Title

Study to Evaluate Safety, Tolerability, and Immunogenicity of Candidate Human Cytomegalovirus Vaccine in Healthy Adults
A Phase 1 Randomized, Observer-Blind, Placebo-Controlled, Study to Evaluate the Safety, Tolerability, and Immunogenicity of the Candidate Human Cytomegalovirus Vaccine (VBI-1501) in Healthy Adults
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Intervention/Treatment

    vbi-1501 ...
  • Study Participants

    128
The purpose of this study is to compare the safety and effectiveness of four different doses of cytomegalovirus vaccines in healthy adults.
This study is designed to assess safety and immunogenicity of four dose formulations of cytomegalovirus (CMV) vaccine (0.5 μg gB content with aluminum phosphate (alum), 1.0 μg glycoprotein B (gB) content with alum, 2.0 μg gB content with alum, or 1.0 μg gB content (without alum) as compared with placebo in approximately 125 healthy CMV-seronegative volunteer participants between 18 and 40 years of age.
Study Started
Jun 23
2016
Primary Completion
Sep 15
2016
Study Completion
Aug 24
2017
Results Posted
Apr 20
2020
Last Update
Apr 20
2020

Drug VBI-1501A 0.5 μg

VBI-1501A: 0.5 μg with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

Drug VBI-1501A 1.0 μg

VBI-1501A: 1.0 μg with alum with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

Drug VBI-1501A 2.0 μg

VBI-1501A: 2.0 μg with alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

Drug VBI-1501 1.0 μg

VBI-1501: 1.0 μg without alum-administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168

Drug Placebo

buffer/sucrose used for VBI-1501 suspension- administered as a 0.5 mL intramuscular injection on Days 0, 56, and 168.

VBI-1501A: 0.5µg with adjuvant Experimental

0.5µg CMV vaccine with adjuvant

VBI-1501A: 1.0µg with adjuvant Experimental

1.0µg CMV vaccine with adjuvant

VBI-1501A: 2.0 µg with adjuvant Experimental

2.0 µg CMV vaccine with adjuvant

VBI-1501: 1.0µg without adjuvant Experimental

1.0µg CMV vaccine without adjuvant

Placebo Placebo Comparator

Buffer/sucrose used for VBI-1501 suspension

Criteria

Inclusion Criteria:

Generally healthy adult female and male 18 to 40 years of age, inclusive;
Serologically confirmed to be CMV seronegative at screening;
Female volunteers must agree to use an adequate contraception method as deemed appropriate by the investigator
Sign an informed consent document indicating understanding of the purpose and procedures required for the study and willingness to participate in the study

Exclusion Criteria:

History of or current clinically significant medical illness or any other illness that in the opinion of the investigator interferes with the interpretation of the study results
Clinically significant abnormal physical examination, vital signs, or clinically significant abnormal values for hematology, clinical chemistry or urinalysis at screening as determined by the investigator
Previous receipt of any cytomegalovirus vaccine
History of allergic reactions or anaphylactic reaction to any vaccine component
Pregnant or breastfeeding or plans to conceive from two weeks before the study start through six months after the last dose of study vaccine
Known or suspected impairment of immunological function, including but not limited to autoimmune diseases, splenectomy, or HIV/AIDS
Chronic administration (defined as more than 14 days in total) of immune-suppressive or other immune-modifying drug with six months prior to the product dose (for corticosteroids, this is defined as prednisone ≥20 mg/day or equivalent). Inhaled and topical steroids are allowed
Participation in another clinical study within 30 days or plans to participate in another treatment based clinical study during the conduct of the present study
Any skin abnormality or tattoo that would limit post-vaccination injection site assessment
Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease
Are family members of study center staff

Summary

VBI-1501A: 0.5µg With Adjuvant

VBI-1501A: 1.0µg With Adjuvant

VBI-1501A: 2.0 µg With Adjuvant

VBI-1501: 1.0µg Without Adjuvant

Placebo

All Events

Event Type Organ System Event Term VBI-1501A: 0.5µg With Adjuvant VBI-1501A: 1.0µg With Adjuvant VBI-1501A: 2.0 µg With Adjuvant VBI-1501: 1.0µg Without Adjuvant Placebo

Number of Participants With Any Serious Adverse Event

VBI-1501A: 0.5µg With Adjuvant

VBI-1501A: 1.0µg With Adjuvant

VBI-1501A: 2.0 µg With Adjuvant

VBI-1501: 1.0µg Without Adjuvant

Placebo

Number of Participants With Local and Systemic Adverse Events During Seven-Day Follow-Up Period

VBI-1501A: 0.5µg With Adjuvant

Armpit Swelling, Dose 1

Armpit Swelling, Dose 2

Armpit Swelling, Dose 3

Diarrhea, Dose 1

Diarrhea, Dose 2

Diarrhea, Dose 3

Fatigue, Dose 1

Fatigue, Dose 2

Fatigue, Dose 3

Headache, Dose 1

Headache, Dose 2

Headache, Dose 3

Malaise, Dose 1

Malaise, Dose 2

Malaise, Dose 3

Myalgia, Dose 1

Myalgia, Dose 2

Myalgia, Dose 3

Nausea/Vomiting, Dose 1

Nausea/Vomiting, Dose 2

Nausea/Vomiting, Dose 3

Neck Swelling, Dose 1

Neck Swelling, Dose 2

Neck Swelling, Dose 3

Pain at injection site, Dose 1

Pain at injection site, Dose 2

Pain at injection site, Dose 3

VBI-1501A: 1.0µg With Adjuvant

Armpit Swelling, Dose 1

Armpit Swelling, Dose 2

Armpit Swelling, Dose 3

Diarrhea, Dose 1

Diarrhea, Dose 2

Diarrhea, Dose 3

Fatigue, Dose 1

Fatigue, Dose 2

Fatigue, Dose 3

Headache, Dose 1

Headache, Dose 2

Headache, Dose 3

Malaise, Dose 1

Malaise, Dose 2

Malaise, Dose 3

Myalgia, Dose 1

Myalgia, Dose 2

Myalgia, Dose 3

Nausea/Vomiting, Dose 1

Nausea/Vomiting, Dose 2

Nausea/Vomiting, Dose 3

Neck Swelling, Dose 1

Neck Swelling, Dose 2

Neck Swelling, Dose 3

Pain at injection site, Dose 1

Pain at injection site, Dose 2

Pain at injection site, Dose 3

VBI-1501A: 2.0 µg With Adjuvant

Armpit Swelling, Dose 1

Armpit Swelling, Dose 2

Armpit Swelling, Dose 3

Diarrhea, Dose 1

Diarrhea, Dose 2

Diarrhea, Dose 3

Fatigue, Dose 1

Fatigue, Dose 2

Fatigue, Dose 3

Headache, Dose 1

Headache, Dose 2

Headache, Dose 3

Malaise, Dose 1

Malaise, Dose 2

Malaise, Dose 3

Myalgia, Dose 1

Myalgia, Dose 2

Myalgia, Dose 3

Nausea/Vomiting, Dose 1

Nausea/Vomiting, Dose 2

Nausea/Vomiting, Dose 3

Neck Swelling, Dose 1

Neck Swelling, Dose 2

Neck Swelling, Dose 3

Pain at injection site, Dose 1

Pain at injection site, Dose 2

Pain at injection site, Dose 3

VBI-1501: 1.0µg Without Adjuvant

Armpit Swelling, Dose 1

Armpit Swelling, Dose 2

Armpit Swelling, Dose 3

Diarrhea, Dose 1

Diarrhea, Dose 2

Diarrhea, Dose 3

Fatigue, Dose 1

Fatigue, Dose 2

Fatigue, Dose 3

Headache, Dose 1

Headache, Dose 2

Headache, Dose 3

Malaise, Dose 1

Malaise, Dose 2

Malaise, Dose 3

Myalgia, Dose 1

Myalgia, Dose 2

Myalgia, Dose 3

Nausea/Vomiting, Dose 1

Nausea/Vomiting, Dose 2

Nausea/Vomiting, Dose 3

Neck Swelling, Dose 1

Neck Swelling, Dose 2

Neck Swelling, Dose 3

Pain at injection site, Dose 1

Pain at injection site, Dose 2

Pain at injection site, Dose 3

Placebo

Armpit Swelling, Dose 1

Armpit Swelling, Dose 2

Armpit Swelling, Dose 3

Diarrhea, Dose 1

Diarrhea, Dose 2

Diarrhea, Dose 3

Fatigue, Dose 1

Fatigue, Dose 2

Fatigue, Dose 3

Headache, Dose 1

Headache, Dose 2

Headache, Dose 3

Malaise, Dose 1

Malaise, Dose 2

Malaise, Dose 3

Myalgia, Dose 1

Myalgia, Dose 2

Myalgia, Dose 3

Nausea/Vomiting, Dose 1

Nausea/Vomiting, Dose 2

Nausea/Vomiting, Dose 3

Neck Swelling, Dose 1

Neck Swelling, Dose 2

Neck Swelling, Dose 3

Pain at injection site, Dose 1

Pain at injection site, Dose 2

Pain at injection site, Dose 3

Number of Participants With Any Adverse Event

VBI-1501A: 0.5µg With Adjuvant

Post-Dose 1

Post-Dose 2

Post-Dose 3

Through Day 336 or Early Withdrawal

VBI-1501A: 1.0µg With Adjuvant

Post-Dose 1

Post-Dose 2

Post-Dose 3

Through Day 336 or Early Withdrawal

VBI-1501A: 2.0 µg With Adjuvant

Post-Dose 1

Post-Dose 2

Post-Dose 3

Through Day 336 or Early Withdrawal

VBI-1501: 1.0µg Without Adjuvant

Post-Dose 1

Post-Dose 2

Post-Dose 3

Through Day 336 or Early Withdrawal

Placebo

Post-Dose 1

Post-Dose 2

Post-Dose 3

Through Day 336 or Early Withdrawal

Number of Participants With Any Hematological or Biochemical Laboratory Abnormality

Blood and urine samples were collected at screening for all evaluations with additional blood samples obtained on Days 28, 56, 84, 168, 196, 280, and 336. The following clinical laboratory evaluations were performed: Biochemistry: alanine aminotransferase; aspartate aminotransferase; creatinine; blood urea nitrogen; Hematology: neutrophils, lymphocytes, eosinophils, hemoglobin, platelet count, white blood cell count; Infection status: HIV, hepatitis B, hepatitis C, and cytomegalovirus; and Urinalysis: blood, glucose, protein.

VBI-1501A: 0.5µg With Adjuvant

Day 168

Day 196

Day 28

Day 280

Day 336

Day 56

Day 84

VBI-1501A: 1.0µg With Adjuvant

Day 168

Day 196

Day 28

Day 280

Day 336

Day 56

Day 84

VBI-1501A: 2.0 µg With Adjuvant

Day 168

Day 196

Day 28

Day 280

Day 336

Day 56

Day 84

VBI-1501: 1.0µg Without Adjuvant

Day 168

Day 196

Day 28

Day 280

Day 336

Day 56

Day 84

Placebo

Day 168

Day 196

Day 28

Day 280

Day 336

Day 56

Day 84

Geometric Mean Titer of Antibody Binding to CMV gB

VBI-1501A: 0.5µg With Adjuvant

Day 0

1126.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 168

2578.32
Titer (Geometric Mean)
Standard Deviation: 2.04

Day 196

24832.8
Titer (Geometric Mean)
Standard Deviation: 3.56

Day 28

Day 280

8736.27
Titer (Geometric Mean)
Standard Deviation: 4.24

Day 336

4977.61
Titer (Geometric Mean)
Standard Deviation: 3.09

Day 56

1461.82
Titer (Geometric Mean)
Standard Deviation: 1.15

Day 84

7410.59
Titer (Geometric Mean)
Standard Deviation: 2.59

VBI-1501A: 1.0µg With Adjuvant

Day 0

Day 168

3554.05
Titer (Geometric Mean)
Standard Deviation: 2.48

Day 196

32600.15
Titer (Geometric Mean)
Standard Deviation: 3.27

Day 28

863.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 280

13564.41
Titer (Geometric Mean)
Standard Deviation: 3.06

Day 336

9543.19
Titer (Geometric Mean)
Standard Deviation: 3.58

Day 56

933.07
Titer (Geometric Mean)
Standard Deviation: 1.16

Day 84

10378.98
Titer (Geometric Mean)
Standard Deviation: 2.87

VBI-1501A: 2.0 µg With Adjuvant

Day 0

Day 168

5344.2
Titer (Geometric Mean)
Standard Deviation: 3.38

Day 196

48189.54
Titer (Geometric Mean)
Standard Deviation: 2.73

Day 28

Day 280

25574.36
Titer (Geometric Mean)
Standard Deviation: 3.65

Day 336

12351.83
Titer (Geometric Mean)
Standard Deviation: 3.79

Day 56

691.9
Titer (Geometric Mean)
Standard Deviation: 1.21

Day 84

15212.9
Titer (Geometric Mean)
Standard Deviation: 2.54

VBI-1501: 1.0µg Without Adjuvant

Day 0

1077.29
Titer (Geometric Mean)
Standard Deviation: 1.85

Day 168

1901.01
Titer (Geometric Mean)
Standard Deviation: 2.00

Day 196

12579.63
Titer (Geometric Mean)
Standard Deviation: 5.79

Day 28

1493.8
Titer (Geometric Mean)
Standard Deviation: 2.05

Day 280

5877.74
Titer (Geometric Mean)
Standard Deviation: 5.45

Day 336

3719.56
Titer (Geometric Mean)
Standard Deviation: 3.80

Day 56

1468.22
Titer (Geometric Mean)
Standard Deviation: 1.93

Day 84

3097.78
Titer (Geometric Mean)
Standard Deviation: 3.24

Placebo

Day 0

505.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 168

1241.41
Titer (Geometric Mean)
Standard Deviation: 3.21

Day 196

2086.94
Titer (Geometric Mean)
Standard Deviation: 1.91

Day 28

580.3
Titer (Geometric Mean)
Standard Deviation: 1.15

Day 280

3115.63
Titer (Geometric Mean)
Standard Deviation: 1.35

Day 336

2907.15
Titer (Geometric Mean)
Standard Deviation: 5.73

Day 56

1072.06
Titer (Geometric Mean)
Standard Deviation: 1.41

Day 84

1306.99
Titer (Geometric Mean)
Standard Deviation: 1.01

Geometric Mean Titer of Antibody Avidity Index Value Against gB

To measure the avidity of responses against CMV gB protein, a standard ELISA assay using recombinant gB protein which did or did not include treatment with 5M urea for 30 minutes of samples after sera had been incubated with recombinant protein. The reported value, or Avidity Index, represents the percent of signal measured in ELISA after treatment with urea relative to samples not exposed to urea.

VBI-1501A: 0.5µg With Adjuvant

Day 196

77.17
Avidity index (Geometric Mean)
Standard Deviation: 1.14

Day 28

38.98
Avidity index (Geometric Mean)
Standard Deviation: 1.79

Day 336

74.82
Avidity index (Geometric Mean)
Standard Deviation: 1.18

Day 84

64.56
Avidity index (Geometric Mean)
Standard Deviation: 1.20

VBI-1501A: 1.0µg With Adjuvant

Day 196

79.58
Avidity index (Geometric Mean)
Standard Deviation: 1.13

Day 28

41.83
Avidity index (Geometric Mean)
Standard Deviation: 1.47

Day 336

75.86
Avidity index (Geometric Mean)
Standard Deviation: 1.13

Day 84

64.77
Avidity index (Geometric Mean)
Standard Deviation: 1.22

VBI-1501A: 2.0 µg With Adjuvant

Day 196

83.43
Avidity index (Geometric Mean)
Standard Deviation: 1.07

Day 28

33.81
Avidity index (Geometric Mean)
Standard Deviation: 1.52

Day 336

80.81
Avidity index (Geometric Mean)
Standard Deviation: 1.09

Day 84

71.91
Avidity index (Geometric Mean)
Standard Deviation: 1.15

VBI-1501: 1.0µg Without Adjuvant

Day 196

69.71
Avidity index (Geometric Mean)
Standard Deviation: 1.29

Day 28

35.53
Avidity index (Geometric Mean)
Standard Deviation: 2.72

Day 336

66.43
Avidity index (Geometric Mean)
Standard Deviation: 1.39

Day 84

57.73
Avidity index (Geometric Mean)
Standard Deviation: 1.55

Placebo

Day 196

36.39
Avidity index (Geometric Mean)
Standard Deviation: 2.84

Day 28

38.67
Avidity index (Geometric Mean)
Standard Deviation: 1.85

Day 336

44.2
Avidity index (Geometric Mean)
Standard Deviation: 2.09

Day 84

47.55
Avidity index (Geometric Mean)
Standard Deviation: 2.10

Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Fibroblast Cells

VBI-1501A: 0.5µg With Adjuvant

Day 196

139.4
Titer (Geometric Mean)
Standard Deviation: 2.67

Day 84

77.48
Titer (Geometric Mean)
Standard Deviation: 1.98

VBI-1501A: 1.0µg With Adjuvant

Day 196

165.25
Titer (Geometric Mean)
Standard Deviation: 2.29

Day 84

88.8
Titer (Geometric Mean)
Standard Deviation: 2.19

VBI-1501A: 2.0 µg With Adjuvant

Day 196

254.31
Titer (Geometric Mean)
Standard Deviation: 2.73

Day 84

140.38
Titer (Geometric Mean)
Standard Deviation: 2.35

VBI-1501: 1.0µg Without Adjuvant

Day 196

101.1
Titer (Geometric Mean)
Standard Deviation: 3.35

Day 84

107.06
Titer (Geometric Mean)
Standard Deviation: 2.41

Placebo

Day 196

Day 84

Geometric Mean Titer of Neutralizing Antibody Against CMV Infection of Epithelial Cells

VBI-1501A: 0.5µg With Adjuvant

Day 168

151.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 196

159.69
Titer (Geometric Mean)
Standard Deviation: 1.11

Day 28

Day 280

Day 336

151.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 84

VBI-1501A: 1.0µg With Adjuvant

Day 168

Day 196

281.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 28

Day 280

152.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 336

Day 84

VBI-1501A: 2.0 µg With Adjuvant

Day 168

Day 196

287.24
Titer (Geometric Mean)
Standard Deviation: 1.45

Day 28

Day 280

288.17
Titer (Geometric Mean)
Standard Deviation: 1.69

Day 336

234.8
Titer (Geometric Mean)
Standard Deviation: 1.82

Day 84

221.28
Titer (Geometric Mean)
Standard Deviation: 1.57

VBI-1501: 1.0µg Without Adjuvant

Day 168

177.0
Titer (Geometric Mean)
Standard Deviation: NA

Day 196

261.95
Titer (Geometric Mean)
Standard Deviation: 1.17

Day 28

Day 280

Day 336

Day 84

Placebo

Day 168

Day 196

Day 28

Day 280

Day 336

Day 84

Total

128
Participants

Age, Continuous

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

VBI-1501A: 0.5µg With Adjuvant

VBI-1501A: 1.0µg With Adjuvant

VBI-1501A: 2.0 µg With Adjuvant

VBI-1501: 1.0µg Without Adjuvant

Placebo

Drop/Withdrawal Reasons

VBI-1501A: 1.0µg With Adjuvant

VBI-1501: 1.0µg Without Adjuvant