120 Participants Needed

pH1N1 Virus for Flu

Recruiting at 1 trial location
MD
Overseen ByMeagan Deming
Age: 18 - 65
Sex: Any
Trial Phase: Phase 1
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Must be taking: Oseltamivir, Baloxavir
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine the optimal dose of a specific flu virus strain (pH1N1) to enhance future flu treatments. Volunteers will receive either the virus or a harmless placebo to identify the dose that reliably causes flu symptoms and to monitor safety concerns. Participants should be in good health and have no history of chronic conditions affecting breathing, such as asthma, in the past five years. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, providing participants the opportunity to be among the first to receive this new treatment.

Will I have to stop taking my current medications?

You may need to stop taking certain medications, like oseltamivir, zanamivir, and some others, 7 days before and during the confinement period of the study. However, exceptions can be made with approval from the study doctor.

What prior data suggests that this protocol is safe for developing a Controlled Human Infection Model for influenza?

Research has shown that the A/Arkansas/08/2020 (pH1N1) virus used in this trial has undergone animal testing to assess its safety. In these tests, some doses proved either not harmful or only slightly harmful, indicating that the virus generally did not cause serious problems in animals. However, long-term safety information for humans is not yet available. As this is an early-stage trial, the primary goal is to determine the virus's safety for people and to identify the appropriate dose that causes mild flu-like symptoms without serious side effects. Researchers closely monitor participants to ensure their safety.12345

Why are researchers excited about this trial?

Researchers are excited about the pH1N1 virus treatment because, unlike traditional flu vaccines that use inactivated or attenuated viruses, this treatment uses a live virus delivered intranasally. This method could potentially offer more robust immunity by mimicking natural infection without causing the disease itself. Additionally, the intranasal delivery system might enhance immune response directly in the respiratory tract, where the flu virus typically enters the body, offering a targeted approach that could improve effectiveness over current injection-based vaccines.

What evidence suggests that this trial's treatments could be effective for influenza?

This trial uses the A/Arkansas/08/2020 (pH1N1) flu virus to determine the optimal dose for inducing flu symptoms in a controlled setting. Participants will be randomly assigned to different cohorts, each receiving varying doses of the virus. This helps scientists understand how the virus affects people and how future treatments might work. Flu vaccines have varied in effectiveness, averaging about 40% in recent years. The trial aims to improve understanding of the virus and enhance future vaccine strategies. Identifying the right dose is essential for developing better flu prevention methods.678910

Are You a Good Fit for This Trial?

This trial is for healthy adults who have low immunity to the pH1N1 flu strain, as shown by specific blood tests. They'll be part of a study that could include 30 to 120 people but is expected to involve around 60 plus an additional few receiving a placebo.

Inclusion Criteria

Provides signed and dated informed consent form prior to the initiation of any trial procedures
Must agree to collection of venous blood and nasal absorption specimens per protocol and enrollment in DMID 19-0025 biorepository protocol for use of residual/repository research blood specimens
Non-smoker or non-habitual smoker of tobacco, e-cigarettes, or marijuana
See 21 more

Exclusion Criteria

HAI antibody titer >1:40 against influenza A/Arkansas/08/2020 (pH1N1) at screening
Current pregnancy or lactation
Presence of an internal cardiac device such as a pacemaker or other implanted electronic medical devices
See 12 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants are challenged with the pH1N1 influenza virus or receive a sham inoculation to determine the optimal infectious dose

6 days
Daily monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment, including clinical symptoms and viral detection

15 days
Regular follow-up visits

What Are the Treatments Tested in This Trial?

Interventions

  • A/Arkansas/08/2020 (pH1N1)
  • Sham/Diluent (1X SPG+Arg+Gel)
Trial Overview The trial aims to find the best dose of the pH1N1 flu virus for future studies on flu treatments. Participants will get either a fake shot (sham) or the real flu virus at varying doses, decided randomly and adjusted based on safety and effectiveness.
How Is the Trial Designed?
9Treatment groups
Experimental Treatment
Group I: Cohort XCExperimental Treatment2 Interventions
Group II: Cohort XBExperimental Treatment2 Interventions
Group III: Cohort XAExperimental Treatment2 Interventions
Group IV: Cohort 2CExperimental Treatment2 Interventions
Group V: Cohort 2BExperimental Treatment2 Interventions
Group VI: Cohort 2AExperimental Treatment2 Interventions
Group VII: Cohort 1CExperimental Treatment2 Interventions
Group VIII: Cohort 1BExperimental Treatment2 Interventions
Group IX: Cohort 1AExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

Trials
3,361
Recruited
5,516,000+

Citations

Controlled Human Influenza Virus Infection Model Studies ...... A/Arkansas/08/2020 (clade 6B.1A.5a.2) pH1N1 challenge virus has been manufactured and will be evaluated in a dose‐finding clinical trial in 2024 ...
Sustained Vaccine Exposure Elicits More Rapid, Consistent ...Over the past decade, seasonal influenza vaccines have had an average effectiveness of just 40%, and influenza infection rates have quickly ...
influenza Clinical Trials - DecentrialzThis protocol describes a clinical trial to develop and validate a Controlled Human Infection Model (CHIM) for influenza A/Arkansas/08/2020 (pH1N1). The ...
Studies | IRExDMID 23-0011; An Influenza Virus Challenge Trial of Recombinant Influenza A/Arkansas/08/2020 (pH1N1) in Healthy Adults to Assess Safety and Optimal ...
Actifed: Everything you need to know | PowerpH1N1 Virus for Flu​​ This protocol describes a clinical trial to develop and validate a Controlled Human Infection Model (CHIM) for influenza A/Arkansas/08/2020 ...
Understanding the Variability of Certain Biological ...... A/Arkansas/08/2020 was 80%. Besides this, 10 (47.6%) were non-toxic ... intranasal influenza vaccine candidates lacking NS1. Vaccine ...
dir210_risk_assessment_and_ris...... (H1N1) pdm09 (2009 pandemic strain) influenza viruses, including A/Arkansas/08/2020 H1N1, using a mouse model. In the toxicity studies, ten mice were given a ...
(PDF) Understanding the Variability of Certain Biological ...... A/Arkansas/08/2020 was. 80%. Besides this, 10 (47.6%) were non-toxic or slightly toxic (Table 3). Table 3. The main characteristics of 21 A ...
Download DIR 210 as Word - 1.48 MB... A/Arkansas/08/2020 H1N1, using a mouse model. In the toxicity studies, ten mice ... The lack of sufficient long-term safety data on GM influenza in humans.
Influenza-coronavirus combination vaccinesThe disclosure provides combination miRNA vaccines for respiratory viruses, such as influenza and coronaviruses (e.g., SARS-CoV-2) as well as methods of ...
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