A Single Ascending Dose Study in Adults (Stage 1) and Single Ascending Dose-Finding Study (Stage 2) in Elderly Subjects With ASP3772, A Pneumococcal Vaccine

NCT ID: NCT03803202

Last Updated: 2023-12-21

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

630 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-24

Study Completion Date

2020-09-28

Brief Summary

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The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of 3 different dose levels of ASP3772 in comparison to the active comparator Prevnar 13® (PCV13) in adults 18 to 64 years of age in Stage 1. Stage 2 will evaluate the safety, tolerability, and immunogenicity of 3 different dose levels of ASP3772 in comparison to the active comparator PCV13 in elderly 65 to 85 years of age. In addition, Stage 2 will evaluate the immunogenicity of 3 different dose levels of ASP3772 relative to the response seen following administration of Pneumovax® 23 (PPSV23) for the serotypes not included in PCV13.

Detailed Description

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The study population will consist of 3 different groups: Group 1 - Stage 1 PCV13 naïve participants randomized within 3 sequential cohorts to ASP3772 or PCV13; Group 2 - Stage 2 PCV13 naïve participants randomized within 3 sequential cohorts to ASP3772 or PCV13; and Group 3 - Stage 2 participants previously vaccinated with PCV13 that will receive PPSV23.

Conditions

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Pneumonia, Bacterial Healthy Volunteers Pneumococcal Disease

Keywords

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Pneumococcal vaccine Vaccine Pneumococccal Disease ASP3772

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Stage 1, Group 1 Adults, ASP3772 Low dose

Healthy adults aged 18 to 64 years received a low dose \[1 microgram (μg)\] of ASP3772 intramuscularly on Day 1.

Group Type EXPERIMENTAL

ASP3772

Intervention Type BIOLOGICAL

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Stage 1, Group 1 Adults, ASP3772 Medium dose

Healthy adults aged 18 to 64 years received a medium dose (2 μg) of ASP3772 intramuscularly on Day 1.

Group Type EXPERIMENTAL

ASP3772

Intervention Type BIOLOGICAL

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Stage 1, Group 1 Adults, ASP3772 High dose

Healthy adults aged 18 to 64 years received a high dose (5 μg) of ASP3772 intramuscularly on Day 1.

Group Type EXPERIMENTAL

ASP3772

Intervention Type BIOLOGICAL

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Stage 1, Group 1, PCV13 Pooled Comparator

Healthy adults aged 18 to 64 years received a single dose of PCV13 0.5 milliliter (mL) intramuscularly on Day 1. Data from participants in each group given PCV13 were pooled for comparison with each ASP3772 dose group (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose).

Group Type ACTIVE_COMPARATOR

PCV13

Intervention Type BIOLOGICAL

Participants received a single dose of PCV13 intramuscularly.

Stage 2, Group 2 Older Adults, ASP3772 Low dose

Healthy older adults aged 65 to 85 years received a low dose (1 μg) of ASP3772 intramuscularly on Day 1.

Group Type EXPERIMENTAL

ASP3772

Intervention Type BIOLOGICAL

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Stage 2, Group 2 Older Adults, ASP3772 Medium dose

Healthy older adults aged 65 to 85 years received a medium dose (2 μg) of ASP3772 intramuscularly on Day 1.

Group Type EXPERIMENTAL

ASP3772

Intervention Type BIOLOGICAL

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Stage 2, Group 2 Older Adults, ASP3772 High dose

Healthy older adults aged 65 to 85 years received a high dose (5 μg) of ASP3772 intramuscularly on Day 1.

Group Type EXPERIMENTAL

ASP3772

Intervention Type BIOLOGICAL

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Stage 2, Group 2, PCV13 Pooled Comparator

Older adults aged 65 to 85 years received a single dose of PCV13 0.5 mL intramuscularly on Day 1. Data from participants in each group given PCV13 were pooled for comparison with each ASP3772 dose group (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose).

Group Type ACTIVE_COMPARATOR

PCV13

Intervention Type BIOLOGICAL

Participants received a single dose of PCV13 intramuscularly.

Stage 2, Group 3, PPSV23 Comparator

Older adults aged 65 to 85 years who had been previously vaccinated with PCV13, were enrolled and received a single of dose PPSV23 on Day 1.

Group Type ACTIVE_COMPARATOR

PPSV23

Intervention Type BIOLOGICAL

Participants received a single dose of PPSV23 intramuscularly.

Interventions

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ASP3772

Participants received a single dose of ASP3772 (ASP3772 low dose, ASP3772 medium dose and ASP3772 high dose) intramuscularly

Intervention Type BIOLOGICAL

PCV13

Participants received a single dose of PCV13 intramuscularly.

Intervention Type BIOLOGICAL

PPSV23

Participants received a single dose of PPSV23 intramuscularly.

Intervention Type BIOLOGICAL

Other Intervention Names

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Prevnar 13 Pneumovax 23

Eligibility Criteria

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Inclusion Criteria

* Stage 1: Subject is healthy male or female between 18 and 64 year of age inclusive, at screening.
* Stage 2: Subject is a male or female between 65 and 85 years of age, inclusive, at screening who is healthy or has chronic controlled, stable disease with no change in disease severity, medical therapy and no hospitalization records in last 12 weeks as determined by medical history, physical examination and laboratory data.
* A female subject is eligible to participate if not pregnant and at least 1 of the following conditions applies:

* Not a woman of childbearing potential (WOCBP) OR
* WOCBP who agrees to follow the contraceptive guidance at screening and for at least 28 days after the study vaccine administration.
* Female subject must agree not to breastfeed starting at screening and for 28 days after the study vaccine administration.
* Female subject must not donate ova starting at screening and for 28 days after the study vaccine administration.
* A male subject with female partner(s) of childbearing potential must agree to use contraception at screening and for at least 28 days after the study vaccine administration.
* Male subject must not donate sperm starting at screening and for 90 days after the study vaccine administration.
* Male subject with a pregnant or breastfeeding partner(s) must agree to remain abstinent or use a condom for the duration of the pregnancy or time partner is breastfeeding at screening and for 28 after the study vaccine administration.
* Subject agrees not to participate in another interventional study while participating in the present study.

Exclusion Criteria

* Subject has a known or suspected hypersensitivity to ASP3772, its comparators or any components of the formulations used.
* Subject has had previous exposure with ASP3772.
* Subject has had known previous exposure with PPSV23.
* Subject has received PCV13 or any other licensed or investigational pneumococcal vaccine at any time. (Note: This exclusion criterion is not applicable to Group 3; those subjects 65 to 85 years of age who previously received immunization with PCV13. Prior PCV13 immunization should have taken place no less than 10 months and no more than 2 years prior to study vaccine administration. These subjects are eligible to be enrolled in the nonrandomized arm of Stage 2, Group 3.
* Subject has a history of microbiologically-proven invasive disease caused by S. pneumoniae.
* Subject has an immune disorder(s) (including autoimmune disease) and/or clinical conditions requiring immunosuppressive drugs.
* Subject has any evidence of any unstable or active clinically significant cardiovascular, gastrointestinal, endocrine, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal and/or other major disease or malignancy, e.g., uncontrolled hypertension, uncontrolled diabetes, heart failure, uncontrolled chronic obstructive pulmonary disease, end-stage renal disease.
* Subject has history of illicit drug(s) or alcohol abuse that will interfere with the protocol requirements and/or a positive urine drug test (for Stage 1 subjects only) at screening.
* Subject has any clinically significant history of allergic conditions including drug allergies, asthma or anaphylactic reactions, but excluding untreated asymptomatic seasonal allergies prior to study vaccine administration.
* Subject has a coagulation disorder contraindicating intramuscular immunization.
* Subject has a positive serology test for hepatitis B surface antigen (HBsAg), hepatitis A virus antibodies (immunoglobulin M), hepatitis C virus antibodies (anti-HCV) confirmed by reflex testing (HCV-RNA) or antibodies to human immunodeficiency virus (HIV) type 1 and/or type 2 at screening.
* Subject has/had febrile illness (\> 100.4°F oral equivalent) or symptomatic, viral, bacterial (including upper respiratory infection) or fungal (noncutaneous) infection within 1 week prior to day 1.
* Subject has any clinically significant abnormality from the physical examination, ECG and clinical laboratory tests during screening.
* Subject is unlikely to adhere to study procedures, keep appointments, is planning to relocate during the study or cannot be adequately followed for safety according to the protocol.
* Subject has any other condition, which precludes the subject's participation in the study.
* Subject has received any vaccines within 30 days prior of receipt of the study vaccine (exception: Influenza virus vaccine given according to recommended guidelines must be given at least 7 days prior to receiving study vaccine).
* Subject has had significant blood loss, donated 1 unit (450 mL or more) or received transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to day 1.
* Subject has received any systemically absorbed antibiotics during the 7-day period prior to day 1.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Affinivax, Inc.

INDUSTRY

Sponsor Role collaborator

GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Global Development, Inc.

Locations

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Advanced Clinical Research-Rancho Paseo

Banning, California, United States

Site Status

Artemis Institute

San Diego, California, United States

Site Status

Artemis Institute

San Marcos, California, United States

Site Status

Research Centers of America

Hollywood, Florida, United States

Site Status

Meridian Clinical Research

Savannah, Georgia, United States

Site Status

Sundance Clinical Research

St Louis, Missouri, United States

Site Status

Meridian Clinical Research

Norfolk, Nebraska, United States

Site Status

United Medical Associates

Binghamton, New York, United States

Site Status

PMG Research of Raleigh

Raleigh, North Carolina, United States

Site Status

PMG Research of Hickory, LLC

Rocky Mount, North Carolina, United States

Site Status

Piedmont HealthCare, PA

Statesville, North Carolina, United States

Site Status

Wilmington Health

Wilmington, North Carolina, United States

Site Status

PMG Research of Winston-Salem, LLC

Winston-Salem, North Carolina, United States

Site Status

Tekton Research - George Town

Yukon, Oklahoma, United States

Site Status

PMG Research

Knoxville, Tennessee, United States

Site Status

PMG Research

Knoxville, Tennessee, United States

Site Status

Advanced Clinical Research Institute

Cedar Park, Texas, United States

Site Status

Texas Healthcare, PLLC

Fort Worth, Texas, United States

Site Status

Benchmark Research

Fort Worth, Texas, United States

Site Status

Texas Center for Drug Development

Houston, Texas, United States

Site Status

Healthcare Associatiates of Texas

McKinney, Texas, United States

Site Status

DM Clinical Research

Pearland, Texas, United States

Site Status

Benchmark Research

San Angelo, Texas, United States

Site Status

Clinical Trials of Texas

San Antonio, Texas, United States

Site Status

Martin Diagnostic Clinic

Tomball, Texas, United States

Site Status

CRA of Tidewater Inc

Norfolk, Virginia, United States

Site Status

Countries

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United States

References

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Borys D, Rupp R, Smulders R, Chichili GR, Kovanda LL, Santos V, Malinoski F, Siber G, Malley R, Sebastian S. Safety, tolerability and immunogenicity of a novel 24-valent pneumococcal vaccine in toddlers: A phase 1 randomized controlled trial. Vaccine. 2024 Apr 11;42(10):2560-2571. doi: 10.1016/j.vaccine.2024.02.001. Epub 2024 Feb 14.

Reference Type DERIVED
PMID: 38360475 (View on PubMed)

Chichili GR, Smulders R, Santos V, Cywin B, Kovanda L, Van Sant C, Malinoski F, Sebastian S, Siber G, Malley R. Phase 1/2 study of a novel 24-valent pneumococcal vaccine in healthy adults aged 18 to 64 years and in older adults aged 65 to 85 years. Vaccine. 2022 Jul 29;40(31):4190-4198. doi: 10.1016/j.vaccine.2022.05.079. Epub 2022 Jun 9.

Reference Type DERIVED
PMID: 35690500 (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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3772-CL-1001

Identifier Type: OTHER

Identifier Source: secondary_id

219659

Identifier Type: -

Identifier Source: org_study_id