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Influenza APhase 1NCT03999554

Safety and Immunogenicity of the Bris10 M2SR and Sing2016 M2SR H3N2 Monovalent Influenza Vaccines

A Phase 1 study testing LD Sing2016 M2SR H3N2 influenza vaccine, MD Sing2016 M2SR H3N2 influenza vaccine and HD Sing2016 M2SR H3N2 influenza vaccine in people with Influenza A, run by FluGen Inc at 4 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

This is a Phase I double-blind, randomized, placebo-controlled study in 250 healthy adults, 18-49 years of age, inclusive, who are in good health and meet all eligibility criteria. Read more about this study

Who is it for?
Ages 18 to 49 yearsHealthy volunteers can take part
Conditions the study is for
Influenza A
What is being tested?
LD Sing2016 M2SR H3N2 influenza vaccine, MD Sing2016 M2SR H3N2 influenza vaccine and HD Sing2016 M2SR H3N2 influenza vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
206 participants
Where
4 sitesUnited States
Study dates
3 Sep 2019to 1 Jul 2020
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 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Give written informed consent to participate.
  • Age 18 - 49 years old.
  • Judged suitable by the PI, as determined by medical history, physical examination, vital signs, and clinical safety laboratory examinations.
  • Willing to use oral, implantable, transdermal or injectable contraceptives, or sexual abstinence, from screening and until 28 days after second vaccine dose.
  • Willing to adhere to the requirements of the study and willing and able to communicate with the Investigator and understand the requirements of the study.

Who cannot join

  • Abnormal screening hematology or chemistry value per the FDA Toxicity Guidance.
  • Pulse rate or blood pressure outside the reference range for this study population and considered as clinically significant by the Investigator.
  • Has an acute or chronic medical condition or history of a medical condition that, in the opinion of the Investigator, would render the study procedures unsafe or would interfere with the evaluation of the responses.
  • Presence or clinically significant history of lung disease, asthma, chronic obstructive pulmonary disease (COPD), or otherwise poor lung function.
  • Any confirmed or suspected immunosuppressive or immunodeficient state.
  • Presence of household member or close personal or professional (i.e., healthcare worker) who is a child under one year of age; is pregnant; has known immunodeficiency or is receiving immunosuppressant medication; is undergoing or soon to undergo cancer chemotherapy; has been diagnosed with emphysema, COPD, or other severe lung disease and resides in a nursing home; and/or has received a bone marrow or solid organ transplant.
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  • Females who are pregnant or lactating.
  • Acute febrile illness within 72 hours prior to vaccination.
  • Any condition, in the opinion of the Investigator, (such as subjects who have medically high-risk conditions) that might interfere with the primary study objectives for safety of the study subject.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • RCA

    Hollywood, Florida, 33024

  • JCCT

    Lenexa, Kansas, 66219

  • AMR Lexington

    Lexington, Kentucky, 40509

  • AMR Norfolk

    Norfolk, Virginia, 23507

Other trials in United States

About this study

Official title: Phase 1b Clinical Study to Investigate the Safety and Immunogenicity of the Bris10 (A/Brisbane/10/2007) M2SR and Sing2016 (A/Singapore/INFIMH-16-0019/2016) M2SR H3N2 Monovalent Influenza Vaccines

This is a Phase I double-blind, randomized, placebo-controlled study in 250 healthy adults, 18-49 years of age, inclusive, who are in good health and meet all eligibility criteria. The purpose of this dose escalation clinical study is to assess the safety, tolerability/reactogenicity, and immunogenicity of H3N2 M2SR investigational vaccines for prevention of influenza, when delivered at higher dosages or in two doses . Eligible subjects will be screened and randomized to receive two administrations 28 days apart of Sing2016 M2SR at three dose levels (low, medium, high), Bris10 M2SR at one dose level (low), or placebo in a 1:1:1:1:1 ratio. Study duration will be approximately 8 months with subject participation duration approximately 7 months. The primary study objective is to assess the safety and reactogenicity of a monovalent live single replication influenza H3N2 M2SR vaccine.

Read the detailed description

This is a Phase I double-blind, randomized, placebo-controlled study in 250 healthy adults, 18-49 years of age, inclusive, who are in good health and meet all eligibility criteria. This dose escalation clinical study is designed to assess the safety, tolerability/reactogenicity, and immunogenicity of H3N2 M2SR investigational vaccines for prevention of influenza, when delivered at increasing dosages or in two doses. Subjects will be enrolled in five groups in a 1:1:1:1:1 ratio. Arm 1 will receive a low dose of Sing2016 M2SR intranasally on days 1 and 29. Arm 2 will receive a medium dose of Sing2016 M2SR intranasally on days 1 and 29. Arm 3 will receive a high dose of Sing2016 M2SR intranasally on days 1 and 29. Arm 4 will receive a low dose of Bris16 M2SR intranasally on days 1 and 29. Arm 5 will receive a placebo intranasally on days 1 and 29. Study duration will be approximately 8 months with subject participation duration approximately 7 months. The primary study objective is to assess the safety and reactogenicity of a monovalent live single replication influenza H3N2 M2SR vaccine. The secondary study objectives are to evaluate systemic and mucosal immune responses induced by H3N2 M2SR vaccination.

Conditions
Influenza A
Being tested
LD Sing2016 M2SR H3N2 influenza vaccine, MD Sing2016 M2SR H3N2 influenza vaccine, HD Sing2016 M2SR H3N2 influenza vaccine, LD Bris10 M2SR H3N2 influenza vaccine, Placebo

What participants receive

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

  • LD Sing2016 M2SR H3N2 influenza vaccineBiological

    This group will receive a low dose of the Sing2016 M2SR H3N2 monovalent influenza vaccine administered intranasally.

  • MD Sing2016 M2SR H3N2 influenza vaccineBiological

    This group will receive a medium dose of the Sing2016 M2SR H3N2 monovalent influenza vaccine administered intranasally.

  • HD Sing2016 M2SR H3N2 influenza vaccineBiological

    This group will receive a high dose of the Sing2016 M2SR H3N2 monovalent influenza vaccine administered intranasally.

  • LD Bris10 M2SR H3N2 influenza vaccineBiological

    This group will receive a low dose of the Bris10 M2SR H3N2 monovalent influenza vaccine administered intranasally.

  • PlaceboOther

    This group will receive saline placebo administered intranasally.

Study groups in NCT03999554
Study groupRoleWhat they receive
Low dose Sing2016 M2SRExperimentalLow dose Sing2016 M2SR will be administered intranasally on days 1 and 29
Receives: Biological: LD Sing2016 M2SR H3N2 influenza vaccine
Medium dose Sing2016 M2SRExperimentalMedium dose Sing2016 M2SR will be administered intranasally on days 1 and 29
Receives: Biological: MD Sing2016 M2SR H3N2 influenza vaccine
High dose Sing2016 M2SRExperimentalHigh dose Sing2016 M2SR will be administered intranasally on days 1 and 29
Receives: Biological: HD Sing2016 M2SR H3N2 influenza vaccine
Low dose Bris10 M2SRActive comparatorLow dose Bris10 M2SR will be administered intranasally on days 1 and 29
Receives: Biological: LD Bris10 M2SR H3N2 influenza vaccine
PlaceboPlacebo comparatorSaline will be administered intranasally on days 1 and 29
Receives: Other: Placebo

What is being measured

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

  1. Number of Participants With Local and Systemic Adverse Events (AEs) Through 29 Days Post-vaccination With Bris10 M2SR and Cumulatively Through Day 209

    Record adverse events following one and two administrations of the Bris10 M2SR influenza vaccine to determine the number and percentage of study participants who experience any vaccine associated adverse events (AEs) or serious adverse events (SAEs) after Bris10 M2SR or placebo administration.

    Measured: From baseline through study completion (Day 209)

  2. Number of Participants With Local and Systemic Adverse Events (AEs) Through 29 Days Post-vaccination With Sing2016 M2SR and Cumulatively Through Day 209

    Record adverse events following one and two administrations of the Sing2016 M2SR influenza vaccine to determine the number and percentage of study participants who experience any vaccine associated adverse events (AEs) or serious adverse events (SAEs) after Sing2016 M2SR or placebo administration.

    Measured: From baseline through study completion (Day 209)

Secondary outcomes (8)
  1. Percentage of Bris10 M2SR Subjects Demonstrating Seroconversion to Vaccine HA

    Assess the humoral immunogenicity of one administration of Bris10 M2SR vaccine to Bris 10 by HAI at day 29.

    Measured: From baseline through 28 days post-dose 1 (Day 29)

  2. Percentage of Sing2016 M2SR Subjects Demonstrating Seroconversion to Vaccine HA

    Assess the humoral immunogenicity of one administration of Sing2016 M2SR vaccine to Sing2016 by HAI at day 29

    Measured: From baseline through 28 days post-dose 1 (Day 29)

  3. Percentage of Bris10 M2SR Subjects Demonstrating Seroconversion to Vaccine HA

    Assess the humoral immunogenicity of two administrations of Bris10 M2SR vaccine to Bris 10 by HAI at d57.

    Measured: From baseline through 28 days post-dose 2 (Day 57)

  4. Percentage of Sing2016 M2SR Subjects Demonstrating Seroconversion to Vaccine HA

    Assess the humoral immunogenicity of two administrations of Sing2016 M2SR vaccine to Sing2016 by HAI at day 57

    Measured: From baseline through 28 days post-dose 2 (Day 57)

  5. Percentage of Bris10 M2SR Subjects Demonstrating Mucosal Responses to Vaccine HA

    Assess the mucosal immunogenicity of one administration of Bris10 M2SR vaccine to Bris 10 by ELISA at day 29.

    Measured: From baseline through 28 days post-dose 1 (Day 29)

  6. Percentage of Bris10 M2SR Subjects Demonstrating Mucosal Responses to Vaccine HA

    Assess the mucosal immunogenicity of two administrations of Bris10 M2SR vaccine to Bris 10 by ELISA at day 57.

    Measured: From baseline through 28 days post-dose 2 (Day 57)

  7. Percentage of Sing2016 M2SR Subjects Demonstrating Mucosal Responses to Vaccine HA

    Assess the mucosal immunogenicity of two administrations of Sing2016 M2SR vaccine to Sing2016 by ELISA at day 57

    Measured: From baseline through 28 days post-dose 2 (Day 57)

  8. Percentage of Sing2016 M2SR Subjects Demonstrating Mucosal Responses to Vaccine HA

    Assess the mucosal immunogenicity of one administration of Sing2016 M2SR vaccine to Sing2016 by ELISA at day 29

    Measured: From baseline through 28 days post-dose 1 (Day 29)

Timeline

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

  1. First posted26 Jun 2019
  2. Study start3 Sep 2019
  3. Primary completion1 Jul 2020
  4. Study completion1 Jul 2020

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a randomized, double-blind, placebo-controlled Phase 1 study evaluating the safety and immunogenicity of the Bris10 M2SR and Sing2016 M2SR H3N2 influenza vaccines delivered intranasally to healthy adults. Eligible subjects will be screened and randomized to receive two administrations 28 days apart of Sing2016 M2SR at three dose levels, Bris10 M2SR at one dose level, or placebo in a 1:1:1:1:1 ratio.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
206 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03999554
Sponsor's protocol ID
FLUGEN-H3N2-V003
Status last verified
Dec 2021
First submitted
18 Jun 2019
Last updated
4 Mar 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Eiden J, Fierro C, Schwartz H, Adams M, Ellis KJ, Aitchison R, Herber R, Hatta Y, Marshall D, Moser MJ, Belshe R, Greenberg H, Coelingh K, Kawaoka Y, Neumann G, Bilsel P. Intranasal M2SR (M2-Deficient Single Replication) H3N2 Influenza Vaccine Provides Enhanced Mucosal and Serum Antibodies in Adults. J Infect Dis. 2022 Dec 28;227(1):103-112. doi: 10.1093/infdis/jiac433.

    PubMed 36350017

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing LD Sing2016 M2SR H3N2 influenza vaccine, MD Sing2016 M2SR H3N2 influenza vaccine and HD Sing2016 M2SR H3N2 influenza vaccine in people with Influenza A, run by FluGen Inc at 4 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 5 inclusion and 9 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 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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 4 Mar 2022). 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 Local and Systemic Adverse Events (AEs) Through 29 Days Post-vaccination With Bris10 M2SR and Cumulatively Through Day 209 (time frame: From baseline through study completion (Day 209)). The study lists 2 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 NCT03999554, which also lists 1 linked publication.

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 Mar 2022; AzTrials last refreshed its copy on 7 Nov 2026.

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