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Dose Escalation, Open-Label Clinical Trial to Evaluate Safety, Tolerability and Immunogenicity of a Nipah Virus (NiV) mRNA Vaccine, mRNA-1215, in Healthy Adults

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ClinicalTrials.gov Identifier: NCT05398796
Recruitment Status : Recruiting
First Posted : June 1, 2022
Last Update Posted : April 18, 2023
Sponsor:
Collaborator:
Moderna TX, Inc
Information provided by (Responsible Party):
National Institutes of Health Clinical Center (CC) ( National Institute of Allergy and Infectious Diseases (NIAID) )

Study Description
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Brief Summary:

Background:

Nipah virus (NiV) is transmitted from animals to humans, from humans to humans, and through contaminated food. Infected people may have a cough and trouble breathing. Some people may develop serious symptoms, such as brain inflammation, that can lead to death. There are no drugs or vaccines to treat or prevent NiV infection.

Objective:

To test the safety of an experimental vaccine (mRNA-1215) for NiV. Researchers will also evaluate how participants bodies respond to the vaccine.

Eligibility:

Healthy, nonpregnant adults aged 18 to 60 years.

Design:

Participants will visit the NIH clinic 13 to 15 times over 14 to 16 months.

Participants will get 2 doses of the experimental vaccine during this study at either 1 month or 3 months apart. The vaccine will be given as a shot into the muscle of the upper arm. Participants will stay in the clinic at least 30 minutes after each vaccination.

Participants will be given a diary card and a thermometer. They will record their temperature and any other symptoms for 7 days after each vaccination.

During each follow-up visit, 3 to 14 tubes of blood will be drawn for research.

Participants may undergo an optional procedure called apheresis. A needle will be placed into a vein in each arm. Blood will be removed through one needle. The blood will pass through a machine that separates some of the blood cells. The rest of the blood will return to the body through the other needle.

The study vaccine cannot cause NiV infection.


Condition or disease Intervention/treatment Phase
Nipah Virus Infection Biological: mRNA -1215 Phase 1

Detailed Description:

Design:

This Phase I, dose escalation, open label clinical trial is the first study of mRNA-1215 in healthy adults to evaluate the safety, tolerability, and immunogenicity of a Nipah virus (NiV) mRNA vaccine. The hypotheses are that the vaccine will be safe, tolerable, and will elicit an immune response in healthy adults.

Study Product:

mRNA-1215 is a novel mRNA vaccine that encodes for the secreted prefusion stabilized F component covalently linked to G monomer (pre-F/G) of Malaysian strain NiV, resulting in a post-expression trimerization. mRNA-1215 was co-developed by the Vaccine Research Center (VRC), National Institute of Allergy and Infectious Disease (NIAID) and ModernaTX, Inc, and manufactured by ModernaTX.

Subjects:

Healthy adults, 18 to 60 years of age.

Plan:

Subjects will be enrolled at the NIH Clinical Center and will receive mRNA-1215 via intramuscular (IM) injection by needle and syringe into the deltoid muscle. A dose escalation safety evaluation will occur to ensure the safety data support proceeding to the higher dose group. The mRNA-1215 vaccine dose for Group 4 will be selected based on interim analysis of safety and immunogenicity data from Groups 1-3. Subjects will be evaluated for safety and immune responses through clinical observation and blood collection at specified timepoints throughout the study. The study schema is as follows:

Study Schema

Group Subjects Dose/Route Day 0 Week 4 Week 12

  1. 10 25 mcg IM X X
  2. 10 50 mcg IM X X
  3. 10 100 mcg IM X X
  4. 10 *XX mcg IM X X

Total **40

*mRNA-1215 dose for Group 4 will be chosen based on interim analysis of safety and immunogenicity data from Groups 1-3.

**Enrollment up to 50 subjects is permitted in case additional evaluations are required for safety or immunogenicity.

Duration:

Subjects will be evaluated for safety and immune responses throughout the study for 52 weeks following last product administration

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 50 participants
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: VRC 322/DMID 21-0016: A Phase I, Dose Escalation, Open-Label Clinical Trial to Evaluate Safety, Tolerability and Immunogenicity of a Nipah Virus (NiV) mRNA Vaccine, mRNA-1215, in Healthy Adults
Actual Study Start Date : July 11, 2022
Estimated Primary Completion Date : June 24, 2024
Estimated Study Completion Date : June 24, 2024

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Group 1
25 mcg IM
 Biological: mRNA -1215
mRNA-1215 is a novel mRNA vaccine that encodes for the secreted prefusion stabilized F component covalently linked to G monomer (pre-F/G) of Malaysian strain NiV, resulting in a post-expression trimerization.
Experimental: Group 2
50 mcg IM
 Biological: mRNA -1215
mRNA-1215 is a novel mRNA vaccine that encodes for the secreted prefusion stabilized F component covalently linked to G monomer (pre-F/G) of Malaysian strain NiV, resulting in a post-expression trimerization.
Experimental: Group 3
100 mcg IM
 Biological: mRNA -1215
mRNA-1215 is a novel mRNA vaccine that encodes for the secreted prefusion stabilized F component covalently linked to G monomer (pre-F/G) of Malaysian strain NiV, resulting in a post-expression trimerization.
Experimental: Group 4 Biological: mRNA -1215
mRNA-1215 is a novel mRNA vaccine that encodes for the secreted prefusion stabilized F component covalently linked to G monomer (pre-F/G) of Malaysian strain NiV, resulting in a post-expression trimerization.


Outcome Measures
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Primary Outcome Measures :
  1. To evaluate the safety and tolerability of a 2-dose vaccine regimen of mRNA-1215 [ Time Frame: Through 52 weeks after last product administration ]
    X mcg IM of mRNA-1215 to healthy adults; dose will be determined based on evaluation of Groups 1-3.

  2. To evaluate the safety and tolerability of a 2-dose vaccine regimen of mRNA-1215 [ Time Frame: Through 52 weeks after last product administration ]
    50 mcg IM of mRNA-1215 to healthy adults

  3. To evaluate the safety and tolerability of a 2-dose vaccine regimen of mRNA-1215 [ Time Frame: Through 52 weeks after last product administration ]
    25 mcg IM of mRNA-1215 to healthy adults

  4. To evaluate the safety and tolerability of a 2-dose vaccine regimen of mRNA-1215 [ Time Frame: Through 52 weeks after last product administration ]
    100 mcg IM of mRNA-1215 to healthy adults


Secondary Outcome Measures :
  1. To evaluate antibody responses to the mRNA-1215 vaccine [ Time Frame: 2 weeks after last product administration ]
    The antibody responses to mRNA-1215 will be evaluated at each dose level.


Eligibility Criteria
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Information from the National Library of Medicine

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, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria
  • INCLUSION CRITERIA:

A subject must meet all of the following criteria:

  1. Healthy adults between the ages of 18-60 years inclusive.
  2. Based on history and physical examination, in good general health and without history of any of the conditions listed in the exclusion criteria.
  3. Able and willing to complete the informed consent process.
  4. Available for clinic visits for 52 weeks after last product administration.
  5. Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process.

  6. Physical examination and laboratory results without clinically significant findings and a Body Mass Index (BMI) <= 35 within the 56 days before enrollment.

    Laboratory Criteria within 56 days before enrollment:

  7. White blood cells (WBC) and differential within institutional normal range or accompanied by the site Principal Investigator (PI) or designee approval.
  8. Total lymphocyte count >= 800 cells/microL.
  9. Platelets = 125,000 - 500,000 cells/microL.
  10. Hemoglobin within institutional normal range or accompanied by the PI or designee approval.
  11. Alanine aminotransferase (ALT) <= 1.25 X institutional upper limit of normal (ULN).
  12. Aspartate aminotransferase (AST) <= 1.25 X institutional ULN.
  13. Alkaline phosphatase (ALP) <1.1 X institutional ULN.
  14. Total bilirubin within institutional normal range or accompanied by the PI or designee approval.
  15. Serum creatinine <= 1.1 X institutional ULN.

  16. Negative for HIV infection by an FDA-approved method of detection

    Criteria applicable to women of childbearing potential:

  17. Negative beta-human chorionic gonadotropin (Beta-HCG) pregnancy test (urine or serum) on the day of enrollment.
  18. Agrees to use an effective means of birth control from at least 21 days prior to enrollment through the end of the study.

EXCLUSION CRITERIA:

A subject will be excluded if one or more of the following conditions apply:

  1. Breast-feeding or planning to become pregnant during the study.
  2. More than 10 days of systemic immunosuppressive medications or cytotoxic medications within the 4 weeks prior to enrollment or any within the 14 days prior to enrollment.
  3. Blood products within 16 weeks prior to enrollment.
  4. Any vaccine, including COVID-19 vaccines, received within 4 weeks prior to enrollment.
  5. Investigational research agents within 4 weeks prior to enrollment or planning to receive investigational products while on the study
  6. Current allergy treatment with allergen immunotherapy with antigen injections, unless on maintenance schedule.
  7. Current anti-TB prophylaxis or therapy.
  8. Known immediate hypersensitivity to any component of the study product, including polyethylene glycol (PEG).

  9. Confirmed past NiV infection, prior residence in (>6 months), or planned travel for any length of time during the study to countries where NiV infection is endemic, eg. Bangladesh, India, Philippines.

    Subject has a history of any of the following clinically significant conditions:

  10. Serious reactions to vaccines that preclude receipt of the study vaccination, including allergic reaction (anaphylaxis, urticaria or allergic reaction requiring medical intervention) to SARS-CoV-2 mRNA vaccines, as determined by the investigator
  11. History of myocarditis and/or pericarditis
  12. Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema
  13. Asthma that is not well controlled
  14. Diabetes mellitus (type I or II), with the exception of gestational diabetes
  15. Thyroid disease that is not well controlled
  16. Idiopathic urticaria within the past year
  17. Autoimmune disease or immunodeficiency
  18. Hypertension that is not well controlled
  19. Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws
  20. Malignancy that is active or history of malignancy that is likely to recur during the period of the study
  21. Seizure disorder other than 1) febrile seizures, 2) seizures secondary to alcohol withdrawal more than 3 years ago, or 3) seizures that have not required treatment within the last 3 years.
  22. Asplenia, functional asplenia or any condition resulting in the absence or removal of the spleen
  23. Guillain-Barre Syndrome
  24. Any medical, psychiatric, social condition, occupational reason or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a subject s ability to give informed consent, including but not limited to clinically significant forms of: infectious diseases, drug or alcohol abuse, autoimmune diseases, psychiatric disorders, or heart disease.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05398796


Contacts
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Contact: VRC Clinic (301) 451-8715 vaccines@nih.gov

Locations
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United States, Maryland
National Institutes of Health Clinical Center Recruiting
Bethesda, Maryland, United States, 20892
Contact: VRC Clinic    301-451-8715    vaccines@nih.gov   
Sponsors and Collaborators
National Institute of Allergy and Infectious Diseases (NIAID)
Moderna TX, Inc
Investigators
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Principal Investigator: Lesia K Dropulic, M.D. National Institute of Allergy and Infectious Diseases (NIAID)
More Information
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Additional Information:

Publications:

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Responsible Party: National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier: NCT05398796    
Other Study ID Numbers: 10000687
000687-I
First Posted: June 1, 2022    Key Record Dates
Last Update Posted: April 18, 2023
Last Verified: April 14, 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: .Only aggregate data will be shared.

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by National Institutes of Health Clinical Center (CC) ( National Institute of Allergy and Infectious Diseases (NIAID) ):
Rna Vaccine
Pandemic Threat
First in Human
Zoonotic Transmission
Protective Immunity
Additional relevant MeSH terms:
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Henipavirus Infections
Virus Diseases
Infections
 Paramyxoviridae Infections
Mononegavirales Infections
RNA Virus Infections