Evaluation of the Safety and Immunogenicity of a Live Attenuated Human Metapneumovirus Vaccine
A Phase I Study of the Safety and Immunogenicity of the Recombinant Live-Attenuated Human Metapneumovirus Vaccine, rHMPV-Pa Lot HMPV #101A, Delivered as Nose Drops to Adults 18 to 49 Years of Age, HMPV-Seropositive Children 12 to 59 Months of Age, and HMPV-Seronegative Infants and Children 6 to 59 Months of Age
1 other identifier
interventional
60
1 country
2
Brief Summary
People who are infected with human metapneumovirus (HMPV) may develop upper and lower respiratory illnesses. Children are particularly sensitive to HMPV infection. This study will evaluate the safety and immune response of an HMPV vaccine in healthy adults, HMPV-seropositive children, and HMPV-seronegative infants and children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jan 2011
Longer than P75 for phase_1
2 active sites
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
First Submitted
Initial submission to the registry
December 6, 2010
CompletedFirst Posted
Study publicly available on registry
December 7, 2010
CompletedStudy Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedDecember 15, 2015
December 1, 2015
3.8 years
December 6, 2010
December 14, 2015
Conditions
Outcome Measures
Primary Outcomes (2)
Frequency of vaccine-related reactogenicity events that occur during the acute monitoring phase of the study
Measured at Days 0-12 for adult and seropositive participants, Days 0-28 for seronegative participants
Proportion of participants that develop 4-fold or greater rises in human metapneumovirus (HMPV) neutralizing antibody titer following vaccination.
Measured following the vaccination
Secondary Outcomes (1)
The number of vaccinated children and infants infected with rHMPV-Pa
Measured at study completion
Study Arms (7)
Healthy Adults (Group 1)
EXPERIMENTALHealthy adults will receive a single dose of 10\^6 plaque forming unit (PFU) rHMPV-Pa vaccine intranasally.
Seropositive Children-Vaccine (Group 2)
EXPERIMENTALSeropositive children will receive a single dose of 10\^6 PFU rHMPV-Pa vaccine intranasally.
Seropositive Children-Placebo (Group 2)
PLACEBO COMPARATORSeropositive children will receive a single dose of placebo vaccine intranasally.
Seronegative Infants and Children-Vaccine (10^5) (Group 3)
EXPERIMENTALSeronegative infants and children will receive a single dose of 10\^5 PFU rHMPV-Pa vaccine intranasally.
Seronegative Infants and Children-Placebo (Group 3)
PLACEBO COMPARATORSeronegative infants and children will receive a single dose of placebo vaccine intranasally.
Seronegative Infants and Children-Vaccine (10^6) (Group 4)
EXPERIMENTALSeronegative infants and children will receive a single dose of 10\^6 PFU rHMPV-Pa vaccine intranasally.
Seronegative Infants and Children-Placebo (Group 4)
PLACEBO COMPARATORSeronegative infants and children will receive a single dose of placebo vaccine intranasally.
Interventions
Single dose of 10\^6 PFU rHMPV-Pa vaccine delivered intranasally
Single dose of 10\^5 PFU rHMPV-Pa vaccine delivered intranasally
Single dose of placebo vaccine delivered intranasally
Eligibility Criteria
You may qualify if:
- Adult males and non-pregnant, non-nursing females 18 to 49 years old
- In good health without significant medical illness, physical examination findings, or significant laboratory abnormalities in urinalysis, complete blood count (CBC), alanine aminotransferase (ALT), or creatinine as determined by the investigator
- Available for the duration of the study
- Willing to participate in the study as evidenced by signing the informed consent document
- Female participants of childbearing potential must have negative urine pregnancy tests and must agree to use effective birth control methods (e.g., birth control pills, diaphragm and foam, condoms with spermicide, Depo-Provera) until 28 days after vaccination
You may not qualify if:
- Pregnant, as determined by a positive urine beta-human chorionic gonadotropin (HCG) test
- Breastfeeding
- Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease by history, physical examination, and/or laboratory studies including urinalysis
- Behavioral, cognitive, or psychiatric disease that, in the opinion of the investigator, affects the ability of the participant to understand and cooperate with the study protocol
- Other condition that, in the opinion of the investigator, would jeopardize the safety or rights of a participant in the study or would render the participant unable to comply with the protocol
- Has had medical, occupational, or family problems as a result of alcohol or illicit drug use during the 12 months before study entry
- History of a severe allergic reaction or anaphylaxis
- History of splenectomy
- Current diagnosis of asthma in the 2 years prior to study entry
- Positive enzyme-linked immunosorbent assay (ELISA) and confirmatory Western blot tests for HIV-1
- Positive ELISA and confirmatory immunoblot tests for hepatitis C (HCV)
- Positive ELISA HBsAg
- Abnormal urinalysis/urine dip
- Known immunodeficiency syndrome
- Current use of nasal or systemic steroid medications
- +42 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland, 21205, United States
Seattle Children's Hospital
Seattle, Washington, 98191, United States
Related Publications (2)
Herfst S, Fouchier RA. Vaccination approaches to combat human metapneumovirus lower respiratory tract infections. J Clin Virol. 2008 Jan;41(1):49-52. doi: 10.1016/j.jcv.2007.10.022. Epub 2007 Dec 4.
PMID: 18054841BACKGROUNDWilliams JV, Harris PA, Tollefson SJ, Halburnt-Rush LL, Pingsterhaus JM, Edwards KM, Wright PF, Crowe JE Jr. Human metapneumovirus and lower respiratory tract disease in otherwise healthy infants and children. N Engl J Med. 2004 Jan 29;350(5):443-50. doi: 10.1056/NEJMoa025472.
PMID: 14749452BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Ruth A. Karron, MD
Johns Hopkins Bloomberg School of Public Health
- PRINCIPAL INVESTIGATOR
Janet Englund, MD
Seattle Children's Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 6, 2010
First Posted
December 7, 2010
Study Start
January 1, 2011
Primary Completion
October 1, 2014
Study Completion
January 1, 2015
Last Updated
December 15, 2015
Record last verified: 2015-12