Trial Outcomes & Findings for Aerosol BCG Challenge Study in Historically BCG-vaccinated Volunteers (NCT NCT04777721)

NCT ID: NCT04777721

Last Updated: 2025-02-06

Results Overview

Quantification of BCG culture by mycobacterial growth indicator tube (PCR quantification and DNA strip assay speciation as required)

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

12 participants

Primary outcome timeframe

Day 14

Results posted on

2025-02-06

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1: 1 x 10^4 Cfu Aerosol Inhaled BCG
3 historically BCG-vaccinated volunteers will receive 1 x 10\^4 cfu aerosol inhaled BCG. All Group 1 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 2: 1 x 10^5 Cfu Aerosol Inhaled BCG
3 historically BCG-vaccinated volunteers will receive 1 x 10\^5 cfu aerosol inhaled BCG. All Group 2 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 3: 1 x 10^6 Cfu Aerosol Inhaled BCG
3 historically BCG-vaccinated volunteers will receive 1 x 10\^6 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 4: 1 x 10^7 Cfu Aerosol Inhaled BCG
3 historically BCG-vaccinated volunteers will receive 1 x 10\^7 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Overall Study
STARTED
3
3
3
3
Overall Study
COMPLETED
3
3
3
3
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1: 1 x 10^4 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^4 cfu aerosol inhaled BCG. All Group 1 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 2: 1 x 10^5 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^5 cfu aerosol inhaled BCG. All Group 2 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 3: 1 x 10^6 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^6 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 4: 1 x 10^7 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^7 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=12 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=3 Participants
3 Participants
n=3 Participants
3 Participants
n=3 Participants
3 Participants
n=3 Participants
12 Participants
n=12 Participants
Age, Categorical
>=65 years
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=12 Participants
Sex: Female, Male
Female
2 Participants
n=3 Participants
2 Participants
n=3 Participants
2 Participants
n=3 Participants
2 Participants
n=3 Participants
8 Participants
n=12 Participants
Sex: Female, Male
Male
1 Participants
n=3 Participants
1 Participants
n=3 Participants
1 Participants
n=3 Participants
1 Participants
n=3 Participants
4 Participants
n=12 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Day 14

Quantification of BCG culture by mycobacterial growth indicator tube (PCR quantification and DNA strip assay speciation as required)

Outcome measures

Outcome measures
Measure
Group 1: 1 x 10^4 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^4 cfu aerosol inhaled BCG. All Group 1 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 2: 1 x 10^5 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^5 cfu aerosol inhaled BCG. All Group 2 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 3: 1 x 10^6 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^6 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 4: 1 x 10^7 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^7 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
To Quantify BCG Recoverable From Bronchial Sample
0 Volunteers with detectable BCG
0 Volunteers with detectable BCG
0 Volunteers with detectable BCG
0 Volunteers with detectable BCG

SECONDARY outcome

Timeframe: Up to day 168

Evaluation of the human clinical response to BCG challenge via collection of data on adverse events at each visit, via diary cards and lung function test results.

Outcome measures

Outcome measures
Measure
Group 1: 1 x 10^4 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^4 cfu aerosol inhaled BCG. All Group 1 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 2: 1 x 10^5 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^5 cfu aerosol inhaled BCG. All Group 2 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 3: 1 x 10^6 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^6 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 4: 1 x 10^7 Cfu Aerosol Inhaled BCG
n=3 Participants
3 historically BCG-vaccinated volunteers will receive 1 x 10\^7 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Adverse Events
3 Number of participants reporting events
1 Number of participants reporting events
3 Number of participants reporting events
3 Number of participants reporting events

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to day 168

Laboratory markers of innate and adaptive immunity, determined by ex-vivo ELISpot

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to day 168

Laboratory markers of innate and adaptive immunity, determined by ELISA

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to day 168

Laboratory markers of innate and adaptive immunity, determined by RNA sequence analysis

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to day 168

Laboratory markers of innate and adaptive immunity, determined by intracellular cytokine staining of blood and bronchial samples

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to day 168

Laboratory markers of innate and adaptive immunity, determined by BCG cfu counts and or molecular diagnostics on induced sputum

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to day 168

Laboratory markers of innate and adaptive immunity, determined by matrix from adapted mask collection

Outcome measures

Outcome data not reported

Adverse Events

Group 1: 1 x 10^4 Cfu Aerosol Inhaled BCG

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Group 2: 1 x 10^5 Cfu Aerosol Inhaled BCG

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Group 3: 1 x 10^6 Cfu Aerosol Inhaled BCG

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Group 4: 1 x 10^7 Cfu Aerosol Inhaled BCG

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1: 1 x 10^4 Cfu Aerosol Inhaled BCG
n=3 participants at risk
3 historically BCG-vaccinated volunteers will receive 1 x 10\^4 cfu aerosol inhaled BCG. All Group 1 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 2: 1 x 10^5 Cfu Aerosol Inhaled BCG
n=3 participants at risk
3 historically BCG-vaccinated volunteers will receive 1 x 10\^5 cfu aerosol inhaled BCG. All Group 2 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 3: 1 x 10^6 Cfu Aerosol Inhaled BCG
n=3 participants at risk
3 historically BCG-vaccinated volunteers will receive 1 x 10\^6 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
Group 4: 1 x 10^7 Cfu Aerosol Inhaled BCG
n=3 participants at risk
3 historically BCG-vaccinated volunteers will receive 1 x 10\^7 cfu aerosol inhaled BCG. All Group 3 volunteers will have a bronchoscopy 14 days post challenge. BCG Danish: BCG Danish 1331 is on the WHO list of pre-qualified vaccines and has a well-defined side effect profile. BCG is licensed for delivery via the intradermal route. It is not licensed for delivery via the aerosol route.
General disorders
Night Sweat
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
Musculoskeletal and connective tissue disorders
Neck Ache
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
Gastrointestinal disorders
Toothache
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
Gastrointestinal disorders
Diarrhoea
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Shivers
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Temperature
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
100.0%
3/3 • Number of events 3 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Feverishness
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
100.0%
3/3 • Number of events 3 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Headache
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
100.0%
3/3 • Number of events 3 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Fatigue
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
100.0%
3/3 • Number of events 3 • Solicited and unsolicited AEs reported within 72 hours of challenge
Gastrointestinal disorders
Nausea
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Malaise
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
100.0%
3/3 • Number of events 3 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Cough
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
100.0%
3/3 • Number of events 3 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Sore throat
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
General disorders
Tickly throat
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
Respiratory, thoracic and mediastinal disorders
Wheeze
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
Respiratory, thoracic and mediastinal disorders
Shortness of breath
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
33.3%
1/3 • Number of events 1 • Solicited and unsolicited AEs reported within 72 hours of challenge
Respiratory, thoracic and mediastinal disorders
Cough phlegm
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
Respiratory, thoracic and mediastinal disorders
Chest Tightness
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
66.7%
2/3 • Number of events 2 • Solicited and unsolicited AEs reported within 72 hours of challenge
Respiratory, thoracic and mediastinal disorders
Cough Blood
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
Respiratory, thoracic and mediastinal disorders
Chest Pain
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge
0.00%
0/3 • Solicited and unsolicited AEs reported within 72 hours of challenge

Additional Information

Professor Helen McShane

University of Oxford

Phone: 01865 617606

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place