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A Study to Evaluate the Safety and Reactogenicity of DPX-RSV(A), a Respiratory Syncytial Virus Vaccine

Primary Purpose

Respiratory Syncytial Virus

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
DPX-RSV(A)
RSV(A)-Alum
Placebo
Sponsored by
Dalhousie University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Respiratory Syncytial Virus

Eligibility Criteria

50 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age 50-64 years, inclusive.
  • Good general health status, as determined by history and physical examination no greater than 30 days prior to administration of the test article.
  • Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. completion of Diary Cards, return for follow-up visits).
  • Written informed consent obtained from the participant.
  • If female of child-bearing potential and heterosexually active, has practiced adequate contraception for 30 days prior to injection, has a negative pregnancy test on the day of injection, and has agreed to continue adequate contraception until 180 days after injection. (Please refer to the glossary for the definition of child-bearing potential and adequate contraception).

Exclusion Criteria:

  • Use of any investigational or non-registered product (drug or vaccine) other than the study product within 28 days preceding the dose of study product, or planned use during the study period.
  • Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product (pharmaceutical product or device).
  • Planned administration/ administration of a vaccine/product not foreseen by the study protocol within the period starting 28 days before injection of a study vaccine and ending 84 days after.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the dose of study product or planned administration during the study period.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination. (Laboratory testing for HIV, Hepatitis C and Hepatitis B will be performed during the screening visit).
  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drug within 6 months prior to the product dose (for corticosteroids, this will mean prednisone ≥ 20 mg/day, or equivalent). Inhaled and topical steroids are allowed.
  • Family history of congenital or hereditary immunodeficiency.
  • History of or current autoimmune disease.
  • History of hypersensitivity to any test article constituent or products used during the course of study procedures.
  • Known or suspected hypersensitivity to any ingredient in the formulation or component of the container.
  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions within 180 days of study vaccine receipt.
  • Any hematological (hemoglobin level, white blood cell [WBC], and platelet count) and biochemical (alanine aminotransferase [ALT], aspartate aminotransferase [AST], blood urea nitrogen [BUN] and creatinine) abnormality as per local laboratory normal values considered clinically significant by the investigator.
  • Transient mild laboratory abnormalities may be rescreened and the participant will be deemed eligible if the laboratory repeat test is normal as per local laboratory normal values and investigator assessment.
  • Any acute or chronic, clinically significant disease, as determined by physical examination or laboratory screening tests.
  • Malignancies within previous 5 years (excluding non-melanic skin cancer) and lymphoproliferative disorders.
  • Current alcoholism and/or drug abuse.
  • Acute disease and/or fever at the time of Screening ≥ 38°C

    1. Fever is defined as temperature ≥ 38° /100.4°F by any route; the preferred route for recording temperature in this study will be oral.
    2. Participants with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator.
    3. Participants with acute disease and/ or fever at the time of Screening may be re-screened at a later date.
  • Planned move to a location that will prohibit participating in the trial until study end.
  • Any other condition that the investigator judges may interfere with study procedures (e.g. drawing blood) or findings (e.g. immune response).

Sites / Locations

  • IWK Health Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Group A, DPX-RSV(A) low dose (Step 1)

Group B, RSV(A)-Alum low dose (Step 1)

Group D, DPX-RSV(A) high dose (Step 2)

Group E, RSV(A)-Alum high dose (Step 2)

Group C & F, Placebo control (Step 1 and 2)

Arm Description

Outcomes

Primary Outcome Measures

Number of participants with adverse events as a measure of safety and reactogenicity of the intramuscular DPX-RSV(A)

Secondary Outcome Measures

Number of participants with adverse events as a measure of safety of a second dose of the DPX-RSV(A)
The immunogenicity of the DPX-RSV(A) as measured by antibodies directed to the SHe antigen
Persistence of the humoral immune response to two doses of the RSV investigational vaccines, as measured by anti-SHe antibodies

Full Information

First Posted
June 5, 2015
Last Updated
January 31, 2020
Sponsor
Dalhousie University
Collaborators
ImmunoVaccine Technologies, Inc. (IMV Inc.)
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1. Study Identification

Unique Protocol Identification Number
NCT02472548
Brief Title
A Study to Evaluate the Safety and Reactogenicity of DPX-RSV(A), a Respiratory Syncytial Virus Vaccine
Official Title
A Phase I Randomized, Observer-blind, Controlled, Dose Escalation Trial of the Safety and Tolerability of Two Intramuscular Doses of DPX-RSV(A), a Respiratory Syncytial Virus Vaccine Containing Respiratory Syncytial Virus (RSV) SHe Antigen and a Novel Adjuvant DepoVaxTM, or SHe A Antigen Co-administered With Aluminum Hydroxide, or Placebo to Healthy Adults ≥50-64 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
March 14, 2017 (Actual)
Study Completion Date
March 14, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Dalhousie University
Collaborators
ImmunoVaccine Technologies, Inc. (IMV Inc.)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Administration of DPX-RSV(A), a Respiratory Syncytial Virus vaccine containing Respiratory Syncytial Virus (RSV) SHe antigen and DepoVaxTM adjuvant to healthy adults ≥50-64 years of age.
Detailed Description
This is a phase 1, First in Humans, randomized (2:2:1) observer blind, controlled, dose ranging, multi-arm parallel-group clinical trial in healthy persons 50 to 64 years of age to assess the safety and immunogenicity of two dose levels of a novel vaccine formulation DPX-RSV(A) consisting of a synthetic Respiratory Syncytial Virus SHe antigen combined with a novel adjuvant DepoVaxTM, compared to the antigen combined with the commonly used adjuvant Aluminum hydroxide, and to a saline placebo control. The study will evaluate two different doses of DPX-RSV(A) and two doses of the RSV SHe antigen with aluminum hydroxide (RSV(A)-Alum), and a placebo control. The study is randomized, controlled, and observer-blinded in order that allocation to treatment is concealed from the investigative team and the participant. The inclusion of comparator groups (a placebo control group and the RSV(A)-Alum) allows for estimation of the attributable risk of adverse events. Since the study vaccines are not identical in appearance, an unblinded study nurse who has no other role in the study will administer the study vaccines.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Syncytial Virus

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A, DPX-RSV(A) low dose (Step 1)
Arm Type
Experimental
Arm Title
Group B, RSV(A)-Alum low dose (Step 1)
Arm Type
Experimental
Arm Title
Group D, DPX-RSV(A) high dose (Step 2)
Arm Type
Experimental
Arm Title
Group E, RSV(A)-Alum high dose (Step 2)
Arm Type
Experimental
Arm Title
Group C & F, Placebo control (Step 1 and 2)
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
DPX-RSV(A)
Intervention Description
Prophylactic peptide vaccine targeting RSV will be administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
RSV(A)-Alum
Intervention Description
Prophylactic peptide vaccine targeting RSV will be administered intramuscularly.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Normal saline (0.9 % sodium chloride) will be administered intramuscularly.
Primary Outcome Measure Information:
Title
Number of participants with adverse events as a measure of safety and reactogenicity of the intramuscular DPX-RSV(A)
Time Frame
Up to 28 Days after first injection.
Secondary Outcome Measure Information:
Title
Number of participants with adverse events as a measure of safety of a second dose of the DPX-RSV(A)
Time Frame
180 days after vaccination.
Title
The immunogenicity of the DPX-RSV(A) as measured by antibodies directed to the SHe antigen
Time Frame
28 days after one dose of vaccine and 28 days after a the second dose of a two-dose vaccine schedule as measured by antibodies directed to the SHe antigen.
Title
Persistence of the humoral immune response to two doses of the RSV investigational vaccines, as measured by anti-SHe antibodies
Time Frame
From Day 28 to Day 180 after second vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 50-64 years, inclusive. Good general health status, as determined by history and physical examination no greater than 30 days prior to administration of the test article. Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. completion of Diary Cards, return for follow-up visits). Written informed consent obtained from the participant. If female of child-bearing potential and heterosexually active, has practiced adequate contraception for 30 days prior to injection, has a negative pregnancy test on the day of injection, and has agreed to continue adequate contraception until 180 days after injection. (Please refer to the glossary for the definition of child-bearing potential and adequate contraception). Exclusion Criteria: Use of any investigational or non-registered product (drug or vaccine) other than the study product within 28 days preceding the dose of study product, or planned use during the study period. Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product (pharmaceutical product or device). Planned administration/ administration of a vaccine/product not foreseen by the study protocol within the period starting 28 days before injection of a study vaccine and ending 84 days after. Administration of immunoglobulins and/or any blood products within the 3 months preceding the dose of study product or planned administration during the study period. Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination. (Laboratory testing for HIV, Hepatitis C and Hepatitis B will be performed during the screening visit). Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drug within 6 months prior to the product dose (for corticosteroids, this will mean prednisone ≥ 20 mg/day, or equivalent). Inhaled and topical steroids are allowed. Family history of congenital or hereditary immunodeficiency. History of or current autoimmune disease. History of hypersensitivity to any test article constituent or products used during the course of study procedures. Known or suspected hypersensitivity to any ingredient in the formulation or component of the container. Pregnant or lactating female. Female planning to become pregnant or planning to discontinue contraceptive precautions within 180 days of study vaccine receipt. Any hematological (hemoglobin level, white blood cell [WBC], and platelet count) and biochemical (alanine aminotransferase [ALT], aspartate aminotransferase [AST], blood urea nitrogen [BUN] and creatinine) abnormality as per local laboratory normal values considered clinically significant by the investigator. Transient mild laboratory abnormalities may be rescreened and the participant will be deemed eligible if the laboratory repeat test is normal as per local laboratory normal values and investigator assessment. Any acute or chronic, clinically significant disease, as determined by physical examination or laboratory screening tests. Malignancies within previous 5 years (excluding non-melanic skin cancer) and lymphoproliferative disorders. Current alcoholism and/or drug abuse. Acute disease and/or fever at the time of Screening ≥ 38°C Fever is defined as temperature ≥ 38° /100.4°F by any route; the preferred route for recording temperature in this study will be oral. Participants with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator. Participants with acute disease and/ or fever at the time of Screening may be re-screened at a later date. Planned move to a location that will prohibit participating in the trial until study end. Any other condition that the investigator judges may interfere with study procedures (e.g. drawing blood) or findings (e.g. immune response).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joanne M Langley, MD, MSc, FRCPC
Organizational Affiliation
Dalhousie University, IWK Health Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
IWK Health Centre
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3K 6R8
Country
Canada

12. IPD Sharing Statement

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A Study to Evaluate the Safety and Reactogenicity of DPX-RSV(A), a Respiratory Syncytial Virus Vaccine

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