Phase 2
N=165
Norovirus Challenge Study
Norovirus Infections
Bottom Line
View on ClinicalTrials.gov: NCT05212168 ↗Enrolled (actual)
165
Serious AEs
0.6%
Results posted
May 2025
Primary outcome: Primary: Number of Participants Who Experienced Norovirus Gastroenteritis (NVG) — 34; 37 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- VXA-G1.1-NN (Biological); Placebo Tablets (Other); Norovirus GI.1 Norwalk Virus Inoculum (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Vaxart
- Primary completion
- Apr 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Experienced Norovirus Gastroenteritis (NVG) |
34; 37 | — |
| PRIMARY Levels of Viral Protein 1, Major Capsid, or Surface Protein of Viruses (VP1)-Specific Immunoglobulin A (IgA) Antibody-Secreting Cell (ASC) Against Norwalk at Day 8 |
79.5; 0 | — |
| PRIMARY Geometric Mean Titer (GMT) of Histo-blood Group Antigen (HBGA) Blocking Antibodies Against NV by Blocking Titer 50 (BT50) at Day 28 |
131.6; 33.2 | — |
| PRIMARY VP1-specific Serum Immunoglobulin G (IgG) Response at Day 28 |
4413573.1; 700657.0 | — |
| PRIMARY VP1-specific Serum IgA at Day 28 |
5555338.7; 670496.0 | — |
| SECONDARY Number of Participants Who Experienced Solicited Symptoms of Reactogenicity |
50; 36 | — |
| SECONDARY Number of Participants Who Experienced Unsolicited Adverse Events (AEs) During the Vaccination Phase |
7; 9 | — |
| SECONDARY Number of Participants Who Experienced Serious AEs (SAEs), AEs of Specific Interest (AESIs), and New Onsets of Chronic Illness (NOCIs) |
0; 1; 0; 1; 0; 0 | — |
| SECONDARY Number of Participants Who Experienced Unsolicited AEs During the Challenge Phase |
31; 23 | — |
| SECONDARY Number of Participants With AGE During the Inpatient Challenge Phase |
40; 39 | — |
| SECONDARY Severity of AGE Assessed Using the Modified Vesikari Scale |
4.2; 4.4 | — |
| SECONDARY Number of Participants Who Experienced Moderate or Severe Gastroenteritis |
14; 7 | — |
| SECONDARY Duration of AGE |
59.0; 55.8 | — |
| SECONDARY Number of Participants Who Experienced Incidences of Diarrhea or Emesis |
52; 44; 28; 33 | — |
| SECONDARY Number of Participants With Norovirus (NoV) Infection up to Challenge Period Day 8 |
44; 53 | — |
| SECONDARY Geometric Mean Genome Copies (GCs) of NoV Shedding in Stool Measured by qRT-PCR |
76.2; 76.2; 76.2; 76.2; 255.1; 341.2 | — |
| SECONDARY Geometric Mean GCs of NoV Shedding in Emesis Measured by qRT-PCR |
58.4; 457.3; 74.5; 152.5; 15.3; 15.3 | — |
| SECONDARY Duration of NoV Infection |
120.1; 115.8 | — |
Summary
This is a Phase 2b randomized, double-blind, placebo-controlled vaccination and challenge study to assess the protective efficacy of the Vaxart Norovirus vaccine (VXA-G1.1-NN). Healthy adults will be randomized in a 1:1 ratio to receive one oral dose of vaccine or placebo.
* Arm 1: VXA-G1.1-NN oral vaccine tablets [1x1011 IU±0.5 log]
* Arm 2: Placebo tablets similar in appearance and number to active vaccine tablets
Approximately 28 days post-vaccination, subjects will be admitted to an isolation ward and challenged with the NV GI.1 Norwalk challenge strain. After challenge, subjects will be monitored for signs and symptoms of acute gastroenteritis (AGE) from Day 29 to discharge. At 4 days post challenge (Day 33) asymptomatic subjects will be discharged from the isolation ward and will be followed in a series of outpatient visits and telephone calls. Symptomatic subjects may be kept in the isolation ward for up to an additional 3 days.
Eligibility Criteria
Inclusion Criteria
- Male or female between the ages of 18 - 49 years, inclusive
- Able to give written informed consent
- Healthy, as determined by the principal investigator (PI) or PI in consultation with the research monitor and Sponsor Healthy = No clinically significant health concerns or medical illness, as determined by medical history, physical examination, vital signs, electrocardiogram (ECG), and clinical laboratories (complete blood count (CBC), chemistry and urinalysis)
- Comprehension of the study requirements with ability and willingness to complete all assessments and comply with confinement period post viral challenge, and all scheduled visits and contacts
- Confirmed blood type (A or O)
- Demonstrated to be H type-1 antigen secretor positive (by saliva test)
- Body mass index between 17 and 35 kg/m2, inclusive, at Screening
- Female participants must have a negative pregnancy test at pre-vaccination and pre-challenge and fulfill one of the following Criteria:
- At least one year post-menopausal;
- Surgically sterile;
- Use of oral, implantable, transdermal or injectable contraceptives for 30 days prior to immunization and until 60 days after challenge;
i. A reliable form of contraception must be approved by the Investigator (eg, double barrier method, Depo-Provera, intrauterine device, Norplant, oral contraceptives, contraceptive patches) d. Not be sexually active (abstinent) or in a same sex relationship (must be discussed with site staff and documented)
- Male subjects must agree not to father a child or donate sperm, as well as to use contraception/barrier (a male condom) or be abstinent from heterosexual intercourse, from vaccination through the active period (Day 57)
Exclusion Criteria
- Administration/use of any investigational drug or device 30 days prior to vaccination through the active period (Day 57)
- Administration of any licensed vaccine within 30 days prior to vaccination or planned use of the above stated during the active period (through Day 57)
- Presence of a significant medical condition, which, in the opinion of the investigator, precludes participation in the study. Significant medical condition = for example, psychiatric conditions, or gastrointestinal disease, such as peptic ulcer, symptoms or evidence of active gastritis or gastroesophageal reflux disease, inflammatory bowel disease, alcohol or illicit drug abuse/dependency, or other laboratory abnormalities
- Laboratory values outside the range of normal for platelet counts and the following coagulation tests: prothromibin time test (PT/INR), activated partial thromboplastine time test (aPTT) and fibrinogen
- Any of the following history or conditions that may lead to higher risk of clotting events and/or thrombocytopenia:
- Family or personal history of bleeding or thrombosis
- History of heparin-related thrombotic events, and/or receiving heparin treatments
- History of autoimmune or inflammatory disease
- Presence of any of the following conditions known to increase risk of thrombosis within 6 months prior to screening:
- Recent surgery other than removal/biopsy of cutaneous lesions
- Immobility (confined to bed or wheelchair for 3 or more successive days)
- Head trauma with loss of consciousness or documented brain injury
- Receipt of anticoagulants for prophylaxis of thrombosis
- Recent clinically significant infection
- Any one of the following ECG findings within 45 days prior to vaccination:
Exclusionary ECG findings:
- QTc F (interval duration > 450 msec (male) or > 470 msec (female)
- QRS interval greater than 120 msec
- PR interval greater than 220 msec
- Clinically significant ST-T wave changes or pathologic Q waves
- History of cancer or cancer treatment within past 3 years (excluding basal cell or squamous cell carcinomas)
- Presence of immunosuppression or medical condition possibly associated with impaired immune responsiveness, including diabetes mellitus or angioedema
- Donatio
Data sourced from ClinicalTrials.gov (NCT05212168). 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.