Phase 2
N=454
Safety and Immunogenicity of Norovirus Bivalent Virus-Like Particle Vaccine in Healthy Adults
Norovirus Prevention
Bottom Line
View on ClinicalTrials.gov: NCT02142504 ↗Enrolled (actual)
454
Serious AEs
3.1%
Results posted
Feb 2017
Primary outcome: Primary: Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After the First Injection — 7.8; 64.1; 72.7; 7.8 percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Norovirus Bivalent VLP Vaccine (Biological); Placebo (Saline) (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Takeda
- Primary completion
- Jan 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After the First Injection |
7.8; 64.1; 72.7; 7.8; 64.1; 72.7 | — |
| PRIMARY Percentage of Participants With Solicited Systemic Adverse Events (AEs) After the First Injection |
26.8; 33.1; 45.5; 16.3; 15.9; 18.2 | — |
| PRIMARY Percentage of Participants With Elevated Daily Oral Temperature (Fever) After the First Injection |
0; 0.7; 0 | — |
| PRIMARY Percentage of Participants With Unsolicited Adverse Events (AEs) After the First Injection |
23.5; 16.6; 21.4 | — |
| PRIMARY Percentage of Participants With Serious Adverse Events (SAEs) After the First Injection |
1.3; 2.1; 3.2 | — |
| PRIMARY Percentage of Participants With Serious Adverse Events (SAEs) After the Second Injection |
1.6; 0.9; 0.9 | — |
| PRIMARY Percentage of Participants With Adverse Events of Special Interest (AESI) After the First Injection |
1.3; 2.1; 1.3 | — |
| PRIMARY Percentage of Participants With Adverse Events of Special Interest (AESI) After the Second Injection |
3.2; 0; 0.9 | — |
| PRIMARY Percentage of Participants With Any Adverse Event (AE) Leading to Withdrawal From the Study |
1.3; 1.4; 2.6 | — |
| SECONDARY Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After the Second Injection |
41.3; 41.3; 44.0; 41.3; 41.3; 44.0 | — |
| SECONDARY Percentage of Participants With Solicited Systemic Adverse Events (AEs) After the Second Injection |
28.6; 25.7; 31.9; 11.9; 11.0; 14.7 | — |
| SECONDARY Percentage of Participants With Elevated Daily Oral Temperature (Fever) After the Second Injection |
0; 0.9; 2.6 | — |
| SECONDARY Percentage of Participants With Unsolicited Adverse Events (AEs) After the Second Injection |
20.6; 14.7; 14.7 | — |
| SECONDARY Percentage of Participants With a Seroresponse in Both Serum Anti-norovirus GI.1 VLP and GII.4 VLP (Pan-Ig ELISA) |
2.6; 70.7; 64.9 | — |
| SECONDARY Percentage of Participants With a Seroresponse in Serum Anti-norovirus GI.1 VLP (Pan-Ig ELISA) |
8.6; 91.4; 90.1 | — |
| SECONDARY Percentage of Participants With a Seroresponse in Serum Anti-norovirus GII.4 VLP (Pan-Ig ELISA) |
4.6; 75.0; 69.5 | — |
| SECONDARY Geometric Mean Titer (GMT) of GI.1 VLP Antibody Titers (Pan-Ig ELISA) |
366.8; 13023.2; 18711.8 | — |
| SECONDARY Geometric Mean Titer (GMT) of GII.4 VLP Antibody Titers (Pan-Ig ELISA) |
955.5; 11275.5; 8667.9 | — |
| SECONDARY Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (Pan-Ig ELISA) |
1.3; 37.6; 55.9 | — |
| SECONDARY Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (Pan-Ig ELISA) |
1.1; 10.7; 7.4 | — |
| SECONDARY Percentage of Participants With a Seroresponse in Both Serum Anti-norovirus GI.1 VLP and GII.4 VLP (HBGA) |
2.0; 55.4; 55.0 | — |
| SECONDARY Percentage of Participants With a Seroresponse in Serum GI.1 VLP Antibody Titers (HBGA) |
3.3; 74.3; 80.8 | — |
| SECONDARY Percentage of Participants With a Seroresponse in Serum GII.4 VLP Antibody Titers (HBGA) |
2.6; 71.2; 68.2 | — |
| SECONDARY Blocking Titers 50 (BT50) of Anti-Norovirus GI.1 VLP Antibody Titers (HBGA) |
20.7; 170.9; 207.8 | — |
| SECONDARY Blocking Titers 50 (BT50) of Anti-Norovirus GII.4 VLP Antibody Titers (HBGA) |
80.1; 804.3; 631.3 | — |
| SECONDARY Geometric Mean Fold Rise (GMFR) of GI.1 VLP Antibody Titers (HBGA) |
1.1; 8.9; 10.5 | — |
| SECONDARY Geometric Mean Fold Rise (GMFR) of GII.4 VLP Antibody Titers (HBGA) |
1.0; 9.7; 7.3 | — |
Summary
The purpose of this study is to evaluate the safety of the norovirus bivalent virus-like particle (VLP) vaccine for further development by assessing the rates of serious adverse events (SAEs), unsolicited adverse events (AEs), solicited local and solicited systemic AEs, Adverse Events of Special Interest (AESIs) and AEs leading to participant's withdrawal from the trial.
Eligibility Criteria
Inclusion Criteria
- Male and female participants aged 18 to 49 years of age at the time of enrollment.
- Are in good health at the time of entry into the trial as determined by medical history, physical examination and clinical judgment of the investigator.
- Participants with a signed informed consent form and any required privacy authorization prior to the initiation of any trial procedures and 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 a history of acute gastroenteritis within 14 days of enrollment.
- 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.
- Has known hypersensitivity or allergy to any of the bivalent norovirus virus-like particle (VLP) vaccine components (including excipients of the investigational vaccines).
- 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 neuro-inflammatory disease (e.g., Guillain-Barré syndrome).
- Has history or 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.
- Has known or suspected 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.
- Has abnormalities of splenic or thymic function.
- Has a history of any autoimmune disease.
- 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 (e.g., 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.
- Participants who received any inactivated vaccines within 14 days or any live vaccines for 28 days prior to enrollment in this trial.
- Are first degree relatives of individuals involved in trial conduct.
- Has a 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:
- Of childbearing potential is defined as status post onset of menarche and not meeting any of the following conditions: menopausal for at least 2 years, status after bilateral tubal ligation for at least 1 year, status after bilateral oopho
Data sourced from ClinicalTrials.gov (NCT02142504). 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.