NCT01805921

Brief Summary

In this study we are testing a new vaccine against Respiratory Syncytial Virus (RSV). This virus can cause respiratory infections such as bronchiolitis and pneumonia. It affects all ages, but especially infants, adults with a suppressed immune system, and the elderly. RSV only infects humans and occurs in epidemics each winter. It is the single most common cause of severe respiratory illness in children. There is no effective anti-viral medication to treat RSV infections. There is a monoclonal antibody, which can be given to 'at-risk' children given by injection on a monthly basis during winter to provide short term protection against infection, but it is only partially effective and prohibitively expensive. Currently, there is no licensed vaccine to prevent RSV infection and there remains a real need to develop a vaccine as a cost-effective method to save lives and reduce the cost of disease caused by RSV.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
72

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started May 2013

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 5, 2013

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 6, 2013

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2013

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2015

Completed
Last Updated

April 26, 2016

Status Verified

April 1, 2016

Enrollment Period

2.3 years

First QC Date

March 5, 2013

Last Update Submit

April 24, 2016

Conditions

Keywords

Respiratory Syncytial VirusRSVVaccine

Outcome Measures

Primary Outcomes (1)

  • Safety

    The recording and assessment of local and systemic adverse events following administration of each vaccine dose; * Fever * Headache * Nausea and/or vomiting * Malaise * Myalgia * Arthralgia * Injection site adverse events (for IM administered vaccine); pain or tenderness, induration, redness and swelling * Nasal site adverse events (for IN administered vaccine); pain or tenderness, irritation and discharge * Blood parameters * Any unsolicited symptom(s) not listed above

    52 Weeks

Secondary Outcomes (1)

  • Immunogenicity

    52 weeks

Study Arms (9)

Arm 1. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)

EXPERIMENTAL

Group 1A. Low dose prime PanAd3-RSV given by intra-muscular injection (IM) - low dose boost MVA-RSV given by intra-muscular injection (IM). 2 volunteers, 18-50 years. Interval: 8 weeks. Group 1B. High dose prime PanAd3-RSV given by intra-muscular injection (IM) - high dose boost MVA-RSV given by intra-muscular injection (IM). 8 volunteers, 18-50 years. Interval: 8 weeks.

Biological: MVA-RSV given by intra-muscular injection (high dose)Biological: PanAd3-RSV given by intra-muscular injection (high dose)Biological: MVA-RSV given by intra-muscular injection (low dose)Biological: PanAd3-RSV given by intra-muscular injection (low dose)

Arm 2. Prime PanAd3-RSV (IM), boost PanAd3-RSV (IM)

EXPERIMENTAL

Group 2A. Low dose prime PanAd3-RSV given by intra-muscular injection (IM) - low dose boost PanAd3-RSV given by intra-muscular injection (IM). 2 volunteers, 18-50 years. Interval: 4 weeks. Group 2B. High dose prime PanAd3-RSV given by intra-muscular injection (IM) - high dose boost PanAd3-RSV given by intra-muscular injection (IM). 8 volunteers, 18-50 years. Interval: 4 weeks.

Biological: PanAd3-RSV given by intra-muscular injection (high dose)Biological: PanAd3-RSV given by intra-muscular injection (low dose)

Arm 3. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)

EXPERIMENTAL

Group 3A. Low dose prime PanAd3-RSV given intra-nasally (IN) - low dose boost MVA-RSV given by intra-muscular injection (IM). 2 volunteers, 18-50 years. Interval: 8 weeks. Group 3B. High dose prime PanAd3-RSV given intra-nasally (IN) - high dose boost MVA-RSV given by intra-muscular injection (IM). 8 volunteers, 18-50 years. Interval: 8 weeks.

Biological: PanAd3-RSV given intra-nasally (high dose)Biological: MVA-RSV given by intra-muscular injection (high dose)Biological: PanAd3-RSV given intranasally (low dose)Biological: MVA-RSV given by intra-muscular injection (low dose)

Arm 4. Prime PanAd3-RSV (IN), boost PanAd3-RSV (IM)

EXPERIMENTAL

Group 4A. Low dose prime PanAd3-RSV given intra-nasally (IN) - low dose boost PanAd3-RSV given by intra-muscular injection (IM). 2 volunteers, 18-50 years. Interval: 8 weeks. Group 4B. High dose prime PanAd3-RSV given intra-nasally (IN) - high dose boost PanAd3-RSV given by intra-muscular injection (IM). 8 volunteers, 18-50 years. Interval: 8 weeks.

Biological: PanAd3-RSV given intra-nasally (high dose)Biological: PanAd3-RSV given by intra-muscular injection (high dose)Biological: PanAd3-RSV given intranasally (low dose)Biological: PanAd3-RSV given by intra-muscular injection (low dose)

Arm 5. No vaccine

NO INTERVENTION

Group 5. Non-vaccinated control group. 6 volunteers, 60-75 years.

Arm 6. MVA-RSV (IM)

EXPERIMENTAL

Group 6. Single high dose MVA-RSV given by intra-muscular injection (IM). 6 volunteers, 60-75 years.

Biological: MVA-RSV given by intra-muscular injection (high dose)

Arm 7. Prime PanAd3-RSV (IM), boost PanAd3-RSV (IM)

EXPERIMENTAL

Group 7. High dose prime PanAd3-RSV given by intra-muscular injection (IM) - high dose boost PanAd3-RSV given by intra-muscular injection (IM). 6 volunteers, 60-75 years. Interval: 4 weeks.

Biological: PanAd3-RSV given by intra-muscular injection (high dose)

Arm 8. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)

EXPERIMENTAL

Group 8. High dose prime PanAd3-RSV given intra-nasally - high dose boost MVA-RSV given by intra-muscular injection (IM). 6 volunteers, 60-75 years. Interval: 8 weeks.

Biological: PanAd3-RSV given intra-nasally (high dose)Biological: MVA-RSV given by intra-muscular injection (high dose)

Arm 9. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)

EXPERIMENTAL

Group 9. High dose prime PanAd3-RSV given by intra-muscular injection (IM) - high dose boost MVA-RSV given by intra-muscular injection (IM). 6 volunteers, 60-75 years. Interval: 8 weeks.

Biological: MVA-RSV given by intra-muscular injection (high dose)Biological: PanAd3-RSV given by intra-muscular injection (high dose)

Interventions

High dose = 5x10\^10 vp

Arm 3. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)Arm 4. Prime PanAd3-RSV (IN), boost PanAd3-RSV (IM)Arm 8. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)

High dose = 1x10\^8 pfu

Arm 1. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)Arm 3. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)Arm 6. MVA-RSV (IM)Arm 8. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)Arm 9. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)

High dose = 5x10\^10 vp

Arm 1. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)Arm 2. Prime PanAd3-RSV (IM), boost PanAd3-RSV (IM)Arm 4. Prime PanAd3-RSV (IN), boost PanAd3-RSV (IM)Arm 7. Prime PanAd3-RSV (IM), boost PanAd3-RSV (IM)Arm 9. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)

Low dose = 5x10\^9 vp

Arm 3. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)Arm 4. Prime PanAd3-RSV (IN), boost PanAd3-RSV (IM)

Low dose = 1x10\^7 pfu

Arm 1. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)Arm 3. Prime PanAd3-RSV (IN), boost MVA-RSV (IM)

Low dose = 5x10\^9 vp

Arm 1. Prime PanAd3-RSV (IM), boost MVA-RSV (IM)Arm 2. Prime PanAd3-RSV (IM), boost PanAd3-RSV (IM)Arm 4. Prime PanAd3-RSV (IN), boost PanAd3-RSV (IM)

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants must satisfy all of the following criteria to be considered eligible for the study:
  • Willing and able to give informed consent for participation in the study
  • Aged between 18 and 50 years (Groups 1-4) or aged 60-75 years (Groups 5-9)
  • In good health as determined by
  • Medical history
  • Physical examination
  • Clinical judgment of the investigators
  • Willing to use effective contraception
  • Females: The oral contraceptive pill, contraceptive implant or barrier methods from one month prior and for the duration of the study (Groups 1-4 only)
  • Males: Barrier contraception from V1 until 3 months after the last vaccination
  • Able to attend the scheduled visits and to comply with all study procedures
  • Willing to allow his or her General Practitioner and/or Consultant, if appropriate, to be notified of participation in the study

You may not qualify if:

  • Willing to provide their National Insurance/Passport number for the purpose of TOPS registration
  • The participant may not enter the study if any of the following apply:
  • History of significant organ/system disease that could interfere with trial conduct or completion. This includes any history of significant disease in the following;
  • Cardiovascular disease including congenital heart disease, previous myocardial infarction, valvular heart disease (or history of rheumatic fever), previous bacterial endocarditis, history of cardiac surgery (including pacemaker insertion), personal or family history of cardiomyopathy or sudden adult death
  • Respiratory disease such as asthma (excluding childhood asthma not treated in adulthood) and chronic obstructive pulmonary disease
  • Endocrine disorders such as diabetes mellitus and Addison's disease
  • Significant renal or bladder disease, including history of renal calculi
  • Biliary tract disease
  • Gastro-intestinal disease such as inflammatory bowel disease, abdominal surgery within the last two years, coeliac disease and liver disease
  • Neurological disease such as seizures and myasthenia gravis
  • Metabolic disease such as glucose-6-phosphate dehydrogenase deficiency
  • Psychiatric illness requiring hospitalization or depression whose severity is deemed clinical significant by the Chief Investigator, Consultant or GP
  • Non-benign cancer, including squamous cell carcinoma, basal cell carcinoma of the skin and cervical carcinoma in situ
  • Clinically significant contact dermatitis
  • Have any known or suspected impairment or alteration of immune function, resulting from, for example:
  • +31 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centre for Clinical Vaccinology & Tropical Medicine (CCVTM)

Oxford, Oxfordshire, OX3 7LE, United Kingdom

Location

Related Publications (2)

  • Green CA, Scarselli E, Voysey M, Capone S, Vitelli A, Nicosia A, Cortese R, Thompson AJ, Sande CS, de Lara C, Klenerman P, Pollard AJ. Safety and immunogenicity of novel respiratory syncytial virus (RSV) vaccines based on the RSV viral proteins F, N and M2-1 encoded by simian adenovirus (PanAd3-RSV) and MVA (MVA-RSV); protocol for an open-label, dose-escalation, single-centre, phase 1 clinical trial in healthy adults. BMJ Open. 2015 Oct 28;5(10):e008748. doi: 10.1136/bmjopen-2015-008748.

  • Green CA, Scarselli E, Sande CJ, Thompson AJ, de Lara CM, Taylor KS, Haworth K, Del Sorbo M, Angus B, Siani L, Di Marco S, Traboni C, Folgori A, Colloca S, Capone S, Vitelli A, Cortese R, Klenerman P, Nicosia A, Pollard AJ. Chimpanzee adenovirus- and MVA-vectored respiratory syncytial virus vaccine is safe and immunogenic in adults. Sci Transl Med. 2015 Aug 12;7(300):300ra126. doi: 10.1126/scitranslmed.aac5745.

Related Links

MeSH Terms

Conditions

Respiratory Syncytial Virus Infections

Condition Hierarchy (Ancestors)

Pneumovirus InfectionsParamyxoviridae InfectionsMononegavirales InfectionsRNA Virus InfectionsVirus DiseasesInfections

Study Officials

  • Andrew J Pollard, FRCPCH PhD

    University of Oxford. Department of Paediatrics

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 5, 2013

First Posted

March 6, 2013

Study Start

May 1, 2013

Primary Completion

August 1, 2015

Study Completion

August 1, 2015

Last Updated

April 26, 2016

Record last verified: 2016-04

Locations