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A/H5N1 Dose Ranging Study With Adjuvant Patch

Primary Purpose

Pandemic Influenza

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
A/H5N1
A/H5N1
A/H5N1
A/H5N1
A/H5N1
A/H5N1
A/H5N1
A/H5N1
A/H5N1
Placebo
Sponsored by
Intercell USA, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pandemic Influenza focused on measuring Avian, Pandemic, Influenza, A/H5N1

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult males or females 18-49 years of age (inclusive)
  • Signed Informed Consent
  • Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and within 24 hours of each vaccination with understanding (through Informed Consent process) to not become pregnant and to employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: abstinence, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom or diaphragm, with spermicide), and IUD

Exclusion Criteria:

  • Laboratory abnormalities [as determined by the Toxicity Grading Scale (grade 1 4)] at laboratory screening
  • Abnormalities at physical examination [as determined by the Toxicity Grading Scale (grade 1-4)]
  • Known allergies to any component of the vaccine
  • Known egg protein allergy
  • Known allergies to adhesives
  • Known disturbance of coagulation
  • Participated in research involving investigational product within 45 days before planned date of first vaccination
  • Donated or received blood or blood products such as plasma within the past 45 days
  • Received any licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to planned date of first vaccination
  • Ever received investigational enterotoxigenic E. coli, LT, or LT (R192G) or NasalFlu, Berna Biotech, Ltd
  • Ever received cholera toxin or vaccine (e.g. Orochol™, Dukoral™)
  • History of travelers' diarrhea in the last two years
  • History of abdominal surgery (excluding C-section, hysterectomy, cosmetic surgery, liposuction, appendectomy, cholecystectomy, ventral hernia repair, and other surgeries not pertaining to gastrointestinal problems) or history of, or recent acute gastrointestinal illness
  • Previous vaccination with a pandemic candidate vaccine or previous proven contact with A/H5N1 wild type virus (contact with an individual with laboratory-confirmed A/H5N1 infection or contact with an animal which died as a result of A/H5N1 infection)
  • Recent or regular use of oral, topical or injected steroid medications within 45 days prior to first vaccination
  • Use of immunosuppressive systemic steroid medications including inhaled steroids within three months prior to first vaccination
  • Comorbid conditions or treatments that are immunosuppressive, including cancer, diabetes, end-stage renal disease, as determined by the Investigator
  • Positive serology for HIV-1, HIV-2, HBsAg, or HCV
  • History of severe atopy
  • Medical history of acute or chronic skin disease at vaccination area(s)
  • Active skin allergy
  • Signs of acute skin infection, sunburn or skin abnormalities at the vaccination area(s) including fungal infections, severe acne, or active contact dermatitis, or a history of keloid formation
  • Hirsute (significant amount of hair) at vaccination area(s)
  • Artificial tanning (UV radiation) over the duration of the study including the screening period
  • Visible tattoos or marks (tattoos/scars) at the vaccination area(s) that would prevent appropriate dermatologic monitoring of the vaccination site(s)
  • Fever greater than or equal to 38.0°C (100.4°F) at the time of planned vaccination
  • Suspicion of or recent history of (within one year of planned vaccination) alcohol or substance abuse
  • Women who are pregnant or breastfeeding
  • Acute illness at screening or at baseline
  • Ever had a serious reaction to prior influenza vaccination
  • Developed a neurological disorder (such as Guillain Barré syndrome) in the six weeks following a previous influenza vaccination
  • Medical history of achlorhydria
  • Employee of the investigational site
  • History of employment in bird or poultry industries or considerable exposure to birds (e.g. poultry or bird veterinarians, bird breeders, poultry butchers and/or cullers, etc.)

Sites / Locations

  • Solano Clinical Research
  • Miami Research Associates
  • Quintiles Phase One Services
  • Jean Brown Research
  • Northwest Kinetics

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1

Group 2

Group 3

Group 4

Group 5

Group 6

Group 7

Group 8

Group 9

Group 10

Arm Description

Outcomes

Primary Outcome Measures

Safety of Intramuscular A/H5N1 with and without the LT adjuvant patch

Secondary Outcome Measures

Demonstration of adjuvant effect and evaluation of immunogenicity

Full Information

First Posted
September 19, 2007
Last Updated
March 13, 2012
Sponsor
Intercell USA, Inc.
Collaborators
Department of Health and Human Services
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1. Study Identification

Unique Protocol Identification Number
NCT00532792
Brief Title
A/H5N1 Dose Ranging Study With Adjuvant Patch
Official Title
A Randomized, Observer-Blind, Placebo-Controlled Study to Assess the Safety and Immunogenicity of Intramuscular Inactivated Influenza A/H5N1 Vaccine Administered With and Without an Adjuvant Patch in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
August 2007 (undefined)
Primary Completion Date
June 2008 (Actual)
Study Completion Date
June 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intercell USA, Inc.
Collaborators
Department of Health and Human Services

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 1/2, randomized, observer-blind, placebo-controlled clinical trial. A maximum of 500 eligible subjects in 10 groups will be enrolled, randomized and vaccinated in this study. Subjects will receive an intramuscular injection of either the influenza A/H5N1 (low, medium or high dose) or placebo on Day 0 and Day 21 with or without a patch. This study will be performed in two parts. In Part 1, an initial safety evaluation will be performed in 100 randomized subjects. A Safety Review Committee (SRC)will review all safety data, including laboratory values, through the Day 7 visit, and compare those data against Stopping Criteria. If the treatments are considered safe, Part 2 of the study will be initiated and a second vaccination will be administered to subjects in Part 1 on Day 21. In Part 2, the remaining 400 subjects will be randomized, treated, and will follow the same visit structure and protocol-defined requirements as subjects in Part 1, without the additional laboratory safety measurements. An SRC review will also be performed of all safety data through the Day 28 visit for subjects participating in Part 1.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pandemic Influenza
Keywords
Avian, Pandemic, Influenza, A/H5N1

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Title
Group 2
Arm Type
Experimental
Arm Title
Group 3
Arm Type
Experimental
Arm Title
Group 4
Arm Type
Experimental
Arm Title
Group 5
Arm Type
Experimental
Arm Title
Group 6
Arm Type
Experimental
Arm Title
Group 7
Arm Type
Experimental
Arm Title
Group 8
Arm Type
Experimental
Arm Title
Group 9
Arm Type
Experimental
Arm Title
Group 10
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
Low dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; No LT Patch Day 0 or Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
Low dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; no LT patch on Day 0; LT Patch on Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
Low dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; LT patch on Day 0 and Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
Medium dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; no LT patch on Day 0 or Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
Medium dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; no LT patch on Day 0; LT Patch on Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
Medium dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; LT patch on Day 0 and Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
High dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; no LT patch on Day 0 or Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
High dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; no LT patch on Day 0; LT Patch on Day 21
Intervention Type
Biological
Intervention Name(s)
A/H5N1
Intervention Description
High dose A/H5N1 (0.5mL); Route IM - Day 0 and Day 21; LT patch on Day 0 and Day 21
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo (0.5ml); Route IM - Day 0 and Day 21; no LT patch on Day 0 or Day 21
Primary Outcome Measure Information:
Title
Safety of Intramuscular A/H5N1 with and without the LT adjuvant patch
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Demonstration of adjuvant effect and evaluation of immunogenicity
Time Frame
Day 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult males or females 18-49 years of age (inclusive) Signed Informed Consent Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and within 24 hours of each vaccination with understanding (through Informed Consent process) to not become pregnant and to employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: abstinence, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom or diaphragm, with spermicide), and IUD Exclusion Criteria: Laboratory abnormalities [as determined by the Toxicity Grading Scale (grade 1 4)] at laboratory screening Abnormalities at physical examination [as determined by the Toxicity Grading Scale (grade 1-4)] Known allergies to any component of the vaccine Known egg protein allergy Known allergies to adhesives Known disturbance of coagulation Participated in research involving investigational product within 45 days before planned date of first vaccination Donated or received blood or blood products such as plasma within the past 45 days Received any licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to planned date of first vaccination Ever received investigational enterotoxigenic E. coli, LT, or LT (R192G) or NasalFlu, Berna Biotech, Ltd Ever received cholera toxin or vaccine (e.g. Orochol™, Dukoral™) History of travelers' diarrhea in the last two years History of abdominal surgery (excluding C-section, hysterectomy, cosmetic surgery, liposuction, appendectomy, cholecystectomy, ventral hernia repair, and other surgeries not pertaining to gastrointestinal problems) or history of, or recent acute gastrointestinal illness Previous vaccination with a pandemic candidate vaccine or previous proven contact with A/H5N1 wild type virus (contact with an individual with laboratory-confirmed A/H5N1 infection or contact with an animal which died as a result of A/H5N1 infection) Recent or regular use of oral, topical or injected steroid medications within 45 days prior to first vaccination Use of immunosuppressive systemic steroid medications including inhaled steroids within three months prior to first vaccination Comorbid conditions or treatments that are immunosuppressive, including cancer, diabetes, end-stage renal disease, as determined by the Investigator Positive serology for HIV-1, HIV-2, HBsAg, or HCV History of severe atopy Medical history of acute or chronic skin disease at vaccination area(s) Active skin allergy Signs of acute skin infection, sunburn or skin abnormalities at the vaccination area(s) including fungal infections, severe acne, or active contact dermatitis, or a history of keloid formation Hirsute (significant amount of hair) at vaccination area(s) Artificial tanning (UV radiation) over the duration of the study including the screening period Visible tattoos or marks (tattoos/scars) at the vaccination area(s) that would prevent appropriate dermatologic monitoring of the vaccination site(s) Fever greater than or equal to 38.0°C (100.4°F) at the time of planned vaccination Suspicion of or recent history of (within one year of planned vaccination) alcohol or substance abuse Women who are pregnant or breastfeeding Acute illness at screening or at baseline Ever had a serious reaction to prior influenza vaccination Developed a neurological disorder (such as Guillain Barré syndrome) in the six weeks following a previous influenza vaccination Medical history of achlorhydria Employee of the investigational site History of employment in bird or poultry industries or considerable exposure to birds (e.g. poultry or bird veterinarians, bird breeders, poultry butchers and/or cullers, etc.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Philip Leese, MD
Organizational Affiliation
Quintiles Phase One Services
Official's Role
Principal Investigator
Facility Information:
Facility Name
Solano Clinical Research
City
Vallejo
State/Province
California
ZIP/Postal Code
94589
Country
United States
Facility Name
Miami Research Associates
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Quintiles Phase One Services
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Jean Brown Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84124
Country
United States
Facility Name
Northwest Kinetics
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98418
Country
United States

12. IPD Sharing Statement

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A/H5N1 Dose Ranging Study With Adjuvant Patch

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