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Phase 2 N=246 Randomized Quadruple-blind Prevention

Alternative Schedule Study For VLA15, a Vaccine Candidate Against Lyme Borreliosis

Lyme Borreliosis

Enrolled (actual)
246
Serious AEs
4.3%
Results posted
Jul 2021
Primary outcome: Primary: GMTs for IgG Against Each OspA Serotype — 278.5; 274.7; 21.0; 545.2 Units per milliliter (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
Apr 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
GMTs for IgG Against Each OspA Serotype
278.5; 274.7; 21.0; 545.2; 579.8; 20.0
SECONDARY
GMTs for IgG Against Each OspA Serotype During the Main Study Phase
21.4; 20.2; 21.8; 22.0; 20.4; 22.1
SECONDARY
SCRs for Each OspA Serotype Specific IgG During the Main Study Phase
2.4; 1.2; 2.3; 4.7; 3.5; 0.0
SECONDARY
GMFR as Compared to Baseline for IgG Against Each OspA Serotype During the Main Study Phase
1.0; 1.0; 1.0; 1.1; 1.0; 1.0
SECONDARY
GMTs for IgG Against Each OspA Serotype Stratified by Age Group During Main Study Phase: Group 18 - 49 Years
20.8; 20.3; 21.2; 21.3; 20.6; 21.2
SECONDARY
GMTs for IgG Against Each OspA Serotype Stratified by Age Group During Main Study Phase: Group 50 - 65 Years
22.6; 20.0; 23.1; 23.3; 20.0; 24.4
SECONDARY
SCR for IgG Against Each OspA Serotype Stratified by Age Group During Main Study Phase: Group 18 - 49 Years
1.9; 1.8; 0.0; 5.5; 3.5; 0.0
SECONDARY
SCR for IgG Against Each OspA Serotype Stratified by Age Group During Main Study Phase: Group 50 - 65 Years
3.3; 0.0; 7.7; 3.3; 3.4; 0.0
SECONDARY
GMFRs for IgG Against Each OspA Serotype Stratified by Age Group During Main Study Phase: Group 18 - 49 Years
1.0; 1.0; 1.0; 1.1; 1.0; 1.0
SECONDARY
GMFRs for IgG Against Each OspA Serotype Stratified by Age Group During Main Study Phase: Group 50 - 65 Years
1.0; 1.0; 1.1; 1.0; 1.1; 1.0
SECONDARY
Percentage of Participants With Serious Adverse Events (SAEs) During the Main Study Phase
4.1; 4.1; 3.9
SECONDARY
Percentage of Participants With Related SAEs During the Main Study Phase
0.0; 0.0; 0.0
SECONDARY
Percentage of Participants Adverse Event of Special Interest (AESIs) During the Main Study Phase
2.1; 0.0; 0.0
SECONDARY
Percentage of Participants With Related AESIs During the Main Study Phase
1.0; 0.0; 0.0
SECONDARY
Percentage of Participants With Unsolicited AEs During the Main Study Phase
66.0; 64.3; 68.6
SECONDARY
Percentage of Participants With Related Unsolicited AEs During the Main Study Phase
18.6; 22.4; 7.8
SECONDARY
Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Each and After Any Vaccination During the Main Study Phase
95.9; 98.0; 45.1; 94.8; 93.9; 25.5
SECONDARY
Percentage of Participants With SAEs, AESIs, Solicited and Unsolicited AEs Stratified by Age Group During the Main Study Phase
3.1; 3.1; 0.0; 6.1; 5.9; 10.5
SECONDARY
GMTs for IgG Against Each OspA Serotype (ST1 to ST6): Booster Per-protocol (PP) Population
20.5; 20.0; 20.9; 20.0; 22.6; 20.0
SECONDARY
SCRs for Each OspA Serotype Specific IgG (ST1 to ST6): Booster PP Population
2.7; 0.0; 8.1; 0.0; 64.9; 70.6
SECONDARY
GMFR as Compared to Baseline for IgG Against Each OspA Serotype (ST1 to ST6): Booster PP Population
1.0; 1.0; 1.1; 1.0; 3.9; 3.4
SECONDARY
GMFR as Compared to Day 208 for IgG Against Each OspA Serotype (ST1 to ST6): Booster PP Population
4.2; 0.1; 0.5; 0.1; 0.2; 0.1
SECONDARY
GMFR as Compared to Month 18 (Pre-booster) for IgG Against Each OspA Serotype (ST1 to ST6): Booster PP Population
51.3; 1.0; 5.5; 0.9; 2.2; 0.9
SECONDARY
GMTs for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group in Booster PP Population: Group 18 - 49 Years
20.8; 20.0; 21.6; 20.0; 22.5; 20.0
SECONDARY
GMTs for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group in Booster PP Population: Group 50 - 65 Years
20.0; 20.0; 20.0; 20.0; 22.8; 20.0
SECONDARY
SCR for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group in Booster PP Population: Group 18 - 49 Years
4.5; 0.0; 9.1; 0.0; 72.7; 66.7
SECONDARY
SCR for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group in Booster PP Population: Group 50 - 65 Years
0.0; 0.0; 6.7; 0.0; 53.3; 80.0
SECONDARY
Percentage of Participants With SAEs During the Entire Booster Phase
7.7; 0.0
SECONDARY
Percentage of Participants With Related SAEs During the Entire Booster Phase
0.0; 0.0
SECONDARY
Percentage of Participants With Adverse Event of Special Interest (AESIs) During the Entire Booster Phase
2.6; 0.0
SECONDARY
Percentage of Participants With Related AESIs During the Entire Booster Phase
0.0; 0.0
SECONDARY
Percentage of Participants With Unsolicited AEs During the Booster Phase up to Month 19
15.4; 5.3
SECONDARY
Percentage of Participants With Related Unsolicited AEs During the Booster Phase up to Month 19
5.1; 0.0
SECONDARY
Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Booster Vaccination
89.7; 42.1; 51.3; 31.6
SECONDARY
Percentage of Participants With SAEs, AESIs, Solicited and Unsolicited AEs Stratified by Age Group During the Booster Phase
4.5; 0.0; 11.8; 0.0; 0.0; 0.0

Summary

In the Main Study Phase a total of 246 subjects were randomized 2:2:1 into three treatment groups to receive either VLA15 with Alum (lower or higher dose) or Placebo. Main Study Phase vaccinations were administered as intramuscular injections on Day 1, Day 57 and Day 180. In the Booster Phase subjects from the higher dose group who completed their primary immunization schedule according to protocol will be randomized 2:1 to receive an additional higher dose VLA15 vaccination or Placebo at Month 18. Study duration in the Main Study Phase per subject is a maximum of 20 months. Overall study Duration is estimated to be 22 months. Study duration per subject in the Booster Phase is a maximum of approximately 13 months. Study duration per subject in the Main Study Phase and Booster Phase together is estimated to be a maximum of approximately 33 months. Overall study duration (i.e., First-Subject-In to Last-Subject Out/ end of Booster Phase) is estimated to be approximately 37 months.

Eligibility Criteria

Inclusion Criteria - Main Study Phase:

  • Subject is aged 18 to 65 years at the day of screening
  • 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;
  • Subject agrees to employ adequate birth control measures for the duration of the study.

Inclusion Criteria - Booster Phase:

  • Randomization into higher dose group in the Main Study Phase
  • No relevant protocol deviation in the Main Study Phase, i.e., included in the Per-Protocol population for the Day 208 interim analysis of the Main Study;
  • 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 Urine pregnancy test before booster vaccination;
  • Subject agrees to employ adequate birth control measures for the duration of the study

Exclusion Criteria - Main Study Phase:

  • Subject has a chronic illness related to Lyme borreliosis (LB), an active symptomatic LB as suspected or diagnosed by a physician, or received treatment for LB within the last 3 months prior to screening;
  • Subject received previous vaccination against LB.;
  • Subject had a tick bite within 4 weeks prior to vaccination visit;
  • Subject has a medical history of or currently has a clinically relevant disease (e.g. 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 three weeks prior to each study vaccination, contraindicating I.M. vaccination as judged by the investigator;
  • Subject has received an active or passive immunization within 28 days before or after any vaccination; except for influenza (seasonal or pandemic) 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 and throughout the entire study period or has received a registered medicinal product in another clinical Trial within 28 days prior to VLA15 vaccination and up to Day 208;
  • 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 first vaccination. Immuno-suppressive therapy is defined as administration of chronic (longer than 14 days) prednisone or equivalent >=0.05 mg/kg/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 day
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03970733). 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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