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Phase 1 N=60 Randomized Triple-blind Other

Influenza Challenge Study to Determine the Optimal Infection Dose and Safety of a Recombinant H3N2 (A/Texas/71/2017 (H3N2, Clade 3C3a) Influenza Strain

Influenza

Enrolled (actual)
60
Serious AEs
0.0%
Results posted
Nov 2023
Primary outcome: Primary: Number and Percentage of Participants With Symptomatic Influenza Virus Infection After Challenge. — 4; 5; 28; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Influenza RG-A/Texas/71/2017 (H3N2) Challenge (Biological); Placebo (Other)
Age
Adult · 18+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Sep 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Number and Percentage of Participants With Symptomatic Influenza Virus Infection After Challenge.
4; 5; 28; 0
PRIMARY
Number and Percentage of Participants With Detected Viral Shedding in Nasopharyngeal (NP) Swabs Each Day Post-challenge.
0; 0; 0; 0; 4; 4
PRIMARY
Mean Peak Viral Load (VL) After Challenge
1.2154; 2.6931; 2.6570; NA
PRIMARY
Mean Duration of Viral Shedding
2.3; 3.8; 4.4; NA
PRIMARY
Mean Maximum Cumulative Modified Jackson Score (MJS)
13; 15.9; 25.8; 1.0
PRIMARY
Number and Percentage of Participants Symptomatic for Influenza.
8; 6; 29; 0
SECONDARY
Number of Adverse Events (AEs) Reported From Challenge Through Day 29
10; 16; 28; 3
SECONDARY
Number and Percentage of Participants Reporting Any AE From Challenge Through Day 29.
6; 8; 17; 2
SECONDARY
Number of Serious Adverse Events (SAEs) Reported From Challenge Through Day 57
0; 0; 0; 0
SECONDARY
Number and Percentage of Participants Reporting an SAE at Any Time From Challenge Through Day 57
0; 0; 0; 0
SECONDARY
Number and Percentage of Participants With Serological Conversion for Hemagglutination Inhibition (HAI) Antibody Titers Against A/Texas/71/2017 (H3N2), Clade 3C3a Virus, by Study Day
0; 1; 4; 0; 2; 4
SECONDARY
Geometric Mean Hemagglutination Inhibition (HAI) Antibody Titers Against A/Texas/71/2017 (H3N2), Clade 3C3a Virus, by Study Day
10.9; 7.6; 10.7; 5.0; 11.2; 8.7
SECONDARY
Number and Percentage of Participants With Serological Conversion for Microneutralization (MN) Antibody Titers Against A/Texas/71/2017 (H3N2), Clade 3C3a Virus, by Study Day
0; 0; 5; 0; 4; 7
SECONDARY
Geometric Mean Microneutralization (MN) Antibody Titers Against A/Texas/71/2017 (H3N2), Clade 3C3a Virus, by Study Day
29.1; 16.2; 24.0; 14.1; 37.8; 28.3
SECONDARY
Number and Percentage of Participants With Serological Conversion for HA-stalk-specific Antibody Titers Against A/Texas/71/2017 (H3N2), Clade 3C3a Virus, by Study Day
0; 2; 0; 0; 1; 3
SECONDARY
Geometric Mean HA-stalk-specific Antibody Titers Against A/Texas/71/2017 (H3N2), Clade 3C3a Virus, by Study Day
9407.9; 5722.8; 7938.6; 7954.3; 9175.2; 8904.9

Summary

An open-label, dose-ranging influenza challenge study in healthy adult volunteers to determine the optimal infection dose and safety of a recombinant H3N2 (A/Texas/ A/Texas/71/2017 (H3N2, clade 3C3a) influenza strain. The goal of this study is to find a challenge virus dose that is safe and can achieve a symptomatic influenza Attack Rate (AR) that will be sufficiently high for utilization in future vaccine or intervention studies. The optimal dose of the three considered is broadly defined as the minimum challenge virus dose that elicits the highest AR without meeting safety-stopping criteria. Additionally, viral recovery, clinical symptoms, and immune responses over the post-challenge period will be described by challenge dose group. This study will last for up to 1 year depending upon the number of challenge cohorts enrolled given the adaptive dose-escalation design. The populations are healthy males and non-pregnant, non-breastfeeding females aged = 18 and < 46 years of age with a serum HAI antibody titer of </=1:40 against influenza A/Texas/71/2017 (H3N2), clade 3C3a. The study will enroll and challenge up to 106 (plus 8 shams) healthy adult volunteers with the H3N2 (A/Texas/71/2017 (H3N2), clade 3C3a) influenza virus challenge strain. The primary objectives are: 1) To determine the optimal infectious dose of a recombinant influenza virus (A/Texas/71/2017 (H3N2), clade 3C3a) to be used as a clinical challenge strain in future vaccine efficacy or intervention studies as assessed by viral shedding and clinical symptoms. 2) To describe viral detection by quantitative and qualitative Reverse Transcription - Polymerase Chain Reaction (RT-PCR) from study subjects at baseline and post-challenge. 3) To document clinical symptoms from self-reported surveys and standardized symptom scales at baseline and post-challenge.

Eligibility Criteria

Inclusion Criteria

  • Provide written informed consent prior to initiation of any study procedure
  • Are able to understand and comply with planned study procedures and be available for all study visits
  • Agree to remain an inpatient for at least 7 days after challenge AND until they have no viral shedding*, determined by qualitative Reverse Transcription - Polymerase Chain Reaction (RT-PCR) beginning on Study Day 6
  • No viral shedding is defined as two negative RT-PCR tests 12 or more hours apart
  • Healthy* males and non-pregnant, non-breastfeeding females aged > / = 18 and / = 7 days have passed since a serum pregnancy test).
  • Women of childbearing potential* must agree to use or have practiced true abstinence** or use at least one acceptable primary form of contraception* for at least 30 days prior to challenge
  • Not of childbearing potential - post-menopausal females (defined as having a history of amenorrhea for at least one year) or a documented status as being surgically sterile (hysterectomy, bilateral oophorectomy, tubal ligation/salpingectomy, or Essure(R) placement with history of documented radiological confirmation test at least 90 days after the procedure).
  • True abstinence is 100% of time no sexual intercourse (male's penis enters the female's vagina). (Periodic abstinence [e.g. calendar, ovulation, symptothermal, post-ovulation methods] and withdrawal are not acceptable methods of contraception).
  • Acceptable forms of primary contraception include monogamous relationship with a vasectomized partner who has been vasectomized for 180 days or more prior to the subject receiving the influenza challenge virus, intrauterine devices, birth control pills, and injectable/implantable/insertable hormonal birth control products. Must use at least one acceptable primary form of contraception for at least 30 days prior to challenge and at least one acceptable primary form of contraception during the remainder of the study or approximately 57 days after confinement.

NOTE: These criteria are applicable to female subjects in a heterosexual relationship AND of child-bearing potential. These criteria do not apply to subjects in a same sex relationship.

  • Non-habitual smoker* of tobacco, e-cigarettes or marijuana

*Non-habitual smokers are those who smoke no more than four cigarettes, other tobacco products, e-cigarettes (to include vaping and Juuling products) or marijuana in a week and agree not to smoke cigarettes, other tobacco products, e-cigarettes and/or marijuana products during participation in the study.

  • No self-reported or known history of alcoholism within the last 2 years and agrees to abstain from alcohol for at least one week before admission and throughout the confinement period.
  • No self-reported or known history of restricted drug use* for at least 30 days prior to challenge and agrees to abstain from restricted drugs for at least one week before admission and throughout the confinement period
  • Negative drug urine toxicology result on screening (i.e., amphetamines, cocaine, and opiates) and on admission to the confinement unit (i.e., amphetamines, cocaine, and opiates)*

*Select drug use may be allowed at Investigator's discretion (e.g., prescribed amphetamines for ADHD)

  • Agree not to use the listed prescription or over the counter medications* within 7 days prior to and through confinement period, unless approved by the investigator

*Oseltamivir, zanamivir, peramivir, baloxavir marboxil, amantadine (generic) and rimantadine (Flumadine and generic), aspirin, intranasal steroids, decongestants, antihistamines, and other non-steroidal anti-inflammatory drugs (NSAIDs)

  • In good health*, and do not have clinically significant medical, psychiatric, chronic or intermittent health conditions including those listed in Exclusion Criteria

*Good health, as determined by medical history, medication use and physical examination to evaluate ongoing chronic medical or psychiatric diagnoses or condition

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04978454). 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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