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The purpose of this study is to compare the safety and immunogenicity over a 9-month period of five different dosages of Ad4-H5-Vtn in volunteers (Vaccinees) who receive three doses of the study vaccine or placebo. In addition, transmission of Ad4-H5-Vtn will be evaluated in all Household Contacts residing with the vaccinated volunteers.
Vaccinees also may participate in a substudy in which they receive a booster vaccination with the licensed Influenza Virus Vaccine, H5N1 (Sanofi Pasteur).
At least 160 healthy Vaccinees will be randomized into 5 ascending dosage cohorts each consisting of at least 32 volunteers. In each dosage cohort Vaccinees will be randomly assigned to receive 3 doses of either Ad4-H5-Vtn or placebo separated by approximately 56 days. Volunteers will be followed for 168 days post-third vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | three vaccinations of 10^7vp Ad4-H5-Vtn or placebo |
|
| Cohort 2 | Experimental | three vaccinations of the 10^8vp Ad4-H5-Vtn or placebo |
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| Cohort 3 | Experimental | three vaccinations of 10^9 Ad4-H5-Vtn or placebo |
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| Cohort 4 | Experimental | three vaccinations of 10^10 Ad4-H5-Vtn or placebo |
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| Cohort 5 | Experimental | three vaccinations of 10^11 Ad4-H5-Vtn or placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Other | enteric coated capsule containing no vaccine virus |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety, defined as the frequency and severity of vaccine-related reactogenicity events and reported AEs | Throughout trial (reactogenicity for 7 days following each vaccination) | |
| Immunogenicity (humoral) defined by H5 HAI titer | At all available timepoints |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity (humoral), defined by Ad4 antibody response | At all available timepoints | |
| Replication/excretion of Ad4-H5-Vtn virus | Throughout trial | |
| Transmission to household contacts as measured by AE assessment and antibody response and viral replication/excretion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Gurwith, M.D., J.D. | Emergent BioSolutions | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kentucky | Lexington | Kentucky | 40536 | United States | ||
| The Center for Pharmaceutical Research |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25629161 | Background | Khurana S, Coyle EM, Manischewitz J, King LR, Ishioka G, Alexander J, Smith J, Gurwith M, Golding H. Oral priming with replicating adenovirus serotype 4 followed by subunit H5N1 vaccine boost promotes antibody affinity maturation and expands H5N1 cross-clade neutralization. PLoS One. 2015 Jan 28;10(1):e0115476. doi: 10.1371/journal.pone.0115476. eCollection 2015. | |
| 23369412 |
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|
| Ad4-H5-Vtn | Biological | a live, replication-competent, recombinant Ad4 virus expressing the HA of H5N1 influenza (A/Vietnam/1194/2004) in an enteric capsule for oral administration |
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| Sanofi Pasteur Influenza Virus Vaccine, H5N1 | Biological | Single administration of a heterologous boost given to volunteers 3 to 15 months following their last vaccination with Ad4-H5-Vtn or placebo. |
|
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| Throughout trial |
| Kansas City |
| Missouri |
| 64114 |
| United States |
| University of Rochester | Rochester | New York | 14642 | United States |
| Coastal Carolina Research Center, Inc. | Mt. Pleasant | South Carolina | 29464 | United States |
| Gurwith M, Lock M, Taylor EM, Ishioka G, Alexander J, Mayall T, Ervin JE, Greenberg RN, Strout C, Treanor JJ, Webby R, Wright PF. Safety and immunogenicity of an oral, replicating adenovirus serotype 4 vector vaccine for H5N1 influenza: a randomised, double-blind, placebo-controlled, phase 1 study. Lancet Infect Dis. 2013 Mar;13(3):238-50. doi: 10.1016/S1473-3099(12)70345-6. Epub 2013 Jan 29. |
| ID | Term |
|---|---|
| D005585 | Influenza in Birds |
| D007251 | Influenza, Human |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| ID | Term |
|---|---|
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D007239 | Infections |
| D001715 | Bird Diseases |
| D000820 | Animal Diseases |
| D012141 | Respiratory Tract Infections |
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