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Phase 2 Completed N=120 Randomized Double-blind Prevention

Two Doses of Multimeric-001 (M-001) Followed by Influenza Vaccine

Influenza · Influenza Immunisation
Source: ClinicalTrials.gov NCT03058692 ↗
Enrolled (actual)
120
Serious AEs
0.8%
Results posted
Feb 2020
Primary outcomePrimary: Mean Percentage of Perforin+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides — 1.180; 0.781; 1.090; 0.779 percentage of cells — p=0.53

Summary

This is a Phase II randomized, double-blind, placebo-controlled trial in 120 males and non-pregnant females, 18 to 49 years old, inclusive, who are in good health and meet all eligibility criteria. This clinical trial will be conducted at 3 United States sites and is designed to assess the safety, reactogenicity, and immunogenicity of two priming doses of M-001 followed by a seasonal quadrivalent inactivated influenza vaccine (IIV4). The duration of this trial for each subject will be approximately 7 months. The entire study duration will be approximately 24 months. The primary objectives are: 1) To assess the safety as measured by vaccine related adverse events, reactogenicity, and laboratory adverse events of two doses of M-001 vaccine, each dose administered approximately 21 days apart; and 2) To assess the T cell responses to M-001 component peptides following two doses of M-001.

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Percentage of Perforin+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
1.180; 0.781; 1.090; 0.779; 16.1; 12.4 0.53
PRIMARY
Mean Percentage of Cluster of Differentiation 107a Positive (CD107a+) CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.255; 0.264; 0.242; 0.257; 0.348; 0.367 0.74
PRIMARY
Mean Percentage of Interleukin-2 Positive (IL-2+) CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0682; 0.0634; 0.0749; 0.0692; 0.1260; 0.0939 0.66
PRIMARY
Mean Percentage of Tumor Necrosis Factor Positive (TNF+) CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.437; 0.530; 0.450; 0.395; 0.0750; 0.0716 0.32
PRIMARY
Mean Percentage of Interferon Gamma Positive (IFNg+) CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0418; 0.0333; 0.0512; 0.0436; 0.0558; 0.0400 0.0078 sig
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2+TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0.000067; 0; 0; 0; 0 0.5
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2+TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0; 0; 0; 0; 0
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2+TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0; 0; 0; 0; 0
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2+TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0; 0; 0; 0.00033; 0.0000461 0.5
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2-TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0000741; 0.000107; 0.0001600; 0.000344; 0.00271; 0.000269 >0.99
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2- TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.000036; 0; 0; 0.000161; 0.00288; 0.00172 0.50
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2-TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0; 0.0000566; 0.000118; 0.000444; 0.000409 0.87
PRIMARY
Mean Percentage of Perforin+CD107a+IL-2-TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00104; 0.000728; 0.00123; 0.000928; 0.0317; 0.0237 0.82
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2+TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0000621; 0.0000457; 0.0000888; 0.0001010; 0.000123; 0 >0.99
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2+TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0000375; 0; 0.0000327; 0; 0.0005150; 0.000322 0.50
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2+TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0.000101; 0; 0.000061; 0; 0.0003780 >.99
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2+TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00399; 0.00307; 0.00458; 0.00354; 0.0742; 0.0434 0.81
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2- TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0000639; 0.000372; 0; 0.000485; 0.00122; 0.00135 0.0061 sig
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2- TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.001100; 0.000199; 0.000564; 0.000454; 0.00880; 0.00426 0.36
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2- TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.000421; 0.000436; 0.00027; 0.000438; 0.00654; 0.00177 0.42
PRIMARY
Mean Percentage of Perforin+CD107a- IL-2- TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
1.180; 0.775; 1.080; 0.772; 16.0; 12.3 0.53
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2+TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00135; 0.00122; 0.00156; 0.00138; 0.001170; 0.001000 0.97
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2+TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00230; 0.00200; 0.00212; 0.00144; 0.000197; 0.0005900 0.15
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2+TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0; 0.000156; 0.0000725; 0.000078; 0; 0 0.94
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2+TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.000809; 0.000263; 0.000653; 0.000223; 0.000377; 0.000840 0.14
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2- TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00269; 0.00248; 0.00309; 0.00262; 0.00513; 0.00617 0.72
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2- TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0147; 0.0160; 0.0123; 0.0127; 0.00678; 0.00725 0.31
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2- TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.000511; 0.000694; 0.000731; 0.001910; 0.001580; 0.002160 0.16
PRIMARY
Mean Percentage of Perforin- CD107a+IL-2- TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.231; 0.240; 0.220; 0.236; 0.294; 0.323 0.67
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2+TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00328; 0.00365; 0.00955; 0.00289; 0.000238; 0.000693 <0.001 sig
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2+TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.01170; 0.01240; 0.01640; 0.01130; 0.00161; 0.00184 0.0093 sig
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2+TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.000169; 0.000438; 0.000434; 0.000372; 0.000397; 0.000339 0.54
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2+TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0445; 0.0400; 0.0395; 0.0478; 0.0468; 0.0444 0.44
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2- TNF+IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.00935; 0.00881; 0.01520; 0.00731; 0.00488; 0.00460 <0.001 sig
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2- TNF+IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.390; 0.483; 0.389; 0.354; 0.0388; 0.0415 0.65
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2- TNF- IFNg+ CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
0.0238; 0.0147; 0.0199; 0.0255; 0.0314; 0.0209 0.35
PRIMARY
Mean Percentage of Perforin- CD107a- IL-2- TNF- IFNg- CD4+ and CD8+ T Cells After Stimulation With M-001 Component Peptides
98.1; 98.4; 98.2; 98.5; 83.5; 87.2 0.86
PRIMARY
Number of Participants With Clinical Safety Laboratory Adverse Events After the First M-001 Vaccination
5; 7; 1; 0; 3; 1
PRIMARY
Number of Participants With Clinical Safety Laboratory Adverse Events After Second M-001 Vaccination
2; 3; 0; 0; 2; 0
PRIMARY
Number of Participants Reporting Solicited Injection Site and Systemic Reactogenicity Events After the First M-001 Vaccination
0; 1; 1; 3; 14; 14
PRIMARY
Number of Participants Reporting Solicited Injection Site and Systemic Reactogenicity Events After the Second M-001 Vaccination
1; 0; 1; 2; 8; 7
PRIMARY
Number of Participants Reporting Vaccine-related Serious Adverse Events (SAEs) After M-001 Vaccination
0; 0
SECONDARY
Number of Participants Reporting Serious Adverse Events (SAEs) After M-001 Vaccination
1; 0
SECONDARY
Incidence of Unsolicited Non-serious Adverse Events (AEs) After M-001 Vaccination
0; 2; 1; 1; 2; 1
SECONDARY
The Percentage of Subjects Achieving HAI Seroconversion to IIV4 Vaccine Virus From Day 172 to Day 200
13.5; 6.0; 11.5; 8.0; 15.4; 16.0
SECONDARY
The Percentage of Subjects Achieving Neutralizing Antibody Seroconversion to IIV4 Vaccine Virus From Day 172 to Day 200
17.3; 6.0; 13.5; 8.0; 19.2; 16.0
SECONDARY
The Percentage of Participants With an HAI Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 1
98.3; 93.2; 93.3; 93.2; 80.0; 81.4
SECONDARY
The Percentage of Participants With an HAI Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 43
96.2; 92.5; 94.3; 92.5; 79.2; 79.2
SECONDARY
The Percentage of Participants With an HAI Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 172
94.3; 88.5; 94.3; 88.5; 81.1; 78.8
SECONDARY
The Percentage of Participants With an HAI Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 200
98.1; 96.0; 98.1; 96.0; 94.2; 88.0
SECONDARY
The Percentage of Participants With a Neutralizing Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 1
30.0; 22.0; 71.7; 74.6; 100; 96.6
SECONDARY
The Percentage of Participants With a Neutralizing Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 43
20.8; 28.3; 77.4; 69.8; 98.1; 98.1
SECONDARY
The Percentage of Participants With a Neutralizing Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 172
24.5; 26.9; 67.9; 69.2; 98.1; 96.2
SECONDARY
The Percentage of Participants With a Neutralizing Antibody Titer of 40 or Greater and GMTs vs. IIV4 Vaccine Viruses at Day 200
69.2; 50.0; 86.5; 82.0; 100; 100

Eligibility Criteria

Inclusion Criteria

  • Provide written informed consent prior to initiation of any study procedures.
  • Are able to understand and comply with planned study procedures and be available for all study visits.
  • Are males or non-pregnant females, 18 to 49 years old, inclusive.
  • Are in good health*.

*As determined by medical history and targeted physical examination to evaluate acute or currently ongoing chronic medical diagnoses or conditions, defined as those that have been present for at least 90 days, which would affect the assessment of the safety of subjects or the immunogenicity of study vaccinations. Chronic medical diagnoses or conditions should be stable for the last 60 days prior to investigational vaccine study product administration. This includes no change in chronic prescription medication, dose, or frequency as a result of deterioration of the chronic medical diagnosis or condition in the 60 days prior to enrollment and investigational vaccine study product administration. Any prescription change that is due to change of health care provider, insurance company, etc., or that is done for financial reasons, as long as in the same class of medication, will not be considered a deviation of this inclusion criterion. Any change in prescription medication due to improvement of a disease outcome, as determined by the site principal investigator or appropriate sub-investigator, will not be considered a deviation of this inclusion criterion. Subjects may be on chronic or as needed (prn) medications if, in the opinion of the site principal investigator or appropriate sub-investigator, they pose no additional risk to subject safety or assessment of reactogenicity and immunogenicity and do not indicate a worsening of medical diagnosis or condition. Similarly, medication changes subsequent to enrollment and investigational study product vaccination are acceptable provided there was no deterioration in the subject's chronic medical condition that necessitated a medication change. All chronic medical condtions should pose no additional risk to the subject or interference with the evaluation of responses to study vaccination. Note: Topical, nasal, and inhaled medications (with the exception of inhaled corticosteroids as outlined in the Subject Exclusion Criteria), herbals, vitamins, and supplements are permitted.

  • Oral temperature is less than 100.0 degrees F.
  • Pulse** is 50 to 100 bpm, inclusive.

**Acceptable pulse range prior to IIV4 dose is 45 to 115 bpm, inclusive and no symptoms.

  • Systolic blood pressure*** is 85 to 150 mmHg, inclusive. ***Acceptable systolic blood pressure range prior to IIV4 dose is 80 to 155 mm Hg, inclusive and no symptoms.
  • Diastolic blood pressure**** is 55 to 95 mmHg, inclusive.

****Acceptable diastolic blood pressure range prior to IIV4 dose is 50 to 100 mm Hg, inclusive and no symptoms.

  • Women of childbearing potential* must use an acceptable method of contraception** from 30 days prior to vaccination until 60 days after the second of dose of M-001 or placebo.
  • Women of childbearing potential***** must use an acceptable method of contraception****** from 30 days prior to receipt of IIV vaccination, and must plan to use until 28 days after the IIV.

*****Not sterilized via tubal ligation, bilateral oophorectomy, hysterectomy, or successful Essure(R) placement (permanent, non-surgical, non-hormonal sterilization with history of documented radiological confirmation test achieved or with use of another approved birth control method if confirmation test not confirmed) and still menstruating or < 1 year of the last menses if menopausal).

******Includes, but is not limited to, non-male sexual relationships, abstinence from sexual intercourse with a male partner, monogamous relationship with a vasectomized partner, male condoms with the use of applied spermicide, intrauterine devices, NuvaRing(R), and licensed hormonal methods such as implants, injectables, contraceptive patches or oral c

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03058692). 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. Informational only — not medical advice.

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