Thymalfasin (Thymosin Alpha 1; Ta1) as an Enhancer of Vaccine Response Among Older Adults Receiving Booster Doses of COVID-19 Vaccine

Launched by THE METHODIST HOSPITAL RESEARCH INSTITUTE · Feb 10, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a medication called Thymalfasin, also known as Thymosin Alpha 1 (Ta1), to see if it can help boost the immune response in older adults receiving a booster dose of the COVID-19 vaccine. Researchers want to find out if Ta1 can make the vaccine work better by enhancing the body’s ability to fight off infections. The study is currently recruiting participants who are 65 years or older and are scheduled to receive a COVID-19 booster shot.

To participate, individuals must be able to give consent and meet certain health criteria, such as not having severe breathing issues or serious kidney or liver problems. Participants will receive Ta1 before their vaccination and will be monitored for any potential side effects. This trial aims to determine both the safety of Ta1 and its effectiveness in improving vaccine responses, which could ultimately help protect older adults from COVID-19.

Gender

ALL

Eligibility criteria

• • Inclusion Criteria
• Subjects who meet all of the following criteria will be eligible to participate in the study:
• • 1. Age 65 or greater.
• • 2. Able and willing to provide informed consent or have consent provided by a legally authorized representative (LAR).
• • 3. Scheduled for SARS-CoV-2 mRNA vaccination booster dose.
• • 4. If a male subject, the subject must agree to use barrier contraception (ie, condoms) from Day 1 through 30 days following the last dose of study drug.
• • Exclusion Criteria
• • Subjects who meet any of the following criteria will be excluded from participation in the study.
• • Laboratory related exclusion criteria should be assessed using historical records and lab results available in the subjects' electronic medical records.
• • 1. Hypoxemia for any reason, defined as either oxygen saturation (SpO2) ≤ 93% on room air or a requirement for supplemental oxygen support.
• 2. Participants with one of the following:
• • Acute liver failure defined as INR ≥ 1.5 and altered mental status in a patient without cirrhosis or pre-existing liver disease.
• • Acute kidney failure defined as an increase in serum creatinine of ≥0.3 mg/dL within 48 hours or ≥50% within 7 days OR urine output of \<0.5 mL/kg/hour for \>6 hours.
• • Heart failure with NYHA functional classification III or IV.
• • 3. Advanced cancer being treated with cytotoxic chemotherapy.
• • 4. Participants have end stage renal disease requiring hemodialysis or peritoneal dialysis, or chronic kidney disease with GFR \< 30 mL/min/1.73m2
• • 5. Participants with a known history of cirrhosis and Child-Pugh score B or C.
• 6. Participants who are moderately or severely immunocompromised defined as:
• • Are receiving active treatment for solid tumor and hematologic malignancies.
• • Have hematologic malignancies (e.g., chronic lymphocytic lymphoma, non- Hodgkin lymphoma, multiple myeloma, acute leukemia) and are known to have poor responses to COVID-19 vaccines, regardless of the treatment status for the hematologic malignancy.
• • Received a solid-organ or islet transplant and are receiving immunosuppressive therapy.
• • Received chimeric antigen receptor T cell (CAR T-cell) therapy or a hematopoietic cell transplant (HCT) and are within 2 years of transplantation or are receiving immunosuppressive therapy.
• • Have a moderate or severe primary immunodeficiency (e.g., severe combined immunodeficiency, DiGeorge syndrome, Wiskott-Aldrich syndrome, common variable immunodeficiency disease).
• • Have advanced or untreated HIV infection (defined as people with HIV and CD4 T lymphocyte cell counts \<200 cells/mm3, a history of an AIDS-defining illness without immune reconstitution, or clinical manifestations of symptomatic HIV).
• • Are receiving active treatment with high-dose corticosteroids (i.e., ≥20 mg prednisone or equivalent per day for ≥2 weeks), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, or immunosuppressive or immunomodulatory biologic agents (e.g., B cell-depleting agents).
• • 7. Participants with uncontrolled autoimmune or rheumatologic disease.
• • 8. Participants have received 6 doses or more of the COVID-19 vaccine.
• • 9. Participants with a history of myocarditis, pericarditis, or myopericarditis.
• • 10. Participants with a history of anemia or bleeding disorders.
• 11. Participants who have precautions or contraindications to COVID-19 vaccine per the CDC interim clinical considerations for use of COVID-19 vaccines, including the following:
• • History of a severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of the COVID-19 vaccine
• • History of a diagnosed non-severe allergy to a component of the COVID-19 vaccine
• • History of a non-severe, immediate (onset less than 4 hours) allergic reaction after administration of a previous dose of one COVID-19 vaccine type
• • Moderate or severe acute illness, with or without fever
• • History of multisystem inflammatory syndrome in adults
• • History of myocarditis or pericarditis within 3 weeks after a dose of any COVID-19 vaccine
• • 12. History of allergy or intolerance to Ta1.
• • 13. SARS-CoV-2 or other infection, during screening.
• • 14. SARS-CoV-2 mRNA or other SARS-CoV-2 vaccination during the previous 6 months.
• • 15. Participants who have dermatologic conditions that could affect local solicited adverse event (AE) assessment (e.g., psoriasis patches affecting skin over the sites of injection).
• • 16. Any medical condition that, in the judgement of the Investigator, could interfere with treatment or compliance with the protocol.
• • 17. Has received an investigational drug within the previous 30 days.