Phase 2
N=30
Immunogenicity & Safety Study of Adenovirus Type 5 (AD5) Based Oral Norovirus Vaccines
Norovirus Infections
Bottom Line
View on ClinicalTrials.gov: NCT04875676 ↗Enrolled (actual)
30
Serious AEs
3.3%
Results posted
May 2024
Primary outcome: Primary: Viral-capsid Protein 1 (VP1)-Specific Antibody Secreting Cells (ASC) by Enzyme-linked Immunospot (ELISpot) Assay — 1.3; 0.5; 0.3; 127.6 Spot Forming Units per 10^6 PBMC
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- VXA-G1.1-NN (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Vaxart
- Primary completion
- Oct 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Viral-capsid Protein 1 (VP1)-Specific Antibody Secreting Cells (ASC) by Enzyme-linked Immunospot (ELISpot) Assay |
1.3; 0.5; 0.3; 127.6; 214.3; 327.5 | — |
| PRIMARY Norovirus G1.1 Histo-blood Group Antigen (HBGA) Blocking Antibodies (BT50) Assay |
1.8; 2.5; 2.6; 2.5; 2.4; 3.1 | — |
| PRIMARY VP1 Serum Immunoglobin G (IgG) by Mesoscale Discovery (MSD) Assay |
4.6; 8.9; 11.3; 3.3; 5.4; 8.9 | — |
| PRIMARY Norovirus G1.1 Histo-blood Group Antigen (HBGA) Blocking Antibodies (BT50) Assay |
1.8; 2.5; 2.6; 2.5; 2.4; 3.1 | — |
| SECONDARY Solicited Symptoms of Reactogenicity |
0; 0; 0; 0; 0; 0 | — |
Summary
To evaluate the immunogenicity of VXA-G1.1-NN with repeat-dose administration at Day 1 and varying boost schedules (Week 4, 8 or 12 post initial dose) in healthy adults aged 18-55, inclusive, and to assess the safety and tolerability of VXA- G1.1-NN with repeat-dose administration at varying boost schedules (Week 4, 8 or 12) in healthy adults aged 18-55, inclusive
Eligibility Criteria
Inclusion Criteria
- To be eligible for this study, participants must meet all the following:
Age
- 18 to 55 years old inclusive at the time of signing the Informed Consent Form (ICF).
Type of Participants
- General good health, without significant uncontrolled medical illness, based on medical history, physical examination, vital signs, and clinical laboratories (CBC, chemistry, and urinalysis) as determined by the investigator in consultation with the Research Monitor and Sponsor
- Body mass index (BMI) between 17 and 35 kg/m2 at screening
- Available for all planned visits and phone calls, and willing to complete all protocol- defined procedures and assessments (including ability and willingness to swallow multiple small enteric-coated tablets per study dose).
Gender and Reproductive Considerations
- Male or female participants Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
a. Female participants must provide a negative pregnancy test at each required visit and fulfill one of the following criteria:
- At least 1 year post-menopausal (defined as amenorrhea for ≥12 consecutive months prior to Screening without an alternative medical cause).
- Women under 60 years will need to verify post-menopausal status via a follicle-stimulating hormone (FSH) test if another option to prevent potential pregnancy will not be utilized for 30 days prior to baseline vaccination and until 60 days after the last vaccination.
- Surgically sterile
- Use of oral, implantable, transdermal or injectable contraceptives for 30 days prior to initial vaccination and until 60 days after the last vaccination. The form of contraception must be approved by the Investigator
- A reliable form of contraception must be approved by the Investigator (e.g., double barrier method, Depo-Provera, intrauterine device, Norplant, oral contraceptives, contraceptive patches).
- Not be sexually active (abstinent) or be in a relationship with partner who is sterile (must be discussed with site staff and documented).
Informed Consent
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
Exclusion Criteria
- The participants must be excluded from participating in the study if they meet any of the following:
Medical Conditions
- Presence of significant uncontrolled medical or psychiatric illness (acute or chronic) including institution of new medical/surgical treatment or significant dose alteration for uncontrolled symptoms or drug toxicity within 3 months of screening and reconfirmed at baseline
- Cancer, or received treatment for cancer, within past 3 years (excluding basal cell carcinoma or squamous cell carcinoma)
- Presence of immunosuppression or medical condition possibly associated with impaired immune responsiveness, including diabetes mellitus 1 and 2
- History of irritable bowel disease or other inflammatory digestive or gastrointestinal condition that could affect the distribution/safety evaluation of an orally administered vaccine targeting the mucosa of the small intestine.
Such conditions may include but are not limited to:
- Esophageal Motility Disorder
- Malignancy
- Malabsorption
- Pancreaticobiliary disorders
- Irritable bowel syndrome
- Inflammatory Bowel Disease
- Surgical Resection
- GERD
- Hiatal Hernia
- Peptic Ulcer (History of cholecystectomy is not exclusionary)
- History of any form of angioedema
- History of serious reactions to any vaccination such as anaphylaxis, respiratory problems, hives or abdominal pain
- Diagnosed bleeding disorder or significant bruising or bleeding difficulties that could make blood draws problematic
- Any condition that resulted in the absence or removal of the spleen
- Acute disease within 72 hours prior to vaccination defined as the presence of a moderate or severe illness
Data sourced from ClinicalTrials.gov (NCT04875676). 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.