A Phase 2, Double-blind Study to Evaluate Intranasal Trivalent Influenza Virus Vaccine in Healthy Adult

A Phase 2, Double-blind, Randomized Controlled Study to Evaluate Immunogenicity and Safety of Intranasal Trivalent Influenza Virus Vaccine in Healthy Adult V Olunteers

The objectives of this phase 2 study are to evaluate immunogenicity, safety and tolerability of AD07030, a trivalent influenza virus antigens vaccine, given intranasally in 2 doses in healthy adult volunteers.

Study Overview

• Status: Completed
• Conditions: Influenza Infection
• Intervention / Treatment: Biological: AD07010; Biological: Inactivated trivalent influenza vaccine

Detailed Description

This is a Phase 2 prospective, randomized controlled, double-blind, multi-center study to evaluate the immunogenicity, safety and tolerability of AD07030, a trivalent influenza virus antigens vaccine, given intranasally in healthy adult volunteers.

About 358 healthy subjects, meeting all the eligibility criteria will be enrolled into the study and randomized into 3 study groups (in 2:2:1 ratio) to receive either the study vaccine at one of the dose levels of adjuvant AD07010 (30μg or 45μg LTh(αK)) in combination with hemagglutinin (HA) antigens or to receive control vaccine consisting of HA antigens alone. The 3 study groups are as follows:

• Group 1: 22.5μg HA with 30μg AD07010
• Group 2: 22.5μg HA with 45μg AD07010
• Group 3: 22.5μg HA alone Each subject will receive intranasal administration of 2 doses of IP (study or control vaccine) at same dosages, given 7 days apart on study Day 1 and Day 8. Solicited local and general AEs will be recorded after each vaccination in the subject's diary card for up to 7 days (the vaccine administration day and 6 days following it). Subjects will be followed up for monitoring of safety and immunogenicity for 180 days. AE and SAE and concomitant medication/vaccination will be collected throughout the study. There will be total of 6 study visits and a telephone call.

• Study Type: Interventional
• Enrollment (Actual): 345
• Phase: Phase 2

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan, 104
    • Advagene Biopharma

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 70 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Adult male and female subjects aged between 20-70 (included) years.
• Should be physically and mentally healthy and free of significant medical condition as determined by Medical history, Physical examination and Clinical judgment of the Investigator.
• Negative urine β-human chorionic gonadotropin in women of childbearing potential (WOCBP; defined as women ≤ 50 years old of age or history of amenorrhea for ≤12 months) prior to administration of first dose of Investigational Product.
• WOCBP and male subjects having female partners, who are WOCBP, should be protected by effective contraceptive method (e.g. oral contraceptive and condom, intra- uterine device and condom, diaphragm with spermicide and condom) throughout the study period.
• Willing and able to give written informed consent prior to Screening and comply with study procedure.

Exclusion Criteria:

• Received vaccination against influenza within 6 months prior to Screening.
• Received any vaccination (other than influenza) within 28 days prior to Screening.
• Has previously experienced anaphylaxis or a life-threatening reaction; or has history of allergy or hypersensitivity to egg proteins, chicken proteins, any of the components of Investigational Product, or other vaccine containing same substances.
• History of influenza infection (confirmed either clinically, serologically or microbiologically) within the 6 months prior to administration of first dose of Investigational Product.
• Had active allergic rhinitis within 28 days prior to administration of first dose of Investigational Product.
• Has documented history of diarrhea within 28 days prior to administration of first dose of Investigational Product.
• Have used or been administered any intranasal medication or nasal topical treatment within 7 days prior to Screening.
• Acute respiratory illness within 7 days prior to administration of first dose of Investigational Product.
• Had administration of systemic antibiotics or antivirals within 7 days prior to Screening (excluding topical/external use of antibiotics).
• Acute sinusitis or chronic sinusitis accompanying acute symptoms within 3 days prior to administration of first dose of Investigational Product.
• With acute disease (defined as fever with body temperature >38.0°C), within 3 days prior to administration of first dose of Investigational Product.
• Having any serious chronic illness, including but not limited to, cardiovascular, pulmonary, hepatic, metabolic, renal or any auto-immune disorders, at a stage that could interfere with trial conduct or completion.
• Any confirmed or suspected immunosuppressive or immune-deficient condition, based on medical history and physical examination.
• Documented history of Bell's palsy or neurological disorder.
• Receive aspirin (Salicylate) anytime in the study from screening (Visit 1)
• A positive test for HIV antibody
• Receipt of any immunoglobulins and/or blood products within 3 months of study Screening.
• Pregnant or breast-feeding women
• Require extended long-term use of steroids including parenteral steroids or high dose inhaled steroids or have used within 28 days prior to Screening
• Participated in any other clinical investigation or use of any investigational therapy other than AD07030, within 4 weeks (28 days) or 5 half-lives, whichever is longer, before Screening.
• Unable to communicate reliably with the Investigator or unlikely to cooperate with the requirements of the study procedures or schedule, or other cases judged by the Investigator to be ineligible for participation in the study.
• Other cases judged by the Investigator to be ineligible for participation in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: QUADRUPLE

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: 30 μg of AD07010; All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine in 30 μg of AD07010	Biological: AD07010; A protein based adjuvant; Other Names: LTh(αK); Escherichia coli heat-labile enterotoxin; Biological: Inactivated trivalent influenza vaccine; Inactivated trivalent seasonal influenza vaccine
EXPERIMENTAL: 45 μg of AD07010; All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine in 45 μg of AD07010	Biological: AD07010; A protein based adjuvant; Other Names: LTh(αK); Escherichia coli heat-labile enterotoxin; Biological: Inactivated trivalent influenza vaccine; Inactivated trivalent seasonal influenza vaccine
ACTIVE_COMPARATOR: AD07010; All subjects in this group received 2 doses of 22.2 μg HA antigens from inactivated trivalent influenza vaccine	Biological: Inactivated trivalent influenza vaccine; Inactivated trivalent seasonal influenza vaccine

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Geometric mean titer changes on Day 29	Change from pre- to post-vaccination serum Geometric mean titers (GMT) of hemagglutinin inhibition (HI) antibody at Day 29(±2)	29 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Immunogenicity (HI titers)	Derived variables: in terms of HI titers for: Seroconversion Rate (SCR), Seroconversion Factor (SCF), and Seroprotection Rate (SPR)	29, 90 and 180 days
Immunogenicity (IgA titers)	Change from pre- to post-vaccination GMT of mucosal anti-HA IgA antibody	29, 90 and 180 days
Immunogenicity (anti-LTh(αK) antibodies)	Change from pre- to post-vaccination GMT of anti- LTh(αK) antibodies	29, 90 and 180 days
Viral neutralization	Change from pre- to post-vaccination GMT of virus neutralization titer	29, 90 and 180 days

Collaborators and Investigators

• Sponsor: Advagene Biopharma Co. Ltd.

Publications and helpful links

General Publications

• Pan SC, Hsu WT, Lee WS, Wang NC, Chen TJ, Liu MC, Pai HC, Hsu YS, Chang M, Hsieh SM. A double-blind, randomized controlled trial to evaluate the safety and immunogenicity of an intranasally administered trivalent inactivated influenza vaccine with the adjuvant LTh(alphaK): A phase II study. Vaccine. 2020 Jan 29;38(5):1048-1056. doi: 10.1016/j.vaccine.2019.11.047. Epub 2019 Dec 4.

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 1, 2017
• Primary Completion (ACTUAL): January 7, 2018
• Study Completion (ACTUAL): October 30, 2018

Study Registration Dates

• First Submitted: December 20, 2018
• First Submitted That Met QC Criteria: December 20, 2018
• First Posted (ACTUAL): December 24, 2018

Study Record Updates

• Last Update Posted (ACTUAL): December 26, 2018
• Last Update Submitted That Met QC Criteria: December 21, 2018
• Last Verified: December 1, 2018

More Information

Terms related to this study

• Keywords: vaccine; adjuvant; IgA; mucosa; Escherichia coli Enterotoxin
• Additional Relevant MeSH Terms: RNA Virus Infections; Virus Diseases; Infections; Respiratory Tract Infections; Respiratory Tract Diseases; Orthomyxoviridae Infections; Influenza, Human
• Other Study ID Numbers: 1066021486

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No