NCT02826798

Brief Summary

The purpose of this study is to compare the safety and effectiveness of four different doses of cytomegalovirus vaccines in healthy adults.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
128

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Jun 2016

Geographic Reach
1 country

3 active sites

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

June 23, 2016

Completed
Same day until next milestone

Study Start

First participant enrolled

June 23, 2016

Completed
18 days until next milestone

First Posted

Study publicly available on registry

July 11, 2016

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2016

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 24, 2017

Completed
2.7 years until next milestone

Results Posted

Study results publicly available

April 20, 2020

Completed
Last Updated

April 20, 2020

Status Verified

April 1, 2020

Enrollment Period

3 months

First QC Date

June 23, 2016

Results QC Date

June 13, 2019

Last Update Submit

April 16, 2020

Conditions

Keywords

VBI-1501AVBI-1501prophylactic vaccinevirus diseasescytomegalovirus (CMV)cytomegalovirus infectionscytomegalovirus vaccinesHerpesviridae InfectionsPhase 1Human Herpesvirus 5 (HHV5)Vaccines, virus-like particle (VLP)enveloped virus-like particle (eVLP)

Outcome Measures

Primary Outcomes (4)

  • Number of Participants With Local and Systemic Adverse Events During Seven-Day Follow-Up Period

    Day of vaccine administration (days 0, 56, 168) and six subsequent days

  • Number of Participants With Any Adverse Event

    Following each of the 3 injections of study vaccine, the occurrence of adverse events was captured during a 28-day follow-up period as well as through Day 336 or early withdrawal.

  • Number of Participants With Any Serious Adverse Event

    Through Day 336 or early withdrawal

  • Number of Participants With Any Hematological or Biochemical Laboratory Abnormality

    Blood and urine samples were collected at screening for all evaluations with additional blood samples obtained on Days 28, 56, 84, 168, 196, 280, and 336. The following clinical laboratory evaluations were performed: Biochemistry: alanine aminotransferase; aspartate aminotransferase; creatinine; blood urea nitrogen; Hematology: neutrophils, lymphocytes, eosinophils, hemoglobin, platelet count, white blood cell count; Infection status: HIV, hepatitis B, hepatitis C, and cytomegalovirus; and Urinalysis: blood, glucose, protein.

    Through Day 336 or early withdrawal

Secondary Outcomes (4)

  • Geometric Mean Titer of Antibody Binding to CMV gB

    Through Day 336 or early withdrawal

  • Geometric Mean Titer of Antibody Avidity Index Value Against gB

    Through Day 336 or early withdrawal

  • Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Fibroblast Cells

    Through Day 196 or early withdrawal

  • Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Epithelial Cells

    Through Day 336 or early withdrawal

Study Arms (5)

VBI-1501A: 0.5µg with adjuvant

EXPERIMENTAL

0.5µg CMV vaccine with adjuvant

Drug: VBI-1501A 0.5 μg

VBI-1501A: 1.0µg with adjuvant

EXPERIMENTAL

1.0µg CMV vaccine with adjuvant

Drug: VBI-1501A 1.0 μg

VBI-1501A: 2.0 µg with adjuvant

EXPERIMENTAL

2.0 µg CMV vaccine with adjuvant

Drug: VBI-1501A 2.0 μg

VBI-1501: 1.0µg without adjuvant

EXPERIMENTAL

1.0µg CMV vaccine without adjuvant

Drug: VBI-1501 1.0 μg

Placebo

PLACEBO COMPARATOR

Buffer/sucrose used for VBI-1501 suspension

Drug: Placebo

Interventions

VBI-1501A: 0.5 μg with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

VBI-1501A: 0.5µg with adjuvant

VBI-1501A: 1.0 μg with alum with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

VBI-1501A: 1.0µg with adjuvant

VBI-1501A: 2.0 μg with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

VBI-1501A: 2.0 µg with adjuvant

VBI-1501: 1.0 μg without alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

VBI-1501: 1.0µg without adjuvant

buffer/sucrose used for VBI-1501 suspension- administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168.

Placebo

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Generally healthy adult female and male 18 to 40 years of age, inclusive;
  • Serologically confirmed to be CMV seronegative at screening;
  • Female volunteers must agree to use an adequate contraception method as deemed appropriate by the investigator
  • Sign an informed consent document indicating understanding of the purpose and procedures required for the study and willingness to participate in the study

You may not qualify if:

  • History of or current clinically significant medical illness or any other illness that in the opinion of the investigator interferes with the interpretation of the study results
  • Clinically significant abnormal physical examination, vital signs, or clinically significant abnormal values for hematology, clinical chemistry or urinalysis at screening as determined by the investigator
  • Previous receipt of any cytomegalovirus vaccine
  • History of allergic reactions or anaphylactic reaction to any vaccine component
  • Pregnant or breastfeeding or plans to conceive from two weeks before the study start through six months after the last dose of study vaccine
  • Known or suspected impairment of immunological function, including but not limited to autoimmune diseases, splenectomy, or HIV/AIDS
  • Chronic administration (defined as more than 14 days in total) of immune-suppressive or other immune-modifying drug with six months prior to the product dose (for corticosteroids, this is defined as prednisone ≥20 mg/day or equivalent). Inhaled and topical steroids are allowed
  • Participation in another clinical study within 30 days or plans to participate in another treatment based clinical study during the conduct of the present study
  • Any skin abnormality or tattoo that would limit post-vaccination injection site assessment
  • Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease
  • Are family members of study center staff

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Vaccine Evaluation Center

Vancouver, British Columbia, V5Z 4H4, Canada

Location

Canadian Center for Vaccinology; IWK Health Centre

Halifax, Nova Scotia, B3K 6R8, Canada

Location

McGill University Health Centre - Vaccine Study

Pierrefonds, Quebec, H9H 4Y6, Canada

Location

Related Publications (20)

  • Adler SP, Starr SE, Plotkin SA, Hempfling SH, Buis J, Manning ML, Best AM. Immunity induced by primary human cytomegalovirus infection protects against secondary infection among women of childbearing age. J Infect Dis. 1995 Jan;171(1):26-32. doi: 10.1093/infdis/171.1.26.

    PMID: 7798679BACKGROUND
  • Adler SP. Human CMV vaccine trials: what if CMV caused a rash? J Clin Virol. 2008 Mar;41(3):231-6. doi: 10.1016/j.jcv.2007.11.008. Epub 2007 Dec 21.

    PMID: 18096431BACKGROUND
  • Axelsson F, Adler SP, Lamarre A, Ohlin M. Humoral immunity targeting site I of antigenic domain 2 of glycoprotein B upon immunization with different cytomegalovirus candidate vaccines. Vaccine. 2007 Dec 21;26(1):41-6. doi: 10.1016/j.vaccine.2007.10.048. Epub 2007 Nov 9.

    PMID: 18063447BACKGROUND
  • Baylor NW, Egan W, Richman P. Aluminum salts in vaccines--US perspective. Vaccine. 2002 May 31;20 Suppl 3:S18-23. doi: 10.1016/s0264-410x(02)00166-4.

    PMID: 12184360BACKGROUND
  • Biffi A, Montini E, Lorioli L, Cesani M, Fumagalli F, Plati T, Baldoli C, Martino S, Calabria A, Canale S, Benedicenti F, Vallanti G, Biasco L, Leo S, Kabbara N, Zanetti G, Rizzo WB, Mehta NA, Cicalese MP, Casiraghi M, Boelens JJ, Del Carro U, Dow DJ, Schmidt M, Assanelli A, Neduva V, Di Serio C, Stupka E, Gardner J, von Kalle C, Bordignon C, Ciceri F, Rovelli A, Roncarolo MG, Aiuti A, Sessa M, Naldini L. Lentiviral hematopoietic stem cell gene therapy benefits metachromatic leukodystrophy. Science. 2013 Aug 23;341(6148):1233158. doi: 10.1126/science.1233158. Epub 2013 Jul 11.

    PMID: 23845948BACKGROUND
  • Amai M, Nojima M, Yuki Y, Kiyono H, Nagamura F. A review of criteria strictness in "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials". Vaccine. 2023 Aug 31;41(38):5622-5629. doi: 10.1016/j.vaccine.2023.07.072. Epub 2023 Aug 1.

    PMID: 37532612BACKGROUND
  • Fishman JA, Emery V, Freeman R, Pascual M, Rostaing L, Schlitt HJ, Sgarabotto D, Torre-Cisneros J, Uknis ME. Cytomegalovirus in transplantation - challenging the status quo. Clin Transplant. 2007 Mar-Apr;21(2):149-58. doi: 10.1111/j.1399-0012.2006.00618.x.

    PMID: 17425738BACKGROUND
  • Fu TM, Wang D, Freed DC, Tang A, Li F, He X, Cole S, Dubey S, Finnefrock AC, ter Meulen J, Shiver JW, Casimiro DR. Restoration of viral epithelial tropism improves immunogenicity in rabbits and rhesus macaques for a whole virion vaccine of human cytomegalovirus. Vaccine. 2012 Dec 14;30(52):7469-74. doi: 10.1016/j.vaccine.2012.10.053. Epub 2012 Oct 26.

    PMID: 23107592BACKGROUND
  • Gordon EM, Levy JP, Reed RA, Petchpud WN, Liu L, Wendler CB, Hall FL. Targeting metastatic cancer from the inside: a new generation of targeted gene delivery vectors enables personalized cancer vaccination in situ. Int J Oncol. 2008 Oct;33(4):665-75.

    PMID: 18813779BACKGROUND
  • Griffiths PD, Stanton A, McCarrell E, Smith C, Osman M, Harber M, Davenport A, Jones G, Wheeler DC, O'Beirne J, Thorburn D, Patch D, Atkinson CE, Pichon S, Sweny P, Lanzman M, Woodford E, Rothwell E, Old N, Kinyanjui R, Haque T, Atabani S, Luck S, Prideaux S, Milne RS, Emery VC, Burroughs AK. Cytomegalovirus glycoprotein-B vaccine with MF59 adjuvant in transplant recipients: a phase 2 randomised placebo-controlled trial. Lancet. 2011 Apr 9;377(9773):1256-63. doi: 10.1016/S0140-6736(11)60136-0.

    PMID: 21481708BACKGROUND
  • Hacein-Bey-Abina S, Pai SY, Gaspar HB, Armant M, Berry CC, Blanche S, Bleesing J, Blondeau J, de Boer H, Buckland KF, Caccavelli L, Cros G, De Oliveira S, Fernandez KS, Guo D, Harris CE, Hopkins G, Lehmann LE, Lim A, London WB, van der Loo JC, Malani N, Male F, Malik P, Marinovic MA, McNicol AM, Moshous D, Neven B, Oleastro M, Picard C, Ritz J, Rivat C, Schambach A, Shaw KL, Sherman EA, Silberstein LE, Six E, Touzot F, Tsytsykova A, Xu-Bayford J, Baum C, Bushman FD, Fischer A, Kohn DB, Filipovich AH, Notarangelo LD, Cavazzana M, Williams DA, Thrasher AJ. A modified gamma-retrovirus vector for X-linked severe combined immunodeficiency. N Engl J Med. 2014 Oct 9;371(15):1407-17. doi: 10.1056/NEJMoa1404588.

    PMID: 25295500BACKGROUND
  • Institute of Medicine (US) Committee to Study Priorities for Vaccine Development; Stratton KR, Durch JS, Lawrence RS, editors. Vaccines for the 21st Century: A Tool for Decisionmaking. Washington (DC): National Academies Press (US); 2000. Available from http://www.ncbi.nlm.nih.gov/books/NBK233313/

    PMID: 25121214BACKGROUND
  • Loomis RJ, Lilja AE, Monroe J, Balabanis KA, Brito LA, Palladino G, Franti M, Mandl CW, Barnett SW, Mason PW. Vectored co-delivery of human cytomegalovirus gH and gL proteins elicits potent complement-independent neutralizing antibodies. Vaccine. 2013 Jan 30;31(6):919-26. doi: 10.1016/j.vaccine.2012.12.009. Epub 2012 Dec 14.

    PMID: 23246547BACKGROUND
  • Macagno A, Bernasconi NL, Vanzetta F, Dander E, Sarasini A, Revello MG, Gerna G, Sallusto F, Lanzavecchia A. Isolation of human monoclonal antibodies that potently neutralize human cytomegalovirus infection by targeting different epitopes on the gH/gL/UL128-131A complex. J Virol. 2010 Jan;84(2):1005-13. doi: 10.1128/JVI.01809-09. Epub 2009 Nov 4.

    PMID: 19889756BACKGROUND
  • 15. Paneque-Quevedo AA. Inorganic compounds as vaccine adjuvants. Biotecnología Aplicada. 2013;30:250-256.

    BACKGROUND
  • Pass RF, Duliege AM, Boppana S, Sekulovich R, Percell S, Britt W, Burke RL. A subunit cytomegalovirus vaccine based on recombinant envelope glycoprotein B and a new adjuvant. J Infect Dis. 1999 Oct;180(4):970-5. doi: 10.1086/315022.

    PMID: 10479120BACKGROUND
  • Pass RF, Zhang C, Evans A, Simpson T, Andrews W, Huang ML, Corey L, Hill J, Davis E, Flanigan C, Cloud G. Vaccine prevention of maternal cytomegalovirus infection. N Engl J Med. 2009 Mar 19;360(12):1191-9. doi: 10.1056/NEJMoa0804749.

    PMID: 19297572BACKGROUND
  • Plotkin SA. Is there a formula for an effective CMV vaccine? J Clin Virol. 2002 Aug;25 Suppl 2:S13-21. doi: 10.1016/s1386-6532(02)00093-8. No abstract available.

    PMID: 12361753BACKGROUND
  • Zydek M, Petitt M, Fang-Hoover J, Adler B, Kauvar LM, Pereira L, Tabata T. HCMV infection of human trophoblast progenitor cells of the placenta is neutralized by a human monoclonal antibody to glycoprotein B and not by antibodies to the pentamer complex. Viruses. 2014 Mar 19;6(3):1346-64. doi: 10.3390/v6031346.

    PMID: 24651029BACKGROUND
  • Langley JM, Gantt S, Halperin SA, Ward B, McNeil S, Ye L, Cai Y, Smith B, Anderson DE, Mitoma FD. An enveloped virus-like particle alum-adjuvanted cytomegalovirus vaccine is safe and immunogenic: A first-in-humans Canadian Immunization Research Network (CIRN) study. Vaccine. 2024 Jan 25;42(3):713-722. doi: 10.1016/j.vaccine.2023.12.019. Epub 2023 Dec 22.

MeSH Terms

Conditions

Cytomegalovirus InfectionsVirus DiseasesHerpesviridae Infections

Condition Hierarchy (Ancestors)

DNA Virus InfectionsInfections

Results Point of Contact

Title
Bebi Yassin-Rajkumar
Organization
VBI

Study Officials

  • Joanne Langley, MD

    IWK Health Centre

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 23, 2016

First Posted

July 11, 2016

Study Start

June 23, 2016

Primary Completion

September 15, 2016

Study Completion

August 24, 2017

Last Updated

April 20, 2020

Results First Posted

April 20, 2020

Record last verified: 2020-04

Data Sharing

IPD Sharing
Will not share

Locations