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Campylobacter InfectionPhase 1CJCV1-01NCT02067676

Safety Study of a Capsule-Conjugate Vaccine to Prevent Campylobacter-Caused Diarrhea

A Phase 1 study testing Capsule-Conjugate Campylobacter Vaccine (CJCV1) and Alhydrogel®, aluminum hydroxide adjuvant (alum) in people with Campylobacter Infection, run by U.S. Army Medical Research and Development Command 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

The purpose of this study is to assess the safety of increasing doses of a potential vaccine against Campylobacter with and without Alhydrogel®, an aluminum hydroxide adjuvant. This study will also assess immune responses induced by the vaccine. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Campylobacter Infection
What is being tested?
Capsule-Conjugate Campylobacter Vaccine (CJCV1) and Alhydrogel®, aluminum hydroxide adjuvant (alum)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteUnited States
Study dates
21 Apr 2014to 22 Jan 2016
Phase
Phase 1
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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy adult, male or female, age 18 to 50 years (inclusive) at the time of enrollment.
  • Completion and review of comprehension test (achieved 70% accuracy).
  • Signed informed consent document.
  • Available for the required follow-up period and scheduled clinic visits and telephone follow-up.
  • Women: Negative pregnancy test with understanding (through informed consent) to not become pregnant during the study or within three months after the last vaccine dose (Day 28). Sexually active females, unless surgically sterile or at least one year postmenopausal, must have used an effective method of avoiding pregnancy (including oral or implanted contraceptives, intrauterine device (IUD), female condom, diaphragm with spermicide, cervical cap, abstinence, use of a condom by the sexual partner, or sterile sexual partner) prior to dosing of study vaccine. Female subjects unable to bear children must have a note from a primary care provider or obstetrics and gynaecology (OB/GYN) as proof of documentation (eg, tubal ligation or hysterectomy). If a volunteer becomes pregnant during the study, the PI will notify the study monitor, the sponsor, and the local institutional review board (IRB). The volunteer will be asked to provide serial follow-ups, including copies of clinic visits on the status of her pregnancy as well as health information on her infant following delivery.

Who cannot join

  • Health
  • Health problems affecting study participation from medical history (specifically to include chronic medical conditions such as diabetes mellitus and hypertension or any other condition requiring daily therapy that would place the volunteer at increased risk of adverse events (AEs). Study clinicians, in consultation with the PI, will use clinical judgment on a case-by-case basis to assess safety risks under this criterion. The PI will consult with the research monitor as appropriate.
  • Clinically significant abnormalities on physical examination
  • Use of immunosuppressive drugs, such as corticosteroids and chemotherapy, during the course of the study or immunosuppressive illness, including IgA deficiency (defined by serum IgA below level of detection)
  • Women who are pregnant or planning to become pregnant during the study period plus 3 months beyond the last vaccine dose and currently nursing women
  • Participation in research involving another investigational product 30 days before the planned date of first vaccination until the last study safety visit.
Show all 23Show fewer
  • Positive blood test for HIV-1 (the human immunodeficiency virus and cause of AIDS)
  • Positive blood test for hepatitis B surface antigen (HBsAG; the virus causing hepatitis B)
  • Positive blood test for anti-HCV antibody (the virus causing hepatitis C)
  • Clinically significant abnormalities on basic laboratory screening
  • Presence of significant unexplained laboratory abnormalities that in the opinion of the PI may potentially confound the analysis of the study results Research Specific
  • Regular use (weekly or more often) of anti-diarrheal, anti-constipation, or antacid therapy
  • Abnormal bowel habits as defined by fewer than 3 stools per week or more than 3 loose/liquid stools per day
  • Personal or family history of inflammatory arthritis
  • Personal history of irritable bowel syndrome
  • Positive blood test for HLA-B27
  • History of allergy to any vaccine
  • History of allergy to alum
  • History of Guillain-Barré Syndrome or other neuroimmunological disorders Prior Exposure to Campylobacter
  • History of travelers' diarrhea or residence (> 2 months) in the past 3 years in a country with potentially higher Campylobacter rates to include Africa, South America, Central America, and Asia (except Japan).
  • Occupation involving handling of Campylobacter bacteria or vaccine products currently or in the past 3 years.
  • History of microbiologically confirmed Campylobacter infection.
  • Received previous experimental Campylobacter vaccine or live Campylobacter challenge.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Walter Reed Army Institute of Research

    Silver Spring, Maryland, 20910

Other trials in United States

About this study

Official title: Safety and Immunogenicity Evaluation of an Intramuscular Capsule-Conjugate Campylobacter Vaccine (CJCV1)

The purpose of this study is to assess the safety of increasing doses of a potential vaccine against Campylobacter with and without Alhydrogel®, an aluminum hydroxide adjuvant. This study will also assess immune responses induced by the vaccine.

Read the detailed description

This is an open-label, dose-escalating study in which a total of 48 healthy volunteers will receive 2 vaccinations (one on Day 0 and one on Day 28 ± 2 days).

There are 3 cohorts (dose levels) with 2 groups of 8 volunteers in each cohort. A cohort will be administered one of 3 intramuscular (IM) doses at 2 μg, 5 μg, or 10 μg of Capsule-Conjugate Campylobacter Vaccine (CJCV1) with or without Alhydrogel®, aluminum hydroxide adjuvant (alum) at 125 μg.

An interval no less than 1 week will separate the last dose of a volunteer group from the first dose of the next volunteer group (receiving different CJCV1 doses). Blood specimens will be collected at intervals to examine systemic and mucosal antigen-specific immune responses. Vaccine safety will be actively monitored during vaccination and for 28 days (± 2 days) following the second vaccination and complete the study with a telephone follow-up approximately 6 months (± 1 month) after the first vaccination. The total duration of participation in this study is up to 270 days (including screening).

Being tested
Capsule-Conjugate Campylobacter Vaccine (CJCV1), Alhydrogel®, aluminum hydroxide adjuvant (alum)
Keywords
Campylobacter jejuni
Medical subject headings
Campylobacter Infections

What participants receive

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

  • Capsule-Conjugate Campylobacter Vaccine (CJCV1)Biological

    The capsule of Campylobacter jejuni strain 81-176 (CPS81-176) conjugated to the mutated diphtheria toxin cross-reacting material 197 (CRM197) (lyophilized CPS-CRM197 conjugate) (CJCV1)

  • Alhydrogel®, aluminum hydroxide adjuvant (alum)Drug

Study groups in NCT02067676
Study groupRoleWhat they receive
CJCV1 2 μg / Alum 0 μg (1A)ExperimentalTwo vaccinations (one on Day 0 and one on Day 28) with an intramuscular dose of Capsule-Conjugate Campylobacter Vaccine (CJCV1) equivalent to 2 μg of polysaccharide and 0 μg of Alhydrogel®, aluminum hydroxide adjuvant (Alum)
Receives: Biological: Capsule-Conjugate Campylobacter Vaccine (CJCV1)
CJCV1 2 μg / Alum 125 μg (1B)ExperimentalTwo vaccinations (one on Day 0 and one on Day 28) with an intramuscular dose of Capsule-Conjugate Campylobacter Vaccine (CJCV1) equivalent to 2 μg of polysaccharide and 125 μg of Alhydrogel®, aluminum hydroxide adjuvant (Alum)
Receives: Biological: Capsule-Conjugate Campylobacter Vaccine (CJCV1); Drug: Alhydrogel®, aluminum hydroxide adjuvant (alum)
CJCV1 5 μg / Alum 0 μg (2A)ExperimentalTwo vaccinations (one on Day 0 and one on Day 28) with an intramuscular dose of Capsule-Conjugate Campylobacter Vaccine (CJCV1) equivalent to 5 μg of polysaccharide and 0 μg of Alhydrogel®, aluminum hydroxide adjuvant (Alum)
Receives: Biological: Capsule-Conjugate Campylobacter Vaccine (CJCV1)
CJCV1 5 μg / Alum 125 μg (2B)ExperimentalTwo vaccinations (one on Day 0 and one on Day 28) with an intramuscular dose of Capsule-Conjugate Campylobacter Vaccine (CJCV1) equivalent to 5 μg of polysaccharide and 125 μg of Alhydrogel®, aluminum hydroxide adjuvant (Alum)
Receives: Biological: Capsule-Conjugate Campylobacter Vaccine (CJCV1); Drug: Alhydrogel®, aluminum hydroxide adjuvant (alum)
CJCV1 10 μg / Alum 0 μg (3A)ExperimentalTwo vaccinations (one on Day 0 and one on Day 28) with an intramuscular dose of Capsule-Conjugate Campylobacter Vaccine (CJCV1) equivalent to 10 μg of polysaccharide and 0 μg of Alhydrogel®, aluminum hydroxide adjuvant (Alum)
Receives: Biological: Capsule-Conjugate Campylobacter Vaccine (CJCV1)
CJCV1 10 μg / Alum 125 μg (1A)ExperimentalTwo vaccinations (one on Day 0 and one on Day 28) with an intramuscular dose of Capsule-Conjugate Campylobacter Vaccine (CJCV1) equivalent to 10 μg of polysaccharide and 125 μg of Alhydrogel®, aluminum hydroxide adjuvant (Alum)
Receives: Biological: Capsule-Conjugate Campylobacter Vaccine (CJCV1); Drug: Alhydrogel®, aluminum hydroxide adjuvant (alum)

What is being measured

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

  1. Safety: Presence of Related/Not Related Local and/or Systemic Reactogenicity (Adverse Events)

    Vaccine safety will be assessed by evaluating post-vaccination local and systemic reactions through targeted physical exams, symptom surveys, and other adverse event (AE) monitoring. All subjects will be observed in the clinic for at least 30 minutes after receipt of the investigational product. Approximately 48 hours after vaccination, subjects will return to the Clinical Trials Center for observation and reporting of any local and/or systemic AEs. Seven days after vaccine administration, subjects will return to the Clinical Trials Center to review their memory aids with study personnel and to report any AEs. In addition to planned visits, if a subject experiences any unanticipated AE, the subject will be seen by one of the study investigators. All AEs will be coded for onset date, duration, severity, and potential relationship to the investigational product.

    Measured: up to 7 days

Secondary outcomes (4)
  1. Frequency (%) of Vaccine-specific Immune Responses by Assay and Antigen Using Enzyme-linked Immunosorbent Assay (ELISA)

    Primary immunologic parameters, serum samples were assessed for the antibody titers against Campylobacter jejuni conjugate vaccine1 (CJCV1) using ELISA (enzyme-linked immunosorbent assay) based methods.

    Antibody-secreting cell(s) (ASCs): >0.5 per 10(6) Peripheral blood mononuclear cell (PBMCs) in the baseline sample. When the number of baseline ASCs is less than 0.5 per 10(6) PBMCs, a subject was considered a responder if the post-vaccination value was greater than 1.0 per 10(6) PBMCs. ((6) is superscript).

    1. = Seroconversion was defined as >4fold increase in endpoint titer between pre- and post-vaccine samples and a post-vaccine reciprocal titer >10.
    2. = Response is defined as a >2fold increase over the baseline value of ASC per 10(6) PBMCs, when the number of ASCs is >0.5 per 10(6) PBMCs in the baseline sample. When the number of baseline ASCs is less than 0.5 per 10(6) PBMCs, a subject was considered a responder if the post-vaccine value was greater than 1.0 per 10(6) PBMCs.

    Measured: Study Days 0-56

  2. Vaccine-specific Geometric Mean Titers (GMT) of Anti-CPS IgG Antibody-secreting Cells

    Anti-CPS IgG ASC Responses - GMTs with 95% CI.

    A positive immunoglobulin A (IgA)-ASC response will be defined as a > twofold increase over the baseline value of the ASCs per 10^6 peripheral blood mononuclear cells (PBMCs). A subject will be considered a responder if the post-vaccination value is greater than 2.0 per 10^6 PBMCs. Blood samples will also be utilized to explore in vitro production of interferon (IFN)-(gamma).

    Measured: Study Days 0-56

  3. Vaccine-specific Anti-CRM^197 IgA Antibody-secreting Cell (ASC) Responses

    Anti-CRM^197 IgG ASC Responses - GMTs with 95% CI.

    A positive immunoglobulin A (IgA)-ASC response will be defined as a > twofold increase over the baseline value of the ASCs per 10^6 peripheral blood mononuclear cells (PBMCs). A subject will be considered a responder if the post-vaccination value is greater than 2.0 per 10^6 PBMCs. Blood samples will also be utilized to explore in vitro production of interferon (IFN)-(gamma).

    Measured: Study Days 0-56

  4. Interferon Titers Among All Cohorts

    CRM197-specific interferon-y (IFNy) responses measured from PBMC on day0, 28 and 56

    Measured: Day 0, 28 and 56

Timeline

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

  1. First posted20 Feb 2014 (estimated)
  2. Study start21 Apr 2014
  3. Primary completion24 Sep 2014
  4. Study completion22 Jan 2016

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02067676
Sponsor's protocol ID
S-13-09
Other IDs
NMRC.2013.0021
Acronym
CJCV1-01
Status last verified
Jan 2018
First submitted
18 Feb 2014
Last updated
23 Feb 2018
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: WRAIR

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Capsule-Conjugate Campylobacter Vaccine (CJCV1) and Alhydrogel®, aluminum hydroxide adjuvant (alum) in people with Campylobacter Infection, run by U.S. Army Medical Research and Development Command 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 5 inclusion and 23 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 23 Feb 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 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?

Yes. Results are posted in the registry (first posted 25 Jan 2018). 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?

Safety: Presence of Related/Not Related Local and/or Systemic Reactogenicity (Adverse Events) (time frame: up to 7 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Feb 2018.

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