Immunogenicity and Safety of BPZE1 Intranasal Pertussis Vaccine in Healthy School-age Children

Phase
Recruitment status
Participants
Lead sponsor
ILiAD Biotechnologies
Start date
Number of sites

Summary
This study evaluates the safety and immunogenicity of the BPZE1 live, attenuated pertussis vaccine, intended to prevent nasopharyngeal colonization and pertussis disease, and compares BPZE1 vaccine vs Boostrix vaccine vs both BPZE1 and Boostrix vaccines. This is a multi-center, randomized, placebo- and active-comparator-controlled study in healthy, school-age children with a 6-month safety follow-up after the first vaccination.
Short title
Immunogenicity and Safety of BPZE1 Intranasal Pertussis Vaccine in Healthy School-age Children
Official title
Phase 2b Placebo-Controlled Randomized Study of BPZE1 Intranasal Pertussis Vaccine in Healthy School-Age Children to Assess Immunological Response and Safety of a Single Dose BPZE1 With/Without Coadministration of Tdap (Boostrix™)

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
ILiAD Biotechnologies
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Prevention
Masking
Quadruple masking
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Geometric Mean Fold Rise (GMFR) of Mucosal Immunogenicity S-IgA Against Whole Cell Extract at Day 29

    Timeframe: Day 29

    Geometric mean fold rise (GMFR) of mucosal S-IgA against whole cell extract (WCE) by treatment arm (BPZE1, BPZE1 + Boostrix) at Day 29.

  2. Safety: Solicited Adverse Events (AEs)

    Timeframe: Through 7 days following first study vaccination.

    Solicited AEs (local injection site, nasal/respiratory, and systemic reactogenicity events)

  1. Serum IgG: Proportion of Subjects With Antibody Concentration ≥0.1 Immunogenicity Serum IgG for Diphtheria, Tetanus

    Timeframe: Day 29

    Serum IgG levels against diphtheria, tetanus by treatment groups (BPZE1 + Boostrix vs Boostrix)

  2. Serum IgG: Geometric Mean Concentration (GMC) Against Acellular Pertussis Antigens

    Timeframe: Day 29

    Serum IgG levels against acellular pertussis antigens (pertussis toxin \[PT\], filamentous hemagglutinin \[FHA\], pertactin \[PRN\]) by treatment groups (BPZE1 + Boostrix vs Boostrix)

  3. Mucosal Immunogenicity S-IgA GMR

    Timeframe: Baseline, Day 29

    Induction of normalized S-IgA against WCE, PT, FHA, PRN, and any additional anti-pertussis mucosal antibodies identified during assay development (fimbriae serotype 2 and 3; FIM 2/3) using GMR

  4. Mucosal Immunogenicity S-IgA GMFR

    Timeframe: Day 29

    Induction of normalized S-IgA against WCE, FHA, PRN, and any additional anti-pertussis mucosal antibodies identified during assay development (FIM 2/3) using GMFR

  5. Serum Immunogenicity IgA and IgG GMC

    Timeframe: Baseline, Day 29

    Induction of serum immunity (IgA and IgG) against WCE, pertussis toxin (PT), FHA, PRN, and any additional anti-pertussis antibodies identified during assay development (FIM 2/3) using GMC

  6. Serum Immunogenicity IgA and IgG GMFR

    Timeframe: Baseline, Day 29

    Induction of serum immunity (IgA and IgG) against WCE, pertussis toxin (PT), FHA, PRN, and any additional anti-pertussis antibodies identified during assay development (FIM 2/3) using GMFR

  7. Safety: Reactogenicity and AEs

    Timeframe: Through 7 days, 28 days, and 169 days (EOS) following any study vaccination respectively

    To describe reactogenicity events during the 7 days following any study vaccination (7 days after Day 1 study vaccination and 7 days after Day 85 attenuated challenge with open-label BPZE1), all AEs through 28 days following Day 1 study vaccination and Day 85 attenuated challenge with open-label BPZE1, medically-attended AEs (MAAE) through 84 days following Day 1 study vaccination and Day 85 attenuated challenge with open-label BPZE1, AEs of special interest (AESIs) and serious adverse events (SAE) through Day 169 (EOS).

  8. Colonization (Substudy Only)

    Timeframe: Day 92 or Day 99.

    Proportion of subjects with positive B. pertussis by culture or polymerase chain reaction \[PCR\]) following re-vaccination/attenuated challenge (BPZE1, BPZE1 + Boostrix, BPZE1 and BPZE1 + Boostrix, Boostrix control)

Sources for outcomes

Sex
All
Age groups
Children
Minimum age
6 Years
Maximum age
17 Years
Healthy volunteers
Yes

Key Inclusion Criteria:

  1. Male or female subject 6 to 17 years of age on Day 1.
  2. Subject must provide informed consent (assent, depending on age) prior to participation in study and comply with protocol requirements.
  3. If female, the subject is not pregnant or lactating. If female of childbearing potential, the subject must agree to either be heterosexually inactive or follow birth control methods per protocol from at least 21 days prior to enrollment and through 90 days following any study vaccination.
  4. Subject has a stable health status, as established by physical examination, vital sign measurements, and medical history.
  5. Subject (and/or legal guardian) has access to a consistent and reliable means of electronic or telephone contact, which may be in the home, workplace, school, or by personal mobile electronic device.
  6. Subject is willing to refrain from routine nasal sprays (including steroid sprays) or washes for at least 7 days following any study vaccination.

Key Exclusion Criteria:

  1. The subject has a history of whole-cell pertussis vaccination in lifetime, acellular pertussis-containing vaccination (inclusive of school vaccination programs) within 3 years prior to Day 1, documented B. pertussis infection within 3 years prior to Day 1, or a history of Td-containing vaccination (without pertussis vaccine component) within 1 month prior to Day 1.
  2. Chronic significant illness actively being treated or a history of recent intervention for worsening or fluctuating symptoms (at the discretion of the investigator).
  3. History of cancer (malignancy).
  4. Congenital, hereditary, or acquired disease or disorder classified as autoimmune, immunodeficient, coagulopathy, hepatic, renal, neurologic, or cognitive.
  5. Currently uses smoking products (including vaping and e-cigarettes) and is unwilling to refrain from use from Day 1 through Day 29 following study vaccination.
  6. Subject received immunoglobulin, blood-derived products, systemic corticosteroids (at a dose of >10 mg per day for more than 10 days), or other immunosuppressant drugs within 90 days of Day 1.
  7. Chronic pulmonary disease requiring active medication or pulmonary therapies except exercise-induced bronchospasm, if currently well controlled, and willing to refrain from intense exercise for 7 days following study vaccination, or intermittent asthma classification who have not had an exacerbation requiring oral systemic corticosteroids in the past year; have an forced expiratory volume (FEV1) documented to be >80%; do not have restrictions in normal activity due to breathing issues; and have used a short-acting beta-agonist less than or equal to 2 days per week over the past 2 months.
  8. History of oro/nasopharynx surgery (eg, adenoidectomy, tonsillectomy) within 60 days prior to Day 1.
  9. Known hypersensitivity to latex or any component of any study vaccine. Specific to Boostrix: hypersensitivity to neomycin or polymyxin; hypersensitivity after previous administration of diphtheria, tetanus, or pertussis vaccines; or has experienced transient thrombocytopenia or neurological complications following an earlier immunization against diphtheria and/or tetanus.
  10. Subject has routine and/or repeated contact with, or is currently living in a household with, an immunocompromised individual.
  11. Subject resides in a residence where an infant less than 6 months of age resides or may reside.
Sources for eligibility

  • Sydney Children's HospitalRandwick, Australia
  • Sydney Children's HospitalWestmead, Australia
  • Women's and Children's HospitalNorth Adelaide, Australia
  • University of MelbourneMelbourne, Australia
  • Telethon Kids InstituteNedlands, Australia
  • CSA Clinica San AugustinSan José, Costa Rica
  • IICIMED Instituto de Investigacion en Ciencias MedicasSan José, Costa Rica
  • MRI, Metropolitan Research InstituteSan José, Costa Rica
  • Birmingham Children's Hospital NHS Foundation TrustBirmingham, United Kingdom
  • Bradford Royal InfirmaryBradford, United Kingdom
  • Bristol Royal Hospital For ChildrenBristol, United Kingdom
  • Addenbrooke's HospitalCambridge, United Kingdom
  • Leicester Children's Hospital, Ward 14, Level 4,Leicester, United Kingdom
  • St George's Healthcare NHS TrustLondon, United Kingdom
  • Oxford Vaccine GroupOxford, United Kingdom
  • University Hospital Southampton NHS Foundation TrustSouthampton, United Kingdom
Sources for sites

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)