이 페이지는 자동 번역되었으며 번역의 정확성을 보장하지 않습니다. 참조하십시오 영문판 원본 텍스트의 경우.

DMID 23-0015; 라사열 CVD 1000

2026년 9월 21일 업데이트: Wilbur Chen, MD, MS

3D-(6-아실) PHAD와 함께 투여되는 광견병 벡터화 1가 라사열 백신(LASSARAB)의 2회 용량의 안전성, 반응성 및 면역원성을 평가하기 위한 1상, 무작위, 수혜자 및 관찰자 맹검, 용량 증량 연구 - 건강한 성인의 SE(aPHAD-SE) 보조제

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.

연구 개요

상태

완전한

정황

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (실제)

54

단계

  • 1단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Maryland
      • Baltimore, Maryland, 미국, 21201
        • University of Maryland, Baltimore, University of Maryland School of Medicine, Center for Vaccine Development and Global Health

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 (성인)

건강한 자원 봉사자를 받아들입니다

예

연구 대상 성별

모두

설명

Inclusion Criteria:

  1. Provides written informed consent prior to the initiation of any trial procedures.

  2. Able to understand and agrees to comply with all planned trial procedures and be available for all study visits.

  3. Age ≥ 18 and ≤50 years at time of enrollment.

  4. In good general health and without clinically significant medical, psychiatric, chronic or intermittent health conditions including those listed in Exclusion Criteria

  5. 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.

  6. 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).

  7. 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
  8. 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.

  9. Has a negative rabies neutralizing antibody test at screening (< 0.5 IU/mL in RFFIT assay)

  10. Screening hematology tests (white blood cells, hemoglobin, and platelets) and screening chemistry tests (alanine transaminase, creatine, and total bilirubin) are within acceptable parameters

  11. Must agree to the collection and storage of residual biological specimens and additional clinical specimens for secondary research use

  12. Agreement to adhere to Lifestyle Considerations during the study

Exclusion Criteria:

  1. 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
  2. Current use of any medications that may be associated with impaired immune responsiveness
  3. Allergy treatment with antigen injections within 60 days before first vaccination or that are planned through the end of the study.
  4. 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.
  5. Current pregnancy or lactation
  6. 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).
  7. History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions to drug or vaccine products.
  8. 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
  9. 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.
  10. Receipt of another experimental agent or intervention within 60 days before first vaccination or plans to do so before the end of the study.
  11. 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).
  12. 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).
  13. Self-reported or known history of alcoholism within the last 2 years.
  14. Any condition that, in the judgment of the investigator, precludes participation because it could affect participant safety or endpoint assessment.
  15. Has tattoos, scars, or other marks which would, in the opinion of the investigator, interfere with assessment of the vaccination site.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 방지
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 삼루타

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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

다른 이름들:
  • 이모백스
실험적: 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

다른 이름들:
  • 이모백스

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

실험적: 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

다른 이름들:
  • 이모백스

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

실험적: 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

다른 이름들:
  • 이모백스

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

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Number of participants experiencing solicited local and systemic events
기간: From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable

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
Percentage of participants experiencing solicited local and systemic events
기간: From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable

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
Number of participants experiencing unsolicited events
기간: Day 1 through Day 61

Number of participants experiencing any unsolicited AEs

Day 1 through Day 61
Percentage of participants experiencing unsolicited events
기간: Day 1 through Day 61

Percentage of participants experiencing any unsolicited AEs

Day 1 through Day 61
Number of participants experiencing Serious Adverse Events (SAEs)
기간: Day 1 through Day 394

Number of participants experiencing SAEs

Day 1 through Day 394
Percentage of participants experiencing Serious Adverse Events (SAEs)
기간: Day 1 through Day 394

Percentage of participants experiencing SAEs

Day 1 through Day 394
Number of participants experiencing Medically-Attended Adverse Events (MAAEs)
기간: Day 1 through Day 394

Number of participants experiencing MAAEs

Day 1 through Day 394
Percentage of participants experiencing Medically-Attended Adverse Events (MAAEs)
기간: 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)
기간: Day 1 through Day 394

Number of participants experiencing NOCMCs

Day 1 through Day 394
Percentage of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)
기간: 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)
기간: Day 1 through Day 394

Number of participants experiencing PIMMCs

Day 1 through Day 394
Percentage of participants experiencing Potential Immune-Mediated Medical Conditions (PIMMCs)
기간: 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)
기간: 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)
기간: 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
기간: Day 1 through Day 61

Number of participants experiencing clinical laboratory AEs

Day 1 through Day 61
Percentage of participants experiencing clinical laboratory AEs
기간: Day 1 through Day 61

Percentage of participants experiencing clinical laboratory AEs

Day 1 through Day 61

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2025년 1월 13일

기본 완료 (실제)

2026년 5월 11일

연구 완료 (실제)

2026년 5월 11일

연구 등록 날짜

최초 제출

2024년 7월 30일

QC 기준을 충족하는 최초 제출

2024년 8월 7일

처음 게시됨 (실제)

2024년 8월 9일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 9월 24일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 9월 21일

마지막으로 확인됨

2026년 9월 1일

추가 정보

이 연구와 관련된 용어

키워드

기타 연구 ID 번호

  • DMID 23-0015

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

예

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .