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Safety and Immunogenicity Study of Self-Amplifying RNA Pandemic Influenza Vaccine in Adults

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Arcturus Therapeutics

Status and phase

Not yet enrolling
Phase 1

Conditions

Influenza, Human

Treatments

Biological: Control vaccine younger adults
Other: Placebo Vaccine
Biological: Control vaccine older adults
Biological: ARCT-2304

Study type

Interventional

Funder types

Industry

Identifiers

NCT06602531
ARCT-2304-01

Details and patient eligibility

About

The goal of this clinical trial is to evaluate the safety and immune responses of three different dose levels a self-amplifying RNA pandemic influenza vaccine (ARCT-2304) in adults. The key objectives of the study are:

  • To evaluate safety and reactogenicity of different dose levels of the ARCT-2304 vaccine
  • To describe the Immune responses of different dose levels of the ARCT-2304 vaccine as measured by hemagglutination inhibition (HAI) and neuraminidase enzyme-linked lectin (ELLA) antibody responses

Researchers will compare the results with licensed influenza vaccines to select the most optimal dose level and schedule for vaccine administration in terms of safety and immunogenicity for further development of the vaccine.

Participants will receive 2 doses of the ARCT-2304 vaccine or 1 dose of licensed influenza vaccine and 1 dose of placebo.

They will be asked:

  • to complete a daily diary for 7 days after each vaccination, answering questions how they have been feeling on that day.
  • to provide blood samples at each visit in the clinic
  • to comply with all study visits and procedures (e.g., be available for planned telephone contacts and unscheduled clinic visits, if required)

Full description

Phase 1, first-in-human, randomized, controlled, observer blind, dose level and schedule-finding study, to evaluate the safety, reactogenicity, and immunogenicity of a self-amplifying mRNA pandemic influenza (H5N1) vaccine (ARCT-2304) when administered as a 2-dose vaccination series to healthy adults in comparison with an inactivated influenza vaccine.

Study drug (ARCT-2304 or control) will be administered as a 2-dose vaccination series as an intramuscular (IM) injection. The study comprises two parts.

In Part 1, 120 participants (young adults) will be randomized to one of the three dose levels of the ARCT-2304 vaccine or control vaccine. Participants will be further randomized to one of the two different vaccination schedules.

In Part 2, 80 participants (older adults) will be randomized to one of the three dose levels of the ARCT-2304 vaccine or control vaccine. Participants will be further randomized to one of the two different vaccination schedules.

Investigational Vaccine: ARCT-2304

Control Vaccines: licensed influenza vaccines

Enrollment

200 estimated patients

Sex

All

Ages

18 to 80 years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Main Inclusion Criteria:

  • Individuals are male or female adults 18-80 years of age.
  • Healthy participants or participants with pre-existing stable medical conditions.
  • Individuals of childbearing potential must be willing to adhere to contraceptive requirements.

Main Exclusion Criteria:

  • Individuals with acute medical conditions or febrile illness, including body temperature ≥100.4°F (≥38.0°C measured by any method) within 3 days prior to randomization.
  • Individuals with a known history of severe hypersensitivity reactions, including anaphylaxis, or other significant adverse reactions to any mRNA vaccine, influenza vaccine, or excipients.
  • Individuals with a history of myocarditis, pericarditis, myopericarditis, or cardiomyopathy.
  • Individuals who received any influenza vaccine within 3 months prior to first vaccine administration or plan to receive an influenza vaccine during the study period.
  • Individuals who have received mRNA vaccination within 60 days before the first vaccine administration.
  • Individuals who have received or plan to receive an A/H5N1 influenza vaccine and/or individuals who had substantial exposure to or direct contact with poultry, wild birds, live cattle, or raw milk.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

200 participants in 16 patient groups

Low dose of ARCT-2304, Schedule 1, Young Adults
Experimental group
Description:
Low dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Mid dose of ARCT-2304, Schedule 1, Young Adults
Experimental group
Description:
Mid dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
High dose of ARCT-2304, Schedule 1, Young Adults
Experimental group
Description:
High dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Control, Schedule 1, Young Adults
Active Comparator group
Description:
Control Vaccine (dose 1) and placebo (dose 2) administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: Comparator vaccine younger adult and saline placebo vaccine
Treatment:
Other: Placebo Vaccine
Biological: Control vaccine younger adults
Low dose of ARCT-2304, Schedule 1, Older Adults
Experimental group
Description:
Low dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Mid dose of ARCT-2304, Schedule 1, Older Adults
Experimental group
Description:
Mid dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
High dose of ARCT-2304, Schedule 1, Older Adults
Experimental group
Description:
High dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Control, Schedule 1, Older Adults
Active Comparator group
Description:
Older Adults Control Vaccine (dose 1) and placebo (dose 2) administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 1 Investigational Vaccine: Comparator vaccine older adult and saline
Treatment:
Other: Placebo Vaccine
Biological: Control vaccine older adults
Low dose of ARCT-2304, Schedule 2, Young Adults
Experimental group
Description:
Low dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Mid dose of ARCT-2304, Schedule 2, Young Adults
Experimental group
Description:
Mid dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
High dose of ARCT-2304, Schedule 2, Young Adults
Experimental group
Description:
High dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Control, Schedule 2, Young Adults
Active Comparator group
Description:
Young Adults Control Vaccine (dose 1) and placebo (dose 2) administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: Comparator vaccine younger adult and saline placebo vaccine
Treatment:
Other: Placebo Vaccine
Biological: Control vaccine younger adults
Low dose of ARCT-2304, Schedule 2, Older Adults
Experimental group
Description:
Low dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Mid dose of ARCT-2304, Schedule 2, Older Adults
Experimental group
Description:
Mid dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
High dose of ARCT-2304, Schedule 2, Older Adults
Experimental group
Description:
High dose of ARCT-2304 administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: ARCT-2304
Treatment:
Biological: ARCT-2304
Control, Schedule 2, Older Adults
Active Comparator group
Description:
Older Adults Control Vaccine (dose 1) and placebo (dose 2) administered through intramuscular injection in the deltoid muscle. Interventions: 2-dose regimen, schedule 2 Investigational Vaccine: Comparator vaccine older adult and saline placebo vaccine
Treatment:
Other: Placebo Vaccine
Biological: Control vaccine older adults

Trial contacts and locations

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Central trial contact

Clinical Trial Disclosure Manager

Data sourced from clinicaltrials.gov

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