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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.

調査の概要

詳細な説明

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.

研究の種類

介入

入学 (実際)

36

段階

  • フェーズ 1

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

      • Moscow、ロシア連邦
        • Infectious Disease Clinical Hospital No. 1 of the Moscow Healthcare Department

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~40年 (大人)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

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

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

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:独身

武器と介入

参加者グループ / アーム
介入・治療
実験的:Group 1 Vaccine GamLPV
9 individuals will be vaccinated intranasally with 2,5*10*8 bacteria cells (CFU)
百日咳予防のための鼻腔内生ワクチン
他の名前:
  • 鼻腔内百日咳菌生ワクチン
プラセボコンパレーター:Group 1 placebo
3 individuals will get placebo
プラセボ
実験的:Group 2 Vaccine GamLPV
9 individuals will be vaccinated intranasally with 10*9 bacteria cells(CFU)
百日咳予防のための鼻腔内生ワクチン
他の名前:
  • 鼻腔内百日咳菌生ワクチン
プラセボコンパレーター:Group 2 placebo
3 individuals will get placebo
プラセボ
実験的:Group 3 Vaccine GamLPV
9 individuals will be vaccinated intranasally with 4*10*9 bacteria cells(CFU)
百日咳予防のための鼻腔内生ワクチン
他の名前:
  • 鼻腔内百日咳菌生ワクチン
プラセボコンパレーター:Group 3 placebo
3 individuals will get placebo
プラセボ

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
safety and tolerability
時間枠: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

二次結果の測定

結果測定
メジャーの説明
時間枠
Dose ranging and optimal dose choice
時間枠: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
時間枠: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
時間枠: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
時間枠: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

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

捜査官

  • 主任研究者:Marina Rusanova、Infectious Disease Clinical Hospital No. 1 of the Moscow Healthcare Department

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2017年6月13日

一次修了 (実際)

2017年12月19日

研究の完了 (実際)

2017年12月27日

試験登録日

最初に提出

2017年4月25日

QC基準を満たした最初の提出物

2017年4月28日

最初の投稿 (実際)

2017年5月3日

学習記録の更新

投稿された最後の更新 (実際)

2017年12月28日

QC基準を満たした最後の更新が送信されました

2017年12月27日

最終確認日

2017年4月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

未定

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

いいえ

米国FDA規制機器製品の研究

いいえ

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。

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