The aim of the study is to investigate immunogenicity and safety of the TB/Flu-05E single-dose intranasal vaccine for the prevention of Tuberculosis infection in BCG-vaccinated Volunteers aged 18-50 years
Study includes 160 participants aged 18 to 50, randomized at 3:1 ratio, to receive single intranasal dose of TB/Flu-05E vaccine or placebo, correspondingly. Duration of the study for each participant is about 4 months (no more than 114 days).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
160
Participants will receive single intranasal injection of TB/Flu-05E vaccine in 0.5 ml, containing 7.7 lg EID50 of A/H1N1pdm09 recombinant attenuated influenza vector with modified NS gene, encoding for the TB10.4 and HspX antigens of M. tuberculosis
Participants will receive single intranasal injection of physiological buffer in 0.5 ml
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, Russia
Smorodintsev Research Institute of Influenza
Saint Petersburg, Russia
St. Petersburg City Polyclinic No. 34
Saint Petersburg, Russia
Level of TB antigen-specific cytokine producing T-cells
Change from baseline in the level of cytokine producing T-cells upon in vitro stimulation of PBMC with M. tuberculosis peptide epitopes (TB10.4, HspX) measured by FACS/ELISPOT
Time frame: Days 1, 7, 21
Level of TB antigen-specific cytokine release in whole blood assay
Change from the baseline of the cytokine concentration in whole-blood cytokine release assay upon in vitro stimulation with M. tuberculosis peptide epitopes (TB10.4, HspX) measured in ELISA
Time frame: Days 1, 7, 21
Number of participants with local and systemic adverse events (AEs) and serious adverse events (SAEs)
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
Time frame: Throughout the study, average 4 months
Percent of participants with T-cell response to M. tuberculosis antigens
Relative number of participants with T-cell response to the M. tuberculosis antigens (TB10.4 or HspX) in any of the tests (FACS/ELISPOT, whole blood cytokine release assay) at any of the study days
Time frame: Days 7, 21
Level of TB antigen-specific IgG antibody in serum
Change from the baseline in the level of TB10.4 and HspX specific IgG antibody measured in ELISA in serum
Time frame: Days 1, 21, 111±3
Level of B-cell and Tfh-cell populations
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Change from the baseline in the relative amount of B-cell and Tfh-cell populations measured by FACS
Time frame: Days 1, 7, 21
Level of mucosal IgA antibody in nasal secret
Change from the baseline in the level of IgA antibody measured in ELISA in nasal secret
Time frame: Days 1, 21
Level of influenza-specific cytokine producing T-cells
Change from baseline in the level of cytokine producing T-cells upon in vitro stimulation of PBMC with influenza antigen measured by ICS/ELISPOT
Time frame: Days 1, 7, 21
Influenza specific systemic antibody immune response
Change from baseline in the titer of influenza specific antibodies in serum measured in hemagglutination inhibition/microneutralization assay
Time frame: Days 1, 21, 111±3