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Completed

NCT Number: NCT03455309

Evaluation of NDV-3A Vaccine in Preventing S. Aureus Colonization

The proposed study aims to further evaluate the safety and immunogenicity of a candidate S. aureus vaccine NDV-3A, as well as its efficacy against acquisition of S. aureus

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Key information

Age range

17 year–35 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 2

Primary location

Fort Benning

Fort Benning, Georgia, 31905, United States

About this study

The investigators will conduct a Phase 2 clinical trial to evaluate the safety, immunogenicity, and efficacy of candidate vaccine NDV-3A (NovaDigm Therapeutics, Inc.) to prevent incident nasal acquisition of S. aureus among a population of military recruits at increased risk for S. aureus colonization and disease. Colonization is a risk factor for skin and soft tissue infection (SSTI), and the anterior nares is an important reservoir for S. aureus. Use of S. aureus nasal colonization (specifically, incident nasal colonization with S. aureus post-vaccination) as a primary endpoint will allow the investigators to pursue a statistically-valid and meaningful parameter related to S. aureus SSTI. The proposed trial may yield evidence to warrant evaluation of NDV-3A efficacy against SSTI in a large-scale, Phase 2/3 trial in this high risk population.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Active duty, male subject, 17-35 years of age, inclusive, at the time of screening.
  • Assigned to one of the selected companies/battalions
  • Informed of the nature of the study and has agreed to and is able to read, review, and sign the informed consent document prior to screening.
  • Free of known significant health problems as established by the requirements to be enrolled in a military training program before entering into the study.
  • Agrees to be reachable by phone, email or letter at 6 months post-vaccination.

Exclusion criteria

  • Reports receiving any investigational drug, investigational vaccine, or investigational device within 30 days prior to dosing; subjects will be allowed to receive routine vaccinations associated with training and any other prescribed medications not in the exclusion criteria.
  • Presence of clinically significant SSTI (e.g., cellulitis, abscess) at screening or other skin or skin structure infections that would confound the interpretation of clinical response.
  • Reports a history of allergic response(s), anaphylaxis, or other serious reactions to previous vaccinations.
  • Reports a history of allergies to yeast
  • Reports a history of anaphylaxis or other serious reactions to aluminum.
  • Reports a history of autoimmune disease (psoriasis, etc.)
  • Seropositive for HIV antibody.
  • Reports the use of any immunosuppressive drugs, including systemic corticosteroids (more than 14 days at a dose of >20 mg/day prednisone or equivalent), within 4 weeks prior to dosing.
  • Reports receiving any blood products within 3 months prior to dosing.
  • Reports donating blood/plasma within 28 days prior to dosing.
  • Illness causing temperature ≥ 100.4°F
  • Evidence of abnormal, unresolved laboratory results in the subject's medical record for the following tests: hemoglobin, white blood cell count, platelet count, creatinine, and alanine aminotransferase
  • Any other medical and/or social reason which, in the opinion of the investigator(s), would increase the subject's risk of having an adverse reaction as a result of participation in the study.

Treatment and study plan

NDV-3A

Biological

Single dose administered by intramuscular injection

Placebo

Biological

Single dose administered by intramuscular injection

Primary outcomes

  1. Prevent acquisition of incident Staphylococcus aureus nasal colonization

    Time frame: 56 days post-vaccination

    Change in incident Staphylococcus aureus nasal colonization by study day 56 in a population of US Army trainees at Ft. Benning, GA

Secondary outcomes

  1. Evaluation of the efficacy of the NDV-3A vaccine

    Time frame: 0-90 days

    Describe SSTI rates within the training company as defined by the development of skin and soft tissue infection (SSTI) over the training period as compared to other companies in the battalion as well as historical data

  2. Evaluation of the efficacy of the NDV-3A vaccine

    Time frame: 0-90 days

    Describe NDV-3A-associated delay in time to first nasal acquisition of S. aureus colonization

  3. Evaluation of the efficacy of the NDV-3A vaccine

    Time frame: 0-90 days

    Describe reduction in cross-sectional prevalence of S. aureus nasal/oral colonization

  4. Evaluation of safety and tolerability in all subjects

    Time frame: 0-7 days

    Occurrence of solicited adverse events (AE) over a 7-day follow-up period following vaccination

  5. Evaluation of safety and tolerability in all subjects

    Time frame: 0-28 days

    Occurrence of unsolicited AEs over a 28-day follow-up period following vaccination

  6. Evaluation of safety and tolerability in all subjects

    Time frame: 0-90 days

    Occurrence of serious adverse events (SAE) or Adverse Events of Special Interest (AESI) at any time during the study period (enrollment to final in-person follow-up visit)

  7. Measurement and characterization of immunogenicity of NDV-3A

    Time frame: 0-90 days

    Describe the humoral immune response induced by NDV-3A using ELISA analysis of serum

  8. Measurement and characterization of immunogenicity of NDV-3A

    Time frame: 0-14 days

    Describe the cell mediated immune responses induced by NDV-3A using ELISpot analysis of PBMCs

  9. Describe the impact of NDV-3A on S. aureus acquisition and transmission

    Time frame: 0-90 days

    Following determination of taxonomy (via sequencing of 16S rRNA), determine the relative abundance and distribution of, and change in, bacterial species colonizing the nose and throat (i.e. nasal/oral microbiome) of military trainees during the training period.

  10. Describe the impact of NDV-3A on S. aureus acquisition and transmission

    Time frame: 0-90 days

    Compare the compositions of the nasal/oral microbiome between study groups to assess the impact of NDV-3A vaccine on the nasal/oral microbiome.

  11. Describe the impact of NDV-3A on S. aureus acquisition and transmission

    Time frame: 0-90 days

    Utilize a combination of epidemiologic, microbiologic, and genomic data on colonization isolates to describe the intra-class transmission dynamics of S. aureus among congregate military trainees

  12. Describe the impact of NDV-3A on S. aureus acquisition and transmission

    Time frame: 0-90 days

    Conduct whole genome sequencing on isolates to describe the intra- and inter-host concordance of infecting and colonizing strains of S. aureus

Sponsors and collaborators

Lead sponsor

NovaDigm Therapeutics, Inc.

Industry

Collaborators

  • Infectious Diseases Clinical Research Program
  • Uniformed Services University of the Health Sciences

Registry information

Official study title

A Phase 2 Double-blind Placebo-controlled Study to Evaluate the Safety, Immunogenicity and Efficacy of NDV-3A Vaccine in Preventing S. Aureus Colonization

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Mar 6, 2018
Registry last updated
Jan 29, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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