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This will be a randomised observational phase 1 study in 48 healthy volunteers aged 18-50. The study is assessing safety and immunogenicity of viral vectored vaccines ChAdOx1 NP+M1 and MVA NP+M1 in heterologous prime-boost regimens. A crossover design will allow comparison of the two vaccines. Volunteers will be divided into 4 groups (n=12 in each group). Groups will be recruited simultaneously to control for seasonal changes in influenza. This is because at certain times of year there is likely to be a higher naturally acquired T cell response to influenza than at other times due to circulating influenza virus in the community.
The study has been extended to include 2 additional groups (group 5 & 6), each containing 12 healthy adults aged 50 years or above. Group 5 will receive ChAdOx 1 NP+M1 on day 0, and group 6 will receive this with an additional boost of MVA-NP+M1 8 weeks later.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 2 | Experimental | ChAdOx1 NP+M1 2.5 x 10¹⁰vp followed by MVA NP+M1 1.5 x 10⁸pfu 52 weeks later. |
|
| Group 3 | Experimental | MVA NP+M1 1.5 x 10⁸pfu followed by ChAdOx1 NP+M1 2.5 x 10¹⁰vp 8 weeks later. |
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| Group 4 | Experimental | MVA NP+M1 1.5 x 10⁸pfu followed by ChAdOx1 NP+M1 2.5 x 10¹⁰vp 52 weeks later. |
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| Group 1 | Experimental | ChAdOx1 NP+M1 2.5 x 10¹⁰vp followed by MVA NP+M1 1.5 x 10⁸pfu 8 weeks later. |
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| Group 5 | Experimental | ChAdOx1 NP+M1 2.5 x 10¹⁰vp |
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| Group 6 | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MVA NP+M1 | Biological | MVA NP+M1 1.5 x 10⁸pfu intramuscularly. |
|
| Measure | Description | Time Frame |
|---|---|---|
| To assess the safety of prime/boost vaccination regimens employing MVA-NP+M1 and ChAdOx1 NP+M1. | Safety will be assessed by the nature, frequency, severity, seriousness and duration of adverse events arising during the study combined with analysis of hematology and biochemistry lab tests for abnormalities. | Up to 78 weeks post first vaccination. |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the cellular immune response generated by prime/boost vaccination regimens employing MVA-NP+M1 and ChAdOx1 NP+M1. | The secondary outcomes of peak immune response after first vaccination and peak immune response after second vaccination will be analysed by calculating the area under the curve of the immune response (IFN-γ SFC/ million PBMCs) for each volunteer from baseline to week 78. The mean area under the curve in the 4 groups will then be compared using an analysis of variance, or in the case of skewed data a Kruskal Wallis test. Further pairwise comparisons will be made if a significant difference is found between groups. |
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Inclusion Criteria for Groups 1-4
The volunteer must satisfy all the following criteria to be eligible for the study:
Exclusion Criteria for Groups 1-4
The volunteer may not enter the study if any of the following apply:
Inclusion Criteria for Groups 5-6
The volunteer must satisfy all the following criteria to be eligible for the study:
Exclusion Criteria for Groups 5-6
The volunteer may not enter the study if any of the following apply:
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| Name | Affiliation | Role |
|---|---|---|
| Adrian V S Hill, MD | University of Oxford | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Clinical Vaccinology and Tropical Medicine | Oxford | Oxfordshire | OX3 7LE | United Kingdom | ||
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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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ChAdOx1 NP+M1 2.5 x 10¹⁰vp followed by MVA NP+M1 1.5 x 10⁸pfu 8 weeks later.
|
| ChAdOx1 NP+M1 | Biological | ChAdOx1 NP+M1 2.5 x 10¹⁰vp intramuscularly. |
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| 78 weeks after first vaccination |
| Surrey Clinical Research Centre, University of Surrey |
| Guildford |
| GU2 7XP |
| United Kingdom |
| NIHR Wellcome Trust Clinical Research Facility Southampton | Southampton | SO16 6YD | United Kingdom |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |