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Phase 2 N=420 Randomized Quadruple-blind Prevention

Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent VLP Vaccine

Healthy Volunteers · Norovirus, Prevention

Enrolled (actual)
420
Serious AEs
5.5%
Results posted
Aug 2016
Primary outcome: Primary: Percentage of Participants With a Seroresponse (Pan-Ig ELISA) — 43.3; 62.1; 46.4; 35.5 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Hepatitis A Vaccine (Biological); Norovirus Bivalent VLP Vaccine (Biological)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Takeda
Primary completion
Jun 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With a Seroresponse (Pan-Ig ELISA)
43.3; 62.1; 46.4; 35.5; 80.0; 67.7
PRIMARY
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After Dose 1
43.3; 33.3; 50.0; 32.3; 46.7; 38.7
PRIMARY
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After Dose 2
60.0; 36.7; 66.7; 51.6; 53.3; 58.1
PRIMARY
Percentage of Participants With Solicited Systemic Adverse Events (AEs) After Dose 1
20.0; 26.7; 3.3; 19.4; 16.7; 12.9
PRIMARY
Percentage of Participants With Solicited Systemic Adverse Events (AEs) After Dose 2
13.3; 13.3; 13.3; 22.6; 23.3; 16.1
PRIMARY
Oral Body Temperature Within 7 Days After Dose 1
36.54; 36.76; 36.66; 36.71; 36.65; 36.67
PRIMARY
Oral Body Temperature Within 7 Days After Dose 2
36.54; 36.76; 36.68; 36.75; 36.60; 36.72
PRIMARY
Percentage of Participants With Unsolicited Adverse Events (AEs)
56.7; 60.0; 53.3; 45.2; 43.3; 54.8
PRIMARY
Percentage of Participants With Serious Adverse Events (SAEs)
6.7; 0; 16.7; 6.5; 3.3; 0
SECONDARY
Percentage of Participants With a Seroresponse on Day 28, Day 208 and Day 393 (Pan-Ig ELISA)
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in GI.1 VLP Antibody Titer (Pan-Ig ELISA)
0; 0; 0; 6.9; 0; 0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in GII.4 VLP Antibody Titer (Pan-Ig ELISA)
0; 0; 0; 0; 0; 0
SECONDARY
Geometric Mean Titer (GMT) of GI.1 VLP Antibody Titers (Pan-Ig ELISA)
833.4; 790.3; 636.7; 647.6; 625.3; 520.3
SECONDARY
Geometric Mean Titer (GMT) of GII.4 VLP Antibody Titers (Pan-Ig ELISA)
1106.6; 1249.2; 1477.7; 1109.2; 921.7; 1130.9
SECONDARY
Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (Pan-Ig ELISA)
1.0; 0.9; 0.8; 1.2; 0.9; 1.0
SECONDARY
Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (Pan-Ig ELISA)
0.9; 1.0; 1.0; 1.0; 0.9; 1.0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GI.1 VLP and GII.4 VLP Antibody Titers (IgA ELISA)
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GI.1 VLP Antibody Titers (IgA ELISA)
0; 0; 0; 6.9; 0; 0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GII.4 VLP Antibody Titers (IgA ELISA)
0; 0; 0; 0; 0; 0
SECONDARY
Geometric Mean Titer (GMT) of GI.1 VLP Antibody Titers (IgA ELISA)
52.9; 37.4; 42.1; 32.1; 30.1; 44.5
SECONDARY
Geometric Mean Titer (GMT) of GII.4 VLP Antibody Titers (IgA ELISA)
83.4; 113.6; 145.5; 119.5; 72.8; 114.6
SECONDARY
Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (IgA ELISA)
0.9; 0.9; 1.0; 1.3; 1.0; 1.0
SECONDARY
Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (IgA ELISA)
0.9; 1.0; 1.0; 1.1; 1.0; 1.0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum Antibody Titers for GI.1 VLP and GII.4 VLP(HBGA)
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GI.1 VLP Antibody Titers (HBGA)
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants With a 4-Fold Rise or Greater in Serum GII.4 VLP Antibody Titers (HBGA)
3.3; 0; 3.7; 0; 3.3; 0
SECONDARY
Blocking Titers 50 (BT50) of Anti-Norovirus GI.1 VLP Antibody Titers (HBGA)
24.8; 18.7; 26.0; 26.8; 19.1; 24.8
SECONDARY
Blocking Titers 50 (BT50) of GII.4 VLP Antibody Titers (HBGA)
66.0; 80.1; 115.3; 91.4; 60.9; 96.6
SECONDARY
Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (HBGA)
1.0; 1.0; 0.9; 1.0; 1.0; 0.9
SECONDARY
Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (HBGA)
1.1; 0.9; 1.0; 1.0; 1.1; 1.0
SECONDARY
GMFR of Antibody Titers of a Strain Not Represented in the Investigational Vaccine: GII.4 Cincinnati (HBGA)
1.0; 1.0; 0.9; 1.0; 1.0; 0.9
SECONDARY
GMFR of Antibody Titers of a Strain Not Represented in the Investigational Vaccine: GII.4 Sydney (HBGA)
0.9; 1.0; 0.9; 1.0; 0.9; 1.0
SECONDARY
GMFR of Antibody Titers of Strains Not Represented in the Investigational Vaccine: Cross-Protection Assays
1.1; 0.8; 5.9; 3.0; 3.2; 4.1
SECONDARY
Blocking Titers 50 (BT50) of a Strain Not Represented in the Investigational Vaccine: GII.4 Cincinnati (HBGA)
63.7; 75.1; 114.7; 85.8; 63.0; 89.1
SECONDARY
Blocking Titers 50 (BT50) of a Strain Not Represented in the Investigational Vaccine: GII.4 Sydney (HBGA)
35.0; 26.0; 43.3; 32.4; 28.3; 37.5
SECONDARY
Blocking Titers 50 (BT50) of a Strain Not Represented in the Investigational Vaccine: Cross-Protection Assay: GII.2 EC50 (HBGA)
266.2; 265.5; 295.8; 216.5
SECONDARY
Blocking Titers 50 (BT50) of a Strain Not Represented in the Investigational Vaccine: Cross-Protection Assay: GI.3 EC50 (HBGA)
59.7; 74.1; 350.5; 222.7
SECONDARY
Blocking Titers 50 (BT50) of a Strain Not Represented in the Investigational Vaccine: Cross-Protection Assay: GII.4.2012 EC50 (HBGA)
45.5; 50.7; 146.6; 208.5
SECONDARY
Percentage of Participants With Significant New Medical Conditions
6.7; 3.3; 0; 6.5; 0; 0
SECONDARY
Percentage of Participants With Any Adverse Event (AE) Leading to Withdrawal From the Study
0; 0; 0; 0; 0; 0

Summary

The purpose of this study is to select the optimal formulation of the norovirus vaccine from different concentrations of virus-like particles (VLP), Aluminum Hydroxide and MPL adjuvant (3-O-desacyl-4'-monophosphoryl lipid A) for further development.

Eligibility Criteria

Inclusion Criteria

  • Male and female participants between 18 and 64 years of age at the time of enrollment.
  • In good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs), and clinical judgment of the investigator.
  • The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any trial procedures, after the nature of the trial has been explained according to local regulatory requirements.
  • Can comply with trial procedures and are available for the duration of the trial.

Exclusion Criteria

  • Has received any vaccines containing Hepatitis A vaccine within the past 5 years.
  • Has contraindications, warnings, and/or precautions to vaccination with Havrix as specified within the Summary of Product Characteristics.
  • Has a clinically significant active infection (as assessed by the investigator) or oral body temperature 38°C (100.4°F) or higher within 3 days of the intended date of vaccination.
  • Has received antipyretic/analgesic medications within 24 hours prior to the intended vaccine administration.
  • Known hypersensitivity or allergy to investigational vaccine (including excipients of the investigational vaccine).
  • Has behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the participant's ability to participate in the trial.
  • Has a history of any progressive or severe neurologic disorder, seizure disorder, or Guillain-Barré syndrome.
  • Has history of any illness that, in the opinion of the investigator, might interfere with the results of the trial or pose additional risk to the participants due to participation in the trial.
  • Known or inspected impairment/alteration of immune function, including the following:
  • Chronic use of oral steroids (Equivalent to 20 mg/day prednisone for ≥12 weeks/≥2 mg/kg body weight/day for ≥2 weeks) within 60 days prior to Day 1 (use of inhaled, intranasal, or topical corticosteroids is allowed).
  • Receipt of parenteral steroids (equivalent to 20 mg/day prednisone ≥12 weeks/≥2 mg/kg body weight/day for ≥2 weeks) within 60 days prior to Day 1.
  • Receipt of immunostimulants within 60 days prior to Day 1.
  • Receipt of parenteral, epidural, or intra-articular immunoglobulin preparation, blood products, and/or plasma derivatives within 3 months prior to Day 1 or planned during the full length of the trial.
  • Receipt of immunosuppressive therapy within 6 months prior to Day 1.
  • Human immunodeficiency virus (HIV) infection or HIV-related disease.
  • Heritable immunodeficiency.
  • Abnormalities of splenic or thymic function.
  • Has a known bleeding diathesis or any condition that may be associated with a prolonged bleeding time.
  • Has any serious chronic or progressive disease according to judgment of the investigator (eg, neoplasm, insulin dependent diabetes, cardiac, renal, or hepatic disease).
  • Has a body mass index (BMI) greater than or equal to 35 kg/m^2 (=weight in kg/[height in meters * height in meters]).
  • Is participating in any clinical trial with another investigational product 30 days prior to first trial visit or intent to participate in another clinical trial at any time during the conduct of this trial.
  • Has received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this trial or who are planning to receive any vaccine within 28 days of investigational vaccine administration.
  • Is first degree relatives of individuals involved in trial conduct.
  • Has history of substance or alcohol abuse within the past 2 years.
  • If female, of childbearing potential, sexually active, and has not used any of the acceptable contraceptive methods for at least 2 months prior to trial entry.
  • Female participants of childbea
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02038907). 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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