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| Name | Class |
|---|---|
| University Hospital, Ghent | OTHER |
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This clinical study will evaluate the vaccine candidate rNV-2v, which is under development to prevent disease triggered by noroviruses. Noroviruses are one of the leading causes of gastrointestinal diseases in the world. Norovirus infections can cause vomiting, diarrhea, and cramping. Noroviruses can spread easily, especially in hospitals, schools, military barracks and ships. At the moment, there is no vaccine available to prevent norovirus infections or disease. This clinical trial will look at the safety and tolerability of an investigational vaccine that is being developed to prevent norovirus-related disease. The trial will also look at whether the immune system produces a response to the investigational study vaccine. The study vaccine is a combination of two different types of norovirus antigens. In contrast to similar vaccines under development, the vaccine studied here adds no substances (adjuvants) to increase or modulate the immune response. The study vaccine is produced using a plant-based system rather than a typically used animal cell system. This is the first time the study vaccine will be given to humans. Two different doses of the investigational study vaccine will be tested in this trial. Either the investigational study vaccine or the placebo will be given as 2 injections. These injections will be given about 1 month apart. The trial will last about 12 months, from the time of enrollment.
The vaccine being tested in this study is rNV-2v; norovirus GI.4/GII.4 bivalent, virus-like particle (VLP) vaccine without adjuvant. Two norovirus vaccine dose levels (50 µg + 50 µg and 150 µg + 150 µg) are being tested for safety, tolerability and immunogenicity in a young adult population (18-40 years of age).
The study will enroll 60 participants. Participants will be randomly assigned to one of three treatment groups.
Norovirus GI.4/GII.4 bivalent VLP vaccine (50 µg + 50 µg), 2 administrations Norovirus GI.1/GII.4 bivalent VLP vaccine (150 µg + 150 µg), 2 administrations Placebo (norovirus vaccine vehicle without antigens), 2 administrations All participants randomized will be administered either norovirus vaccine or placebo on Day 1 and on Day 29 of the study.
Participants will be asked to record any reactions/ symptoms that may be related or not to the vaccine in a diary card for 7 days after each vaccination. Unsolicited Adverse Events (AEs) will be recorded through open-ended inquiries for 28 days after each vaccine administration. Serious AEs will be captured until Day 365.
This single-center trial will be conducted at the Center for Vaccinology (CEVAC), Ghent, Belgium. Participants will make multiple visits to the clinic including a final visit on Day 365.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Norovirus GI.4 / GII.4 Bivalent VLP Vaccine (100 µg) | Experimental | Participants 18-40 years of age, 2-dose regimen: Norovirus bivalent GI.4 (50 μg) / GII.4 (50 μg) virus-like particle (VLP) vaccine, intramuscularly (IM), on Day 1 and Day 29 |
|
| Norovirus GI.4 / GII.4 Bivalent VLP Vaccine (300 µg) | Experimental | Participants 18-40 years of age, 2-dose regimen: Norovirus bivalent GI.4 (150 μg) / GII.4 (150 μg) virus-like particle (VLP) vaccine, intramuscularly (IM), on Day 1 and Day 29 |
|
| Placebo | Placebo Comparator | Participants 18-40 years of age, 2-dose regimen: Placebo (norovirus vaccine vehicle without antigens), intramuscularly (IM), on Day 1 and Day 29 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Norovirus GI.4 / GII.4 Bivalent VLP Vaccine (100 µg) | Biological | Norovirus: 50 µg GI.4 VLP + 50 µg GII.4 VLP without adjuvant |
|
| Measure | Description | Time Frame |
|---|---|---|
| To assess the safety, tolerability, and reactogenicity of rNV-2v administered intramuscularly (IM) to healthy subjects | Safety and tolerability as determined by:
| within 7 days after each administration of the vaccine |
| To assess the safety, tolerability, and reactogenicity of rNV-2v administered intramuscularly (IM) to healthy subjects | Safety and tolerability as determined by:
| until 28 days after second administration of study vaccine (Day 57) |
| To assess the safety, tolerability, and reactogenicity of rNV-2v administered intramuscularly (IM) to healthy subjects | Safety and tolerability as determined by:
| for 364 days following the first administration of study vaccine |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the humoral immune response elicited by rNV-2v by measuring binding antibodies against the GI.4 and GII.4 components of the bivalent vaccine | virus-like particle (VLP) antigens, relative to Baseline: - Anti-GI.4 and GII.4 VLP immunoglobulin (Ig) G titer by enzyme-linked immunosorbent assay (ELISA) in serum | Pre-dose, Week 1, Week 4, Week 8, Week 26, and Week 52. |
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Inclusion Criteria:
Exclusion Criteria:
Any condition that may interfere with study participation or place the participant at increased risk of AEs would be excluded from the study. Additionally, subjects are excluded from the study if any of the following criteria apply:
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| Name | Affiliation | Role |
|---|---|---|
| Principal Investigator | Center for Vaccinology (CEVAC), Ghent University and University Hospital, Ghent, Belgium. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Vaccinology (CEVAC), Ghent University and University Hospital | Ghent | 9000 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37435073 | Derived | Waerlop G, Janssens Y, Jacobs B, Jarczowski F, Diessner A, Leroux-Roels G, Klimyuk V, Leroux-Roels I, Thieme F. Immune responses in healthy adults elicited by a bivalent norovirus vaccine candidate composed of GI.4 and GII.4 VLPs without adjuvant. Front Immunol. 2023 Jun 26;14:1188431. doi: 10.3389/fimmu.2023.1188431. eCollection 2023. | |
| 36275772 |
| Label | URL |
|---|---|
| Center for Disease Control and Prevention norovirus information webpage | View source |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Nov 22, 2022 | |
| Reset | Sep 28, 2023 | |
| Release | Oct 5, 2023 | |
| Reset | Mar 28, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Nov 22, 2022 | Sep 28, 2023 | |||
| Oct 5, 2023 |
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| Norovirus GI.4 / GII.4 Bivalent VLP Vaccine (300 µg) | Biological | Norovirus: 150 µg GI.4 VLP + 150 µg GII.4 VLP without adjuvant |
|
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| Placebo | Drug | Norovirus vaccine (rNV-2v) vehicle without antigen |
|
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| Leroux-Roels I, Maes C, Joye J, Jacobs B, Jarczowski F, Diessner A, Janssens Y, Waerlop G, Tamminen K, Heinimaki S, Blazevic V, Leroux-Roels G, Klimyuk V, Adachi H, Hiruta K, Thieme F. A randomized, double-blind, placebo-controlled, dose-escalating phase I trial to evaluate safety and immunogenicity of a plant-produced, bivalent, recombinant norovirus-like particle vaccine. Front Immunol. 2022 Oct 7;13:1021500. doi: 10.3389/fimmu.2022.1021500. eCollection 2022. |
| Mar 28, 2024 |