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Phase 2 N=145 Randomized Quadruple-blind Prevention

Efficacy of MVA-NP+M1 in the Influenza H3N2 Human Challenge Model

Influenza

Enrolled (actual)
145
Serious AEs
0.8%
Results posted
Mar 2021
Primary outcome: Primary: Degree of Nasopharyngeal Viral Shedding as Determined by Quantitative Polymerase Chain Reaction qPCR — 649.7; 726.1; 646.5; 726.1 hour*Log10 Viral Particles/ ml — p=0.1711

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
MVA-NP+M1 (Biological); Saline (Biological); H3N2 (A/Belgium/2417/2015) (Biological)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Barinthus Biotherapeutics
Primary completion
Dec 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Degree of Nasopharyngeal Viral Shedding as Determined by Quantitative Polymerase Chain Reaction qPCR
649.7; 726.1; 646.5; 726.1; 649.7; 726.1 0.1711
SECONDARY
Number and Percentage of Virologically Confirmed Influenza-Like Illness
43; 29; 28; 18 1.000
SECONDARY
Percentage of Participants With Attack Rate of Challenge Agent (qRT-PCR)
90.1; 97.9; 9.9; 2.1 0.143
SECONDARY
Percentage of Participants With Quantitative Culture Attack Rate of Challenge Agent (qCulture)
77.5; 85.1; 22.5; 14.9 0.3504
SECONDARY
Time to Start of Viral Shedding (qPCR) From Virus Inoculation
24.40; 24.30 0.5558
SECONDARY
Time to Start of Viral Shedding (qCulture) From Virus Inoculation
35.9; 47.6 0.6534
SECONDARY
Peak Viral Shedding (qPCR) After the Virus Inoculation
5.876; 6.054 0.5485
SECONDARY
Peak Viral Shedding (qCulture) After Virus Inoculation
4.073; 4.069 0.6753
SECONDARY
Time to Peak of Viral Shedding (qPCR) From the Viral Inoculation
72.20; 107.90 0.711
SECONDARY
Time to Peak of Viral Shedding (qCulture) From the Viral Inoculation
83.40; 83.80 0.4689
SECONDARY
Duration of Viral Shedding (qPCR) After the Virus Inoculation
170.80; 172.47
SECONDARY
Duration of Viral Shedding (qCulture) After the Virus Inoculation
118.19; 121.78
SECONDARY
Total Area Under the Curve (AUC) of Self-reported Influenza Total Symptom Score (SSC AUC)
16.709; 20.432 0.5001
SECONDARY
Total Days of Fever
0.0; 0.0 0.6799
SECONDARY
Average Total Mucus Production
31.09; 38.21 0.5911
SECONDARY
T Cell Responses as Defined by ELISpot Assay in Relation to the Primary Endpoint, Symptom Scores and Influenza Incidence
230; 167; 645; 170; 566; 163
SECONDARY
Number of Participants With MVA-NP+M1 Vaccination Related Adverse Events and Symptoms, Measured by Self-reported Symptoms
36; 18; 84; 24; 85; 34
SECONDARY
Number of Participants With H3N2 Challenge Related Adverse Events and Symptoms, Measured by Self-reported Symptoms
30; 21; 62; 40; 65; 42

Summary

A Phase 2, single center, randomized, double blind study evaluating the safety, efficacy, and immunogenicity of MVA NP+M1 in the H3N2 human influenza challenge model; on healthy adult volunteers.

Eligibility Criteria

Inclusion Criteria

  • Healthy males and females aged ≥18 and ≤55 years of age at the point of enrolment.
  • Non-smokers or those who stopped smoking ≥ 3 months prior to screening 1 visit.
  • Willingness to remain in isolation for the duration of the study.
  • A female participant is eligible for this study if she is not pregnant or breast feeding and 1 of the following:
  • Of non-childbearing potential (i.e., women who have had a hysterectomy or tubal ligation or are postmenopausal, as defined by no menses in greater than or equal to 1 year).
  • Of childbearing potential but has been and agrees to continue practicing highly effective contraception or abstinence (if this is the preferred and usual lifestyle of the participant) from 6 months prior to vaccination to 6 months after administration of the influenza challenge virus. Highly effective methods of contraception include 1 or more of the following:

i. male partner who is sterile (vasectomised) prior to the female participants entry into the study and is the sole sexual partner for the female participant; ii. hormonal (oral, intravaginal, transdermal, implantable or injectable); iii. an intrauterine hormone-releasing system (IUS); iv. an intrauterine device (IUD) with a documented failure rate of 32.

  • Presence of any significant acute or chronic, uncontrolled medical (or psychiatric) illness including a history of chronic respiratory illness.
  • History of seasonal hay fever or a clinically significant seasonal allergic rhinitis (SAR), including the use of symptomatic prescription only medication and non-prescription medication.
  • History or evidence of autoimmune disease or known immunodeficiency of any cause - with the exception of atopic dermatitis/eczema and atopic rhinitis.
  • Any history of anaphylaxis in reaction to vaccination or history of allergic reactions likely to be exacerbated by any component of the vaccine.
  • History of lung disease (Asthma, COPD).
  • Current smokers or those who stopped smoking 40.
  • Participants that are an employee or family member of the Investigator or study site personnel may not be enrolled.
  • Any other finding that, in the opinion of the Investigator, deems the participant unsuitable for the study.

EXCLUSION (CHALLENGE PERIOD ONLY)

  • Abnormal spirometry assessed to be clinically significant.
  • Known close contact with anyone known to have influenza in the past 7 days at the time of quarantine.
  • Influenza-like illness (ILI) symptoms as assessed at the admission to clinic on Day -2 prior to challenge.
  • Presence of fever, defined as participant presenting with a temperature reading of > 38.0°C on admission to quarantine.
  • Qualitative Polymerase chain reaction (PCR) results positive for viral infection. However, participants may be included into later challenge cohort.
  • Acute use of any medication or other product, prescription or over-the-counter, for symptoms of rhinitis or nasal congestion within 7 days prior to challenge. This includes any oral corticosteroid or beta agonist containing nasal spray.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03883113). 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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