Clinical trial • Phase II • Infectious Disease

MYCOBACTERIUM BOVIS BACILLUS CALMETTE-GUÉRIN, STRAIN DANISH 1331, LIVE, EXPRESSING RESPIRATORY SYNCYTIAL VIRUS, NUCLEOPROTEIN for Respiratory syncytial virus infection

Phase II trial of MYCOBACTERIUM BOVIS BACILLUS CALMETTE-GUÉRIN, STRAIN DANISH 1331, LIVE, EXPRESSING RESPIRATORY SYNCYTIAL VIRUS, NUCLEOPROTEIN for Respir…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Respiratory syncytial virus infection
Trial Stage
Phase II
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
16-09-2024
First CTIS Authorization Date
21-11-2024

Trial design

Randomised, conventional bcg vaccine (tuberculosis, live attenuated) administered intradermally; product information indicates maxtotaldoseamount 0.1 (dose uom: cfu/ml) and single administration (control vaccine arm: 50 volunteers per vaccination group as described). Phase II trial across 2 sites in Greece.

Randomised
Yes
Comparator
Conventional BCG vaccine (TUBERCULOSIS, LIVE ATTENUATED) administered intradermally; product information indicates maxTotalDoseAmount 0.1 (dose UOM: CFU/ml) and single administration (control vaccine arm: 50 volunteers per vaccination group as described).
Target Sample Size
200
Trial Duration For Participant
180

Eligibility

Recruits 200 No vulnerable populations selected. Participants must complete the written informed consent process; adults (over 60) provide written informed consent. Assent is not applicable..

Pregnancy Exclusion
31. Pregnant women or women of childbearing potential (WOCBP) who are unable or unwilling to utilize appropriate methods of contraception during the study.
Vulnerable Population
No vulnerable populations selected. Participants must complete the written informed consent process; adults (over 60) provide written informed consent. Assent is not applicable.

Inclusion criteria

  • {"criterion_text":"- 1. Has completed the written informed consent process\n- 2. Males or females, over 60 years of age as of the date of signature of the informed consent form\n- 3. Has a stable state of health or controlled (health parameters within the normal range for their disease) chronic diseases that do not fall within the exclusion criteria\n- 4. Willingness to comply with study procedures.\n- 5. No plans to move to another city in the next 6 months and willing to be contacted by the research team within the study period.\n- 6. Not participate in another research study in the previous 3 months, nor plans to participate in another research study in the next 6 months\n- 7. Agrees to avoid elective surgery during the study\n- 8. Willingness to receive HIV test results.\n- 9. Not having received a BCG vaccination within the last 10 years before study vaccination."}

Exclusion criteria

  • {"criterion_text":"- 1. Oral temperature ≥37.5°C, axillary ≥37.5°C or tympanic temperature ≥38.0°C in the last 24 hours\n- 10. Previous medical history that may compromise the safety of the study participant, including but not limited to significant impairment of lung function (such as pulmonary diffusion of carbon dioxide <80% or FEV1 ≤80%) due to tuberculosis infection or other pulmonary disease; chronic heart disease with signs of heart failure (NYHA Class II Heart Failure or more) or coronary heart disease, suspicion of progressive neurological disease; uncontrolled epilepsy, liver disease.\n- 11. Administration of attenuated vaccines within 30 days before the start of the study or 14 days for inactivated ones.\n- 12. Weight less than 50 kg, as well as BMI less than 18.5 or greater than 35 kg/m2\n- 13. Uncontrolled hypertension or systolic blood pressure greater than 160 mmHg at the beginning of the study or diastolic greater than 90 mmHg.\n- 14. Active neoplasia\n- 15. Stage 2 or higher chronic obstructive pulmonary disease.\n- 16. Chronic bronchial asthma with systemic corticosteroids, or with a history of having presented crises that have led to an emergency consultation within the last 2 months.\n- 17. Renal disease with estimated or relative creatinine clearance ≤ 70 ml/min x 1.73 m2.\n- 18. Evidence of a new acute illness that may compromise the safety of the study participant, such as fever (oral or axillary temperature greater than or equal to 37.5°C) or suspicion of active infection.\n- 19. History or laboratory evidence of chronic viral hepatitis.\n- 20. History of alcohol or drug abuse in the last 2 years.\n- 21. Smoking more than 30 cigarettes a day, or cannabis use three or more days a week.\n- 22. History of keloid formation.\n- 23. Congenital diseases of importance, such that they weaken the basal condition of the volunteer.\n- 24. Congenital or acquired absence of the spleen.\n- 25. Coagulation disorders or known thrombocytopenia of less than 100,000 platelets/mm3.\n- 26. Having undergone chemotherapy treatment in the last 6 months.\n- 27. Generalized urticaria in the last 2 months.\n- 28. History of hereditary or acquired angioneurotic edema.\n- 29. Any previous medical condition that the investigator considers may compromise the safety of the subject in the study.\n- 30. Not being available for all study visits (both face-to-face and by telephone) and specific instructions as appropriate (fasting, abstaining from intense physical exercise during the 24 hours before the study visits and during the 72 hours after vaccination).\n- 31. Pregnant women or women of childbearing potential (WOCBP) who are unable or unwilling to utilize appropriate methods of contraception during the study.\n- 32. Breast-feeding women\n- 33. Male with heterosexual sexual activity with women of childbearing potential (WOCBP) who do not agree to use adequate contraception\n- 3. History of treatment or current history of active or latent tuberculosis infection.\n- 4. History of unprotected occupational exposure to an individual with active tuberculosis in a healthcare setting within the past 6 months.\n- 5. Immunosuppressive drugs used within the previous 42 days (inhaled and topical corticosteroids are allowed).\n- 6. Received documented investigational tuberculosis vaccine at any time.\n- 7. Unstable hormonal status, i.e. subjects with any change (dose, formulation, or route) in hormone replacement therapies (including levothyroxine, insulin, estrogen, progesterone etc.) in the last 12 weeks.\n- 8. History or laboratory evidence of any possible past, present, or future immunodeficiency status, including, but not limited to, any laboratory indication of HIV-1 infection.\n- 9. Allergy to BCG vaccine or its components, as well as the existence of contraindications for BCG administration as described in the BCG prescribing information.\n- 11. Administration of attenuated vaccines within 30 days before the start of the study or 14 days for inactivated ones.\n- 12. Having received transfusions or blood products within the 6 months before the start of the study.\n- 13. Uncontrolled hypertension or systolic blood pressure greater than 160 mmHg at the beginning of the study or diastolic greater than 90 mmHg.\n- 14. Active neoplasia\n- 15. Stage 2 or higher chronic obstructive pulmonary disease.\n- 16. Chronic bronchial asthma with systemic corticosteroids, or with a history of having presented crises that have led to an emergency consultation within the last 2 months.\n- 17. Renal disease with estimated or relative creatinine clearance ≤ 70 ml/min x 1.73 m2.\n- 18. Evidence of a new acute illness that may compromise the safety of the study participant, such as fever (oral or axillary temperature greater than or equal to 37.5°C) or suspicion of active infection."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Occurrence, intensity, and duration of the local solicited AEs (evolution of the \"flare-up\") until the generation of the scar.","definition_or_measurement_approach":"Local solicited adverse events will be recorded (occurrence, intensity, duration) and followed until scar generation (clinical assessment of local reaction evolution)."}
  • {"endpoint_text":"- Occurrence, intensity and duration of unsolicited AEs during the 6-month follow-up.","definition_or_measurement_approach":"Recording of unsolicited adverse events over a 6-month follow-up period, including assessments of intensity and duration."}
  • {"endpoint_text":"- Occurrence of AEs during the 6-month follow-up duration.","definition_or_measurement_approach":"Monitoring and recording any adverse events occurring during the 6-month follow-up."}
  • {"endpoint_text":"- Alterations to the hemogram and/or biochemical profile at 30- and 180- days post vaccination compared to pre-vaccination profile.","definition_or_measurement_approach":"Laboratory evaluation comparing hemogram and biochemical profile at baseline, 30 days and 180 days post-vaccination."}
  • {"endpoint_text":"- Production of IFN-γ and IL-2 by T cells upon exposure to purified protein derivative (PPD) mycobacterial antigen 7 days prior vaccination and 30- and 180-days post vaccination.","definition_or_measurement_approach":"Measurement of IFN-γ and IL-2 production by T cells after PPD stimulation at pre-vaccination (7 days prior) and at 30 and 180 days post vaccination (assay methodology not specified here)."}
  • {"endpoint_text":"- Production of IFN-γ and IL-2 by T cells upon exposure to recombinant RSV nucleoprotein antigen 7 days prior vaccination and 30- and 180-days post vaccination.","definition_or_measurement_approach":"Measurement of IFN-γ and IL-2 production by T cells after recombinant RSV nucleoprotein stimulation at pre-vaccination (7 days prior) and at 30 and 180 days post vaccination (assay methodology not specified here)."}

Secondary endpoints

  • {"endpoint_text":"- Presence and titers of serum IgG antibodies against Purified Protein Derived Mycobacterial antigen (PPD) via ELISA.","definition_or_measurement_approach":"Serum IgG against PPD measured by ELISA; presence and titers assessed (timepoints not restated here)."}
  • {"endpoint_text":"- Presence and titers of serum IgG against RSV nucleoprotein via ELISA.","definition_or_measurement_approach":"Serum IgG against RSV nucleoprotein measured by ELISA; presence and titers assessed (timepoints not restated here)."}

Recruitment

Planned Sample Size
200
Recruitment Window Months
28
Consent Approach
Written informed consent required; participants (adults >60 years) must complete the written informed consent process. ICF documents available for publication (English and Greek translations present). No assent procedure (not applicable to adult participants).

Geography

Total Number Of Sites
2
Total Number Of Participants
200

Greece

Earliest CTIS Part Ii Submission Date
02-10-2024
Latest Decision Or Authorization Date
31-03-2026
Processing Time Days
545
Number Of Sites
2
Number Of Participants
200

Sites

Site Name
Thoracic General Hospital Of Athens I Sotiria
Department Name
Intensive Care Unit, 1st Department of Respiratory Medicine
Contact Person Name
Nikoletta Rovina
Contact Person Email
nikrovina@med.uoa.gr
Site Name
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara
Department Name
4th Department of Internal Medicine
Contact Person Name
Sotirios Tsiodras
Contact Person Email
tsiodras@med.uoa.gr

Sponsor

Primary sponsor

Full Name
Biothervax SpA
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Chile

Contract research organisations

Name
Pharmassist Ltd.
Responsibilities
sponsorDuties codes: 1,11,12,5,8

Third parties

  • {"country":"Greece","full_name":"Hellenic Pasteur Institute","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Educational Institution"}
  • {"country":"Greece","full_name":"Biomedical Research Foundation Of The Academy Of Athens","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Greece","full_name":"Pharmassist Ltd.","duties_or_roles":"sponsorDuties codes: 1,11,12,5,8","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
rBCG-N-RSV vaccine
Active Substance
MYCOBACTERIUM BOVIS BACILLUS CALMETTE-GUÉRIN, STRAIN DANISH 1331, LIVE, EXPRESSING RESPIRATORY SYNCYTIAL VIRUS, NUCLEOPROTEIN
Modality
Vaccine
Routes Of Administration
INTRADERMAL USE
Route
INTRADERMAL
Authorisation Status
prodAuthStatus:1
Starting Dose
100,000 CFU
Dose Levels
100,000 CFU
Frequency
Single administration
Maximum Dose
0.1 CFU/ml
Investigational Product Name
TUBERCULOSIS, LIVE ATTENUATED
Active Substance
BCG (BACILLUS CALMETTE-GUÉRIN) BACTERIA
Modality
Vaccine
Routes Of Administration
INTRADERMAL USE
Route
INTRADERMAL
Authorisation Status
prodAuthStatus:2
Frequency
Single administration
Maximum Dose
0.1 CFU/ml

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