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A Study of DNA Vaccine With Electroporation for the Prevention of Disease Caused by H1 and H5 Influenza Virus

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Inovio Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01405885
First received: July 27, 2011
Last updated: February 28, 2014
Last verified: February 2014
  Purpose

This is a Phase I, parallel design open label study to evaluate safety, tolerability and immunogenicity of nine different formulation of two individual H1 and one H5 HA plasmid administered intradermally followed by electroporation in healthy adults


Condition Intervention Phase
Healthy
Biological: INO-3605
Biological: INO-3609
Biological: INO-3401
Biological: INO-3605 AND INO-3609
Biological: INO-3510
Biological: Seasonal Influenza vaccine
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Phase I, Open Label Study to Evaluate Safety, Tolerability and Immunogenicity of Multiple Combinations of H1 and H5 Influenza Hemagglutinin Plasmids Administered ID Followed by in Vivo Electroporation With CELLECTRA®-3P in Healthy Adults

Resource links provided by NLM:


Further study details as provided by Inovio Pharmaceuticals:

Primary Outcome Measures:
  • Safety and tolerability of nine different formulation of multiple combination of H1 and H5 HA plasmid administered ID followed by electroporation in healthy adult subjects [ Time Frame: Day 0 through Month 12 ] [ Designated as safety issue: Yes ]
    Frequency and severity of local and systemic reactogenicity signs and symptoms, adverse events and serious adverse events


Secondary Outcome Measures:
  • Humoral and cellular immune responses [ Time Frame: Day 0 through Month 12 ] [ Designated as safety issue: No ]
    Magnitude and frequency of antibody and cell mediated immune response to influenza proteins

  • tolerability and immunogenicity of multiple formulations of H1 and H5 HA plasmids administered ID followed by electroporation to seasonal influenza vaccine [ Time Frame: Day 0 through Month 12 ] [ Designated as safety issue: No ]

Enrollment: 116
Study Start Date: May 2011
Study Completion Date: August 2013
Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm A - 0.9mg of INO-3605 Biological: INO-3605
0.9mg of INO-3605 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.
Experimental: Arm B - 0.9mg of INO-3609 Biological: INO-3609
0.9mg of INO-3609 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.
Experimental: Arm C- 0.9mg of INO-3401 Biological: INO-3401
0.9mg of 3401 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.
Experimental: Arm D- 0.3mg of INO-3609 Biological: INO-3609
0.3mg of INO-3609 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.
Experimental: Arm E - 0.45mg each INO-3605 , INO-3609 Biological: INO-3605 AND INO-3609
0.45mg each of INO-3605 AND INO-3609 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.
Experimental: Arm F - 0.3mg each of INO-3401,INO-3605,INO-3609 Biological: INO-3510
0.3mg each of INO-3605, INO-3609 AND INO-3401 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.
Experimental: Arm G - 0.9mg of INO-3609 Biological: INO-3609
0.9mg of INO-3609 vaccine delivered ID followed by electroporation on Day 0, Week 16 and 24.
Experimental: Arm H - 0.9mg of INO-3609 Biological: INO-3609
0.9mg of INO-3609 vaccine delivered ID followed by electroporation on Day 0 and Week 8
Active Comparator: Arm I - Seasonal influenza vaccine Biological: Seasonal Influenza vaccine
0.5ml of vaccine delivered IM
Experimental: Arm J - 1.8mg of INO-3609 Biological: INO-3609
1.8mg of INO-3609 vaccine delivered ID followed by electroporation on Day 0, Week 8 and 24.

Detailed Description:

The use of DNA plasmids containing genes that express viral antigens may be a promising way to formulate a vaccine that can effectively prevent infection and disease caused by the H5N1 avian influenza virus and H1N1 influenza viruses. Plasmid vectors are simple to construct and are easy to manufacture at a relatively low cost. Vaccination with plasmids that express influenza proteins should induce the development of serum antibodies and might also induce significant quantities of secretory IgA antibodies and/or CMI. The DNA sequences included in the vaccine could also result in the proliferation of T lymphocytes that could broaden the effectiveness of the vaccine to include variant strains of H5N1 and H1N1 with antigenically modified HA (i.e., drifted strains).

Electroporation (EP) is a technology in which a transmembrane electrical field is applied to increase the permeability of cell membranes to create microscopic pathways (pores) and thereby enhance the uptake of drugs, vaccines, or other agents into target cells. Their presence allows macromolecules, ions, and water to pass from one side of the membrane to the other. The presence of a constant field influences the kinetics of directional translocation of the macromolecular plasmid, such that the plasmid delivery in vivo has been sufficient to achieve physiological levels of secreted proteins. ID injection of a plasmid followed by EP has been used very successfully to deliver therapeutic genes that encode for a variety of hormones, cytokines, or enzymes in a variety of species. EP is currently being used in humans to deliver cancer vaccines and therapeutics as well as in gene therapy. The expression levels are increased by as much as 3 orders of magnitude over plasmid injection alone.

The use of EP via the CELLECTRA® device should increase the expression of H5N1 and H1N1 influenza virus genes in the study vaccines.

  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Written informed consent in accordance with institutional guidelines. If required by local law, candidates must also authorize the release and use of protected health information (PHI);
  • Adults of either gender 18-55 years of age at entry;
  • Healthy subjects as judged by the Investigator based on medical history, physical examination, and normal results for an ECG, CBC, serum chemistries, and urinalysis done up to 4 weeks prior to enrollment and administration of vaccination ± EP;
  • Current nonsmoker;
  • Women of child-bearing potential (WOCBP) agree to remain sexually abstinent, use medically effective contraception (oral contraception, barrier methods, spermicide, etc), or have a partner who is sterile (i.e., vasectomy) until 12 weeks after last vaccination;
  • Able and willing to comply with all study procedures.

Exclusion Criteria:

  • Positive serological test for Human Immunodeficiency Virus, hepatitis C virus or hepatitis B virus surface antigen (HBsAg) or Grade 3 or greater CPK at screening;
  • Pregnant or breastfeeding subjects;
  • Any concurrent condition requiring the continued use of systemic or topical steroids at or near the injection site (excluding inhaled and eye drop-containing corticosteroids) or the use of other immunosuppressive agents. All other corticosteroids must be discontinued > 4 weeks prior to Day 0 of study vaccine administration;
  • Administration of any blood product within 3 months of enrollment;
  • Prior receipt of any investigational or licensed H5N1 influenza vaccine at any time;
  • Subjects with contraindications to influenza vaccination other than egg allergy (such as a history of Guillain-Barre Syndrome after receiving influenza vaccine);
  • Administration of any vaccine within 6 weeks of enrollment;
  • Participation in a study with an investigational compound or device within 4 weeks of signing informed consent;
  • Subjects with cardiac pre-excitation syndromes (such as Wolff-Parkinson-White);
  • Subjects with a history of seizures (unless seizure free for 5 years);
  • Subjects with tattoos, scars, or active lesions/rashes within 2 cm of the site of vaccination ± EP;
  • Subjects with any implantable leads;
  • Active drug or alcohol use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements;
  • Prisoners or subjects who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (i.e. infections disease) illness must not be enrolled into this study;
  • Any other conditions judged by the investigator that would limit the evaluation of a subject.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01405885

Locations
United States, Florida
Miami Research Associates
Miami, Florida, United States, 33143
United States, Kansas
Vince and Associates
Overland Park, Kansas, United States, 66212
United States, Maryland
SNBL
Baltimore, Maryland, United States, 21201
Sponsors and Collaborators
Inovio Pharmaceuticals
Investigators
Study Director: Mark Bagarazzi, M.D. Inovio Pharmaceuticals
  More Information

Additional Information:
No publications provided

Responsible Party: Inovio Pharmaceuticals
ClinicalTrials.gov Identifier: NCT01405885     History of Changes
Other Study ID Numbers: FLU-101
Study First Received: July 27, 2011
Last Updated: February 28, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by Inovio Pharmaceuticals:
Universal Influenza
Intradermal DNA vaccine
Electroporation
H1 and H5
DNA Vaccination
Influenza
INO-3510

Additional relevant MeSH terms:
Influenza, Human
Orthomyxoviridae Infections
RNA Virus Infections
Respiratory Tract Diseases
Respiratory Tract Infections
Virus Diseases

ClinicalTrials.gov processed this record on November 24, 2014