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A Phase I Clinical Study of a GamLPV, a Live Intranasal Bordetella Pertussis Vaccine

A Phase I Clinical Study of a GamLPV, a Live Intranasal Bordetella Pertussis Vaccine; A Randomized Placebo-controlled Dose-escalating Study of Single-use GamLPV Safety and Tolerability in Healthy Human Volunteers

The study contains three periods: screening, inpatient hospitalization and follow-up. And should be leaded as a randomized placebo-controlled study with in chain order enrolled volunteers and dose escalating.

Descripción general del estudio

Estado

Terminado

Condiciones

Descripción detallada

After screening, verifying of inclusion/exclusion criteria and signing of informed consent statement volunteers will be directed in a hospital and hospitalized in individual boxes.

Vaccine (GamLPV) or placebo will be administered to groups of volunteers. Each group includes 12 individuals. The study is dose-escalating, so there will be 3 groups.

Group 1: 9 individuals will be vaccinated intranasally with 2,5*108 bacteria (CFU), 3 individuals will get placebo.

Group 2: 9 individuals will be vaccinated intranasally with 109 bacteria cells(CFU), 3 individuals will get placebo.

Group 3: 9 individuals will be vaccinated intranasally with 4*109 bacteria cells(CFU), 3 individuals will get placebo.

On the third day volunteers will be discharged from hospital. 4 visits will be held during outpatient observation- on 8, 15, 29 and 60 days after administration - for physical examination and laboratory assessment. Beside that it would be suggested to volunteers to extend a deadline of participation in the clinical study until 150-th day.

For each dosing group the consecutive inclusion of volunteers with the intermediate evaluation of the safety parameters is stipulated. The group (12 people) is divided into two parts. Originally the first part (5 volunteers) is included in the study. Randomization will be performed by choosing the envelope with the randomizing number at the day of hospitalization. The volunteer will be given either the investigating laboratory specimen or placebo. The researcher includes in the study the 2nd part of the group (7 people) after the evaluation of the intermediate results of the safety analyses (total blood count, biochemical analysis, urinalysis, general examination of a patient). The researcher compiles the intermediate report with the analysis of the endurance of the investigating dose of the preparation after the evaluation of the intermediate safety results. The criterion of the endurance and the dose safety will be at first the absence of serious undesirable phenomena and clinically important shifts of the laboratory indices connected with the administration of the investigating preparation. The decision about the advisability to continue the study and to pass to the 2nd part of volunteers and (or) to escalate the dose will be made by the "Independent committee for data monitoring (ICDM) for periodical examination of the clinical study, safety data and/or main parameters of the efficacy" as well it must be approved by the Local/Independent Ethical Committee of the Research centerе.

After getting the permission to continue the study the next group will be organized according to the analogous scheme: at first the first group of volunteers and then, after receiving the safety results in a written form, the 2nd group will be included, the decision to pass from the second group to the third will be the same.

Tipo de estudio

Intervencionista

Inscripción (Actual)

36

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Moscow, Federación Rusa
        • Infectious Disease Clinical Hospital No. 1 of the Moscow Healthcare Department

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 40 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Males and females within the age range from 18 to 40 years
  2. Health physical condition must be confirmed by routine clinical, laboratory and instrumental methods of diagnosis (absence of gastrointestinal, renal, cardiovascular diseases, hepatic, blood disorders, cancer and infectious diseases)
  3. Body-weight index within range from 18 to 30 kg\m2
  4. Consent for using of reliable contraception (contraception sheath with spermicidal agents) while study and three months after the end of the study
  5. Signed Participant Information Sheet and informed consent
  6. Absence of specific antibodies (IgG, IgM, IgA) to Bordetella pertussis (negative ELISA results according to direction for ELISA test-system)
  7. Absence of Bordetella pertussis DNA in nasopharyngeal swabs (negative PCR results)

Exclusion Criteria:

  1. Whooping cough in past medical history
  2. Vaccination against whooping cough over the past decade
  3. Any other anti-infective immunization during last year
  4. Any medical condition (renal diseases, hepatic disorders, haematological malignancies, malignant neoplasms and other diseases) which, in the opinion of the investigator, might interfere with the evaluation of the study objectives
  5. Vaccine-associated diseases or clinically significant vaccinal reactions in medical history
  6. Clinically significant abnormal laboratory values at the discretion of the investigator
  7. Use of any medications (in particular herbal medications and dietary supplements) within 30 days after day 0 at the discretion of the investigator
  8. Positive results of HIV, hepatitis B or C
  9. Use of narcotic drugs and/or a history of drug/alcohol abuse
  10. Allergic diseases in medical history (in particular drug reaction and food allergy)
  11. The subject has donated blood/plasma or suffered from blood loss of at least 450 ml (1 unit of blood) within 6 weeks prior to screening
  12. Current participation in any other clinical trial or participation (and during the whole study) in any clinical trial in the previous 3 months prior to day 0
  13. Inability to adhere to the protocol
  14. Acute infectious diseases within 4 weeks prior to screening
  15. Wheezing on the results of peakflowmetry
  16. Significant ECG changes
  17. Pregnancy or lactation (for female volunteers)
  18. Systolic blood pressure less than 90 mmHg or over than 130 mmHg; diastolic blood pressure less than 60 mmHg or over 90 mmHg
  19. Heart rate less than 60 bpm or more than 90 bpm

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Group 1 Vaccine GamLPV
9 individuals will be vaccinated intranasally with 2,5*10*8 bacteria cells (CFU)
vacuna viva intranasal para la prevención de la tos ferina
Otros nombres:
  • vacuna viva intranasal de Bordetella pertussis
Comparador de placebos: Group 1 placebo
3 individuals will get placebo
Placebo
Experimental: Group 2 Vaccine GamLPV
9 individuals will be vaccinated intranasally with 10*9 bacteria cells(CFU)
vacuna viva intranasal para la prevención de la tos ferina
Otros nombres:
  • vacuna viva intranasal de Bordetella pertussis
Comparador de placebos: Group 2 placebo
3 individuals will get placebo
Placebo
Experimental: Group 3 Vaccine GamLPV
9 individuals will be vaccinated intranasally with 4*10*9 bacteria cells(CFU)
vacuna viva intranasal para la prevención de la tos ferina
Otros nombres:
  • vacuna viva intranasal de Bordetella pertussis
Comparador de placebos: Group 3 placebo
3 individuals will get placebo
Placebo

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
safety and tolerability
Periodo de tiempo: the total Time Frame is 150 days after the vaccination
Evaluation of general safety and tolerability of medicinal product "GamLPV, a live intranasal vaccine for whooping cough prevention" in healthy human volunteers compared to placebo, detection the most frequent from possible adverse events of GamLPV
the total Time Frame is 150 days after the vaccination

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Dose ranging and optimal dose choice
Periodo de tiempo: the total Time Frame is 150 days after the vaccination
Dose ranging and optimal dose choice for safety and tolerability of medicinal product GamLPV, a live intranasal vaccine for whooping cough prevention" in further clinical trials
the total Time Frame is 150 days after the vaccination
specific antibody response to B.pertussis
Periodo de tiempo: the total Time Frame is 150 days after the vaccination
• To assess specific antibody response to B.pertussis after vaccination by "GamLPV, a live intranasal vaccine for whooping cough prevention"
the total Time Frame is 150 days after the vaccination
dynamics of bacteria generation in nasopharynx of human volunteers
Periodo de tiempo: the total Time Frame is 150 days after the vaccination
To see if the attenuated B.pertussis bacteria have the ability to colonise the human respiratory tract after vaccination by "GamLPV, a live intranasal vaccine for whooping cough prevention" and to assess dynamics of bacteria generation in nasopharynx of human volunteers
the total Time Frame is 150 days after the vaccination
the B- and T-cell immune responses to B.pertussis
Periodo de tiempo: the total Time Frame is 150 days after the vaccination
To assess the B- and T-cell immune responses to B.pertussis in response to vaccination by "GamLPV, a live intranasal vaccine for whooping cough prevention"
the total Time Frame is 150 days after the vaccination

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Marina Rusanova, Infectious Disease Clinical Hospital No. 1 of the Moscow Healthcare Department

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

13 de junio de 2017

Finalización primaria (Actual)

19 de diciembre de 2017

Finalización del estudio (Actual)

27 de diciembre de 2017

Fechas de registro del estudio

Enviado por primera vez

25 de abril de 2017

Primero enviado que cumplió con los criterios de control de calidad

28 de abril de 2017

Publicado por primera vez (Actual)

3 de mayo de 2017

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

28 de diciembre de 2017

Última actualización enviada que cumplió con los criterios de control de calidad

27 de diciembre de 2017

Última verificación

1 de abril de 2017

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Indeciso

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

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. .

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