Evaluation of NDV-3A Vaccine in Preventing S. Aureus Colonization

NCT ID: NCT03455309

Last Updated: 2020-01-29

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

382 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-30

Study Completion Date

2019-10-15

Brief Summary

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The proposed study aims to further evaluate the safety and immunogenicity of a candidate S. aureus vaccine NDV-3A, as well as its efficacy against acquisition of S. aureus

Detailed Description

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The investigators will conduct a Phase 2 clinical trial to evaluate the safety, immunogenicity, and efficacy of candidate vaccine NDV-3A (NovaDigm Therapeutics, Inc.) to prevent incident nasal acquisition of S. aureus among a population of military recruits at increased risk for S. aureus colonization and disease. Colonization is a risk factor for skin and soft tissue infection (SSTI), and the anterior nares is an important reservoir for S. aureus. Use of S. aureus nasal colonization (specifically, incident nasal colonization with S. aureus post-vaccination) as a primary endpoint will allow the investigators to pursue a statistically-valid and meaningful parameter related to S. aureus SSTI. The proposed trial may yield evidence to warrant evaluation of NDV-3A efficacy against SSTI in a large-scale, Phase 2/3 trial in this high risk population.

Conditions

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Staphylococcus Aureus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

double-blind, placebo-controlled, randomized study
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Sponsor, principal investigator and study site are all blinded but can access key if safety issues require unblinding

Study Groups

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NDV-3A

0.5 mL dose containing 300 micrograms of recombinant Als3 protein in phosphate-buffered saline and 0.5 mg aluminum as aluminum hydroxide

Group Type ACTIVE_COMPARATOR

NDV-3A

Intervention Type BIOLOGICAL

Single dose administered by intramuscular injection

Placebo

0.5 mL dose containing phosphate-buffered saline and 0.5 mg aluminum as aluminum hydroxide

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Single dose administered by intramuscular injection

Interventions

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NDV-3A

Single dose administered by intramuscular injection

Intervention Type BIOLOGICAL

Placebo

Single dose administered by intramuscular injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Active duty, male subject, 17-35 years of age, inclusive, at the time of screening.
* Assigned to one of the selected companies/battalions
* Informed of the nature of the study and has agreed to and is able to read, review, and sign the informed consent document prior to screening.
* Free of known significant health problems as established by the requirements to be enrolled in a military training program before entering into the study.
* Agrees to be reachable by phone, email or letter at 6 months post-vaccination.

Exclusion Criteria

* Presence of clinically significant SSTI (e.g., cellulitis, abscess) at screening or other skin or skin structure infections that would confound the interpretation of clinical response.
* Reports a history of allergic response(s), anaphylaxis, or other serious reactions to previous vaccinations.
* Reports a history of allergies to yeast
* Reports a history of anaphylaxis or other serious reactions to aluminum.
* Reports a history of autoimmune disease (psoriasis, etc.)
* Seropositive for HIV antibody.
* Reports the use of any immunosuppressive drugs, including systemic corticosteroids (more than 14 days at a dose of \>20 mg/day prednisone or equivalent), within 4 weeks prior to dosing.
* Reports receiving any blood products within 3 months prior to dosing.
* Reports donating blood/plasma within 28 days prior to dosing.
* Illness causing temperature ≥ 100.4°F
* Evidence of abnormal, unresolved laboratory results in the subject's medical record for the following tests: hemoglobin, white blood cell count, platelet count, creatinine, and alanine aminotransferase
* Any other medical and/or social reason which, in the opinion of the investigator(s), would increase the subject's risk of having an adverse reaction as a result of participation in the study.
Minimum Eligible Age

17 Years

Maximum Eligible Age

35 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Infectious Diseases Clinical Research Program

OTHER

Sponsor Role collaborator

Uniformed Services University of the Health Sciences

FED

Sponsor Role collaborator

NovaDigm Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jason W Bennett, MD

Role: PRINCIPAL_INVESTIGATOR

USU IDCRP

Locations

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Fort Benning

Fort Benning, Georgia, United States

Site Status

Countries

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United States

References

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Yeaman MR, Filler SG, Chaili S, Barr K, Wang H, Kupferwasser D, Hennessey JP Jr, Fu Y, Schmidt CS, Edwards JE Jr, Xiong YQ, Ibrahim AS. Mechanisms of NDV-3 vaccine efficacy in MRSA skin versus invasive infection. Proc Natl Acad Sci U S A. 2014 Dec 23;111(51):E5555-63. doi: 10.1073/pnas.1415610111. Epub 2014 Dec 8.

Reference Type BACKGROUND
PMID: 25489065 (View on PubMed)

Schmidt CS, White CJ, Ibrahim AS, Filler SG, Fu Y, Yeaman MR, Edwards JE Jr, Hennessey JP Jr. NDV-3, a recombinant alum-adjuvanted vaccine for Candida and Staphylococcus aureus, is safe and immunogenic in healthy adults. Vaccine. 2012 Dec 14;30(52):7594-600. doi: 10.1016/j.vaccine.2012.10.038. Epub 2012 Oct 22.

Reference Type RESULT
PMID: 23099329 (View on PubMed)

Other Identifiers

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IDCRP-104

Identifier Type: OTHER

Identifier Source: secondary_id

NDV3A-006

Identifier Type: -

Identifier Source: org_study_id

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