Influenza Clinical Trial
Official title:
Phase I Inpatient Study of the Safety and Immunogenicity of Live Influenza A Vaccine H6N1 (6-2) AA ca Recombinant (A/Teal/Hong Kong/W312/1997 (H6N1) x A/Ann Arbor/6/60 ca), a Live Attenuated Virus Vaccine Candidate for Prevention of Avian Influenza H6N1 Infection in the Event of a Pandemic
In the 20th century, influenza pandemics occurred in 1918, 1957, and 1968, and were associated with significant morbidity and mortality. It is estimated that, in the United States alone, the next influenza pandemic could cause approximately 200,000 deaths and 750,000 hospitalizations. Thus, the development of a vaccine against potential influenza strains has become a priority. The purpose of this study is to determine the safety and immune response to an H6N1 influenza vaccine candidate.
H6 influenza viruses are of the low pathogenicity phenotype in poultry, and in the last
decade, outbreaks of H6 influenza infection have been reported both in the United States and
South Africa. The prevalence of H6 influenza viruses in a wide range of domestic and wild
birds, and their propensity for reassortment has raised concerns regarding the pandemic
potential of these viruses. This vaccine, therefore, is an important priority in the
development of vaccines against potential pandemic influenza strains.
This vaccine trial will be conducted in the Center for Immunization Research inpatient unit
in the Mason F. Lord Building at the Johns Hopkins Bayview Medical Center (Baltimore, MD).
The study will be initiated between April 1st and December 20th, 2008, when wild-type
influenza is unlikely to be circulating in the Baltimore area.
An individual's participation in the study will last approximately 90 days. All participants
will receive two vaccinations approximately 4 - 8 weeks apart. After each vaccination,
participants will remain in isolation at the study site for at least nine days or until
rRT-PCR assays for influenza are negative for 2 consecutive days. A physical examination and
nasal wash will occur each day during the isolation period. Blood collection will occur on
the day of admission, the following day, and day 7 after vaccination. Follow-up outpatient
visits are scheduled on Days 28 and 56 after the first vaccination and on Day 28 after the
second vaccination. Follow-up visits will include serum collection, nasal wash, and interim
medical history.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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