Phase 2
N=420
RSV-MVA-BN Vaccine Phase II Trial in ≥ 55 Year Old Adults
Respiratory Syncytial Virus Infections
Bottom Line
View on ClinicalTrials.gov: NCT02873286 ↗Enrolled (actual)
420
Serious AEs
4.5%
Results posted
Sep 2020
Primary outcome: Primary: PRNT (Subtype A) GMT — 300.5; 278.9; 311.9; 373.3 Titer
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- MVA-BN-RSV (Biological); Placebo (Other)
- Age
- Adult, Older Adult · 55+ yrs
- Sex
- All
- Sponsor
- Bavarian Nordic
- Primary completion
- Dec 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY PRNT (Subtype A) GMT |
256.4; 208.0; 234.9; 276.4; 251.7; 316.7 | — |
| SECONDARY PRNT (Subtype A) GMT |
256.4; 208.0; 234.9; 276.4; 251.7; 316.7 | — |
| SECONDARY Percentage of Participants With Response by PRNT (Subtype A) |
10.3; 9.2; 27.8; 23.3; 3.7; 13.3 | — |
| SECONDARY PRNT (Subtype B) GMT |
424.3; 364.9; 426.9; 498.6; 477.5; 517.7 | — |
| SECONDARY Percentage of Participants With Response by PRNT (Subtype B) |
12.8; 18.4; 26.6; 14.4; 2.4; 9.3 | — |
| SECONDARY ELISA (IgG) GMT |
1578.4; 1488.6; 1636.1; 1819.5; 1672.2; 2506.9 | — |
| SECONDARY Percentage of Participants With Response by IgG ELISA |
21.8; 19.5; 51.9; 44.4; 0.0; 24.0 | — |
| SECONDARY ELISA (IgA) GMT |
581.7; 591.1; 776.3; 623.3; 585.4; 1377.7 | — |
| SECONDARY Percentage of Participants With Response by IgA ELISA |
50.0; 51.7; 68.4; 70.0; 7.3; 32.0 | — |
| SECONDARY ELISA (Mucosal IgA) GMT |
12.0; 10.9; 11.9; 13.7; 12.3; 14.1 | — |
| SECONDARY Percentage of Participants With Response by Mucosal IgA ELISA |
12.2; 14.5; 22.4; 12.5; 5.1; 14.9 | — |
| SECONDARY ELISPOT (IFN-g, Peptide Pool: F) GMSFU |
283.2; 141.3; 142.6; 245.8; 138.9; 683.3 | — |
| SECONDARY ELISPOT (IFN-g, Peptide Pool: G(A)) GMSFU |
124.2; 70.2; 66.2; 150.7; 88.1; 517.9 | — |
| SECONDARY ELISPOT (IFN-g, Peptide Pool: G(B)) GMSFU |
111.3; 63.4; 56.8; 135.5; 73.6; 399.6 | — |
| SECONDARY ELISPOT (IFN-g, Peptide Pool: M2) GMSFU |
84.1; 41.2; 54.9; 86.6; 60.5; 353.2 | — |
| SECONDARY ELISPOT (IFN-g, Peptide Pool: N) GMSFU |
179.2; 97.1; 85.1; 169.4; 82.7; 652.1 | — |
| SECONDARY ELISPOT (IL-4, Peptide Pool: F) GMSFU |
25.0; 25.0; 25.0; 25.0; 25.0; 33.5 | — |
| SECONDARY ELISPOT (IL-4, Peptide Pool: G(A)) GMSFU |
25.0; 25.0; 25.0; 25.0; 25.0; 32.0 | — |
| SECONDARY ELISPOT (IL-4, Peptide Pool: G(B)) GMSFU |
25.0; 25.0; 25.0; 25.0; 25.0; 30.1 | — |
| SECONDARY ELISPOT (IL-4, Peptide Pool: M2) GMSFU |
25.0; 25.0; 25.0; 25.0; 25.0; 28.1 | — |
| SECONDARY ELISPOT (IL-4, Peptide Pool: N) GMSFU |
25.0; 25.0; 25.0; 25.0; 25.0; 28.7 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IFN-g, Peptide Pool: F) |
57.1; 95.2; 100.0; 73.9; 8.3; 61.1 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IFN-g, Peptide Pool: G(A)) |
81.0; 81.0; 95.0; 82.6; 8.3; 72.2 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IFN-g, Peptide Pool: G(B)) |
71.4; 76.2; 85.0; 78.3; 12.5; 55.6 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IFN-g, Peptide Pool: M2) |
81.0; 71.4; 95.0; 87.0; 8.3; 72.2 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IFN-g, Peptide Pool: N) |
76.2; 85.7; 100.0; 78.3; 16.7; 72.2 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IL-4, Peptide Pool: F) |
19.0; 14.3; 30.0; 47.8; 0.0; 11.1 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IL-4, Peptide Pool: G(A)) |
14.3; 9.5; 15.0; 43.5; 0.0; 16.7 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IL-4, Peptide Pool: G(B)) |
9.5; 9.5; 15.0; 39.1; 0.0; 5.6 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IL-4, Peptide Pool: M2) |
9.5; 4.8; 25.0; 13.0; 0.0; 11.1 | — |
| SECONDARY Percentage of Participants With Response by ELISPOT (IL-4, Peptide Pool: N) |
9.5; 23.8; 45.0; 21.7; 0.0; 5.6 | — |
| SECONDARY Memory B Cells (IgG) GMSFU |
0.091; 0.083; 0.068; 0.129; 0.117; 0.171 | — |
| SECONDARY Serious Adverse Events |
0; 1; 2; 1; 0; 1 | — |
| SECONDARY Related Serious Adverse Events |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Grade ≥ 3 Serious Adverse Events |
0; 1; 1; 1; 0; 1 | — |
| SECONDARY Related Grade ≥ 3 Adverse Events |
0; 3; 6; 6; 0; 3 | — |
| SECONDARY Solicited Local Adverse Events |
39; 57; 58; 76; 9; 6 | — |
| SECONDARY Grade ≥ 3 Solicited Local Adverse Events |
0; 0; 2; 7; 0; 0 | — |
| SECONDARY Solicited General Adverse Events |
2; 4; 8; 6; 1; 0 | — |
| SECONDARY Grade ≥ 3 Solicited General Adverse Events |
0; 1; 0; 0; 0; 0 | — |
| SECONDARY Related Solicited General Adverse Events |
2; 4; 7; 3; 1; 0 | — |
| SECONDARY Unsolicited Non-serious Adverse Events |
14; 23; 23; 22; 21; 21 | — |
| SECONDARY Related Unsolicited Non-serious Adverse Events |
4; 6; 9; 9; 4; 4 | — |
| SECONDARY Grade ≥ 3 Unsolicited Non-serious Adverse Events |
1; 0; 3; 0; 0; 2 | — |
Summary
A total of 400 subjects will be recruited into five treatment subject groups à 80 subjects.Subject will receive two administrations 4 weeks apart which will consist of MVA-BN-RSV Dose 1, MVA-BN-RSV Dose 2 or Placebo (TBS).
86 subjects from 2 treatment groups (43 per treatment group) are supposed to receive one (booster) dose of MVA-BN-RSV vaccine approximately one year after their first vaccination. In this booster substudy, eligible subjects will receive the same dose they received during the main trial.
Eligibility Criteria
Inclusion Criteria (Main study):
- Male and female subjects, ≥ 55 years of age.
- Prior to performance of any trial specific procedures, the subject has read, signed and dated an informed consent form, having been advised of the risks and benefits of the trial in a language understood by the subject, and has signed the Health Insurance Portability and Accountability Act (HIPAA) authorization form.
- Subjects without symptomatic cardiopulmonary and/or metabolic disease. Note that subjects who have any active symptoms related to cardiac and/or pulmonary and/or metabolic disease (including e.g. uncontrolled asthma, angina pectoris, hyperglycaemia or other episodic symptoms), or who receive ongoing therapy to control current, active symptoms, are not eligible. Subjects on stable treatment (no change in ≥ 1 month) for previous and controlled symptoms or conditions are eligible. The following are examples of subjects who may bear cardiopulmonary or metabolic diagnoses but who would remain eligible:
- Subjects on stable (no change in ≥ 1 month) therapy for findings (e.g. hypertension, hyperlipidemia) which are not associated with current symptoms or disability.
- Subjects with type II diabetes mellitus are considered eligible as long as they are stable on oral antidiabetics and have either a documented glycated hemoglobin (HbA1c) of ≤ 8 % within three months prior to trial participation or confirmation of controlled blood glucose level must be obtained at the SCR (screening) visit by a lab test.
- Subjects who receive short term treatment for temporary conditions.
- Other clinically insignificant findings not deemed to be associated with increased risk for respiratory viral infections as determined by the investigator.
- Able to comply with trial requirements; including access to transportation for trial visits.
- Body mass index (BMI) ≥ 18.5 and ≤ 39.9
BMI formula for pounds and inches:
BMI = (bodyweight in pounds) * 703 (bodyheight in inches)2
- Women of childbearing potential (WOCBP) must have used an acceptable method of contraception for at least 30 days prior to the first vaccination, must agree to use an acceptable method of contraception (as defined in Section 8.2.11) during the trial, and must avoid becoming pregnant for at least 28 days after the last vaccination. WOCBP must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to each vaccination
- Not clinically significant laboratory values as defined in the protocol, excluding any Grade ≥ 3 toxicity.
- Negative human immunodeficiency virus antibody test (anti-HIV), negative hepatitis B surface antigen (HBsAG) and negative antibody test to hepatitis C virus.
- Electrocardiogram (ECG) without clinically significant acute findings (e.g. findings suggestive of current ischemia, ventricular arrhythmias, congestive heart failure and ventricular hypertrophy).
Exclusion Criteria (Main Study):
- Pregnant or breast-feeding women.
- Uncontrolled serious infection, i.e. not responding to antimicrobial therapy.
- History or current clinical manifestation of any serious medical condition, which in the opinion of the investigator would compromise the safety of the subject or would limit the subject's ability to complete the trial.
- History of cerebrovascular disorders, including stroke. Patients with history of transient ischaemic attack (TIA) ≥ 1 year prior to trial participation remain eligible.
- History of myocardial infarction within ≤ 1 year prior to trial participation, current clinical manifestation of angina pectoris, current clinical manifestation of congestive heart failure ≥ New York Heart Association (NYHA) Grade II, uncontrolled high blood pressure defined as systolic blood pressure ≥ 150 mmHg and/or diastolic ≥ 100 mmHg within the last 2 months.
- History of or active autoimmune disease. Persons with vitiligo or thyroid disease taking thyroid replacement are not excluded. Persons with rheumatoid arthritis not re
Data sourced from ClinicalTrials.gov (NCT02873286). 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.