NCT05655182

Brief Summary

This Phase 1/2a trial is a randomized, placebo-controlled trial to evaluate the safety, tolerability and immunogenicity of two ascending doses (10\^6 PFU and 10\^7 PFU) of intranasal BLB-201 (a recombinant parainfluenza virus type 5) administered in infants (8-24 months of age) and children (18-59 months of age) who may or may not have had prior respiratory syncytial virus (RSV) infection.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
137

participants targeted

Target at P75+ for phase_1

Timeline
27mo left

Started Mar 2023

Longer than P75 for phase_1

Geographic Reach
1 country

11 active sites

Status
recruiting

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

Study Progress59%
Mar 2023Jul 2028

First Submitted

Initial submission to the registry

December 8, 2022

Completed
11 days until next milestone

First Posted

Study publicly available on registry

December 19, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

March 9, 2023

Completed
5.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2028

Last Updated

December 15, 2025

Status Verified

December 1, 2025

Enrollment Period

5.4 years

First QC Date

December 8, 2022

Last Update Submit

December 9, 2025

Conditions

Keywords

Human respiratory syncytial virus (RSV)Lower respiratory tract infection (LRTI)

Outcome Measures

Primary Outcomes (2)

  • Solicited Adverse Events

    Frequencies and grades of solicited local and systemic AEs during a 14-day period after dosing.

    Day 1-15

  • Unsolicited Adverse Events

    Frequencies and grades of unsolicited AEs during a 28-day period after dosing.

    Day 1-29

Study Arms (10)

Group 1, infants (age 18-59 months), RSV+, BLB201 10^6 PFU

EXPERIMENTAL

6 RSV seropositive participants will be administered 10\^6 PFU BLB-201 by intranasal route on Day 1

Biological: PIV5-vectored RSV Vaccine (BLB-201) Low Dose

Group 1, infants (age 18-59 months), RSV+, Placebo

PLACEBO COMPARATOR

4 RSV seropositive participants will be administered placebo by intranasal route on Day 1

Drug: Placebo

Group 2, infants (age 18-59 months), RSV+, BLB201 10^7 PFU

EXPERIMENTAL

6 RSV seropositive participants will be administered 10\^7 PFU BLB-201 by intranasal route on Day 1

Biological: PIV5-vectored RSV Vaccine (BLB-201) High Dose

Group 2, infants (age 18-59 months), RSV+, Placebo

PLACEBO COMPARATOR

4 RSV seropositive participants will be administered placebo by intranasal route on Day 1

Drug: Placebo

Group 3, children (age 8-24 months), RSV+ or RSV-, BLB201 10^6 PFU

EXPERIMENTAL

16 participants will be administered BLB201 10\^6 PFU by intranasal route on Day 1

Biological: PIV5-vectored RSV Vaccine (BLB-201) Low Dose

Group 3, children (age 8-24 months), RSV+ or RSV-, Placebo

PLACEBO COMPARATOR

8 participants will be administered placebo by intranasal route on Day 1

Drug: Placebo

Group 4, children (age 6-24 months), RSV+ or RSV-, BLB201 10^7 PFU

EXPERIMENTAL

32 participants will be administered BLB201 10\^7 PFU by intranasal route on Day 1

Biological: PIV5-vectored RSV Vaccine (BLB-201) High Dose

Group 4, children (age 8-24 months), RSV+ or RSV-, Placebo

ACTIVE COMPARATOR

16 participants will be administered placebo by intranasal route on Day 1

Drug: Placebo

Group 6, children (age 8-24 months), RSV+ or RSV-, BLB201 10^7 PFU

EXPERIMENTAL

30 participants will be administered BLB201 10\^7 PFU by intranasal route on Day 1 and Day 57

Biological: PIV5-vectored RSV Vaccine (BLB-201) High Dose

Group 6, children (age 8-24 months), RSV+ or RSV-, Placebo

PLACEBO COMPARATOR

15 participants will be administered Placebo by intranasal route on Day 1 and Day 57

Drug: Placebo

Interventions

BLB201 10\^6 PFU

Group 1, infants (age 18-59 months), RSV+, BLB201 10^6 PFUGroup 3, children (age 8-24 months), RSV+ or RSV-, BLB201 10^6 PFU

BLB201 10\^7 PFU

Group 2, infants (age 18-59 months), RSV+, BLB201 10^7 PFUGroup 4, children (age 6-24 months), RSV+ or RSV-, BLB201 10^7 PFUGroup 6, children (age 8-24 months), RSV+ or RSV-, BLB201 10^7 PFU

The placebo used for the trial will be the same as the diluent (0.9% sterile saline) used for the low dose group (10\^6 PFU).

Group 1, infants (age 18-59 months), RSV+, PlaceboGroup 2, infants (age 18-59 months), RSV+, PlaceboGroup 3, children (age 8-24 months), RSV+ or RSV-, PlaceboGroup 4, children (age 8-24 months), RSV+ or RSV-, PlaceboGroup 6, children (age 8-24 months), RSV+ or RSV-, Placebo

Eligibility Criteria

Age6 Months - 5 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Healthy children at least 18 months but less than 60 months of age whose legally-acceptable representative (LAR) understands and signs the trial informed consent and agrees to vaccine administration following a detailed explanation of the trial.
  • Determined by medical history, targeted physical exam, and clinical judgement of the investigator to be in a good state of health. Screening laboratory values slightly outside lab normal ranges may be acceptable if the site investigator determines that they are not clinically significant. Permitted concomitant medications include nutritional supplements, medications for gastroesophageal reflux, eye drops, and topical medications, including topical steroids, topical antibiotics, and topical antifungal agents.
  • Sero+ for RSV as defined by serum RSV antibody titer assay
  • Participant is expected to be available for the duration of the trial.
  • The LAR confirms that the subject has received routine immunizations appropriate for age based on the current Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger.
  • Growing normally for age as demonstrated on a World Health Organization (WHO) growth chart, AND has a current height and weight above the 3rd percentile for age.
  • Healthy children at least 8 months but less than 25 months of age whose LAR understands and signs the trial informed consent and agrees to vaccine administration following a detailed explanation of the trial.
  • Determined by medical history, targeted physical exam, and clinical judgement of the investigator to be in a good state of health. Screening laboratory values slightly outside lab normal ranges may be acceptable if the site investigator determines that they are not clinically significant. Permitted concomitant medications include nutritional supplements, medications for gastroesophageal reflux, eye drops, and topical medications, including topical steroids, topical antibiotics, and topical antifungal agents.
  • Sero- OR sero+ for RSV antibody, defined by serum RSV antibody titer assay not more than 30 days prior to vaccination.
  • Participant is expected to be available for the duration of the trial.
  • The LAR confirms that subject has received routine immunizations appropriate for age based on the current Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger.
  • Growing normally for age as demonstrated on a World Health Organization (WHO) growth chart, AND
  • If \<1 year of age: has a current height and weight above the 5th percentile for age.
  • If ≥1 year of age: has a current height and weight above the 3rd percentile for age.

You may not qualify if:

  • \<8 months of age and \>60 months of age at the time of planned vaccine inoculation.
  • Born at less than 34 weeks gestation for subjects ≥ 1 year of age at enrollment
  • Born at less than 37 weeks gestation, and at the date of inoculation less than 1 year of age.
  • Maternal history of a positive HIV test before or during pregnancy.
  • Maternal history of illicit drug abuse or alcohol abuse.
  • Evidence of chronic disease except for chronic diseases that are mild, stable and not immune compromising or require recent change (\< 60 days) in management (e.g., mild stable eczema, mild allergic rhinitis)
  • Clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality as determined by medical history or physical exam. Abnormal pulse oximetry testing during screening for undetected critical congenital heart disease or concern for such by medical history or physical exam.
  • Acute or chronic medical condition or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgement, make the participant inappropriate for the study.
  • History of severe infection (e.g., requiring hospitalization).
  • Known or suspected impairment of immunological functions, bone marrow/solid organ transplant recipients.
  • Receiving immunosuppressive therapy including systemic corticosteroids.
  • Major congenital malformations, including congenital cleft palate or cytogenetic abnormalities.
  • Suspected or documented developmental disorder, delay, or other developmental problem.
  • Cardiac abnormality requiring treatment. Participants with clinically insignificant cardiac abnormalities (e.g., clinically insignificant patent foramen ovale) requiring no treatment may be enrolled.
  • Lung disease or reactive airway disease.
  • +50 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Paradigm Clinical Research

La Mesa, California, 91942, United States

RECRUITING

Paradigm Clinical Research - Modesto

Modesto, California, 95355, United States

RECRUITING

Velocity Clinical Research, Boise

Meridian, Idaho, 83642, United States

RECRUITING

Clinical Research Prime

Rexburg, Idaho, 83440, United States

RECRUITING

AMR Newton

Newton, Kansas, 67114, United States

RECRUITING

Velocity Clinical Research - Lafayette

Lafayette, Louisiana, 70508, United States

RECRUITING

Velocity Clinical Research, Grand Island

Grand Island, Nebraska, 68803, United States

RECRUITING

Velocity Clinical Research, Cleveland

Beachwood, Ohio, 44122, United States

RECRUITING

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

RECRUITING

Velocity Clinical Research, Austin

Cedar Park, Texas, 78613, United States

RECRUITING

Baylor College of Medicine

Houston, Texas, 77030, United States

RECRUITING

MeSH Terms

Conditions

Respiratory Syncytial Virus Infections

Condition Hierarchy (Ancestors)

Pneumovirus InfectionsParamyxoviridae InfectionsMononegavirales InfectionsRNA Virus InfectionsVirus DiseasesInfections

Study Officials

  • Hong Jin, MD

    Blue Lake Biotechnology Inc.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 8, 2022

First Posted

December 19, 2022

Study Start

March 9, 2023

Primary Completion (Estimated)

July 30, 2028

Study Completion (Estimated)

July 30, 2028

Last Updated

December 15, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share

De-identified IPD underlying the results reported in any published articles (text, tables, figures, appendices) will be shared.

Shared Documents
STUDY PROTOCOL
Time Frame
5 years, beginning as soon as possible (but no later than 12 months) after article publication.
Access Criteria
Data will be made available to investigators and institutions upon request. Requests should be directed to the Blue Lake Biotechnology Inc authors of the publication(s).

Locations