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Assess the Safety and Immunogenicity of M-001 as A Standalone Influenza Vaccine and as A H5N1 Vaccine Primer in Adults

Primary Purpose

Influenza, Healthy

Status
Completed
Phase
Phase 2
Locations
Hungary
Study Type
Interventional
Intervention
Multimeric 001 (M-001)
H5N1 influenza vaccine
Saline
Sponsored by
BiondVax Pharmaceuticals ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring influenza, vaccine, universal, peptide, prime, boost, HAI, CMI, UNISEC

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male or non-pregnant female (as indicated by a negative urine pregnancy test immediately prior to vaccine administration) between the ages of 18 and 60 years, inclusive;
  • Women of childbearing potential (not surgically sterile or postmenopausal for greater than or equal to one year) and men must agree to practice adequate contraception (a combination of barrier plus hormone methods or intra uterine device (IUD) for women and a condom for men) throughout the study treatment and for at least up to day 51 (for female) and day 111 (for male) of the trial (i.e. 30 (for female) and 90 (for male) days after the last dose of the IMP);
  • Is in good health, as determined by vital signs (heart rate, blood pressure, armpit temperature), blood chemistry test (electrolytes, renal/kidney function, liver function, C-reactive protein, complete blood count), medical history, general physical examination, self-reported illness and clinical judgment of the investigator;
  • Able to understand and comply with planned study procedures;
  • Provides signed informed consent form after receiving a detailed explanation of the study protocol prior to any study procedures.

Exclusion Criteria

A potential subject who meets any if the following criteria will be excluded from participation in this study:

  • Has a known allergy to components of the vaccine (e.g. egg products).
  • Has a history of severe reactions following immunization.
  • Persons with immune deficiency/disorder, whether due to genetic defect, immunodeficiency disease, or immunosuppressive therapy.
  • Has a positive urine pregnancy test prior to vaccination or women who are breastfeeding.
  • Has a history of any of the following (reported by subjects):

    • Acute disseminated encephalomyelitis (ADEM);
    • Active neoplastic disease;
    • Asthma or severe allergic disease;
    • Bleeding disorders
    • Chronic Hepatitis B and/or C infection;
    • Chronic liver disease;
    • Diabetes mellitus;
    • Guillain-Barré syndrome;
    • HIV;
    • Rheumatoid arthritis or other autoimmune diseases;
    • Severe renal disease;
    • Transplant recipients;
    • Unstable or progressive neurological disorders.
  • Receipt of medicines/treatments that may affect evaluation of immunogenicity such as:

    • Oral or parenteral steroids, high-dose inhaled steroids (greater than 800 micrograms/day of beclomethasone dipropionate or equivalent) or other immunosuppressive or cytotoxic drugs;
    • Immunoglobulin or other blood products (within the 3 months prior to vaccination in this study);
    • Experimental agent (vaccine, drug, biologic, device, blood product, or medication) within 1 month prior to vaccination in this study, or expects to receive an experimental agent (during the study period).
    • Influenza antiviral medication (within the 4 weeks prior to vaccination in this study).
  • Has received any influenza vaccine within 6 months prior to vaccination in this study.
  • Has influenza-like illness within 6 months prior to vaccination in this study.
  • Has an acute illness, including an armpit temperature greater than 38 degrees Celsius (oC), within 1 week of vaccination.
  • Has a history of alcohol or drug abuse.
  • Any abnormal haematology values and/or serum chemistries judged by the Investigator as clinically significant.
  • Ineligible subject based on the judgement of the investigator.
  • In case there is uncertainty about the participant's medical status regarding any of the exclusion criteria mentioned, the participant's primary care physician will be consulted. Consultation of the primary care physician will only take place after having received written approval from the participant, and will concern medical information about exclusion criteria only.

Sites / Locations

  • St Istvan St laszlo Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

A: M-001 0.5mg & H5N1 influenza vaccine

B: M-001 1.0mg & H5N1 influenza vaccine

C: Saline & H5N1 influenza vaccine

Arm Description

Biological/Vaccine: Two Multimeric-001 administrations followed by H5N1 influenza vaccine Two administrations of non adjuvanted M-001, 0.5mg followed by 3mcg Alum/H5N1 influenza vaccine at intervals of 19-23 days

Biological/Vaccine: Two Multimeric-001 administrations followed by H5N1 influenza vaccine Two administrations of non adjuvanted M-001, 1.0mg followed by 3mcg Alum/H5N1 influenza vaccine at intervals of 19-23 days

Biological/Vaccine: Two saline administrations followed by H5N1 influenza vaccine Two administrations of saline followed by 3mcg Alum/H5N1 influenza vaccinated intervals of 19-23 days

Outcomes

Primary Outcome Measures

For each vaccine group the incidence rate of subjects with solicited AE(s) with 95% confidence interval
All subjects
For each vaccine group the percentage of subjects with SAE(s) with 95% confidence interval
All subjects
For each vaccine group the influenza-specific cellular immune responses evaluated by multi-parametric FACS analysis
All subjects

Secondary Outcome Measures

For each vaccine group the antibody responses to the H5 vaccine strain evaluated by hemaglutination inhibition (HI) assay
All subjects

Full Information

First Posted
February 11, 2016
Last Updated
February 8, 2018
Sponsor
BiondVax Pharmaceuticals ltd.
Collaborators
Seventh Framework Programme
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1. Study Identification

Unique Protocol Identification Number
NCT02691130
Brief Title
Assess the Safety and Immunogenicity of M-001 as A Standalone Influenza Vaccine and as A H5N1 Vaccine Primer in Adults
Official Title
A Multicenter, Randomized, Double-blind, Active-controlled Phase 2b Trial [Part of EU-funded UNISEC Project] to Assess the Immunogenicity & Safety of a BiondVax's Influenza Vaccine (M-001) Followed by H5N1 Vaccine in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
January 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BiondVax Pharmaceuticals ltd.
Collaborators
Seventh Framework Programme

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
"Multimeric-001" (M-001) contains conserved, common linear influenza epitopes that activate both cellular and humoral arms of the immune system against a wide variety of influenza A and B strains. Apart from its direct action, M-001 is an attractive candidate for priming immune responses to pandemic influenza vaccine in the adult population. The current clinical study was designed to assess M-001's standalone and priming action in subjects aged 18-60 years old. This is a Phase IIb study comprising 222 participants. Eligible subjects were randomized to receive two sequential intramuscular injection of 0.5mg or 1.0mg M-001 (treatment), or two placebo (saline) injection, before receiving the sub optimal dose of H5N1 pandemic vaccine.
Detailed Description
This is a multi-center, randomized, double blind active-controlled Phase 2b study. 222 subjects will be randomized 1:1:1 into three groups to receive two sequential non-adjuvanted 0.5 mg or 1.0mg intramuscular injection of M-001 (treatment), or two placebo (saline) injection, before receiving the Alum adjuvanted H5N1 vaccine at a sub optimal dose of 3mcg. Hemagglutinin inhibition (HAI) will be evaluated at baseline and 3 weeks after H5N1 whole virion inactivated pandemic influenza vaccination as a measure of M-001's ability to enhance the humoral response. Cell mediated immune (CMI) responses will also be evaluated at baseline and after immunization with M-001 as a measure of M-001's standalone immunogenicity. The subjects will monitored for safety throughout the study until day 180.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Healthy
Keywords
influenza, vaccine, universal, peptide, prime, boost, HAI, CMI, UNISEC

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
224 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A: M-001 0.5mg & H5N1 influenza vaccine
Arm Type
Experimental
Arm Description
Biological/Vaccine: Two Multimeric-001 administrations followed by H5N1 influenza vaccine Two administrations of non adjuvanted M-001, 0.5mg followed by 3mcg Alum/H5N1 influenza vaccine at intervals of 19-23 days
Arm Title
B: M-001 1.0mg & H5N1 influenza vaccine
Arm Type
Experimental
Arm Description
Biological/Vaccine: Two Multimeric-001 administrations followed by H5N1 influenza vaccine Two administrations of non adjuvanted M-001, 1.0mg followed by 3mcg Alum/H5N1 influenza vaccine at intervals of 19-23 days
Arm Title
C: Saline & H5N1 influenza vaccine
Arm Type
Placebo Comparator
Arm Description
Biological/Vaccine: Two saline administrations followed by H5N1 influenza vaccine Two administrations of saline followed by 3mcg Alum/H5N1 influenza vaccinated intervals of 19-23 days
Intervention Type
Biological
Intervention Name(s)
Multimeric 001 (M-001)
Intervention Description
Multimeric 001 is a recombinant protein comprising 9 conserved peptides from influenza A and B
Intervention Type
Biological
Intervention Name(s)
H5N1 influenza vaccine
Intervention Description
Alum adjuvanted whole virion inactivated H5N1 vaccine produced by FluArt (Hungary)
Intervention Type
Biological
Intervention Name(s)
Saline
Intervention Description
0.9% NaCl in double distilled water
Primary Outcome Measure Information:
Title
For each vaccine group the incidence rate of subjects with solicited AE(s) with 95% confidence interval
Description
All subjects
Time Frame
Day 0 to Day 42 (21 days after the last M-001 dosing)
Title
For each vaccine group the percentage of subjects with SAE(s) with 95% confidence interval
Description
All subjects
Time Frame
Day 0 to Day 180 (study conclusion)
Title
For each vaccine group the influenza-specific cellular immune responses evaluated by multi-parametric FACS analysis
Description
All subjects
Time Frame
Days 0 and 42 (21 days after the last M-001 dosing)
Secondary Outcome Measure Information:
Title
For each vaccine group the antibody responses to the H5 vaccine strain evaluated by hemaglutination inhibition (HI) assay
Description
All subjects
Time Frame
Days 0 and 63 (21 days after the H5N1 immunization)
Other Pre-specified Outcome Measures:
Title
Exploratory: For each vaccine group the antibody responses to the non-H5 vaccine strains evaluated by hemaglutination inhibition (HI) assay
Description
All subjects
Time Frame
Days 0 and 63 (21 days after the H5N1 immunization)
Title
Exploratory: For each vaccine group the influenza-specific cellular immune responses evaluated by quantitative reserve transcription polymerase chain reaction (qRT-PCR) assay
Description
In all groups, in a subset of 60 subjects
Time Frame
Days 0, 42 and 63
Title
Exploratory: For each vaccine group the antibody responses to the H5 vaccine strain evaluated by single radial hemolysis (SRH) assay
Description
All subjects
Time Frame
Days 0 and 63 (21 days after the H5N1 immunization)
Title
Exploratory: The association between cellular immune markers and humoral immune responses will be examined.
Time Frame
Days 0, 42 and 63

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or non-pregnant female (as indicated by a negative urine pregnancy test immediately prior to vaccine administration) between the ages of 18 and 60 years, inclusive; Women of childbearing potential (not surgically sterile or postmenopausal for greater than or equal to one year) and men must agree to practice adequate contraception (a combination of barrier plus hormone methods or intra uterine device (IUD) for women and a condom for men) throughout the study treatment and for at least up to day 51 (for female) and day 111 (for male) of the trial (i.e. 30 (for female) and 90 (for male) days after the last dose of the IMP); Is in good health, as determined by vital signs (heart rate, blood pressure, armpit temperature), blood chemistry test (electrolytes, renal/kidney function, liver function, C-reactive protein, complete blood count), medical history, general physical examination, self-reported illness and clinical judgment of the investigator; Able to understand and comply with planned study procedures; Provides signed informed consent form after receiving a detailed explanation of the study protocol prior to any study procedures. Exclusion Criteria A potential subject who meets any if the following criteria will be excluded from participation in this study: Has a known allergy to components of the vaccine (e.g. egg products). Has a history of severe reactions following immunization. Persons with immune deficiency/disorder, whether due to genetic defect, immunodeficiency disease, or immunosuppressive therapy. Has a positive urine pregnancy test prior to vaccination or women who are breastfeeding. Has a history of any of the following (reported by subjects): Acute disseminated encephalomyelitis (ADEM); Active neoplastic disease; Asthma or severe allergic disease; Bleeding disorders Chronic Hepatitis B and/or C infection; Chronic liver disease; Diabetes mellitus; Guillain-Barré syndrome; HIV; Rheumatoid arthritis or other autoimmune diseases; Severe renal disease; Transplant recipients; Unstable or progressive neurological disorders. Receipt of medicines/treatments that may affect evaluation of immunogenicity such as: Oral or parenteral steroids, high-dose inhaled steroids (greater than 800 micrograms/day of beclomethasone dipropionate or equivalent) or other immunosuppressive or cytotoxic drugs; Immunoglobulin or other blood products (within the 3 months prior to vaccination in this study); Experimental agent (vaccine, drug, biologic, device, blood product, or medication) within 1 month prior to vaccination in this study, or expects to receive an experimental agent (during the study period). Influenza antiviral medication (within the 4 weeks prior to vaccination in this study). Has received any influenza vaccine within 6 months prior to vaccination in this study. Has influenza-like illness within 6 months prior to vaccination in this study. Has an acute illness, including an armpit temperature greater than 38 degrees Celsius (oC), within 1 week of vaccination. Has a history of alcohol or drug abuse. Any abnormal haematology values and/or serum chemistries judged by the Investigator as clinically significant. Ineligible subject based on the judgement of the investigator. In case there is uncertainty about the participant's medical status regarding any of the exclusion criteria mentioned, the participant's primary care physician will be consulted. Consultation of the primary care physician will only take place after having received written approval from the participant, and will concern medical information about exclusion criteria only.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dora Mathiasz, MD
Organizational Affiliation
St Istvan St Laszlo hospital
Official's Role
Study Director
Facility Information:
Facility Name
St Istvan St laszlo Hospital
City
Budapest
Country
Hungary

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
summary of data per group will be shared, not IPD.

Learn more about this trial

Assess the Safety and Immunogenicity of M-001 as A Standalone Influenza Vaccine and as A H5N1 Vaccine Primer in Adults

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