VRC 320: A Phase I, Randomized Clinical Trial to Evaluate the Safety and Immunogenicity of a Zika Virus DNA Vaccine, VRC-ZKADNA090-00-VP, Administered Via Needle and Syringe or Needle-free Injector, PharmaJet, inHealthy Adults
Prevention of Zika Infection, Zika-Specific Immune Response
About this trial
This is an interventional prevention trial for Prevention of Zika Infection focused on measuring Zika Infection, Immune Response, Flavivirus, Arthropod-Borne Virus
Eligibility Criteria
- INCLUSION CRITERIA:
A subject must meet all of the following criteria:
- 18 to 50 years old
- Available for clinic visits for 24 months after enrollment
- Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process
- Able and willing to complete the informed consent process
- Willing to donate blood for sample storage to be used for future research
- In good general health without clinically significant medical history
- Physical examination and laboratory results without clinically significant findings and a Body Mass Index (BMI) less than or equal to 40 within the 56 days prior to enrollment
- Agrees not to receive licensed or investigational flavivirus vaccines through 4 weeks after last product administration
Laboratory Criteria within 56 days prior to enrollment:
- Hemoglobin within institutional normal limits or accompanied by the site Principal Investigator (PI) or designee approval
- WBC and differential either within institutional normal range or accompanied by site PI or designee approval
- Total lymphocyte count greater than or equal to 800 cells/mm^3
- Platelets = 125,000 - 500,000/mm^3
- Alanine aminotransferase (ALT) less than or equal to 1.25 x institutional upper limit of normal (ULN)
- Serum creatinine less than or equal to 1.1 x institutional ULN
- Negative for HIV infection by an FDA approved method of detection
Criteria applicable to women of childbearing potential:
- Negative human chorionic gonadotropin (beta-HCG) pregnancy test (urine or serum) on day of enrollment
- Agrees to use an effective means of birth control from at least 21 days prior to enrollment through 12 weeks after the last study vaccination
EXCLUSION CRITERIA:
A subject will be excluded if one or more of the following conditions apply:
- Female-specific: Breast-feeding or planning to become pregnant while participating through 12 weeks after the last study vaccination
Subject has received any of the following:
- More than 10 days of systemic immunosuppressive medications or cytotoxic medications within the 4 weeks prior to enrollment or any within the 14 days prior to enrollment
- Blood products within 16 weeks prior to enrollment
- Inactivated vaccines within 2 weeks prior to enrollment
- Live attenuated vaccines within 4 weeks prior to enrollment
- Investigational research products within 4 weeks prior to enrollment or planning to receive investigational products while on the study
- Current allergen immunotherapy with antigen injections, unless on maintenance schedule
- Current anti-TB prophylaxis or therapy
Subject has a history of any of the following clinically significant conditions:
- Laboratory confirmed ZIKV infection by self-report at the time of enrollment
- Serious reactions to vaccines that preclude receipt of study vaccinations as determined by the site investigator
- Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema
- Asthma that is not well controlled
- Diabetes mellitus (type I or II), with the exception of gestational diabetes
- Evidence of autoimmune disease or immunodeficiency
- Idiopathic urticaria within the past year
- Hypertension that is not well controlled
- Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws
- Malignancy that is active or history of malignancy that is likely to recur during the period of the study
- Seizure disorder other than: 1) febrile seizures, 2) seizures secondary to alcohol withdrawal more than 3 years ago, or 3) seizures that have not required treatment within the last 3 years
- Asplenia, functional asplenia or any condition resulting in the absence or removal of the spleen
- Guillain-Barre Syndrome, Bell's palsy or similar neurological conditions
- Psychiatric condition that precludes compliance with the protocol; past or present psychoses; or within 5 years prior to enrollment, a history of suicide plan or attempt
- Any medical, psychiatric, social condition, occupational reason or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent
Sites / Locations
- National Institutes of Health Clinical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Group 1
Group 2
Group 3
ZIKV DNA vaccine administered IM via needle and syringe at a single dosage of 4 mg on Day 0, week 4 and week 8.
ZIKV DNA vaccine administered IM via needle and syringe as a split dose of two .5 ml injections on Day 0, week 4 and week 8.
ZIKV DNA vaccine administered IM via needle-free injection device, PharmaJet, as a split dose of two .5 ml injections on Day 0, week 4 and week 8.