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Safety and Efficacy of GSK Neisseria Gonorrhoeae GMMA (NgG) Investigational Vaccine When Administered to Healthy Adults 18 to 50 Years of Age.

Primary Purpose

Sexually Transmitted Diseases

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
NgG low dose investigational vaccine
NgG medium dose investigational vaccine
NgG high dose investigational vaccine
Placebo
NgG HTD investigational vaccine
NgG below HTD investigational vaccine
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Sexually Transmitted Diseases focused on measuring Neisseria gonorrhoeae, Safety, Efficacy, Sexually transmitted infection, Healthy adults 18 to 50 years of age

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Inclusion criteria for the dose-escalation safety lead-in part Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol. Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure. Healthy participants as established by medical history, clinical examination, and laboratory assessment. A participant between and including 18 and 50 years of age at the time of informed consent. Female participants of non-childbearing potential may be enrolled in the study. Female participants of childbearing potential may be enrolled in the study if the participant: has practiced adequate contraception for 1 month prior to study intervention administration, and has a negative pregnancy test on the day of study intervention administration, and has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series. Inclusion criteria for the efficacy PoC part Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol. Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure. Healthy participants as established by: For the 2 intensive safety monitoring subsets (i.e., first 30 HIV negative subjects per group followed by first 8 HIV positive subjects per group): medical history, clinical examination, and laboratory assessment. For all the remaining participants: medical history, clinical examination. At risk for gonococcus infections based on sexual behavioral characteristics: this may include men having sex with men, pre-exposure prophylaxis for HIV users, individuals who engage in transactional sex participants with current or past STI diagnosis, participants at time of STI screening or seeking other STI services. A participant between and including 18 and 50 years of age at the time of informed consent. Transgender men and women, and other gender non-conforming people who identify themselves as neither men nor women may be enrolled into the study, based on their risk factors. For the purpose of this study, they will be followed up according to their biological sex (sex at birth), sexual orientation, and genital/sexual anatomy Participants of non-childbearing potential may be enrolled in the study. This includes transmen that have not undergone gender affirming surgery of their genitals. Participants of childbearing potential may be enrolled in the study if the participant: has practiced adequate contraception for 1 month prior to study intervention administration, and has a negative pregnancy test on the day of study intervention administration, and has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series. Exclusion criteria: Medical conditions Dose-escalation safety lead-in part Any clinically significant biochemical laboratory abnormality. Any other clinical condition as determined by the investigator, that may increase participant's risk due to study participation. History of any reaction/hypersensitivity likely to be exacerbated by any component of the study intervention. Confirmed or suspected immunosuppressive/immunodeficient condition, based on medical history and physical examination. Hypersensitivity to latex. Acute/chronic clinically significant pulmonary, cardiovascular, hepatic/renal functional abnormality, as determined by physical examination/laboratory tests. Uncontrolled neurological disorders or seizures. History of invasive meningococcal disease. Efficacy PoC part: HIV negative intensive safety monitoring, HIV negative full enrollment and for all remaining participants Persons under guardianship or trusteeship. Persons deprived of liberty. Gonococcal infection identified within 14 days prior to randomization. Any other clinical condition as determined by the investigator, that may increase participant's risk due to study participation. History of severe allergic reactions and/anaphylaxis, or any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention(s). Bleeding diathesis / any other condition that would contraindicate intramuscular administration. Confirmed or suspected immunosuppressive/immunodeficient condition, based on medical history and physical examination. Known seropositivity for HIV infection, regardless of viremia and CD4 cell count Hypersensitivity to latex. Acute/chronic clinically significant pulmonary, cardiovascular, hepatic/renal functional abnormality, as determined by physical examination/laboratory tests. Recurrent history/uncontrolled neurological disorders or seizures. History of invasive meningococcal disease. The exclusion criteria depicted above, and the following exclusions criterion applies only for the HIV positive participants (intensive safety monitoring subset and full enrollment of HIV positive participants): Seropositivity for HIV infection if: CD4 cell count < 350 cells/mm3 in the last 6 months viral load > 50cp/ml in the last 6 months participant is not on antiretroviral therapy (ART) for > 3 months or has switched from a different ART in the last 3 months. For both Intensive safety monitoring subset (first 30 HIV negative subjects per group and first 8 HIV positive subjects per group) these criteria apply: Any clinically significant hematological/biochemical laboratory abnormality. Prior/Concomitant therapy Applicable for both the dose-escalation safety lead-in part and the PoC part Use of any investigational/non-registered product other than the study intervention(s) within 30 days before the first dose/planned use during the study period. Previous and planned vaccination with an OMV based Neisseria meningitidis group B vaccine (e.g., Bexsero, MeNZB vaccine or MenBvac at any time prior to first dose and during the entire study period. Planned administration/administration of a vaccine not specified in study protocol within 15 days before the first dose and ending 15 days after the last dose of vaccine administration. Administration of long-acting immune-modifying drugs during the period starting 6 months prior to the first dose of study intervention/planned administration at any time during the study period. Administration of immunoglobulins /any blood products/plasma derivatives during the period starting 3 months before the administration of the first dose of study intervention/planned administration during the study period. Chronic administration (more than 14 days in total) of immunosuppressants/other immune-modifying drugs during the period starting 3 months prior to the first study intervention dose(s). For corticosteroids, this will mean prednisone equivalent ≥20 mg/day for adult participants/ ≥0.5 mg/kg/day. Inhaled and topical steroids are allowed. The following criterion applies only for the PoC part: •Chronic/long-term use of systemic antibiotics with an activity against Neisseria gonorrhoeae. Prior/Concurrent clinical study experience applicable for both dose-escalation safety lead-in part and the PoC part Concurrently participating in another clinical study, at any time during the study period, in which the participant has been/will be exposed to an investigational/a non-investigational intervention. Other exclusions applicable for both dose-escalation safety leading part and the PoC part Pregnant/lactating female. Female planning to become pregnant/to discontinue contraceptive precautions before 1 month after completion of the study intervention administration series. Any study personnel/their immediate dependents, family/household members. Lifestyle consideration that may interfere with the conduct of the study/pose additional risks to the rights and wellbeing of participants.

Sites / Locations

  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting
  • GSK Investigational SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Experimental

Placebo Comparator

Arm Label

Phase 1:1a Low dose Group

Phase 1:1b Placebo Group

Phase 1: 2a Medium dose Group

Phase 1: 2b Placebo Group

Phase 1: 3a High dose Group

Phase 1: 3b Placebo Group

Phase 2: 4a HTD Group

Phase 2: 4b dose below HTD Group

Phase 2: 4c Placebo Group

Arm Description

Participants randomized to the 1a Low dose Group receive 2 doses of NgG low dose investigational vaccine.

Participants randomized to the 1b Placebo Group receive 2 doses of placebo.

Participants randomized to the 2a Medium dose Group receive 2 doses of NgG medium dose investigational vaccine.

Participants randomized to the 2b Placebo Group receive 2 doses of placebo.

Participants randomized to the 3a High dose Group receive 2 doses of NgG high dose investigational vaccine.

Participants randomized to the 3b Placebo Group receive 2 doses of placebo.

Participants randomized to the 4a highest tolerated dose (HTD) Group receive 2 doses of NgG highest tolerated dose selected from Phase 1.

Participants randomized to the 4b dose below HTD Group receive 2 doses of NgG dose below the highest tolerated dose selected from Phase 1.

Participants randomized to the 4c Placebo Group receive 2 doses of placebo.

Outcomes

Primary Outcome Measures

Percentage of participants reporting solicited administration site events in study Phase 1 (Dose-escalation safety lead-in)
The solicited administration site events after vaccination include pain, redness, and swelling.
Percentage of participants reporting solicited administration site events in study Phase 1 (Dose-escalation safety lead-in)
The solicited administration site events after vaccination include pain, redness, and swelling.
Percentage of participants reporting each solicited systemic event in study Phase 1 (Dose-escalation safety lead-in)
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Percentage of participants reporting each solicited systemic event in study Phase 1 (Dose-escalation safety lead-in)
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Percentage of participants reporting unsolicited adverse events (AEs) in study Phase 1 (Dose-escalation safety lead-in)
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Percentage of participants reporting unsolicited AEs in study Phase 1 (Dose-escalation safety lead-in)
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Percentage of participants reporting serious adverse events (SAEs) in study Phase 1 (Dose-escalation safety lead-in)
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant or results in an abnormal pregnancy outcome.
Percentage of participants reporting AEs leading to withdrawal in study Phase 1 (Dose-escalation safety lead-in)
An AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention.
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 1 (Dose-escalation safety lead-in)
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 1 (Dose-escalation safety lead-in)
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Incidence rates of confirmed gonorrhea cases in study Phase 2 [Efficacy Proof of Concept (PoC)]
Percentage of participants reporting solicited administration site events in study Phase 2 (Efficacy PoC)
The solicited administration site events after vaccination include pain, redness, and swelling.
Percentage of participants reporting solicited administration site events in study Phase 2 (Efficacy PoC)
The solicited administration site events after vaccination include pain, redness, and swelling.
Percentage of participants reporting each solicited systemic event in study Phase 2 (Efficacy PoC)
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Percentage of participants reporting each solicited systemic event in study Phase 2 (Efficacy PoC)
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Percentage of participants reporting unsolicited AEs in study Phase 2 (Efficacy PoC)
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Percentage of participants reporting unsolicited AEs in study Phase 2 (Efficacy PoC)
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Percentage of participants reporting SAEs in study Phase 2 (Efficacy PoC)
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant or results in an abnormal pregnancy outcome.
Percentage of participants reporting AEs leading to withdrawal in study Phase 2 (Efficacy PoC)
An AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention.
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 2 (Efficacy PoC)
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participants condition. The evaluation of the endpoint will be assessed in the subsets for intensive safety monitoring.
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 2 (Efficacy PoC)
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

Secondary Outcome Measures

Incidence rates of confirmed gonorrhea cases with and without co-infection with a different sexually-transmitted disease causing bacterium in study Phase 2 (Efficacy PoC)
Incidence rates of gonorrhea in study Phase 2 (Efficacy PoC)
Incidence rates of other gonococcal infection with positive Ng in study Phase 2 (Efficacy PoC)

Full Information

First Posted
November 25, 2022
Last Updated
August 23, 2023
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT05630859
Brief Title
Safety and Efficacy of GSK Neisseria Gonorrhoeae GMMA (NgG) Investigational Vaccine When Administered to Healthy Adults 18 to 50 Years of Age.
Official Title
A Phase 1/2, Observer-blind, Randomized, Placebo-controlled Multi-country Study to Assess Safety and Efficacy of GSK Neisseria Gonorrhoeae GMMA (NgG) Investigational Vaccine When Administered to Healthy Adults 18 to 50 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 28, 2022 (Actual)
Primary Completion Date
June 9, 2025 (Anticipated)
Study Completion Date
June 9, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this first time in human proof of concept (FTiH-PoC) study is to evaluate safety and reactogenicity, to demonstrate efficacy and to explore immunogenicity of GlaxoSmithKline's (GSK) Neisseria gonorrhoeae generalized modules for membrane antigens (GMMA) (NgG) investigational vaccine compared to placebo (saline).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sexually Transmitted Diseases
Keywords
Neisseria gonorrhoeae, Safety, Efficacy, Sexually transmitted infection, Healthy adults 18 to 50 years of age

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Data will be collected in an observer-blind manner.
Allocation
Randomized
Enrollment
774 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase 1:1a Low dose Group
Arm Type
Experimental
Arm Description
Participants randomized to the 1a Low dose Group receive 2 doses of NgG low dose investigational vaccine.
Arm Title
Phase 1:1b Placebo Group
Arm Type
Placebo Comparator
Arm Description
Participants randomized to the 1b Placebo Group receive 2 doses of placebo.
Arm Title
Phase 1: 2a Medium dose Group
Arm Type
Experimental
Arm Description
Participants randomized to the 2a Medium dose Group receive 2 doses of NgG medium dose investigational vaccine.
Arm Title
Phase 1: 2b Placebo Group
Arm Type
Placebo Comparator
Arm Description
Participants randomized to the 2b Placebo Group receive 2 doses of placebo.
Arm Title
Phase 1: 3a High dose Group
Arm Type
Experimental
Arm Description
Participants randomized to the 3a High dose Group receive 2 doses of NgG high dose investigational vaccine.
Arm Title
Phase 1: 3b Placebo Group
Arm Type
Placebo Comparator
Arm Description
Participants randomized to the 3b Placebo Group receive 2 doses of placebo.
Arm Title
Phase 2: 4a HTD Group
Arm Type
Experimental
Arm Description
Participants randomized to the 4a highest tolerated dose (HTD) Group receive 2 doses of NgG highest tolerated dose selected from Phase 1.
Arm Title
Phase 2: 4b dose below HTD Group
Arm Type
Experimental
Arm Description
Participants randomized to the 4b dose below HTD Group receive 2 doses of NgG dose below the highest tolerated dose selected from Phase 1.
Arm Title
Phase 2: 4c Placebo Group
Arm Type
Placebo Comparator
Arm Description
Participants randomized to the 4c Placebo Group receive 2 doses of placebo.
Intervention Type
Biological
Intervention Name(s)
NgG low dose investigational vaccine
Intervention Description
Two doses of NgG low dose investigational vaccine, administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
NgG medium dose investigational vaccine
Intervention Description
Two doses of NgG medium dose investigational vaccine, administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
NgG high dose investigational vaccine
Intervention Description
Two doses of NgG high dose investigational vaccine, administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
Placebo
Other Intervention Name(s)
Sodium chloride (NaCl)
Intervention Description
Two doses of placebo, administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
NgG HTD investigational vaccine
Intervention Description
Two doses of NgG HTD investigational vaccine, administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
NgG below HTD investigational vaccine
Intervention Description
Two doses of NgG below HTD investigational vaccine, administered intramuscularly.
Primary Outcome Measure Information:
Title
Percentage of participants reporting solicited administration site events in study Phase 1 (Dose-escalation safety lead-in)
Description
The solicited administration site events after vaccination include pain, redness, and swelling.
Time Frame
During the 7 days follow-up period after the first dose
Title
Percentage of participants reporting solicited administration site events in study Phase 1 (Dose-escalation safety lead-in)
Description
The solicited administration site events after vaccination include pain, redness, and swelling.
Time Frame
During the 7 days follow-up period after the second dose
Title
Percentage of participants reporting each solicited systemic event in study Phase 1 (Dose-escalation safety lead-in)
Description
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Time Frame
During the 7 days follow-up period after the first dose
Title
Percentage of participants reporting each solicited systemic event in study Phase 1 (Dose-escalation safety lead-in)
Description
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Time Frame
During the 7 days follow-up period after the second dose
Title
Percentage of participants reporting unsolicited adverse events (AEs) in study Phase 1 (Dose-escalation safety lead-in)
Description
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Time Frame
During the 30 days follow-up period after the first dose
Title
Percentage of participants reporting unsolicited AEs in study Phase 1 (Dose-escalation safety lead-in)
Description
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Time Frame
During the 30 days follow-up period after the second dose
Title
Percentage of participants reporting serious adverse events (SAEs) in study Phase 1 (Dose-escalation safety lead-in)
Description
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant or results in an abnormal pregnancy outcome.
Time Frame
From Day 1 after the first dose up to study Phase I end (Day 241)
Title
Percentage of participants reporting AEs leading to withdrawal in study Phase 1 (Dose-escalation safety lead-in)
Description
An AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention.
Time Frame
From Day 1 after the first dose up to study Phase I end (Day 241)
Title
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 1 (Dose-escalation safety lead-in)
Description
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time Frame
7 days after the first dose
Title
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 1 (Dose-escalation safety lead-in)
Description
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time Frame
7 days after the second dose
Title
Incidence rates of confirmed gonorrhea cases in study Phase 2 [Efficacy Proof of Concept (PoC)]
Time Frame
From 1 month to 13 months post-Dose 2
Title
Percentage of participants reporting solicited administration site events in study Phase 2 (Efficacy PoC)
Description
The solicited administration site events after vaccination include pain, redness, and swelling.
Time Frame
During the 7 days follow-up period after the first dose
Title
Percentage of participants reporting solicited administration site events in study Phase 2 (Efficacy PoC)
Description
The solicited administration site events after vaccination include pain, redness, and swelling.
Time Frame
During the 7 days follow-up period after the second dose
Title
Percentage of participants reporting each solicited systemic event in study Phase 2 (Efficacy PoC)
Description
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Time Frame
During the 7 days follow-up period after the first dose
Title
Percentage of participants reporting each solicited systemic event in study Phase 2 (Efficacy PoC)
Description
The solicited systemic events after vaccination include fever, headache, myalgia, arthralgia, fatigue. Fever is defined as temperature ≥ 38.0°C/100.4°F. The preferred location for measuring temperature in this study is the oral cavity.
Time Frame
During the 7 days follow-up period after the second dose
Title
Percentage of participants reporting unsolicited AEs in study Phase 2 (Efficacy PoC)
Description
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Time Frame
During the 30 days follow-up period after the first dose
Title
Percentage of participants reporting unsolicited AEs in study Phase 2 (Efficacy PoC)
Description
Any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Time Frame
During the 30 days follow-up period after the second dose
Title
Percentage of participants reporting SAEs in study Phase 2 (Efficacy PoC)
Description
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant or results in an abnormal pregnancy outcome.
Time Frame
From Day 1 after the first dose up to study end (Day 451)
Title
Percentage of participants reporting AEs leading to withdrawal in study Phase 2 (Efficacy PoC)
Description
An AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention.
Time Frame
From Day 1 after the first dose up to study end (Day 451)
Title
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 2 (Efficacy PoC)
Description
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participants condition. The evaluation of the endpoint will be assessed in the subsets for intensive safety monitoring.
Time Frame
7 days after the first dose
Title
Percentage of participants with haematological and biochemical laboratory abnormalities in study Phase 2 (Efficacy PoC)
Description
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time Frame
7 days after the second dose
Secondary Outcome Measure Information:
Title
Incidence rates of confirmed gonorrhea cases with and without co-infection with a different sexually-transmitted disease causing bacterium in study Phase 2 (Efficacy PoC)
Time Frame
From 1 month to 13 months post-Dose 2
Title
Incidence rates of gonorrhea in study Phase 2 (Efficacy PoC)
Time Frame
From 1 month to 13 months post-Dose 2
Title
Incidence rates of other gonococcal infection with positive Ng in study Phase 2 (Efficacy PoC)
Time Frame
From 1 month to 13 months post-Dose 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Inclusion criteria for the dose-escalation safety lead-in part Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol. Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure. Healthy participants as established by medical history, clinical examination, and laboratory assessment. A participant between and including 18 and 50 years of age at the time of informed consent. Female participants of non-childbearing potential may be enrolled in the study. Female participants of childbearing potential may be enrolled in the study if the participant: has practiced adequate contraception for 1 month prior to study intervention administration, and has a negative pregnancy test on the day of study intervention administration, and has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series. Inclusion criteria for the efficacy PoC part Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol. Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure. Healthy participants as established by: For the 2 intensive safety monitoring subsets (i.e., first 30 HIV negative subjects per group followed by first 8 HIV positive subjects per group): medical history, clinical examination, and laboratory assessment. For all the remaining participants: medical history, clinical examination. At risk for gonococcus infections based on sexual behavioral characteristics: this may include men having sex with men, pre-exposure prophylaxis for HIV users, individuals who engage in transactional sex participants with current or past STI diagnosis, participants at time of STI screening or seeking other STI services. A participant between and including 18 and 50 years of age at the time of informed consent. Transgender men and women, and other gender non-conforming people who identify themselves as neither men nor women may be enrolled into the study, based on their risk factors. For the purpose of this study, they will be followed up according to their biological sex (sex at birth), sexual orientation, and genital/sexual anatomy Participants of non-childbearing potential may be enrolled in the study. This includes transmen that have not undergone gender affirming surgery of their genitals. Participants of childbearing potential may be enrolled in the study if the participant: has practiced adequate contraception for 1 month prior to study intervention administration, and has a negative pregnancy test on the day of study intervention administration, and has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series. Exclusion criteria: Medical conditions Dose-escalation safety lead-in part Any clinically significant biochemical laboratory abnormality. Any other clinical condition as determined by the investigator, that may increase participant's risk due to study participation. History of any reaction/hypersensitivity likely to be exacerbated by any component of the study intervention. Confirmed or suspected immunosuppressive/immunodeficient condition, based on medical history and physical examination. Hypersensitivity to latex. Acute/chronic clinically significant pulmonary, cardiovascular, hepatic/renal functional abnormality, as determined by physical examination/laboratory tests. Uncontrolled neurological disorders or seizures. History of invasive meningococcal disease. Efficacy PoC part: HIV negative intensive safety monitoring, HIV negative full enrollment and for all remaining participants Persons under guardianship or trusteeship. Persons deprived of liberty. Gonococcal infection identified within 14 days prior to randomization. Any other clinical condition as determined by the investigator, that may increase participant's risk due to study participation. History of severe allergic reactions and/anaphylaxis, or any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention(s). Bleeding diathesis / any other condition that would contraindicate intramuscular administration. Confirmed or suspected immunosuppressive/immunodeficient condition, based on medical history and physical examination. Known seropositivity for HIV infection, regardless of viremia and CD4 cell count Hypersensitivity to latex. Acute/chronic clinically significant pulmonary, cardiovascular, hepatic/renal functional abnormality, as determined by physical examination/laboratory tests. Recurrent history/uncontrolled neurological disorders or seizures. History of invasive meningococcal disease. The exclusion criteria depicted above, and the following exclusions criterion applies only for the HIV positive participants (intensive safety monitoring subset and full enrollment of HIV positive participants): Seropositivity for HIV infection if: CD4 cell count < 350 cells/mm3 in the last 6 months viral load > 50cp/ml in the last 6 months participant is not on antiretroviral therapy (ART) for > 3 months or has switched from a different ART in the last 3 months. For both Intensive safety monitoring subset (first 30 HIV negative subjects per group and first 8 HIV positive subjects per group) these criteria apply: Any clinically significant hematological/biochemical laboratory abnormality. Prior/Concomitant therapy Applicable for both the dose-escalation safety lead-in part and the PoC part Use of any investigational/non-registered product other than the study intervention(s) within 30 days before the first dose/planned use during the study period. Previous and planned vaccination with an OMV based Neisseria meningitidis group B vaccine (e.g., Bexsero, MeNZB vaccine or MenBvac at any time prior to first dose and during the entire study period. Planned administration/administration of a vaccine not specified in study protocol within 15 days before the first dose and ending 15 days after the last dose of vaccine administration. Administration of long-acting immune-modifying drugs during the period starting 6 months prior to the first dose of study intervention/planned administration at any time during the study period. Administration of immunoglobulins /any blood products/plasma derivatives during the period starting 3 months before the administration of the first dose of study intervention/planned administration during the study period. Chronic administration (more than 14 days in total) of immunosuppressants/other immune-modifying drugs during the period starting 3 months prior to the first study intervention dose(s). For corticosteroids, this will mean prednisone equivalent ≥20 mg/day for adult participants/ ≥0.5 mg/kg/day. Inhaled and topical steroids are allowed. The following criterion applies only for the PoC part: •Chronic/long-term use of systemic antibiotics with an activity against Neisseria gonorrhoeae. Prior/Concurrent clinical study experience applicable for both dose-escalation safety lead-in part and the PoC part Concurrently participating in another clinical study, at any time during the study period, in which the participant has been/will be exposed to an investigational/a non-investigational intervention. Other exclusions applicable for both dose-escalation safety leading part and the PoC part Pregnant/lactating female. Female planning to become pregnant/to discontinue contraceptive precautions before 1 month after completion of the study intervention administration series. Any study personnel/their immediate dependents, family/household members. Lifestyle consideration that may interfere with the conduct of the study/pose additional risks to the rights and wellbeing of participants.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name or Official Title & Degree
EU GSK Clinical Trials Call Center
Phone
+44 (0) 20 89904466
Email
GSKClinicalSupportHD@gsk.com
Facility Information:
Facility Name
GSK Investigational Site
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20011
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Salvador
State/Province
Bahía
ZIP/Postal Code
40415-006
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Alto Da Posse, Nova Iguacu
ZIP/Postal Code
26030-380
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Rio de Janeiro
ZIP/Postal Code
21045-900
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Lyon
ZIP/Postal Code
69004
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Paris Cedex 10
ZIP/Postal Code
75475
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Pierre-Bénite
ZIP/Postal Code
69495
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Frankfurt
State/Province
Hessen
ZIP/Postal Code
60596
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
Thomas Lutz
Facility Name
GSK Investigational Site
City
Bochum
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
44787
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Hamburg
ZIP/Postal Code
20146
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Manila
ZIP/Postal Code
1000
Country
Philippines
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2001
Country
South Africa
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Soweto
State/Province
Gauteng
ZIP/Postal Code
2013
Country
South Africa
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Barcelona
ZIP/Postal Code
?08015
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Madrid
ZIP/Postal Code
28006
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
London
ZIP/Postal Code
SW10 9NH
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com
Facility Name
GSK Investigational Site
City
London
ZIP/Postal Code
WC1E 6JB
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
US GSK Clinical Trials Call Center
Phone
877-379-3718
Email
GSKClinicalSupportHD@gsk.com
First Name & Middle Initial & Last Name & Degree
EU GSK Clinical Trials Call Centre
Phone
+44 (0) 20 8990 4466
Email
GSKClinicalSupportHD@gsk.com

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study will be made available via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, a key secondary endpoints and safety data of the study.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Learn more about this trial

Safety and Efficacy of GSK Neisseria Gonorrhoeae GMMA (NgG) Investigational Vaccine When Administered to Healthy Adults 18 to 50 Years of Age.

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