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Completed

NCT Number: NCT06890429

Phase 2 Study of the RSV/Flu-01E Vaccine Against Respiratory Syncytial Virus Infection in Older Adults

The aim of the study is to investigate immunogenicity and safety of the RSV/Flu-01E intranasal vaccine for the prevention of respiratory syncytial virus infection in volunteers over 60 years

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia

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About this study

Study includes 120 participants over 60 years randomized at 3:1 ratio, to receive single intranasal dose of RSV/Flu-01E vaccine or placebo, correspondingly. Duration of the study for each participant is about 4 months (118±3 days)

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Availability of signed informed consent
  • Adult men and women over the age of 60.
  • The diagnosis is "healthy", verified according to standard clinical, laboratory and instrumental methods of examination or the presence of a chronic disease, if the researcher considers it to be compensated.
  • BMI from 18 to 30 kg/m2.
  • The ability and willingness to make entries in the diary of self-observation, as well as to carry out all the visits foreseen in the study for control medical observation
  • Negative test for alcohol in exhaled air
  • Values of the complete blood count and biochemical blood analysis (during the screening) within 0.9*reference range lower limit and 1,1 * reference range upper limit
  • Negative tests for HIV, hepatitis B, hepatitis C, and syphilis

Exclusion criteria

  • Participation in another clinical study within three months prior to the start of the current study; planning to participate in another study during the current study period
  • Contact with COVID-19 patients within 14 days prior to the start of the clinical study
  • Positive rapid test result for SARS-CoV-2 antigen
  • Immunization with any other non-study vaccine product within three weeks prior to enrollment in the current study, or refusal to postpone such until the end of the three-week period after completion of the current study
  • Regular use of nasal irrigation therapy during the last six months prior to enrollment in the current study or episodic use of the above method of treatment in the two weeks prior to the screening
  • History of frequent nosebleeds (>5) during the year prior to the current study
  • Features of the nasal anatomy that may complicate intranasal administration of the study drug
  • Surgical interventions or traumatic injuries in the sinus area, paranasal sinuses, or traumatic injuries of the nose within a month before screening
  • Symptoms of acute respiratory disease, including fever, or other acute illness at the time of screening or within two weeks prior to screening
  • Treatment with immunoglobulins or other blood derived medications in the three months prior to screening or planning such treatment during the period of participation in the current study
  • Donation of blood/plasma (450 ml or more) less than 2 months prior to screening.
  • The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions or continuous use (the drug was prescribed for more than 14 days without a break) of immunosuppressive drugs, immunomodulators for 6 months before the screening.
  • History of bronchial asthma
  • Hypersensitivity and the presence of severe allergic reactions, including Quincke's edema, anaphylactic shock after the previous administration of any vaccine
  • History of wheezing after previous immunization with live influenza vaccine
  • Other adverse events after immunization (fever above 40°C, syncope, non-febrile convulsions, anaphylaxis) when there is a minimal likelihood that they are associated with a previous administration of any vaccine
  • Suspicion of hypersensitivity to any component of the study vaccine, including egg protein
  • Acute or chronic clinically significant lung, cardiovascular, hepatic, endocrine, neurological, or psychiatric disorders, or impaired renal function identified by history, physical examination, or clinical laboratory findings that, in the opinion of the investigator, may influence the outcome of the study
  • History of oncological diseases
  • History of thrombocytopenic purpura or bleeding disorders
  • History of convulsions
  • Tuberculosis or residual changes after tuberculosis according to the anamnesis and / or available medical documentation
  • Chronic alcohol dependence or chronic use of illicit drugs, drug abuse
  • Claustrophobia and social phobia according to history and / or available medical records
  • Inability to read Russian; inability or unwillingness to understand the essence of the study
  • Military personnel serving in the military or law enforcement officers.
  • Special diet (eg, vegetarian, vegan, salt-restricted) or lifestyle (night work, extreme physical activity)
  • Any condition that, in the opinion of the investigator, may increase the risk to the health of a volunteer participating in the study or affect the results of the study

Treatment and study plan

RSV/Flu-01E

Biological

Participants will receive single intranasal injection of RSV/Flu-01E vaccine in 0.5 ml, containing 8.4 lg EID50 of A/H1N1pdm09 recombinant attenuated influenza vector with modified NS gene, encoding for the F antigen of respiratory syncytial virus

Placebo

Other

Participants will receive single intranasal injection of physiological buffer solution in 0.5 ml

Primary outcomes

  1. Level of RSV F antigen-specific cytokine producing CD4+ and CD8+ T-cells

    Time frame: Days 1, 7, 28

    Change from baseline in the level of cytokine producing CD4+ and CD8+ T-cells upon in vitro stimulation of PBMC with RSV F-peptide epitopes measured by FACS/ELISPOT

  2. Level of the RSV F antigen-specific Th1/Th2 cytokine release in whole blood assay

    Time frame: Days 1, 7, 28

    Change from the baseline of the cytokine concentration in whole-blood cytokine release assay upon in vitro stimulation with RSV F-peptide epitopes measured in ELISA

Secondary outcomes

  1. Number of participants with local and systemic adverse events (AEs) and serious adverse events (SAEs)

    Time frame: Throughout the study, average 4 months

    Adverse events (AEs) and serious AEs (SAEs), both vaccine related, and non-vaccine related; AEs/SAEs of particular importance:

    • Immediate AEs (allergic reactions) occurring within two hours of vaccination.
    • Post-vaccination reactions (anticipated clinical manifestations of a local and systemic nature), usually due to intranasal vaccination between two hours and the next 7 days after vaccination
  2. Concentration of cytokines in nasal secrets after vaccination

    Time frame: Days 1, 2, 3

    Change from baseline in the concentration of cytokines in nasal secrets measured in ELISA

  3. Level of RSV F antigen-specific IgG antibody in serum

    Time frame: Days 1, 28, 118±3

    Change from the baseline in the level of RSV F antigen-specific serum IgG antibodies measured in ELISA

  4. Influenza specific systemic antibody immune response

    Time frame: Days 1, 28, 118±3

    Change from the baseline in the titer of influenza specific antibodies in serum measured in hemagglutination inhibition/microneutralization assay

  5. Level of mucosal IgA antibody in nasal secret

    Time frame: Days 1, 28

    Change from the baseline in the level of IgA antibody measured in ELISA in nasal secret

  6. Level of influenza specific cytokine release in whole blood assay

    Time frame: Days 1, 7, 28

    Change from the baseline of the cytokine concentration in whole-blood cytokine release assay upon in vitro stimulation with influenza A/H1N1pdm antigen measured in ELISA

  7. Level of B-cell populations

    Time frame: Days 1, 7, 28

    Change from the baseline in the relative amount of B-cell populations in PBMC measured by FACS

Sponsors and collaborators

Lead sponsor

Research Institute of Influenza, Russia

Other

Collaborators

  • Pavlov First Saint Petersburg State Medical University
  • St. Petersburg City Polyclinic No. 34

Registry information

Official study title

Randomized, Double-blind, Placebo-controlled Phase 2 Trial of RSV/Flu-01E Vaccine for the Prevention of Respiratory Syncytial Virus Infection in Volunteers Over 60 Years

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Mar 24, 2025
Registry last updated
Mar 24, 2025

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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