Trial of a Chikungunya Vaccine, PXVX0317 CHIKV-VLP, in Healthy Adults

NCT ID: NCT03483961

Last Updated: 2023-07-03

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

445 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-18

Study Completion Date

2020-09-21

Brief Summary

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The goal of this Phase 2 trial is to evaluate the immune response to and safety profile of various doses/formulations/and schedules of administration of PXVX0317 in healthy adults.

Primary Objective:

To assess the immune response to the vaccine

Secondary Objectives:

To assess the kinetics of the immune response to different doses/formulations/schedules To assess the persistence of immune responses to different doses/formulations/schedules To assess the effect of a booster dose of the vaccine

Safety Objective:

To assess local and systemic reactions to the vaccine and to describe the safety profile of the vaccine

Detailed Description

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The trial will explore 8 formulation/schedule combinations of CHIKV VLP vaccine with or without Alhydrogel adjuvant, and will also explore different dose schedules of Day 1 and 15 or Day 1 and 29 or Day 29 only.

Conditions

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Chikungunya Virus Infection

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: 20 mcg/unadjuvanted (Day 1 & 29)

20 mcg CHIKV VLP/unadjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/unadjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/unadjuvanted

Intervention Type BIOLOGICAL

Vaccine consists of virus-like particles of chikungunya virus antigens

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 2: 6 mcg/adjuvanted (Day 1 & 29)

6 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 3: 10 mcg/adjuvanted (Day 1 & 29)

10 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 4: 20mcg/adjuvanted (Day 1 & 29);40mcg/adjuvant (Day 547)

20 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29) // 40 mcg CHIKV (Day 547)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 5: 6 mcg/adjuvanted (Day 15 & 29)

Placebo (Day 1) // 6 mcg CHIKV VLP/adjuvanted (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 6: 10 mcg/adjuvanted (Day 15 & 29)

Placebo (Day 1) // 10 mcg CHIKV VLP/adjuvanted (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 7: 20 mcg/adjuvanted (Day 15 & 29)

Placebo (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 8: 40 mcg/adjuvanted (Day 29)

Placebo (Day 1) // Placebo (Day 15) // 40 mcg CHIKV VLP/adjuvanted (Day 29)

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Placebo

Intervention Type BIOLOGICAL

Placebo is vaccine diluent alone

Group 9: 20 mcg/adjuvanted (Day 1 & 29)

20 mcg CHIKV VLP/adjuvanted (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 29). This group will also have plasmapheresis performed on Day 57 and Leukapheresis on Day 182

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Group 10: 40 mcg/adjuvanted (Day 1)

40 mcg CHIKV VLP/adjuvanted (Day 1). This group will also have plasmapheresis performed on Day 22.

Group Type EXPERIMENTAL

CHIKV VLP/adjuvanted

Intervention Type BIOLOGICAL

Adjuvanted formulation includes Alhydrogel

Interventions

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CHIKV VLP/unadjuvanted

Vaccine consists of virus-like particles of chikungunya virus antigens

Intervention Type BIOLOGICAL

CHIKV VLP/adjuvanted

Adjuvanted formulation includes Alhydrogel

Intervention Type BIOLOGICAL

Placebo

Placebo is vaccine diluent alone

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Male or female
2. Age 18 to 45 years old (inclusive)
3. Using an acceptable method of contraception (if female of childbearing potential).
4. Able and willing to provide informed consent for study participation.

Exclusion Criteria

1. Current acute febrile illness.
2. Clinically significant cardiac, respiratory, or rheumatologic disease, in the opinion of the Investigator.
3. Pregnant or breast-feeding.
4. Laboratory evidence of infection with Hepatitis B/C or HIV.
5. History of chikungunya virus infection.
6. Travel to a World Health Organization-designated chikungunya-endemic region within 30 days prior to Day 1.
7. History of allergic reaction to any component of CHIKV-VLP vaccine, Diluent, or Alhydrogel®.
8. Inability to discontinue systemic immunomodulatory or immunosuppressive medications 30 days prior to Day 1.
9. Received or plans to receive any licensed vaccine from 30 days prior to Day 1 through Day 57.
10. Received or plans to receive an investigational agent from 30 days prior to Day 1 through the duration of study participation.
11. Any other condition that, in the opinion of the Investigator, creates an unacceptable risk to the subject.
12. Any other condition that, in the opinion of the Investigator, may interfere with the conduct of the study or the validity of the data.
13. Any other condition that, in the opinion of the Investigator, creates an unacceptable safety risk for apheresis (Group 9 \& 10 only).
14. Restricted venous access that would prevent the collection of PBMCs, plasma, and lymphocytes necessary for participation (Group 9 \& 10 only).
15. Weight \< 110 pounds (Group 9 \& 10 only)
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Emergent BioSolutions

INDUSTRY

Sponsor Role collaborator

Bavarian Nordic

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James McCarty, MD

Role: STUDY_DIRECTOR

Emergent BioSolutions

Locations

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Johnson County Clin-Trials

Lenexa, Kansas, United States

Site Status

The Center for Pharmaceutical Research

Kansas City, Missouri, United States

Site Status

Advanced Clinical Research

West Jordan, Utah, United States

Site Status

Countries

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United States

References

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Bennett SR, McCarty JM, Ramanathan R, Mendy J, Richardson JS, Smith J, Alexander J, Ledgerwood JE, de Lame PA, Royalty Tredo S, Warfield KL, Bedell L. Safety and immunogenicity of PXVX0317, an aluminium hydroxide-adjuvanted chikungunya virus-like particle vaccine: a randomised, double-blind, parallel-group, phase 2 trial. Lancet Infect Dis. 2022 Sep;22(9):1343-1355. doi: 10.1016/S1473-3099(22)00226-2. Epub 2022 Jun 13.

Reference Type DERIVED
PMID: 35709798 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: Protocol Cover Page

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Document Type: Study Protocol: Protocol Cover Page

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Document Type: Statistical Analysis Plan: Statistical Analysis Plan Cover Page

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Document Type: Statistical Analysis Plan: Statistical Analysis Plan Cover Page

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Document Type: Informed Consent Form: Informed Consent Form Cover page

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Document Type: Informed Consent Form: Informed Consent Form Cover page

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Other Identifiers

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PXVX-CV-317-001

Identifier Type: -

Identifier Source: org_study_id

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