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The present study will evaluate the efficacy, immunogenicity and safety of one dose of OVX836 influenza vaccine 480μg, after intramuscular administration in healthy subjects aged 18-59 years.
This Phase 2b proof-of-concept field efficacy study is designed as a randomized, double-blind, parallel groups, placebo-controlled, multi-country, multicenter clinical trial. This design of prospective interventional trial is the gold standard in evaluating absolute efficacy of a product in preventing a disease or an outcome. An adequate number of observations is ensured by the multicenter approach.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OVX836 480µg | Experimental | Adjuvant-free recombinant influenza candidate vaccine based on Nucleoprotein in the influenza virus. One single administration intramuscularly of 480µg dose on Day1. |
|
| Placebo | Placebo Comparator | Saline solution (B. Braun Ecoflac Plus) Saline solution (Nacl 0.9%), B. Braun Ecoflac Plus 50mL. One single administration intramuscularly of a 0.8mL dose on Day1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OVX836 480µg | Biological | One single administration intramuscularly at Day 1. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| First occurrence of RT-PCR-confirmed influenza Type A symptomatic disease | During the whole study duration, up to maximum 10 months |
| Measure | Description | Time Frame |
|---|---|---|
| First occurrence of RT-PCR-confirmed influenza symptomatic disease irrespective of strain/type. | During the whole study duration, up to maximum 10 months. | |
| First of occurrence of RT-PCR-confirmed influenza Type B symptomatic disease | During the whole study duration, up to maximum 10 months |
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Inclusion Criteria:
Exclusion Criteria:
16Diagnosed long COVID-19 subjects. 17. Presence of a condition in the ear-nose-throat area, such as nasal septum deviation, atrophic rhinitis, etc…, that could render nasal and nasopharyngeal swabs more difficult to perform, or increase the risk of bleeding; to be confirmed by medical history question and inspection of nasal passage.
18. Past or current history of any progressive or severe uncontrolled neurological disorder, seizure disorder or Guillain-Barré syndrome.
19. Behavioral or cognitive impairment, or psychiatric disease that, in the opinion of the Investigator, may interfere with the subject's ability to participate in the study.
20. Past (stopped less than 6 months before enrolment) or current smoking habit above 10 cigarettes per day.
21. Past (stopped less than 6 months before enrolment) or current history of heavy alcohol use, defined as follows: for men, consumption of more than 4 standard drinks on any day or more than 14 standard drinks per week, and for women, consumption of more than 3 standard drinks on any day or more than 7 standard drinks per week.
22. Past (stopped less than 6 months before enrolment) or current use of recreational drugs, which could interfere with the adherence to the protocol procedures.
23. Chronic or prolonged treatment (>10 consecutive days) that can affect immune response, such as systemic (≥ 20 mg/day prednisone or equivalent or dexamethasone >4 mg/day), high dose inhaled corticosteroids (>800 μg/day beclomethasone or equivalent; occasional inhaled, topical or localized injections [intra-articular or intra-bursal] of corticosteroids for asthma therapy are allowed), or immunomodulators/suppressors (certain monoclonal antibodies can be approved on a case by case basis) within 28 days before study entry or during the whole study duration.
24. Chronic or prolonged (>10 days) use of systemic non-steroidal anti-inflammatory drugs, acetylsalicylic acid, or paracetamol within 7 days before study entry and up to 28 days post-vaccination.
25. Prophylactic or therapeutic use of influenza antivirals within 7 days prior to the day of study vaccination or during the whole study duration.
26. History of severe allergic reactions and/or anaphylaxis, or serious adverse reactions to vaccines or allergy to kanamycin or any other component of the OVX836 vaccine.
27. Any contraindication to intramuscular administration, as judged by the Investigator.
28. Presence of extended tattoos on both deltoid muscles. 29. Individuals with history of any illness that, in the opinion of the Investigator, might interfere with the results of the study, or pose additional risk to the subjects due to participation in the study, either directly or through any treatments administered for that illness.
30. Sponsor employees or Investigator site personnel directly affiliated with this study, and their immediate families. Immediate family is defined as a spouse (or assimilated), parent, child or sibling, whether biological or legally adopted.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site BE-02 | Antwerp | Belgium | ||||
| Site BE-03 |
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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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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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A total number of 2,850 subjects are planned to be randomized (in a 1:1 ratio) into 2 groups to receive a single intramuscular injection of either OVX836 (480μg) or placebo.
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Double blind
| Saline Solution |
| Biological |
One single administration intramuscularly at Day 1. |
|
| Number of subtype of virus in RT-PCR-confirmed influenza Type A cases. | During the whole study duration, up to maximum 10 months |
| Severity and duration of Influenza Like Illness episodes | During the whole study duration, up to maximum 10 months |
| First occurence of clinical influenza-like disease irrespective of causal agent | During the whole study duration, up to maximum 10 months |
| Number of occurence of solicited local and systemic signs and symptoms | During 7 days after vaccine administration |
| Number of occurence of subjects reporting unsolicited AEs | During 29 days after vaccine administration |
| Number of occurence of subjects reporting Serious Adverse Events, Adverse Events of Special Interest, New Onset of Chronic Disease, Medical Attended Adverse Events | During the whole study period, maximum 10 months |
| Cell-mediated immune response in Peripheral Blood Mononuclear Cells, measured by Interferon Gamma Enzyme-Linked Immunospot Assay in a limited subset of 56 subjects. | Elispot | At Day 1 and Day 8 |
| Number and percentage of subjects with NP-specific T-cell measured by Interferon Gamma Enzyme-Linked Immunospot Assay. | Elispot | At Day 1 and Day 8 |
| Percentage of NP specific CD4+ and CD8+ T-cell measured by flow cytometry on PBMCs as expressing IL-2, TNFα and/or IFNγ at pre-injection baseline (Day 1) | ICS | At Day 1 and Day 8 |
| Number and percentage of subjects with a percentage of NP specific CD4+ and CD8+ T-cell expressing IL-2, TNFα and/or IFNγ at Day 8 or Day 29 higher than the percentile 95 of the pre-injection baseline (Day 1) | ICS | At Day 1 and Day 8 |
| Geometric Mean Titer of anti-Nucleoprotein immunoglobulin G (Enzyme-Linked Immunosorbent Assay, serum). | Elisa | At Day 1 and Day 8 |
| Number and percentage of subjects with a four-fold increase of anti-Nucleoprotein immunoglobulin G (Enzyme-Linked Immunosorbent Assay, serum) titre with respect to pre-injection baseline (Day 1) | Elisa | At Day 1 and Day 8 |
| Percentage of NP specific CD4+ and CD8+ T-cell measured by flow cytometry on PBMCs as expressing IL-2, TNFα and/or IFNγ in a limited subset of 56 subjects | ICS | At Day 1 and Day 8 |
| Anti-Nucleoprotein immunoglobulin G measured by Enzyme-Linked Immunosorbent Assay in, serum in a limited subset of 56 subjects. | Elisa | At Day 1 and Day 8 |
| Antwerp |
| Belgium |
| Site BE-01 | Ghent | Belgium |
| Site BE-04 | Mechelen | Belgium |
| Site FI-12 | Espoo | Finland |
| Site FI-08 | Helsinki | Finland |
| Site FI-13 | Jarvenpaa | Finland |
| FI-14 | Kokkola | Finland |
| Site FI-11 | Oulu | Finland |
| Site FI-15 | Seinäjoki | Finland |
| Site FI-09 | Tampere | Finland |
| Site FI-10 | Turku | Finland |
| Site FR-05 | Lyon | France |
| Site FR-07 | Paris | France |
| Site FR-06 | Rennes | France |
| Site DE-16 | München | Germany |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |