DMID 23-0015;ラッサフィーバー CVD 1000
3D-(6-アシル) PHAD を投与した狂犬病ベクター化一価ラッサ熱ワクチン (LASSARAB) の 2 回投与の安全性、反応原性、および免疫原性を評価する第 1 相無作為化、レシピエントおよび観察者盲検の用量漸増研究健康な成人における -SE (aPHAD-SE) アジュバント
This study proposes the evaluation of a novel, first-in-human Lassa fever vaccine based on the complete Lassa glycoprotein complex (GPC) antigen. The antigen will be presented on a genetically modified and attenuated rabies vector expressing both the rabies glycoprotein (GP) antigen and the Lassa GPC. The inactivated chimeric virus is delivered with a toll-like receptor (TLR-4)-activating oil-in-water emulsion adjuvant. Studies using this vaccine administered as a prime-boost series in mice and non-human primates, and then challenged with Lassa virus demonstrated significant protection against Lassa fever. Given that the vaccine backbone is an attenuated and inactivated rabies virus expressing rabies GP, this vaccine will also be evaluated for immunogenicity against rabies virus.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
Lassa fever is a zoonotic infection endemic in West Africa and is spread by the Lassa virus, an arenavirus causing hemorrhagic fever. Up to 300,000 Lassa fever infections occur annually and while disease is often mild, in a subset of individuals disease is characterized by severe anemia, bleeding, encephalopathy, respiratory failure, shock, and high mortality. In some regions of West Africa, up to 15% of hospital admissions are secondary to Lassa fever, and an estimated 5,000 deaths occur annually. During epidemics of disease, case-fatality rates may reach as high as 50% in hospitalized patients. Approximately one-third of infected individuals will develop hearing loss regardless of disease severity, and in a proportion of patients, permanent deafness occurs.
Prevention of illness through vaccination is a critical goal in reducing the burden of disease from Lassa fever. There are currently no vaccines or therapeutics demonstrated to be efficacious in the prevention or treatment of Lassa fever. This study proposes the evaluation of a novel, first-in-human Lassa fever vaccine based on the complete Lassa glycoprotein complex (GPC) antigen. The antigen will be presented on a genetically modified and attenuated rabies vector expressing both the rabies glycoprotein (GP) antigen and the Lassa GPC. The inactivated chimeric virus is delivered with a toll-like receptor (TLR-4)-activating oil-in-water emulsion adjuvant. Studies using this vaccine administered as a prime-boost series in mice and non-human primates, and then challenged with Lassa virus demonstrated significant protection against Lassa fever. Given that the vaccine backbone is an attenuated and inactivated rabies virus expressing rabies GP, this vaccine will also be evaluated for immunogenicity against rabies virus.
研究の種類
研究の種類
入学 (実際)
入学
段階
段階
- フェーズ 1
連絡先と場所
研究場所
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Maryland
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Baltimore、Maryland、アメリカ、21201
- University of Maryland, Baltimore, University of Maryland School of Medicine, Center for Vaccine Development and Global Health
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
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Provides written informed consent prior to the initiation of any trial procedures.
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Able to understand and agrees to comply with all planned trial procedures and be available for all study visits.
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Age ≥ 18 and ≤50 years at time of enrollment.
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In good general health and without clinically significant medical, psychiatric, chronic or intermittent health conditions including those listed in Exclusion Criteria
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Participants of childbearing potential must have a negative serum human chronic gonadotropin (HCG) pregnancy test at screening and a negative urine HCG pregnancy test within 24 hours prior to the study vaccination.
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Participants of childbearing potential in a heterosexual relationship agree to use of highly effective contraception beginning at the time of the screening visit through Day 61 (32 days after the last study treatment).
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Vital signs and Body Mass Index (BMI) are in the following ranges at screening:
- Oral temperature is less than 100.4°F (38.0°C).
- Pulse is 47 to 100 beats per minute, inclusive.
- Systolic blood pressure (SBP) is 85 to 140 mmHg, inclusive.
- Diastolic blood pressure(DBP) is 55 to 90 mmHg, inclusive.
- BMI of 18 kilograms/square meter (kg/m2) (inclusive) to <35 kg/m2
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Has a negative test result for hepatitis B virus (HBV) surface antigen, hepatitis C virus (HCV) antibody, and human immunodeficiency virus (HIV) types 1 or 2 antibodies at screening.
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Has a negative rabies neutralizing antibody test at screening (< 0.5 IU/mL in RFFIT assay)
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Screening hematology tests (white blood cells, hemoglobin, and platelets) and screening chemistry tests (alanine transaminase, creatine, and total bilirubin) are within acceptable parameters
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Must agree to the collection and storage of residual biological specimens and additional clinical specimens for secondary research use
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Agreement to adhere to Lifestyle Considerations during the study
Exclusion Criteria:
- A history of anaphylaxis, serum sickness, meningitis; neuroparalytic events such as encephalitis, transient paralysis; Guillain-Barré Syndrome; myelitis; retrobulbar neuritis; history of prior or current hearing loss as assessed by quantitative audiometry; or multiple sclerosis
- Current use of any medications that may be associated with impaired immune responsiveness
- Allergy treatment with antigen injections within 60 days before first vaccination or that are planned through the end of the study.
- Receipt of immunoglobulins and/or any blood products within the 60 days before first vaccination or that are planned through the end of the study.
- Current pregnancy or lactation
- Known allergic reactions to 1) any rabies vaccine; 2) any components of HDCV (human albumin, neomycin sulfate, phenol red, beta-propiolactone); 3) any components of LASSARAB +aPHAD-SE (LASSARAB, Tris-HCI, L-Arginine, (3D -(6-Acyl) PHAD, Squalene Redistilled, DMPC, Vitamin E Dry Powder).
- History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions to drug or vaccine products.
- Has a significant acute illness (with or without fever), as determined by the site PI or appropriate sub-investigator, within 72 hours prior to enrollment
- Receipt of a rabies vaccine or an antibody therapeutic product for treating rabies or a Lassa fever vaccine any time before the first planned study vaccination.
- Receipt of another experimental agent or intervention within 60 days before first vaccination or plans to do so before the end of the study.
- Received or plans to receive any other vaccine in the 2 weeks prior to the first vaccination through Day 61 (32 days after the last study treatment).
- Received or plans to receive any live vaccine in the 4 weeks prior to first vaccination through Day 61 (32 days after the last study treatment).
- Self-reported or known history of alcoholism within the last 2 years.
- Any condition that, in the judgment of the investigator, precludes participation because it could affect participant safety or endpoint assessment.
- Has tattoos, scars, or other marks which would, in the opinion of the investigator, interfere with assessment of the vaccination site.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:防止
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:トリプル
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
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実験的:Cohort 1 - LASSARAB+ aPHAD-SE Vaccine at 700rU or Active Comparator (AC)
4:1 randomization to investigational vaccine or active comparator (n=5) |
Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection Sterile, stable, freeze-dried suspension of rabies virus prepared from strain PM-1503-3M
他の名前:
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実験的:Cohort 2 - LASSARAB+ aPHAD-SE Vaccine at 700rU or 1400rU or AC
11:4:3 randomization to investigational vaccine dose 700rU or 1400rU or active comparator (n=18) |
Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection Sterile, stable, freeze-dried suspension of rabies virus prepared from strain PM-1503-3M
他の名前:
Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection |
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実験的:Cohort 3 - LASSARAB+ aPHAD-SE Vaccine at 1400rU Single or Double or AC or AC/Placebo
11:2:4:1 randomization to investigational vaccine single dose at 1400rU or investigational vaccine (2 doses) at 14rU or active comparator or active comparator and normal saline placebo |
Sterile, stable, freeze-dried suspension of rabies virus prepared from strain PM-1503-3M
他の名前:
Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection Sterile 0.9% sodium chloride for injection, USP, or normal saline, is a sterile, nonpyrogenic, isotonic solution; each mL contains sodium chloride 9 mg |
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実験的:Cohort 4 - LASSARAB+ aPHAD-SE Vaccine at 1400rU (single) or AC/Placebo
11:3 randomization to investigational vaccine (2 doses) at 14rU or active comparator and normal saline placebo |
Sterile, stable, freeze-dried suspension of rabies virus prepared from strain PM-1503-3M
他の名前:
Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection Sterile 0.9% sodium chloride for injection, USP, or normal saline, is a sterile, nonpyrogenic, isotonic solution; each mL contains sodium chloride 9 mg |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Number of participants experiencing solicited local and systemic events
時間枠:From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable
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Number of participants experiencing solicited local and systemic reactogenicity Adverse Events (AEs) |
From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable
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Percentage of participants experiencing solicited local and systemic events
時間枠:From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable
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Percentage of participants experiencing solicited local and systemic reactogenicity Adverse Events (AEs) |
From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable
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Number of participants experiencing unsolicited events
時間枠:Day 1 through Day 61
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Number of participants experiencing any unsolicited AEs |
Day 1 through Day 61
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|
Percentage of participants experiencing unsolicited events
時間枠:Day 1 through Day 61
|
Percentage of participants experiencing any unsolicited AEs |
Day 1 through Day 61
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Number of participants experiencing Serious Adverse Events (SAEs)
時間枠:Day 1 through Day 394
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Number of participants experiencing SAEs |
Day 1 through Day 394
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Percentage of participants experiencing Serious Adverse Events (SAEs)
時間枠:Day 1 through Day 394
|
Percentage of participants experiencing SAEs |
Day 1 through Day 394
|
|
Number of participants experiencing Medically-Attended Adverse Events (MAAEs)
時間枠:Day 1 through Day 394
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Number of participants experiencing MAAEs |
Day 1 through Day 394
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Percentage of participants experiencing Medically-Attended Adverse Events (MAAEs)
時間枠:Day 1 through Day 394
|
Percentage of participants experiencing MAAEs |
Day 1 through Day 394
|
|
Number of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)
時間枠:Day 1 through Day 394
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Number of participants experiencing NOCMCs |
Day 1 through Day 394
|
|
Percentage of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)
時間枠:Day 1 through Day 394
|
Percentage of participants experiencing NOCMCs |
Day 1 through Day 394
|
|
Number of participants experiencing Potential Immune-Mediated Medical Conditions (PIMMCs)
時間枠:Day 1 through Day 394
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Number of participants experiencing PIMMCs |
Day 1 through Day 394
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Percentage of participants experiencing Potential Immune-Mediated Medical Conditions (PIMMCs)
時間枠:Day 1 through Day 394
|
Percentage of participants experiencing PIMMCs |
Day 1 through Day 394
|
|
Number of participants experiencing Adverse Event of Special Interest (AESI)
時間枠:Day 1 through Day 394
|
Number of participants experiencing Adverse Event of Special Interest (AESI) - new onset sensorineural hearing loss (SNHL) |
Day 1 through Day 394
|
|
Percentage of participants experiencing Adverse Event of Special Interest (AESI)
時間枠:Day 1 through Day 394
|
Percentage of participants experiencing Adverse Event of Special Interest (AESI) - new onset sensorineural hearing loss (SNHL) |
Day 1 through Day 394
|
|
Number of participants experiencing clinical laboratory AEs
時間枠:Day 1 through Day 61
|
Number of participants experiencing clinical laboratory AEs |
Day 1 through Day 61
|
|
Percentage of participants experiencing clinical laboratory AEs
時間枠:Day 1 through Day 61
|
Percentage of participants experiencing clinical laboratory AEs |
Day 1 through Day 61
|
協力者と研究者
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (実際)
一次修了
研究の完了 (実際)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
その他の研究ID番号
- DMID 23-0015
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。