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A Phase 1, Randomized, Placebo-Controlled, Observer-Blinded, Escalating Dose-Ranging Study to Assess the Safety, and immunogenicity of 6 different recombinant RSV-F formulations in healthy adults (18 to 49 years of age).
Study Objectives:
Primary:
Secondary:
A total of 150 subjects will be allocated to 7 cohorts. Subjects will be randomly assigned to vaccine treatment or saline placebo in a 4:1 ratio, such that each cohort will include 20 subjects who receive active vaccine (Groups A, B, C, D, F and G) and 5 subjects who receive placebo (Group E).
Subjects will be followed for all AEs, including SAEs and non-serious AEs, from the time of each vaccination through 30 days following the second vaccination (Day 60±5). After Day 60, subjects will be contacted via telephone on a monthly basis (approximately Days 90, 120, 150, 180, and 210) and asked about the occurrence of SAEs and SNMCs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A: Dose 1 + adjuvant | Experimental |
| |
| B: Dose 2 + adjuvant | Experimental |
| |
| C: Dose 3 + adjuvant | Experimental |
| |
| D: Dose 3 alone | Experimental |
| |
| E: Placebo control | Placebo Comparator |
| |
| F: Dose 4 alone | Experimental |
| |
| G: Dose 4 +adjuvant | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RSV-F Particle Vaccine | Biological | Dose 1 + adjuvant / dose; Day 0 and Day 30 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To assess and compare the safety, reactogenicity, and tolerability of 6 RSV-F protein particle vaccine formulations. | This primary outcome will be evaluated through an assessment of the following parameters:
| Day 60 (2 months) |
| Measure | Description | Time Frame |
|---|---|---|
| To assess and compare the immunogenicity (neutralizing antibody and total anti-F antibody) of the 6 RSV-F protein particle vaccine formulations | This secondary outcome will be assessed in the following manner:
| Day 60 (2 months) |
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Inclusion Criteria:
Male or female aged 18 to 49 years inclusive
Ability to provide written informed consent to participate
Healthy, as determined by medical history, physical examination, vital signs, and clinical safety laboratory examinations at baseline
Females are required to fulfill one of the following criteria:
All female subjects must have a negative urine pregnancy test within 48 hours preceding receipt of each vaccination.
Comprehension of the study requirements, expressed availability for the required study period, and ability to attend scheduled visits and be contacted by telephone throughout the follow-up period
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| D. Nigel Thomas, Ph.D. | Novavax, Inc. | Study Director |
| Dennis Ruff, MD | Healthcare Discoveries d/b/a ICON Development Solutions | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Healthcare Discoveries d/b/a ICON Development Solutions | San Antonio | Texas | 78209 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10814577 | Background | Calder LJ, Gonzalez-Reyes L, Garcia-Barreno B, Wharton SA, Skehel JJ, Wiley DC, Melero JA. Electron microscopy of the human respiratory syncytial virus fusion protein and complexes that it forms with monoclonal antibodies. Virology. 2000 May 25;271(1):122-31. doi: 10.1006/viro.2000.0279. | |
| 1765771 | Background |
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| RSV-F Particle Vaccine |
| Biological |
Dose 2 + adjuvant / dose; Day 0 and Day 30 |
|
| RSV-F Particle Vaccine | Biological | Dose 3 + adjuvant / dose; Day 0 and Day 30 |
|
| RSV-F Particle Vaccine | Biological | Dose 3 / dose; Day 0 and Day 30 |
|
| Placebo | Biological | Placebo; Day 0 and Day 30 |
|
| RSV-F Particle Vaccine | Biological | Dose 4 / dose; Day 0 and Day 30 |
|
| RSV-F Particle Vaccine | Biological | Dose 4 + adjuvant / dose; Day 0 and Day 30 |
|
| Collins PL, Mottet G. Post-translational processing and oligomerization of the fusion glycoprotein of human respiratory syncytial virus. J Gen Virol. 1991 Dec;72 ( Pt 12):3095-101. doi: 10.1099/0022-1317-72-12-3095. |
| 9359721 | Background | Johnson S, Oliver C, Prince GA, Hemming VG, Pfarr DS, Wang SC, Dormitzer M, O'Grady J, Koenig S, Tamura JK, Woods R, Bansal G, Couchenour D, Tsao E, Hall WC, Young JF. Development of a humanized monoclonal antibody (MEDI-493) with potent in vitro and in vivo activity against respiratory syncytial virus. J Infect Dis. 1997 Nov;176(5):1215-24. doi: 10.1086/514115. |
| 9658147 | Background | Lopez JA, Bustos R, Orvell C, Berois M, Arbiza J, Garcia-Barreno B, Melero JA. Antigenic structure of human respiratory syncytial virus fusion glycoprotein. J Virol. 1998 Aug;72(8):6922-8. doi: 10.1128/JVI.72.8.6922-6928.1998. |
| 9349459 | Background | Melero JA, Garcia-Barreno B, Martinez I, Pringle CR, Cane PA. Antigenic structure, evolution and immunobiology of human respiratory syncytial virus attachment (G) protein. J Gen Virol. 1997 Oct;78 ( Pt 10):2411-8. doi: 10.1099/0022-1317-78-10-2411. No abstract available. |
| 12517228 | Background | Thompson WW, Shay DK, Weintraub E, Brammer L, Cox N, Anderson LJ, Fukuda K. Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA. 2003 Jan 8;289(2):179-86. doi: 10.1001/jama.289.2.179. |
| Background | U.S. Department of Health and Human Services, Food and Drug Administration, Center for Biologics Evaluation and Research. Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials. September 2007. |
| 23153449 | Derived | Glenn GM, Smith G, Fries L, Raghunandan R, Lu H, Zhou B, Thomas DN, Hickman SP, Kpamegan E, Boddapati S, Piedra PA. Safety and immunogenicity of a Sf9 insect cell-derived respiratory syncytial virus fusion protein nanoparticle vaccine. Vaccine. 2013 Jan 7;31(3):524-32. doi: 10.1016/j.vaccine.2012.11.009. Epub 2012 Nov 12. |
| ID | Term |
|---|---|
| D018357 | Respiratory Syncytial Virus Infections |
| ID | Term |
|---|---|
| D018186 | Pneumovirus Infections |
| D018184 | Paramyxoviridae Infections |
| D018701 | Mononegavirales Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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