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| Name | Class |
|---|---|
| Medicago | INDUSTRY |
| Defense Advanced Research Projects Agency | FED |
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The purpose of this study is to determine the safety, tolerability, and immunogenicity in healthy adult subjects of an investigational vaccine being developed for the prevention of pandemic influenza. The vaccine, identified as H5-VLP + GLA-AF, consists of a recombinant influenza virus H5 protein (hemagglutinin from A/Indonesia/5/2005) produced in a plant-based expression system assembling into virus-like particles together with the adjuvant GLA-AF.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 20 µg H5-VLP + 2.5 µg GLA-AF given ID | Experimental |
| |
| 20 µg H5-VLP + 2.5 µg GLA-AF given IM | Experimental |
| |
| 20 µg H5-VLP alone given ID | Active Comparator |
| |
| 20 µg H5-VLP + 1 mg Alhydrogel(R) given IM | Active Comparator |
| |
| 90 µg licensed H5N1 vaccine | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| H5-VLP + GLA-AF | Biological | H5-VLP antigen and GLA-AF adjuvant. 2 injections at Days 0, and 21. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients experiencing adverse events | To evaluate the safety and tolerability of 20 μg of H5-VLP together with 2.5 μg of GLA-AF compared to 20 µg of H5-VLP alone, 20 µg of H5-VLP with 1 mg Alhydrogel(R), or a licensed H5N1 vaccine following intramuscular or intradermal administration on Days 0 and 21. The safety assessments will be based on local and systemic reactions, including reported adverse events, changes in laboratory values, and changes in vital signs. The severity and relationship to treatment will be recorded for all adverse events. | 385 days |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity | To assess the immunogenicity of H5-VLP + GLA-AF compared to H5-VLP alone, H5-VLP + Alhydrogel, or a licensed H5N1 vaccine following intramuscular or intradermal administration by evaluating humoral and cellular responses to H5-VLP at specified timepoints. | Days 0, 7, 10, 21, 28, 31, 42, and 189 |
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Inclusion Criteria:
Exclusion Criteria:
Previous exposure to H5N1 vaccines or experimental products containing GLA-AF.
History of allergy to any of the constituents of H5-VLP (H5N1) + Alhydrogel (aluminum hydroxide) vaccine.
Participation in another experimental protocol or receipt of any investigational or non-registered products within the past 3 months or planned use during the study period. Subjects may not participate in any other drug study while participating in this study.
Treatment with immunosuppressive drugs (e.g., oral or injected steroids, such as prednisone; high dose inhaled steroids) or cytotoxic therapies (e.g., chemotherapy drugs or radiation) within the past 6 months.
Received a blood transfusion or immunoglobulin within the past 3 months.
Donated blood products (platelets, whole blood, plasma, etc.) within past 1 month.
Poor venous access.
Administration of any vaccine (including any other influenza vaccine) within a 30 day period prior to study enrollment, or planned administration of any vaccines within the period from the first study injection up to blood sampling at Day 42 or within 30 days prior to blood sampling at Day 189. Immunization on an emergency basis of a tetanus and diphtheria toxoids adsorbed for adult use (Td) will be allowed provided the vaccine is not administered within two weeks prior to study injection administration. Receipt of any other emergency immunizations (e.g. rabies) will result in a case-by-case review of continued participation.
History of autoimmune disease or other causes of immunosuppressive states.
Any confirmed or suspected immunosuppressive condition or immunodeficiency including history of human immunodeficiency virus (HIV) infection or presence of lymphoproliferative disease.
History or evidence of any acute or chronic illness (including cardiovascular, pulmonary, neurological, hepatic, rheumatic, hematological, metabolic, or renal disorders, controlled hypertension), or use of medication that, in the opinion of the Principal Investigator (or designated sub-investigator), may interfere with the evaluation of the safety or immunogenicity of the vaccine.
Cancer or treatment for cancer within 3 years of study injection administration. Persons with a history of cancer who are disease-free without treatment for 3 years or more are eligible. Persons with treated and uncomplicated basal cell carcinoma of the skin are eligible.
Presence of significant acute or chronic, uncontrolled medical or neuropsychiatric illness. "Uncontrolled" is defined as:
Rash, tattoos or any other dermatological condition that could adversely affect the vaccine injection site or interfere with its evaluation.
BMI <18 or >30 kg/m2.
Hypertension (systolic ≥150 mmHg or diastolic ≥90 mmHg).
Resting pulse rate <40 bpm or >100 bpm.
Any medical or neuropsychiatric condition which, in the Investigator's opinion, would render the subject incompetent to provide informed consent or unable to provide valid safety observations and reporting.
Known or suspected alcohol or drug abuse within the past 6 months.
Chronic smoker (> 20 pack years).
History of allergy to tobacco or eggs.
Subjects with a history of previous anaphylaxis or severe allergic reaction to vaccines, or unknown allergens.
Subjects who are unlikely to cooperate with the requirements of the study protocol.
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| Name | Affiliation | Role |
|---|---|---|
| Franco Piazza, MD, MPH | Access to Advanced Health Institute (AAHI) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Covance, Inc. | Daytona Beach | Florida | 32117 | United States | ||
| Covance, Inc. |
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| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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| H5-VLP alone | Biological | H5-VLP antigen alone. 2 injections at Days 0, and 21. |
|
| H5-VLP + Alhydrogel(R) | Biological | H5-VLP antigen and Alhydrogel(R) adjuvant. 2 injections at Days 0, and 21. |
|
| Licensed H5N1 vaccine | Biological | Licensed H5N1 vaccine. 2 injections given on Days 0 and 21. |
|
| Dallas |
| Texas |
| 75247 |
| United States |
| Covance, Inc. | Madison | Wisconsin | 53704 | United States |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |