Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317) (WRAIR)
A Phase 2 Open-label Study to Assess the Safety and Immunogenicity of an Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317) in Prior Recipients of Other Alphavirus Vaccines Versus Alphavirus Naïve Controls.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
Maryland
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Fort Deterick, Maryland, United States, 21702
- United States Army Medical Research Institute of Infectious Diseases
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Silver Spring, Maryland, United States, 20910
- Walter Reed Army Institute of Research
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 to 65 years old (inclusive)
- For women of childbearing potential, a negative pregnancy test at screening and on vaccination day, practicing highly effective contraception for at least 30 days prior to vaccination, and willing to use a highly effective method of contraception through study completion.
- Able and willing to provide informed consent for study participation prior to screening procedures.
- Free of obvious health problems as established by medical history and clinical examination at screening and enrollment.
- Available to participate for the duration of the study (approximately 8 months).
- For the cohort of prior alphavirus vaccine recipients, a documented history of prior alphavirus vaccination.
Exclusion Criteria:
- Acute disease or febrile illness at the time of screening or enrollment.
- Clinically significant cardiac, respiratory, rheumatologic or other medical or psychiatric condition that, in the opinion of the Investigator, places the subject at increased risk or affects their ability to understand and comply with study procedures.
- Abnormal screening lab test result that, in the opinion of the investigator, obscures interpretation of the safety data or suggests a clinically significant cardiac, respiratory, rheumatologic or other medical condition that places the subject at increased risk.
- Pregnant, lactating or planning to become pregnant during the study period.
- Laboratory evidence of infection with Hepatitis B, C or HIV.
- History of naturally (non-laboratory) acquired chikungunya or other alphavirus infection or travel to a WHO-designated chikungunya-endemic region within 30 days prior to Day 1.
- History of acute allergic reaction to any component of CHIKV VLP vaccine or Alhydrogel®.
- Current (30 days prior to Day 1) or anticipated use of systemic immunomodulatory or immunosuppressive medications.
- History of splenectomy, immunosuppressive condition, autoimmune disease, or immunodeficient condition.
- Family history of congenital or hereditary immunodeficiency.
- Suspected or known current alcohol abuse that, in the opinion of the Investigator, would interfere with the subject's ability to understand and comply with study procedures.
- Current intravenous drug use.
- Prior receipt of an investigational chikungunya vaccine.
- Receipt or planned receipt of any licensed vaccine from 30 days prior to Day 1 through Day 29 study visit.
- Participation in another clinical trial during the study period in which an investigational product is administered.
- For the alphavirus naïve group, history of prior alphavirus vaccination is exclusionary.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Prior Alpha
All study participants received the same Investigational Product according to the same schedule.
Participants were prior recipients of experimental alphavirus vaccines.
|
Virus Like Particle
|
|
Active Comparator: Control: Naïve Alpha
All study participants received the same Investigational Product according to the same schedule.
The alphavirus vaccine naïve participants will serve as controls for determining the effect of pre-existing alphavirus immunity on vaccine safety and immunogenicity.
|
Virus Like Particle
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
Time Frame: Day 22 (21 days after vaccination)
|
Seroconversion, defined as a 4-fold or greater rise in neutralizing antibody against chikungunya virus, as determined by luciferase-based assay (NT80), induced by PXVX0317. PXVX0317 was administered to prior alphavirus vaccine recipients versus gender- and age-matched controls. |
Day 22 (21 days after vaccination)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Time Frame: Day 1, 8, 22, 29, 57, 182
|
Evaluation of Geometric Mean Titer of Anti-CHIKV neutralizing antibodies, determined by luciferase-based assay (NT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.
|
Day 1, 8, 22, 29, 57, 182
|
|
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
Time Frame: Day 8, 29, 57, 182
|
Evaluation of seroconversion rate of Anti-CHIKV neutralizing antibodies, determined by luciferase-based assay (NT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.
|
Day 8, 29, 57, 182
|
|
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Time Frame: Day 1, 8, 22, 29, 57, 182
|
Evaluation of Anti-CHIKV neutralizing antibody response, as determined by luciferase-based assay (NT80), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 8, 22, 29, 57 and 182.
|
Day 1, 8, 22, 29, 57, 182
|
|
Geometric Mean Titer of Anti-CHIKV Total Antibody Response
Time Frame: Day 1, 22, 29
|
Evaluation of Geometric Mean Titer of Anti-CHIKV total antibodies, determined by immunoassay (ELISA), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.
|
Day 1, 22, 29
|
|
Percentage of Participants With 4-fold Rise in Anti-CHIKV Total Antibody Response
Time Frame: Day 22, 29
|
Evaluation of seroconversion rate of Anti-CHIKV total antibodies, determined by immunoassay, on Days 22 and 29, where seroconversion was a 4-fold rise in titer over baseline.
|
Day 22, 29
|
|
Geometric Mean Titer of Anti-VEEV Neutralizing Antibody Response
Time Frame: Day 1, 22, 29
|
Evaluation of Geometric Mean Titer of Anti-VEEV neutralizing antibodies, determined by Plaque-Reduction Neutralization Test (PRNT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls
|
Day 1, 22, 29
|
|
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Time Frame: Days 1, 22, and 29
|
Evaluation of Anti-CHIKV total antibody titer, as determined by immunoassay (ELISA), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 22, and 29.
|
Days 1, 22, and 29
|
|
Percentage of Participants With 4-fold Rise in Anti-VEEV Neutralizing Antibody Response
Time Frame: Day 22 and 29
|
Evaluation of seroconversion rate of anti-VEEV neutralizing antibodies on Days 22 and 29 as determined by Plaque-Reduction Neutralization Test (PRNT80), where seroconversion is a 4-fold rise in titer over baseline.
|
Day 22 and 29
|
|
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Time Frame: Day 1, 22, 29
|
Evaluation of Anti-VEEV neutralizing antibody response, as determined by Plaque-Reduction Neutralization Test (PRNT80), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 22 and 29.
|
Day 1, 22, 29
|
|
Geometric Mean Titer of Anti-VEEV Total Antibody Response
Time Frame: Day 1, 22, 29
|
Evaluation of Geometric Mean Titer of Anti-VEEV total antibody as determined by an immunoassay (ELISA) in prior alphavirus vaccine recipients versus alphavirus-naïve controls.
|
Day 1, 22, 29
|
|
Percentage of Participants With 4-fold Rise in Total ELISA IgG Antibody Against VEEV
Time Frame: Day 22, 29
|
Evaluation of seroconversion rate of Anti-VEEV total antibody, as determined by immunoassay (ELISA), on Days 22 and 29, where seroconversion is a 4-fold rise in titer over baseline.
|
Day 22, 29
|
|
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Time Frame: Days 1, 22, and 29
|
Evaluation of Anti-VEEV total antibody titer, as determined by immunoassay (ELISA), via proportion of participants with titers of at least 40, 160, or 640 on Days 1, 22, and 29.
|
Days 1, 22, and 29
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: James McCarty, MD, Emergent BioSolutions
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EBSI-CV-317-002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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