This is a single-blind, randomized, placebo-controlled, dose-escalation phase I monocentric trial assessing a single administration of FLAMOD by aerosol in healthy subjects. The recruitment is performed by the Clinical Investigation Center of Tours. This trial is divided in two stages: * the "start-up phase" consisting of a dose escalation to ensure the safety of FLAMOD while allowing sufficient information on the molecule activity to be accumulated * the dose-finding phase estimating several dose-activity models and then selecting the one that best fits the data to then propose the dose for the next cohort of participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
FLAMOD (GMP-grade flagellin) inhalation
Placebo inhalation
Centre hospitalier régional universitaire de de Tours
Tours, France
RECRUITINGSafety and tolerability of a single administration dose of FLAMOD
The safety of FLAMOD is assessed via the proportion of Serious Adverse Events, critical safety events, serious adverse reactions, and cytokine release syndrome grade 2 and above. The tolerability of FLAMOD is assessed via the proportion of treated participants who experience laboratory abnormalities and/or Adverse Events as defined by Common Terminology Criteria for Adverse Events v5.0.
Time frame: From enrollment to the end of follow-up (at 2 weeks +/- 4 days post administration)
FLAMOD immune activating dose (IAD)
Biological activity of FLAMOD is assessed by systemic biomarker surrogates. The lowest dose that reaches immune activation in a maximum number of healthy volunteers is considered as IAD.
Time frame: From enrollment to visit 2 (24 hours + 3-day window post administration)
Local immune-enhancing effect of FLAMOD on nasal epithelial lining fluid
Multiomic analyses (proteomic and transcriptomic analyses) will be performed subsequently on nasal epithelial lining fluid collected by nasosorption for proteomic study with a special focus on IL-6, IL-8, CCL20 but not only.
Time frame: From enrollment to visit 2 (24 hours + 3-day window post administration)
Local immune-enhancing effect of FLAMOD on nasal epithelial cells
Multiomic analyses (proteomic and transcriptomic analyses) will be performed subsequently on nasal epithelial cells collected by nasal curettage for transcriptomic study to identify differentially expressed genes and pathways.
Time frame: From enrollment to visit 2 (24 hours + 3-day window post administration)
Systemic immune-enhancing effect of FLAMOD
Multiomic analyses (proteomic and transcriptomic analyses) will be performed subsequently on blood collected for proteomic study to complete the characterization of the immune response, in addition to IL-6, CRP, PCT and neutrophils that will be available in blood in a short turnaround time.
Time frame: From enrollment to visit 2 (24 hours + 3-day window post administration)
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