Is dermal measles-mumps-rubella-vaccine administration better than regular injection?

2023-503845-79-01 Protocol LGS.MMR.02.2022.2025 Therapeutic exploratory (Phase II) Ended

Start 24 Nov 2024 · End 30 Sep 2025 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol LGS.MMR.02.2022.2025

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 40
Countries 1
Sites 1

Measles, mumps, and rubella

We will test in a randomized cross-over design in human volunteers, whether epicutaneous vaccination (EV) with the live attenuated Measles, Mumps, and Rubella (MMR) vaccine generates appropriate mucosal measles IgA response 3 months after receiving intervention

Key facts

Sponsor
Rigshospitalet
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Phenomena and Processes [G] - Immune System Phenomena [G13], Diseases [C] - Virus Diseases [C02]
Trial duration
24 Nov 2024 → 30 Sep 2025
Decision date (initial)
2023-06-20
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Independent Research Fund Denmark

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Prophylaxis, Efficacy

We will test in a randomized cross-over design in human volunteers,
whether epicutaneous vaccination (EV) with the live attenuated Measles,
Mumps, and Rubella (MMR) vaccine generates appropriate mucosal
measles IgA response 3 months after receiving intervention

Secondary objectives 1

  1. We will test in a randomized cross-over design in human volunteers, whether epicutaneous vaccination (EV) with the live attenuated Measles, Mumps, and Rubella (MMR) vaccine generates appropriate systemic and respiratory (mucosal) immune responses using outcomes of various immune measures at 14 days, 1.5 month, 3 months, and 6 months, and again after cross-over intervention at 14 days, 1.5 month, 3 months, and 6 months

Conditions and MedDRA coding

Measles, mumps, and rubella

VersionLevelCodeTermSystem organ class
20.0 PT 10027011 Measles 100000004862

Regulatory references

Plan to share IPD
Yes
IPD plan description
For researchers upon application after finalization of the trial.
EU CT numberTitleSponsor
2023-503845-79-00 The induction of respiratory immune responses by epicutaneous vaccination with the MMR vaccine Rigshospitalet

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Age 18 to 34 years. MMR-naive. Healthy. Safe contraception for female participants.

Exclusion criteria 1

  1. Age < 18 or ≥ 35 years. MMR-vaccinated, or MMR wild type infected. Severe, chronic disease with potential implications for the immune response, or with anemia, or thrombocytopenia. Allergy towards any vaccine component (egg, neomycin). Fructose intolerance. Blood, or plasma, or human immune serum globulin transfusion within 3 months. Pregnancy or breastfeeding.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Primary endpoint The primary trial endpoint is levels of measles-specific mucosal IgA immune response 3 months after EV compared with the standard MMRvaccine administration by subcutaneous/intramuscular injection as measured by ELISA methods. We hypothesize that there is no significant difference between the levels.

Secondary endpoints 1

  1. Nasal secretion and serum: Measles neutralizing antibodies measured by gold standard PRNT Measles, mumps, and rubella IgG, IgM and IgA measured by ELISA Full blood: Measles-specific CD4+ and CD8+ T-cell responses Tonsil brushings: Measles-specific CD4+ and CD8+ T-cell responses Side effects: Frequency of side effects/adverse events 30 days after vaccination will be compared

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

M-M-RvaxPro powder and solvent for suspension for injection Measles, mumps and rubella vaccine (live)

PRD4577957 · Product

Active substance
Rubella Virus Wistar Ra 27/3 Strain (Live, Attenuated) Produced in WI-38 Human Diploid Lung Fibroblasts
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAEPIDERMAL USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BD52 — MORBILLI, COMBINATIONS WITH PAROTITIS AND RUBELLA, LIVE ATTENUATED
Marketing authorisation
EU/1/06/337/002
MA holder
MERCK SHARP & DOHME BV
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

M-M-RvaxPro powder and solvent for suspension for injection Measles, mumps and rubella vaccine (live)

PRD4577956 · Product

Active substance
Rubella Virus Wistar Ra 27/3 Strain (Live, Attenuated) Produced in WI-38 Human Diploid Lung Fibroblasts
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BD52 — MORBILLI, COMBINATIONS WITH PAROTITIS AND RUBELLA, LIVE ATTENUATED
Marketing authorisation
EU/1/06/337/001
MA holder
MERCK SHARP & DOHME BV
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rigshospitalet

Sponsor organisation
Rigshospitalet
Address
Blegdamsvej 9
City
Copenhagen Oe
Postcode
2100
Country
Denmark

Scientific contact point

Organisation
Rigshospitalet
Contact name
Lone Graff Stensballe

Public contact point

Organisation
Rigshospitalet
Contact name
Lone Graff Stensballe

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring, Code 12

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 40 1
Rest of world 0

Investigational sites

Denmark

1 site · Ended
Rigshospitalet
JMC, Dept. for Children and Adolescents, Blegdamsvej 9, 2100, Copenhagen Oe

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-11-24 2025-09-30 2024-11-24 2025-06-02

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 12 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) 20251022 MMR scarification VMK protocol_v10 10
Recruitment arrangements - Extract (for publication) MFR trial annonceindhold 1
Recruitment arrangements - Extract (for publication) pictures for public announcement through forskningNU 1
Recruitment arrangements (for publication) Plakat Skarificering_v2_20230515 1
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) Deltagerinformation_v2_2023_05_02_clean 1
Subject information and informed consent form (for publication) Deltagerinformation_v4_20231027_clean 1
Subject information and informed consent form (for publication) Inklusionssprgeskema_v1_20230320 1
Subject information and informed consent form (for publication) S3_samtykke_v2_20230502_clean 1
Summary of Product Characteristics (SmPC) (for publication) m-m-rvaxpro-epar-product-information_en 1
Summary of Product Characteristics (SmPC) (for publication) m-m-rvaxpro-epar-product-information_en 1
Synopsis of the protocol (for publication) 20251022 MMR scarification VMK protocol_v10_TC 10

Application history

7 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-03 Denmark Acceptable
2023-06-19
2023-06-20
2 SUBSTANTIAL MODIFICATION SM-1 2023-11-24
3 SUBSTANTIAL MODIFICATION SM-4 2023-12-18 Denmark Acceptable
2024-03-05
2024-03-08
4 NON SUBSTANTIAL MODIFICATION NSM-1 2024-03-13 Denmark Acceptable
2024-03-05
2024-03-13
5 SUBSTANTIAL MODIFICATION SM-5 2024-10-25 Denmark Acceptable
2024-11-24
2024-11-25
6 SUBSTANTIAL MODIFICATION SM-7 2025-09-09 Denmark Acceptable 2025-11-12
7 SUBSTANTIAL MODIFICATION SM-8 2025-11-12 Denmark Acceptable
2025-11-18
2025-11-18