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Respiratory Syncytial Virus InfectionsPhase 1NCT02794870

Evaluating the Infectivity, Safety and Immunogenicity of a Recombinant Live-Attenuated Respiratory Syncytial Virus Vaccine in RSV-Seronegative Infants 6 to 24 Months of Age

A Phase 1 study testing RSV LID ΔM2-2 1030s vaccine in people with Respiratory Syncytial Virus Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 8 sites 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 was to evaluate the safety, infectivity, and immunogenicity of a single dose of a recombinant live-attenuated respiratory syncytial virus (RSV) vaccine in RSV-seronegative infants 6 to 24 months of age. This study was a companion study to CIR 311. Read more about this study

Who is it for?
Ages 6 to 24 monthsHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus Infections
What is being tested?
RSV LID ΔM2-2 1030s vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33 participants
Where
8 sitesUnited States
Study dates
15 Jul 2016to 7 Jul 2017
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 6 to 24 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Greater than or equal to 6 months (defined as greater than or equal to 180 days) of age at the time of screening and less than 25 months (defined as less than 750 days) of age.
  • Good health based on review of the medical record, history, and physical examination, without evidence of chronic disease.
  • Parents/guardians willing and able to provide written informed consent as described in the protocol.
  • Seronegative for RSV antibody, defined as a serum RSV-neutralizing antibody titer less than 1:40 at screening from a sample collected no more than 42 days prior to inoculation.
  • Growing at a normal velocity for age (as demonstrated on a standard growth chart) AND
  • If less than 1 year of age: current height and weight above the 5th percentile
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  • If 1 year of age or older: current height and weight above the 3rd percentile for age.
  • Received routine immunizations appropriate for age (as per national Center for Disease Control Advisory Committee on Immunization Practices [ACIP]).
  • Expected to be available for the duration of the study.
  • If born to an HIV-infected woman, participant must not have been breastfed and must have had documentation of 2 negative HIV nucleic acid (RNA or DNA) test results from samples collected on different dates with both collected when greater than or equal to 1 month of age and at least one collected when greater than or equal to 4 months of age, and no positive HIV nucleic acid (RNA or DNA) test; or 2 negative HIV antibody tests, both from samples collected at greater than or equal to 6 months of age.

Who cannot join

  • Known or suspected HIV infection or impairment of immunological functions.
  • Receipt of immunosuppressive therapy, including any systemic, including either nasal or inhaled, corticosteroids within 28 days of enrollment. Note: Cutaneous (topical) steroid treatment was not an exclusion.
  • Bone marrow/solid organ transplant recipient.
  • Major congenital malformations (such as congenital cleft palate) or cytogenetic abnormalities.
  • Previous receipt of a licensed or investigational RSV vaccine (or placebo in the IMPAACT 2011 study) or previous receipt of or planned administration of any anti-RSV product (such as ribavirin or RSV IG or RSV mAb).
  • Previous anaphylactic reaction.
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  • Previous vaccine-associated adverse reaction that was Grade 3 or above.
  • Known hypersensitivity to any study product component.
  • Heart disease. Note: Participants with cardiac abnormalities documented to be clinically insignificant and requiring no treatment may be enrolled.
  • Lung disease, including any history of reactive airway disease or medically documented wheezing.
  • Member of a household that contained, or would contain, an infant who is less than 6 months of age at the enrollment date through Day 28.
  • Member of a household that contains another child who is, or is scheduled to be, enrolled in IMPAACT 2011, 2012 or 2013 AND there had been or would be an overlap in residency during that other child's participation in the study's Acute Phase (Days 0 to 28).
  • Member of a household that contains an immunocompromised individual, including, but not limited to:
  • a person who was greater than or equal to 6 years of age with HIV-related immunodeficiency, defined as having a most recent CD4 T lymphocyte cell count less than 300 cells/mm^3. CD4 T lymphocyte count must have been measured within 6 months prior to enrollment, or
  • a person age 1 year up to less than 6 years with HIV-related immunodeficiency, defined as having a most recent CD4 T lymphocyte cell percentage less than 25 or CD4 T lymphocyte count less than 750 cells/mm^3 (if both values are available, use the lower of the two). CD4 T lymphocyte parameter must have been measured within the 6 months prior to enrollment; or
  • a person age less than 1 year with HIV-related immunodeficiency, defined as having a most recent CD4 T lymphocyte cell percentage less than 30 or CD4 T lymphocyte count less than 1000 cells/mm^3 (if both values are available, use the lower of the two). CD4 T lymphocyte parameter must have been measured within the 6 months prior to enrollment; or
  • a person who had received chemotherapy within the 12 months prior to enrollment; or
  • a person receiving immunosuppressant agents; or
  • a person living with a solid organ or bone marrow transplant.
  • Verbal report of CD4 T cell lymphocyte is sufficient documentation if the parent/guardian is confident of history.
  • Attends a daycare facility and shares a room with infants less than 6 months of age, and parent/guardian is unable or unwilling to suspend daycare for 28 days following inoculation.
  • Any of the following events at the time of enrollment:
  • fever (rectal temperature of greater than or equal to 100.4°F (38°C)), or
  • upper respiratory signs or symptoms (rhinorrhea, cough, or pharyngitis) or
  • nasal congestion significant enough to interfere with successful inoculation, or
  • otitis media.
  • Receipt of the following prior to enrollment:
  • any killed vaccine or live-attenuated rotavirus vaccine within the 14 days prior, or
  • any live vaccine, other than rotavirus vaccine, within the 28 days prior, or
  • another investigational vaccine or investigational drug within 28 days prior.
  • Scheduled administration of the following after planned inoculation:
  • killed vaccine or live-attenuated rotavirus vaccine within the 14 days after, or
  • any live vaccine other than rotavirus in the 28 days after, or
  • another investigational vaccine or investigational drug in the 56 days after.
  • Receipt of immunoglobulin, any antibody products, or any blood products within the past 6 months.
  • Receipt of any of the following medications within 3 days of study enrollment:
  • systemic antibacterial, antiviral, antifungal, anti-parasitic, or antituberculous agents, whether for treatment or prophylaxis, or
  • intranasal medications, or
  • other prescription medication except as listed below.
  • Permitted concomitant medications (prescription or non-prescription) include nutritional supplements, medications for gastroesophageal reflux, eye drops, and topical medications, including (but not limited to) cutaneous (topical) steroids, topical antibiotics, and topical antifungal agents.
  • Receipt of salicylate (aspirin) or salicylate-containing products within the 28 days prior to enrollment.
  • Born at less than 34 weeks gestation.
  • Born at less than 37 weeks gestation and less than 1 year of age at the time of enrollment.
  • Meets criteria for failure to thrive within the six months prior to enrollment: a decline in height or weight growth that has crossed two major growth percentiles (e.g., from above the 75th to below the 25th) in an interval of less than 6 months.
  • Suspected or documented developmental disorder, delay, or other developmental problem.
  • Previous receipt of supplemental oxygen therapy in a home setting.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Univ. of Colorado Denver NICHD CRS

    Aurora, Colorado, 80045

  • Johns Hopkins University Center for Immunization Research

    Baltimore, Maryland, 21205

  • Rush Univ. Cook County Hosp. Chicago NICHD CRS

    Chicago, Illinois, 60612

  • Lurie Children's Hospital of Chicago (LCH) CRS

    Chicago, Illinois, 60614-3393

  • University of California, UC San Diego CRS- Mother-Child-Adolescent HIV Program

    La Jolla, California, 92093-0672

  • Usc La Nichd Crs

    Los Angeles, California, 90089

  • SUNY Stony Brook NICHD CRS

    Stony Brook, New York, 11794-8111

  • Jacobi Med. Ctr. Bronx NICHD CRS

    The Bronx, New York, 10461

Other trials in United States

About this study

Official title: Phase I Placebo-Controlled Study of the Infectivity, Safety and Immunogenicity of a Single Dose of a Recombinant Live-Attenuated Respiratory Syncytial Virus Vaccine, LID ΔM2-2 1030s, Lot RSV#010A, Delivered as Nose Drops to RSV-Seronegative Infants 6 to 24 Months of Age

The purpose of this study was to evaluate the safety, infectivity, and immunogenicity of a single dose of a recombinant live-attenuated respiratory syncytial virus (RSV) vaccine in RSV-seronegative infants 6 to 24 months of age.

This study was a companion study to CIR 311.

Read the detailed description

Human respiratory syncytial virus (RSV) is the most common viral cause of serious acute lower respiratory illness in infants and children under 5 years of age worldwide. This study evaluated the safety, infectivity, and immunogenicity of a single dose of a recombinant live-attenuated RSV vaccine, RSV LID ΔM2-2 1030s, in RSV-seronegative infants 6 to 24 months of age.

Participants were randomly assigned to receive a single dose of the RSV LID ΔM2-2 1030s vaccine or placebo (administered as nose drops) at study entry (Day 0).

Participants could be enrolled in the study between April 1 and October 14 (outside of RSV season) and remained on study until they completed the post-RSV season visit between April 1 and April 30 in the calendar year following enrollment. Participants' total study duration was between 6 to 10 months, depending on when they enrolled in the study. Participants attended several study visits throughout the study, which included blood collection, nasal washes, and/or physical examinations. Participants' parents or guardians were contacted by study staff at various times during the study to monitor participants' health.

Being tested
RSV LID ΔM2-2 1030s vaccine, Placebo
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

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

  • RSV LID ΔM2-2 1030s vaccineBiological

    10^5.0 PFU; administered as nose drops

  • PlaceboBiological

    Isotonic diluent, administered as nose drops

Study groups in NCT02794870
Study groupRoleWhat they receive
RSV LID ΔM2-2 1030s vaccineExperimentalParticipants received a single dose of the RSV LID ΔM2-2 1030s vaccine at study entry (Day 0).
Receives: Biological: RSV LID ΔM2-2 1030s vaccine
PlaceboPlacebo comparatorParticipants received a single dose of placebo at study entry (Day 0).
Receives: Biological: Placebo

What is being measured

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

  1. Number of Participants With Solicited Adverse Events (AEs) by Grade

    Solicited adverse events included fever; otitis media; upper respiratory illness (URI); lower respiratory illness (LRI) and cough (without LRI). The number of participants who experienced solicited adverse events was presented. A participant was only counted once in each solicited AE category, and that is in the line corresponding to the highest grade adverse event they had in that category. These events were graded (Grade 1-mild to Grade 4-life-threatening) following protocol-defined grading system outlined in Table 4 and Table 5 in the protocol document.

    Measured: Measured from Day 0 through Day 28

  2. Number of Participants With Unsolicited AEs by Grade

    Unsolicited adverse events were other events, not included in the solicited AEs. The number of participants who experienced solicited adverse events was presented. A participant was only counted once in each unsolicited AE category, and that is in the line corresponding to the highest grade adverse event they had in that category. AE grading (Grade 1- mild to Grade 4-life-threatening) was done by DAIDS AE Grading table v2.0 (see References).

    Measured: Measured from Day 0 through Day 28

  3. Number of Participants With Serious Adverse Events (SAEs)

    A Serious Adverse Event (SAE) is an AE, whether considered related to the study product or not, that:

    • Results in death during the period of protocol-defined surveillance
    • Is life threatening: defined as an event in which the patient was at immediate risk of death at the time of the event; it does not refer to an event that hypothetically might have caused death were it more severe
    • Requires inpatient hospitalization (or prolongation of existing hospitalization): defined as at least an overnight stay in the hospital or emergency ward for treatment that would have been inappropriate if administered in the outpatient setting
    • Results in a persistent or significant disability/incapacity
    • Is a congenital anomaly or birth defect
    • Is an important medical event that may not be immediately life threatening or result in death or hospitalization but may jeopardize the patient or may require intervention to prevent one of the outcomes listed above.

    Measured: Measured from Day 0 through Day 56

  4. Number of Participants Infected With RSV Vaccine

    Defined as 1) vaccine virus identified in a nasal wash from Study Day 0-28 (a binary outcome based on nasal washes) or 2) greater than or equal to 4-fold rise in serum RSV-neutralizing antibody titer between Study Days 0 and 56.

    Measured: Measured at Days 0, 3, 5, 7, 10, 12, 14, 17, and 28 for nasal washes, and at Days 0, 56 for serum RSV-neutralizing antibodies

  5. Peak Titer of Vaccine Virus Shed

    This is the highest value per participant of the titer of vaccine virus shed. It was measured by culture. Only participants who met the definition of infection with vaccine virus were included.

    Measured: Measured at Days 0, 3, 5, 7, 10, 12, 14, 17, and 28

  6. Duration of Virus Shedding in Nasal Washes

    Determined separately by a) culture and b) reverse transcription polymerase chain reaction (RT-PCR)

    Measured: Measured at Days 0, 3, 5, 7, 10, 12, 14, 17, and 28. Last day positive is reported.

  7. Number of Participants With a Greater Than or Equal to 4-fold Rise in Serum RSV-neutralizing Antibody Titer

    Immunogenicity was assessed pre-inoculation, and at approximately 2 months post-inoculation (Study Day 56). Antibody responses were defined as a greater than or equal to 4-fold increase in titer in paired specimens, between pre-inoculation and post-inoculation time points.

    Measured: Measured at Day 0 and Day 56

  8. Serum Antibody Responses to RSV F Glycoprotein as Assessed by Enzyme-linked Immunosorbent Assay (ELISA)

    Immunogenicity was assessed at approximately 2 months post-inoculation (Study Day 56).

    Measured: Measured at Day 56

Secondary outcomes (3)
  1. Number of Participants Who Had Symptomatic, Medically Attended Respiratory and Febrile Illness, by Grade, Among Those Who Experienced Natural Infection With wt RSV During the Subsequent RSV Season

    The number of participants who had symptomatic, medically attended respiratory and febrile illness among those who had RSV detected in nasal washes or greater than or equal to 4 fold rise in serum antibodies during the subsequent RSV season were presented. A participant was only counted once in each solicited AE category, and that was in the line corresponding to the highest grade adverse event they had in that category. These events were graded (Grade 1-mild to Grade 4-life-threatening) following protocol-defined grading system outlined in Table 4 and Table 5 in the protocol document.

    Measured: Measured through participant's last study visit, up to a total of 6 to 10 months depending on when participants enroll in the study

  2. Magnitude of Serum RSV-neutralizing Antibody Responses in the Vaccine and Placebo Recipients Who Experienced Natural Infection With wt RSV During the Subsequent RSV Season.

    Only participants who had RSV detected in nasal washes or a greater than or equal to 4-fold rise in serum antibodies during the subsequent RSV season were included. RSV-neutralizing antibody titers were measured pre- and post-RSV surveillance season subsequent to the time of the inoculation.

    Measured: Measured through participant's last study visit, up to a total of 6 to 10 months depending on when participants enrolled in the study

  3. Number of Participants With B Cell Responses to Vaccine

    A B cell response to vaccine is indicated by a greater than or equal to 4-fold change in serum antibody titers to RSV F glycoprotein between the pre- and post-inoculation time points, and between pre- and post-RSV surveillance time points.

    Measured: Measured through participant's last study visit, up to a total of 6 to 10 months depending on when participants enrolled in the study

Timeline

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

  1. First posted9 Jun 2016 (estimated)
  2. Study start15 Jul 2016
  3. Primary completion7 Jul 2017
  4. Study completion7 Jul 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
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02794870
Sponsor's protocol ID
IMPAACT 2011
Other IDs
30072
Status last verified
Jul 2018
First submitted
24 May 2016
Last updated
27 Aug 2018
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RSV LID ΔM2-2 1030s vaccine in people with Respiratory Syncytial Virus Infections, run by National Institute of Allergy and Infectious Diseases (NIAID) at 8 sites 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 10 inclusion and 46 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 27 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites 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?

Yes. Results are posted in the registry (first posted 27 Aug 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?

Number of Participants With Solicited Adverse Events (AEs) by Grade (time frame: Measured from Day 0 through Day 28). The study lists 8 primary outcomes in all. 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 27 Aug 2018.

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