E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
To evaluate the safety and tolerability of VRC-CHKVLP059-00-VP vaccin in healthy adults that reside in CHIKV endemic . |
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E.1.1.1 | Medical condition in easily understood language |
To evaluate the safety and tolerability of VRC-CHKVLP059-00-VP in healthy adults that reside in CHIKV endemic |
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E.1.1.2 | Therapeutic area | Body processes [G] - Immune system processes [G12] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
PRIMARY OBJECTIVE: • To evaluate the safety and tolerability of VRC-CHKVLP059-00-VP in healthy adults that reside in CHIKV endemic areas when administered intramuscularly by needle and syringe at a dose of 20 mcg compared to placebo.
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E.2.2 | Secondary objectives of the trial |
• To evaluate the immune response to VRC-CHKVLP059-00-VP by neutralization assay at 4 weeks after the second 20 mcg dose (Study Week 8). • To compare rates of CHIKV infection that occur at Study Week 6 or later in vaccine and placebo recipients as assessed by PCR specific for the CHIKV virus.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
A subject must meet all of the following criteria: 1. 18 to 60 years old 2. Available for clinical follow-up through Study Week 72 3. Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process 4. Able and willing to complete the informed consent process 5. Willing to donate blood for sample storage to be used for future research 6. In good general health, with a BMI ≤40, without clinically significant medical history, and has satisfactorily completed screening 7. Physical examination and laboratory results without clinically significant findings within the 56 days prior to enrollment Laboratory Criteria within 56 days prior to enrollment: 8. Hemoglobin either within institutional normal limits or accompanied by site physician approval as consistent with healthy adult status 9. White blood cells either within institutional normal range or accompanied by site physician approval as consistent with healthy adult status 10. Platelets = 125,000 – 500,000/mm3 11. Alanine aminotransferase (ALT) ≤ 1.25 x upper limit of normal (ULN) 12. Serum creatinine ≤ 1.1 x ULN based on site institutional normal range 13. Negative FDA-approved HIV blood test 14. Negative result on the [name assay kit for CHIKV screening] Criteria applicable to women of childbearing potential: 15. Negative human chorionic gonadotropin pregnancy test (urine or serum) on day of enrollment 16. Agree to use an effective means of birth control from 21 days prior to enrollment through 12 weeks after the last study injection
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E.4 | Principal exclusion criteria |
A subject will be excluded if one or more of the following conditions apply: Women Specific: 1. Planning to become pregnant during the 16 weeks after enrollment in the study Subject has received any of the following substances: 2. Systemic immunosuppressive medications within 2 weeks prior to enrollment 3. Blood products within 16 weeks prior to enrollment 4. Immunoglobulin within 8 weeks prior to enrollment 5. Prior vaccinations with an investigational CHIKV vaccine 6. Investigational research agents within 4 weeks prior to enrollment 7. Any vaccination within 2 weeks prior to enrollment 8. Current anti-TB prophylaxis or therapy Subject has a history of any of the following clinically significant conditions: 9. A history of immune-mediated or clinically significant arthritis 10. Serious reactions to vaccines that preclude receipt of study injections as determined by the investigator 11. Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema 12. Asthma that is unstable or required emergent care, urgent care, hospitalization or intubation during the past two years or that is expected to require the use of oral or intravenous corticosteroids 13. Diabetes mellitus (type I or II), with the exception of gestational diabetes 14. Idiopathic urticaria within the past year 15. Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws 16. Malignancy that is active or history of a malignancy that is likely to recur during the period of the study 17. Seizure in the past 3 years or treatment for a seizure disorder within the last 3 years 18. Asplenia, functional asplenia or any condition resulting in the absence or removal of the spleen 19. Psychiatric condition that may preclude compliance with the protocol; past or present psychoses; or a history of suicide plan or attempt within the five years prior to enrollment 20. Any medical or social condition that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer’s ability to give informed consent
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety Assessment of product safety will include clinical observation and monitoring of hematological and chemical parameters. Reactogenicity will be closely monitored for 7 days after injection and safety evaluated by seven or more clinical visits through the study duration of 72 weeks. The following parameters will be assessed: • Local reactogenicity signs and symptoms • Systemic reactogenicity signs and symptoms • Laboratory measures of safety • Adverse and serious adverse experiences • Chikungunya infection event Immunogenicity The principle immunogenicity endpoints are measured at Week 0 and 8 by neutralization assay. Exploratory immunogenicity endpoints are measured at Week 4, 16, 24, 48, and 72 by neutralization assay, ELISA and other exploratory research tests.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |