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NasoShield in Healthy Adults to Study Safety and Immunogenicity

12 maj 2021 uppdaterad av: Altimmune, Inc.

A Double-blind, Randomized, Placebo-controlled, Study of the Safety and Immunogenicity of NasoShield Administered as One or Two Doses in Different Dosing Positions

The purpose of this study is to evaluate the safety for up to two doses of NasoShield, to determine if antibodies that protect against anthrax are formed after treatment with NasoShield, and to determine whether the formation of these antibodies are affected by different positions of administration.

Studieöversikt

Status

Avslutad

Betingelser

Detaljerad beskrivning

After being informed about the study and potential risks, all healthy volunteers that have given written informed consent will undergo screening to determine eligibility for study entry. If the healthy volunteer qualifies for the study, they will be randomly assigned to 1 of 3 treatment groups. Within the treatment group, the participant will be randomized in a double-blind manner in a 5:2 ratio to NasoShield or placebo.

The investigational drug (either NasoShield or placebo) will be administered on Days 1 and 29 after qualifying into the study. The position of administration and the amount of time the subject will need to stay in the specified position will depend on the group to which the subject is assigned.

Participants will return to the investigational site for multiple visits through Day 210 (approximately 6 months after the second dose). At each visit, the participant will be asked about interim medical history and use of any medications, and safety and immunogenicity assessments will be performed.

Studietyp

Interventionell

Inskrivning (Faktisk)

42

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Utah
      • Salt Lake City, Utah, Förenta staterna, 84107
        • JBR Clinical Research

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 49 år (Vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. Men and women 18 to 49 years of age, inclusive
  2. Good general health status
  3. Adequate venous access for repeated phlebotomies
  4. Screening laboratory results within institutional normal range or Grade 1 abnormality if the Investigator documents clinical insignificance. Creatine kinase or bilirubin may be Grade 2 if associated with normal alanine aminotransferase (ALT) and aspartate aminotransferase (AST) and the Investigator considers the result not to be clinically significant due to vigorous exercise or Gilbert's syndrome
  5. Negative drug and alcohol screen at Screening and predose on Day 1
  6. For women who have not been surgically sterilized or who do not have laboratory confirmation of postmenopausal status, negative pregnancy test
  7. Willingness to practice a highly effective method of contraception that may include, but is not limited to, abstinence, sex only with persons of the same sex, monogamous relationship with a postmenopausal partner, monogamous relationship with vasectomized partner, vasectomy, surgical sterilization (hysterectomy, bilateral tubal ligation, salpingectomy, or oophorectomy), licensed hormonal methods, intrauterine device (IUD), or consistent use of a barrier method (eg, condom, diaphragm) with spermicide for 28 days after the last IP dose
  8. Willingness to participate and comply with all aspects of the study through the entire study period, including nasopharyngeal swabs and blood and urine samples
  9. Provision of written informed consent

Exclusion Criteria:

  1. Pregnant, possibly pregnant, or lactating women
  2. Body mass index > 35.0 kg/m2
  3. Positive result for HIV, hepatitis B virus, or hepatitis C virus at Screening
  4. Asthma or other chronic lung disease that is greater than mild in severity. Specifically excluded are participants with any of the following events in the past year:

    • Daily symptoms
    • Daily use of short acting beta 2 agonists
    • Use of inhaled steroids or theophylline
    • Use of pulse systemic steroids
    • Emergency care or hospitalization related to asthma or other chronic lung disease
    • Systemic steroids for asthma exacerbation
  5. History of diabetes mellitus (gestational diabetes is allowed if treatment was not required postpartum and serum glucose is currently in the normal range)
  6. History of coronary artery disease, arrhythmia, or congestive heart failure
  7. Clinically significant ECG abnormality
  8. Poorly controlled hypertension (systolic blood pressure > 150 mmHg or diastolic blood pressure > 95 mmHg) at Screening or predose on Day 1
  9. History of anaphylaxis or angioedema
  10. Known allergy to any of the ingredients in the vaccine formulation
  11. Known allergy or sensitivity to latex
  12. History of chronic rhinitis, nasal septal defect, cleft palate, nasal polyps, or other nasal abnormality that might affect vaccine administration
  13. Previous nasal surgery or nasal cauterization
  14. Any symptoms of upper respiratory infection or temperature > 38°C within 3 days before Day 1
  15. Any symptoms within 24 hours before Day 1 of upper respiratory illness or allergy flare-up that, in the opinion of the Investigator, presents as nasal congestion or rhinorrhea that could inhibit the proper administration of the IP
  16. Known or suspected malignancy, excluding non-melanoma skin cancers and other early stage surgically excised malignancies that the Investigator considers to be exceedingly unlikely to recur
  17. Immunocompromised individuals, including those who have used corticosteroids(including intranasal steroids), alkylating drugs, antimetabolites, radiation, immune-modulating biologics, or other immunomodulating therapies within 90 days before Day 1 or those who plan use during the study period
  18. History of autoimmune or demyelinating disease
  19. Use of statin medication within 30 days before Day 1 (see list in Section 6.7.1)
  20. Receipt of intranasal medications (including over-the-counter medications) within 30 days before Day 1
  21. Receipt of any IP within 30 days before Day 1
  22. Receipt of any vaccine within 30 days before Day 1
  23. Receipt of intranasal vaccine within 90 days before Day 1
  24. Receipt of any licensed or investigational anthrax vaccine in civilian or military life
  25. Any change in medication for a chronic medical condition within 30 days before Day 1
  26. Past regular use or current use of intranasal illicit drugs
  27. Any medical, psychiatric, or social condition or occupational or other responsibility that in the judgment of the Investigator would interfere with or serve as a contraindication to protocol adherence, assessment of safety (including reactogenicity), or a subject's ability to give informed consent

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: NasoShield One Dose in Position 1
NasoShield on Day 1 and saline placebo on Day 29 in position 1 (Group 1)
Normal koksaltlösning
NasoShield is an adenovirus-vectored anthrax vaccine
Placebo-jämförare: Placebo in Position 1
Saline placebo on Day 1 and saline placebo on Day 29 in position 1 (Group 1)
Normal koksaltlösning
Experimentell: NasoShield Two Doses in Position 2
NasoShield on Day 1 and Day 29 in position 2 (Group 2)
NasoShield is an adenovirus-vectored anthrax vaccine
Placebo-jämförare: Placebo in Position 2
Saline placebo on Day 1 and Day 29 in position 2 (Group 2)
Normal koksaltlösning
Experimentell: NasoShield Two Doses in Position 3
NasoShield on Day 1 and Day 29 in position 3 (Group 3)
NasoShield is an adenovirus-vectored anthrax vaccine
Placebo-jämförare: Placebo in Position 3
Saline placebo on Day 1 and Day 29 in position 3 (Group 3)
Normal koksaltlösning

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Reactogenicity to evaluate the safety of NasoShield
Tidsram: For 7 days after vaccination
Subjects will record solicited local and systemic events for 7 days after each dose
For 7 days after vaccination
Adverse Events (AEs) to evaluate the safety of NasoShield
Tidsram: From Day 1 to Day 210
All adverse events from Day 1 to Day 57; serious adverse events (SAE), medically attended adverse events (MAAE), and new-onset chronic illnesses (NCI) from Day 1 to Day 210
From Day 1 to Day 210

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Anti-protective antigen (PA) immunoglobulin G (IgG) to evaluate humoral immunogenicity
Tidsram: From Day 1 to Day 210
Titer measured by enzyme-linked immunosorbent assay (ELISA) in serum
From Day 1 to Day 210
Toxin neutralization antibody 50% neutralization factor (TNA-NF50) titer measured in serum by cytotoxic assay to evaluate humoral immunogenicity
Tidsram: From Day 1 to Day 210
From Day 1 to Day 210
Anti-protective antigen (PA) immunoglobulin A (IgA) to evaluate mucosal immune response
Tidsram: From Day 1 to Day 57
Titer measured by enzyme-linked immunosorbent assay (ELISA) in serum
From Day 1 to Day 57

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 juni 2020

Primärt slutförande (Faktisk)

3 mars 2021

Avslutad studie (Faktisk)

3 mars 2021

Studieregistreringsdatum

Först inskickad

1 juni 2020

Först inskickad som uppfyllde QC-kriterierna

1 juni 2020

Första postat (Faktisk)

4 juni 2020

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

14 maj 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

12 maj 2021

Senast verifierad

1 maj 2021

Mer information

Termer relaterade till denna studie

Nyckelord

Andra studie-ID-nummer

  • ALT-201-102
  • HHSO100201600008C (Annat bidrag/finansieringsnummer: BARDA)

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

Nej

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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