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This is a Phase I, randomized, single-blind, placebo-controlled, study of four separate dose cohorts, with a 42-day interval between each vaccine dose, of a novel Chikungunya Peptide Immunotherapy Vaccine in Healthy Adults (18-60 years of age).
All participants will undergo a screening visit scheduled for a maximum of 28 days before the enrolment in the clinical study and will provide a blood sample for clinical laboratory tests (complete blood count (CBC)*, platelet count, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, serum creatinine and activated partial thromboplastin time (aPTT), human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV)), and a urine sample for tests for Urinary protein, Urinary blood, Urinary glucose and human chorionic gonadotropin β-subunit (βhCG) urine test (only the female participants)) in order to confirm their eligibility for participation in the study.
A total of 40 participants are planned to be enrolled. A randomization system will be used to assign treatment group and participant number at the clinical site.
Participants will receive 2 injections, 42 days apart. A final visit will take place at Day 407 (i.e. 365 days after last vaccination).
Participants will be kept under observation for a minimum of one hour after each vaccination to ensure their safety. Reactogenicity data will be collected in all participants after each vaccine injection: solicited injection site reactions will be collected for Days 0-10 and Days 42-52 and solicited systemic reactions will be collected for Days 0-21 and Days 42-63. Unsolicited events will be collected for Days 0-52. Serious adverse events (SAEs) will be reported throughout the study (from inclusion until 12 months after last vaccination). Serious and non-serious medically attended adverse events (MAAEs) and adverse events of special interest (AESIs) will be collected throughout the study (from inclusion until 12 months after last vaccination).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active | Experimental | PepGNP-ChikV vaccine: 0.28 nmol, 0.83 nmol, 2.5 nmol and 7.5 nmol of total peptide |
|
| Placebo | Placebo Comparator | Placebo (sterile WFI) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PepGNP-ChikV | Biological | PepGNP-ChikV vaccine will be administered by an intradermal microneedle device |
|
| Measure | Description | Time Frame |
|---|---|---|
| To assess the safety of PepGNP-ChikV candidate vaccine | Incidence of serious adverse events (SAEs), medically attended adverse events (MAAEs) and adverse events of special interest (AESIs) | Onset within 365 days following last vaccination or EOS, whichever is later |
| To assess the reactogenicity of PepGNP-ChikV candidate vaccine | Incidence of solicited local and systemic reactogenicity adverse events (AEs) | Onset within 10 days following each vaccination |
| To assess the tolerability of PepGNP-ChikV candidate vaccine | Incidence of unsolicited AEs | Onset within 52 days following each vaccination or End of Study visit (EOS), whichever is later |
| Measure | Description | Time Frame |
|---|---|---|
| To determine the CHIKV-specific cellular immune response induced by PepGNP-ChikV | CHIKV-specific immune responses assessed by interferon-gamma (IFN-γ) enzyme-linked immunospot (ELISpot) assays | Days 10, 21, 42, 43, 52, 63, 91 and 407 relative to Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| To determine the PepGNP-ChikV -specific T cell characterization immune responses | Magnitude, phenotype, and percentage of PepGNP-ChikV peptide (antigen)-specific memory T cells as measured by flow cytometry (including multimers). | Days 10, 21, 42, 43, 52, 63, 91 and 407 relative to Day 0 |
| To determine the PepGNP-ChikV -specific T cell memory profile immune response |
Inclusion Criteria:
Healthy individuals aged ≥18 years to ≤60 years of age, inclusive at time of consent, who are not receiving any excluded concomitant medications as detailed in protocol
Informed consent form signed.
Determined to be eligible by the Investigator based on medical history, physical examination, and screening laboratory testing.
Women of childbearing potential* are willing to use effective birth control method(s)** for a minimum of 14 days prior to dosing through 90 days after last study vaccination.
Male participants with a partner of childbearing potential must agree to use a highly effective method of contraception (e.g. sterilization or male condom) and refrain from sperm donation during the study and for at least 6 months after the last dose of study drug.
An individual who has experienced menarche and who is neither permanently surgically sterile (permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy) nor post-menopausal. In line with the guidance provided by the Clinical Trial Facilitation Group (CTFG), a post-menopausal state is defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a post-menopausal state in women not using hormonal contraception or hormonal replacement therapy. However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient.
Females of childbearing potential and males must be willing to use a highly effective (acceptable effective contraceptive measures are only acceptable for IMPs with unlikely human teratogenicity / fetotoxicity in early pregnancy) method of contraception (hormonal or abstinence). Contraceptive methods that can achieve a failure rate of less than 1% per year when used consistently and correctly are considered as highly effective birth control methods. Such methods include:
• combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation:
o oral
o intravaginal
o transdermal
• progestogen-only hormonal contraception associated with inhibition of ovulation
o oral
o injectable
o implantable
• intrauterine device
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bradley Norton | Contact | +44 (0) 1235 527589 | info@gyldenpharma.com |
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No plans of IPD currently, as study will be a sponsored clinical study
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| ID | Term |
|---|---|
| D065632 | Chikungunya Fever |
| D003141 | Communicable Diseases |
| ID | Term |
|---|---|
| D018354 | Alphavirus Infections |
| D001102 | Arbovirus Infections |
| D000079426 | Vector Borne Diseases |
| D007239 | Infections |
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Dose escalation
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Sponsor will be blinded
| Placebo | Biological | Placebo (sterile WFI) will be administered by an intradermal microneedle device |
|
Magnitude, phenotype, and percentage of PepGNP-ChikV peptide (antigen)-specific functional, activation induced T cells as measured by flow cytometry |
| Days 10, 21, 42, 43, 52, 63, 91 and 407 relative to Day 0 |
| To check the presence of neutralizing or enhancing antibody responses | Surrogate Virus Neutralization Tests (sVNTs) to determine neutralizing antibody titres against CHIKV | Days 1, 10, 21, 42, 43, 52, 63, 91 and 407 relative to Day 0. |
| To check the absence of an antibody mediated response | Magnitude and profiling of expressed, circulating acute cytokine (e.g. IL-1α, Il-1β, IL-1RA, IFN-γ, IFN-α, TNF-α, IL-15 and MCP-1) responses after administration of PepGNP-ChikV vaccine as measured by multiplex platforms (MSD, Luminex) | Days 0 (pre-vaccine), Day 1, Day 10, Day 43 and Day 52 |
| D000096724 |
| Mosquito-Borne Diseases |
| D014777 | Virus Diseases |
| D014036 | Togaviridae Infections |
| D012327 | RNA Virus Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |