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SmallpoxPhase 2NCT00316524

A Randomized, Double-blind, Placebo-controlled Study on Immunogenicity and Safety of MVA-BN (IMVAMUNE™) Smallpox Vaccine in Healthy Subjects

A Phase 2 study testing MVA-BN® (IMVAMUNE) in people with Smallpox, run by Bavarian Nordic at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this study is to evaluate the immune response after a single vaccination of pre-immune subjects compared to two vaccinations in naive subjects. In addition the study further investigates the cardiac safety profile of MVA-BN® in a healthy population compared to placebo. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Smallpox
What is being tested?
MVA-BN® (IMVAMUNE)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
745 participants
Where
1 siteGermany
Study dates
Apr 2006to Aug 2007
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male and female subjects between 18 and 55 years of age.
  • Women must have a negative serum pregnancy test at screening and a negative urine or serum pregnancy test within 24 hours prior to vaccination.
  • Women of childbearing potential must have used an acceptable method of contraception for 30 days prior to the first vaccination, must agree to use an acceptable method of contraception during the study, and must not become pregnant for at least 28 days after the last vaccination. A woman is considered of childbearing potential unless post-menopausal or surgically sterilized. (Acceptable contraception methods are restricted to abstinence, barrier contraceptives, intrauterine contraceptive devices or licensed hormonal products.)
  • Lab values without clinically significant findings
  • Electrocardiogram (ECG) without abnormal findings (e.g. any kind of atrioventricular or intraventricular conditions or blocks such as complete left or right bundle branch block, AV-node block, QTc or PR prolongation, premature atrial contractions or other atrial arrhythmia, sustained ventricular arrhythmia, 2 premature ventricular contractions (PVC) in a row, ST elevation consistent with ischemia).
  • Groups 1, 2 and 3 (All vaccinia-naïve subjects) additionally:
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  • No history of known or suspected previous smallpox vaccination.
  • No detectable vaccinia scar.
  • Group 4 (All previously vaccinated subjects) additionally:
  • History of previous smallpox vaccination (documented and/or typical vaccinia scar).
  • Most recent smallpox vaccination ≥ 5 years.

Who cannot join

  • Uncontrolled serious infection i.e. not responding to antimicrobial therapy.
  • History of or active autoimmune disease. Persons with vitiligo or thyroid disease taking thyroid replacement are not excluded.
  • Known or suspected impairment of immunologic function including, but not limited to, clinically significant liver disease; diabetes mellitus; moderate to severe kidney impairment.
  • History of malignancy, other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved cure. Subjects with history of skin cancer at the vaccination site are excluded.
  • History of coronary heart disease, myocardial infarction, angina, congestive heart failure, cardiomyopathy, stroke or transient ischemic attack, uncontrolled high blood pressure, or any other heart condition under the care of a doctor.
  • History of an immediate family member (father, mother, brother, or sister) who died due to ischemic heart disease before age 50 years.
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  • Ten percent or greater risk of developing a myocardial infarction or coronary death within the next 10 years using the National Cholesterol Education Program's risk assessment tool. (http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=prof) NOTE: This criterion applies only to volunteers 20 years of age and older.
  • History of anaphylaxis or severe allergic reaction.
  • Immune modulatory therapy.
  • History of any serious medical condition, which in the opinion of the investigator would compromise the safety of the subject.
  • History or clinical manifestation of clinically significant and severe hematological, renal, hepatic, pulmonary, central nervous, cardiovascular or gastrointestinal disorders.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Harrison Clinical Research GmbH

    Munich, Bavaria, 80636

Other trials in Germany

About this study

Official title: A Partially Randomized, Partially Double-blind, Placebo-controlled Phase II Non-inferiority Study to Evaluate Immunogenicity and Safety of One and Two Doses of MVA-BN® (IMVAMUNE™) Smallpox Vaccine in 18-55 Year Old Healthy Subjects

The primary objective of this study is to evaluate the immune response after a single vaccination of pre-immune subjects compared to two vaccinations in naive subjects.

In addition the study further investigates the cardiac safety profile of MVA-BN® in a healthy population compared to placebo.

Read the detailed description

The study consists of 4 groups, which receive either MVA-BN once, MVA-BN two times, MVA-BN followed by placebo, or two administrations of placebo.

Conditions
Smallpox
Being tested
MVA-BN® (IMVAMUNE), Placebo
Keywords
Smallpox, Vaccination, Prevention
Medical subject headings
Smallpox

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MVA-BN® (IMVAMUNE)Biological

    1x 10E8_TCID50

  • PlaceboBiological

    Tris-Buffer

Study groups in NCT00316524
Study groupRoleWhat they receive
GP 1: two x 1x10E08 TCID, MVA-BN® s.c., vaccinia naiveExperimentalvaccinia naive subjects receiving two subcutanenous vaccinations with 0.5ml MVA-BN® IMVAMUNE (1x10E08 TCID)
Receives: Biological: MVA-BN® (IMVAMUNE)
GP 2: 1x10E08 TCID, MVA-BN®, 1x Placebo, s.c., vaccinia naiveExperimentalvaccinica naive subjects receiving one vaccination with 0.5ml MVA-BN® IMVAMUNE(1x10E08 TCID), followed by one vaccination Placebo (0.5ml Tris Buffer)
Receives: Biological: MVA-BN® (IMVAMUNE); Biological: Placebo
GP 3: two x Placebo, s.c., vaccinia naivePlacebo comparatorvaccinia naive subjects, receiving two subcutaneous vaccinations with Placebo (0.5ml Tris Buffer).
Receives: Biological: Placebo
GP 4: 1x10E08 TCID, MVA-BN®, s.c., vaccinia experiencedExperimentalvaccinia experienced subjects, receiving one subcutaneous vaccination with 0.5ml MVA-BN® IMVAMUNE (1x10E08 TCID).
Receives: Biological: MVA-BN® (IMVAMUNE)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Seroconversion by ELISA

    Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.

    Measured: 2 weeks following the last vaccination (Week 6 for Groups 1-3, Week 2 for Group 4)

  2. Number of Participants With ECG Changes

    Occurrence of any specific or unspecific ECG change. Assessments at Screening (SCR), Visit 2 (Week 2) and Visit 4 (Week 6).

    Measured: within 2 weeks after each vaccination

  3. Number of Cardiac Adverse Events (Adverse Events of Special Interest [AESI])

    Occurrence and relationship of any other cardiac symptom at any time during the study

    Measured: within 32 weeks

Secondary outcomes (8)
  1. Percentage of Participants With Seroconversion by ELISA

    Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.

    Measured: 4 weeks following the last vaccination (Week 8 for Groups 1-3, Week 4 for Group 4)

  2. Percentage of Participants With Seroconversion by PRNT

    Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (6) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.

    Measured: 2 weeks following the last vaccination (Week 6 for Groups 1-3, Week 2 for Group 4)

  3. Percentage of Participants With Seroconversion by PRNT

    Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (6) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.

    Measured: 4 weeks following the last vaccination (Week 8 for Groups 1-3, Week 4 for Group 4)

  4. Number of Participants With Related Serious Adverse Events

    Number of participants with any serious adverse event possibly, probably or definitely related to the study vaccine at any time during the study

    Measured: within 32 weeks

  5. Number of Participants With Solicited Local Adverse Events

    Number of participants with solicited local AEs (pain, erythema, swelling and induration) within 8 days after any vaccination (vaccinations for Groups 1-3: Days 0 and 28; Group 4: Day 0). Percentages based on subjects with at least one completed diary card.

    Measured: within 8 days after any vaccination

  6. Number of Participants With Solicited General Adverse Events

    Number of participants with solicited systemic/general AEs (body temperature increased, headache, myalgia, nausea, and fatigue) within 8 days after any vaccination (vaccinations for Groups 1-3: Days 0 and 28; Group 4: Day 0). Percentages based on subjects with at least one completed diary card.

    Measured: within 8 days after any vaccination

  7. Number of Participants With Related Grade>=3 Adverse Events

    Number of participants with any Grade >=3 AE probably, possibly, or definitely related to the study vaccine within 4 weeks after any vaccination (vaccinations for Groups 1-3: Days 0 and 28; Group 4: Day 0). Pooled solicited (local and general) and unsolicited AEs.

    Measured: within 4 weeks after any vaccination

  8. Number of Participants With Unsolicited Non-serious Adverse Events

    Number of participants with non-serious unsolicited AEs within 4 weeks after any vaccination (vaccinations for Groups 1-3: Days 0 and 28; Group 4: Day 0).

    Measured: within 4 weeks after any vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Apr 2006 (estimated)
  2. Study startApr 2006
  3. Primary completionFeb 2007
  4. Study completionAug 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
745 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00316524
Sponsor's protocol ID
POX-MVA-005
Other IDs
DMID 05-0128, EudraCT No. 2005-001781-14
Status last verified
Feb 2019
First submitted
19 Apr 2006
Last updated
6 Mar 2019

Publications

  • Zitzmann-Roth EM, von Sonnenburg F, de la Motte S, Arndtz-Wiedemann N, von Krempelhuber A, Uebler N, Vollmar J, Virgin G, Chaplin P. Cardiac safety of Modified Vaccinia Ankara for vaccination against smallpox in a young, healthy study population. PLoS One. 2015 Apr 16;10(4):e0122653. doi: 10.1371/journal.pone.0122653. eCollection 2015.

    PubMed 25879867
  • Ilchmann H, Samy N, Reichhardt D, Schmidt D, Powell JD, Meyer TPH, Silbernagl G, Nichols R, Weidenthaler H, De Moerlooze L, Chen L, Chaplin P. One- and Two-Dose Vaccinations With Modified Vaccinia Ankara-Bavarian Nordic Induce Durable B-Cell Memory Responses Comparable to Replicating Smallpox Vaccines. J Infect Dis. 2023 May 12;227(10):1203-1213. doi: 10.1093/infdis/jiac455.

    PubMed 36408618

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MVA-BN® (IMVAMUNE) in people with Smallpox, run by Bavarian Nordic at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Jan 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Seroconversion by ELISA (time frame: 2 weeks following the last vaccination (Week 6 for Groups 1-3, Week 2 for Group 4)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00316524, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Mar 2019.

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