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Phase 1 N=102 Randomized Triple-blind Prevention

Bivalent Norovirus Vaccine Study

Gastroenteritis

Enrolled (actual)
102
Serious AEs
4.9%
Results posted
Nov 2018
Primary outcome: Primary: Number of Participants With Solicited Local Adverse Events (AEs) Post Dose 1 — 4; 5; 6; 5 participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
NoV GI.1/GII.4 Bivalent VLP Vaccine (Biological); Saline (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Takeda
Primary completion
Jan 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Solicited Local Adverse Events (AEs) Post Dose 1
4; 5; 6; 5; 1; 5
PRIMARY
Number of Participants With Solicited Local AEs Post Dose 2
5; 4; 4; 2; 0; 3
PRIMARY
Number of Participants With Solicited Systemic AEs Post Dose 1
1; 3; 3; 2; 2; 5
PRIMARY
Number of Participants With Solicited Systemic AEs Post Dose 2
1; 1; 3; 2; 1; 3
PRIMARY
Number of Participants With Unsolicited AEs Post Dose 1
7; 4; 4; 1; 2; 4
PRIMARY
Number of Participants With Unsolicited AEs Post Dose 2
2; 1; 2; 2; 2; 3
PRIMARY
Number of Participants With Clinically Significant Change From Baseline in Markedly Abnormal Laboratory Values
0; 3; 1; 0; 0; 0
PRIMARY
Number of Participants With Serious Adverse Events (SAEs), Onset of Significant New Medical Conditions, Including Adverse Events of Special Interest (AESI)
1; 0; 1; 0; 0; 0
SECONDARY
Geometric Mean Titer (GMT) of Serum Anti-norovirus GI.1 and GII.4 VLP Ig (Immunoglobulin) A
9; 5; 5; 6; 10; 3
SECONDARY
GMT of Serum Anti-norovirus GI.1 and GII.4 VLP IgG
13; 8; 28; 22; 9; 9
SECONDARY
GMT of Serum Anti-norovirus GI.1 and GII.4 VLP IgM
SECONDARY
Geometric Mean Fold Rise (GMFR) of Serum Anti-norovirus GI.1 and GII.4 VLP IgA as Compared to Baseline
23.1; 76.1; 84.4; 122.9; 0.8; 115.2
SECONDARY
GMFR of Serum Anti-norovirus GI.1 and GII.4 VLP IgG as Compared to Baseline
16.2; 29.4; 59.5; 54.9; 0.7; 43
SECONDARY
GMFR of Serum Anti-norovirus GI.1 and GII.4 VLP IgM as Compared to Baseline
SECONDARY
Percentage of Participants With Seroresponse for Serum Anti-norovirus GI.1 and GII.4 VLP IgA
77.8; 100.0; 90.0; 100.0; 0.0; 100.0
SECONDARY
Percentage of Participants With Seroresponse for Serum Anti-norovirus GI.1 and GII.4 VLP IgG
66.7; 100.0; 100.0; 100.0; 0.0; 87.5
SECONDARY
Percentage of Participants With Seroresponse for Serum Anti-norovirus GI.1 and GII.4 VLP IgM
SECONDARY
GMT of Anti-norovirus GI.1 and GII.4 VLP IgA, IgG, and IgM Combined Using Pan-Ig Enzyme-Linked Immunosorbent Assay (ELISA)
3763; 2348; 2560; 2153; 1396; 1810
SECONDARY
GMFR of Anti-norovirus GI.1 and GII.4 VLP IgA, IgG, and IgM Combined Using Pan-Ig ELISA as Compared to Baseline
43.5; 98.7; 137.2; 128; 1; 83
SECONDARY
Percentage of Participants With Seroresponse (4-Fold Rise) of Anti-norovirus GI.1 and GII.4 VLP IgA, IgG, and IgM Combined Using Pan-Ig ELISA
88.9; 100.0; 100.0; 100.0; 0.0; 87.5

Summary

Randomized, multi-site, dose-escalation study of the safety and immunogenicity of four dosage levels of Intramuscular (IM) Norovirus Bivalent VLP Vaccine adjuvanted with MPL and Al(OH)3 compared to controls. Participants will receive two doses, by IM injection, 28 days apart. The hypotheses for this study are: * The incidence of adverse events after vaccination with IM Norovirus Bivalent VLP Vaccine will be similar to the incidence of adverse events after other IM vaccines including CERVARIX® which contains MPL and Al(OH)3. * Two doses of IM Norovirus Bivalent VLP Vaccine will be more immunogenic than one dose. * The post-vaccination serum antibody responses, the number of antibody secreting cells (ASC), including homing markers, and memory B-cell responses directed against norovirus antigens will be increased after IM Norovirus Bivalent VLP Vaccine compared to controls.

Eligibility Criteria

Inclusion Criteria

Participants must meet all of the inclusion criteria listed below:

  • Signed written informed consent.
  • Age:
  • Cohort A: 18-49 years, inclusive
  • Cohort B: 50-64 years, inclusive
  • Cohort C: 65-85 years, inclusive
  • Cohort D: 18-49 years, inclusive
  • Health Status:
  • Cohort A and D: In good health as determined by a screening evaluation that includes vital signs, medical history, and physical exam within 45 days before administration of IM Norovirus Bivalent VLP Vaccine or control.
  • Cohorts B and C: In good health as determined by a screening evaluation that includes vital signs, medical history, and physical exam within 45 days before administration of IM Norovirus Bivalent VLP Vaccine or control. Any existing medical diagnoses or conditions must be stable based on medical history and targeted physical examination. A stable medical condition is defined as: (A) Clinically acceptable health outcomes for the specific condition over the prior 6 months and (B) No change in prescription medication(s), dose, or frequency over the prior 3 months. Acceptable changes in medications are: a change of health care provider or insurance company or that is made for financial reasons as long as the medications are in the same class and/or a change due to improvement in a disease outcome.
  • Expressed interest and availability to fulfill the study requirements.
  • Female participants must be of non-childbearing potential (surgically sterile or post-menopausal for greater than or equal to [>=] 12 months), or if of childbearing potential (as determined by the investigator) must be practicing abstinence or using an effective licensed method of birth control (example oral contraceptives; diaphragm or condom in combination with contraceptive jelly, cream, or foam; intrauterine contraceptive device, or Depo-Provera; skin patch; vaginal ring or cervical cap) for 30 days prior to vaccination and must agree to continue such precautions for at least 60 days after the last vaccination. A woman is eligible if she is monogamous with a male who has had a vasectomy. Male participants must agree not to father a child for at least 60 days after the last vaccination and to practice abstinence or use an effective method of birth control as noted above.
  • Agrees not to participate in another clinical trial with an investigational product for the entire duration of the study one year after the last study dose that is 393 days.
  • Agrees to storage of unused clinical specimens for an indefinite period of time for future norovirus research or research on other gastrointestinal pathogens.

Exclusion Criteria

Participants who meet any of the exclusion criteria at baseline will be excluded from study participation. The exclusion criteria are:

  • History of any of the following medical illnesses:
  • Diabetes
  • Cancer (malignancy other than resolved/excised skin lesion)
  • Heart disease (hospitalization for a heart attack, arrhythmia, or syncope)
  • Unconsciousness (other than a single brief "concussion")
  • Seizures (other than febrile seizures as a child less than [ ] 140/90 millimeter of mercury [mm Hg] on two separate days)
  • Any lab abnormality (per the site local laboratory), as listed below:
  • Absolute Neutrophil Count (ANC) outside the normal range (may be repeated if outside this limit)
  • Total white blood cells (WBC) outside the normal range (may be repeated if outside this limit)
  • Hemoglobin outside the normal range (may be repeated if outside this limit)
  • Platelet count outside the normal range (may be repeated if outside this limit)
  • Blood urea nitrogen (BUN) > upper limit of normal (ULN) (may be repeated if outside this limit)
  • Creatinine > ULN (may be repeated if outside this limit)
  • Glucose (fasting or random) outside the normal range (may be repeated if outside this limit)
  • Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) > ULN (may be repeated if outside this limit)
  • Positive serology for hepatitis
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01168401). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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