Phase 1
N=30
Phase 1 Novel Live Attenuated Serotype 2 Oral Polio Vaccine Study in Inactivated Polio Vaccine (IPV) Primed Adults
Poliomyelitis
Bottom Line
View on ClinicalTrials.gov: NCT03430349 ↗Enrolled (actual)
30
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcome: Primary: Number of Participants With Serious Adverse Events and Severe Adverse Events Throughout the Study — 0; 0; 6; 9 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Novel OPV2 candidate 1 (Biological); Novel OPV2 candidate 2 (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Pierre Van Damme
- Primary completion
- Sep 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Serious Adverse Events and Severe Adverse Events Throughout the Study |
0; 0; 6; 9; 0; 0 | — |
| PRIMARY Percentage of Participants With Viral Shedding |
0.0; 0.0; 38.5; 7.1; 50.0; 53.8 | — |
| PRIMARY Cell Culture Infective Dose of Shed Virus in Virus-positive Stool Samples |
3.22; 4.41; 3.66; 3.44; 4.50; 3.52 | — |
| PRIMARY Time to Shedding Cessation |
23; 12 | — |
| PRIMARY Shedding Index |
2.84; 0.95 | — |
| SECONDARY Number of Participants With Solicited Adverse Events |
13; 9; 8; 8; 5; 1 | — |
| SECONDARY Number of Participants With Unsolicited Adverse Events |
15; 15; 3; 3; 6; 3 | — |
| SECONDARY Number of Participants With Clinically Relevant Deviations From Normal Laboratory Evaluations |
1; 0; 4; 7; 3; 5 | — |
| SECONDARY Anti-Poliovirus Type-2 Neutralizing Antibody Titers |
56.89; 36.00; 1152.1; 724.1 | — |
| SECONDARY Seroprotection Rate |
100; 93.3; 100; 100 | — |
| SECONDARY Seroconversion Rate |
83.3; 84.6 | — |
| SECONDARY Neurovirulence Assessed by the Average Percent Paralysis in Inoculated Mice |
1.6; 6.9 | — |
Summary
This first-in-human (FIH) phase 1 study is designed to evaluate in contained conditions the safety, immunogenicity, shedding, and genetic stability of two novel oral polio vaccine type 2 (nOPV2) vaccine candidates in IPV-primed adults before testing in a larger adult and adolescent (> 15 y of age) population, and then in young children and infants.
Eligibility Criteria
Inclusion Criteria
- Healthy male or female, between 18 and 50 years old, extremes included, having received at least 3 doses of IPV in the past (more than 12 months before the start of the study);
- In good physical and mental health as determined on the basis of medical history, laboratory screening tests and general physical and psychological examination;
- Female subjects of childbearing potential must agree to the use of an effective method of birth control throughout the study and up to 3 months after vaccine administration;
- Willing to adhere to the prohibitions and restrictions specified in this protocol;
- Willing to adhere to the restrictions of containment for duration as specified in the protocol;
- Informed Consent Form (ICF) signed voluntarily by the subject before any study-related procedure is performed, indicating that the subject understands the purpose of and procedures required for the study and is willing to participate in the study.
Furthermore, willing to adhere to following restrictions as long as shedding will be observed at the end of the containment period:
- No intention to travel to the Netherlands and to polio endemic countries (updated list will be made available at the start of the study);
- No professional handling of food, catering or food production activities;
- Not having household or professional contact with known immunosuppressed people or people without full polio vaccination (i.e. complete primary infant immunization series), e.g. babysitting;
- No neonatal nursing activities or other professional contact with children under 6 months old;
Exclusion Criteria
- A condition that, in the opinion of the Investigator, could compromise the well being of the subject or course of the study, or prevent the subject from meeting or performing any study requirements;
- Ever having received any OPV in the past;
- Having Crohn's disease or ulcerative colitis or having had major surgery of the gastrointestinal tract involving significant loss or resection of the bowel;
- A known allergy, hypersensitivity, or intolerance to the study vaccine, or to any of its components or to any antibiotics;
- Any confirmed or suspected immunosuppressive or immunodeficiency condition (including human immunodeficiency virus [HIV] infection, hepatitis B and C infections or negative for total serum IgA);
- Chronic administration (i.e., longer than 14 days) of immunosuppressant drugs or other immune-modifying drugs within 6 months prior to the administration of study vaccine or planned use during the study. For instance, for corticosteroids, this means prednisone, or equivalent, ≥ 0.5 mg/kg/day (inhaled and topical steroids are allowed whereas intra-articular and epidural injection/administration of steroids are not allowed);
- Presence of contraindications to administration of the study vaccine on Day 0: acute severe febrile illness deemed by the Investigator to be a contraindication for vaccination or persistent diarrhea or vomiting;
- Indications of drug abuse or excessive use of alcohol at Day 0;
- Being pregnant or breastfeeding. Women of childbearing potential will undergo a pregnancy test at Screening (serum) and at Day 0 (urine). Subjects with a positive pregnancy test will be excluded;
- Participation in another clinical study within 28 days prior to entry in this study or receipt of any investigational product (drug or vaccine) other than the study vaccine within 28 days prior to the administration of study vaccine, or planned use during the study period;
- Administration of any vaccine other than the study vaccine within 28 days prior to the administration of study vaccine and during the entire study period;
- Administration of polio vaccine within 12 months before the start of the study;
- Having had a transfusion of any blood product or application of immunoglobulins within the 4 weeks prior to the administration of study vaccine or during the study;
- Subject is an employ
Data sourced from ClinicalTrials.gov (NCT03430349). 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.