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Safety and Immunogenicity of Q Fever Vaccine

Primary Purpose

Q Fever

Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Q fever Vaccine
Sponsored by
U.S. Army Medical Research and Development Command
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Q Fever focused on measuring Q fever, Coxiella burnetii

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • At least 18 years old.
  • Females of childbearing potential must agree to have a urine pregnancy test on the same day before receipt of skin test AND vaccine. (Exception: documented hysterectomy or ≥ 3 years of menopause.) The results must be negative. Females must agree to not become pregnant for 3 months after receipt of the skin test or vaccination.
  • Considered at risk for exposure to C burnetii and who have submitted a Request for Investigational New Drug (IND) Vaccines for the Q Fever vaccine.
  • Sign and date the approved informed consent document and Health Insurance Portability and Accountability Act (HIPAA) Authorization.
  • Have on their charts:

    • Up-to-date medical history (including concomitant medications)
    • Physical examination and laboratory tests within 1 year
    • Previous chest x-ray and electrocardiogram
  • Be medically cleared for participation by an investigator. Examinations or tests may be repeated at the discretion of the enrolling physician.
  • Willing to return for all follow-up visits.
  • Agree to report any adverse events (AEs) that may or may not be associated with administration of the test article for at least 28 days after vaccination and agree to report all serious adverse events (for example, resulting in hospitalization) for the duration of the subject's participation in the study (6 months).
  • Agree to defer blood, bone marrow, and organ donation for 1 year after receipt of skin test antigen and/or vaccine.

Exclusion Criteria:

  • Prior history of Q fever disease or vaccination.
  • Clinically significant abnormal lab results (including evidence of hepatitis C, hepatitis B carrier state) or elevated liver function tests (two times the normal range or at the discretion of the principal investigator).
  • Personal history of an immunodeficiency or current treatment with an oral or intravenous immunosuppressive medication.
  • Confirmed HIV infection.
  • Heart valve disease: prosthetic heart valve or clinically significant heart murmur. (If a murmur is detected on examination, an echocardiogram may be obtained or subject may be referred to a cardiologist to determine clinical significance.)
  • Aneurysm/vascular graft.
  • Joint prosthesis.
  • History of chronic fatigue syndrome (or positive by chronic fatigue syndrome (CFS) Questionnaire criteria).
  • Positive pregnancy test or breast-feeding female.
  • Any known allergies to components of the vaccine:

    • Formalin
    • Eggs or chicken products
  • Administration of another vaccine or investigational product within 28 days of skin test and subsequent Q fever vaccination.
  • Any unresolved AE resulting from a previous immunization.
  • Transplant recipients, subjects with cancer, and those with chronic kidney disease.
  • A medical condition that, in the judgment of the principal investigator, would impact subject safety.

Sites / Locations

  • Special Immunizations Program, Division of Medicine, USAMRIID

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Vaccinated

Arm Description

The vaccine will be administered subcutaneously in the upper outer aspect of the arm (triceps area) with 0.5 mL Q fever Vaccine, Phase I, Inactivated, Dried, NDBR 105 (which equals 30 μg)

Outcomes

Primary Outcome Measures

Change in Immunogenicity
Immune response will be evaluated for per protocol subjects to determine the percentage of subjects who experience a ≥ fourfold rise in immunofluorescence assay (IFA) antibody titer after vaccination. Immunoglobulin M (IgM) at Day 28 or Day 56, or immunoglobulin G (IgG) at 6 months.
Percentage of subjects with symptoms following Q fever vaccination
Percentage of subjects with erythema following Q fever vaccination along with severity and association with vaccination
Percentage of subjects with induration following Q fever vaccination along with severity and association with vaccination
Percentage of subjects with each AE, system organ class of AE, severity, and association with vaccination
Percentage of subjects with symptoms following Q fever skin test antigen
Percentage of subjects with erythema following Q fever skin test antigen along with severity and association with skin test antigen
Percentage of subjects with induration following Q fever skin test antigen along with severity and association with skin test antigen
Percentage of subjects with each AE, system organ class of AE, severity, and association with skin test antigen

Secondary Outcome Measures

Full Information

First Posted
March 17, 2014
Last Updated
December 30, 2019
Sponsor
U.S. Army Medical Research and Development Command
Collaborators
US Army Medical Research Institute of Infectious Diseases
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1. Study Identification

Unique Protocol Identification Number
NCT02092142
Brief Title
Safety and Immunogenicity of Q Fever Vaccine
Official Title
Evaluation of the Safety and Immunogenicity of Q Fever Vaccine, Phase I, Inactivated, Dried, NDBR 105, in Subjects at Risk of Exposure to Coxiella Burnetii
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Withdrawn
Study Start Date
February 2006 (undefined)
Primary Completion Date
February 2019 (Anticipated)
Study Completion Date
December 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command
Collaborators
US Army Medical Research Institute of Infectious Diseases

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety of Q Fever Vaccine, Phase I, Inactivated, Dried, NDBR 105 and collect data on incidence of occupational Q fever infection in vaccinated personnel.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Q Fever
Keywords
Q fever, Coxiella burnetii

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccinated
Arm Type
Experimental
Arm Description
The vaccine will be administered subcutaneously in the upper outer aspect of the arm (triceps area) with 0.5 mL Q fever Vaccine, Phase I, Inactivated, Dried, NDBR 105 (which equals 30 μg)
Intervention Type
Biological
Intervention Name(s)
Q fever Vaccine
Other Intervention Name(s)
Q fever Vaccine, Phase I, Inactivated, Dried, NDBR 105
Intervention Description
Subcutaneous 0.5 mL Q fever Vaccine, Phase I, Inactivated, Dried, NDBR 105
Primary Outcome Measure Information:
Title
Change in Immunogenicity
Description
Immune response will be evaluated for per protocol subjects to determine the percentage of subjects who experience a ≥ fourfold rise in immunofluorescence assay (IFA) antibody titer after vaccination. Immunoglobulin M (IgM) at Day 28 or Day 56, or immunoglobulin G (IgG) at 6 months.
Time Frame
Day 28, Day 56, or 6 months
Title
Percentage of subjects with symptoms following Q fever vaccination
Time Frame
6 months
Title
Percentage of subjects with erythema following Q fever vaccination along with severity and association with vaccination
Time Frame
6 months
Title
Percentage of subjects with induration following Q fever vaccination along with severity and association with vaccination
Time Frame
6 months
Title
Percentage of subjects with each AE, system organ class of AE, severity, and association with vaccination
Time Frame
6 months
Title
Percentage of subjects with symptoms following Q fever skin test antigen
Time Frame
6 months
Title
Percentage of subjects with erythema following Q fever skin test antigen along with severity and association with skin test antigen
Time Frame
6 months
Title
Percentage of subjects with induration following Q fever skin test antigen along with severity and association with skin test antigen
Time Frame
6 months
Title
Percentage of subjects with each AE, system organ class of AE, severity, and association with skin test antigen
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: At least 18 years old. Females of childbearing potential must agree to have a urine pregnancy test on the same day before receipt of skin test AND vaccine. (Exception: documented hysterectomy or ≥ 3 years of menopause.) The results must be negative. Females must agree to not become pregnant for 3 months after receipt of the skin test or vaccination. Considered at risk for exposure to C burnetii and who have submitted a Request for Investigational New Drug (IND) Vaccines for the Q Fever vaccine. Sign and date the approved informed consent document and Health Insurance Portability and Accountability Act (HIPAA) Authorization. Have on their charts: Up-to-date medical history (including concomitant medications) Physical examination and laboratory tests within 1 year Previous chest x-ray and electrocardiogram Be medically cleared for participation by an investigator. Examinations or tests may be repeated at the discretion of the enrolling physician. Willing to return for all follow-up visits. Agree to report any adverse events (AEs) that may or may not be associated with administration of the test article for at least 28 days after vaccination and agree to report all serious adverse events (for example, resulting in hospitalization) for the duration of the subject's participation in the study (6 months). Agree to defer blood, bone marrow, and organ donation for 1 year after receipt of skin test antigen and/or vaccine. Exclusion Criteria: Prior history of Q fever disease or vaccination. Clinically significant abnormal lab results (including evidence of hepatitis C, hepatitis B carrier state) or elevated liver function tests (two times the normal range or at the discretion of the principal investigator). Personal history of an immunodeficiency or current treatment with an oral or intravenous immunosuppressive medication. Confirmed HIV infection. Heart valve disease: prosthetic heart valve or clinically significant heart murmur. (If a murmur is detected on examination, an echocardiogram may be obtained or subject may be referred to a cardiologist to determine clinical significance.) Aneurysm/vascular graft. Joint prosthesis. History of chronic fatigue syndrome (or positive by chronic fatigue syndrome (CFS) Questionnaire criteria). Positive pregnancy test or breast-feeding female. Any known allergies to components of the vaccine: Formalin Eggs or chicken products Administration of another vaccine or investigational product within 28 days of skin test and subsequent Q fever vaccination. Any unresolved AE resulting from a previous immunization. Transplant recipients, subjects with cancer, and those with chronic kidney disease. A medical condition that, in the judgment of the principal investigator, would impact subject safety.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark J Goldberg, MD
Organizational Affiliation
Special Immunizations Program, USAMRIID
Official's Role
Principal Investigator
Facility Information:
Facility Name
Special Immunizations Program, Division of Medicine, USAMRIID
City
Fort Deterick
State/Province
Maryland
ZIP/Postal Code
21702
Country
United States

12. IPD Sharing Statement

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Safety and Immunogenicity of Q Fever Vaccine

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