Phase 1
N=48
Andes Virus DNA Vaccine for the Prevention of Hantavirus Pulmonary Syndrome Using the PharmaJet Stratis(R) Needle-Free Injection Delivery Device
Hantavirus Pulmonary Infection · Immunisation
Bottom Line
View on ClinicalTrials.gov: NCT03682107 ↗Enrolled (actual)
48
Serious AEs
2.1%
Results posted
Oct 2021
Primary outcome: Primary: Number of Participants Experiencing Clinical Safety Laboratory Adverse Events — 0; 2; 0; 0 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Andes virus DNA vaccine (Biological); Placebo (Other)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)
- Primary completion
- Sep 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Experiencing Clinical Safety Laboratory Adverse Events |
0; 2; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants Reporting Serious Adverse Events (SAEs) From Day 1 Through Day 337 |
0; 0; 0; 1; 0 | — |
| PRIMARY Number of Participants Reporting Vaccine-Related Serious Adverse Events (SAEs) From Day 1 Through Day 337 |
0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants Experiencing Unsolicited Non-Serious Adverse Events at Any Time From Day 1 to Day 197 |
4; 2; 1; 2; 3; 6 | — |
| PRIMARY Number of Participants Experiencing Vaccine-Related Unsolicited Non-Serious Adverse Events at Any Time From Day 1 to Day 197 |
8; 8; 8; 7; 6; 2 | — |
| PRIMARY Number of Participants Reporting Solicited Local Adverse Events From Day 1 Through Day 8 |
2; 8; 7; 6; 1; 7 | — |
| PRIMARY Number of Participants Reporting Solicited Local Adverse Events From Day 29 Through Day 36 |
0; 4; 7; 4; 1; 3 | — |
| PRIMARY Number of Participants Reporting Solicited Local Adverse Events From Day 57 Through Day 64 |
2; 5; 1; 2; 0; 4 | — |
| PRIMARY Number of Participants Reporting Solicited Local Adverse Events From Day 169 Through Day 176 |
2; 8; 2; 4; 1; 6 | — |
| PRIMARY Number of Participants Reporting Solicited Systemic Adverse Events From Day 1 Through Day 8 |
0; 0; 1; 1; 0; 2 | — |
| PRIMARY Number of Participants Reporting Solicited Systemic Adverse Events From Day 29 Through Day 36 |
0; 0; 1; 1; 0; 0 | — |
| PRIMARY Number of Participants Reporting Solicited Systemic Adverse Events From Day 57 Through Day 64 |
0; 1; 1; 1; 1; 0 | — |
| PRIMARY Number of Participants Reporting Solicited Systemic Adverse Events From Day 169 Through Day 176 |
2; 2; 0; 0; 0; 3 | — |
| SECONDARY Geometric Mean Titers (GMTs) of Neutralizing Antibodies to ANDV Measured by Plaque Reduction Neutralization Titers |
14.1; 14.1; 14.1; 14.1; 14.1; 14.1 | — |
| SECONDARY Geometric Mean Titers (GMTs) of Neutralizing Antibodies to ANDV Measured by Pseudovirion Neutralization Titers |
14.1; 14.1; 14.1; 14.1; 14.1; 22 | — |
| SECONDARY Number of Participants With ANDV Antibody Titers Greater Than or Equal to 20 as Measured by Plaque Reduction Neutralization Titers |
2; 4; 4; 2; 0; 0 | — |
| SECONDARY Number of Participants With ANDV Antibody Titers Greater Than or Equal to 20 as Measured by Pseudovirion Neutralization Titers |
2; 5; 6; 5; 0; 1 | — |
| SECONDARY Percentage of Participants Achieving ANDV Antibody Seroconversion as Measured by Plaque Reduction Neutralization Titers |
11.1; 30; 40; 20; 0; 0 | — |
| SECONDARY Percentage of Participants Achieving ANDV Antibody Seroconversion at Day 57 as Measured by Pseudovirion Neutralization Titers |
22.2; 30; 60; 50; 0; 10 | — |
Summary
This is a Phase 1, randomized, placebo controlled, double-blind, dose escalation trial of 48 males and non-pregnant females, 18-49 years old, inclusive, who are in good health and meet all eligibility criteria. This trial is designed to assess the safety, reactogenicity and immunogenicity of an Andes Virus (ANDV) DNA vaccine for the prevention of Hantavirus Pulmonary Syndrome (HPS). ANDV DNA vaccine or placebo will be administered using the PharmaJet Stratis(R) Needle-Free Injection System. The study duration is 23 months while the subject participation duration is 12 months. Subjects assigned to the 3 dose regimen will receive ANDV DNA vaccine on Days 1, 29 and 169, and placebo on Day 57. Subjects assigned to the 4 dose regimen will receive ANDV DNA on Days 1, 29, 57 and 169. Two doses (2 or 4 mg) of ANDV DNA vaccine will be evaluated. The primary objective of this study is to assess the safety and reactogenicity of the ANDV DNA vaccine by dosage cohort and treatment arm when administered using the PharmaJet Stratis(R) Needle-Free Injection system in normal, healthy adults.
Eligibility Criteria
Inclusion Criteria
- Provide written informed consent before initiation of any study procedures.
- Are able to understand and comply with planned study procedures and be available for all study visits/phone calls.
- Males or non-pregnant females ages 18-49, inclusive.
- 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 such as medication change/supplemental oxygen). 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: Topical, nasal, and inhaled medications (apart from steroids as outlined in the Subject Exclusion Criteria), herbals, vitamins, and supplements are permitted.
- Oral temperature is less than 100.0 degrees Fahrenheit (37.8 degrees Celsius).
- Pulse is 47 to 105 beats per minute (bpm), inclusive.
- Systolic blood pressure (BP) is 85 to 150 mm Hg, inclusive.
- Diastolic blood pressure (BP) is 55 to 95 mm Hg, inclusive.
- Have acceptable screening laboratories* within 28 days prior to enrollment. *Screening laboratory values that are outside acceptable range but are thought to be due to an acute condition or due to laboratory error may be repeated once.
- Urine protein screen is negative or trace.
- Drug screen for opiates is negative.
- HgbA1C 1 year prior to screening
- Must agree to use a barrier method of birth control e.g., either condom with spermicidal foam/gel/film/cream or partner reports usage of occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository.
- Women agree to not donate eggs (ova, oocytes) and male subject agrees not to donate sperm from the start of screening onwards until at least 90 days after the last vaccination.
- Agree not to participate in another clinical trial during the study period.
- Agree not to donate blood to a blood bank for 3 months after receiving the last study vaccine.
Exclusion Criteria
- Women who are pregnant, planning to become pregnant or lactating*. *Includes breastfeeding or planning to breastfeed at any given time from the receipt of study vaccination through the 12-month trial period.
- Known allergy or history of anaphylaxis, severe local or other serious adverse reactions to vaccines or vaccine products*, or history of severe allergic reactions.
*This includes a known allergy to an aminoglycoside (e.g., gentamicin, t
Data sourced from ClinicalTrials.gov (NCT03682107). 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.