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Influenza, HumanPhase 1/2NCT01591473

Safety Study of FluMist With and Without Ampligen

A Phase 1/2 study testing Poly I:Poly C12U 50 ug, Poly I:Poly C12U 200 ug and Poly I:Poly C12U 500 ug in people with Influenza, Human, run by AIM ImmunoTech Inc. at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate FluMist with and without Ampligen in healthy volunteers. Read more about this study

Who is it for?
Ages 19 to 49 yearsHealthy volunteers can take part
Conditions the study is for
Influenza, Human
What is being tested?
Poly I:Poly C12U 50 ug, Poly I:Poly C12U 200 ug and Poly I:Poly C12U 500 ug
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
55 participants
Where
1 siteUnited States
Study dates
Apr 2012to Aug 2015
Phase
Phase 1/2
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 19 to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Males and females in good general health, 19 to 49 years of age.
  • Subjects must provide written informed consent.
  • Subjects must be willing to participate through study completion.
  • Have not been vaccinated for influenza virus in the current season or had a known influenza virus infection in the current season
  • Subjects must be willing to undergo nasal washes and provide parotid saliva, urine and blood samples per protocol for safety and immunogenicity analyses.
  • Females of childbearing potential must have a negative urine pregnancy test.
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  • A female volunteer must:
  • Agree to consistently use effective contraception from at least 21 days prior to enrollment through the Day 84 clinic visit for sexual activity that could lead to pregnancy;
  • Effective contraception is defined as using any of the following methods:
  • condoms (male or female) with or without spermicide,
  • diaphragm or cervical cap with spermicide,
  • intrauterine device (IUD),
  • hormonal contraception, or
  • successful vasectomy in the male partner (considered successful if a volunteer reports that a male partner has [1] documentation of azoospermia by microscopy or [2] a vasectomy more than 2 years ago with no resultant pregnancy despite sexual activity post-vasectomy);
  • Or not be of reproductive potential, such as having reached menopause (no menses for 1 year) or having undergone hysterectomy, bilateral oophorectomy, or tubal ligation;
  • Or be sexually abstinent;
  • Volunteers who were born female must also agree not to seek pregnancy through alternative methods, such as artificial insemination or in vitro fertilization, until after the Day 84 clinical visit.
  • Screening Laboratory Inclusion Criteria. Screening values must be within Institutional Normal Range, unless they are not clinically significant (i.e. values do not reach the threshold for mild (Grade 1) or higher toxicity as defined in Appendix D). Repeat laboratory testing may be performed at the discretion of the clinical investigators for spurious results on a case by case basis.
  • Subjects must weigh at least 120 pounds at screening

Who cannot join

  • Pregnant or lactating women.
  • Any flu/cold, or respiratory tract symptoms and/or fever greater than 101 ºF in the 3 days prior to study enrollment and/or initial vaccination.
  • Any intranasal medication administered in the 10 days prior to study enrollment and/or initial vaccination.
  • History of Bell's palsy, significant cardiac history including history of arrhythmias, coagulopathy, history of cardiovascular accident, bone marrow diseases, known or suspected, autoimmune diseases (such as but not limited to psoriasis, rheumatoid arthritis, hyperthyroidism, hypothyroidism, vasculitis, Raynaud's phenomenon, rhabdomyolysis and myositis, nephritis, systemic lupus erythematosus and sarcoidosis, hemolytic anemia) and any history of malignancy.
  • History of chronic rhinitis or presence of pre-existing nasal septal defect, nasal polyps or other gross abnormalities that might impact vaccine administration, or any previous nasal cautery or significant surgery for nasal septal defects.
  • Any regular past or current use of intranasal illicit drugs, or a history of intravenous illicit drug use.
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  • Asthma, or other chronic respiratory disorders, of any severity, even if mild.
  • Reactive HBVsAg or reactive HCV Ab.
  • HIV positive by history or by screening test.
  • History of alcohol or other substance abuse, or history of depression or suicidal ideation, or a suicide attempt within two (2) years of screening. A score of 5 or greater on the PHQ-9 at Baseline indicates symptoms of depression and will exclude subject. A score of greater than zero on question nine (9) of the PHQ-9 at Baseline indicates suicidal ideation and will exclude subject.
  • Immunosuppressed, altered or compromised immune status as a consequence of disease (i.e. asplenia, recurrent severe infections) or chronic treatment (more than 14 days) with systemic corticosteroids (including inhaled or intranasally-administered drugs), alkylating drugs, anti-metabolites, radiation, or other immunosuppressive therapies within the preceding 6 months.
  • Administration of immunoglobulins and/or any blood products within 3 months prior to enrollment.
  • Receipt of an influenza vaccine within the past 6 months.
  • Receipt of any vaccine in the past 30 days.
  • Receipt of any investigational drug in the past 30 days.
  • Known diabetes mellitus.
  • History of anaphylaxis, Guillain-Barré Syndrome, or angioedema.
  • Blood pressure > 140/90 (either or both values) at screening or enrollment.
  • Any medical, psychiatric, or social condition, or occupational or other responsibility that, in the judgment of the investigator, would interfere with, or serve as a contraindication to, protocol adherence, assessment of safety or reactogenicity, or a participant's ability to give informed consent.
  • History of taking antiviral drugs active against influenza A and/or B in last 72 hours before FluMist® administration.
  • Hypersensitivity to eggs, egg proteins, gentamicin, gelatin, or arginine, or life threatening reactions to previous influenza vaccinations.
  • Clinically significant abnormality on screening EKG.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The University of Alabama at Birmingham

    Birmingham, Alabama, 35294

Other trials in United States

About this study

Official title: A Phase I/II, Two-Staged, Single-Center, Randomized, Double-Blind, Antibody Titer Study to Assess Immunogenicity and Safety of FluMist® Intranasal Influenza Vaccine Administered With and Without a TLR-3 Agonist, Ampligen®.

The purpose of this study is to evaluate FluMist with and without Ampligen in healthy volunteers.

Read the detailed description

Influenza epidemics continue to represent a significant medical problem in the developed as well as the developing world. Even with existing vaccines, annual influenza epidemics typically results in 20-50 million cases, resulting in 30,000-40,000 deaths in the U.S. alone. A possible pandemic could have even more devastating consequences. Current vaccines have a number of disadvantages including slow and expensive manufacturing, and a relative lack of efficacy in elderly, children and immune-compromised populations. These disadvantages would be multiplied during a pandemic. Use of Ampligen® as an adjuvant combined with FluMist® has a number of potential advantages as compared to traditional inactivated vaccines: it is simpler to administer (intranasally), generation of a broader immunity at the natural site of entry of the influenza virus as well as systemic immunity (and hence should be more efficacious than traditional vaccines) and may stimulate cross-protection against pre-pandemic H5N1 and/or H7N9 avian influenza strains. As FluMist®, due to its intranasal administration, imitates the natural entry of the influenza virus, it will generate local 'first-line' immunity as well as the traditional systemic immunity; therefore, at least theoretically provide greater protection than injectable vaccines.

Being tested
Poly I:Poly C12U 50 ug, Poly I:Poly C12U 200 ug, Poly I:Poly C12U 500 ug, Poly I:Poly C12U 1250 ug, Placebo
Keywords
Influenza, Ampligen, Poly I:Poly C12U, Rintatolimod, FluMist
Medical subject headings
Influenza, Human

What participants receive

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

  • Poly I:Poly C12U 50 ugDrug

    Also called Ampligen, Rintatolimod

    Poly I:Poly C12U 50 ug; 3 doses; nasal administration every 28 days

  • Poly I:Poly C12U 200 ugDrug

    Also called Ampligen, Rintatolimod

    Poly I:Poly C12U 200 ug; 3 doses; nasal administration every 28 days

  • Poly I:Poly C12U 500 ugDrug

    Also called Ampligen, Rintatolimod

    Poly I:Poly C12U 500 ug; 3 doses; nasal administration every 28 days

  • Poly I:Poly C12U 1250 ugDrug

    Also called Ampligen, Rintatolimod

    Poly I:Poly C12U 1250 ug; 3 doses; nasal administration every 28 days

  • PlaceboDrug

    Placebo; 3 doses; nasal administration every 28 days

  • FluMistDrug

    FluMist 0.2 ml; 3 doses; nasal administration every 28 days

Study groups in NCT01591473
Study groupRoleWhat they receive
FluMist + Ampligen, Group 1ExperimentalNasal administration; dose group 1; FluMist + Poly I:Poly C12U 50 ug; 3 doses separated by 28 days
Receives: Drug: Poly I:Poly C12U 50 ug; Drug: FluMist
FluMist + Ampligen, Group 2ExperimentalNasal administration; dose group 2; FluMist + Poly I:Poly C12U 200 ug; 3 doses separated by 28 days
Receives: Drug: Poly I:Poly C12U 200 ug; Drug: FluMist
FluMist + Ampligen, Group 3ExperimentalNasal administration; dose group 3; FluMist + Poly I:Poly C12U 500 ug; 3 doses separated by 28 days
Receives: Drug: Poly I:Poly C12U 500 ug; Drug: FluMist
FluMist + Ampligen, Group 4ExperimentalNasal administration; dose group 4; FluMist + Poly I:Poly C12U 50 ug; 3 doses separated by 28 days
Receives: Drug: Poly I:Poly C12U 50 ug; Drug: FluMist
FluMist + Ampligen, Group 5ExperimentalNasal administration; dose group 5; FluMist + Poly I:Poly C12U 1250 ug; 3 doses separated by 28 days
Receives: Drug: Poly I:Poly C12U 1250 ug; Drug: FluMist
FluMist + Placebo, Group 6ExperimentalNasal administration; dose group 6; FluMist + placebo; 3 doses separated by 28 days
Receives: Drug: Placebo; Drug: FluMist

What is being measured

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

  1. Evaluate safety and tolerability

    Reactogenicity; other adverse events, serious adverse events, new onset of chronic illnesses, and adverse events of special interest

    Measured: Every 28 days

Secondary outcomes (2)
  1. Evaluation of immune response

    Evaluated by measurements of serum antibody HI titers against the seasonal viral strains contained in vaccine and various H5N1 and/or H7N9 clades. Immunogenicity will be evaluated by comparing the titer levels in each of the treatment groups.

    Measured: Every 28 days

  2. Immunogenicity Assessments

    Micro-neutralization assay and IgA (nasal wash and parotid saliva)

    Measured: Every 28 days

Timeline

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

  1. First posted4 May 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionSep 2014
  4. Study completionAug 2015

Why it stopped: The CDC indicated nasal spray flu vaccine should not be used during 2016-2017

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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01591473
Sponsor's protocol ID
AMP-600
Status last verified
Jul 2018
First submitted
2 May 2012
Last updated
26 Jul 2018
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Ichinohe T, Tamura S, Kawaguchi A, Ninomiya A, Imai M, Itamura S, Odagiri T, Tashiro M, Takahashi H, Sawa H, Mitchell WM, Strayer DR, Carter WA, Chiba J, Kurata T, Sata T, Hasegawa H. Cross-protection against H5N1 influenza virus infection is afforded by intranasal inoculation with seasonal trivalent inactivated influenza vaccine. J Infect Dis. 2007 Nov 1;196(9):1313-20. doi: 10.1086/521304. Epub 2007 Oct 5.

    PubMed 17922395
  • Ichinohe T, Ainai A, Ami Y, Nagata N, Iwata N, Kawaguchi A, Suzaki Y, Odagiri T, Tashiro M, Takahashi H, Strayer DR, Carter WA, Chiba J, Tamura S, Sata T, Kurata T, Hasegawa H. Intranasal administration of adjuvant-combined vaccine protects monkeys from challenge with the highly pathogenic influenza A H5N1 virus. J Med Virol. 2010 Oct;82(10):1754-61. doi: 10.1002/jmv.21824.

    PubMed 20827774
  • Overton ET, Goepfert PA, Cunningham P, Carter WA, Horvath J, Young D, Strayer DR. Intranasal seasonal influenza vaccine and a TLR-3 agonist, rintatolimod, induced cross-reactive IgA antibody formation against avian H5N1 and H7N9 influenza HA in humans. Vaccine. 2014 Sep 22;32(42):5490-5. doi: 10.1016/j.vaccine.2014.07.078. Epub 2014 Aug 13.

    PubMed 25128802

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Poly I:Poly C12U 50 ug, Poly I:Poly C12U 200 ug and Poly I:Poly C12U 500 ug in people with Influenza, Human, run by AIM ImmunoTech Inc. 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 19 inclusion and 22 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: stopped early, as of the sponsor's last update on 26 Jul 2018. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined 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.

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?

The study was stopped early (reason given: The CDC indicated nasal spray flu vaccine should not be used during 2016-2017). Results are not available in the source record.

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?

Evaluate safety and tolerability (time frame: Every 28 days). 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 NCT01591473, which also lists 3 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 26 Jul 2018.

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