Single-ascending-dose Study of the Safety and Immunogenicity of NasoVAX

NCT ID: NCT03232567

Last Updated: 2024-04-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-09-18
• Study Completion Date: 2018-06-15

Brief Summary

This is a Phase 2a, randomized, double-blind, placebo-controlled trial to evaluate the safety and immunogenicity of NasoVAX in healthy adults 18 to 49 years of age. Subjects will be screened within 28 days of randomization (Day 1).

Detailed Description

This is a Phase 2a, randomized, double-blind, placebo-controlled trial to evaluate the safety and immunogenicity of NasoVAX in healthy adults 18 to 49 years of age. Subjects will be screened within 28 days of randomization (Day 1). Approximately 60 subjects who meet all inclusion and no exclusion criteria and provide written informed consent will be enrolled into 3 sequential cohorts of 20 subjects each defined by the viral particle dose (1×10(9th), 1×10(10th), and 1×10(11th) vp). Within each cohort and its sentinel group, subjects will be randomized in a 3:1 ratio to receive 1 intranasal dose of NasoVAX or placebo (Day 1). A sentinel group of 5 subjects from each cohort will be dosed and followed through Day 8. Dosing of the remainder of each cohort may proceed if no events meeting stopping criteria have occurred. The SRC, consisting of the Investigator, the Medical Monitor, and a Sponsor Representative, will review AE, reactogenicity, and laboratory data through Day 8 for all subjects in each cohort before subjects are randomized to the next higher dose. If any event meeting stopping criteria occur, the SRC will review all available safety information before additional patients are dosed.

Conditions

Influenza

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: TRIPLE

Study Groups

NasoVAX low dose

NasoVAX administered by intranasal spray at a single dose of 1×10(9th) viral particles (vp) versus placebo

Group Type: EXPERIMENTAL

NasoVAX

Intervention Type: BIOLOGICAL

Single ascending dose study

NasoVAX medium dose

NasoVAX administered by intranasal spray at a single dose of 1×10(10th) viral particles (vp) versus placebo

Group Type: EXPERIMENTAL

NasoVAX

Intervention Type: BIOLOGICAL

Single ascending dose study

NasoVAX high dose

NasoVAX administered by intranasal spray at a single dose of 1×10(11th) viral particles (vp) versus placebo

Group Type: EXPERIMENTAL

NasoVAX

Intervention Type: BIOLOGICAL

Single ascending dose study

Placebo

Normal saline administered by intranasal spray at a single dose

Group Type: PLACEBO_COMPARATOR

NasoVAX

Intervention Type: BIOLOGICAL

Single ascending dose study

Interventions

NasoVAX

Single ascending dose study

Intervention Type: BIOLOGICAL

Eligibility Criteria

Exclusion Criteria

1. Pregnant, possibly pregnant, or lactating women

2. Household contacts of pregnant women, children < 5 years of age, or immunocompromised individuals for the period up through 2 weeks postvaccination

3. Persons who care for pregnant women, children < 5 years of age, or immunocompromised individuals for the period up through 2 weeks postvaccination

4. Body mass index > 35.0 kg/m2

5. Positive results for HIV, hepatitis B virus, or hepatitis C virus at Screening

6. Asthma or other chronic lung disease that is greater than mild in severity. Specifically excluded are participants with the 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

7. History of diabetes mellitus (gestational diabetes is allowed if treatment was not required postpartum and serum glucose is currently in the normal range)

8. History of coronary artery disease, arrhythmia, or congestive heart failure

9. Clinically significant ECG abnormality as determined by the Investigator

10. Poorly controlled hypertension (systolic blood pressure > 150 mmHg or diastolic blood pressure > 95 mmHg) at Screening or predose on Day 1

11. History of anaphylaxis or angioedema

12. Known allergy to any of the ingredients in the vaccine formulation

13. History of chronic rhinitis, nasal septal defect, cleft palate, nasal polyps, or other nasal abnormality that might affect vaccine administration

14. Previous nasal surgery or nasal cauterization

15. Any symptoms of upper respiratory infection or temperature > 38°C within 3 days before Day 1

16. Any symptoms within 24 hours before Day 1 of upper respiratory illness of 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

17. 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

18. 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

19. Use of statin medication within 30 days before Day 1 (see list in Section 6.8.1)

20. Receipt of intranasal medications (including over-the-counter medications) within 30 days before Day 1

21. Receipt of any investigational product (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 influenza vaccine within 6 months before Day 1

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. Smoking of any type (eg, cigarettes, electronic cigarettes, marijuana) or use of any tobacco product within 30 days before Day 1

28. 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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 49 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Altimmune, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Stephen Bart, MD

Role: PRINCIPAL_INVESTIGATOR

Optimal Research

Locations

Optimal Health Research

Rockville, Maryland, United States

Countries

United States

Provided Documents

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

ALT103-201

Identifier Type: -

Identifier Source: org_study_id