First in Human Phase 1 Ascending Dose Study of PanChol in Healthy Volunteers

Cholera Clinical Trial

Official title:

PanChol-100: Safety and Immunogenicity of PanChol: First-in-Human Study of a Novel Live Attenuated Oral Cholera Vaccine

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05657782
• Other study ID #: PanChol-100
• Status: Recruiting
• Phase: Phase 1
• Start date: December 12, 2022
• Est. completion date: December 1, 2025

Study information

• Verified date: December 2022
• Source: Brigham and Women's Hospital
• Contact: Lindsey Baden, MD
• Phone: 617-525-8418
• Email: lbaden[@]bwh.harvard.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is a first-in-human, Phase 1 study of the safety, tolerability, and immunogenicity of PanChol in healthy volunteers. There will be three modules in this clinical trial assessing dosing, safety, and immunogenicity:

1. a fixed dose-ranging module,

2. an adaptive dose-finding/optimization module, and

3. a placebo-controlled expansion module.

Description:

The primary objectives of this study are:

• To evaluate the reactogenicity and the safety of a single-dose PanChol over a range of doses in healthy volunteers.

• To evaluate the immunogenicity of a single-dose PanChol over a range of doses as measured by vibriocidal antibody titers.

The secondary objectives of this study are:

• To further characterize PanChol immune response, such as the magnitude of vibriocidal titers, the IgG, IgA, and IgM antibodies targeting Inaba- and Ogawa-specific polysaccharides, cholera toxin B subunit, and TCP, IgA- and IgG-antibody secreting cell responses (ALS/plasmablast responses) and/or the memory B cell (MBC) response.

• To characterize the stool shedding of the PanChol organisms after vaccination.

• To evaluate the changes of the gut microbiota after PanChol vaccination and to compare these changes with cholera-induced changes on microbiota

Participants will be enrolled at the Brigham and Women's Hospital (BWH). For the first days of the trial, participants will be inpatients in BWH, for optimal safety monitoring and for fecal and blood samples collection. PanChol or placebo will be administered on Day 1. On Day 6, participants will be starting doxycycline to eradicate the shedding of the vaccine organisms. On Day 7, those who are no longer excreting PanChol in their stool will be discharged. After discharge, volunteers will return on days 15, 29, 57, and 180 for monitoring of general health, AE assessment, immune responses, and fecal microbiota composition. Approximately 53 adult healthy volunteers are planned to be enrolled in this study if all planned treatment groups are conducted.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 53
• Est. completion date: December 1, 2025
• Est. primary completion date: December 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 55 Years

Eligibility

Inclusion Criteria:

1. Healthy adults aged from 18 to 55 years old.

2. Considered healthy, as judged by the clinical investigator, according to medical history, physical examination, vital signs, screening laboratories, and medication history.

3. Understanding and agreeing to comply with the study protocol including the inpatient period.

4. Female participants must be non-pregnant and non-lactating and either

1. surgically sterile (history of bilateral ligation, bilateral salpingectomy, bilateral oophorectomy, total hysterectomy) or postmenopausal (defined as as amenorrhea for at least 12 consecutive months before screening without an alternative medical cause)

2. be of child-bearing potential and practicing an acceptable method of contraception or abstaining from all activities that could result in pregnancy for at least 28 days before vaccination until 3 months after receiving the IP.

Acceptable methods of contraception include barrier methods (such as condom, diaphragm, or cervical cap used in conjunction with spermicide), intrauterine device, hormonal contraception (that may be taken or administered by oral, intravaginal, transdermal, subdermal or IM route), vasectomized partner (the vasectomized partner should be the sole partner for that participant).

Exclusion Criteria:

Each participant must not meet any of the following exclusion criteria to be eligible for enrollment in the study:

1. Confirmed or suspected immunosuppressive condition, as a result of a disease (e.g., primary immune deficiency, malignancy, HIV infection) or have taken any systemic immunosuppressive therapy within 6 months of enrollment.

2. Pregnant or lactating women

3. History of gastrointestinal (GI) disorder, such as previous major GI surgery, malabsorption, or any chronic GI disorders that would interfere, according to the investigator, with the IP.

4. Acute GI or febrile illness within 7 days of enrollment.

5. Have any acute or chronic medical condition that, in the opinion of the investigator, would make vaccination unsafe or interfere with the evaluation of immune response to study vaccination.

6. History of cholera vaccination

7. History of cholera infection

8. Abnormal stool pattern, defined as < 3 or >21 stools per week.

9. Allergy or intolerance to PanChol or placebo component (sodium bicarbonate, lactose, ascorbic acid)

10. Use of any systemic antibiotics within 1 month of PanChol administration

11. Receipt of a live vaccine in the previous 4 weeks or planned in the 4 weeks following enrollment

12. Receipt of a killed or subunit (non-live) vaccine in the previous 2 weeks or planned in the 2 weeks following enrollment.

13. Individuals who do not speak English will not be enrolled into this trial. This study involves more than minimal risk and no prospect of direct benefit for participants. Additionally, a subject who did not speak English may not be able to easily communicate safety concerns in a timely fashion to the study investigators

14. Childcare workers with direct contact with children = 2 years of age

15. Individuals whose occupation involves handling of food

16. Healthcare workers who have direct contact with patients who are immunodeficient, HIV-positive, or have an unstable medical condition

17. Use laxatives regularly

18. Have diarrhea within 48 hours before enrollment

19. Have a history of hypersensitivity to any of the tetracyclines

20. Have a history of hypersensitivity to streptomycin or any aminoglycoside due to the known cross-sensitivity of patients to drugs in this class.

Related Conditions & MeSH terms

• Cholera

Intervention

Biological:
• PanChol
PanChol is a new second generation live-attenuated oral cholera vaccine (OCV) that circumvents limitations of previous live-attenuated OCVs. In contrast to other live OCVs, PanChol is derived from a current circulating pandemic V. cholerae strain, thus eliminating the risk of vaccine-derived genes from extinct V. cholerae strains (such as CVD 103-HgR) recombining with circulating V. cholerae strains.

Locations

Country	Name	City	State
United States	Brigham and Women's Hospital Vaccine Unit	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Brigham and Women's Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	The changes of antibodies targeting cholera specific polysaccharides.		180 days
Other	The changes of antibody secreting cell response.		180 days
Other	The stool microbiota modification according to 16S rRNA sequencing and/or metagenomics.		180 days
Primary	The incidence of solicited and unsolicited adverse events, including serious adverse events, following PanChol vaccination.		180 days
Primary	The seroconversion (4-fold rise titer over baseline) of the vibriocidal titers to both Inaba and Ogawa V. cholerae between pre- and post-vaccination with PanChol.		180 days
Secondary	The magnitude of pre- and post-vaccination serum vibriocidal titers to both Inaba and Ogawa V. cholerae.		180 days
Secondary	The stool shedding of PanChol organisms using stool cultures.		180 days