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| Name | Class |
|---|---|
| United States Department of Defense | FED |
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This partially-blind, placebo controlled study is a Phase 1b study using an investigational vaccine, NDV-3, directed against Staphylococcus aureus and Candida sp. This study will compare NDV-3 administered with or without alum delivered intramuscularly (IM) at one dose level. It will also evaluate a lower dose of NDV-3 without alum delivered intradermally (ID) compared to placebo delivered ID.
Preclinical studies in mice have established that several members of the Als family of proteins induce a protective immune response in mice and allow high survival rates following challenge with highly virulent doses of either Candida or S. aureus. Als3 (the antigen in the NDV-3 investigational vaccine) is the most effective member of the Als protein family in protecting mice from challenge with either Candida or S. aureus. The first Phase 1 study enrolled 40 healthy subjects that received placebo (N=10), 1 dose (N=30) or 2 doses (N=19) of the NDV-3 vaccine administered intramuscularly (IM). The vaccine was well tolerated and highly immunogenic. This study will evaluate the safety, tolerability and immunogenicity of one dose of NDV-3 vaccine formulated with and without alum given IM and also a lower dose without alum given intradermally (ID). Subjects will have follow-up visits to assess the safety tolerability and immune responses at selected time points up to 90 days post-vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NDV-3 vaccine with alum IM | Active Comparator | 300 ug Als3 and 0.5 mg Al as alum in PBS per dose, one dose administered IM |
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| NDV-3 vaccine without alum IM | Active Comparator | 300 ug Als3 in PBS per dose, one dose administered IM |
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| Placebo IM | Placebo Comparator | 0.5 mg Al as alum in PBS per dose, one dose administered IM |
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| NDV-3 vaccine without alum ID | Active Comparator | 30 ug Als3 in PBS per dose, one dose administered ID |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NDV-3 vaccine with alum IM | Biological | One dose administered IM |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events | The primary objective of this study is to assess the safety of a single dose of NDV-3 vaccine, administered either IM with or without alum adjuvant at one dose level or ID at a lower dose level, compared to placebo. Clinical evaluations will be assessed on each subject at selected time points up to 90 days post-vaccination. | Up to 90 days post-vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity - Serum Anti-Als3 IgG | A secondary objective is to compare the serum IgG immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Serum IgG will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. |
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Inclusion Criteria:
Informed of the nature of the study and have agreed to and are able to read, review, and sign the informed consent document prior to screening. The informed consent document will be written in English, therefore the volunteer must have the ability to read and communicate in English.
Completed the screening process (as described in this protocol) within 28 days prior to dosing.
Healthy male and female volunteers 18-50 years of age, inclusive, at the time of dosing.
No clinically significant deviation from normal as judged by the investigator(s) in the medical history, physical examination (including but may not be limited to an evaluation of the cardiovascular, gastrointestinal, respiratory and central nervous systems), vital sign assessments, 12-lead electrocardiogram (ECG), clinical laboratory assessments, and by general observations.
Female volunteers must be one of the following:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cetero Research Clinical Site | Fargo | North Dakota | 58104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23099329 | Background | Schmidt CS, White CJ, Ibrahim AS, Filler SG, Fu Y, Yeaman MR, Edwards JE Jr, Hennessey JP Jr. NDV-3, a recombinant alum-adjuvanted vaccine for Candida and Staphylococcus aureus, is safe and immunogenic in healthy adults. Vaccine. 2012 Dec 14;30(52):7594-600. doi: 10.1016/j.vaccine.2012.10.038. Epub 2012 Oct 22. |
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Four subjects withdrew before completing Day 28 and were replaced. One subject withdrew before the last visit. While this subject is not considered to have completed the study, data from this subject are included in the immunogenicity and culture results.
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| ID | Title | Description |
|---|---|---|
| FG000 | NDV-3 Vaccine With Alum | NDV-3 (300 ug Als3) vaccine with alum administered IM: One dose administered IM |
| FG001 | NDV-3 Vaccine Without Alum | NDV-3 (300 ug Als3) vaccine without alum administered IM: One dose administered IM |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| NDV-3 vaccine without alum IM |
| Biological |
One dose administered IM |
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| Placebo with alum IM | Biological | One dose administered ID |
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| NDV-3 vaccine without alum ID | Biological | One dose administered ID |
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| Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
| Immunogenicity - Serum Anti-Als3 IgA1 | A secondary objective is to compare the serum IgA1 immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Serum IgA1 will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
| Immunogenicity - Cervicovaginal Wash Anti-Als3 IgG | A secondary objective is to compare the cervicovaginal wash IgG immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Cervicovaginal wash IgG will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
| Immunogenicity - Cervicovaginal Wash Anti-Als3 IgA1 | A secondary objective is to compare the cervicovaginal wash IgA1 immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Cervicovaginal wash IgA1 will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
| Immunogenicity - Number of Participants Positive for Peripheral Blood Mononuclear Cells (PBMCs) Producing Als3-specific Interferon-gamma (IFN-g) | A secondary objective is to compare the cellular immune response for Als3-specific production of IFN-g from PBMCs between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. The IFN-g cellular immune responses will be evaluated by ELISpot using approximately 200,000 PBMCs per well. A positive response was defined as a sample with greater than 20 spot forming units per 10^6 PBMCs. | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
| Immunogenicity - Number of Participants Positive for Peripheral Blood Mononuclear Cells (PBMCs) Producing Als3-specific Interleukin-17A (IL-17A) | A secondary objective is to compare the cellular immune response for Als3-specific production of IL-17A from PBMCs between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. The IL-17A cellular immune responses will be evaluated by ELISpot using approximately 200,000 PBMCs per well. A positive response was defined as a sample with greater than 20 spot forming units per 10^6 PBMCs. | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
| FG002 | Placebo | Placebo administered ID: One dose saline placebo administered ID |
| FG003 | NDV-3 Vaccine ID | NDV-3 (30 ug Als3) vaccine without alum administered ID: One dose administered ID |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | NDV-3 Vaccine With Alum | NDV-3 (300 ug Als3) vaccine with alum administered IM: One dose administered IM |
| BG001 | NDV-3 Vaccine Without Alum | NDV-3 (300 ug Als3) vaccine without alum administered IM: One dose administered IM |
| BG002 | Placebo | Placebo administered ID: One dose saline placebo administered ID |
| BG003 | NDV-3 Vaccine ID | NDV-3 (30 ug Als3) vaccine without alum administered ID: One dose administered ID |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment Emergent Adverse Events | The primary objective of this study is to assess the safety of a single dose of NDV-3 vaccine, administered either IM with or without alum adjuvant at one dose level or ID at a lower dose level, compared to placebo. Clinical evaluations will be assessed on each subject at selected time points up to 90 days post-vaccination. | All subjects completing study. Additionally, a subject in Group 4 withdrew from the study before the very last visit, so while this subject is not considered to have completed the study, immunogenicity and culture data for this subject were included. | Posted | Number | participants | Up to 90 days post-vaccination |
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| Secondary | Immunogenicity - Serum Anti-Als3 IgG | A secondary objective is to compare the serum IgG immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Serum IgG will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Posted | Geometric Mean | Standard Deviation | Titer | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
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| Secondary | Immunogenicity - Serum Anti-Als3 IgA1 | A secondary objective is to compare the serum IgA1 immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Serum IgA1 will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Posted | Geometric Mean | Standard Deviation | Titer | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
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| Secondary | Immunogenicity - Cervicovaginal Wash Anti-Als3 IgG | A secondary objective is to compare the cervicovaginal wash IgG immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Cervicovaginal wash IgG will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Posted | Geometric Mean | Standard Deviation | Titer | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
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| Secondary | Immunogenicity - Cervicovaginal Wash Anti-Als3 IgA1 | A secondary objective is to compare the cervicovaginal wash IgA1 immune response between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. Cervicovaginal wash IgA1 will be evaluated by ELISA on serial-diluted samples, resulting in titer values of reciprocal dilution at which the ELISA readout is three times greater than the assay background value. | Posted | Geometric Mean | Standard Deviation | Titer | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
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| Secondary | Immunogenicity - Number of Participants Positive for Peripheral Blood Mononuclear Cells (PBMCs) Producing Als3-specific Interferon-gamma (IFN-g) | A secondary objective is to compare the cellular immune response for Als3-specific production of IFN-g from PBMCs between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. The IFN-g cellular immune responses will be evaluated by ELISpot using approximately 200,000 PBMCs per well. A positive response was defined as a sample with greater than 20 spot forming units per 10^6 PBMCs. | Posted | Count of Participants | Participants | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
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| Secondary | Immunogenicity - Number of Participants Positive for Peripheral Blood Mononuclear Cells (PBMCs) Producing Als3-specific Interleukin-17A (IL-17A) | A secondary objective is to compare the cellular immune response for Als3-specific production of IL-17A from PBMCs between the 2 dose levels, routes of administration, and effects of alum adjuvant, at selected time points up to 90 days post-vaccination. The IL-17A cellular immune responses will be evaluated by ELISpot using approximately 200,000 PBMCs per well. A positive response was defined as a sample with greater than 20 spot forming units per 10^6 PBMCs. | Posted | Count of Participants | Participants | Baseline, Day 7, Day 14, Day 28, Day 90/Exit |
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90 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | NDV-3 Vaccine With Alum | NDV-3 (300 ug Als3) vaccine with alum administered IM: One dose administered IM | 0 | 41 | 0 | 41 | 35 | 41 |
| EG001 | NDV-3 Vaccine Without Alum | NDV-3 (300 ug Als3) vaccine without alum administered IM: One dose administered IM | 0 | 40 | 0 | 40 | 33 | 40 |
| EG002 | Placebo | Placebo administered ID: One dose saline placebo administered ID | 0 | 41 | 0 | 41 | 30 | 41 |
| EG003 | NDV-3 Vaccine ID | NDV-3 (30 ug Als3) vaccine without alum administered ID: One dose administered ID | 0 | 42 | 0 | 42 | 36 | 42 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA (14.1) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (14.1) | Systematic Assessment |
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| Fatigue | General disorders | MedDRA (14.1) | Systematic Assessment |
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| Injection site erythema | General disorders | MedDRA (14.1) | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA (14.1) | Systematic Assessment |
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| Injection site pruritus | General disorders | MedDRA (14.1) | Systematic Assessment |
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| Injection site swelling | General disorders | MedDRA (14.1) | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA (14.1) | Systematic Assessment |
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| Procedural dizziness | Injury, poisoning and procedural complications | MedDRA (14.1) | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA (14.1) | Systematic Assessment |
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| Blood albumin decreased | Investigations | MedDRA (14.1) | Systematic Assessment |
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| Blood glucose increased | Investigations | MedDRA (14.1) | Systematic Assessment |
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| Protein total decreased | Investigations | MedDRA (14.1) | Systematic Assessment |
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| Protein urine present | Investigations | MedDRA (14.1) | Systematic Assessment |
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| Red blood cells urine positive | Investigations | MedDRA (14.1) | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (14.1) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (14.1) | Systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (14.1) | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (14.1) | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (14.1) | Systematic Assessment |
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| Sinus congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (14.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| John P. Hennessey, Jr. | NovaDigm Therapeutics, Inc. | 12676405189 | john_hennessey@novadigm.net |
| ID | Term |
|---|---|
| D013203 | Staphylococcal Infections |
| D002177 | Candidiasis |
| ID | Term |
|---|---|
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D009181 | Mycoses |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| >=1 severe TEAE |
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| >=1 severe drug-related TEAE |
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| DIscontinued for >=1 TEAE |
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NDV-3 (30 ug Als3) vaccine without alum administered ID: One dose administered ID |
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NDV-3 (30 ug Als3) vaccine without alum administered ID: One dose administered ID |
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