of Subjects Reporting Adverse Events of Special Interest (AESI)
An AESI should not necessarily be classified to be a serious adverse event, even though the event may be clinically significant. If an AESI is reported, the Sponsor should be promptly informed and information relevant to the event should be promptly collected using the same process as that used for reporting serious adverse events. For this protocol, AESI includes demyelinating syndromes or neurological conditions such as complex regional pain or postural orthostatic tachycardia syndromes.
Percentage of Subjects Reporting Serious Adverse Events (SAEs)
SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.
Vital Signs - Body Temperature
Single measurements of body temperature 35.6 ≤ Temperature ≤37.7 (C)
Vital Signs - Respiratory Rate
Measurements of respiratory rate 8≤ Respiration ≤24 (breaths/min)
Vital Signs - Blood Pressure
Measurements of blood pressure 90≤ Systolic ≤140 (mmHg) and 40≤ Diastolic ≤90 (mmHg
Vital Signs - Heart Rate
Measurements of 40≤ Pulse ≤99 (beats/min)
Vital Signs - Body Mass Index (BMI
Calculated as weight in kg / height in meters^2
Electrocardiogram (ECG)
Single 12-lead ECGs will be performed. Measurement type must be one of the following: HR (50≤HR≤100 [beats/min]], PR (110≤PR≤219 [ms]), QRS (QRS<110 [ms]), QT, QTcF (QTcF for Male<460 and for Female<470 [ms]), or overall interpretation.
Physical examination
A full best practice physical examination will be performed by the PI
Clinical Laboratory Tests
Measurements of clinical laboratory abnormalities

Secondary Outcome Measures

Evaluation of immunogenicity using a humoral immune function ELISA assay from serum
Immunogenicity is measured as having generated anti-HPV type16 L2 and HPV type 31 L2 antibodies after vaccination. The antibody response is measured as a titer.
Evaluation of HPV-Neutralizing Antibodies using an in vitro Pseudovirion-Based HPV-Neutralization Assay (PBNA)
Neutralization is measured as having induced anti-HPV antibodies able to protect/neutralize HPV infection in vitro. The neutralization antibody titers are presented as the IC50 titer.

Full Information

First Posted
April 12, 2019
Last Updated
June 29, 2020
Sponsor
2A Pharma AB
Collaborators
Celerion
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1. Study Identification

Unique Protocol Identification Number
NCT03929172
Brief Title
A Study of Safety, Tolerability and Immunogenicity of HPV-L2 Vaccine in Healthy Adult Male and Female Subjects
Official Title
A First-in-Human, Phase 1, Randomized, Placebo-Controlled, Double-Blind Study to Assess the Safety and Tolerability, and to Explore Immunological Effects of I.M. Administered AAVLP-HPV Vaccine in Healthy Adult Male and Female Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
February 28, 2019 (Actual)
Primary Completion Date
May 29, 2020 (Actual)
Study Completion Date
May 29, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
2A Pharma AB
Collaborators
Celerion

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, tolerability, and the immunological effects of adeno-associated virus-like particle human papillomavirus (AAVLP-HPV) vaccine in healthy adults.
Detailed Description
2A Pharma's AAVLP-HPV vaccine candidate is based on AAVLPs with insertion of sequences of the L2 minor HPV capsid protein. The vaccine's intended clinical use is as a vaccine for prophylaxis against HPV infection in adolescents and adults. This is a 12 month single-center, randomized, placebo-controlled, double-blind, repeated dose, safety, tolerability, and immunological effect study. Twenty (20) healthy, adult male and female subjects will be enrolled with a minimum of 40% of each gender. Sixteen (16) subjects will be randomized to receive the active drug and 4 subjects to receive the placebo. At least 1 subject of each gender will be randomized to receive the placebo. Subjects will receive a total of 3 doses of AAVLP-HPV or placebo: a prime on Day 1, and two boosts, one on Day 57 (±2 days) and one on Day 180 (±1 week). The volunteers will be followed until day 365 (±1 week) when they return for the final safety and serum-based immunogenicity and neutralising antibodies assessment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Papillomavirus Infections
Keywords
HPV-L2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AAVLP-HPV Vaccine Arm
Arm Type
Experimental
Arm Description
Subjects will receive a total of 3 vaccinations: a prime on Day 1, and boosts on Day 57 (± 2 days) and Day 180 (± 1 week).
Arm Title
Placebo Arm
Arm Type
Placebo Comparator
Arm Description
Subjects will receive a total of 3 vaccinations: a prime on Day 1, and boosts on Day 57 (± 2 days) and Day 180 (± 1 week).
Intervention Type
Biological
Intervention Name(s)
AAVLP-HPV
Other Intervention Name(s)
2AP01
Intervention Description
20μg/injection formulated in a ready to use solution containing 100mM sodium citrate, 2.5 mM MgCl2, 0.001% pluronic F-68, pH 6.0 for i.m. injection as 0.5 mL per injection.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
0.5 mL 100 mM Sodium Citrate, 2.5 mM MgCl2, 0.001% Pluronic F-68, pH 6 for i.m. injection as 0.5 mL per injection.
Primary Outcome Measure Information:
Title
Percentage of Subjects Reporting Solicited Local Symptoms
Description
Solicited local symptoms assessed including pain, tenderness, redness, swelling, and induration.
Time Frame
Day 0 and 1 after each vaccination
Title
Percentage of Subjects Reporting Solicited General Symptoms
Description
Solicited general symptoms assessed including fever, headache, fatigue, nausea, diarrhea, vomiting, myalgia, allergic reaction.
Time Frame
Through 365 days
Title
Percentage of Subjects Reporting Unsolicited Adverse Events (AEs)
Description
An unsolicited adverse event is defined as any adverse event (AE) reported in addition to those solicited during the clinical study.
Time Frame
Through 365 days
Title
Percentage of Subjects Reporting New Onset of Chronic Illness (NOCI)
Description
A NOCI is defined as diagnosis post study drug administration of a new medical condition, which is chronic in nature, including those potentially controllable by medication (e.g., diabetes, asthma)
Time Frame
Through 365 days
Title
Percentage of Subjects Reporting Adverse Events of Special Interest (AESI)
Description
An AESI should not necessarily be classified to be a serious adverse event, even though the event may be clinically significant. If an AESI is reported, the Sponsor should be promptly informed and information relevant to the event should be promptly collected using the same process as that used for reporting serious adverse events. For this protocol, AESI includes demyelinating syndromes or neurological conditions such as complex regional pain or postural orthostatic tachycardia syndromes.
Time Frame
Through 365 days
Title
Percentage of Subjects Reporting Serious Adverse Events (SAEs)
Description
SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.
Time Frame
Through 365 days
Title
Vital Signs - Body Temperature
Description
Single measurements of body temperature 35.6 ≤ Temperature ≤37.7 (C)
Time Frame
Through 365 days
Title
Vital Signs - Respiratory Rate
Description
Measurements of respiratory rate 8≤ Respiration ≤24 (breaths/min)
Time Frame
Through 365 days
Title
Vital Signs - Blood Pressure
Description
Measurements of blood pressure 90≤ Systolic ≤140 (mmHg) and 40≤ Diastolic ≤90 (mmHg
Time Frame
Through 365 days
Title
Vital Signs - Heart Rate
Description
Measurements of 40≤ Pulse ≤99 (beats/min)
Time Frame
Through 365 days
Title
Vital Signs - Body Mass Index (BMI
Description
Calculated as weight in kg / height in meters^2
Time Frame
Through 365 days
Title
Electrocardiogram (ECG)
Description
Single 12-lead ECGs will be performed. Measurement type must be one of the following: HR (50≤HR≤100 [beats/min]], PR (110≤PR≤219 [ms]), QRS (QRS<110 [ms]), QT, QTcF (QTcF for Male<460 and for Female<470 [ms]), or overall interpretation.
Time Frame
Through 365 days
Title
Physical examination
Description
A full best practice physical examination will be performed by the PI
Time Frame
Through 365 days
Title
Clinical Laboratory Tests
Description
Measurements of clinical laboratory abnormalities
Time Frame
Through 365 days
Secondary Outcome Measure Information:
Title
Evaluation of immunogenicity using a humoral immune function ELISA assay from serum
Description
Immunogenicity is measured as having generated anti-HPV type16 L2 and HPV type 31 L2 antibodies after vaccination. The antibody response is measured as a titer.
Time Frame
Through 365 days
Title
Evaluation of HPV-Neutralizing Antibodies using an in vitro Pseudovirion-Based HPV-Neutralization Assay (PBNA)
Description
Neutralization is measured as having induced anti-HPV antibodies able to protect/neutralize HPV infection in vitro. The neutralization antibody titers are presented as the IC50 titer.
Time Frame
Through 365 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must fulfill all of the following inclusion criteria to be eligible for participation in the study: Healthy, adult, male or female aged between 18 and 45 years, inclusive, at screening. Body Mass Index (BMI) ≥ 18 and ≤ 32.0 kg/m2 at screening. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. For a female of childbearing potential: either be sexually inactive (abstinent as a lifestyle*) for 28 days prior to the first dosing and throughout the study or be using one of the following acceptable birth control methods: hormonal oral contraceptives, vaginal ring, transdermal patch, or hormone releasing intrauterine device for at least 3 months prior to the first dosing with either a physical (e.g., condom, diaphragm, or other) or a chemical (e.g., spermicide) barrier method from the time of screening and throughout the study. depot/implantable hormone (e.g., Depo-provera®, Implanon) for at least 3 months prior to the first dosing and throughout the study. In addition, female subjects of childbearing potential will be advised to remain sexually inactive or to keep the same birth control method for at least 28 days following the last dose. * True abstinence is defined as refraining from heterosexual intercourse in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods), declaration of abstinence for the duration of exposure to study drug, and withdrawal are not acceptable methods of contraception. For a female of non-childbearing potential: must have undergone one of the following sterilization procedures at least 6 months prior to the first dosing: hysteroscopic sterilization; bilateral tubal ligation or bilateral salpingectomy; hysterectomy; bilateral oophorectomy; or be postmenopausal with amenorrhea for at least 1 year prior to the first dosing and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol. Exclusion Criteria: Subjects must not be enrolled in the study if they meet any of the following criteria: Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study. History or presence of alcoholism or drug abuse within the past 2 years prior to the first dosing. History or presence of hypersensitivity or idiosyncratic reaction to the study drugs or related compounds. Prior vaccination against HPV. Positive for HPV antibodies against HPV types 6, 11, 16, and 18. Have received an investigational vaccination within 90 days before screening. Have received any licensed vaccination within 30 days before screening. Any condition that may interfere with the intended administration of the study drug. Suffered from febrile or infectious illness within 7 days prior to Day 1. Subjects who plan to become pregnant/start a family during the study. Female subjects with a positive pregnancy test or who are lactating. Drink alcohol in excess of 21 glasses/units (425 g) per week for males or 14 glasses/units (284 g) per week for females, with one unit = 150 mL of wine or 360 mL of beer or 45 mL of 45% alcohol. Positive urine drug or alcohol results at screening or Day -1. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV). Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening. Seated heart rate is lower than 40 bpm or higher than 99 bpm at screening. QTcF interval is >460 msec (males) or >470 msec (females) or has ECG findings deemed abnormal with clinical significance by the PI or designee at screening. Unable to refrain from or anticipates the use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements that could adversely affect the immune system during 3 months prior to vaccination and throughout the study. Inhaled and topical corticosteroids will be allowed. Medication listed as part of acceptable birth control methods and hormone replacement therapy will be allowed. After randomization, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee. Appropriate sources will be consulted by the PI or designee to confirm interaction with study drugs. Subjects may not initiate new prescription medication within 1 month prior to screening, with exceptions, or must be on a stable dose for at least 90 days prior to vaccination as approved in advance by the PI or designee. Donation of blood or plasma within 90 days prior to the first dosing. Donation of bone marrow within the last 6 months prior to the first dosing. Participation in another clinical study with an investigational agent within the 90 days prior to first dosing. The 90-day window will be derived from the date of the last dosing, whichever is later, in the previous study to Day 1 of the current study. Has tattoo(s) or scarring at or near the site of vaccine administration or any other condition which may interfere with injection site examination, in the opinion of the PI.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Nieland
Organizational Affiliation
2A Pharma AB
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
David Bell
Organizational Affiliation
Celerion, CRO
Official's Role
Principal Investigator
Facility Information:
Facility Name
Celerion Inc.
City
Belfast
State/Province
Co.Antrim
ZIP/Postal Code
BT9 6AD
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of Safety, Tolerability and Immunogenicity of HPV-L2 Vaccine in Healthy Adult Male and Female Subjects

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