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Study to Evaluate Safety, Tolerability, and Immunogenicity of Candidate Human Cytomegalovirus Vaccine in Healthy Adults

Primary Purpose

Cytomegalovirus Infections

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
VBI-1501A 0.5 μg
VBI-1501A 1.0 μg
VBI-1501A 2.0 μg
VBI-1501 1.0 μg
Placebo
Sponsored by
VBI Vaccines Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cytomegalovirus Infections focused on measuring VBI-1501A, VBI-1501, prophylactic vaccine, virus diseases, cytomegalovirus (CMV), cytomegalovirus infections, cytomegalovirus vaccines, Herpesviridae Infections, Phase 1, Human Herpesvirus 5 (HHV5), Vaccines, virus-like particle (VLP), enveloped virus-like particle (eVLP)

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Generally healthy adult female and male 18 to 40 years of age, inclusive;
  2. Serologically confirmed to be CMV seronegative at screening;
  3. Female volunteers must agree to use an adequate contraception method as deemed appropriate by the investigator
  4. Sign an informed consent document indicating understanding of the purpose and procedures required for the study and willingness to participate in the study

Exclusion Criteria:

  1. History of or current clinically significant medical illness or any other illness that in the opinion of the investigator interferes with the interpretation of the study results
  2. Clinically significant abnormal physical examination, vital signs, or clinically significant abnormal values for hematology, clinical chemistry or urinalysis at screening as determined by the investigator
  3. Previous receipt of any cytomegalovirus vaccine
  4. History of allergic reactions or anaphylactic reaction to any vaccine component
  5. Pregnant or breastfeeding or plans to conceive from two weeks before the study start through six months after the last dose of study vaccine
  6. Known or suspected impairment of immunological function, including but not limited to autoimmune diseases, splenectomy, or HIV/AIDS
  7. Chronic administration (defined as more than 14 days in total) of immune-suppressive or other immune-modifying drug with six months prior to the product dose (for corticosteroids, this is defined as prednisone ≥20 mg/day or equivalent). Inhaled and topical steroids are allowed
  8. Participation in another clinical study within 30 days or plans to participate in another treatment based clinical study during the conduct of the present study
  9. Any skin abnormality or tattoo that would limit post-vaccination injection site assessment
  10. Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease
  11. Are family members of study center staff

Sites / Locations

  • Vaccine Evaluation Center
  • Canadian Center for Vaccinology; IWK Health Centre
  • McGill University Health Centre - Vaccine Study

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

VBI-1501A: 0.5µg with adjuvant

VBI-1501A: 1.0µg with adjuvant

VBI-1501A: 2.0 µg with adjuvant

VBI-1501: 1.0µg without adjuvant

Placebo

Arm Description

0.5µg CMV vaccine with adjuvant

1.0µg CMV vaccine with adjuvant

2.0 µg CMV vaccine with adjuvant

1.0µg CMV vaccine without adjuvant

Buffer/sucrose used for VBI-1501 suspension

Outcomes

Primary Outcome Measures

Number of Participants With Local and Systemic Adverse Events During Seven-Day Follow-Up Period
Number of Participants With Any Adverse Event
Number of Participants With Any Serious Adverse Event
Number of Participants With Any Hematological or Biochemical Laboratory Abnormality
Blood and urine samples were collected at screening for all evaluations with additional blood samples obtained on Days 28, 56, 84, 168, 196, 280, and 336. The following clinical laboratory evaluations were performed: Biochemistry: alanine aminotransferase; aspartate aminotransferase; creatinine; blood urea nitrogen; Hematology: neutrophils, lymphocytes, eosinophils, hemoglobin, platelet count, white blood cell count; Infection status: HIV, hepatitis B, hepatitis C, and cytomegalovirus; and Urinalysis: blood, glucose, protein.

Secondary Outcome Measures

Geometric Mean Titer of Antibody Binding to CMV gB
Geometric Mean Titer of Antibody Avidity Index Value Against gB
To measure the avidity of responses against CMV gB protein, a standard ELISA assay using recombinant gB protein which did or did not include treatment with 5M urea for 30 minutes of samples after sera had been incubated with recombinant protein. The reported value, or Avidity Index, represents the percent of signal measured in ELISA after treatment with urea relative to samples not exposed to urea.
Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Fibroblast Cells
Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Epithelial Cells

Full Information

First Posted
June 23, 2016
Last Updated
April 16, 2020
Sponsor
VBI Vaccines Inc.
Collaborators
Clinical Trial Data Services, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02826798
Brief Title
Study to Evaluate Safety, Tolerability, and Immunogenicity of Candidate Human Cytomegalovirus Vaccine in Healthy Adults
Official Title
A Phase 1 Randomized, Observer-Blind, Placebo-Controlled, Study to Evaluate the Safety, Tolerability, and Immunogenicity of the Candidate Human Cytomegalovirus Vaccine (VBI-1501) in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
June 23, 2016 (Actual)
Primary Completion Date
September 15, 2016 (Actual)
Study Completion Date
August 24, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
VBI Vaccines Inc.
Collaborators
Clinical Trial Data Services, LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to compare the safety and effectiveness of four different doses of cytomegalovirus vaccines in healthy adults.
Detailed Description
This study is designed to assess safety and immunogenicity of four dose formulations of cytomegalovirus (CMV) vaccine (0.5 μg gB content with aluminum phosphate (alum), 1.0 μg glycoprotein B (gB) content with alum, 2.0 μg gB content with alum, or 1.0 μg gB content (without alum) as compared with placebo in approximately 125 healthy CMV-seronegative volunteer participants between 18 and 40 years of age.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cytomegalovirus Infections
Keywords
VBI-1501A, VBI-1501, prophylactic vaccine, virus diseases, cytomegalovirus (CMV), cytomegalovirus infections, cytomegalovirus vaccines, Herpesviridae Infections, Phase 1, Human Herpesvirus 5 (HHV5), Vaccines, virus-like particle (VLP), enveloped virus-like particle (eVLP)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
128 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VBI-1501A: 0.5µg with adjuvant
Arm Type
Experimental
Arm Description
0.5µg CMV vaccine with adjuvant
Arm Title
VBI-1501A: 1.0µg with adjuvant
Arm Type
Experimental
Arm Description
1.0µg CMV vaccine with adjuvant
Arm Title
VBI-1501A: 2.0 µg with adjuvant
Arm Type
Experimental
Arm Description
2.0 µg CMV vaccine with adjuvant
Arm Title
VBI-1501: 1.0µg without adjuvant
Arm Type
Experimental
Arm Description
1.0µg CMV vaccine without adjuvant
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Buffer/sucrose used for VBI-1501 suspension
Intervention Type
Drug
Intervention Name(s)
VBI-1501A 0.5 μg
Intervention Description
VBI-1501A: 0.5 μg with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168
Intervention Type
Drug
Intervention Name(s)
VBI-1501A 1.0 μg
Intervention Description
VBI-1501A: 1.0 μg with alum with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168
Intervention Type
Drug
Intervention Name(s)
VBI-1501A 2.0 μg
Intervention Description
VBI-1501A: 2.0 μg with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168
Intervention Type
Drug
Intervention Name(s)
VBI-1501 1.0 μg
Intervention Description
VBI-1501: 1.0 μg without alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
buffer/sucrose used for VBI-1501 suspension- administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168.
Primary Outcome Measure Information:
Title
Number of Participants With Local and Systemic Adverse Events During Seven-Day Follow-Up Period
Time Frame
Day of vaccine administration (days 0, 56, 168) and six subsequent days
Title
Number of Participants With Any Adverse Event
Time Frame
Following each of the 3 injections of study vaccine, the occurrence of adverse events was captured during a 28-day follow-up period as well as through Day 336 or early withdrawal.
Title
Number of Participants With Any Serious Adverse Event
Time Frame
Through Day 336 or early withdrawal
Title
Number of Participants With Any Hematological or Biochemical Laboratory Abnormality
Description
Blood and urine samples were collected at screening for all evaluations with additional blood samples obtained on Days 28, 56, 84, 168, 196, 280, and 336. The following clinical laboratory evaluations were performed: Biochemistry: alanine aminotransferase; aspartate aminotransferase; creatinine; blood urea nitrogen; Hematology: neutrophils, lymphocytes, eosinophils, hemoglobin, platelet count, white blood cell count; Infection status: HIV, hepatitis B, hepatitis C, and cytomegalovirus; and Urinalysis: blood, glucose, protein.
Time Frame
Through Day 336 or early withdrawal
Secondary Outcome Measure Information:
Title
Geometric Mean Titer of Antibody Binding to CMV gB
Time Frame
Through Day 336 or early withdrawal
Title
Geometric Mean Titer of Antibody Avidity Index Value Against gB
Description
To measure the avidity of responses against CMV gB protein, a standard ELISA assay using recombinant gB protein which did or did not include treatment with 5M urea for 30 minutes of samples after sera had been incubated with recombinant protein. The reported value, or Avidity Index, represents the percent of signal measured in ELISA after treatment with urea relative to samples not exposed to urea.
Time Frame
Through Day 336 or early withdrawal
Title
Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Fibroblast Cells
Time Frame
Through Day 196 or early withdrawal
Title
Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Epithelial Cells
Time Frame
Through Day 336 or early withdrawal

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Generally healthy adult female and male 18 to 40 years of age, inclusive; Serologically confirmed to be CMV seronegative at screening; Female volunteers must agree to use an adequate contraception method as deemed appropriate by the investigator Sign an informed consent document indicating understanding of the purpose and procedures required for the study and willingness to participate in the study Exclusion Criteria: History of or current clinically significant medical illness or any other illness that in the opinion of the investigator interferes with the interpretation of the study results Clinically significant abnormal physical examination, vital signs, or clinically significant abnormal values for hematology, clinical chemistry or urinalysis at screening as determined by the investigator Previous receipt of any cytomegalovirus vaccine History of allergic reactions or anaphylactic reaction to any vaccine component Pregnant or breastfeeding or plans to conceive from two weeks before the study start through six months after the last dose of study vaccine Known or suspected impairment of immunological function, including but not limited to autoimmune diseases, splenectomy, or HIV/AIDS Chronic administration (defined as more than 14 days in total) of immune-suppressive or other immune-modifying drug with six months prior to the product dose (for corticosteroids, this is defined as prednisone ≥20 mg/day or equivalent). Inhaled and topical steroids are allowed Participation in another clinical study within 30 days or plans to participate in another treatment based clinical study during the conduct of the present study Any skin abnormality or tattoo that would limit post-vaccination injection site assessment Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease Are family members of study center staff
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joanne Langley, MD
Organizational Affiliation
IWK Health Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vaccine Evaluation Center
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4H4
Country
Canada
Facility Name
Canadian Center for Vaccinology; IWK Health Centre
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3K 6R8
Country
Canada
Facility Name
McGill University Health Centre - Vaccine Study
City
Pierrefonds
State/Province
Quebec
ZIP/Postal Code
H9H 4Y6
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
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Study to Evaluate Safety, Tolerability, and Immunogenicity of Candidate Human Cytomegalovirus Vaccine in Healthy Adults

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