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Safety and Immunogenicity of CodaVax-RSV in Seropositive and Seronegative Children

C

Codagenix

Status and phase

Active, not recruiting
Phase 1

Conditions

Respiratory Syncytial Virus Infections

Treatments

Biological: CodaVax-RSV
Biological: Normal Saline

Study type

Interventional

Funder types

Industry

Identifiers

NCT04919109
CDX-RSV-101P

Details and patient eligibility

About

This study is a Phase 1, randomized, double-blind, placebo-controlled, dose-escalation clinical trial to evaluate the safety of and immune response to CodaVax-RSV in healthy children. They will be vaccinated in spring to early autumn 2023 and followed through the 2023-24 RSV season. 18 children aged 2 to 5 years who are RSV-seropositive (have antibodies to RSV) and 33 children aged 6 months to < 2 years who are RSV-seronegative (do not have antibodies to RSV) will be enrolled in escalating-dose cohorts. A safety committee will review the safety profile of each dosing group before the next dose-escalation. Children will receive 2 doses of the vaccine at one of several dose levels or placebo (saline solution with no active ingredient) as nose drops; doses will be 28 days apart.

A parent/guardian will record temperature and other conditions in a diary daily for 7 days after each dose. The parent/guardian will be contacted by telephone on the day after Dose 1 for safety assessment and review of the diary data. Children will return to the clinic 3, 7, 14, and 28 days after each dose. The parent/guardian will then be contacted by telephone monthly until 1 year after the second dose.

Study procedures include physical examinations, vital signs, and collections of blood and nose/throat swab samples to look at safety of the vaccine and to analyze body's immune response.

Enrollment

51 estimated patients

Sex

All

Ages

6 months to 5 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. Age at the time of informed consent:

    • Part A: 2 to 5 years, inclusive
    • Part B: 6 months to < 2 years
  2. RSV Status at Screening:

    • Part A: RSV-seropositive
    • Part B: RSV-seronegative
  3. Good general health status

  4. Product of normal full-term pregnancy (36 to 42 weeks gestation)

Exclusion criteria

  1. Household contact with any of the following groups of individuals for the period up to 14 days after each dose:

    • Pregnant women

    • Infants < 6 months of age

    • With hospitalization for asthma or other chronic respiratory disease in the past 5 years

    • Immunocompromised individuals, which includes, but is not limited to, those with the following conditions:

      • AIDS
      • Receipt of chemotherapy within the past 6 months
      • Current receipt of immunosuppressive agents
      • Solid organ or bone marrow transplant
  2. Enrolled in the same classroom at full-time day care with infants < 6 months of age for 14 days after each dose

  3. Household contact of another child enrolled into the study

  4. Inadequate venous access for repeated phlebotomy

  5. Height and weight ≤ 5th percentile for age and sex (according to CDC growth charts for children in Part A, according to World Health Organization Child Growth Standards for children in Part B)

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Sequential Assignment

Masking

Quadruple Blind

51 participants in 5 patient groups, including a placebo group

Placebo comparator
Placebo Comparator group
Description:
Administered as nose drops
Treatment:
Biological: Normal Saline
Experimental: CodaVax-RSV 10^6 PFU
Experimental group
Description:
Respiratory syncytial virus live attenuated vaccine against RSV administered as nose drops
Treatment:
Biological: CodaVax-RSV
Experimental: CodaVax-RSV 10^5 PFU
Experimental group
Description:
Respiratory syncytial virus live attenuated vaccine against RSV administered as nose drops
Treatment:
Biological: CodaVax-RSV
Experimental: CodaVax-RSV 10^4 PFU
Experimental group
Description:
Respiratory syncytial virus live attenuated vaccine against RSV administered as nose drops
Treatment:
Biological: CodaVax-RSV
Experimental: CodaVax-RSV 10^3 PFU
Experimental group
Description:
Respiratory syncytial virus live attenuated vaccine against RSV administered as nose drops
Treatment:
Biological: CodaVax-RSV

Trial contacts and locations

5

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Central trial contact

Clinical Operations

Data sourced from clinicaltrials.gov

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