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VAX014 A Phase II Placebo-controlled, Randomized Clinical Trial Evaluating the Safety of LC16m8, a modified Vaccinia Vaccine, in Healthy, Vaccinia-naïve Volunteers Sponsor: VaxGen Study Drug: LC16M8 Medical Monitor: Lucille CRA: Partial Central IRB: Central Lab: Site #: Investigator #: 4000 Subjects/ Sites = Subjects per Site ; 3000 will receive LC16m8 and 1000 will receive Placebo in a 3:1 Ratio IC Age: 18 years & older and born after 1970 ALT <1.5x Serum Creatinine ? 1.5x EC No h/o Smallpox Vaccination or evidence of Vaccine Site Scar HIV, Hepatitis B or C Immunosuppression (including HIV), or close contact with an immunosuppressed individual Autoimmune disease, Spleenectomy or receiving Immunoglobulin or other blood products 60 days before Any immunosuppressive therapy including RT 30 days before or prior to study completion Atopic Dermatitis or Eczema Presence of (or close contact or sharing a household with) a skin condition with extensive breaks in the skin such as burns, impetigo, contact dermatitis, or zoster not likely to heal by the day of vaccination. Darier's Disease (Keratosis follicularis) or close contact with Darier’s Disease. Keratosis follicularis is a slowly progressive autosomal dominant disorder of keratinization characterised by pinkish-to-tan papules that coalesce to form plaques. These lesions become darker over time and commonly fuse, forming papillomatous and warty malodorous growths. Prednisone, especially doses of 20 mgm per day for more than 2 weeks Close Contact with Children under 1 year old Known cardiac disease Three or more of the following cardiac risk factors: HTN, DM, Smoking, Hypercholesterolemia, + FH of Heart Disease at age 50 or earlier in a first-degree relative, or Obesity defined as BMI >30. Live Vaccine exposures 30 days before or after Subunit or killed vaccines 14 days before or after VAX014 V1 D -60 Lab, ICF Pre-Randomization EKG V2 D 0 Lab, Immunization V3 D 7 +/- 1 V4 D 10 +/- 1 Lab EKG V5 D 14 +/- 1 Lab V6 D 30 +/- 3 Lab V7 D 180 +/- 7 Lab EKG |