This study evaluates safety, tolerability and immunogenicity of two doses of GHB04L1, a liquid formulation of the replication- deficient influenza A/Vietnam/1203/04(H5N1)-like ∆NS1 virus in healthy adults. Subjects are randomised at a ratio of 2:1 for GHB04L1 (6.8 log10 or 7.5 log10 TCID50/dose/volunteer) or placebo.
GHB04L1 is intended to provide a novel treatment approach for influenza virus H5N1 infection. Based on preclinical data from ferrets that demonstrated protection against challenge with wild-type virus following treatment with various dose levels of GHB04L1, vaccination with GHB04L1 might protect humans from influenza A (H5N1) virus infection. Due to the lack of the NS1 protein, the ΔNS1 virus replicates efficiently in interferon-deficient cells but has lost its ability to grow in normal hosts and organisms. Immunisation with ΔNS1 mutant virus can cause only an abortive replication cycle in the nasal mucosa of vaccinated individuals. This allows development of replication-deficient intranasal vaccines with genetic stability of the attenuated phenotype and without virus shedding.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
36
Research Institute of Influenza, Russian Academy of Medical Sciences
Saint Petersburg, Russia
Occurrence of adverse events
Occurrence of local and systemic adverse events overall and within 7 days after each study medication administration
Time frame: 8 weeks
Viral shedding
Presence of GHB04L1 in mucosal samples from the nose
Time frame: 3 days
Local immune response
Local influenza A virus-specific immune response (IgA) in mucosal samples from the nose
Time frame: 8 weeks
Local cytokines response
Local cytokines response in mucosal samples from the nose
Time frame: 3 days
Systemic influenza A virus-specific antibody response
Systemic influenza A virus-specific antibody response determined by haemagglutination-inhibition assay (HAI) and micro-neutralisation assay (MNA) in serum samples
Time frame: 8 weeks
Systemic influenza A virus-specific T-cell response
Systemic influenza A virus-specific T-cell response determined by T-cell proliferation assay in blood samples
Time frame: 8 weeks
Systemic natural killer cell cytotoxicity
Systemic natural killer cell cytotoxicity in blood samples
Time frame: 5 weeks
Systemic T-cell Granzyme B assay
Systemic T-cell Granzyme B assay in blood samples
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Time frame: 8 weeks