Ignite Creation Date:
2024-07-17 @ 11:49 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06485258
Status:
RECRUITING
Last Update Posted:
2024-07-03
First Post:
2024-06-26
Brief Title:
CDC-9 Inactivated Rotavirus Vaccine IRV Intramuscular IM Phase 1 Clinical Trial in Healthy Adults
Sponsor:
Centers for Disease Control and Prevention
Organization:
Centers for Disease Control and Prevention
Study Overview
Official Title:
A Phase 1 Study to Evaluate the Safety and Immunogenicity of CDC-9 Inactivated Rotavirus Adjuvanted Vaccine for Intramuscular Administration in Healthy Adults
Status:
RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This is a study of CDC-9 inactivated rotavirus vaccine IRV for intramuscular administration IM in healthy adults aged 18 to 45 years at two dose levels in a 3-dose series The purpose is to determine if it is safe and if the recipients immune system responds to the vaccine
Detailed Description:
Rotavirus remains an important cause of gastroenteritis and accounted for 19 of diarrhea-related deaths worldwide in 2019 the majority of which were in low and lower-middle income countries Although live-attenuated vaccines for rotavirus are available for infants the immunogenicity and vaccine effectiveness in low- and middle-income countries where morbidity is highest is suboptimal Developing rotavirus vaccination strategies with improved immunogenicity could be advantageous in resource-limited settings
To improve the safety and efficacy of oral rotavirus vaccines Centers for Disease Control and Prevention CDC scientists have developed a human rotavirus strain CDC-9 G1P89 that grows to high titer in Vero cells and shows structural stability during manufacturing process The strain is a single gene natural reassortant with the VP3 gene derived naturally from a G2P4 virus and the other 10 genes from a G1P8 virus the most common genotype throughout the world Purified CDC-9 particles when inactivated by heat and administered intramuscularly induced strong serum antibody response and showed dose sparing effect in mice and rats This inactivated rotavirus vaccine IRV also induced intestinal immunity in mice and prevented fecal shedding in gnotobiotic pigs against rotavirus When given in combination with inactivated polio vaccine in mice it did not impair immune responses to either rotavirus or poliovirus serotypes 1 2 and 3 Vaccination with IRV has shown to be safe and immunogenic in animal studies
A rotavirus vaccine with greater efficacy and stronger immunogenic response could further reduce infant mortality and morbidity and a parenterally administered rotavirus vaccine could minimize interactions from co-administration with polio vaccination Given the lower immunogenicity and vaccine efficacy of the oral rotavirus vaccines currently licensed by the US and in developing countries and approved for use by the World Health Organization WHO the IRV presents an opportunity to further prevent rotavirus-associated gastroenteritis in infants
This will be a Phase 1 randomized observer blinded dose escalating placebo-controlled clinical trial in which healthy adults 18 - 45 years of age will receive inactivated IRV or placebo administered through intramuscular injection to determine the safety reactogenicity and immunogenicity Cohorts of 25 individuals 20 vaccine recipients and 5 placebo recipients per dose level will receive three intramuscular injections four weeks apart The two dose levels of vaccine to test will be 375 microgram μg or 75 μg
Subjects will receive a total of 3 IRV doses at Days 1 29 and 57 Subjects will be monitored for approximately 6 months after the third-dose vaccination They will be followed for solicited local and systemic adverse events AEs through 7 days after each dose of vaccine Unsolicited AEs will be collected through Day 85 Immunogenicity labs will be obtained before each vaccine dose 7 days after each vaccine dose 28 days after each vaccine dose 35 days after the first dose and at the last study visit on Day 237 durability of response Serious Adverse Events SAEs will be followed from Vaccination on Day 1 through the last study visit on Day 237
To improve the safety and efficacy of oral rotavirus vaccines Centers for Disease Control and Prevention CDC scientists have developed a human rotavirus strain CDC-9 G1P89 that grows to high titer in Vero cells and shows structural stability during manufacturing process The strain is a single gene natural reassortant with the VP3 gene derived naturally from a G2P4 virus and the other 10 genes from a G1P8 virus the most common genotype throughout the world Purified CDC-9 particles when inactivated by heat and administered intramuscularly induced strong serum antibody response and showed dose sparing effect in mice and rats This inactivated rotavirus vaccine IRV also induced intestinal immunity in mice and prevented fecal shedding in gnotobiotic pigs against rotavirus When given in combination with inactivated polio vaccine in mice it did not impair immune responses to either rotavirus or poliovirus serotypes 1 2 and 3 Vaccination with IRV has shown to be safe and immunogenic in animal studies
A rotavirus vaccine with greater efficacy and stronger immunogenic response could further reduce infant mortality and morbidity and a parenterally administered rotavirus vaccine could minimize interactions from co-administration with polio vaccination Given the lower immunogenicity and vaccine efficacy of the oral rotavirus vaccines currently licensed by the US and in developing countries and approved for use by the World Health Organization WHO the IRV presents an opportunity to further prevent rotavirus-associated gastroenteritis in infants
This will be a Phase 1 randomized observer blinded dose escalating placebo-controlled clinical trial in which healthy adults 18 - 45 years of age will receive inactivated IRV or placebo administered through intramuscular injection to determine the safety reactogenicity and immunogenicity Cohorts of 25 individuals 20 vaccine recipients and 5 placebo recipients per dose level will receive three intramuscular injections four weeks apart The two dose levels of vaccine to test will be 375 microgram μg or 75 μg
Subjects will receive a total of 3 IRV doses at Days 1 29 and 57 Subjects will be monitored for approximately 6 months after the third-dose vaccination They will be followed for solicited local and systemic adverse events AEs through 7 days after each dose of vaccine Unsolicited AEs will be collected through Day 85 Immunogenicity labs will be obtained before each vaccine dose 7 days after each vaccine dose 28 days after each vaccine dose 35 days after the first dose and at the last study visit on Day 237 durability of response Serious Adverse Events SAEs will be followed from Vaccination on Day 1 through the last study visit on Day 237
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
True
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None