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Safety, Tolerability and Immunogenicity of Recombinant Anthrax Vaccine Compared With Anthrax Vaccine Adsorbed

Primary Purpose

Bacillus Anthracis (Anthrax)

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AVA
rPA vaccine containing alhydrogel
Sponsored by
PharmAthene UK Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Bacillus Anthracis (Anthrax) focused on measuring Anthrax

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Healthy males or females. Aged between 18-55 years (inclusive). A body mass index (BMI) of 18-35. Signed informed consent, which includes information about the potential risks and effects of rPA and AVA. A medical history without major organ pathology (e.g. cardiac, immunological, psychiatric, endocrine or neurological disorders, cancer or other wasting diseases - (adequately treated actinic keratosis, or basal cell carcinoma [BCC], or carcinoma in situ [CIS] of the cervix are permitted). A female may be enrolled if one of the following criteria applies: Either If of child-bearing capacity then: A female is not pregnant or breast feeding AND is routinely using adequate injectable or transdermal (administered at the recommended frequency) or oral contraception (at a stable dose for at least three months prior to the first dose of vaccine) and will continue to do so during the study, augmenting this contraceptive measure with a barrier method OR is sexually abstinent OR is monogamous and has a partner who has had a vasectomy (>1 month previously) OR is using a commonly recognized copper and hormone implanted intrauterine device (IUD) such as TCu-380A, TCu-220C, MLCu-375, Nova-T, or LNG-20. In addition, the subject must have a negative blood pregnancy test prior to enrolment into the study and negative urine pregnancy test pre-dose. Or A female is post menopausal (defined as a female with no menstrual cycle for at least 24 months and of menopausal age (>45 years) Or A female with no menstrual cycle for between 12 and 24 months and of menopausal age (>45 years) who has a negative blood pregnancy test prior to enrolment into the study and a negative urine pregnancy test pre-dose. Or A female has been surgically sterilized (confirmed by review of medical record). Or A female has had a total hysterectomy at least 3 months prior to the start of the study (confirmed by review of medical record). A male may be enrolled if willing to use barrier methods of contraception and whose partner is using an acceptable form of contraception for 3 months post each dose. Exclusion Criteria: Presence of any clinically significant medical condition as determined by the Investigator. Medically significant hypersensitivity or idiosyncratic reaction related to any medical product including vaccines. History or evidence of drug abuse 1 year prior to enrollment. Participation in a clinical study of an investigational vaccine within 3 months prior to the start of the study or an investigational drug product within 30 days prior to the start of the study. Use of any prescription or non-prescription medication within 7 days prior to the first dosing with the exception of over-the-counter (OTC) antihistamine, non-steroidal anti-inflammatory drugs (NSAID), acetaminophen, OTC decongestants or oral/injectable/transdermal contraceptives. Any medication taken within 7 days of the first dosing will be recorded. History or suspicion of inability to co-operate adequately. Donation of blood or blood products for a period of 4 weeks prior to participation in the study. Immunodeficiency or clinically active autoimmune disease. Positive urine alcohol and drug screen for drugs of abuse (opiates, methadone, cocaine, amphetamines, cannabinoids, and barbiturates). Positive test for human immunodeficiency virus (HIV), and/or hepatitis B and/or hepatitis C. Vaccination(s) with a live vaccine in the previous 4 weeks or killed / inactivated vaccines in the previous 3 weeks. Blood or plasma transfusions, or pooled gamma-globulin in the previous 3 months and need for blood or plasma transfusions during this study. Received anthrax vaccine or anthrax immune globulin or been otherwise exposed to B. anthracis. Clinically relevant abnormal findings on routine physical examination. Clinically significant out-of-range laboratory tests at screening including: urinalysis, serum creatine, lactate dehydrogenase (LDH), potassium, glucose, liver function tests (LFT); absolute neutrophil count, platelet count, white blood cell count, electrolytes, clotting and blood hemoglobin. Twelve-lead ECG recording with clinically relevant signs of pathology and conduction disturbances as judged by the investigator. Presence of tattoos that cover or partially cover the injection sites on the upper arm. Known sensitivity to Latex.

Sites / Locations

  • Greater Huntsville Family Practice, PC
  • Discovery Alliance, Inc.
  • Accelovance
  • Accelovance
  • Florida Medical Research Institute
  • Accelovance
  • Miami Research Associates
  • Accelovance
  • Accelovance
  • Accelovance
  • Lynn Health Science Institute
  • McKenzie Medical Center
  • PharamTex Research, Inc.
  • Accelovance
  • Metropolitan Research
  • Carilion Medical Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

1

2

3

Arm Description

Low dose rPA vaccine

High dose rPA vaccine

Active vaccine control

Outcomes

Primary Outcome Measures

Safety of rPA vaccine

Secondary Outcome Measures

Immunogenicity of rPA vaccine

Full Information

First Posted
September 9, 2005
Last Updated
September 12, 2008
Sponsor
PharmAthene UK Limited
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00170469
Brief Title
Safety, Tolerability and Immunogenicity of Recombinant Anthrax Vaccine Compared With Anthrax Vaccine Adsorbed
Official Title
A Phase II, Dose Ranging Multi-Centre, Single Blind, Parallel-Group, Controlled Study of the Safety, Tolerability and Immunogenicity of Recombinant (rPA Based) Anthrax Vaccine Compared With Anthrax Vaccine Adsorbed in a Healthy Population
Study Type
Interventional

2. Study Status

Record Verification Date
September 2008
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
February 2007 (Actual)
Study Completion Date
February 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
PharmAthene UK Limited
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a dose ranging study comparing different vaccine schedules of rPA vaccine, for Anthrax, to the licensed dose of AVA, another Anthrax vaccine. Safety and the capability to induce an immune response will be evaluated.
Detailed Description
Anthrax is a zoonotic disease, occurring in wild and domestic mammals, caused by the spore-forming bacterium Bacillus anthracis (B. anthracis). Anthrax occurs in humans when they are exposed to infected animals, tissue from infected animals or when they are directly exposed to B. anthracis or its spores. Depending on the route of infection, anthrax disease can occur in three forms: cutaneous, gastrointestinal, and inhalation. In the United States of America (USA), the annual incidence of human anthrax has declined from approximately 130 cases annually in the early 1900s to no cases during 1999 to 2000. However, in the USA, shortly after September 11th, 2001, there were 22 cases (18 confirmed) of inhaled and cutaneous anthrax infection that were related to contaminated mail. The development of a new anthrax vaccine is necessary because the current AVA vaccine requires the growth of B. anthracis in its manufacturing process and has a complex administration regimen of six administrators of vaccine in 18 months. As protective antigen (PA) is a central virulence factor in anthrax pathogenesis and a major immunogen in the current vaccine, a recombinant, acellular, protective antigen-based anthrax vaccine, could offer an improved manufacturing process and a simpler dosing schedule. Furthermore, the vaccine could offer improved protection against inhaled B. anthracis, and could, when used in conjunction with antibiotics, form part of the management of anthrax exposed individuals. This is a dose ranging study comparing different primary vaccine schedules of rPA Anthrax vaccine to the licensed dose of Anthrax Vaccine Adsorbed. The study is designed to measure the immune response, and to evaluate the safety and tolerability of different doses of rPA Anthrax Vaccine. After subjects have given informed consent, they will undergo physical exams, medical history screening, pregnancy tests, ECG, HIV, Hepatitis B & C tests, safety blood tests, and urine drug and alcohol screen. Subjects will be asked to complete a diary card to record any symptoms they may experience. The subjects that receive AVA will be offered the opportunity to complete the licensed course of vaccination which would involve AVA vaccinations at 6, 12 and 18 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacillus Anthracis (Anthrax)
Keywords
Anthrax

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
226 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Low dose rPA vaccine
Arm Title
2
Arm Type
Experimental
Arm Description
High dose rPA vaccine
Arm Title
3
Arm Type
Active Comparator
Arm Description
Active vaccine control
Intervention Type
Biological
Intervention Name(s)
AVA
Intervention Type
Biological
Intervention Name(s)
rPA vaccine containing alhydrogel
Primary Outcome Measure Information:
Title
Safety of rPA vaccine
Secondary Outcome Measure Information:
Title
Immunogenicity of rPA vaccine

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy males or females. Aged between 18-55 years (inclusive). A body mass index (BMI) of 18-35. Signed informed consent, which includes information about the potential risks and effects of rPA and AVA. A medical history without major organ pathology (e.g. cardiac, immunological, psychiatric, endocrine or neurological disorders, cancer or other wasting diseases - (adequately treated actinic keratosis, or basal cell carcinoma [BCC], or carcinoma in situ [CIS] of the cervix are permitted). A female may be enrolled if one of the following criteria applies: Either If of child-bearing capacity then: A female is not pregnant or breast feeding AND is routinely using adequate injectable or transdermal (administered at the recommended frequency) or oral contraception (at a stable dose for at least three months prior to the first dose of vaccine) and will continue to do so during the study, augmenting this contraceptive measure with a barrier method OR is sexually abstinent OR is monogamous and has a partner who has had a vasectomy (>1 month previously) OR is using a commonly recognized copper and hormone implanted intrauterine device (IUD) such as TCu-380A, TCu-220C, MLCu-375, Nova-T, or LNG-20. In addition, the subject must have a negative blood pregnancy test prior to enrolment into the study and negative urine pregnancy test pre-dose. Or A female is post menopausal (defined as a female with no menstrual cycle for at least 24 months and of menopausal age (>45 years) Or A female with no menstrual cycle for between 12 and 24 months and of menopausal age (>45 years) who has a negative blood pregnancy test prior to enrolment into the study and a negative urine pregnancy test pre-dose. Or A female has been surgically sterilized (confirmed by review of medical record). Or A female has had a total hysterectomy at least 3 months prior to the start of the study (confirmed by review of medical record). A male may be enrolled if willing to use barrier methods of contraception and whose partner is using an acceptable form of contraception for 3 months post each dose. Exclusion Criteria: Presence of any clinically significant medical condition as determined by the Investigator. Medically significant hypersensitivity or idiosyncratic reaction related to any medical product including vaccines. History or evidence of drug abuse 1 year prior to enrollment. Participation in a clinical study of an investigational vaccine within 3 months prior to the start of the study or an investigational drug product within 30 days prior to the start of the study. Use of any prescription or non-prescription medication within 7 days prior to the first dosing with the exception of over-the-counter (OTC) antihistamine, non-steroidal anti-inflammatory drugs (NSAID), acetaminophen, OTC decongestants or oral/injectable/transdermal contraceptives. Any medication taken within 7 days of the first dosing will be recorded. History or suspicion of inability to co-operate adequately. Donation of blood or blood products for a period of 4 weeks prior to participation in the study. Immunodeficiency or clinically active autoimmune disease. Positive urine alcohol and drug screen for drugs of abuse (opiates, methadone, cocaine, amphetamines, cannabinoids, and barbiturates). Positive test for human immunodeficiency virus (HIV), and/or hepatitis B and/or hepatitis C. Vaccination(s) with a live vaccine in the previous 4 weeks or killed / inactivated vaccines in the previous 3 weeks. Blood or plasma transfusions, or pooled gamma-globulin in the previous 3 months and need for blood or plasma transfusions during this study. Received anthrax vaccine or anthrax immune globulin or been otherwise exposed to B. anthracis. Clinically relevant abnormal findings on routine physical examination. Clinically significant out-of-range laboratory tests at screening including: urinalysis, serum creatine, lactate dehydrogenase (LDH), potassium, glucose, liver function tests (LFT); absolute neutrophil count, platelet count, white blood cell count, electrolytes, clotting and blood hemoglobin. Twelve-lead ECG recording with clinically relevant signs of pathology and conduction disturbances as judged by the investigator. Presence of tattoos that cover or partially cover the injection sites on the upper arm. Known sensitivity to Latex.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lawrence Currie, MD
Organizational Affiliation
Accelovance
Official's Role
Principal Investigator
Facility Information:
Facility Name
Greater Huntsville Family Practice, PC
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35802
Country
United States
Facility Name
Discovery Alliance, Inc.
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36606
Country
United States
Facility Name
Accelovance
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Accelovance
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20006
Country
United States
Facility Name
Florida Medical Research Institute
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Accelovance
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32935
Country
United States
Facility Name
Miami Research Associates
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Accelovance
City
Orland Park
State/Province
Illinois
ZIP/Postal Code
60462
Country
United States
Facility Name
Accelovance
City
South Bend
State/Province
Indiana
ZIP/Postal Code
46601
Country
United States
Facility Name
Accelovance
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Lynn Health Science Institute
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120
Country
United States
Facility Name
McKenzie Medical Center
City
McKenzie
State/Province
Tennessee
ZIP/Postal Code
38201
Country
United States
Facility Name
PharamTex Research, Inc.
City
Amarillo
State/Province
Texas
ZIP/Postal Code
79106
Country
United States
Facility Name
Accelovance
City
Houston
State/Province
Texas
ZIP/Postal Code
77024
Country
United States
Facility Name
Metropolitan Research
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Facility Name
Carilion Medical Associates
City
Galax
State/Province
Virginia
ZIP/Postal Code
24333
Country
United States

12. IPD Sharing Statement

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Safety, Tolerability and Immunogenicity of Recombinant Anthrax Vaccine Compared With Anthrax Vaccine Adsorbed

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