Regulatory workshop on standardisation of clinical procedures, endpoints and data robustness of human challenge studies - a stakeholder meeting report

Irina Meln, Victor Cnossen, Nicoletta Corti, Arno Andeweg, Marc Baay, Christopher Chiu, John Coia, Oliver Cornely, Rebecca J. Cox, Dileep Dasyam, Sigrid C. J. De Keersmaecker, Meagan Deming, Joanna Waldock, Othmar G. Engelhardt, Manman Guo, Okba Haj-Ali Saflo, Annefleur Hensen, Rienk Jeeninga, Simon Kolstoe, Oleg KrutEd J. Kuijper, Lorna Leal, Natalie Mazur, Kristin G. I. Mohn, Sandra Morel, Ab Osterhaus, Augustin Portela Moreira, Wiep Klaas Smits, Saranya Sridhar, Danny Toomey, Joop van Gerven, Maria J. G. T. Vehreschild, Juan Pablo Yarzabal, Paul Zimmer-Harwood, Pieter Neels, Ole F. Olesen, Meta Roestenberg, Ingrid M. C. Kamerling

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Abstract

Inno4Vac, a public-private partnership funded by the IMI2/EU/EFPIA Joint Undertaking (IMI2 JU), brings together academic institutions, SMEs, and pharmaceutical companies to accelerate and de-risk vaccine development. The project has made significant strides in the selection and production of challenge agents for influenza, respiratory syncytial virus (RSV), and toxigenic Clostridioides difficile for controlled human infection model studies (CHIMs). A regulatory workshop held on March 20, 2024, addressed the standardisation of clinical procedures, ethical considerations, endpoints, and data integrity, highlighting the ongoing initiatives related to these CHIMs. Key discussions focused on refining trial protocols to balance statistical power with participant burden, overseen by a data safety monitoring board. The meeting emphasised the importance of harmonizing CHIM protocols to ensure robust, reproducible, and transparent research. Mandatory trial registration and adherence to the Findable, Accessible, Interoperable, and Reusable (FAIR) data principles were recommended to enhance data reuse and scientific value. This report consolidates efforts to standardise CHIM protocols, essential for accelerating therapeutic innovations and advancing global health research.

Original languageEnglish
Article number101818
Number of pages10
JournalBiologicals
Volume90
Early online date17 Jan 2025
DOIs
Publication statusEarly online - 17 Jan 2025

Keywords

  • Influenza virus
  • Respiratory syncytial virus
  • Clostridioides difficile
  • Controlled human infection studies
  • Human challenge trials
  • CHIM

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