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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-000944-13 | EudraCT Number |
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This is a randomized, double-blind, placebo-controlled study. Eligible subjects will be randomized in a 1:1 ratio to receive GEN-004 with adjuvant or placebo. Each subject will receive up to 3 doses at 4 week intervals.
Following the third dose, subjects will be inoculated intranasally with S. pneumoniae serotype 6B. Nasal washes to identify S. pneumoniae colonization will be obtained pre-inoculation, and then 2, 7 and 14 days after inoculation.
Subjects will also be monitored for safety and tolerability throughout the dosing period, and then for 12 months after their last dose.
The purpose of this study is to evaluate the effectiveness of GEN-004 in reducing colonization rates and magnitude of colonization following the S. pneumoniae challenge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GEN-004 with Aluminum Hydroxide | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GEN-004 with Aluminum Hydroxide Adjuvant | Biological | GEN-004: 100 µg of each antigen, with adjuvant, 350 µg aluminum hydroxide, administered as a 0.5 mL intramuscular (IM) injection. GEN-004 is a recombinant S. pneumoniae protein subunit vaccine consisting of 3 recombinant T cell antigens:
GEN-004 is filled in 2 mL vials containing 0.5 mL (350 µg/mL of each antigen). Aluminum hydroxide adjuvant is filled in 2 mL vials containing 1 mL at a concentration of 5 mg/mL. |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of GEN-004 with aluminum hydroxide in healthy adult subjects to reduce nasopharyngeal colonization following intranasal inoculation with S. pneumoniae serotype 6 as measured by proportion of colonized subjects | 56 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of GEN-004 with aluminum hydroxide | 56 weeks | |
| Duration of S. pneumoniae colonization through 14 days after inoculation | 12 weeks | |
| Immunogenicity of GEN-004 with aluminum hydroxide, as measured by TH17 (IL-17) and IgG responses to the vaccine antigens in sera and nasal fluid |
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Inclusion Criteria:
Exclusion Criteria:
NOTE: Subjects who are taking a medication to control an underlying co-morbidity may be enrolled if there have been no changes to their medication within 60 days prior to first dose of Study Drug.
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| Name | Affiliation | Role |
|---|---|---|
| Richard Fitzgerald, MD | Royal Liverpool University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Liverpool University Hospital, Liverpool School of Tropical Medicine | Liverpool | L35QA | United Kingdom |
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| Placebo | Biological | Placebo: normal saline, 0.5 mL per dose, IM. |
|
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| Streptococcus pneumoniae inoculation | Biological | Intranasal inoculation of S. Pneumoniae (80,000 CFU/100μl per nostril) serotype 6B. |
|
|
| 56 weeks |
| Impact of GEN-004 on the density of colonization as measured by S. pneumoniae colony forming units (CFUs) post-inoculation | 56 weeks |
| ID | Term |
|---|---|
| D011008 | Pneumococcal Infections |
| D011018 | Pneumonia, Pneumococcal |
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D013290 | Streptococcal Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D018410 | Pneumonia, Bacterial |
| D012141 | Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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