- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT02937233
Zika Virus Purified Inactivated Vaccine (ZPIV) Accelerated Vaccination Schedule Study (Z001)
A Phase 1, Randomized, Double-Blind Placebo-Controlled Clinical Trial to Evaluate the Safety and Immunogenicity of an Accelerated Vaccination Schedule With a Zika Virus Purified Inactivated Vaccine Plus Alum Adjuvant in Healthy Adults
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- Fase 1
Contactos y Ubicaciones
Ubicaciones de estudio
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02215
- Center for Virology and Vaccine Research Clinical Trials Unit, Beth Israel Deaconess Medical Center
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Age 18-50 years old.
- Ability and willingness to provide informed consent.
- Assessment of understanding: completion of a questionnaire prior to first screening procedure; verbally demonstrate understanding of all questionnaire items answered incorrectly.
- Available for the duration of the trial.
- Good general health as shown by medical history, physical exam, and screening laboratory tests.
The following laboratory parameters:
Hematology
- Hemoglobin ≥10.5 g/dL for women; ≥11 g/dL for men
- Absolute Neutrophil Count (ANC): ≥1000/mm3
- Platelets: 125,000 to 550,000/mm3
Chemistry
- Creatinine: <1.1 x upper limit of normal (ULN)
- AST: <1.25 x ULN
- ALT: <1.25 x ULN
Normal urinalysis
- Negative urine glucose.
- Negative or trace urine protein.
- Negative or trace urine hemoglobin (if trace hemoglobin is present on dipstick, a microscopic urinalysis within institutional range).
- All female participants must be willing to undergo serum or urine beta human chorionic gonadotropin pregnancy tests at time points indicated in the Schedule of Procedures and must test negative prior to vaccination.
- All sexually active males (unless anatomically sterile) must be willing to use an effective method of contraception (such as consistent condom use) from the day of first vaccination until Week 12.
If a woman of child-bearing potential, committed to use an effective method of contraception when sexually active with men until Week 12, including:
- Condoms (male or female) with or without spermicide.
- Diaphragm or cervical cap with spermicide.
- Intrauterine device.
- Hormonal contraception.
- Successful vasectomy in the male partner (considered successful if a woman reports that a male partner has [1] documentation of azoospermia by microscopy, or [2] a vasectomy more than 2 years ago with no resultant pregnancy despite sexual activity post-vasectomy).
- Not be of reproductive potential, such as having undergone hysterectomy, bilateral oophorectomy, or tubal ligation.
Exclusion Criteria:
- History of known flavivirus infection or previous receipt of flavivirus vaccine.
- Positive serology for HIV-1, Hepatitis B surface antigen, or anti-hepatitis C virus antibodies prior to enrollment.
- Planned travel to areas with active Zika virus transmission during the study period.
- Recent (within 3 weeks) travel to an area with active Zika virus transmission.
- Current or planned participation in another clinical trial of an experimental agent during the study period.
- Pregnant or lactating.
- Any condition, including any clinically significant acute or chronic medical condition, for which, in the opinion of the investigator, participation would not be in the best interest of the subject (eg, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments.
- Use of anticancer, antituberculosis or other medications considered significant by the investigator within the previous 6 months.
- Receipt of live-attenuated vaccine within the previous 60 days or planned receipt within 60 days after vaccination with Investigational Product (within 14 days for live attenuated influenza vaccine [LAIV]); or receipt of other vaccine (e.g., influenza, pneumococcal), allergy treatment with antigen injections or tuberculin skin test within the previous 14 days or planned receipt within 14 days after vaccination with Investigational Product
- Receipt of blood transfusion or blood-derived products within the previous 3 months.
- Previous severe local or systemic reactions to vaccination.
- History of splenectomy
- History of seizure in the last 3 years (participants with a history of seizures who have neither required medications nor had a seizure for 3 years are not excluded)
- Known autoimmune disease
Asthma other than mild, well-controlled asthma. Exclude participants who:
- Use a bronchodilator (beta 2 agonist) daily, or
- In the past year have (any of the following):
i. Had > 1 exacerbation of symptoms treated with oral steroids ii. Routinely used moderate to high dose inhaled corticosteroids (e.g., more than the equivalent of 250 mcg fluticasone; 400 mcg budesonide; 500 mcg beclomethasone; or 1000 mcg triamcinolone/flunisolide, as a daily dose) or theophylline iii. Needed emergency care, urgent care, hospitalization, or intubation for asthma c. Prophylactic bronchodilator use prior to exercise is not exclusionary
- Diabetes mellitus type 1 or type 2, including cases controlled with diet alone. (Not excluded: history of isolated gestational diabetes.)
- Thyroidectomy, or thyroid disease requiring medication during the last 12 months
- Angioedema within the last 3 years if episodes are considered serious or have required medication within the last 2 years
Uncontrolled Hypertension:
- If a person has been diagnosed with hypertension during screening or previously, exclude for hypertension that is not well controlled. Well- controlled hypertension is defined as blood pressure consistently ≤ 140 mm Hg systolic and ≤ 90 mm Hg diastolic, with or without medication, with only isolated, brief instances of higher readings, which must be ≤ 150 mm
- If a person has NOT been diagnosed with hypertension during screening or previously, exclude for systolic blood pressure ≥ 150 mm Hg at enrollment or diastolic blood pressure ≥ 90 mm Hg at enrolment
- Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions)
- Malignancy (Not excluded: a participant with a surgical excision and subsequent observation period that in the investigator's estimation has a reasonable assurance of sustained cure or is unlikely to recur during the study period)
- Psychiatric condition that compromises safety of the participant or precludes compliance with the protocol, specifically excluding persons with psychoses within the past 3 years, ongoing risk for suicide, or history of suicide attempt or gesture within the past 3 years
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Cuadruplicar
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: 4 Week Schedule
Zika Purified Inactivated Vaccine 5 mcg (or placebo) IM at Week 0 and Week 4
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Experimental: 2 Week Schedule
Zika Purified Inactivated Vaccine 5 mcg (or placebo) IM at Week 0 and Week 2
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Experimental: Single Vaccination Schedule
Zika Purified Inactivated Vaccine 5 mcg (or placebo) IM at Week 0 only
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Periodo de tiempo |
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Incidence, intensity, and relationship to vaccination of solicited local and systemic adverse events
Periodo de tiempo: 7 days following each vaccination
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7 days following each vaccination
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Incidence, intensity, and relationship to vaccination of unsolicited local and systemic adverse events
Periodo de tiempo: 28 days following each vaccination
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28 days following each vaccination
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Incidence, intensity, and relationship to vaccination of serious local and systemic adverse events
Periodo de tiempo: 365 days following each vaccination
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365 days following each vaccination
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Medidas de resultado secundarias
Medida de resultado |
Periodo de tiempo |
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ZIKV microneutralization Log10 MN50 titers
Periodo de tiempo: 28 days following last vaccination, and at 6 months
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28 days following last vaccination, and at 6 months
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Zika Env-specific Log10 endpoint ELISA titers
Periodo de tiempo: 28 days following last vaccination, and at 6 months
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28 days following last vaccination, and at 6 months
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Zika Plaque reduction neutralization test titer
Periodo de tiempo: 28 days following last vaccination, and at 6 months
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28 days following last vaccination, and at 6 months
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IFN-γ ELISPOT responses to prM, Env, Cap, and NS1 peptides
Periodo de tiempo: 28 days following last vaccination, and at 6 months
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28 days following last vaccination, and at 6 months
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Colaboradores e Investigadores
Publicaciones y enlaces útiles
Publicaciones Generales
- Modjarrad K, Lin L, George SL, Stephenson KE, Eckels KH, De La Barrera RA, Jarman RG, Sondergaard E, Tennant J, Ansel JL, Mills K, Koren M, Robb ML, Barrett J, Thompson J, Kosel AE, Dawson P, Hale A, Tan CS, Walsh SR, Meyer KE, Brien J, Crowell TA, Blazevic A, Mosby K, Larocca RA, Abbink P, Boyd M, Bricault CA, Seaman MS, Basil A, Walsh M, Tonwe V, Hoft DF, Thomas SJ, Barouch DH, Michael NL. Preliminary aggregate safety and immunogenicity results from three trials of a purified inactivated Zika virus vaccine candidate: phase 1, randomised, double-blind, placebo-controlled clinical trials. Lancet. 2018 Feb 10;391(10120):563-571. doi: 10.1016/S0140-6736(17)33106-9. Epub 2017 Dec 5. Erratum In: Lancet. 2020 Jun 20;395(10241):1906.
- Stephenson KE, Tan CS, Walsh SR, Hale A, Ansel JL, Kanjilal DG, Jaegle K, Peter L, Borducchi EN, Nkolola JP, Makoni T, Fogel R, Bradshaw C, Tyler A, Moseley E, Chandrashekar A, Yanosick KE, Seaman MS, Eckels KH, De La Barrera RA, Thompson J, Dawson P, Thomas SJ, Michael NL, Modjarrad K, Barouch DH. Safety and immunogenicity of a Zika purified inactivated virus vaccine given via standard, accelerated, or shortened schedules: a single-centre, double-blind, sequential-group, randomised, placebo-controlled, phase 1 trial. Lancet Infect Dis. 2020 Sep;20(9):1061-1070. doi: 10.1016/S1473-3099(20)30085-2. Epub 2020 May 6.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 2016P000268
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Zika
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National Institute of Allergy and Infectious Diseases...TerminadoPrevención de la infección por Zika | Respuesta inmunitaria específica del zikaEstados Unidos
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TakedaTerminadoInfecciones por Flavivirus | Participantes Saludables | Virus, Zika | Enfermedad por el virus del ZikaEstados Unidos, Puerto Rico
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National Institute of Allergy and Infectious Diseases...TerminadoPrevención de la infección por Zika | Respuesta inmunitaria específica del zikaEstados Unidos
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Valneva Austria GmbHReclutamientoZika | Infección por el virus ZikaEstados Unidos
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University of OxfordTerminado
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Emergent BioSolutionsTerminadoInfección por el virus Zika | Enfermedad por el virus del ZikaCanadá
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Institute of Tropical Medicine, BelgiumTerminadoTransmisión | Virus Zika | Enfermedad por el virus del Zika | Eliminación de virusBélgica
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Children's National Research InstituteEunice Kennedy Shriver National Institute of Child Health and Human Development... y otros colaboradoresInscripción por invitaciónDesarrollo infantil | Síndrome de Zika congénito | Virus Zika | Infección CongénitaEstados Unidos, Colombia
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Northwestern UniversityPontificia Universidad Catolica Madre y MaestraRetiradoSíntomas del virus Zika y el exantema asociadoRepública Dominicana
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Assistance Publique - Hôpitaux de ParisAún no reclutando