Clinical trial NCT05155319: Universal Influenza A Vaccine in Healthy Adults
Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled Dose-Escalation Study Evaluating Safety and Immunogenicity of Influenza A Hemagglutinin Stabilized Stem Nanoparticle Vaccine Candidate in Healthy Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Human Influenza
Keywords: universal
universal influenza vaccine
phase 1
randomized
double-blind
placebo
Lead sponsor: Emergent BioSolutions
Sponsor class: INDUSTRY
First posted: 2021-12-13
Enrollment: 27
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The goal of this Phase 1, single- center, randomized, double blind, placebo-controlled dose-escalation study is to evaluate the safety, tolerability and immunogenicity of UFluA vaccine candidate at two dose levels and two schedules in healthy adult (18-45-year-old, inclusive) male and non-pregnant female subjects.

Detailed description: A total of 60 healthy adult subjects will be enrolled in the study and followed through Day 337 (i.e., up to 48 weeks after first dose). Subjects will be enrolled into two study cohorts to receive either a low dose (Cohort 1; n=30 receives) or high dose (Cohort 2; n=30) of adjuvanted UFluA or placebo (saline), administered intramuscularly (IM) as single dose or as two doses (administered 21 days apart).

UFluA is comprised of DP-UFluA (1:1 A1-ssnp and A2-ssnp antigens) and contains aluminum hydroxide and CpG adjuvants.

Primary Objective:

To evaluate safety and tolerability of UFluA IM administration in healthy adults.

Secondary Objectives:

To assess anti-hemagglutinin humoral immune responses in healthy adults who receive UFluA. To assess ferritin (Helicobacter pylori and human) immune response in healthy adults who receive UFluA.

Eligibility criteria: Inclusion Criteria:

* Male and female adults (18-45 years of age, inclusive) at the Screening visit.
* Body mass index of 18.5-32.0 kg/m\^2 (inclusive) at the Screening visit.
* Healthy, based on medical history (no chronic disease, no chronic therapy, no ongoing acute condition within four weeks prior to dosing as per PI \[or designee\] discretion), normal PE (no clinically significant findings in the opinion of the PI \[or designee\]), no clinically significant findings on screening electrocardiogram (ECG) and laboratory assessments in the opinion of the PI \[or designee\].
* Females must not be pregnant or trying to become pregnant.
* Both male and female subjects agree to acceptable forms of birth control. Male subjects must not donate sperm for the duration of the study.

Exclusion Criteria:

* Enrollment in an interventional study and/or receipt of any investigational product within 30 days prior to screening visit or during the study.
* Currently breastfeeding or planning to be breastfeeding during the study.
* History of severe allergic reaction(s) or anaphylaxis.
* Known allergy to any component of the vaccine.
* History of any known immunodeficiency or immunocompromising condition that could impact response to administration of the investigational product (e.g., leukemia, lymphoma, malignancy, renal failure, asplenia, diabetes mellitus, alcoholic cirrhosis).
* Receipt or anticipated receipt of blood products from 180 days prior to the Screening visit through 90 days following administration of IP.
* Positive laboratory evidence of current infection at the Screening visit with HIV 1 and 2 (as determined by HIV 1/2 antibody test), HCV (as determined by HCV antibody test), or HBV \[as determined by HBV surface antigen (HBsAg) test\]. Note: positive anti-HCV antibody result along with a negative HCV PCR result would not be exclusionary.
* Any clinically significant abnormalities in rhythm, conduction, or morphology of the resting 12-lead electrocardiogram (ECG) based on the PI's (or designee's) review of tracing results at the Screening visit. \[Non-pathologic sinus bradycardia (heart rate must be \>40 beats per minute) is allowed\].
* Receipt or anticipated receipt of the seasonal influenza vaccination from up to 90 days prior to dosing and through up to 30 days following the last dose administration.
* Receipt or anticipated receipt of any COVID-19 vaccine from up to 14 days prior to dosing and through up to 30 days following the last dose administration.
* Receipt or anticipated receipt of any other vaccines from up to 90 days prior to dosing and through up to 30 days following last dose administration of investigational product.
* Receipt or anticipated receipt of systemic immunomodulatory agents or other immune modifying drugs (including systemic corticosteroids exceeding 20 mg/day for ≥14 days) and antineoplastic agents from up to six months prior to dosing and through the entire duration of the study.
* Planned medical procedure(s) that will impact study compliance during the follow-up period.
* Positive urine drug screen test or any evidence of ongoing drug abuse or dependence (including alcohol), or recent history over the past five years of treatment for alcohol or drug abuse.
* Planning to donate bone marrow, blood, and blood products from the time of screening until 3 months after receiving the last dose.
* Have a tattoo/scar/birthmark or any other skin condition affecting the deltoid area that may interfere with injection site assessments.
* History of H. pylori infection or documented iron deficiency within the past five years.
* An opinion of the PI (or designee) that it would not be in the best interest of the subject to allow participation in the study.

Primary outcomes:
measure: Safety of the UFluA vaccine following one of four dose schedules as evaluated through adverse events (AEs), serious adverse events (SAEs), adverse events of special interest (AESIs) and medically attended adverse events (MAAEs).
timeFrame: 48 weeks
measure: Local and systemic reactogenicity of UFluA vaccination following one of four dose schedules.
timeFrame: seven days after each vaccination
Secondary outcomes:
measure: Anti-H. pylori ferritin immune response to UFluA vaccination.
timeFrame: up to 4 weeks after the last vaccination.
measure: Anti-human ferritin immune response to UFluA vaccination.
timeFrame: up to 4 weeks after the last vaccination.
measure: Humoral immune response to A1 influenza antigen following UFluA vaccination.
timeFrame: up to 4 weeks after the last vaccination.
measure: Humoral immune response to A2 influenza antigen following UFluA vaccination.
timeFrame: up to 4 weeks after the last vaccination.
Other outcomes:
Locations:
city: Brookvale
country: Australia
facility: Northern Beaches Clinical Research
state: New South Wales
city: Nedlands
country: Australia
facility: Linear Clinical Research
state: Western Australia
Study officials:
affiliation: Emergent BioSolutions
name: James McCarthy, MD
role: STUDY_DIRECTOR
References: