A Study to Evaluate the Safety, Reactogenicity and Immunogenicity of GlaxoSmithkline (GSK) Biologicals' Investigational Vaccine GSK2838504A When Administered to Chronic Obstructive Pulmonary Disease (COPD) Patients With Persistent Airflow Obstruction.

NCT ID: NCT02075541

Last Updated: 2018-08-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-08

Study Completion Date

2017-04-19

Brief Summary

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The purpose of this Phase II study is to assess the safety, reactogenicity and immunogenicity of the investigational Non-typeable Haemophilus influenzae (NTHi) vaccine in patients with moderate and severe persistent airflow obstruction.

Detailed Description

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Conditions

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Respiratory Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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10-AS01E group

Subjects in this group will receive the investigational NTHi vaccine.

Group Type EXPERIMENTAL

NTHi-10-AS01E

Intervention Type BIOLOGICAL

Intramuscular vaccination in the deltoid region of the non-dominant arm according to protocol schedule.

Control group

Subjects in this group will receive placebo.

Group Type PLACEBO_COMPARATOR

NaCl Placebo

Intervention Type DRUG

Intramuscular vaccination in the deltoid region of the non-dominant arm according to protocol schedule.

Interventions

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NTHi-10-AS01E

Intramuscular vaccination in the deltoid region of the non-dominant arm according to protocol schedule.

Intervention Type BIOLOGICAL

NaCl Placebo

Intramuscular vaccination in the deltoid region of the non-dominant arm according to protocol schedule.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
* A male or female between, and including, 40 and 80 years of age at the time of the first vaccination.
* Written informed consent obtained from the subject.
* Confirmed diagnosis of COPD with forced expiratory volume in 1 second (FEV1) over forced vital capacity (FVC) ratio (FEV1/FVC) \< 0.7, AND FEV1 \< 80% and ≥ 30% predicted.
* Current or former smoker with a cigarette smoking history of ≥ 10 pack-years.
* Stable COPD patient with documented history of at least 1 moderate or severe acute exacerbation of COPD within the 12 months before Screening.
* Regular sputum producer.
* Capable to comply with the daily electronic Diary Card completion throughout the study period, according to investigator's judgement at Visit 1.
* Female subjects of non-childbearing potential may be enrolled in the study.
* Female subjects of childbearing potential may be enrolled in the study, if the subject:

* has practiced adequate contraception for 30 days prior to vaccination, and
* has a negative pregnancy test on the day of vaccination, and
* has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series.

Exclusion Criteria

* Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/ product.
* Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
* Planned administration/ administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first dose and ending 30 days after the last dose of vaccine, with the exception of any influenza or pneumococcal vaccine which may be administered ≥ 15 days preceding or following any study vaccine dose.
* Previous vaccination with any vaccine containing NTHi antigens.
* Administration of immunoglobulins or any blood products within the 3 months preceding the first dose of study vaccine or planned administration during the study period.
* Chronic administration of non-steroid immunosuppressants or other immune-modifying drugs within 6 months prior to the first vaccine dose.
* Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
* History of immune-mediated disease other than COPD.
* Administration of systemic corticosteroids within the 30 days before Screening.
* Administration of systemic antibiotics within the 30 days before Screening.
* Chronic use of antibiotics for prevention of acute exacerbations of COPD (AECOPD).
* Receiving oxygen therapy.
* Planned lung transplantation.
* Planned/ underwent lung resection surgery.
* Diagnosis of α-1 antitrypsin deficiency as the underlying cause of COPD.
* Diagnosed with a respiratory disorder other than COPD, or chest X-ray/ CT scan revealing evidence of clinically significant abnormalities not believed to be due to the presence of COPD. Subjects with allergic rhinitis can be enrolled.
* History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines and/ or the bronchodilator used for spirometry assessment during the study.
* Contraindication for spirometry testing.
* Clinically significant abnormality in haematology or biochemistry parameter.
* Acute cardiac insufficiency.
* Malignancies within the previous 5 years or lymphoproliferative disorder.
* Any known disease or condition likely to cause death during the study period.
* Acute disease and/ or fever at the time of Screening.

* Fever is defined as oral or axillary temperature ≥ 37.5°C. The preferred route for recording temperature in this study will be oral.
* Subjects with acute disease and/ or fever at the time of Screening may be enrolled at a later date if enrolment is still open. Subjects with a minor illness without fever may be enrolled at the discretion of the investigator.
* Pregnant or lactating female.
* Current alcoholism and/or drug abuse.
* Other condition which the investigator judges may put the safety of the subject at risk through study participation or which may interfere with the study findings.
* Planned move to a location that will complicate participation in the trial through study end.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Eskilstuna, , Sweden

Site Status

GSK Investigational Site

Gothenburg, , Sweden

Site Status

GSK Investigational Site

Örebro, , Sweden

Site Status

GSK Investigational Site

Llanelli, Carmarthenshire, United Kingdom

Site Status

GSK Investigational Site

Leicester, Leicestershire, United Kingdom

Site Status

GSK Investigational Site

Stoke-on-Trent, Staffordshire, United Kingdom

Site Status

GSK Investigational Site

Bradford, , United Kingdom

Site Status

GSK Investigational Site

Dundee, , United Kingdom

Site Status

GSK Investigational Site

Edinburgh, , United Kingdom

Site Status

GSK Investigational Site

Liverpool, , United Kingdom

Site Status

GSK Investigational Site

Poole, Dorset, , United Kingdom

Site Status

GSK Investigational Site

Salford, , United Kingdom

Site Status

GSK Investigational Site

Southampton, , United Kingdom

Site Status

GSK Investigational Site

Wolverhampton, , United Kingdom

Site Status

Countries

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Sweden United Kingdom

References

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Baffetta F, Buonsanti C, Moraschini L, Aprea S, Cane M, Lombardi S, Contorni M, Rondini S, Arora AK, Bardelli M, Finco O, Serruto D, Paccani SR. Lung mucosal immunity to NTHi vaccine antigens: Antibodies in sputum of chronic obstructive pulmonary disease patients. Hum Vaccin Immunother. 2024 Dec 31;20(1):2343544. doi: 10.1080/21645515.2024.2343544. Epub 2024 Apr 24.

Reference Type DERIVED
PMID: 38655676 (View on PubMed)

Wilkinson TMA, Schembri S, Brightling C, Bakerly ND, Lewis K, MacNee W, Rombo L, Hedner J, Allen M, Walker PP, De Ryck I, Tasciotti A, Casula D, Moris P, Testa M, Arora AK. Non-typeable Haemophilus influenzae protein vaccine in adults with COPD: A phase 2 clinical trial. Vaccine. 2019 Sep 24;37(41):6102-6111. doi: 10.1016/j.vaccine.2019.07.100. Epub 2019 Aug 22.

Reference Type DERIVED
PMID: 31447126 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2013-003062-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

200157

Identifier Type: -

Identifier Source: org_study_id

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