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Phase 2 N=572 Randomized Quadruple-blind Prevention

Immunogenicity and Safety Study of a Vaccine Against Lyme Borreliosis, in Healthy Adults Aged 18 to 65 Years. Randomized, Controlled, Observer-blind Phase 2 Study.

Lyme Borreliosis

Enrolled (actual)
572
Serious AEs
2.1%
Results posted
Jun 2021
Primary outcome: Primary: GMTs (Geometric Mean Titers) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype ST1 to ST6 — 74.3; 101.9; 115.8; 21.7 U/mL

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
VLA15 (Biological); Placebo (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Pfizer
Primary completion
Dec 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
GMTs (Geometric Mean Titers) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype ST1 to ST6
74.3; 101.9; 115.8; 21.7; 180.9; 279.3
SECONDARY
GMTs (Geometric Mean Titers) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6)
20.8; 20.5; 20.2; 21.6; 21.1; 21.8
SECONDARY
SCRs (Seroconversion Rate) for Each OspA (Outer Surface Protein A) Serotype Specific IgG (Immunoglobulin G) (ST1 to ST6),
0.0; 3.7; 3.1; 0.8; 39.3; 37.2
SECONDARY
GMFR (Geometric Mean of the Fold Rise as Compared to Baseline) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6)
1.0; 1.1; 1.1; 1.0; 1.6; 1.8
SECONDARY
GMTs (Geometric Mean Titers) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6) - Group 18 - 49 Years
20.8; 20.3; 20.3; 22.0; 21.1; 20.9
SECONDARY
GMTs (Geometric Mean Titers) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6) - Group 50 - 65 Years
21.0; 20.0; 20.6; 24.2; 20.9; 21.0
SECONDARY
SCRs (Seroconversion Rate) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6) - Group 18 - 49 Years
0.0; 2.3; 2.9; 0.0; 39.3; 36.1
SECONDARY
SCRs (Seroconversion Rate) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6) - Group 50 - 65 Years
6.9; 3.4; 3.1; 39.7; 34.5; 3.0
SECONDARY
GMFRs (Geometric Mean of the Fold Rise as Compared to Baseline) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6) - Group 18 - 49 Years
1.0; 1.0; 1.1; 1.0; 1.6; 1.7
SECONDARY
GMFRs (Geometric Mean of the Fold Rise as Compared to Baseline) for IgG (Immunoglobulin G) Against Each OspA (Outer Surface Protein A) Serotype (ST1 to ST6) - Group 50 - 65 Years
1.2; 1.0; 1.0; 2.1; 1.8; 1.0
SECONDARY
Percentage of Participants With SAEs (Serious Adverse Events)
0.0; 1.9; 2.4; 2.4
SECONDARY
Percentage of Participants With Related SAEs (Serious Adverse Events)
0.0; 0.0; 0.0; 0.0
SECONDARY
Percentage of Participants With AESIs (Adverse Events of Special Interest)
0.0; 1.9; 0.5; 0.0
SECONDARY
Percentage of Participants With Related AESIs (Adverse Events of Special Interest)
0.0; 0.5; 0.0; 0.0
SECONDARY
Percentage of Participants With Unsolicited AEs (Adverse Events)
27.6; 51.9; 56.6; 51.6
SECONDARY
Percentage of Participants With Related Unsolicited AEs (Adverse Events)
6.9; 9.3; 14.6; 8.9
SECONDARY
Percentage of Participants With Solicited Local and Solicited Systemic AEs (Adverse Events)
89.7; 93.0; 96.1; 29.8; 62.1; 67.8
SECONDARY
Percentage of Participants With SAEs (Serious Adverse Events), AESIs (Adverse Events of Special Interest), Solicited and Unsolicited AEs (Adverse Events) - Group 18-49
0.0; 2.0; 2.1; 1.1; 0.0; 0.7
SECONDARY
Percentage of Participants With SAEs (Serious Adverse Events), AESIs (Adverse Events of Special Interest), Solicited and Unsolicited AEs (Adverse Events) - Group 50-65 Years
1.5; 3.3; 6.1; 4.5; 1.7; 0.0
SECONDARY
Number of Participants With AESIs (Adverse Events of Special Interest) up to Study End
0; 4; 1; 0.; 0; 2

Summary

This is a randomized, observer-blind, placebo controlled, multicenter Phase 2 study conducted in two study phases: a run-in phase and a main study phase. The study was investigated 3 doses of a multivalent OspA (Outer Surface Protein A) based Lyme vaccine (VLA15) in healthy adults aged 18 to 65 years of age. Study participants received 3 immunizations of the vaccine at a monthly interval. The study assessed the immune response as well as the safety profile of the vaccine.

Eligibility Criteria

Inclusion Criteria

Run-in phase:

  • Subject is aged 18 to 40 years at the day of screening (Visit 0);

Main Study phase:

  • Subject is aged18 to 65 years at the day of screening (Visit 0);

Run-in phase and Main Study phase:

  • Subject is of good general health, including subjects with pharmacologically controlled chronic conditions;
  • Subject has an understanding of the study and its procedures, agrees to its provisions, and gives written informed consent prior to any study-related procedures;
  • If subject is of childbearing potential:
  • Subject has a negative serum pregnancy test at screening (Visit 0);
  • Subject agrees to employ adequate birth control measures for the duration of the study.

Exclusion Criteria

  • Subject has a chronic illness related to Lyme borreliosis (LB), an active symptomatic LB (Lyme borreliosis) as suspected or diagnosed by a physician, or received treatment for LB (Lyme borreliosis) within the last 3 months prior to Visit 0;
  • Subject received previous vaccination against Lyme borreliosis (LB).;
  • Subject had a tick bite within 4 weeks prior to Visit 1;
  • Subject has a medical history of or currently has a clinically relevant disease (cardiovascular, respiratory, neurologic, psychiatric conditions) which poses a risk for participation in the study, based on investigators judgement, such as individuals with poorly controlled or unstable disease, ongoing suspected or active inflammation, or poor compliance with pharmacologic treatment. Subjects with pharmacologically controlled conditions like osteoarthritis, depression, or asthma are eligible;
  • Subject has a medical history of or currently has a neuroinflammatory or autoimmune disease, including Guillain Barré Syndrome;
  • Subject has a known thrombocytopenia, bleeding disorder, or received anticoagulants in the 3 weeks prior to first vaccination or until Day 57 (Visit 3), contraindicating intramuscular vaccination as judged by the investigator;
  • Subject has received an active or passive immunization within 28 days before first vaccination at Visit 1 and until Day 85; except for influenza (seasonal or pandemic) and pneumococcal vaccines which may be administered outside a 7-days interval before or after any trial vaccination;
  • Subject has received any other non-registered medicinal product in another clinical trial within 28 days prior to VLA15 vaccination at Visit 1 (Day 1) and throughout the entire study period or has received a registered medicinal product in another clinical trial within 28 days prior to VLA15 vaccination at Visit 1 (Day 1) and up to Day 85;
  • Subject has a known or suspected defect of the immune system that would prevent an immune response to the vaccine, such as subjects with congenital or acquired immunodeficiency, including infection with human immunodeficiency virus (HIV), status post organ transplantation or immuno-suppressive therapy within 30 days prior to Visit 1. Immuno-suppressive therapy is defined as administration of chronic (longer than 14 days) prednisone or equivalent 0.05 mg per kg/ per day. Topical and inhaled steroids are allowed;
  • Subject has a history of anaphylaxis or severe allergic reactions or a known hypersensitivity or allergic reactions to one of the components of the vaccine;
  • Subject had any malignancy in the past 5 years. If treatment for cancer was successfully completed more than 5 years ago and the malignancy is considered to be cured, the subject may be enrolled;
  • Subject had acute febrile infections within 10 days prior to first vaccination;
  • Subject is pregnant (positive serum pregnancy test at screening), has plans to become pregnant during the course of the study or is lactating at the time of enrollment. Women of childbearing potential that are unwilling or unable to employ an adequate birth control measure for the duration of the study.
  • Subject has donated blood or blood-derived products (plasma) within 30 days or received blood or blood-derived produc
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03769194). 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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