Study of a DNA-based Venezuelan Equine Encephalitis Virus DNA Vaccine Administered by Electroporation in Healthy Volunteers

A Phase I, Randomized, Observer-blind, Placebo Controlled Study to Assess the Safety, Reactogenicity, and Immunogenicity of a Venezuelan Equine Encephalitis DNA Vaccine Candidate Administered Intramuscularly or Intradermally by Electroporation to Healthy Adults

The Phase I study will assess the basic safety, tolerability, and immunogenicity of a DNA-based Venezuelan equine encephalitis virus (VEEV)vaccine candidate delivered by electroporation . The study will enroll 40 healthy adult volunteers ages 18-49 and will comprise evaluation of intradermal or intramuscular administration by electroporation. Administration of the vaccine candidate will be at two DNA dose levels (0.5 mg/ml and 2.0 mg/ml) for each route of administration. Electroporation will be administered using the TriGrid Delivery System devices for intramuscular and intradermal delivery. An additional group of subjects will serve as a placebo control, receiving injections of saline with electroporation. The overall goal of this study will be to determine if further human clinical studies of the vaccine candidate are warranted and, if so, to aid in the selection of dose and route of administration for future studies.

Study Overview

• Status: Completed
• Conditions: Venezuelan Equine Encephalitis Virus Infection
• Intervention / Treatment: Biological: Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate; Other: 0.9% saline placebo

• Study Type: Interventional
• Enrollment (Actual): 42
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • California
    • San Diego, California, United States, 92108
      • Accelovance

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 49 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Healthy adult male or non-pregnant, non-lactating female, ages 18-49 (inclusive) at time of screening
• Have provided written informed consent before screening
• Free of clinically significant health problems or clinical lab abnormalities, as determined by pertinent medical history, lab evaluations, and clinical examination before entry into the study
• Available and able to participate for all study visits and procedures
• If sexually active, known to be at least 1 year post-menopausal, or willing to use an effective method of contraception (e.g., birth control pill, diaphragm, cervical cap, intrauterine device, condom, anatomical sterility [self or partner]) from the date of screening until at least 6 months after the last injection
• Negative VEEV IgG antibody test result at screening (ELISA)

Exclusion Criteria:

• History or serologic evidence of prior infection with VEE virus or prior participation in a VEE virus vaccine trial
• History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions
• History of Guillain-Barre Syndrome
• Ongoing participation in another clinical trial
• Receipt or planned receipt of any experimental or licensed vaccine, except for a licensed seasonal influenza vaccine, within the period 30 days prior to initial injection through 60 days after the Day 70 follow-up. (~ 6 month period in total)
• Receipt or planned receipt of any allergy treatments involving antigen injections within the period 30 days prior to the first injection through the period 60 days after Study Day 70 (~6 month period in total)
• Individuals in whom a skinfold measurement of the cutaneous and subcutaneous tissue for the eligible injection sites (left and right medial deltoid region) exceeds 40 mm
• Individuals in whom the ability to observe possible local reactions at the eligible injection sites (deltoid region) is, in the opinion of the investigator, unacceptably obscured due to a physical condition or permanent body art
• Therapeutic or traumatic metal implant in the skin or muscle of either deltoid region.
• Acute or chronic, clinically significant hematologic, pulmonary, cardiovascular, or hepatic or renal functional abnormality as determined by the investigator based on medical history, physical examination, EKG, and/or laboratory screening test
• Pregnant or lactating female, or female who intends to become pregnant during the study period
• Administration of immunoglobulins and/or any blood products within the 120 days preceding study entry or planned administration during the study period
• Any confirmed or suspected immunosuppressive or immunodeficient condition, including HIV infection
• Administration of chronic (defined as more than 14 days) immunosuppressant's or other immune-modifying drugs within 6 months of study entry
• For corticosteroids, this will mean prednisone, or equivalent, greater than or equal to 0.5 mg/kg/day; Inhaled and topical steroids are allowed
• Any chronic or active neurologic disorder, including seizures and epilepsy, excluding a single febrile seizure as a child
• Syncopal episode within 12 months of screening
• Suspected or known current alcohol abuse as defined by the American Psychiatric Association in DSM IV (Diagnostic and Statistical Manual of Mental Disorders-4th edition)
• Chronic or active illicit and/or intravenous drug use by history
• Unwilling to allow storage and use of blood for future alphavirus-related research
• Any other significant finding that in the opinion of the investigator would increase the risk of the individual having an adverse outcome from participating in this study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

5

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: VEEV DNA Vaccine 0.5 mg/ml Intramuscular; Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate	Biological: Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Experimental: VEEV DNA Vaccine 0.5 mg/ml Intradermal; Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate	Biological: Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Experimental: VEEV DNA Vaccine 2.0 mg/ml Intramuscular; Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate	Biological: Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Experimental: VEEV DNA Vaccine 2.0 mg/ml Intradermal; Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate	Biological: Venezuelan Equine Encephalitis Virus DNA Vaccine Candidate
Placebo Comparator: Placebo: 0.9% saline; 0.9% saline	Other: 0.9% saline placebo

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
The nature, frequency, and severity of local and systemic adverse events or serious adverse events associated with electroporation-based administration of the VEEV DNA vaccine candidate	12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The frequency, magnitude, and duration of serum anti-VEEV antibody responses	Anti-VEEV immune response will be assessed by 80% Plaque Reducing Neutralization Test (PRNT80). PRNT80 titers of >= 1:10 will constitute a response.	12 months
Response to a questionnaire based assessment of acute procedure tolerability.	Immediately following procedure administration, subjects will complete a Visual Analog Scale (VAS) based questionnaire to assess procedure tolerability.	8 weeks

Collaborators and Investigators

• Sponsor: Ichor Medical Systems Incorporated
• Collaborators: US Army Medical Research Institute of Infectious Diseases

Publications and helpful links

General Publications

• Hannaman D, Dupuy LC, Ellefsen B, Schmaljohn CS. A Phase 1 clinical trial of a DNA vaccine for Venezuelan equine encephalitis delivered by intramuscular or intradermal electroporation. Vaccine. 2016 Jun 30;34(31):3607-12. doi: 10.1016/j.vaccine.2016.04.077. Epub 2016 May 17.

Study record dates

Study Major Dates

• Study Start: December 1, 2013
• Primary Completion (Actual): June 1, 2014
• Study Completion (Actual): May 1, 2015

Study Registration Dates

• First Submitted: September 23, 2013
• First Submitted That Met QC Criteria: November 7, 2013
• First Posted (Estimate): November 15, 2013

Study Record Updates

• Last Update Posted (Estimate): August 26, 2015
• Last Update Submitted That Met QC Criteria: August 24, 2015
• Last Verified: August 1, 2015

More Information

Terms related to this study

• Keywords: intramuscular; electroporation; DNA vaccine; intradermal; Venezuelan equine encephalitis virus
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; RNA Virus Infections; Virus Diseases; Infections; Encephalitis, Arbovirus; Encephalitis, Viral; Central Nervous System Viral Diseases; Central Nervous System Infections; Infectious Encephalitis; Arbovirus Infections; Vector Borne Diseases; Encephalomyelitis; Alphavirus Infections; Togaviridae Infections; Encephalitis; Encephalomyelitis, Equine; Encephalomyelitis, Venezuelan Equine
• Other Study ID Numbers: IMS-VEEV-001