Booster Dose (50 µg) of Recombinant Ricin Toxin Vaccine (RVEc™) in Previously Vaccinated Healthy Adults (RVEc)

Safety and Immunogenicity of a Booster Dose (50 µg) of Recombinant Ricin Toxin A-Chain 1-33/44-198 (rRTA 1-33/44-198) Vaccine (RVEc™) in Previously Vaccinated Healthy Adults

The purpose of this study is to evaluate the safety and immunogenicity of a single 50-μg booster dose of RVEc. Subjects will be recruited from the cohort that received three 50-μg doses of RVEc in a Phase 1 trial (NCT01317667).

Study Overview

• Status: Completed
• Conditions: Ricin Poisoning
• Intervention / Treatment: Biological: 50-μg booster dose RVEc

• Study Type: Interventional
• Enrollment (Actual): 4
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Maryland
    • Frederick, Maryland, United States, 21702
      • Department of Clinical Research, USAMRIID

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 50 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Study subjects must have received the 3 priming doses of RVEc at the 50-µg dosage.
• Study subjects must be 18 years old at time of screening and no older than 50 years old at time of vaccination.
• Subjects must weigh at least 110 pounds at time of screening.
• Subjects must be in good health as judged from medical history, physical examination, EKG, hematology, clinical chemistries, urinalysis, hepatitis serology, and HIV antibody test (Table 4) and be medically cleared for participation by an investigator. If any HIV or hepatitis testing is positive, the individual will be provided with counseling and referral for health care.
• Females of child-bearing potential must have a negative pregnancy test on screening and the morning of vaccination prior to receipt of the vaccine and must agree to use a highly effective method of birth control during the first 3 months following receipt of RVEc. A highly effective method of birth control is defined as one with a failure rate of less than 1% per year. Acceptable birth control methods that meet this criterion include hormonal implants and injectables (Norplant, Depo-Provera, Lunelle, and Etonogestrel), combined oral contraceptives, the intrauterine devices (IUDs) Copper T (380-A) or Mirena (Levonorgestrel Intrauterine System), female sterilization (tubal ligation), sexual abstinence, or a vasectomized partner.
• Female subjects must also agree not to breastfeed until at least 3 months after receiving the RVEc.
• Study subjects must read and sign an approved informed consent.
• Study subjects must be willing to return for all follow-up visits.
• Study subjects must agree to report any AE that may or may not be associated with administration of the investigational product through the 6-month follow-up/closeout visit.
• Study subjects must agree to abstain from excessive exercise (more than the usual routine) and excessive alcohol consumption (exceeds more than 2 drinks for males or 1 drink for females daily or binge drinking) for the duration of study participation.

Exclusion Criteria:

• Acute or chronic medical conditions or immunodeficiency from a medical condition or medical treatment, medications, or dietary supplements that, in the investigator's opinion, would impair the subject's ability to respond to vaccination. Use of corticosteroids, other than inhaled corticosteroids, will not be permitted.
• Severe hypersensitivity to any vaccine (anaphylaxis, angioedema, bronchospasm, or laryngospasm).
• History of asthma, chronic obstructive pulmonary disease, or other current/residual diseases of the lungs.
• Clinically significant abnormal laboratory tests.
• Current smoker.
• Any known allergies to sodium succinate, Tween-20 (a detergent), aluminum hydroxide, or kanamycin.
• Receipt of any vaccine or investigational product within 30 days before or after vaccination with RVEc.
• Receipt of RVEc is contraindicated based on SIRVA checklist/screening, as determined by PI.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 50-μg booster dose RVEc; Subjects will be receive one 50-μg dose of RVEc	Biological: 50-μg booster dose RVEc; Subjects will be recruited from the 10 subjects who received three 50-μg doses of RVEc during the Phase 1 trial. Subjects will receive a single booster dose only and will be followed for 6 months after vaccination.; Other Names: Ricin Vaccine

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Number of Vaccinated Participants Who Experienced Adverse Events by Nature and Severity.	Six months

Secondary Outcome Measures

Outcome Measure	Time Frame
Number of Subjects Who Developed Total ELISA IgG Titers (≥ 1:500)	Six months
Number of Subjects Who Developed TNA Anti-ricin Toxin-neutralizing Antibody Titers (≥ 1:50)	Six months

Collaborators and Investigators

• Sponsor: U.S. Army Medical Research and Development Command
• Investigators: Principal Investigator: Matthew S Chambers, MD, MPH, USAMRIID

Publications and helpful links

General Publications

• Pittman PR, Reisler RB, Lindsey CY, Guerena F, Rivard R, Clizbe DP, Chambers M, Norris S, Smith LA. Safety and immunogenicity of ricin vaccine, RVEc, in a Phase 1 clinical trial. Vaccine. 2015 Dec 16;33(51):7299-7306. doi: 10.1016/j.vaccine.2015.10.094. Epub 2015 Nov 3.

Study record dates

Study Major Dates

• Study Start (Actual): April 30, 2013
• Primary Completion (Actual): June 30, 2013
• Study Completion (Actual): June 30, 2013

Study Registration Dates

• First Submitted: April 30, 2013
• First Submitted That Met QC Criteria: April 30, 2013
• First Posted (Estimate): May 3, 2013

Study Record Updates

• Last Update Posted (Actual): December 27, 2019
• Last Update Submitted That Met QC Criteria: December 17, 2019
• Last Verified: December 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Chemically-Induced Disorders; Poisoning; Physiological Effects of Drugs; Immunologic Factors; Vaccines
• Other Study ID Numbers: S-12-23; FY12-16 (Other Identifier: USAMRIID)