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Sponsor Decision
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| Name | Class |
|---|---|
| Walter Reed Army Institute of Research (WRAIR) | FED |
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PXVX0047 (Adenovirus Type 4 and Type 7 Vaccine [A549 Cells], Live, Oral) is an investigational vaccine in development for the indication of active immunization against adenovirus infection. The primary goals of this Phase 1 study are to evaluate safety, pharmacodynamics (viral shedding), and immunogenicity of PXVX0047.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PXVX0047 treatment group | Experimental | Subjects will receive PXVX0047 vaccine and Teva Placebo-to-Match |
|
| Teva Ad4/Ad7 treatment group | Active Comparator | Subjects will receive Teva Ad4/Ad7 vaccine and PXVX0047 Placebo-to-Match |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PXVX0047 Vaccine | Biological | PXVX0047 is a live Adenovirus Type 4 (Ad4) / Adenovirus Type 7 (Ad7) vaccine for single-dose oral administration. The Ad4 and Ad7 strains in PXVX 0047 are unattenuated strains propagated in A549 human adenocarcinomic alveolar basal epithelial cells. |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate safety and tolerability of PXVX0047 by documenting the incidence of severity of solicited adverse events | Incidence of severity of solicited adverse events include abdominal pain, nausea, vomiting, diarrhea, cough, nasal congestion, dyspnea, sore throat, headache, fever fatigue chills myalgia, arthralgia | From Day 1 through Day 15 |
| Evaluate the safety and tolerability of PXVX0047 by documenting the incidence and severity of adverse events that are not solicited. | Unsolicited adverse events include clinical significant laboratory abnormalities | From Day 1 through Day 29 |
| Evaluate the induction of anti-Ad4 neutralizing activity by measuring the Ad4 and Ad7 seroconversion rate | The Ad4 seroconversion rate is defined as the percent of subjects seroconverted (i.e. with a 4-fold or greater rise over baseline in neutralizing antibody titer) to Ad4 as determined by cytopathic-effect (CPE)-based assay | From Day 1 to Day 29 |
| Evaluate the induction of anti-Ad7 neutralizing activity by measuring the Ad7 seroconversion rate | The Ad7 seroconversion rate is defined as the percent of subjects seroconverted (i.e. with a 4-fold or greater rise over baseline in neutralizing antibody titer) to Ad7 as determined by cytopathic-effect (CPE)-based assay | From Day 1 to Day 29 |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the pharmacodynamics of PXVX0047 by measuring the shedding of Ad4 viruses via the GI tract | Shedding of Ad4 via the GI tract, as assessed by rectal swabs | Days 4, 8, 15, 22, and 29 |
| Evaluate the pharmacodynamics of PXVX0047 by measuring the shedding of Ad7 viruses via the GI tract |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States | ||
| University of Vermont Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37376480 | Derived | Beaty S, Collins N, Karasavvas N, Kuschner R, Hang J, Adhikari A, Maljkovic Berry I, Fung C, Walls S, Betancourt E, Mendy J, Lock M, Gierman E, Bennett S, Shabram P, Warfield K. A Phase 1 Two-Arm, Randomized, Double-Blind, Active-Controlled Study of Live, Oral Plasmid-Derived Adenovirus Type 4 and Type 7 Vaccines in Seronegative Adults. Vaccines (Basel). 2023 Jun 12;11(6):1091. doi: 10.3390/vaccines11061091. |
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| ID | Term |
|---|---|
| D000257 | Adenoviridae Infections |
| ID | Term |
|---|---|
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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|
| Teva Ad4/Ad7 Vaccine | Biological | Teva Ad4/Ad7 is a live Adenovirus Type 4 (Ad4) / Adenovirus Type 7 (Ad7) vaccine for single-dose oral administration. The Ad4 and Ad7 strains in Teva Ad4/Ad7 are unattenuated strains propagated in WI-38 human diploid fibroblast cells. |
|
Shedding of Ad7 via the GI tract, as assessed by rectal swabs |
| Days 4, 8, 15, 22, and 29 |
| Evaluate the pharmacodynamics of PXVX0047 by measuring the shedding of Ad4 viruses via the respiratory tract | Shedding of Ad4 via the respiratory tract, as assessed by throat swabs. | Days 4, 8, 15, 22, and 29 |
| Evaluate the pharmacodynamics of PXVX0047 by measuring the shedding of Ad7 viruses via the respiratory tract | Shedding of Ad7 via the respiratory tract, as assessed by throat swabs. | Days 4, 8, 15, 22, and 29 |
| Evaluate the pharmacodynamics of PXVX0047 by measuring the presence of Ad4 viremia | Presence of Ad4 viremia in the blood | Days 4, 8, 15, 22, and 29 |
| Evaluate the pharmacodynamics of PXVX0047 by measuring the presence of Ad7 viremia | Presence of Ad7 viremia in the blood | Days 4, 8, 15, 22, and 29 |
| Evaluate the immunogenicity of PXVX0047 by measuring Ad4 seroconversion rates | The Ad4 seroconversion rates, measured independently, determined by luciferase and CPE-based assays | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring Ad7 seroconversion rates | The Ad7 seroconversion rates, measured independently, determined by luciferase and CPE-based assays | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring cumulative Ad4 seroconversion rates | The cumulative Ad4 seroconversion rates, measured independently, where cumulative seroconversion through a particular visit is defined as having seroconverted at or prior to that visit. | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring cumulative Ad7 seroconversion rates | The cumulative Ad7 seroconversion rates, measured independently, where cumulative seroconversion through a particular visit is defined as having seroconverted at or prior to that visit. | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring geometric mean titer | The geometric mean titer (GMT) of neutralizing antibodies to Ad4, measured independently | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring geometric mean titer | The geometric mean titer (GMT) of neutralizing antibodies to Ad7, measured independently | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring the fold-rise over baseline of neutralizing antibodies to Ad4 viruses | The fold-rise over baseline in neutralizing antibodies to Ad4, measured independently | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring the fold-rise over baseline of neutralizing antibodies to Ad7 viruses | The fold-rise over baseline in neutralizing antibodies to Ad7, measured independently | Through Day 57 |
| Evaluate the immunogenicity of PXVX0047 by measuring the cellular immune responses to Ad4 viruses | The cellular immune responses to Ad4, measured independently | At Days 29 and 57. |
| Evaluate the immunogenicity of PXVX0047 by measuring the cellular immune responses to Ad7 viruses | The cellular immune responses to Ad7, measured independently | At Days 29 and 57. |
| Burlington |
| Vermont |
| 05401 |
| United States |