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| ID | Type | Description | Link |
|---|---|---|---|
| WRAIR 2289 | Other Identifier | WRAIR |
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This is a single-center, randomized, single-blinded study of the Hantaan virus HTNV DNA vaccine alone, Puumala virus PUUV DNA vaccine alone, and mixed Hantaan/Puumala HTNV/PUUV DNA vaccines delivered intramuscularly IM by the needle-free PharmaJet Stratus DSJI device.
Investigational HTNV and PUUV DNA vaccines, manufactured in accordance with cGMP guidelines by Ajinomoto Bio-Pharma Services (California), from their respective drug substances, pWRG/HTN-M(co) and pWRG/PUU-M(s2),were constructed on a well-characterized plasmid backbone, pWRG7077. These plasmid DNA vaccines will be delivered IM using the needle-free, disposable syringe jet injection device (PharmaJet Stratis). Subjects will be randomized into 3 groups of 9 subjects each for a total of 27 subjects. Each subject will receive a total of 3 vaccinations. Group 1 vaccine will consist of 2 administrations of 1 mg of HTN plasmid (left and right deltoid) for a total of 2 mg/vaccination. Group 2 vaccine will consist of 2 administrations of 1 mg of PUU plasmid (left, right deltoid) for a total of 2 mg/vaccination. Group 3 vaccine will consist of a 1:1 mixture of HTNM and PUU vaccines (left, right deltoid) for a total of 2 mg/vaccination (1 mg/vaccination of each DNA). Vaccinations will be administered on Days 0, 28, and 56. There will be an optional 4th vaccination on Day 168 dependent on subject availability for the additional follow-up visit on Day 196, tolerability of the vaccinations to date, and investigator discretion. Volunteers will be invited back for the 4th vaccination to determine if a booster dose results in increased immunogenicity and seroconversion. All subjects will be followed until Day 252 (9 months). A Day 365 follow-up visit, for an immunogenicity draw only, may be requested dependent on immunogenicity results shortly after this final date, generally within 4 weeks of the Day 252 visit or once the assays can be completed. Subjects may be allowed to receive other licensed vaccinations or enroll in other clinical trials after the Day 252 visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hantaan Vaccine: | Experimental | 1 mg in 0.5 mL per administration, 2 administrations per vaccination, total injected volume 1 mL per vaccination (for 2.0 mg dose) |
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| Puumala Vaccine: | Experimental | 1 mg in 0.5 mL per administration, 2 administrations per vaccination, total injected volume 1 mL per vaccination (for 2.0 mg dose) |
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| Hantaan/Puumala Vaccine | Experimental | The HTNV and PUUV vaccine will be combined (equal volumes) before use: 1 mg in 0.5 mL per administration, 2 administrations per vaccination, total injected volume 1 mL per vaccination (for 2.0 mg dose) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hantaan Vaccine: | Biological | DNA Vaccine 2.0 mg/1 mL phosphate-buffered saline |
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| Measure | Description | Time Frame |
|---|---|---|
| Hantaan Vaccine: Number of Adverse Events | Number of adverse events. | 365 days |
| Puumala Vaccine: Number of Adverse Events | Number of adverse events. | 365 days |
| Hantaan/Puumala Vaccine: Number of Adverse Events | Number of adverse events. | 365 days |
| Measure | Description | Time Frame |
|---|---|---|
| Hantaan Vaccine (50) immunogenicity | Pseudovirion neutralization assay 50% titer | 365 days |
| Puumala Vaccine (50) immunogenicity | Pseudovirion neutralization assay 50% titer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kristopher Paolino, MD | Walter Reed Army Institute of Research (WRAIR) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| WRAIR Clinical Trials Center | Silver Spring | Maryland | 20910 | United States |
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Study will enroll 3 randomized groups of 9 subjects for a total of 27 subjects. Every subject will receive a total of 3 vaccinations. Subjects will be blinded to the group they are randomized to. Each vaccination consists of 2 administrations of 1 mg (left/right deltoid) for a total of 2 mg/vaccination. Group 1 will be vaccinated with the HTNV vaccine, pWRG/HTN-M (co). Group 2 will be vaccinated with the PUUV vaccine, pWRG/PUU-M (s2). Group 3 will be vaccinated with a combined HTNV/PUUV vaccines. Each group will be vaccinated on Days 0, 28, and 56. An optional 4th vaccination on Day 168 with follow-up on Day 196. All doses will be administered with PharmaJet Stratis device. All subjects to be followed until at least 3 months post last vaccination with Day 252 the final study visit (a 12-month, optional follow-up visit may be requested approximately on Day 365). Subjects will complete postinjection memory aids for 7 days after each vaccination.
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Subjects will be blinded to the vaccine(s) they are receiving. All subjects will receive active product; there is no placebo control group.
| Puumala Vaccine |
| Biological |
DNA Vaccine 2.0 mg/1 mL phosphate-buffered saline |
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| Hantaan/Puumala Vaccine | Biological | DNA Vaccine 2.0 mg/1 mL phosphate-buffered saline |
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| 365 days |
| Hantaan/Puumala Vaccin (50) immunogenicity | Pseudovirion neutralization assay 50% titer | 365 days |
| Hantaan Vaccine (80) immunogenicity | Pseudovirion neutralization assay 80% titer | 365 days |
| Puumala Vaccine (80) immunogenicity | Pseudovirion neutralization assay 80% titer | 365 days |
| Hantaan/Puumala Vaccin (80) immunogenicity | Pseudovirion neutralization assay 80% titer | 365 days |
| Hantaan Vaccine (80) immunogenicity | Plaque-reduction neutralization test (PRNT) comparing Day 0 to Day 84 | 84 days |
| Puumala Vaccine (80) immunogenicity | Plaque-reduction neutralization test (PRNT) comparing Day 0 to Day 84 | 84 days |
| Hantaan/Puumala Vaccin (80) immunogenicity | Plaque-reduction neutralization test (PRNT) comparing Day 0 to Day 84 | 84 days |