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Phase 1 N=43 Randomized Double-blind Prevention

H3N2 M2SR in Pediatric Population

Influenza · Influenza Immunisation

Enrolled (actual)
43
Serious AEs
0.0%
Results posted
Oct 2021
Primary outcome: Primary: Number of Participants With Adverse Events of Special Interest (AESIs) — 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Influenza Virus Monovalent A/H3N2/Bris 10 M2SR Live Vaccine (Biological); Placebo (Other); Quadrivalent MDCK Inactivated Influenza Vaccine (Biological)
Age
Pediatric · 9+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Aug 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Adverse Events of Special Interest (AESIs)
0; 0
PRIMARY
Number of Participants With New Onset Chronic Medical Conditions (NOCMCs)
0; 0
PRIMARY
Number of Participants With Serious Adverse Events (SAEs)
0; 0
PRIMARY
Number of Participants With Solicited Reactogenicity
5; 7; 11; 10
PRIMARY
Number of Participants With Unsolicited Non-Serious Adverse Events
6; 5
SECONDARY
Frequency of Conserved Internal Viral Protein-specific Spot Forming Cells
17.2; 23.0; 24.1; 23.5; 24.5; 20.2
SECONDARY
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 M2SR-like Virus A/Brisbane/10/2007
37.5; 50.2; 48.9; 59.0; 65.8; 46.3
SECONDARY
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 QIV-like Virus A/North Carolina/04/2016
30.7; 42.5; 39.7; 45.1; 49.5; 40.0
SECONDARY
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
31.5; 42.1; 40.5; 46.0; 50.9; 40.2
SECONDARY
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 QIV-like Virus A/Kansas/14/2017
5.3; 5.3; 7.1; 6.0; 5.4; 6.6
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 M2SR-like Virus A/Brisbane/10/2007
1.1; 1.2; 1.3; 1.9; 0.8; 1.9
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 M2SR-like Virus A/Brisbane/10/2007 Normalized to Total sIgA
1.9; 1.6; 1.9; 1.3; 1.0; 1.2
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/North Carolina/04/2016
0.7; 0.7; 0.8; 1.2; 0.7; 1.1
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/North Carolina/04/2016 Normalized to Total sIgA
1.2; 1.0; 1.1; 0.8; 0.8; 0.7
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
0.7; 0.5; 1.3; 1.1; 0.6; 0.8
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016 Normalized to Total sIgA
1.2; 0.7; 1.9; 0.8; 0.7; 0.5
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Kansas/14/2017
0.6; 0.5; 1.1; 1.3; 0.6; 1.2
SECONDARY
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Kansas/14/2017 Normalized to Total sIgA
1.1; 0.7; 1.6; 0.8; 0.7; 0.8
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 M2SR-like Virus A/Brisbane/10/2007
17.3; 8.4; 18.9; 10.3; 22.9; 15.9
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 M2SR-like Virus A/Brisbane/10/2007 Normalized to Total sIgA
1.5; 1.4; 2.9; 2.3; 2.8; 1.8
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/North Carolina/04/2016
25.5; 16.7; 17.5; 12.5; 19.5; 20.4
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/North Carolina/04/2016 Normalized to Total sIgA
2.2; 2.8; 2.7; 2.8; 2.4; 2.3
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
29.7; 26.1; 20.2; 12.8; 39.0; 29.8
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016 Normalized to Total sIgA
2.6; 4.4; 3.1; 2.9; 4.8; 3.4
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Kansas/14/2017
17.1; 9.9; 10.8; 5.0; 19.0; 12.5
SECONDARY
Geometric Mean Titer (GMT) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 QIV-like Virus A/Kansas/14/2017 Normalized to Total sIgA
1.5; 1.7; 1.6; 1.1; 2.4; 1.4
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 M2SR-like Virus A/Brisbane/10/2007
1.0; 1.0; 1.2; 1.0; 1.1; 1.0
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 QIV-like Virus A/North Carolina/04/2016
1.0; 1.0; 1.0; 1.0; 1.0; 1.0
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
1.0; 0.9; 1.0; 0.9; 1.0; 0.9
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 QIV-like Virus A/Kansas/14/2017
1.0; 1.0; 1.0; 0.9; 1.0; 1.0
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Titers (GMTs) to the H3N2 M2SR-like Virus A/Brisbane/10/2007
93.6; 67.8; 96.6; 65.6; 109.6; 65.6
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Titers (GMTs) to the H3N2 QIV-like Virus A/North Carolina/04/2016
14.1; 13.5; 13.7; 13.5; 13.7; 13.5
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Titers (GMTs) to the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
96.6; 88.3; 96.6; 82.7; 99.7; 82.7
SECONDARY
Hemagglutination Inhibition (HAI) Antibody Geometric Mean Titers (GMTs) to the H3N2 QIV-like Virus A/Kansas/14/2017
25.7; 25.2; 25.7; 25.2; 25.7; 23.6
SECONDARY
Neutralizing Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 M2SR-like Virus A/Brisbane/10/2007
1.0; 1.0; 1.1; 1.0; 1.2; 0.9
SECONDARY
Neutralizing Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 QIV-like Virus A/North Carolina/04/2016
1.1; 1.0; 1.0; 1.0; 1.0; 1.0
SECONDARY
Neutralizing Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
1.0; 1.0; 1.0; 1.0; 1.0; 0.9
SECONDARY
Neutralizing Antibody Geometric Mean Fold Rise (GMFR) to the H3N2 QIV-like Virus A/Kansas/14/2017
1.0; 1.1; 1.0; 1.1; 0.9; 0.9
SECONDARY
Neutralizing Antibody Geometric Mean Titers (GMTs) to the H3N2 M2SR-like Virus A/Brisbane/10/2007
1374.0; 1178.6; 1418.0; 1159.3; 1558.6; 1188.4
SECONDARY
Neutralizing Antibody Geometric Mean Titers (GMTs) to the H3N2 QIV-like Virus A/North Carolina/04/2016
70.5; 83.4; 74.5; 80.0; 72.8; 84.1
SECONDARY
Neutralizing Antibody Geometric Mean Titers (GMTs) to the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
726.0; 700.8; 755.1; 706.6; 726.0; 667.0
SECONDARY
Neutralizing Antibody Geometric Mean Titers (GMTs) to the H3N2 QIV-like Virus A/Kansas/14/2017
196.4; 165.4; 190.3; 176.7; 190.3; 182.6
SECONDARY
Percentage of Participants Achieving a Serum Hemagglutination Inhibition (HAI) Antibody Titer of >= 1:40 Against the H3N2 M2SR-like Virus A/Brisbane/10/2007
82; 86; 82; 86; 86; 86
SECONDARY
Percentage of Participants Achieving a Serum Hemagglutination Inhibition (HAI) Antibody Titer of >= 1:40 Against the H3N2 QIV-like Virus A/North Carolina/04/2016
9; 5; 9; 5; 9; 5
SECONDARY
Percentage of Participants Achieving a Serum Hemagglutination Inhibition (HAI) Antibody Titer of >= 1:40 Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
91; 95; 91; 95; 91; 95
SECONDARY
Percentage of Participants Achieving a Serum Hemagglutination Inhibition (HAI) Antibody Titer of >= 1:40 Against the H3N2 QIV-like Virus A/Kansas/14/2017
41; 38; 41; 33; 41; 33
SECONDARY
Percentage of Participants Achieving a Serum Neutralizing Antibody Titer of >= 1:40 Against the H3N2 M2SR-like Virus A/Brisbane/10/2007
100; 100; 100; 100; 100; 100
SECONDARY
Percentage of Participants Achieving a Serum Neutralizing Antibody Titer of >= 1:40 Against the H3N2 QIV-like Virus A/North Carolina/04/2016
77; 81; 82; 81; 77; 81
SECONDARY
Percentage of Participants Achieving a Serum Neutralizing Antibody Titer of >= 1:40 Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
95; 100; 95; 100; 95; 100
SECONDARY
Percentage of Participants Achieving a Serum Neutralizing Antibody Titer of >= 1:40 Against the H3N2 QIV-like Virus A/Kansas/14/2017
95; 100; 95; 100; 100; 100
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Seroconversion Against the H3N2 M2SR-like Virus A/Brisbane/10/2007
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Seroconversion Against the H3N2 QIV-like Virus A/North Carolina/04/2016
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Seroconversion Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Seroconversion Against the H3N2 QIV-like Virus A/Kansas/14/2017
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Neutralizing Antibody Seroconversion Against the H3N2 M2SR-like Virus A/Brisbane/10/2007
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Neutralizing Antibody Seroconversion Against the H3N2 QIV-like Virus A/North Carolina/04/2016
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Neutralizing Antibody Seroconversion Against the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Neutralizing Antibody Seroconversion Against the H3N2 QIV-like Virus A/Kansas/14/2017
0; 0; 0; 0; 0; 0

Summary

This is a Phase I double-blind, randomized, placebo-controlled study in 50 healthy adolescents and children, 9-17 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety and immunogenicity of a prime-boost regimen of H3N2 M2SR intranasal influenza vaccine (manufactured by FluGen) followed by licensed inactivated Quadrivalent Influenza Vaccine (QIV) boost administered intramuscularly Subjects will be enrolled in one of two groups in a 1:1 ratio. Arm 1 will receive one dose of M2SR intranasally on Day 1 and one dose of QIV on Day 92. Arm 2 will receive one dose of placebo (saline) intranasally on Day 1, and one dose of QIV on Day 92. Study duration will be approximately 28 months with patient participation duration approximately 13 months. The primary study objective is to assess the safety and reactogenicity of a monovalent live attenuated influenza H3N2 M2SR vaccine.

Eligibility Criteria

Inclusion Criteria

  • Parent(s)/legal guardian(s) must provide written informed consent prior to initiation of any study procedures, and subject must provide assent.
  • Are able to understand and comply with planned study procedures and be available for all study visits.
  • Are males or non-pregnant females, 9-17 years old, inclusive at the time of enrollment.
  • Are in good health*.

*As determined by medical history and 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 (no hospitalizations, ER, or urgent care for condition and no adverse symptoms that need medical intervention). 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. 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 study vaccination are acceptable provided there was no deterioration in the subject's chronic medical condition that necessitated a medication change, and there is no additional risk to the subject or interference with the evaluation of responses to study vaccination. Note: Low dose topical steroids, herbals, vitamins, and supplements are permitted.

  • Oral temperature is less than 100.0 degrees Fahrenheit.
  • For female adolescent of child-bearing potential* must agree to correctly use an acceptable method of contraception** from 30 days prior to vaccination until 30 days after the last study vaccination.

*Defined by the onset of menses, and not sterilized via tubal ligation, bilateral oophorectomy, hysterectomy, or successful Essure(R) placement (permanent, non-surgical, non-hormonal sterilization) with documented radiological confirmation test at least 90 days after the procedure, and still menstruating.

**Includes non-male sexual relationships, abstinence from sexual intercourse with a male partner, monogamous relationship with a vasectomized partner, and correct use of male condoms with the use of applied spermicide, intrauterine devices, NuvaRing(R), and licensed hormonal methods such as implants, injectables, contraceptive patches or oral contraceptives ("the pill"). Method of contraception will be captured on the appropriate data collection form.

  • Female adolescent of childbearing potential must have a negative urine pregnancy test within 24 hours prior to study vaccination.
  • Males who are sexually active with a female of childbearing potential must agree not to father a child for 30 days after receipt of the first study vaccination.
  • Agrees not to participate in another clinical trial during the study period.
  • Agrees not to donate blood or blood products to a blood bank for 12 months after receiving the investigational vaccine.
  • Weight = / > 34 kg or 75 pounds.
  • Hemoglobin = / > 11.5 g/dL.
  • Hematocrit > 35%.
  • Ferritin level = / > 15 ng/mL.
  • Parent/legal guardian must provide consent to future use of stored samples.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03553940). 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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