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Status unknownNCT03207152PRESAGEUpdated Jul 6, 2018

Biomarkers Predicting Infectivity in an Experimental Human Influenza Model

A Phase 1 interventional study of Influenza A/California/04/09 in Influenza A, sponsored by Duke University. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-07-06.

Sponsored by Duke University · Phase 1, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Jul 2018), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This study aims to test the hypothesis that gene transcriptional changes occur within 24 hours of virus exposure in the blood and nasal mucosa, and to identify early biomarker signatures that are predictive of higher viral shedding at the peak of disease

Read the detailed description

This study will systematically investigate the early pre-symptomatic period following exposure to influenza in humans. The data obtained will be essential for further understanding of the natural history of human antiviral responses, and will allow us to identify a panel of biomarkers that can predict which individuals will go on to more severe symptoms and higher viral shedding, so that treatments and other interventions can be made at an early stage.

02

Conditions studied

  • Influenza A

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03

In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's planned enrollment of 50 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.

Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy persons aged 18 to 55 years, able to give informed consent

Exclusion criteria

Exclusion Criteria:

  • Chronic respiratory disease (asthma, chronic obstructive pulmonary disease, rhinitis, sinusitis) in adulthood
  • Inhaled bronchodilator or steroid use within the last 12 months
  • Use of any medication or other product (prescription or over-the-counter) for symptoms of rhinitis or nasal congestion within the last 6 months
  • Acute upper respiratory infection or sinusitis in the past 6 weeks
  • Smoking in the past 6 months OR >5 pack-year lifetime history
  • Subjects with allergic symptoms present at baseline
  • Clinically relevant abnormality on chest X-ray
  • Those in close domestic contact (i.e. sharing a household with, caring for, or daily face to face contact) with children under 3 years, the elderly (>65 years), immunosuppressed persons, or those with chronic respiratory disease
  • Subjects with known or suspected immune deficiency
  • Receipt of systemic glucocorticoids (in a dose ≥ 5 mg prednisone daily or equivalent) within one month, or any other cytotoxic or immunosuppressive drug within 6 months prior to challenge
  • Known immunoglobulin A deficiency, immotile cilia syndrome, or Kartagener's syndrome
  • History of frequent nose bleeds
  • Any significant medical condition or prescribed drug deemed by the study doctor to make the participant unsuitable for the study
  • Pregnant or breastfeeding women
  • Positive urine drug screen
  • Detectable baseline haemagglutination inhibition titres against influenza challenge strains
  • History of hypersensitivity to eggs, egg proteins, gentamicin, gelatin or arginine, or with life-threatening reactions to previous influenza vaccinations

All women of childbearing age will have a pregnancy test performed prior to virus inoculation to exclude pregnancy and be required to use contraception throughout the study.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Influenza A/California/04/2009

    Participants will be inoculated with Influenza A/California/04/09 3.5x10(4) tissue culture infective dose 50% (TCID50) in 1 mL in Dulbecco's phosphate buffered saline (DPBS) delivered by intranasal drops. They will then be monitored as in-patients for 10 days with daily clinical assessment and blood and respiratory tract sampling. Following discharge, they will be followed up for up to 6 months post-inoculation.

    Biological: Influenza A/California/04/09

Interventions

  • BiologicalInfluenza A/California/04/09

    Good Manufacturing Practices-certified Influenza A/California/04/09 3.5x10(4) TCID50 in 1 mL in DPBS delivered by intranasal drops

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What researchers measure

Primary outcomes

  1. Viral load

    Nasal wash viral load by quantitative polymerase chain reaction (qPCR)

    Time frame: 28 days

Secondary outcomes

  1. Symptoms

    Self-reported upper and lower respiratory and systemic symptoms by diary card

    Time frame: 28 days

  2. Differentially expressed genes in blood

    Differentially expressed genes analysed by RNA sequencing of whole blood

    Time frame: 9 months

  3. Differentially expressed genes in nasal curettage

    Differentially expressed genes analysed by RNA sequencing of nasal curettage samples

    Time frame: 9 months

  4. Metabolomics in serum

    Differentially expressed metabolites in serum by mass spectrometry

    Time frame: 9 months

07

Study locations

1 site
  • Imperial College London
    London, W12 0NN, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Data will be shared with Duke university, such as ethnicity and age. It will be identifiable only by their unique study code, with no personal details.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03207152
Lead sponsor
Duke University
Collaborators
United States Department of Defense, Imperial College of London
Responsible party
Sponsor
First posted
Jul 2, 2017
Start date
Sep 11, 2017
Primary completion
May 8, 2018
Completion
Feb 28, 2019 (estimated)
Last update
Jul 6, 2018

Study contacts

Christopher Chiu, BMBCh PhD
principal investigator · Imperial College London

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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