Whooping Cough
Conditions
Keywords
Bordetella pertussis, Live vaccine, Immunological factors, antibody response, cell immune response, whooping cough
Brief summary
The study should be leaded as a randomized double-blind placebo-controlled comparative research of potency and safety of a GamLPV, a live intranasal Bordetella pertussis vaccine, using two dosing schedules and methods of application in healthy human volunteers. The study contains three periods: screening, inpatient hospitalization and follow-up.
Detailed description
Subjects are divided into two groups - 25 volunteers in each group. Group 1 will receive vaccine/placebo by drop method. Group 2 will receive vaccine/placebo with nasal actuator. After 60 days both groups will repeatedly receive the same dose of vaccine/placebo by the same methods of application. In each group there are 5 volunteers given placebo. Monitoring examination of volunteers is carrying out during 60 days after first and second vaccination. Each group (25 persons) shall be divided into three cohorts (5, 7 and 13 persons). The arm that will receive the drug/ placebo by the dripping method comprises cohorts 1, 3, and 5, and the arm that will receive the drug using the applicator comprises cohorts 2, 4, and 6. Initially, the first and second cohorts (of 5 volunteers each) will be included into the study, respectively. The main purpose of this study is selection of methods of applications and dosing schedules of GamLPV, a live intranasal Bordetella pertussis vaccine.
Interventions
BIOLOGICALVaccine GamLPV
live intranasal vaccine for whooping cough prevention
OTHERPlacebo
Placebo
Sponsors
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Intervention model description
Present clinical trial is a randomized placebo-controlled study for selection of dosing schedules and application methods of GamLPV, a live intranasal Bordetella pertussis vaccine. The study is blinded for volunteers.
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
1. Male or female aged 18 to 40 (inclusively); 2. Healthy verified diagnosis according to standard clinical, laboratory and instrumental examination methods (no somatic disorder of the gastro-intestinal tract (GIT), liver, kidneys, cardiovascular system (CVS), infectious, hematological diseases, cancers (including if the preliminary standard clinical laboratory tests did not reveal any diseases); 3. BMI froim 18 to 30 kg/m2 (inclusively); 4. Consent to use of reliable birth control methods during the test period and for 3 months thereafter (a condom with spermicide); 5. Signed FactSheet and Informed Consent to Participation in the Study. 6. No specific IgM to the pertussis agent (negative IFA finding according to manufacturer's instruction for the anti-pertussis antibody detection test system); 7. Specific anti-pertussis IgG ≤ 45 EU/ml 8. No B.pertussis DNA in nasopharyngeal swabs (based on RT-PCR).
Exclusion criteria
1. Whooping cough in past medical history 2. Vaccination against whooping cough over the past decade 3. Any other anti-infective immunization during last year 4. Any medical condition (renal diseases, hepatic disorders, haematological malignancies, malignant neoplasms and other diseases) which, in the opinion of the investigator, might interfere with the evaluation of the study objectives 5. Vaccine-associated diseases or clinically significant vaccinal reactions in medical history 6. Clinically significant abnormal laboratory values at the discretion of the investigator 7. Positive results of HIV, hepatitis B or C 8. Use of narcotic drugs and/or a history of drug/alcohol abuse 9. Allergic diseases in medical history (in particular drug reaction and food allergy) 10. The subject has donated blood/plasma or suffered from blood loss of at least 450 ml (1 unit of blood) within 6 weeks prior to screening 11. Current participation in any other clinical trial 12. Inability to adhere to the protocol 13. Acute infectious diseases within 4 weeks prior to screening 14. Wheezing on the results of peakflowmetry 15. Significant ECG changes 16. Pregnancy or lactation (for female volunteers) 17. Systolic blood pressure less than 90 mmHg or over than 130 mmHg; diastolic blood pressure less than 60 mmHg or over 90 mmHg 18. Heart rate less than 60 bpm or more than 90 bpm 19. Specific anti-pertussis IgG ≥ 45 EU/ml 20. The presence of B.pertussis DNA in nasopharyngeal swabs (based on RT-PCR).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| methods of applications | the total Time Frame is 140 days after the vaccination | selection of methods of applications of GamLPV, a live intranasal Bordetella pertussis vaccine (drop method or nasal actuator is important for vaccination) |
| dosing schedules | the total Time Frame is 140 days after the vaccination | selection of dosing schedules of GamLPV, a live intranasal Bordetella pertussis vaccine (repeated administration in 60 days) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| specific antibody response to B.pertussis | the total Time Frame is 140 days after the vaccination | Evaluation of the antibody response after single and double intranasal vaccine administration in healthy volunteers with nasal actuator and by drop method compared to placebo. Detection of antibody level (IgG and IgA) in blood serum and nasopharyngeal aspirates in healthy human volunteers by ELISA. |
| cell immune responses to B.pertussis | the total Time Frame is 140 days after the vaccination | Evaluation of cell immune response parameters after single and double intranasal vaccine administration in healthy volunteers with nasal actuator and by drop method compared to placebo. Detection of induced INF- γ and IL-17 quantity in PBMC supernatant (by ELISA). |
| dynamics of bacteria generation in nasopharynx of human volunteers | the total Time Frame is 140 days after the vaccination | Evaluation of bacterial load in oropharynx/nasopharynx over time after single and double intranasal vaccine administration in healthy volunteers with nasal actuator and by drop method (B.pertussis DNA detection by RT-PCR method in nasopharyngeal swabs) |
| Comparative assessment of immunogenicity | the total Time Frame is 140 days after the vaccination | Comparative analysis of GamLPV immunogenicity after single and double intranasal vaccine administration in healthy volunteers with nasal actuator and by drop method (by antibody response evaluation by ELISA) |
Countries
Russia
Contacts
Primary ContactGennady Karataev, PhD
Outcome results
None listed