Dose Safety, Tolerability, and Immunogenicity of a New Smallpox Vaccine in Adults Without Previous Smallpox Vaccination

NCT ID: NCT00053508

Last Updated: 2014-01-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

274 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-09-30

Study Completion Date

2003-09-30

Brief Summary

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The purpose of this study is to examine the safety and the effectiveness of a new vaccine for the prevention of the disease, smallpox.

Detailed Description

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In addition to assessment of safety parameters, the objective of this study is to determine the minimum dose of ACAM1000 that is calculated to produce a major cutaneous reaction in at least 90% of a population of healthy adults 18-29 years of age and naïve to smallpox vaccine. Specifically, the objectives of this study are to:

1. Compare the safety and tolerability of three dose levels of ACAM1000 and a standard dose of Dryvax® in healthy adults 18-29 years of age and naïve to smallpox vaccine. Safety and tolerability will be determined by examination of the local cutaneous reaction, adverse events, physical examinations, vital signs, structured interviews, and laboratory analysis.
2. Determine the immunogenicity of three dose levels of ACAM1000 and a standard dose of Dryvax® in healthy adults 18-29 years of age by comparing: (a)the proportion of subjects at each dose level who develop a major cutaneous reaction; (b)the proportion of subjects in each treatment group who develop neutralizing antibodies, including the fold-increase in antibody titer between Baseline and Day 30 sera; and the geometric mean vaccinia neutralizing antibody titer on Day 30.
3. Determine the minimum dose of ACAM1000 that is calculated to produce a major cutaneous reaction in at least 90% of a population of healthy adults 18-29 years of age and naïve to smallpox vaccine.

Conditions

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Smallpox

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group 1

ACAM1000

Group Type EXPERIMENTAL

ACAM1000

Intervention Type BIOLOGICAL

Group 1 dose: 1.4 x 10-8th PFU/ml (350,000 PFU) Group 2 dose: 2.8 x 10-7th PFU/ml (70,000 PFU) Group 3 dose: 5.6 x 10-6th PFU/ml (14,000 PFU)

Group 2

ACAM1000

Group Type EXPERIMENTAL

ACAM1000

Intervention Type BIOLOGICAL

Group 1 dose: 1.4 x 10-8th PFU/ml (350,000 PFU) Group 2 dose: 2.8 x 10-7th PFU/ml (70,000 PFU) Group 3 dose: 5.6 x 10-6th PFU/ml (14,000 PFU)

Group 3

ACAM1000

Group Type EXPERIMENTAL

ACAM1000

Intervention Type BIOLOGICAL

Group 1 dose: 1.4 x 10-8th PFU/ml (350,000 PFU) Group 2 dose: 2.8 x 10-7th PFU/ml (70,000 PFU) Group 3 dose: 5.6 x 10-6th PFU/ml (14,000 PFU)

Group 4

Dryvax

Group Type ACTIVE_COMPARATOR

vaccinia virus (calf lymph) smallpox vaccine: Dryvax

Intervention Type BIOLOGICAL

group 4 dose: 1.6 x 10-8th PFU/ml (250,000 PFU)

Interventions

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ACAM1000

Group 1 dose: 1.4 x 10-8th PFU/ml (350,000 PFU) Group 2 dose: 2.8 x 10-7th PFU/ml (70,000 PFU) Group 3 dose: 5.6 x 10-6th PFU/ml (14,000 PFU)

Intervention Type BIOLOGICAL

vaccinia virus (calf lymph) smallpox vaccine: Dryvax

group 4 dose: 1.6 x 10-8th PFU/ml (250,000 PFU)

Intervention Type BIOLOGICAL

Other Intervention Names

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brand name = Dryvax

Eligibility Criteria

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Inclusion Criteria

* in good general health.
* not pregnant and using effective birth control
* agreed to participate in entire study and comply with protocol requirements.

Exclusion Criteria

* military service prior to 1989.
* no previous smallpox vaccination.
* no contact with with children 1 year of age or younger
* immunodeficiency individuals or close contacts who are immunodeficient
* past history or current renal disease
* diagnosis or past history of eczema
* known allergy or past allergic reactions to latex gloves or to some antibiotics (neomycin, streptomycin, chlortetracycline, and polymyxin B).
* known allergy or past allergic to blood products.
* known allergy or past allergic reaction to cidofovir or sulfa-containing drugs.
* transfusion of blood or treatment with any blood product, including intramuscular or intravenous serum globulin within six months of the Screening Visit.
* serology positive for HIV, hepatitis B or hepatitis C.
* current diagnosis or history within six months of drug or alcohol abuse disorders, psychiatric illness.
* inoculation with any other live vaccine within 30 days of Day 0 or participation in another drug or vaccine trial within 30 days of Day 0.
Minimum Eligible Age

18 Years

Maximum Eligible Age

29 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Sanofi Pasteur Inc

Locations

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Orlando Clinical Research Center

Orlando, Florida, United States

Site Status

Mayo Vaccine Research Group

Rochester, Minnesota, United States

Site Status

Radiant Research

Cincinnati, Ohio, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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H-300-002

Identifier Type: -

Identifier Source: org_study_id

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