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The purpose of the study is to evaluate the safety and immunogenicity of a novel Venezuelan Equine Encephalitis virus (VEEV) vaccine (V4020) for the first time in humans compared to placebo when administered by subcutaneous or intramuscular injection.
The primary objective of the study will be to measure safety. The primary endpoint measures to assess this objective will include but not be limited to
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Group 1 will receive an administration on day 0 (and possibly also day 56) of Subcutaneous route of dose escalation.
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| Group 2 | Experimental | Group 2 will receive an administration on day 0 (and possibly also day 56) of Intramuscular route of dose escalation.
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| Group 3 | Experimental | Group 3 will receive an administration on day 0 (and possibly also day 56) of placebo (10:3 allocation). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| V4020 | Biological | The V4020 vaccine was prepared using an iDNA® infectious clone that encodes the full-length rearranged genomic RNA downstream from the optimized CMV promoter. Compared to the wild type VEEV, V4020 contains genetic rearrangement within the genomic RNA, with the capsid gene placed downstream from the glycoprotein genes. V4020 also includes attenuating mutations from the VEE TC83 vaccine, nucleotide A at position 3 in the untranslated region and E2-120Arg in the E2 glycoprotein. Notably, the E2-120Arg attenuating mutation was genetically engineered in V4020 to prevent reversion mutations. The E2-120Arg was encoded in V4020 by a CGA codon instead of AGA in the TC83 virus. Therefore, in the V4020 vaccine, at least two mutations would be needed to revert to the wildtype ACA (E2-120Thr). In contrast, in the TC83 vaccine, an AGA codon encodes the attenuating mutation E2-120Arg, and a single point mutation would be sufficient to revert to the 213 VEEV wild type ACA (E2-120Thr). |
| Measure | Description | Time Frame |
|---|---|---|
| Safety | Primary Outcome Measure: 1. Primary Outcome Measures •Percentage of participants for each study group and overall reporting 1 or more unsolicited Adverse Events (AEs) of probable or definite relatedness by severity grade using the current version of the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials Criteria for Adverse Events (CTCAE). Primary safety endpoints will be based on solicited adverse events during the first 28 days postvaccination following each vaccination. Serious adverse events will be solicited and reported throughout the trial. •Percentage of participants for each study group and overall reporting systemic vaccine reactogenicity by severity, and association with vaccination based on a diary and clinical evaluation. Reactogenicity will be reviewed using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in preventative Vaccine Clinical Trials FDA Guidance, September 2007. | 28 days |
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Inclusion Criteria:
Participants must meet all the following criteria to be included in the study:
Exclusion Criteria:
Participants meeting any of the following criteria will be excluded from the study:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Roshila Mohammed, MBBS | Contact | 301-318-6024 | clinical.research.unit.53-ggg@usuhs.edu | |
| David Saunders, MD, MPH | Contact | david.saunders@usuhs.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uniformed Services University of the Health Sciences | Bethesda | Maryland | 20814 | United States |
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| Label | URL |
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| Related Info | View source |
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| ID | Term |
|---|---|
| D004685 | Encephalomyelitis, Venezuelan Equine |
| ID | Term |
|---|---|
| D004683 | Encephalomyelitis, Equine |
| D018792 | Encephalitis, Viral |
| D020805 | Central Nervous System Viral Diseases |
| D002494 | Central Nervous System Infections |
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Parallel Assignment This study is a Phase 1, randomized, double-blind, placebo-controlled, escalating, single-center study to evaluate the safety and immunogenicity of the V4020 vaccine in a two dose series at days 0 and 56. A second dose will be given on day 56 via the same route of administration as on day 0, but will only be administered to participants not developing a plaque-reduction neutralization assay titer (PRNT80) against V4020 of >1:20 by day 28. This will include those in the placebo-only groups. There will be three escalating dose groups of 13 participants each for 39 healthy male and healthy non-pregnant female participants 18-50 years old.
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During the randomized phase, Sponsor personnel and the site pharmacist will be unblinded while the investigator, clinical site, and participants participating in the study will remain blinded.
The study is designed to keep participants and investigators blinded until completion of the clinical phase of the trial and monitoring of the clinical data. During the study all efforts will be made to keep participants and investigators unaware of participant assignment.
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| D007239 | Infections |
| D004679 | Encephalomyelitis |
| D000069544 | Infectious Encephalitis |
| D018354 | Alphavirus Infections |
| D001102 | Arbovirus Infections |
| D000079426 | Vector Borne Diseases |
| D004671 | Encephalitis, Arbovirus |
| D000096724 | Mosquito-Borne Diseases |
| D014777 | Virus Diseases |
| D014036 | Togaviridae Infections |
| D012327 | RNA Virus Infections |
| D004660 | Encephalitis |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000090862 | Neuroinflammatory Diseases |