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Study to Assess Safety, Tolerability and Reactogenicity of Vaccine "UniFluVec" After Two Intranasal Administrations in Healthy Volunteers

Primary Purpose

Influenza A

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
UniFluVec
Placebo
Sponsored by
Pharmenterprises Biotech LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza A focused on measuring Healthy volunteers, Vector vaccine, UniFluVec

Eligibility Criteria

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

Inclusion Criteria:

  1. Availability of signed informed consent.
  2. Adult men and women at the age from 18 through 49 years old.
  3. Diagnosis "healthy", verified by standard examination.
  4. Body weight ≥ 50 kg.
  5. The subjects, who are antibody-negative to influenza A/H1N1pdm virus (antibody titers ≤1:10 based on Hemagglutination inhibition assay (HIA)).
  6. Ability and voluntary desire to keep records in the Self-Observation Diary, as well as to attend all the visits of the study for the medical control.
  7. Consent of study subjects to use reliable contraception methods during the entire period of their participation in the study, as well as within 3 months after completion of participation in the study.

Exclusion Criteria:

  1. Participation in another clinical study within three months prior to the beginning of this study; plans to participate in another study during the period of this study.
  2. Immunization with any other vaccine, not provided by the study within 6 months prior to inclusion in this study, or refusal to postpone another immunization until the end of the four-week period after completion of this study.
  3. Regular administration of irrigation therapy of the nasal cavity within the last six months prior to inclusion in this study or occasional application of this treatment method within two weeks prior to inclusion in this study.
  4. Frequent nosebleeds within the year before the study in the past medical history (> 5).
  5. Clinically significant anatomical pathology of the paranasal area or signs of surgical intervention in the area of the nose, sinus sinuses or traumatic injuries of the nose during the month before the beginning of screening.
  6. Symptoms of acute respiratory disease, including fever, or other acute diseases as of the screening date or within two weeks before the beginning of screening.
  7. Treatment with immunoglobulins or other blood products within three months prior to the beginning of screening or planning such treatment during participation in this study; blood/plasma donation (from 450 ml blood or plasma) in less than 2 months prior to screening.
  8. The presence or suspicion of various immunosuppressive or immunodeficient conditions or continuous administration (the drug is prescribed for more than 14 days of continous administration) of immunosuppressive drugs, immunomodulators during 6 months before inclusion in this study (for corticosteroids - greater than or equal to 0.5 mg/kg of prednisolone or other equivalent corticosteroids per day; topical and inhaled steroids, except for administration in the nasal cavity, are allowed).
  9. Participation in any previous studies to assess vaccines containing influenza viruses A/H1N1pdm09.
  10. Severe allergic reactions, including asthma, Quincke's edema, anaphylactic shock in the past medical history.
  11. Wheezing after a previous immunization with live influenza vaccine in the past medical history.
  12. Hypersensitivity after any previous vaccination against influenza and/or adverse effects caused by immunization, like body temperature above 40°C, fainting, non-febrile convulsions, anaphylaxis, when there is a minimal risk of association with the previous administration of any vaccine (not only against influenza).
  13. Suspected hypersensitivity to any components of the investigated vaccine, including chicken egg protein.
  14. Seasonal (spring or autumn) hypersensitivity to the natural factor effects.
  15. Acute or chronic clinically significant lesions in the lungs, the cardiovascular system, liver, endocrine, neurological and psychiatric diseases or renal dysfunction, as revealed based on the past medical history, physical examination or clinical laboratory findings, which may have an impact on the study results.
  16. Leukemia or any other malignant blood diseases or solid malignant neoplasms of other organs in the past medical history.
  17. Thrombocytopenic purpura blood-clotting disorders in the past medical history.
  18. Seizures in the past medical history.
  19. HIV, hepatitis B or C.
  20. Tuberculosis.
  21. Chronic alcohol addiction or chronic use of illegal drugs, drug abuse.
  22. Pregnancy or breastfeeding.
  23. Any condition that, according to the researcher, can increase the health risk for the volunteer participating in the study or influence the study results.

Sites / Locations

  • Federal State Budgetary Institution "Research Institute of Influenza" of the Ministry of Health of the Russian Federation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Vaccine "UniFluVec" 6.7 log EID50/dose

Vaccine "UniFluVec" 7.7 log EID50/dose

Placebo

Arm Description

Cohort 1 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 6.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm).

Cohort 2 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 7.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm).

Placebo comparator arm consists of 20 subjects (10 subject in each Сohort).

Outcomes

Primary Outcome Measures

Number of Adverse events
Adverse events (AEs) were summarized per treatment arm according to the current Medical Dictionary for Regulatory Activities (medDRA) version 21.1. For each preferred term, frequency counts and percentages were calculated. Related and unrelated AEs were assessed. Special attention was paid to vaccine-specific significant AEs: Immediate AEs occurring within two hours after administration of the vaccine and detected both by the medical personnel and based on the information provided by the volunteer to the research staff. Post-vaccination reactions (foreseen local and systemic clinical signs), usually caused by intranasal vaccination within two hours and the subsequent 7 days after administration of the vaccine.

Secondary Outcome Measures

Assessment of the virus reisolation after the vaccination
This was evaluated according to the diagnostic rapid test for influenza A virus by immunochromatographic method in the nasal swab samples within control periods after vaccination
The content of serum antibodies
This was evaluated by Hemagglutinin-inhibition assay
The content of serum neutralizing antibodies
This was evaluated by microneutralization assay
The content of serum Immunoglobulins class G (IgG)
This was evaluated by enzyme-linked immunosorbent assay (ELISA)
The content of serum Immunoglobulins class E (IgE)
This was evaluated by ELISA
Determination of Myxovirus resistance (MxA) protein 1
This was evaluated in the whole blood samples by ELISA
The content of secretory Immunoglobulins class A (IgA) and IgG
This was evaluated by ELISA and microneutralization assay in the samples of nasal secretions.

Full Information

First Posted
November 25, 2020
Last Updated
November 25, 2020
Sponsor
Pharmenterprises Biotech LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04650971
Brief Title
Study to Assess Safety, Tolerability and Reactogenicity of Vaccine "UniFluVec" After Two Intranasal Administrations in Healthy Volunteers
Official Title
Phase I Randomized Double Blind Placebo-controlled Study of Universal Influenza Vector Vaccine "UniFluVec" of Two Dose Levels After Two Intranasal Administrations in Healthy Volunteers at the Age From 18 to 49 Years Old
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
August 29, 2019 (Actual)
Primary Completion Date
March 31, 2020 (Actual)
Study Completion Date
March 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pharmenterprises Biotech LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A double-blind, randomized, placebo-controlled, Phase I clinical study of the safety, tolerability, reactogenicity and immunogenic activity of the universal influenza vector vaccine "UniFluVec" at two dose levels after two intranasal administrations in healthy adults. The volunteers randomized to the study group received intranasally 0.5 ml of the vaccine (0.25 ml in each nostril) as nasal aerosol stray twice with an interval of 3 weeks. The vaccine of the first dose level contained 6.7 log EID50/0.5 ml (50% egg infective dose) of attenuated recombinant influenza A/H1N1pdm09 virus; vaccine of the second dose level contained 7.7 log EID50/0.5 ml of attenuated recombinant influenza A/H1N1pdm09 virus. The primary objective of the study was to evaluate the safety, tolerability and reactogenicity profile of vaccine "UniFluVec" based on the frequency and severity of adverse events. The secondary objective of the study was to assess the immunogenicity.
Detailed Description
One center located in Russia (Saint-Petersburg) was approved for participation in this study. The study consisted of 3 periods: screening, double vaccination with an interval of 3 weeks and follow-up. All eligible subjects were randomized into the study in appropriate cohort groups sequentially. Randomization was performed within each cohort in ratio 2:1 to the vaccine and placebo groups, respectively: Cohort 1 (total 30 volunteers) - 20 volunteers received the vaccine twice, 6.7 log EID50/dose; 10 volunteers received Placebo twice. Cohort 2 (total 30 volunteers) - 20 volunteers received the vaccine twice, 7.7 log EID50/dose; 10 volunteers received Placebo twice. The decision to administer the second dose of vaccine or increased vaccine dose (cohort 2) was approved by the Data Safety Monitoring Committee on the basis of preliminary safety results assessment. The follow-up period lasted 3 months after the second vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza A
Keywords
Healthy volunteers, Vector vaccine, UniFluVec

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
The dose cohorts were included into the study based on evaluation of the safety results performed by the Data Safety Monitoring Committee. 2 doses of vaccine/placebo were used in the study. The volunteers randomized to the study group received intranasally 0.5 ml of the vaccine/placebo (0.25 ml in each nostril) as nasal aerosol stray twice with an interval of 3 weeks.
Masking
ParticipantInvestigator
Masking Description
For blinding purposes the Placebo was made with the corresponding labelling of the study drug.
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine "UniFluVec" 6.7 log EID50/dose
Arm Type
Experimental
Arm Description
Cohort 1 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 6.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm).
Arm Title
Vaccine "UniFluVec" 7.7 log EID50/dose
Arm Type
Experimental
Arm Description
Cohort 2 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 7.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm).
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo comparator arm consists of 20 subjects (10 subject in each Сohort).
Intervention Type
Biological
Intervention Name(s)
UniFluVec
Intervention Description
Vaccination was performed intranasally (0.25 ml in each nostril) twice with an interval of 3 weeks
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Vaccination was performed intranasally (0.25 ml in each nostril) twice with an interval of 3 weeks
Primary Outcome Measure Information:
Title
Number of Adverse events
Description
Adverse events (AEs) were summarized per treatment arm according to the current Medical Dictionary for Regulatory Activities (medDRA) version 21.1. For each preferred term, frequency counts and percentages were calculated. Related and unrelated AEs were assessed. Special attention was paid to vaccine-specific significant AEs: Immediate AEs occurring within two hours after administration of the vaccine and detected both by the medical personnel and based on the information provided by the volunteer to the research staff. Post-vaccination reactions (foreseen local and systemic clinical signs), usually caused by intranasal vaccination within two hours and the subsequent 7 days after administration of the vaccine.
Time Frame
Day -7 (7 days before first dose) - Day 111
Secondary Outcome Measure Information:
Title
Assessment of the virus reisolation after the vaccination
Description
This was evaluated according to the diagnostic rapid test for influenza A virus by immunochromatographic method in the nasal swab samples within control periods after vaccination
Time Frame
Day 2 - Day 5, Day 23, Day 25
Title
The content of serum antibodies
Description
This was evaluated by Hemagglutinin-inhibition assay
Time Frame
Day 1, Day 21, Day 42
Title
The content of serum neutralizing antibodies
Description
This was evaluated by microneutralization assay
Time Frame
Day 1, Day 21, Day 42
Title
The content of serum Immunoglobulins class G (IgG)
Description
This was evaluated by enzyme-linked immunosorbent assay (ELISA)
Time Frame
Day 1, Day 21, Day 42
Title
The content of serum Immunoglobulins class E (IgE)
Description
This was evaluated by ELISA
Time Frame
Day 1, Day 21, Day 42
Title
Determination of Myxovirus resistance (MxA) protein 1
Description
This was evaluated in the whole blood samples by ELISA
Time Frame
Day 1, Day 3 (1-st and 3-d days after first vaccination), Day 21, Day 23 (1th and 3th days after second vaccination)
Title
The content of secretory Immunoglobulins class A (IgA) and IgG
Description
This was evaluated by ELISA and microneutralization assay in the samples of nasal secretions.
Time Frame
Day 1, Day 21, Day 42
Other Pre-specified Outcome Measures:
Title
The content of cytokines
Description
This was evaluated by ELISA and detected in samples of nasal secretions
Time Frame
Day 1, Day 2, Day 3

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: Availability of signed informed consent. Adult men and women at the age from 18 through 49 years old. Diagnosis "healthy", verified by standard examination. Body weight ≥ 50 kg. The subjects, who are antibody-negative to influenza A/H1N1pdm virus (antibody titers ≤1:10 based on Hemagglutination inhibition assay (HIA)). Ability and voluntary desire to keep records in the Self-Observation Diary, as well as to attend all the visits of the study for the medical control. Consent of study subjects to use reliable contraception methods during the entire period of their participation in the study, as well as within 3 months after completion of participation in the study. Exclusion Criteria: Participation in another clinical study within three months prior to the beginning of this study; plans to participate in another study during the period of this study. Immunization with any other vaccine, not provided by the study within 6 months prior to inclusion in this study, or refusal to postpone another immunization until the end of the four-week period after completion of this study. Regular administration of irrigation therapy of the nasal cavity within the last six months prior to inclusion in this study or occasional application of this treatment method within two weeks prior to inclusion in this study. Frequent nosebleeds within the year before the study in the past medical history (> 5). Clinically significant anatomical pathology of the paranasal area or signs of surgical intervention in the area of the nose, sinus sinuses or traumatic injuries of the nose during the month before the beginning of screening. Symptoms of acute respiratory disease, including fever, or other acute diseases as of the screening date or within two weeks before the beginning of screening. Treatment with immunoglobulins or other blood products within three months prior to the beginning of screening or planning such treatment during participation in this study; blood/plasma donation (from 450 ml blood or plasma) in less than 2 months prior to screening. The presence or suspicion of various immunosuppressive or immunodeficient conditions or continuous administration (the drug is prescribed for more than 14 days of continous administration) of immunosuppressive drugs, immunomodulators during 6 months before inclusion in this study (for corticosteroids - greater than or equal to 0.5 mg/kg of prednisolone or other equivalent corticosteroids per day; topical and inhaled steroids, except for administration in the nasal cavity, are allowed). Participation in any previous studies to assess vaccines containing influenza viruses A/H1N1pdm09. Severe allergic reactions, including asthma, Quincke's edema, anaphylactic shock in the past medical history. Wheezing after a previous immunization with live influenza vaccine in the past medical history. Hypersensitivity after any previous vaccination against influenza and/or adverse effects caused by immunization, like body temperature above 40°C, fainting, non-febrile convulsions, anaphylaxis, when there is a minimal risk of association with the previous administration of any vaccine (not only against influenza). Suspected hypersensitivity to any components of the investigated vaccine, including chicken egg protein. Seasonal (spring or autumn) hypersensitivity to the natural factor effects. Acute or chronic clinically significant lesions in the lungs, the cardiovascular system, liver, endocrine, neurological and psychiatric diseases or renal dysfunction, as revealed based on the past medical history, physical examination or clinical laboratory findings, which may have an impact on the study results. Leukemia or any other malignant blood diseases or solid malignant neoplasms of other organs in the past medical history. Thrombocytopenic purpura blood-clotting disorders in the past medical history. Seizures in the past medical history. HIV, hepatitis B or C. Tuberculosis. Chronic alcohol addiction or chronic use of illegal drugs, drug abuse. Pregnancy or breastfeeding. Any condition that, according to the researcher, can increase the health risk for the volunteer participating in the study or influence the study results.
Facility Information:
Facility Name
Federal State Budgetary Institution "Research Institute of Influenza" of the Ministry of Health of the Russian Federation
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

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Study to Assess Safety, Tolerability and Reactogenicity of Vaccine "UniFluVec" After Two Intranasal Administrations in Healthy Volunteers

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