Healthy Clinical Trial
Official title:
Clinical Study to Generate Exploratory Training Data Characterising Clinical Events, Physiological & Metabolic Responses, & Innate & Adaptive Immune Responses Following 1st & 3rd of 3 IM Immunisations With "Engerix B" HepB Vaccine or Placebo in Healthy Adults With no Pre-existing Immunity to HepB
It is thought that vaccines trigger innate inflammatory responses to induce antigenspecific
adaptive immunity (the desired effect), but excessive inflammation may lead to serious
inflammatory complications or unwanted side effects. Currently there is a lack of reliable
biomarkers (a measurable biological response that predicts something) able to predict severe
inflammation and this has resulted in the development of several vaccines being terminated
and the withdrawal of some licensed vaccines which were associated with inflammatory
complications.
This study is part of the BIOVACSAFE project which is a 5year €30M project funded by the
Innovative Medicine Initiative. The project involves a series of clinical studies using
licensed vaccines as benchmarks to generate clinical data on inflammation and identify
biomarkers that can be used to predict acceptable reactogenicity. The target is to identify
biomarkers that can predict the occurrence of beneficial and detrimental effects in response
to a vaccine. Such biomarkers could be used in future vaccine development programs to
optimize selection of vaccine candidates with a profile that will be unlikely to generate
worrisome safety signals once they are in generalized use.
This study is one in a series of "training" studies which will each use different licensed
vaccines that are prototypical representatives of a class of vaccine used in a particular
target population. Twenty four subjects will be randomised into two groups to receive: A)
Engerix B vaccine (n = 20), B) Saline placebo (n = 4). Following a screening visit,
participants will undergo two immunisations at month 0 and month 6. Each immunisation will
occur during a seven day residential visit which will include immunization and intensive
monitoring of physiological (e.g. heart rate, oral temperature, blood pressure) metabolic
and immune (innate and adaptive) parameters. Both residential visits will be followed up by
four outpatient visits with further monitoring and blood samples.
n/a
Allocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Basic Science
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