Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent VLP Vaccine
NOR-107
A Phase II, Randomized, Controlled, Double-Blind, Dosage and Adjuvant Justification, Safety and Immunogenicity Trial of Intramuscular Norovirus GI.1/GII.4 Bivalent Virus-Like Particle Vaccine Adjuvanted With or Without Monophosphoryl Lipid A and Aluminum Hydroxide in Adults
The purpose of this study is to select the optimal formulation of the norovirus vaccine from different concentrations of virus-like particles (VLP), Aluminum Hydroxide and MPL adjuvant (3-O-desacyl-4'-monophosphoryl lipid A) for further development.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
420 participants
Study completion date
June 19, 2015
Actual (reported)
Listed locations
1 countries · 2 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Percentage of Participants With a Seroresponse (Pan-Ig ELISA)
Seroresponse was defined as 4-fold rise or greater in serum anti-norovirus antibody titers for both GI.1 virus-Like particle (VLP) and GII.4 VLP as measured by pan immunoglobulin (Pan-Ig) enzyme-linked immunosorbent assay (ELISA).
Baseline and Day 56
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After Dose 1
Solicited local AEs at injection site are defined as: pain, erythema, induration, and swelling that occurred within 7 days after each vaccination.
Days 1 through 7
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After Dose 2
Solicited local AEs at injection site are defined as: pain, erythema, induration, and swelling that occurred within 7 days after each vaccination.
Days 28 through 34
Percentage of Participants With Solicited Systemic Adverse Events (AEs) After Dose 1
Solicited systemic AEs are defined as: headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea that occurred within 7 days after each vaccination.
Days 1 through 7
Secondary Outcomes (31)
Percentage of Participants With a Seroresponse on Day 28, Day 208 and Day 393 (Pan-Ig ELISA)
Baseline and Days 28, 208 and 393
Percentage of Participants With a 4-Fold Rise or Greater in GI.1 VLP Antibody Titer (Pan-Ig ELISA)
Baseline and Days 28, 56, 208 and 393
Percentage of Participants With a 4-Fold Rise or Greater in GII.4 VLP Antibody Titer (Pan-Ig ELISA)
Baseline and Days 28, 56, 208 and 393
Geometric Mean Titer (GMT) of GI.1 VLP Antibody Titers (Pan-Ig ELISA)
Day 1 (Baseline) and Days 28, 56, 208 and 393
Geometric Mean Titer (GMT) of GII.4 VLP Antibody Titers (Pan-Ig ELISA)
Day 1 (Baseline) and Days 28, 56, 208 and 393
+26 more secondary outcomes
Study Arms (14)
GI.1/GII.4 (15/15) - MPL (50)
EXPERIMENTAL
Hepatitis A vaccine, intramuscular (IM), on Day 1, followed by norovirus bivalent virus like particle (VLP) vaccine (15 µg of GI.1 norovirus virus VLP and 15 µg GII.4 norovirus VLP) adjuvanted with 50 µg monophosphoryl lipid A (MLP) and 500 µg aluminum hydroxide, IM on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/50) - MPL (50)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 50 µg MLP and 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
Male and female participants between 18 and 64 years of age at the time of enrollment.
In good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs), and clinical judgment of the investigator.
Leroux-Roels G, Cramer JP, Mendelman PM, Sherwood J, Clemens R, Aerssens A, De Coster I, Borkowski A, Baehner F, Van Damme P. Safety and Immunogenicity of Different Formulations of Norovirus Vaccine Candidate in Healthy Adults: A Randomized, Controlled, Double-Blind Clinical Trial. J Infect Dis. 2018 Jan 30;217(4):597-607. doi: 10.1093/infdis/jix572.
Percentage of Participants With Solicited Systemic Adverse Events (AEs) After Dose 2
Solicited systemic AEs are defined as: headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea that occurred within 7 days after each vaccination.
Days 28 through 34
Oral Body Temperature Within 7 Days After Dose 1
Oral body temperature measurement is to be performed using the thermometer provided by the site for 7 days after each vaccination. The highest body temperature observed each day will be recorded on the Diary Card also provided by the site.
Days 1 through 7
Oral Body Temperature Within 7 Days After Dose 2
Oral body temperature measurement is to be performed using the thermometer provided by the site for 7 days after each vaccination. The highest body temperature observed each day will be recorded on the Diary Card also provided by the site.
Days 28 through 34
Percentage of Participants With Unsolicited Adverse Events (AEs)
Unsolicited AEs are any AEs that are not solicited local or systemic AEs, as defined by this study.
Day 1 up to Day 56
Percentage of Participants With Serious Adverse Events (SAEs)
A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria.
Day 1 up to Day 393
GI.1/GII.4 (50/50) - MPL (50)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (50 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 50 µg MLP and 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/15) - MPL (15)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 15 µg GII.4 norovirus VLP) adjuvanted with 15 µg MLP and 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/50) - MPL (15)
EXPERIMENTAL
IM hepatitis A vaccine on Day 1, followed by IM norovirus bivalent vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 15 µg MLP and 500 µg aluminum hydroxide, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (50/50) - MPL (15)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (50 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 15 µg MLP and 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/15)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 15 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/50)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (50/50)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (50 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (50/150)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (50 µg of GI.1 norovirus VLP and 150 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/50) - Al(OH)3 (167)
EXPERIMENTAL
Hepatitis A vaccine, IM, on Day 1, followed by norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 167 µg aluminum hydroxide, IM, on Day 28.
Biological: Hepatitis A VaccineBiological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/50) x2
EXPERIMENTAL
Norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide, IM, on Day 1 and Day 28.
Biological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (50/150) x2
EXPERIMENTAL
Norovirus bivalent VLP vaccine (50 µg of GI.1 norovirus VLP and 150 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide, IM, on Day 1 and Day 28.
Biological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (15/50) - Al(OH)3 (167) x2
EXPERIMENTAL
Norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 167 µg aluminum hydroxide, IM, on Day 1 and Day 28.
Biological: Norovirus Bivalent VLP Vaccine
GI.1/GII.4 (50/50) - MPL (15)
GI.1/GII.4 (50/50) - MPL (50)
Norovirus Bivalent VLP VaccineBiological
Norovirus GI.1/GII.4 bivalent VLP vaccine IM injection
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any trial procedures, after the nature of the trial has been explained according to local regulatory requirements.
Can comply with trial procedures and are available for the duration of the trial.
You may not qualify if:
Has received any vaccines containing Hepatitis A vaccine within the past 5 years.
Has contraindications, warnings, and/or precautions to vaccination with Havrix as specified within the Summary of Product Characteristics.
Has a clinically significant active infection (as assessed by the investigator) or oral body temperature 38°C (100.4°F) or higher within 3 days of the intended date of vaccination.
Has received antipyretic/analgesic medications within 24 hours prior to the intended vaccine administration.
Known hypersensitivity or allergy to investigational vaccine (including excipients of the investigational vaccine).
Has behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the participant's ability to participate in the trial.
Has a history of any progressive or severe neurologic disorder, seizure disorder, or Guillain-Barré syndrome.
Has history of any illness that, in the opinion of the investigator, might interfere with the results of the trial or pose additional risk to the participants due to participation in the trial.
Known or inspected impairment/alteration of immune function, including the following:
Chronic use of oral steroids (Equivalent to 20 mg/day prednisone for ≥12 weeks/≥2 mg/kg body weight/day for ≥2 weeks) within 60 days prior to Day 1 (use of inhaled, intranasal, or topical corticosteroids is allowed).
Receipt of parenteral steroids (equivalent to 20 mg/day prednisone ≥12 weeks/≥2 mg/kg body weight/day for ≥2 weeks) within 60 days prior to Day 1.
Receipt of immunostimulants within 60 days prior to Day 1.
Receipt of parenteral, epidural, or intra-articular immunoglobulin preparation, blood products, and/or plasma derivatives within 3 months prior to Day 1 or planned during the full length of the trial.
Receipt of immunosuppressive therapy within 6 months prior to Day 1.
Human immunodeficiency virus (HIV) infection or HIV-related disease.
+14 more criteria
Contact the study team to confirm eligibility.
Primary Completion
June 19, 2015
Actual (reported)
Study Completion
June 19, 2015
Actual (reported)
Last Updated
August 8, 2017
Results First Posted
August 1, 2016
Record last verified: 2017-08
Source record
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Source: ClinicalTrials.gov.
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