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Human Parainfluenza Virus 2Phase 1NCT01139437

Safety of a Live Attenuated Human Parainfluenza Virus Type 2 (HPIV2) Vaccine for Adults, Children, and Infants

A Phase 1 study testing Standard Dose HPIV2 Vaccine and Low dose HPIV2 vaccine in people with Human Parainfluenza Virus 2, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

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

Human parainfluenza virus type 2 (HPIV2) can result in severe respiratory illness in infants and young children. This study will test the safety of and immune response to an HPIV2 vaccine aimed at infants and children. Read more about this study

Who is it for?
Ages 6 months to 49 yearsHealthy volunteers can take part
Conditions the study is for
Human Parainfluenza Virus 2
What is being tested?
Standard Dose HPIV2 Vaccine and Low dose HPIV2 vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
1 siteUnited States
Study dates
Jun 2010to Sep 2015
Phase
Phase 1
Are there results?
None posted in the registry

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 6 months to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • 18 to 49 years old
  • In good health, measured by lack of significant medical illness, physical examination findings, or significant laboratory abnormalities of urinalysis, complete blood count (CBC), ALT, or creatinine, as determined by the investigator
  • Children 15 to 59 months of age
  • Parent or guardian understands and signs the informed consent
  • Seropositive for HPIV2, as defined by serum hemagglutinin inhibition (HAI) antibody titer in ratio greater than 1:8
  • History has been reviewed and participant has undergone a physical examination indicating good health
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  • Participant is expected to be available for the duration of the study
  • Children and infants 6 to 59 months of age
  • Parents or guardians can understand and sign the informed consent
  • Seronegative for HPIV2 antibody, as defined by serum antibody titer HAI ratio less than or equal to 1:8, as determined within 28 days prior to inoculation
  • History has been reviewed and subject has undergone a physical examination indicating good health
  • Participant is expected to be available for the duration of the study

Who cannot join

  • Pregnancy
  • Breastfeeding
  • Females of childbearing potential who are unwilling to practice effective birth control
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease by history, physical examination, or laboratory studies, including urinalysis
  • Behavioral, cognitive, or psychiatric disease that, in the opinion of the investigator, affects the ability of the participant to understand and cooperate with the study protocol
  • Other condition that, in the opinion of the investigator, would jeopardize the safety or rights of a participant participating in the study or would render the participant unable to comply with the protocol
Show all 45Show fewer
  • Has had medical, occupational, or family problems as a result of alcohol or illicit drug use during the past 12 months
  • History of a severe allergic reaction or anaphylaxis
  • History of splenectomy
  • Diagnosis of asthma within the past 2 years
  • Positive enzyme-linked immunoassay (ELISA) and confirmatory Western blot tests for HIV-1
  • Positive ELISA and confirmatory immunoblot tests for hepatitis C virus (HCV)
  • Positive ELISA hepatitis B surface antigen (HBsAg) test
  • Abnormal urinalysis or urine dip
  • Known immunodeficiency syndrome
  • Current use of nasal or systemic steroid medications
  • Receipt of blood products (including immunoglobulin) within the past 3 months
  • Current smoker unwilling to stop smoking for the duration of the study
  • Participation in another investigational vaccine or drug study within 30 days of receiving the investigational vaccine
  • Receipt of a live vaccine within the past 4 weeks or a killed vaccine within the past 2 weeks or immune globulin within the last 3 months prior to receiving the investigational vaccine
  • Previous immunization with an HPIV2 vaccine
  • Known hypersensitivity to any vaccine component
  • Professional or personal responsibilities involve caring for children less than 59 months of age or for immunosuppressed individuals
  • Systolic blood pressure greater than 140 mm Hg or diastolic blood pressure greater than 90 mm Hg
  • Body mass Index (BMI) greater than 35
  • Known or suspected impairment of immunological functions, including maternal history of positive HIV test, receiving immunosuppressive therapy, including systemic corticosteroids or bone marrow/solid organ transplant recipients (topical steroids, topical antibiotics, and topical antifungal medications are acceptable)
  • Major congenital malformations, including congenital cleft palate, cytogenetic abnormalities, or serious chronic disorders
  • Previous immunization with an HPIV2 vaccine
  • Current use of nasal or systemic steroid medications
  • Previous serious vaccine-associated adverse event or anaphylactic reaction
  • Known hypersensitivity to any vaccine component
  • Lung or heart disease, including reactive airway disease. Participants with clinically insignificant cardiac abnormalities requiring no treatment may be enrolled. Participants who wheezed once or received bronchodilator therapy once in the first year of life but who have not had any additional wheezing episodes or bronchodilator therapy for at least 12 months may also be enrolled.
  • Member of a household that includes an immunocompromised individual or infants less than 6 months of age
  • Attends day care with infants less than 6 months of age or immunosuppressed individuals, and parent or guardian is unable or unwilling to suspend daycare for 14 days following immunization. Children who attend facilities that separate children by age and minimize opportunities for transmission of virus through direct physical or aerosol contact are acceptable
  • Participation in another investigational vaccine or drug trial within 30 days of receiving the investigational vaccine, or while this study is ongoing
  • Known or suspected impairment of immunological functions, including maternal history of positive HIV test, receiving immunosuppressive therapy, including systemic corticosteroids or bone marrow/solid organ transplant recipients (topical steroids, topical antibiotics, and topical antifungal medications are acceptable)
  • Major congenital malformations, including congenital cleft palate, cytogenetic abnormalities, or serious chronic disorders
  • Previous immunization with an HPIV2 vaccine
  • Current use of nasal or systemic steroid medications
  • Previous serious vaccine-associated adverse event or anaphylactic reaction
  • Known hypersensitivity to any vaccine component
  • Lung or heart disease, including reactive airway disease. Participants with clinically insignificant cardiac abnormalities requiring no treatment and those who wheezed once or received bronchodilator therapy once in the first year of life but who have not had any additional wheezing episodes or bronchodilator therapy for at least 12 months may be enrolled.
  • Member of a household that includes an immunocompromised individual or infant less than 6 months of age
  • Attends day care with infants less than 6 months of age or immunosuppressed individuals, and parent or guardian is unable or unwilling to suspend daycare for 14 days following immunization. Children who attend facilities that separate children by age and minimize opportunities for transmission of virus through direct physical or aerosol contact are acceptable.
  • Participation in another investigational vaccine or drug trial within 28 days of receiving the investigational vaccine, or while this study is ongoing

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins University, Bloomberg School of Public Health

    Baltimore, Maryland, 21205

Other trials in United States

About this study

Official title: A Phase I Study of the Safety and Immunogenicity of the Recombinant Live-Attenuated Human Parainfluenza Type 2 Virus Vaccine, rHPIV2 15C/948L/Δ1724 Lot PIV2#109C, Delivered as Nose Drops to Adults 18 to 49 Years of Age, HPIV2-Seropositive Children 15 to 59 Months of Age, and HPIV2-Seronegative Infants and Children 6 to 59 Months of Age

Human parainfluenza virus type 2 (HPIV2) can result in severe respiratory illness in infants and young children. This study will test the safety of and immune response to an HPIV2 vaccine aimed at infants and children.

Read the detailed description

HPIV2 is a virus that can cause severe respiratory illnesses, such as pneumonia and bronchiolitis, in infants and young children. Approximately 3% of all hospitalizations for respiratory tract diseases among infants and children are the result of HPIV2. Efforts to develop a vaccine for HPIV2 have focused on a live attenuated intranasally administered vaccine, a type of vaccine that uses a live virus that has been modified to make it weaker and easier for the immune system to get rid of. This approach is useful for several reasons: it activates two of the body's natural defenses, the antibody-mediated and the cell-mediated responses; it is immunogenic in infants who still have maternal antibodies; and it induces a mucosal immune response. This study will test the safety and immunogenicity of an HPIV2 vaccine in adults, children, and then infants.

This study will have four groups and will proceed in a step-wise fashion. The first group will consist only of adults receiving the HPIV2 vaccine. If it is deemed safe after that, children from ages 15 to 59 months who already have HPIV2 antibodies will be randomly assigned to receive either the vaccine or a placebo. The third group includes infants and children from 6 to 59 months old who do not have HPIV2 antibodies and will be randomly assigned either a lower dose of the vaccine or a placebo. The fourth group also includes infants and children from 6 to 59 months old who do not have HPIV2 antibodies and will be randomly assigned a standard dose vaccine or placebo. The vaccine will be administered as a nose drop in a single dose for all groups.

Assessments for the first two groups will take place over the 11 days following administration of the vaccine and at a 28-day follow-up. The third and fourth groups will include 22 days of assessments after vaccination, one assessment between Days 23 and 26, and assessments on Days 27, 28, 29, and 56. Measures will include a clinical assessment, a nasal wash, a phone report, and taking a temperature. Measurement of serum HPIV2 antibodies will take place at baseline and after 28 (for groups one and two) or 56 (for groups three and four) days.

Being tested
Standard Dose HPIV2 Vaccine, Low dose HPIV2 vaccine, Placebo
Keywords
Vaccine, HPIV2, Infants

What participants receive

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

  • Standard Dose HPIV2 VaccineBiological

    10^6 tissue culture infectious dose 50% (TCID50) administered intranasally in a single dose

  • Low dose HPIV2 vaccineBiological

    10^5 TCID50 administered in a single dose

  • PlaceboOther

    Matched placebo

Study groups in NCT01139437
Study groupRoleWhat they receive
AdultsExperimentalAdults ages 18 to 49 years of age. Open label.
Receives: Biological: Standard Dose HPIV2 Vaccine
Seropositive children - vaccineExperimentalChildren ages 15 to 59 months of age who already have HPIV2 antibodies receiving the HPIV2 vaccine.
Receives: Biological: Standard Dose HPIV2 Vaccine
Seronegative infants and children - low dose vaccineExperimentalInfants and children ages 6 to 59 months of age who do not have HPIV2 antibodies receiving a low dose of the HPIV2 vaccine.
Receives: Biological: Low dose HPIV2 vaccine
Seronegative infants and children - standard dose vaccineExperimentalInfants and children ages 6 to 59 months of age who do not have HPIV2 antibodies receiving a standard dose of the HPIV2 vaccine.
Receives: Biological: Standard Dose HPIV2 Vaccine
Seropositive children - placeboPlacebo comparatorChildren ages 15 to 59 months of age who already have HPIV2 antibodies receiving a placebo.
Receives: Other: Placebo
Seronegative infants and children - low dose placeboPlacebo comparatorInfants and children ages 6 to 59 months of age who do not have HPIV2 antibodies receiving a low dose of placebo.
Receives: Other: Placebo
Seronegative infants and children - standard dose placeboPlacebo comparatorInfants and children ages 6 to 59 months of age who do not have HPIV2 antibodies receiving a standard dose of placebo.
Receives: Other: Placebo

What is being measured

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

  1. Safety, as determined by frequency of adverse events

    Measured: Measured at baseline, for 11 days after vaccination, and at 1 month follow-up

  2. Immunogenicity, as determined by ability to cause an immunological reaction and amount of antibody induced by the vaccine

    Measured: Measured at baseline and at 1 month

  3. Infectivity, as determined by amount of vaccine shed by each recipient

    Measured: Measured at baseline, for 11 days after vaccination, and at 1 month follow-up

Secondary outcomes (2)
  1. Phenotypic stability of the vaccine virus shed

    Measured: Measured at baseline and at 1 month

  2. Number of vaccinated infants and children infected with HPIV2

    Measured: Measured at baseline, for 11 days after vaccination, and at 1 month follow-up

Timeline

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

  1. First posted8 Jun 2010 (estimated)
  2. Study startJun 2010
  3. Primary completionSep 2015
  4. Study completionSep 2015

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01139437
Sponsor's protocol ID
CIR 258
Status last verified
Mar 2017
First submitted
7 Jun 2010
Last updated
4 Apr 2017
Results posted
No
Data monitoring committee
Yes

Publications

  • Murphy BR, Prince GA, Collins PL, Van Wyke Coelingh K, Olmsted RA, Spriggs MK, Parrott RH, Kim HW, Brandt CD, Chanock RM. Current approaches to the development of vaccines effective against parainfluenza and respiratory syncytial viruses. Virus Res. 1988 Aug;11(1):1-15. doi: 10.1016/0168-1702(88)90063-9.

    PubMed 2845680
  • Nolan SM, Skiadopoulos MH, Bradley K, Kim OS, Bier S, Amaro-Carambot E, Surman SR, Davis S, St Claire M, Elkins R, Collins PL, Murphy BR, Schaap-Nutt A. Recombinant human parainfluenza virus type 2 vaccine candidates containing a 3' genomic promoter mutation and L polymerase mutations are attenuated and protective in non-human primates. Vaccine. 2007 Aug 21;25(34):6409-22. doi: 10.1016/j.vaccine.2007.06.028. Epub 2007 Jul 3.

    PubMed 17658669

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Standard Dose HPIV2 Vaccine and Low dose HPIV2 vaccine in people with Human Parainfluenza Virus 2, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

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 12 inclusion and 45 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 4 Apr 2017. 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 United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Safety, as determined by frequency of adverse events (time frame: Measured at baseline, for 11 days after vaccination, and at 1 month follow-up). 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 NCT01139437, 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 4 Apr 2017.

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