Entolimod on Immunosenescence in Healthy Geriatric Subjects Receiving Influenza Vaccination
Purpose
Researchers are evaluating the safety and effectiveness of a single administration of entolimod when administered at the same time as the influenza vaccine (flu vaccine).
Condition
- Healthy
Eligibility
- Eligible Ages
- Over 65 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- Yes
Criteria
Inclusion:
- Men and women of age 65 years and older at the time of enrollment
- Eligible to receive Fluzone High-Dose
- Female subjects must be past menopause and not pregnant
- No history of anaphylactic reaction to gelatin, neomycin, or other vaccine component
- Must not have had the flu vaccine within the past 90 days
- Medically stable with no exacerbations or changes in medication regimen for chronic
diseases in the past 3 months and no hospitalizations in the past 6 months
- Must be able to read/write English in order to provide informed consent and comply
with study procedures
- Expected to be available for the duration of the study
Exclusion:
- Receipt of any other vaccines within the past 30 days prior to enrollment
- Acute illness within the last 7 days
- History of hypersensitivity to the flu vaccine or its components (including gelatin,
formaldehyde, octoxinol, thimerosal, and chicken protein).
- History of Guillain Barré syndrome (GBS)
- History of bleeding disorders
- Medical contraindication to treatment with vaccine as indicated by a history of
autoimmune disease, immune deficiency, or hypersensitivity to other vaccines.
- Unstable major cardiovascular, renal, endocrine, immunological or hepatic disorder
- Systolic blood pressure (SBP) < 110 mmHg or orthostatic hypotension [>20 mmHg fall
in SBP or >10 mmHg fall in diastolic blood pressure (DBP) with standing] at the time
of screening.
- Evidence of an ongoing systemic bacterial, fungal, or viral infection (including
upper respiratory tract infections) (within 14 days prior to entolimod
administration). Note: Subjects with localized fungal infections of skin or nails
are eligible.
- Clinical signs of febrile illness (temperature >99.5oF)
- Baseline vital signs with ≥Grade 2 abnormalities
- Significant cardiovascular disease (e.g., myocardial infarction, arterial
thromboembolism, cerebrovascular thromboembolism, venous thromboembolism) within 6
months prior to study drug administration; symptomatic dysrhythmias or unstable
dysrhythmias requiring medical therapy; angina requiring therapy; symptomatic
peripheral vascular disease; New York Heart Association Class 3 or 4 congestive
heart failure; or uncontrolled Grade ≥3 hypertension (diastolic blood pressure ≥100
mmHg or systolic blood pressure ≥160 mmHg) despite antihypertensive therapy.
o Significant screening ECG abnormalities, including unstable cardiac arrhythmia
requiring medication, atrial fibrillation, 2nd-degree atrioventricular (AV) block
type II, 3rd degree AV block, or Grade ≥2 bradycardia (within 14 days prior to
entolimod administration).
- Inadequate hepatic function (within 14 days prior to entolimod administration):
- Serum alanine aminotransferase (ALT) ≥3 × upper limit of normal (ULN) (Grade
≥1).
- Serum aspartate aminotransferase (AST) ≥3 × ULN (Grade ≥1)
- Serum alkaline phosphatase (ALP) ≥5 × ULN (Grade ≥2)
- Serum bilirubin ≥1.5 × ULN (Grade ≥1)
- Positive antiviral serology:
- Positive hepatitis C virus (HCV) antibody or positive HCV ribonucleic acid
(RNA) by quantitative PCR.
- Positive hepatitis B surface antigen (HBsAg) and negative hepatitis B core
(HBc) antibody or undetectable hepatitis B (HBV) deoxyribonucleic acid (DNA) by
quantitative polymerase chain reaction (PCR) testing.
- Positive human immunodeficiency virus (HIV) antibody.
- Use of medication that might interact with the flu vaccine including (but not
limited to) specifically: aminopyrine, phenytoin sodium, theophylline, and warfarin
sodium.
- Any ongoing treatment with immunosuppressive or immune-stimulant therapy
- Ongoing use of systemic corticosteroids.
- Blood or blood products given within the three months prior to vaccination and two
months after vaccination
- Current and/or expected receipt of chemotherapy, radiation therapy or any other
cytotoxic or immunosuppressive therapy [i.e. more than 10 mg of prednisone given
daily or on alternative days for 2 weeks or more in the past 3 months]
- Receipt of another investigational pharmaceutical product within 60 days of
treatment
- Diagnosis of Parkinson's Disease, previous stroke, or significant cognitive
impairment (defined as MMSE <20)
- Other concerns that in the opinion of the PI would preclude a subject from
participating in study procedures or from completing the study.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Investigator)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Entolimod 1 mcg |
Subjects will receive entolimod as a single dose administered intramuscularly (1mcg) |
|
Experimental Entolimod 3 mcg |
Subjects will receive entolimod as a single dose administered intramuscularly (3mcg) |
|
Experimental Entolimod 10 mcg |
Subjects will receive entolimod as a single dose administered intramuscularly (10mcg) |
|
Placebo Comparator Placebo |
Subjects will receive a placebo as a single dose administered intramuscularly (no study drug); placebo that looks exactly like the study drug, but contains no active ingredient. |
|
Recruiting Locations
More Details
- NCT ID
- NCT04176133
- Status
- Completed
- Sponsor
- Robert J. Pignolo