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
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
382
Fort Benning
Fort Benning, Georgia, United States
Prevent acquisition of incident Staphylococcus aureus nasal colonization
Change in incident Staphylococcus aureus nasal colonization by study day 56 in a population of US Army trainees at Ft. Benning, GA
Time frame: 56 days post-vaccination
Evaluation of the efficacy of the NDV-3A vaccine
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
Time frame: 0-90 days
Evaluation of the efficacy of the NDV-3A vaccine
Describe NDV-3A-associated delay in time to first nasal acquisition of S. aureus colonization
Time frame: 0-90 days
Evaluation of the efficacy of the NDV-3A vaccine
Describe reduction in cross-sectional prevalence of S. aureus nasal/oral colonization
Time frame: 0-90 days
Evaluation of safety and tolerability in all subjects
Occurrence of solicited adverse events (AE) over a 7-day follow-up period following vaccination
Time frame: 0-7 days
Evaluation of safety and tolerability in all subjects
Occurrence of unsolicited AEs over a 28-day follow-up period following vaccination
Time frame: 0-28 days
Evaluation of safety and tolerability in all subjects
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)
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Time frame: 0-90 days
Measurement and characterization of immunogenicity of NDV-3A
Describe the humoral immune response induced by NDV-3A using ELISA analysis of serum
Time frame: 0-90 days
Measurement and characterization of immunogenicity of NDV-3A
Describe the cell mediated immune responses induced by NDV-3A using ELISpot analysis of PBMCs
Time frame: 0-14 days
Describe the impact of NDV-3A on S. aureus acquisition and transmission
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.
Time frame: 0-90 days
Describe the impact of NDV-3A on S. aureus acquisition and transmission
Compare the compositions of the nasal/oral microbiome between study groups to assess the impact of NDV-3A vaccine on the nasal/oral microbiome.
Time frame: 0-90 days
Describe the impact of NDV-3A on S. aureus acquisition and transmission
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
Time frame: 0-90 days
Describe the impact of NDV-3A on S. aureus acquisition and transmission
Conduct whole genome sequencing on isolates to describe the intra- and inter-host concordance of infecting and colonizing strains of S. aureus
Time frame: 0-90 days