Safety of and Immune Response to Recombinant Live-Attenuated Parainfluenza Type 1 Virus Vaccine
A Phase I Study of the Safety and Immunogenicity of the Recombinant Live-Attenuated Human Parainfluenza Type 1 Virus Vaccine, rHPIV1 84/del170/942A, Lot PIV1 #104A, Delivered as Nose Drops to Adults 18 to 49 Years of Age, HPIV1-Seropositive Children 15 to 59 Months of Age, and HPIV1-Seronegative Infants and Children 6 to 59 Months of Age
1 other identifier
interventional
87
1 country
1
Brief Summary
Human Parainfluenza Virus Type 1 (HPIV1) is a leading cause of viral respiratory infections in children, the elderly, and those with compromised immune systems. HPIV1 is also the leading cause of viral croup in children under 6 years old. The purpose of this study is to determine the safety of and immune response to a HPIV1 vaccine, rHPIVI1 84/del170/942A, in 2 groups of adults and then in children who have been previously exposed to HPIV1. Once the safety of this vaccine has been established in these groups, an additional 2 groups of infants and children who have not been previously exposed to HPIV1 will be vaccinated. Naïve infants and children are the most vulnerable to naturally circulating HPIV1 and are the target population of this vaccine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Mar 2008
Longer than P75 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2008
CompletedFirst Submitted
Initial submission to the registry
March 5, 2008
CompletedFirst Posted
Study publicly available on registry
March 21, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2012
CompletedFebruary 25, 2013
February 1, 2013
4.3 years
March 5, 2008
February 22, 2013
Conditions
Outcome Measures
Primary Outcomes (3)
Frequency of vaccine-related reaction events and other adverse events in each cohort
Throughout study
Amount of vaccine virus shed by each participant
Throughout study
Amount of serum antibody and mucosal antibody induced by the vaccine in each participant
Throughout study
Secondary Outcomes (2)
Phenotypic stability of vaccine virus shed
Throughout study
Number of vaccinated children and infants infected with rHPIV1
Throughout study
Study Arms (7)
1 and 2 - Adults
EXPERIMENTALOne immunization of 1x10\^6 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
3A - Seropositive Children
EXPERIMENTALOne immunization of 1x10\^6 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
3B - Seropositive Children
PLACEBO COMPARATOROne dose of 1x10\^6 TCID50 rHPIV1 84/del170/942A placebo administered intranasally via nose drops at study entry
4A - Seronegative Infants and Children
EXPERIMENTALOne immunization of 1x10\^5 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
4B - Seronegative Infants and Children
PLACEBO COMPARATOROne dose of 1x10\^5 TCID50 rHPIV1 84/del170/942A placebo administered intranasally via nose drops at study entry
5A - Seronegative Infants and Children
EXPERIMENTALOne immunization of 1x10\^6 TCID50 rHPIV1 84/del170/942A administered intranasally via nose drops at study entry
5B - Seronegative Infants and Children
PLACEBO COMPARATOROne dose of rHPIV1 84/del170/942A placebo administered intranasally via nose drops at study entry
Interventions
Live attenuated Human Parainfluenza Type 1 Virus Vaccine
Placebo for rHPIVI1 84/del170/942A, Lot PIV1 #104A vaccine
Eligibility Criteria
You may qualify if:
- In good health
- Available for the duration of the trial
- Available for post-inoculation telephone contact
- For females, must agree to use effective birth control methods for the duration of the study
- In good health
- Seropositive for HPIV1
- Available for the duration of the study
- In good health
- Seronegative for HPIV1 antibody
- Available for the duration of the study
You may not qualify if:
- Neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease
- Condition, in the opinion of the investigator, that will not allow the participant to comply with the protocol
- Alcohol or drug abuse
- History of anaphylaxis
- History of splenectomy
- Diagnosis of asthma within 2 years of study entry
- HIV-infected
- Hepatitis C infection
- Hepatitis B infection
- Abnormal urinalysis
- Known immunodeficiency syndrome
- Current use of nasal or systemic steroid medications
- Receipt of blood products within 3 months of study entry
- Current smoker unwilling to stop smoking for the duration of the study. The decision to exclude a potential subject is made by the investigator based upon the potential subject's medical history and physical examination.
- Participation in another investigational vaccine or drug trial within 30 days of receiving the investigational vaccine
- +17 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Center for Immunization Research (CIR), Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland, 21205, United States
Related Publications (3)
Bartlett EJ, Amaro-Carambot E, Surman SR, Collins PL, Murphy BR, Skiadopoulos MH. Introducing point and deletion mutations into the P/C gene of human parainfluenza virus type 1 (HPIV1) by reverse genetics generates attenuated and efficacious vaccine candidates. Vaccine. 2006 Mar 24;24(14):2674-84. doi: 10.1016/j.vaccine.2005.10.047. Epub 2005 Nov 15.
PMID: 16364511BACKGROUNDBartlett EJ, Castano A, Surman SR, Collins PL, Skiadopoulos MH, Murphy BR. Attenuation and efficacy of human parainfluenza virus type 1 (HPIV1) vaccine candidates containing stabilized mutations in the P/C and L genes. Virol J. 2007 Jul 2;4:67. doi: 10.1186/1743-422X-4-67.
PMID: 17605811BACKGROUNDKarron RA, San Mateo J, Thumar B, Schaap-Nutt A, Buchholz UJ, Schmidt AC, Bartlett EJ, Murphy BR, Collins PL. Evaluation of a Live-Attenuated Human Parainfluenza Type 1 Vaccine in Adults and Children. J Pediatric Infect Dis Soc. 2015 Dec;4(4):e143-6. doi: 10.1093/jpids/piu104. Epub 2014 Nov 12.
PMID: 26582883DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ruth A. Karron, MD
Johns Hopkins Bloomberg School of Public Health
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 5, 2008
First Posted
March 21, 2008
Study Start
March 1, 2008
Primary Completion
July 1, 2012
Study Completion
July 1, 2012
Last Updated
February 25, 2013
Record last verified: 2013-02