Clinical trial NCT06873282: Phase 2 Study of the ТВ/Flu-05Е Tuberculosis Vaccine
Official title: Randomized, Double-blind, Placebo-controlled Phase 2 Trial of ТВ/Flu-05Е Intranasal Vector Vaccine for the Prevention of Tuberculosis Infection in BCG-vaccinated Volunteers Aged 18-50 Years
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Tuberculosis
Keywords: Tuberculosis vaccine
BCG boost
influenza vector
mucosal vaccine
Lead sponsor: Research Institute of Influenza, Russia
Sponsor class: OTHER
Collaborators: name: Pavlov First Saint Petersburg State Medical University
name: St. Petersburg City Polyclinic No. 34
First posted: 2025-03-12
Enrollment: 160
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The aim of the study is to investigate immunogenicity and safety of the TB/Flu-05E single-dose intranasal vaccine for the prevention of Tuberculosis infection in BCG-vaccinated Volunteers aged 18-50 years

Detailed description: Study includes 160 participants aged 18 to 50, randomized at 3:1 ratio, to receive single intranasal dose of TB/Flu-05E vaccine or placebo, correspondingly. Duration of the study for each participant is about 4 months (no more than 114 days).

Eligibility criteria: Inclusion Criteria:

1. Healthy BCG-vaccinated men and women aged 18 to 50 years
2. Availability of signed informed consent
3. Diagnosed "healthy" according to the data of standard clinical, laboratory and instrumental examination methods, with the absence of clinically significant changes. Participants with chronic conditions that do not require special treatment, such as diabetes mellitus, hypertension, or heart disease, are eligible to participate in this study if the investigator considers the participant's condition to be medically stable
4. The ability and willingness to make entries in the diary of self-observation, as well as to carry out all the visits foreseen in the study for control medical observation
5. Consent of study participants to use effective contraceptive methods throughout their participation in the study. In this study, volunteers can use the following methods of contraception:

   * Barrier methods:

     * male condom and spermicide
     * cervical cap and spermicide
     * vaginal diaphragm and spermicide
   * Intrauterine device
   * Hormonal intrauterine device
   * Hormonal contraceptives:

     * hormonal implants
     * hormone injections
     * combined oral contraceptives
     * mini-pill
     * contraceptive patch
   * Abstinence from sexual activity.
6. Body weight ≥ 50 kg
7. Negative test for alcohol in exhaled air
8. Values of the complete blood count and biochemical blood analysis (during the screening) within 0.9\*reference range lower limit and 1,1 \* reference range upper limit
9. Negative tests for HIV, hepatitis B, hepatitis C, and syphilis
10. Absence of pathological changes on the chest X-ray (fluorogram of the lungs).

Exclusion Criteria:

1. Participation in another clinical study within three months prior to the start of the current study; planning to participate in another study during the current study period
2. Clinical, radiological or laboratory signs of active or previously transferred tuberculosis of any localization.
3. Existence in the past or present of contact with patients with any form of tuberculosis (at home, at work, in the circle of friends and acquaintances)
4. Tuberculous infection confirmed by the TB-FERON IGRA laboratory test
5. Immunization with BCG within six months prior to enrollment in the current study
6. Contact with COVID-19 patients within 14 days prior to the start of the clinical study
7. Positive rapid test result for SARS-CoV-2 antigen
8. Immunization with any other non-study vaccine product within three weeks prior to enrollment in the current study, or refusal to postpone such until the end of the three-week period after completion of the current study
9. Regular use of nasal irrigation therapy during the last six months prior to enrollment in the current study or episodic use of the above method of treatment in the two weeks prior to the screening
10. History of frequent nosebleeds (\>5) during the year prior to the current study
11. Features of the nasal anatomy that may complicate intranasal administration of the study drug.
12. Surgical interventions or traumatic injuries in the sinus area, paranasal sinuses, or traumatic injuries of the nose within a month before screening
13. Symptoms of acute respiratory disease, including fever, or other acute illness at the time of screening or within two weeks prior to screening
14. Treatment with immunoglobulins or other blood derived medications in the three months prior to screening or planning such treatment during the period of participation in the current study
15. History of bronchial asthma
16. Hypersensitivity and the presence of severe allergic reactions, including Quincke's edema, anaphylactic shock after the previous administration of any vaccine
17. History of wheezing after previous immunization with live influenza vaccine
18. Other adverse events after immunization (fever above 40°C, syncope, non-febrile convulsions, anaphylaxis) when there is a minimal likelihood that they are associated with a previous administration of any vaccine
19. Suspicion of hypersensitivity to any component of the study vaccine, including egg protein
20. Acute or chronic clinically significant lung, cardiovascular, hepatic, endocrine, neurological, or psychiatric disorders, or impaired renal function identified by history, physical examination, or clinical laboratory findings that, in the opinion of the investigator, may influence the outcome of the study
21. History of oncological diseases
22. History of thrombocytopenic purpura or bleeding disorders
23. History of convulsions
24. Chronic alcohol dependence or chronic use of illicit drugs, drug abuse
25. Claustrophobia and social phobia according to history and / or available medical records
26. Inability to read Russian; inability or unwillingness to understand the essence of the study
27. Military personnel undergoing military service on conscription
28. Special diet (eg, vegetarian, vegan, salt-restricted) or lifestyle (night work, extreme physical activity)
29. Any condition that, in the opinion of the investigator, may increase the risk to the health of a volunteer participating in the study or affect the results of the study

Primary outcomes:
measure: Level of TB antigen-specific cytokine producing T-cells
timeFrame: Days 1, 7, 21
measure: Level of TB antigen-specific cytokine release in whole blood assay
timeFrame: Days 1, 7, 21
Secondary outcomes:
measure: Number of participants with local and systemic adverse events (AEs) and serious adverse events (SAEs)
timeFrame: Throughout the study, average 4 months
measure: Percent of participants with T-cell response to M. tuberculosis antigens
timeFrame: Days 7, 21
measure: Level of TB antigen-specific IgG antibody in serum
timeFrame: Days 1, 21, 111±3
measure: Level of B-cell and Tfh-cell populations
timeFrame: Days 1, 7, 21
measure: Level of mucosal IgA antibody in nasal secret
timeFrame: Days 1, 21
measure: Level of influenza-specific cytokine producing T-cells
timeFrame: Days 1, 7, 21
measure: Influenza specific systemic antibody immune response
timeFrame: Days 1, 21, 111±3
Other outcomes:
Locations:
city: St Petersburg
country: Russian Federation
facility: Smorodintsev Research Institute of Influenza
city: St. Petersburg
country: Russian Federation
facility: Pavlov First Saint Petersburg State Medical University
city: St. Petersburg
country: Russian Federation
facility: St. Petersburg City Polyclinic No. 34
Study officials:
affiliation: Smorodintsev Research Institute of Influenza
name: Marina Stukova, Dr
role: STUDY_DIRECTOR
References: