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A Study to Determine the Safety and Attack Rate of the Seasonal Flu in Healthy Volunteers

Primary Purpose

Influenza, Human

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
H3N2
Sponsored by
SGS Life Sciences, a division of SGS Belgium NV
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Influenza, Human

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria:

  1. Male or female, between 18 and 55 years old (extremes included) at screening.
  2. In good physical and mental health as determined on the basis of medical history and general physical examination performed at screening.
  3. Absent or low levels of detectable pre-existing antibodies to influenza virus subtypes, including as a minimum the challenge strain, as determined by a MNT titre of ≤ 20 at screening.
  4. Negative urine test for selected drugs of abuse at screening and upon check-in at the clinical site.
  5. Negative alcohol breath test
  6. Female subjects should fulfil one of the following criteria:

    1. At least 1 year post-menopausal (amenorrhea >12 months and/or follicle-stimulating hormone (FSH) > 30 mIU/mL) prior to screening;
    2. Surgically sterile (bilateral oophorectomy, hysterectomy, or tubal ligation);
    3. Will use contraceptives as outlined in inclusion criterion 8 from screening to discharge.
  7. Female subjects of childbearing potential and male subjects who are sexually active with a female partner of childbearing potential must agree to the use of an effective method of birth control from screening to discharge.

Exclusion criteria:

  1. Subjects who have received any vaccination within the last 3 months prior to screening or influenza vaccine within the last 12 months prior to screening or who anticipate receiving this during the study.
  2. Subjects with a diagnosis of influenza or influenza-like illness confirmed by a physician within the last 6 months prior to screening.
  3. Subjects with a positive result for adventitious agent screening (qualitative PCR testing) for any respiratory virus or bacteria on Day -2.
  4. Haematology and chemistry parameters, pulse rate and/or blood pressure, and ECG outside the reference range for the population studied and considered as clinical significant by the Investigator.
  5. Has an acute or chronic medical condition

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    H3N2 10EXP5 TCID50/mL

    Arm Description

    A/Belgium/4217/2015 (H3N2) (SGS Code: SGS 421-7), Wild-type, influenza A (H3N2) human challenge strain

    Outcomes

    Primary Outcome Measures

    safety profile
    Number of subjects with SAEs considered by the Investigator to be related to the challenge agent, moderate or severe lower respiratory symptoms as indicated on the symptom score card, or confirmed cytokine-related AEs.
    Efficacy: Infectivity
    Attack rate defined as number of inoculated subjects with any of the following: Fever At least one other (i.e., not fever) influenza symptom At least 2 consecutive swabs positive for H3N2
    Efficacy: observed attack rate
    Observed attack rate expressed in percentage

    Secondary Outcome Measures

    Safety: Incidence of Related virus-emergent adverse events
    Safety: Incidence of Related virus-emergent adverse events

    Full Information

    First Posted
    April 22, 2020
    Last Updated
    April 29, 2020
    Sponsor
    SGS Life Sciences, a division of SGS Belgium NV
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04372719
    Brief Title
    A Study to Determine the Safety and Attack Rate of the Seasonal Flu in Healthy Volunteers
    Official Title
    An Open-Label, Ascending Dose Study to Determine the Safety and Attack Rate of a Wild Type, Seasonal H3N2 Influenza Challenge Agent in Healthy Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2, 2016 (Actual)
    Primary Completion Date
    December 28, 2016 (Actual)
    Study Completion Date
    December 28, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    SGS Life Sciences, a division of SGS Belgium NV

    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
    This is a non-controlled, open-label, single-centre, dose-escalation study to determine the safety, infectivity and immunology of the potential novel influenza virus H3N2 challenge strain. The term 'challenge agent' used in this protocol refers to the Influenza virus H3N2 A/Belgium/4217/2015. The study utilises an adaptive study design and consists of 2 parts.
    Detailed Description
    In Part 1, the primary objective is to determine the viral challenge strain dose that has an acceptable safety profile and an observed attack rate of >60% (i.e., at least 8 out of 12 subjects should be infected). After Part 1, a formal interim analysis will be performed to select the viral challenge strain dose for Part 2 by evaluating the primary objective of Part 1. In case no viral challenge strain dose can be selected, the study will not proceed to Part 2. In Part 2, the primary objective is to determine the infectivity rate in healthy volunteers of the selected viral challenge strain dose for use in subsequent human challenge intervention studies. All subjects will be screened prior to viral inoculation to assess their suitability to enter the study. Eligible subjects will be admitted to the clinical centre for a single intranasal inoculation with influenza A (H3N2). In this study, up to 64 healthy subjects will receive the investigational challenge agent: 36 subjects in Part 1 and 18 or 28 subjects in Part 2.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Influenza, Human

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Model Description
    single group
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    36 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    H3N2 10EXP5 TCID50/mL
    Arm Type
    Experimental
    Arm Description
    A/Belgium/4217/2015 (H3N2) (SGS Code: SGS 421-7), Wild-type, influenza A (H3N2) human challenge strain
    Intervention Type
    Drug
    Intervention Name(s)
    H3N2
    Primary Outcome Measure Information:
    Title
    safety profile
    Description
    Number of subjects with SAEs considered by the Investigator to be related to the challenge agent, moderate or severe lower respiratory symptoms as indicated on the symptom score card, or confirmed cytokine-related AEs.
    Time Frame
    through study completion, an average of 3 months
    Title
    Efficacy: Infectivity
    Description
    Attack rate defined as number of inoculated subjects with any of the following: Fever At least one other (i.e., not fever) influenza symptom At least 2 consecutive swabs positive for H3N2
    Time Frame
    through study completion, an average of 3 months
    Title
    Efficacy: observed attack rate
    Description
    Observed attack rate expressed in percentage
    Time Frame
    through study completion, an average of 3 months
    Secondary Outcome Measure Information:
    Title
    Safety: Incidence of Related virus-emergent adverse events
    Description
    Safety: Incidence of Related virus-emergent adverse events
    Time Frame
    through study completion, an average of 1 year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion criteria: Male or female, between 18 and 55 years old (extremes included) at screening. In good physical and mental health as determined on the basis of medical history and general physical examination performed at screening. Absent or low levels of detectable pre-existing antibodies to influenza virus subtypes, including as a minimum the challenge strain, as determined by a MNT titre of ≤ 20 at screening. Negative urine test for selected drugs of abuse at screening and upon check-in at the clinical site. Negative alcohol breath test Female subjects should fulfil one of the following criteria: At least 1 year post-menopausal (amenorrhea >12 months and/or follicle-stimulating hormone (FSH) > 30 mIU/mL) prior to screening; Surgically sterile (bilateral oophorectomy, hysterectomy, or tubal ligation); Will use contraceptives as outlined in inclusion criterion 8 from screening to discharge. Female subjects of childbearing potential and male subjects who are sexually active with a female partner of childbearing potential must agree to the use of an effective method of birth control from screening to discharge. Exclusion criteria: Subjects who have received any vaccination within the last 3 months prior to screening or influenza vaccine within the last 12 months prior to screening or who anticipate receiving this during the study. Subjects with a diagnosis of influenza or influenza-like illness confirmed by a physician within the last 6 months prior to screening. Subjects with a positive result for adventitious agent screening (qualitative PCR testing) for any respiratory virus or bacteria on Day -2. Haematology and chemistry parameters, pulse rate and/or blood pressure, and ECG outside the reference range for the population studied and considered as clinical significant by the Investigator. Has an acute or chronic medical condition

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    A Study to Determine the Safety and Attack Rate of the Seasonal Flu in Healthy Volunteers

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