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First Adult Safety Trial on Nasal Live Attenuated B. Pertussis Vaccine

Primary Purpose

Pertussis

Status
Completed
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
BPZE1
Placebo
Sponsored by
Institut National de la Santé Et de la Recherche Médicale, France
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pertussis focused on measuring Live nasal vaccine for prevention of pertussis

Eligibility Criteria

19 Years - 31 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

Subject will be included in the study if he meets all the following criteria:

  • Healthy male born between 1979 and 1991 who has not experienced clinical pertussis (lab. Verified) during the past 10 years and who has not been vaccinated with any pertussis vaccine.
  • Informed consent form signed by the subject.
  • Subject shall be able to attend all scheduled visits and to understand and comply with the study procedures (e.g. able to read and write Swedish).

Exclusion Criteria:

If any of the following criteria are met, the subject must not be included in the study:

  • Individuals with pertussis toxin serum IgG antibodies ≥20 units/mL.
  • Blood pressure after resting ≥ 150/90 mmHg.
  • Heart rate after resting ≥80 bpm.
  • Respiratory rate after resting ≥ 20/minute.
  • Unwillingness to refrain from the use of nicotine products from screening through day 28.
  • Use of narcotic drugs/alcohol and/or a history of previous use of drug/alcohol abuse whitin the past 2 years prior to screening
  • The subject has donated blood or suffered from blood loss of at least 450 ml (1 unit of blood) within 60 days prior to screening or donated plasma within 14 days prior to screening.
  • Receipt of immunoglobulin, blood derived products, systemic corticosteroids or other immunosuppressant drugs within 90 days prior to day 0.
  • Use of corticosteroids in the respiratory tract(e.g. nasal steroids, inhaled steroids) whitin 30 days prior to day 0.
  • Use of herbal medications or dietary supplements within 7 days prior to day 0 at the discretion of the investigator. Unwillingness to refrain from herbal medications or dietary supplements within 30 days after day 0 at the discretion of the investigator.
  • Receipt of a vaccine within the last 30 days prior to day 0 or planned vaccination within the next 30 days after day 0.
  • Evolving encephalopathy not attributable to another identifiable cause within 7 days of administration of a previous dose of any vaccine.
  • Known hypersensitivity to any component of the study vaccine.
  • Current participation in any other clinical trial or participation (and during the whole study) in any clinical trial in the previous 3 months prior to day 0.
  • Inability to adhere to the protocol, including plans to move from the area.
  • Family history of congenital or hereditary immunodeficiency (first degree).
  • Infection with HIV, hepatitis B or C.
  • Any medical condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives.
  • Clinically significant abnormal laboratory values at the discretion of the investigator.
  • Person in frequent contact with children less than 1 year of age (father, childcare worker, nurse, etc…) or residence in the same household as persons with known immunodeficiency.

Sites / Locations

  • Karolinska University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

BPZE1 - Low dose

BPZE1- middle dose

BPZE1 - High dose

Placebo

Arm Description

1,000 colony forming units (cfu) of BPZE1

100,000 colony forming units (cfu) of BPZE1

10,000,000 colony forming units (cfu) of BPZE1

Formulation buffer

Outcomes

Primary Outcome Measures

General safety and local tolerability in the respiratory tract of a single ascending dose of the genetically modified B. pertussis strain
To determine general safety, i. e. general well-being of the volunteers and any symptoms felt by the volunteers with onset within one month after vaccine administration. vital signs: Blood pressure, heart rate, respiratory rate, oral temperature. abnormalities in the following laboratory data: Haemoglobin, total and differential white blood cell count, platelets (thrombocytes). specific side effects: Local symptoms from the respiratory tract: Sneezing, swollen nose, cough, bleeding from the nose, pain or other symptoms from the ear, symptoms from the eyes (redness, secretion).

Secondary Outcome Measures

Attachment of the BPZE1 strain to the nasopharyngeal mucosa
Detection of colonizing BPZE1 bacteria in nasopharyngeal culture
Immunogenicity
Immune responses will be determined by serum IgG and IgA, IgG and IgA in saliva and nasopharyngeal aspirate, cytokines and numbers of effector and memory T and B cells after stimulation with the various B. pertussis antigens.

Full Information

First Posted
August 24, 2010
Last Updated
January 27, 2012
Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Collaborators
European Union, Swedish Institute for Infectious Disease Control, Innogenetics
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1. Study Identification

Unique Protocol Identification Number
NCT01188512
Brief Title
First Adult Safety Trial on Nasal Live Attenuated B. Pertussis Vaccine
Official Title
A Phase 1, Single Centre, Dose-escalating, Placebo-controlled Study of a Genetically Modified B. Pertussis Strain Given as a Single Intranasal Dose to Healthy Adult Male Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
January 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Collaborators
European Union, Swedish Institute for Infectious Disease Control, Innogenetics

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and immunogenicity of a new live attenuated vaccine against whooping-cough. It is a phase1, single centre, dose-escalating, placebo-controlled study on a genetically modified B. pertussis strain given as a single intranasal dose to healthy adult male volunteers. Effective vaccines are needed to protect young infants (from 0 to 6 months, today the most vulnerable age group), preferably after a single administration very early in life. The successful outcome of this project would constitute an important milestone towards nasal vaccination of infants, possibly at birth with a novel, single-dose pertussis vaccine. Our ultimate aim is to protect infants in the most vulnerable age group, before the regular vaccination schedule using already available vaccines is applied. The ultimate aim is thus not to replace current vaccination schedules with available vaccines, but to add a first nasal vaccination to protect very early in life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pertussis
Keywords
Live nasal vaccine for prevention of pertussis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BPZE1 - Low dose
Arm Type
Experimental
Arm Description
1,000 colony forming units (cfu) of BPZE1
Arm Title
BPZE1- middle dose
Arm Type
Experimental
Arm Description
100,000 colony forming units (cfu) of BPZE1
Arm Title
BPZE1 - High dose
Arm Type
Experimental
Arm Description
10,000,000 colony forming units (cfu) of BPZE1
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Formulation buffer
Intervention Type
Biological
Intervention Name(s)
BPZE1
Intervention Description
Individuals will be vaccinated once intranasally with the designated dose of BPZE1 Dose 2 x 0.1 mL (0.1 mL per nostril).
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Individuals will get placebo once intranasally. Dose 2 x 0.1 mL (0.1 mL per nostril).
Primary Outcome Measure Information:
Title
General safety and local tolerability in the respiratory tract of a single ascending dose of the genetically modified B. pertussis strain
Description
To determine general safety, i. e. general well-being of the volunteers and any symptoms felt by the volunteers with onset within one month after vaccine administration. vital signs: Blood pressure, heart rate, respiratory rate, oral temperature. abnormalities in the following laboratory data: Haemoglobin, total and differential white blood cell count, platelets (thrombocytes). specific side effects: Local symptoms from the respiratory tract: Sneezing, swollen nose, cough, bleeding from the nose, pain or other symptoms from the ear, symptoms from the eyes (redness, secretion).
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Attachment of the BPZE1 strain to the nasopharyngeal mucosa
Description
Detection of colonizing BPZE1 bacteria in nasopharyngeal culture
Time Frame
Up to 50 days after vaccination
Title
Immunogenicity
Description
Immune responses will be determined by serum IgG and IgA, IgG and IgA in saliva and nasopharyngeal aspirate, cytokines and numbers of effector and memory T and B cells after stimulation with the various B. pertussis antigens.
Time Frame
6 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
31 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject will be included in the study if he meets all the following criteria: Healthy male born between 1979 and 1991 who has not experienced clinical pertussis (lab. Verified) during the past 10 years and who has not been vaccinated with any pertussis vaccine. Informed consent form signed by the subject. Subject shall be able to attend all scheduled visits and to understand and comply with the study procedures (e.g. able to read and write Swedish). Exclusion Criteria: If any of the following criteria are met, the subject must not be included in the study: Individuals with pertussis toxin serum IgG antibodies ≥20 units/mL. Blood pressure after resting ≥ 150/90 mmHg. Heart rate after resting ≥80 bpm. Respiratory rate after resting ≥ 20/minute. Unwillingness to refrain from the use of nicotine products from screening through day 28. Use of narcotic drugs/alcohol and/or a history of previous use of drug/alcohol abuse whitin the past 2 years prior to screening The subject has donated blood or suffered from blood loss of at least 450 ml (1 unit of blood) within 60 days prior to screening or donated plasma within 14 days prior to screening. Receipt of immunoglobulin, blood derived products, systemic corticosteroids or other immunosuppressant drugs within 90 days prior to day 0. Use of corticosteroids in the respiratory tract(e.g. nasal steroids, inhaled steroids) whitin 30 days prior to day 0. Use of herbal medications or dietary supplements within 7 days prior to day 0 at the discretion of the investigator. Unwillingness to refrain from herbal medications or dietary supplements within 30 days after day 0 at the discretion of the investigator. Receipt of a vaccine within the last 30 days prior to day 0 or planned vaccination within the next 30 days after day 0. Evolving encephalopathy not attributable to another identifiable cause within 7 days of administration of a previous dose of any vaccine. Known hypersensitivity to any component of the study vaccine. Current participation in any other clinical trial or participation (and during the whole study) in any clinical trial in the previous 3 months prior to day 0. Inability to adhere to the protocol, including plans to move from the area. Family history of congenital or hereditary immunodeficiency (first degree). Infection with HIV, hepatitis B or C. Any medical condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives. Clinically significant abnormal laboratory values at the discretion of the investigator. Person in frequent contact with children less than 1 year of age (father, childcare worker, nurse, etc…) or residence in the same household as persons with known immunodeficiency.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Camille Locht, PhD
Organizational Affiliation
Institut National de la Santé Et de la Recherche Médicale, France
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Nabil Al-Tawil, MD, PhD
Organizational Affiliation
Karolinska Trial Alliance
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Rigmor Thorstensson, PhD
Organizational Affiliation
Swedish Institute for Infectious Disease Control
Official's Role
Principal Investigator
Facility Information:
Facility Name
Karolinska University Hospital
City
Solna
ZIP/Postal Code
171 76
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
16839199
Citation
Mielcarek N, Debrie AS, Raze D, Bertout J, Rouanet C, Younes AB, Creusy C, Engle J, Goldman WE, Locht C. Live attenuated B. pertussis as a single-dose nasal vaccine against whooping cough. PLoS Pathog. 2006 Jul;2(7):e65. doi: 10.1371/journal.ppat.0020065.
Results Reference
background
PubMed Identifier
18762220
Citation
Feunou PF, Ismaili J, Debrie AS, Huot L, Hot D, Raze D, Lemoine Y, Locht C. Genetic stability of the live attenuated Bordetella pertussis vaccine candidate BPZE1. Vaccine. 2008 Oct 23;26(45):5722-7. doi: 10.1016/j.vaccine.2008.08.018. Epub 2008 Aug 30.
Results Reference
background
PubMed Identifier
20107007
Citation
Mielcarek N, Debrie AS, Mahieux S, Locht C. Dose response of attenuated Bordetella pertussis BPZE1-induced protection in mice. Clin Vaccine Immunol. 2010 Mar;17(3):317-24. doi: 10.1128/CVI.00322-09. Epub 2010 Jan 27.
Results Reference
background
PubMed Identifier
20184606
Citation
Kavanagh H, Noone C, Cahill E, English K, Locht C, Mahon BP. Attenuated Bordetella pertussis vaccine strain BPZE1 modulates allergen-induced immunity and prevents allergic pulmonary pathology in a murine model. Clin Exp Allergy. 2010 Jun;40(6):933-41. doi: 10.1111/j.1365-2222.2010.03459.x. Epub 2010 Feb 22.
Results Reference
background
PubMed Identifier
19625486
Citation
Skerry CM, Cassidy JP, English K, Feunou-Feunou P, Locht C, Mahon BP. A live attenuated Bordetella pertussis candidate vaccine does not cause disseminating infection in gamma interferon receptor knockout mice. Clin Vaccine Immunol. 2009 Sep;16(9):1344-51. doi: 10.1128/CVI.00082-09. Epub 2009 Jul 22.
Results Reference
background
PubMed Identifier
24793938
Citation
Jahnmatz M, Amu S, Ljungman M, Wehlin L, Chiodi F, Mielcarek N, Locht C, Thorstensson R. B-cell responses after intranasal vaccination with the novel attenuated Bordetella pertussis vaccine strain BPZE1 in a randomized phase I clinical trial. Vaccine. 2014 Jun 5;32(27):3350-6. doi: 10.1016/j.vaccine.2014.04.048. Epub 2014 Apr 29.
Results Reference
derived
PubMed Identifier
24421886
Citation
Thorstensson R, Trollfors B, Al-Tawil N, Jahnmatz M, Bergstrom J, Ljungman M, Torner A, Wehlin L, Van Broekhoven A, Bosman F, Debrie AS, Mielcarek N, Locht C. A phase I clinical study of a live attenuated Bordetella pertussis vaccine--BPZE1; a single centre, double-blind, placebo-controlled, dose-escalating study of BPZE1 given intranasally to healthy adult male volunteers. PLoS One. 2014 Jan 8;9(1):e83449. doi: 10.1371/journal.pone.0083449. eCollection 2014.
Results Reference
derived
PubMed Identifier
24261996
Citation
Schnoeller C, Roux X, Sawant D, Raze D, Olszewska W, Locht C, Openshaw PJ. Attenuated Bordetella pertussis vaccine protects against respiratory syncytial virus disease via an IL-17-dependent mechanism. Am J Respir Crit Care Med. 2014 Jan 15;189(2):194-202. doi: 10.1164/rccm.201307-1227OC.
Results Reference
derived

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First Adult Safety Trial on Nasal Live Attenuated B. Pertussis Vaccine

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