DMID 23-0015;拉沙热 CVD 1000
一项随机、受试者和观察者盲法、剂量递增研究的 1 期研究,旨在评估使用 3D-(6-酰基) PHAD 施用的两剂狂犬病载体单价拉沙热疫苗 (LASSARAB) 的安全性、反应原性和免疫原性-SE (aPHAD-SE) 健康成人佐剂
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.
研究概览
地位
条件
详细说明
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.
研究类型
注册 (实际的)
阶段
- 阶段1
联系人和位置
学习地点
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Maryland
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Baltimore、Maryland、美国、21201
- University of Maryland, Baltimore, University of Maryland School of Medicine, Center for Vaccine Development and Global Health
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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.
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:三倍
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的: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
其他名称:
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实验性的: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
其他名称:
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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实验性的: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
其他名称:
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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实验性的: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
其他名称:
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 |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Number of participants experiencing solicited local and systemic events
大体时间: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
大体时间: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
大体时间: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
大体时间:Day 1 through Day 61
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Percentage of participants experiencing any unsolicited AEs |
Day 1 through Day 61
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Number of participants experiencing Serious Adverse Events (SAEs)
大体时间: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)
大体时间:Day 1 through Day 394
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Percentage of participants experiencing SAEs |
Day 1 through Day 394
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Number of participants experiencing Medically-Attended Adverse Events (MAAEs)
大体时间: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)
大体时间:Day 1 through Day 394
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Percentage of participants experiencing MAAEs |
Day 1 through Day 394
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Number of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)
大体时间:Day 1 through Day 394
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Number of participants experiencing NOCMCs |
Day 1 through Day 394
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Percentage of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)
大体时间:Day 1 through Day 394
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Percentage of participants experiencing NOCMCs |
Day 1 through Day 394
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Number of participants experiencing Potential Immune-Mediated Medical Conditions (PIMMCs)
大体时间: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)
大体时间:Day 1 through Day 394
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Percentage of participants experiencing PIMMCs |
Day 1 through Day 394
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Number of participants experiencing Adverse Event of Special Interest (AESI)
大体时间:Day 1 through Day 394
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Number of participants experiencing Adverse Event of Special Interest (AESI) - new onset sensorineural hearing loss (SNHL) |
Day 1 through Day 394
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Percentage of participants experiencing Adverse Event of Special Interest (AESI)
大体时间:Day 1 through Day 394
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Percentage of participants experiencing Adverse Event of Special Interest (AESI) - new onset sensorineural hearing loss (SNHL) |
Day 1 through Day 394
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Number of participants experiencing clinical laboratory AEs
大体时间:Day 1 through Day 61
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Number of participants experiencing clinical laboratory AEs |
Day 1 through Day 61
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Percentage of participants experiencing clinical laboratory AEs
大体时间:Day 1 through Day 61
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Percentage of participants experiencing clinical laboratory AEs |
Day 1 through Day 61
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合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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