Pertussis Challenge Study in Adults Vaccinated With BPZE1

Key Inclusion Criteria

• Correctly answer all questions in the questionnaire provided during the consent process to ensure understanding of the study
• Willing to refrain from any nasal sprays (including intranasal steroid sprays) and nasal washes not part of the study for 14 days prior to vaccination (Day 0) and for 28 days following vaccination and challenge
• Non-smoker at the time of enrolment, has not smoked (or vaped) in the past 7 days prior to vaccination (including marijuana), and is willing not to smoke (or vape; including marijuana) from the time of vaccination throughout the challenge unit phase
• Sufficiently vaccinated (per site and local guidelines) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; proof of vaccination required) >14 days prior to study vaccination
• Able to understand and comply with planned study procedures including admission for virulent challenge for 17 days and willingness to take the curative antibiotic regimen (azithromycin after inoculation with B. pertussis)
• Willing to provide written agreement to and abide by infection control rules from challenge until 1 week following completion of azithromycin eradication

Exclusion Criteria

• Body mass index 30 kg/m2
• History of being vaccinated against pertussis within 5 years of enrolment
• History of never being vaccinated for pertussis in lifetime
• A diagnosis of pertussis by laboratory confirmation or by physician diagnosis in the past 5 years
• Previously participated in a pertussis challenge study
• Screening laboratory values outside of the normal ranges
• Existing chronic disorders of lung, kidney, heart, liver, diabetes, immunodeficiency, autoimmune or significant neurologic condition
• Use of illicit drugs (excluding marijuana), evidenced by urine toxicology at Screening or a history of drug/alcohol abuse within the past 2 years
• History of active cancer (malignancy) in the last 10 years (except for adequately treated non-melanomatous skin carcinoma)
• History of Guillain-Barré syndrome (genetic/congenital or acquired)
• History of head trauma with potential of cribriform plate fracture within 1 year prior to Day 0
• History of nasal or sinus surgery within 6 months or receipt of facial cosmetic fillers within 3 months prior to Day 0 or diagnosis of nasal polyps
• Received immunosuppressive therapy or other immune-modifying drugs (including but not limited to systemic corticosteroids, biologics and methotrexate) in the past 6 months, is on scheduled immunosuppressive therapy or is planning to start immunosuppressive therapy during the trial.
• Received immunoglobulins or any blood products within 3 months prior to study vaccine administration or planned receipt during the study
• Lives in the same home or has routine contact (face to face 65 years of age who have not received a dose of acellular pertussis vaccine (e.g. Tdap) within the past 10 years from study vaccination to challenge and for 1 week after exiting the challenge unit
• Known hypersensitivity to any component of the study vaccine
• Contraindications or allergic to azithromycin, erythromycin or other macrolide antibiotics
• Taking medication that may interact with azithromycin (e.g., nelfinavir, warfarin, digoxin and phenytoin)
• Inability to adhere to the protocol, visit schedule or sample collection needs (including housing in the challenge unit)
• Participation in any other clinical trial for the testing of an unlicensed product during the previous 3 months or planned during the study conduct