search
Back to results

A Study to Assess the Safety, Tolerability and Immunogenicity of ASP3772, a Pneumococcal Vaccine, in Toddlers 12 to 15 Months of Age in Comparison to an Active Comparator

Primary Purpose

Healthy Volunteers, Pneumococcal Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ASP3772
PCV13
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 Disease, ASP3772, Pneumococcal vaccine, Vaccine

Eligibility Criteria

12 Months - 15 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject is a healthy toddler who has previously completed a 3-dose infant series of PCV13 with the last vaccination greater than 2 months prior to study vaccination.
  • Subject is afebrile within the last 48 hours (temperature measured orally is < 100 °F [37.8°C]; measured rectally or tympanic is < 101 °F [38.3°C]; measured in an axillary position or temporal is < 98.4 °F [36.9°C]).
  • Subject's parent/legal guardian is able to read, understand and complete study questionnaires (i.e., the electronic subject diary device).
  • Subject's parent/legal guardian along with the subject is able and is willing to attend all scheduled visits and to comply with the study procedures.
  • Subject's parent/legal guardian has access to a telephone.
  • Subject's parent/legal guardian agrees not to enroll subject in another interventional study while participating in the present study.

Exclusion Criteria:

  • Subject has a known hypersensitivity to any vaccine.
  • Subject has an immune disorder(s) (including autoimmune disease) and/or clinical conditions requiring immunosuppressive drugs, known or suspected impairment of immunological function or a history of congenital or acquired immunodeficiency.
  • Subject has or his/her mother has known human immunodeficiency virus infection or known to be hepatitis B surface antigen-positive.
  • Subject has functional or anatomic asplenia.
  • Subject has known neurological or cognitive behavioral disorders including clinically significant developmental disorder and related disorders.
  • 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.
  • Subject has any active malignancy or history of malignancy.
  • Subject has been in receipt of intramuscular, oral, intravenous, inhaled or intranasal corticosteroid treatment within 2 weeks prior to study vaccination or is planned to receive these medications within 4 weeks after study vaccination. Note: Use of topical corticosteroids is permitted.
  • Subject has received any live-attenuated vaccines within 4 weeks prior to receipt of the study vaccine or inactivated vaccines within 2 weeks prior to receipt of study vaccine.
  • Subject has previously received an approved (other than PCV13) or investigational pneumococcal vaccine.
  • Subject has had any prior receipt of a blood transfusion or blood products, including immunoglobulins.
  • Subject has received investigational therapy within 30 days or 5 half-lives, whichever is longer, prior to screening.
  • Subject has received a systemically absorbed antibacterial agent within 7 days prior to study vaccination.
  • Subject has a history of microbiologically-proven invasive disease caused by S. pneumoniae.
  • Subject has received acetaminophen or nonsteroidal anti-inflammatorydrugs (NSAIDs) within 24 hours prior to receipt of study vaccine.
  • Subject has a coagulation disorder.
  • Subject's parent/legal guardian is unlikely to adhere to study procedures, keep appointments, or is planning to relocate during the study and the subject cannot be adequately followed for safety according to the protocol.
  • Subject who has a condition which makes the subject unsuitable for study participation.
  • Subject's parent(s)/legal guardian is an employee of Astellas Pharma Global Development Inc., the study-related contract research organizations (CROs), or the study site.

Sites / Locations

  • Dermatology Trial Associates
  • The Childrens Clinic
  • Emmaus Research Center, Inc
  • Madera Family Medical Group
  • Ctr Clin Trials San Gabriel
  • Gentle Medicine Associates
  • Kentucky Pediatric/Adult Research
  • Meridian Clinical Research
  • PMG Research
  • Oklahoma State University Center for Health Sciences
  • Pediatrics Medical Associates
  • Coastal Pediatric Associates
  • University of Texas Medical Branch
  • Houston Clinical Research Associates
  • Tanner Clinic
  • Pediatric Care
  • MultiCare Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Group 1, ASP3772 Low Dose

Group 1, PCV13 Comparator

Group 2, ASP3772 Medium Dose

Group 2, PCV13 Comparator

Group 3, ASP3772 High Dose

Group 3, PCV13 Comparator

Arm Description

Participants will receive a single intramuscular injection of ASP3772 administered on Day 1 at a low-dose level.

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

Participants will receive a single intramuscular injection of ASP3772 administered on Day 1 at a medium-dose level.

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

Participants will receive a single intramuscular injection of ASP3772 administered on Day 1 at a high-dose level.

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

Outcomes

Primary Outcome Measures

Number of Participants With Treatment Emergent Adverse Events (TEAEs)
A TEAE is defined as an adverse event (AE) observed after study vaccination and up to 30 days post-vaccination. A vaccine-related TEAE is defined as any TEAE with a causal relationship assessed as "yes" by the investigator.
Number of Participants With Body Temperature Abnormalities and/or Adverse Events
Number of participants with potentially clinically significant body temperature abnormalities.
Reactogenicity Assessed by Number of Solicited Local Reactions
Local reactions are tenderness, movement restriction, redness/erythema and swelling and induration. Local reactogenicity will be evaluated at approximately 30 to 60 minutes post-dose by study site personnel and recorded in an electronic diary device by the participant's parent/legal guardian while at the study site on day 1. The participant's parent/legal guardian will observe reactogenicity and tolerability from day 2 through day 7, and record observed events daily in the electronic diary device. Grades range from 1 (mild) to 4 (potentially life-threatening).
Reactogenicity assessed by Number of Solicited Systemic Reactions
Systemic reactions are vomiting, diarrhea, fever, irritability, decrease of appetite and increase or decrease in sleep. Body temperature will be assessed pre-dose and approximately 30 to 60 minutes post-dose. The participant's parent/legal guardian will be asked to observe the systemic reactogenicity symptoms from day 2 through day 7 and record observed events daily in the electronic diary device. Grades range from 1 (mild) to 4 (potentially life-threatening).

Secondary Outcome Measures

Proportion of Participants Achieving a Serotype-specific Anticapsular Polysaccharide Immunoglobulin G (PS IgG) Concentration of ≥ 0.35 µg/mL for ASP3772
PS IgG concentration measure will be used to characterize the immunological response 30 days following administration of ASP3772.
Proportion of Participants Achieving a Serotype-specific Anticapsular PS IgG Concentration of ≥ 0.35 µg/mL for PCV13
PS IgG concentration measure will be used to characterize the immunological response 30 days following administration of PCV13.
Proportion of Participants Achieving a Serotype-specific Opsonophagocytic Activity (OPA) Antibody Titer ≥ 1:8 for ASP3772
OPA measure will be used to characterize the immunological response 30 days following administration of ASP3772.
Proportion of Participants Achieving a Serotype-specific OPA Antibody Titer ≥ 1:8 for PCV13
OPA measure will be used to characterize the immunological response 30 days following administration of PCV13.
Geometric Mean Titer (GMT) for Serotype-specific OPA for ASP3772
OPA measure will be used to characterize the immunological response 30 days following administration of ASP3772.
Geometric Mean Titer (GMT) for Serotype-specific OPA for PCV13
OPA measure will be used to characterize the immunological response 30 days following administration of PCV13.

Full Information

First Posted
August 21, 2020
Last Updated
June 2, 2022
Sponsor
Affinivax, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT04525599
Brief Title
A Study to Assess the Safety, Tolerability and Immunogenicity of ASP3772, a Pneumococcal Vaccine, in Toddlers 12 to 15 Months of Age in Comparison to an Active Comparator
Official Title
A Phase 1, Randomized, Single Dose, Blinded, Dose-Escalation Study to Assess Safety, Tolerability and Immunogenicity of ASP3772, a Pneumococcal Vaccine, in Toddlers 12 to 15 Months of Age in Comparison to an Active Comparator
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
September 22, 2020 (Actual)
Primary Completion Date
April 6, 2022 (Actual)
Study Completion Date
April 6, 2022 (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
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and tolerability of three dose levels of ASP3772 in comparison to the active comparator Prevnar 13® (PCV13) in toddlers who have previously been administered the routine three-dose series of PCV13. This study will also evaluate the immunogenicity (production of an immune response) of three different dose levels of ASP3772 in comparison to the active comparator PCV13 in toddlers who have previously been administered the routine three-dose series of PCV13.
Detailed Description
After screening, participants will be randomized to ASP3772 or PCV13 on Day 1. A single dose of ASP3772 will be administered on Day 1 as an injection into the right or left thigh muscle at one of three dose levels. The participants randomized to PCV13 will receive a single intramuscular injection of the approved dose of PCV13 into the right or left thigh muscle. All participants will remain at the study site for approximately 30 to 60 minutes following vaccination in order for study site personnel to evaluate any immediate reactions, if needed. The participant's parent/legal guardian will observe for reactions, including daily body temperature measurements and tolerability assessments, from Day 2 through Day 7 and record observed events in the electronic diary device. All participants will have study visits on Day 7 (+ 1 day) and Day 30 (± 5 days) post-vaccination. The Day 7 visit may be conducted on site or by telephone call.The end-of-study visit will occur on Day 180 (± 14 days), which will be a safety follow-up by telephone call.

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 Disease, ASP3772, Pneumococcal vaccine, Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
75 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1, ASP3772 Low Dose
Arm Type
Experimental
Arm Description
Participants will receive a single intramuscular injection of ASP3772 administered on Day 1 at a low-dose level.
Arm Title
Group 1, PCV13 Comparator
Arm Type
Active Comparator
Arm Description
Participants will receive a single intramuscular injection of the approved dose of PCV13 on Day 1.
Arm Title
Group 2, ASP3772 Medium Dose
Arm Type
Experimental
Arm Description
Participants will receive a single intramuscular injection of ASP3772 administered on Day 1 at a medium-dose level.
Arm Title
Group 2, PCV13 Comparator
Arm Type
Active Comparator
Arm Description
Participants will receive a single intramuscular injection of the approved dose of PCV13 on Day 1.
Arm Title
Group 3, ASP3772 High Dose
Arm Type
Experimental
Arm Description
Participants will receive a single intramuscular injection of ASP3772 administered on Day 1 at a high-dose level.
Arm Title
Group 3, PCV13 Comparator
Arm Type
Active Comparator
Arm Description
Participants will receive a single intramuscular injection of the approved dose of PCV13 on Day 1.
Intervention Type
Biological
Intervention Name(s)
ASP3772
Intervention Description
Intramuscular (IM) injection
Intervention Type
Biological
Intervention Name(s)
PCV13
Other Intervention Name(s)
Prevnar 13
Intervention Description
Intramuscular injection
Primary Outcome Measure Information:
Title
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Description
A TEAE is defined as an adverse event (AE) observed after study vaccination and up to 30 days post-vaccination. A vaccine-related TEAE is defined as any TEAE with a causal relationship assessed as "yes" by the investigator.
Time Frame
Up to Day 30
Title
Number of Participants With Body Temperature Abnormalities and/or Adverse Events
Description
Number of participants with potentially clinically significant body temperature abnormalities.
Time Frame
Up to Day 30
Title
Reactogenicity Assessed by Number of Solicited Local Reactions
Description
Local reactions are tenderness, movement restriction, redness/erythema and swelling and induration. Local reactogenicity will be evaluated at approximately 30 to 60 minutes post-dose by study site personnel and recorded in an electronic diary device by the participant's parent/legal guardian while at the study site on day 1. The participant's parent/legal guardian will observe reactogenicity and tolerability from day 2 through day 7, and record observed events daily in the electronic diary device. Grades range from 1 (mild) to 4 (potentially life-threatening).
Time Frame
Up to Day 7
Title
Reactogenicity assessed by Number of Solicited Systemic Reactions
Description
Systemic reactions are vomiting, diarrhea, fever, irritability, decrease of appetite and increase or decrease in sleep. Body temperature will be assessed pre-dose and approximately 30 to 60 minutes post-dose. The participant's parent/legal guardian will be asked to observe the systemic reactogenicity symptoms from day 2 through day 7 and record observed events daily in the electronic diary device. Grades range from 1 (mild) to 4 (potentially life-threatening).
Time Frame
Up to Day 7
Secondary Outcome Measure Information:
Title
Proportion of Participants Achieving a Serotype-specific Anticapsular Polysaccharide Immunoglobulin G (PS IgG) Concentration of ≥ 0.35 µg/mL for ASP3772
Description
PS IgG concentration measure will be used to characterize the immunological response 30 days following administration of ASP3772.
Time Frame
Up to 30 days
Title
Proportion of Participants Achieving a Serotype-specific Anticapsular PS IgG Concentration of ≥ 0.35 µg/mL for PCV13
Description
PS IgG concentration measure will be used to characterize the immunological response 30 days following administration of PCV13.
Time Frame
Up to 30 days
Title
Proportion of Participants Achieving a Serotype-specific Opsonophagocytic Activity (OPA) Antibody Titer ≥ 1:8 for ASP3772
Description
OPA measure will be used to characterize the immunological response 30 days following administration of ASP3772.
Time Frame
Up to 30 days
Title
Proportion of Participants Achieving a Serotype-specific OPA Antibody Titer ≥ 1:8 for PCV13
Description
OPA measure will be used to characterize the immunological response 30 days following administration of PCV13.
Time Frame
Up to 30 days
Title
Geometric Mean Titer (GMT) for Serotype-specific OPA for ASP3772
Description
OPA measure will be used to characterize the immunological response 30 days following administration of ASP3772.
Time Frame
Up to 30 days
Title
Geometric Mean Titer (GMT) for Serotype-specific OPA for PCV13
Description
OPA measure will be used to characterize the immunological response 30 days following administration of PCV13.
Time Frame
Up to 30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Months
Maximum Age & Unit of Time
15 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is a healthy toddler who has previously completed a 3-dose infant series of PCV13 with the last vaccination greater than 2 months prior to study vaccination. Subject is afebrile within the last 48 hours (temperature measured orally is < 100 °F [37.8°C]; measured rectally or tympanic is < 101 °F [38.3°C]; measured in an axillary position or temporal is < 98.4 °F [36.9°C]). Subject's parent/legal guardian is able to read, understand and complete study questionnaires (i.e., the electronic subject diary device). Subject's parent/legal guardian along with the subject is able and is willing to attend all scheduled visits and to comply with the study procedures. Subject's parent/legal guardian has access to a telephone. Subject's parent/legal guardian agrees not to enroll subject in another interventional study while participating in the present study. Exclusion Criteria: Subject has a known hypersensitivity to any vaccine. Subject has an immune disorder(s) (including autoimmune disease) and/or clinical conditions requiring immunosuppressive drugs, known or suspected impairment of immunological function or a history of congenital or acquired immunodeficiency. Subject has or his/her mother has known human immunodeficiency virus infection or known to be hepatitis B surface antigen-positive. Subject has functional or anatomic asplenia. Subject has known neurological or cognitive behavioral disorders including clinically significant developmental disorder and related disorders. 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. Subject has any active malignancy or history of malignancy. Subject has been in receipt of intramuscular, oral, intravenous, inhaled or intranasal corticosteroid treatment within 2 weeks prior to study vaccination or is planned to receive these medications within 4 weeks after study vaccination. Note: Use of topical corticosteroids is permitted. Subject has received any live-attenuated vaccines within 4 weeks prior to receipt of the study vaccine or inactivated vaccines within 2 weeks prior to receipt of study vaccine. Subject has previously received an approved (other than PCV13) or investigational pneumococcal vaccine. Subject has had any prior receipt of a blood transfusion or blood products, including immunoglobulins. Subject has received investigational therapy within 30 days or 5 half-lives, whichever is longer, prior to screening. Subject has received a systemically absorbed antibacterial agent within 7 days prior to study vaccination. Subject has a history of microbiologically-proven invasive disease caused by S. pneumoniae. Subject has received acetaminophen or nonsteroidal anti-inflammatorydrugs (NSAIDs) within 24 hours prior to receipt of study vaccine. Subject has a coagulation disorder. Subject's parent/legal guardian is unlikely to adhere to study procedures, keep appointments, or is planning to relocate during the study and the subject cannot be adequately followed for safety according to the protocol. Subject who has a condition which makes the subject unsuitable for study participation. Subject's parent(s)/legal guardian is an employee of Astellas Pharma Global Development Inc., the study-related contract research organizations (CROs), or the study site.
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
Dermatology Trial Associates
City
Bryant
State/Province
Arkansas
ZIP/Postal Code
72022
Country
United States
Facility Name
The Childrens Clinic
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
Facility Name
Emmaus Research Center, Inc
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Madera Family Medical Group
City
Madera
State/Province
California
ZIP/Postal Code
93637
Country
United States
Facility Name
Ctr Clin Trials San Gabriel
City
West Covina
State/Province
California
ZIP/Postal Code
91790
Country
United States
Facility Name
Gentle Medicine Associates
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33435
Country
United States
Facility Name
Kentucky Pediatric/Adult Research
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
Meridian Clinical Research
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70806
Country
United States
Facility Name
PMG Research
City
Statesville
State/Province
North Carolina
ZIP/Postal Code
28625
Country
United States
Facility Name
Oklahoma State University Center for Health Sciences
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74127
Country
United States
Facility Name
Pediatrics Medical Associates
City
East Norriton
State/Province
Pennsylvania
ZIP/Postal Code
19401
Country
United States
Facility Name
Coastal Pediatric Associates
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29414
Country
United States
Facility Name
University of Texas Medical Branch
City
Galveston
State/Province
Texas
ZIP/Postal Code
77555
Country
United States
Facility Name
Houston Clinical Research Associates
City
Houston
State/Province
Texas
ZIP/Postal Code
77090
Country
United States
Facility Name
Tanner Clinic
City
Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States
Facility Name
Pediatric Care
City
Provo
State/Province
Utah
ZIP/Postal Code
84604
Country
United States
Facility Name
MultiCare Institute
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Access to anonymized individual participant level data will not be provided for this trial as it meets one or more of the exceptions described on www.clinicalstudydatarequest.com under "Sponsor Specific Details for Astellas."

Learn more about this trial

A Study to Assess the Safety, Tolerability and Immunogenicity of ASP3772, a Pneumococcal Vaccine, in Toddlers 12 to 15 Months of Age in Comparison to an Active Comparator

We'll reach out to this number within 24 hrs