Vaccine Against Escherichia Coli Infection
Primary Purpose
E.Coli Infections
Status
Completed
Phase
Phase 1
Locations
Switzerland
Study Type
Interventional
Intervention
E.coli bioconjugate vaccine
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for E.Coli Infections focused on measuring Bioconjugate vaccine, Urinary tract infections
Eligibility Criteria
Inclusion Criteria:
- Female subjects with a history of recurrent UTI, which is defined as: ≥ 3 UTI independent episodes in the previous 12 months or ≥ 2 UTI episodes in the last 6 months. At least one UTI during the last 5 years was caused by E. coli (as single pathogen or part of polymicrobial infection) and was culture-confirmed and documented
- Age ≥ 18 and ≤ 70 years
- Subjects should be in a healthy state without ongoing or suspected symptomatic UTI at the screening visit and at injection day (V2)
- General good health, without clinically significant medical history, physical examination findings or clinical laboratory abnormalities per clinical judgment of the investigator
- Willingness to participate in the study after all aspects of the protocol have been explained and fully understood, and written informed consent form obtained
Exclusion Criteria:
- History of more than 10 recurrent UTIs in the year before the screening visit
- Use of any short-term urinary catheter within 7 days prior to screening
- Use of any permanent catheter within 30 days prior to screening
- History of any unresolved urinary tract diseases/abnormalities
- Evidence of impaired immune function
- Significant cardiovascular, liver, renal diseases and/or insufficiency
- Uncontrolled diabetes mellitus
- Significant abnormalities in screening results for hematology, serum chemistry or urinalysis
- Positive test for HIV, and/or evidence of HBV or HCV
- BMI >34
- Previous immune stimulatory therapy for UTI prevention (such as Urovaxom®, Strovac® or Urovac®) in the last 3 months, or planned use during the study period
- Current use of any medication known to affect immune function (e.g. corticosteroids ≥0.5 mg/kg Body weight/day)
- Use of UTI-related vaginal estrogen treatment newly started less than 6 months before injection and continuing during the study or planned start during the active study period
- Use of any antibiotic therapy within 1 week preceding injection
- Planned use of post-coital antibiotics for UTI prevention during study period
- Any vaccination planned within 30 days before and 30 days after injection
- Participation in other clinical trials in the 60 days preceding enrolment and for the duration of the study
- Previous treatment with immunoglobulins or blood products in the 3 months preceding the injection
- Known hypersensitivity to any component of the vaccine
- Presence of a significant medical or psychiatric condition that in the opinion of the investigator precludes participation in the study
- Acute illness at the time of injection
- Women of child bearing potential who either have a positive pregnancy test or refuse to use an effective contraception
- Women who are lactating at any time throughout the study period
- Subjects with an elective surgical intervention, planned during the study period
- Any other significant finding that in the opinion of the Investigator would increase the risk of having an adverse outcome from participating in the study
Sites / Locations
- Hôpitaux Universitaires de Genève
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
E.coli bioconjugate vaccine
Placebo
Arm Description
E.coli bioconjugate vaccine in saline buffer
Saline buffer
Outcomes
Primary Outcome Measures
Number of subjects experiencing an adverse events
Occurrence, intensity, relationship and duration of solicited and unsolicited adverse events (AE) and serious adverse events (SAE) post injection of candidate vaccine compared to the placebo group
Secondary Outcome Measures
Comparison of E.coli vaccine-specific serotypes antibody concentrations in serum at different timepoints
Evaluation of IgG Response of candidate vaccine between baseline (D1) and post injection (D30 and D270)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02289794
Brief Title
Vaccine Against Escherichia Coli Infection
Official Title
Evaluation of a Candidate Vaccine Against Uropathogenic Escherichia Coli in Women With a Clinical History of Recurrent Urinary Tract Infection
Study Type
Interventional
2. Study Status
Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
September 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlycoVaxyn AG
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This Phase I multi-center placebo controlled study is conducted in healthy women with a history of recurrent urinary tract infections (UTI) aged between 18 and 70 years.
Detailed Description
GlycoVaxyn is a Swiss company that has developed a multivalent bioconjugate vaccine for the prevention of E.coli-infections. Cystitis is the most common UTI, however kidney infections or bacteremia are possible. The E. coli bacterium is responsible for 85 % of all UTIs.
The objectives of this trial are to assess the safety and ability to elicit an immune response of the candidate vaccine as well as the effectiveness of the vaccine in the reduction in UTIs .
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
E.Coli Infections
Keywords
Bioconjugate vaccine, Urinary tract infections
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
194 (Actual)
8. Arms, Groups, and Interventions
Arm Title
E.coli bioconjugate vaccine
Arm Type
Active Comparator
Arm Description
E.coli bioconjugate vaccine in saline buffer
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Saline buffer
Intervention Type
Biological
Intervention Name(s)
E.coli bioconjugate vaccine
Other Intervention Name(s)
EcoXyn-4V
Intervention Description
Single dose, intramuscular injection (0.5 mL)
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Single dose, intramuscular injection (0.5 mL)
Primary Outcome Measure Information:
Title
Number of subjects experiencing an adverse events
Description
Occurrence, intensity, relationship and duration of solicited and unsolicited adverse events (AE) and serious adverse events (SAE) post injection of candidate vaccine compared to the placebo group
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Comparison of E.coli vaccine-specific serotypes antibody concentrations in serum at different timepoints
Description
Evaluation of IgG Response of candidate vaccine between baseline (D1) and post injection (D30 and D270)
Time Frame
30 days and 9 months
Other Pre-specified Outcome Measures:
Title
Reduction of UTI episodes caused by E.coli vaccine-specific serotypes
Description
Comparison of the number of symptomatic UTI episodes caused by E. coli vaccine-serotypes between the two arms, injected with candidate-vaccine or placebo during the whole study period
Time Frame
9 months
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Female subjects with a history of recurrent UTI, which is defined as: ≥ 3 UTI independent episodes in the previous 12 months or ≥ 2 UTI episodes in the last 6 months. At least one UTI during the last 5 years was caused by E. coli (as single pathogen or part of polymicrobial infection) and was culture-confirmed and documented
Age ≥ 18 and ≤ 70 years
Subjects should be in a healthy state without ongoing or suspected symptomatic UTI at the screening visit and at injection day (V2)
General good health, without clinically significant medical history, physical examination findings or clinical laboratory abnormalities per clinical judgment of the investigator
Willingness to participate in the study after all aspects of the protocol have been explained and fully understood, and written informed consent form obtained
Exclusion Criteria:
History of more than 10 recurrent UTIs in the year before the screening visit
Use of any short-term urinary catheter within 7 days prior to screening
Use of any permanent catheter within 30 days prior to screening
History of any unresolved urinary tract diseases/abnormalities
Evidence of impaired immune function
Significant cardiovascular, liver, renal diseases and/or insufficiency
Uncontrolled diabetes mellitus
Significant abnormalities in screening results for hematology, serum chemistry or urinalysis
Positive test for HIV, and/or evidence of HBV or HCV
BMI >34
Previous immune stimulatory therapy for UTI prevention (such as Urovaxom®, Strovac® or Urovac®) in the last 3 months, or planned use during the study period
Current use of any medication known to affect immune function (e.g. corticosteroids ≥0.5 mg/kg Body weight/day)
Use of UTI-related vaginal estrogen treatment newly started less than 6 months before injection and continuing during the study or planned start during the active study period
Use of any antibiotic therapy within 1 week preceding injection
Planned use of post-coital antibiotics for UTI prevention during study period
Any vaccination planned within 30 days before and 30 days after injection
Participation in other clinical trials in the 60 days preceding enrolment and for the duration of the study
Previous treatment with immunoglobulins or blood products in the 3 months preceding the injection
Known hypersensitivity to any component of the vaccine
Presence of a significant medical or psychiatric condition that in the opinion of the investigator precludes participation in the study
Acute illness at the time of injection
Women of child bearing potential who either have a positive pregnancy test or refuse to use an effective contraception
Women who are lactating at any time throughout the study period
Subjects with an elective surgical intervention, planned during the study period
Any other significant finding that in the opinion of the Investigator would increase the risk of having an adverse outcome from participating in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Veronica Gambillara, PhD
Organizational Affiliation
GlycoVaxyn AG
Official's Role
Study Director
Facility Information:
Facility Name
Hôpitaux Universitaires de Genève
City
Geneve
State/Province
GE
ZIP/Postal Code
1211
Country
Switzerland
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
28238601
Citation
Huttner A, Hatz C, van den Dobbelsteen G, Abbanat D, Hornacek A, Frolich R, Dreyer AM, Martin P, Davies T, Fae K, van den Nieuwenhof I, Thoelen S, de Valliere S, Kuhn A, Bernasconi E, Viereck V, Kavvadias T, Kling K, Ryu G, Hulder T, Groger S, Scheiner D, Alaimo C, Harbarth S, Poolman J, Fonck VG. Safety, immunogenicity, and preliminary clinical efficacy of a vaccine against extraintestinal pathogenic Escherichia coli in women with a history of recurrent urinary tract infection: a randomised, single-blind, placebo-controlled phase 1b trial. Lancet Infect Dis. 2017 May;17(5):528-537. doi: 10.1016/S1473-3099(17)30108-1. Epub 2017 Feb 24.
Results Reference
derived
Learn more about this trial
Vaccine Against Escherichia Coli Infection
We'll reach out to this number within 24 hrs