Development of an Intranasal Proteosome Influenza Vaccine

NCT02522754 — Phase 1 / Phase 2, Completed, 174 participants, Hvivo

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Study to Determine if Intranasal Proteosome-Adjuvanted Trivalent Influenza Vaccine is Safe, Immunogenic and Efficacious in the Influenza Human Viral Challenge Model

RegistryNCT02522754
StatusCompleted
PhasePhase 1 / Phase 2
Study typeInterventional; randomized, parallel, masking: double, prevention
Enrollment174 (Actual)
SponsorHvivo (Industry); collaborators: GlaxoSmithKline
ConditionsInfluenza
InterventionsPlacebo Protesomal Vaccine, Experimental: Protesomal Vaccine 1 x 30 µg, Experimental: Protesomal Vaccine 2 x 30 µg, Experimental: Protesomal Vaccine 2 x 15 µg (Biological)
Datesstart 2002-01-01, primary completion 2004-01-01, completion 2004-01-01, first posted 2015-08-13, last updated 2015-08-13

Related Papers Related Patents Related Grants Related Experts
All trials for Influenza All trials of Placebo Protesomal Vaccine All trials of Experimental: Protesomal Vaccine 1 x 30 µg

-Summary

A study to compare multiple dosage regimes of a protesomal intranasal vaccine.

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+Detailed description

A Proteosome-adjuvanted trivalent inactivated influenza vaccine (P-TIV) administered intra-nasally was shown to be effective, safe, well tolerated, immunogenic - in both systemic and mucosal compartments - and effective at preventing influenza illness.

In two separate studies using the Human Viral Challenge Model, subjects were selected for susceptibility to A/Panama/2007/1999 (H3N2) virus and then dosed with one of three regimens: (A/New Caledonia/20/1999 (H1N1), A/Panama/2007/1999 (H3N2), B/Victoria/504/2000 or B/Shangdong/7/1997) or placebo via a nasal spray. One or two doses were given, 14 days apart, before subjects were challenged with \~8.5 x 105 EID¬50 of A/Panama/2007/1999 (H3N2) virus. Immune responses to the vaccine antigens were measured, namely serum IgG (via the aemagglutination inhibition assay (HAI)) and nasal wash secretory IgA (sIgA) antibodies (via ELISA). Viral titres in nasal washes and symptoms of influenza illness were assessed after viral challenge and compared.

+Arms and interventions

ArmTypeInterventionsDescription
PlaceboPlacebo comparatorBiological: Placebo Protesomal VaccinePlacebo
Protesomal Vaccine 1 x 30 µgExperimentalBiological: Experimental: Protesomal Vaccine 1 x 30 µgProtesomal Vaccine 1 x 30 µg
Protesomal Vaccine 2 x 30 µgExperimentalBiological: Experimental: Protesomal Vaccine 2 x 30 µgProtesomal Vaccine 2 x 30 µg
Protesomal Vaccine 2 x 15 µgExperimentalBiological: Experimental: Protesomal Vaccine 2 x 15 µgProtesomal Vaccine 2 x 15 µg
  • Placebo Protesomal Vaccine (Biological), also known as Placebo: Intranasal vaccine Protesomal Vaccine
  • Experimental: Protesomal Vaccine 1 x 30 µg (Biological): Experimental: Protesomal Vaccine 1 x 30 µg
  • Experimental: Protesomal Vaccine 2 x 30 µg (Biological): Experimental: Protesomal Vaccine 2 x 30 µg
  • Experimental: Protesomal Vaccine 2 x 15 µg (Biological): Experimental: Protesomal Vaccine 2 x 15 µg

+Outcome measures

Primary outcomes

  • Reduction in Influenza Like Illness in those with laboratory confirmed influenza [Within the duration of infection, approx 10 days]

+Eligibility

Sex: All, ages: 18 Years to 45 Years, accepts healthy volunteers

Inclusion Criteria:

* Young healthy adults as determined by medical history, physical examination, serology (HIV and Hepatitis B and C) and clinical laboratory tests.
* Female subjects were required to provide of a history of reliable contraceptive practice.
* Susceptibility to A/Panama/2007/1999 (H3N2) (a serum reciprocal HAI titre ≤10) was confirmed at screening. -

Exclusion Criteria:included;

* asthma,
* hypersensitivity to mercurials or chicken eggs,
* anatomic or neurologic abnormality impairing the gag reflex or contributing to aspiration, * chronic nasopharyngeal complaints,
* abnormal electrocardiogram (ECG),
* febrile illness or significant symptoms of upper respiratory infection on the day of vaccination or between admission to quarantine and administration of the challenge inoculum.
* Subjects using medication or other products for rhinitis or nasal congestion,
* Subject who had received systemic glucocorticoids within 1 month, or cytotoxic or immunosuppressive drugs within 6 months of the study start.
* Subjects agreed not to smoke during the quarantine phase.

+Publications

  • Results publication: Lambkin-Williams R, Gelder C, Broughton R, Mallett CP, Gilbert AS, Mann A, He D, Oxford JS, Burt D. An Intranasal Proteosome-Adjuvanted Trivalent Influenza Vaccine Is Safe, Immunogenic & Efficacious in the Human Viral Influenza Challenge Model. Serum IgG & Mucosal IgA Are Important Correlates of Protection against Illness Associated with Infection. PLoS One. 2016 Dec 22;11(12):e0163089. doi: 10.1371/journal.pone.0163089. eCollection 2016. PMID 28005959

+Investigators