Phase 2
N=145
Efficacy of MVA-NP+M1 in the Influenza H3N2 Human Challenge Model
Influenza
Bottom Line
View on ClinicalTrials.gov: NCT03883113 ↗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
| Outcome | Result | p-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.
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.