Bordetella Pertussis, Whooping Cough Clinical Trial
— CHAMPION-1Official title:
A Phase 2b, Placebo-Controlled, Randomized Study of BPZE1 Intranasal Pertussis Vaccine in Healthy Adults to Assess Protection Against Colonization Following Challenge With Virulent Wild-Type Bordetella Pertussis
Verified date | February 2024 |
Source | ILiAD Biotechnologies |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a randomised, double-blinded, placebo-controlled trial of BPZE1 that includes virulent B. pertussis challenge followed by a safety follow-up.
Status | Completed |
Enrollment | 53 |
Est. completion date | October 26, 2023 |
Est. primary completion date | July 25, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 50 Years |
Eligibility | Key Inclusion Criteria: 1. Correctly answer all questions in the questionnaire provided during the consent process to ensure understanding of the study 2. Willing to refrain from any nasal sprays (including intranasal steroid sprays) and nasal washes not part of the study for 14 days prior to vaccination (Day 0) and for 28 days following vaccination and challenge 3. Non-smoker at the time of enrolment, has not smoked (or vaped) in the past 7 days prior to vaccination (including marijuana), and is willing not to smoke (or vape; including marijuana) from the time of vaccination throughout the challenge unit phase 4. Sufficiently vaccinated (per site and local guidelines) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; proof of vaccination required) >14 days prior to study vaccination 5. Able to understand and comply with planned study procedures including admission for virulent challenge for 17 days and willingness to take the curative antibiotic regimen (azithromycin after inoculation with B. pertussis) 6. Willing to provide written agreement to and abide by infection control rules from challenge until 1 week following completion of azithromycin eradication Exclusion Criteria: 1. Body mass index <17 or >30 kg/m2 2. History of being vaccinated against pertussis within 5 years of enrolment 3. History of never being vaccinated for pertussis in lifetime 4. A diagnosis of pertussis by laboratory confirmation or by physician diagnosis in the past 5 years 5. Previously participated in a pertussis challenge study 6. Screening laboratory values outside of the normal ranges 7. Existing chronic disorders of lung, kidney, heart, liver, diabetes, immunodeficiency, autoimmune or significant neurologic condition 8. Use of illicit drugs (excluding marijuana), evidenced by urine toxicology at Screening or a history of drug/alcohol abuse within the past 2 years 9. History of active cancer (malignancy) in the last 10 years (except for adequately treated non-melanomatous skin carcinoma) 10. History of Guillain-Barré syndrome (genetic/congenital or acquired) 11. History of head trauma with potential of cribriform plate fracture within 1 year prior to Day 0 12. History of nasal or sinus surgery within 6 months or receipt of facial cosmetic fillers within 3 months prior to Day 0 or diagnosis of nasal polyps 13. Received immunosuppressive therapy or other immune-modifying drugs (including but not limited to systemic corticosteroids, biologics and methotrexate) in the past 6 months, is on scheduled immunosuppressive therapy or is planning to start immunosuppressive therapy during the trial. 14. Received immunoglobulins or any blood products within 3 months prior to study vaccine administration or planned receipt during the study 15. Lives in the same home or has routine contact (face to face <2 meters) with persons with known immunodeficiency including persons on immunosuppressant therapy, from study vaccination to challenge and for 1 week after exiting the challenge unit 16. Resides in the same home, works regularly with, or has contact (face to face <2 meters), with infants less than 1 year of age, partially immunised infants or pregnant women, adults >65 years of age who have not received a dose of acellular pertussis vaccine (e.g. Tdap) within the past 10 years from study vaccination to challenge and for 1 week after exiting the challenge unit 17. Known hypersensitivity to any component of the study vaccine 18. Contraindications or allergic to azithromycin, erythromycin or other macrolide antibiotics 19. Taking medication that may interact with azithromycin (e.g., nelfinavir, warfarin, digoxin and phenytoin) 20. Inability to adhere to the protocol, visit schedule or sample collection needs (including housing in the challenge unit) 21. Participation in any other clinical trial for the testing of an unlicensed product during the previous 3 months or planned during the study conduct |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Oxford Vaccine Group | Oxford | |
United Kingdom | University Hospital Southampton | Southampton |
Lead Sponsor | Collaborator |
---|---|
ILiAD Biotechnologies |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants colonized following virulent challenge | Participants by treatment group (BPZE1 and placebo) colonised on any day following virulent challenge as determined by culture. | Day 9 - 14 | |
Secondary | GMFR of mucosal anti-pertussis S-IgA antibody | The geometric mean fold rise (GMFR) of mucosal anti-pertussis S-IgA antibody (whole cell extract [WCE], FHA, PRN, PT and fimbriae types 2 and 3 [FIM2/3]) from baseline to Day 28 (BPZE1 and placebo). Secretory IgA to be normalized ([specific S-IgA]/[total S-IgA]) | Day 28 | |
Secondary | GMFR of serum IgA antibody | The GMFR of serum IgA antibody (WCE, FHA, PRN, PT and FIM2/3) from baseline to Day 28 (BPZE1 and placebo) | Day 28 | |
Secondary | GMFR of serum IgG antibody | The GMFR of serum IgG antibody (WCE, FHA, PRN, PT and FIM2/3) from baseline to Day 28 (BPZE1 and placebo) | Day 28 | |
Secondary | Safety: Solicited AEs for reactogenicity | Occurrence and intensity of solicited AEs for nasal/respiratory and systemic reactogenicity through 7 days following vaccination by treatment group (BPZE1 and placebo) | Day 7 | |
Secondary | Safety: Treatment Emergent Adverse Events | Occurrence and intensity of TEAEs through 28 days following study vaccination and following challenge by treatment group (BPZE1 and placebo) | Day 28 | |
Secondary | Safety: TEAEs | Occurrence and intensity of TEAEs related to vaccination from time of vaccination to challenge or related to challenge for 3 months after challenge by treatment group (BPZE1 and placebo) | Day 60-120 post vaccination and Day 90 post challenge | |
Secondary | Safety: AESI and SAE | Occurrence, intensity, and relationship to study vaccine of AESIs and SAEs from vaccination through end of study (EOS) by treatment group (BPZE1 and placebo) | Day 180 |
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