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A Phase 1, Dose Escalation Study, to Evaluate a New Shigella Sonnei Vaccine in Healthy Adults.

Primary Purpose

Shigellosis

Status
Completed
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
S. sonnei 1790GAHB
Placebo
Sponsored by
GSK Vaccines Institute For Global Health S.r.l.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Shigellosis focused on measuring prevention, Shigella sonnei

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Males and females of age ≥18 years to ≤45 years.
  2. Individuals who, after the nature of the study has been explained to them, and prior to any protocol specific procedures being performed, have given written consent according to local regulatory requirements.
  3. Individuals in good health as determined by the outcome of medical history, physical examination, hematological / hematochemical blood tests (including presence of high antibody titers against S. sonnei by agglutination test), urinalysis and clinical judgment of the investigator.
  4. If women of child-bearing potential, have a negative pregnancy test prior study vaccination and willingness to use acceptable birth control measures for the entire study duration.
  5. Individuals affiliated to a social security regimen.

Exclusion Criteria:

  1. Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study.
  2. Individuals with any progressive or severe neurological disorder, seizure disorder or Guillain-Barré syndrome.
  3. Individuals who are not able to understand and to follow all required study procedures for the whole period of the study.
  4. Individuals with history of any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study.
  5. Individuals human leukocyte antigen (HLA) -B27 positive and/or with history of reactive arthritis.
  6. Individuals with known or suspected HIV infection or HIV related disease, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy including use of systemic corticosteroids or chronic use of inhaled high-potency corticosteroids (i.e. prednisone, or equivalent ≥10 mg/day) within the previous 28 days, or in chemotherapy treatment within the past 168 days.
  7. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  8. Individuals with any serious chronic or progressive disease according to judgment of the investigator (e.g., neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease).
  9. Individuals who have any malignancy or lymphoproliferative disorder.
  10. Individuals with history of allergy to vaccine components.
  11. Individuals participating in any clinical trial with another investigational product 28 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
  12. Individuals who received any other vaccines within 4 weeks prior to enrollment in this study or who are planning to receive any vaccine within the entire study duration except influenza vaccination, which is not allowed within the period included between 28 days before 1st vaccination and 28 days after 3rd vaccination.
  13. Individuals who have received blood, blood products, and/or plasma derivatives including parenteral immunoglobulin preparations in the past 12 weeks.
  14. Individuals who are part of study personnel or close family members to the personnel conducting this study or employees of the clinical trial site institution.
  15. Individuals with body temperature > 38.0 degrees Celsius within 3 days of intended study vaccination.
  16. Individuals with Body Mass Index (BMI)> 30 kg/m2
  17. Individuals with history of substance or alcohol abuse within the past 2 years.
  18. Women who are pregnant or are breast-feeding, or are of childbearing age who have not used or do not plan to use acceptable birth control measures, for the duration of the study.
  19. Females with history of stillbirth, neonatal loss, or previous infant with anomaly.
  20. Individuals who have a previously laboratory confirmed or suspected disease caused by S. sonnei.
  21. Individuals who have had household contact with/and or intimate exposure to an individual with laboratory confirmed S. sonnei.
  22. Any condition, which, in the opinion of the investigator may pose an increased and unreasonable safety risk to the subject if participating to the present study

Sites / Locations

  • Centre d'Investigation Clinique en Vaccinologie Cochin-Pasteur (CIC1417)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

S. sonnei 1790GAHB - 1 mcg

S. sonnei 1790GAHB - 5 mcg

S. sonnei 1790GAHB - 25 mcg

S. sonnei 1790GAHB - 50 mcg

S. sonnei 1790GAHB - 100 mcg

Placebo

Arm Description

Subjects enrolled in COHORT A receiving 3 injections of S. sonnei 1790GAHB - 1 mcg

Subjects enrolled in COHORT B receiving 3 injections of S. sonnei 1790GAHB - 5 mcg

Subjects enrolled in COHORT C receiving 3 injections of S. sonnei 1790GAHB - 25 mcg

Subjects enrolled in COHORT D receiving 3 injections of S. sonnei 1790GAHB - 50 mcg

Subjects enrolled in COHORT E receiving 3 injections of S. sonnei 1790GAHB - 100 mcg

2 subjects enrolled in each COHORT A, B, C, D, E receiving 3 injections of Placebo. These were pooled in one Placebo group in the analyses

Outcomes

Primary Outcome Measures

Number of Subjects With Solicited Local Reaction After Any Vaccination
Any erythema/induration refers to: ≥25 mm in diameter. Grade 3 (severe) refers to erythema/induration >100 mm in diameter. Grade 3 (severe) for injection site pain refers to: prevents daily activity
Number of Subjects With Solicited Systemic Reaction After Any Vaccination
Any= Incidence of any symptom regardless of intensity grade. Grade 3 = symptom that prevented daily activities
Number of Subjects With Neutrophils Results Below and Above the Normal Ranges
Day 8: VISIT 2 (D7 post 1st vac)
Number of Subjects With Neutrophils Results Below and Above the Normal
Day 36: VISIT 3.1 (D7 post 2nd vac.)
Number of Subjects With Neutrophils Results Below and Above the Normal
Day 57: VISIT 4 (3rd vac.)
Number of Subjects With Neutrophils Results Below and Above the Normal
Day 64: VISIT 4.1 (D7 post 3rd vac.)
Number of Subjects With Neutrophils Results Below and Above the Normal
Day 85: VISIT 5 (1 month post 3rd vac.)
Number of Subjects With Neutrophils Results Below and Above the Normal
Day 225: VISIT 6 (6 months post 3rd vac.)

Secondary Outcome Measures

Anti-LPS S. Sonnei Serum IgG Geometric Mean Concentration (GMCs)
Number of Subjects With Seroresponse for Anti-LPS S. Sonnei
Seroresponse is defined as: If half of the baseline value is greater than 25 ELISA Unit (EU) then an increase of at least 50% in the post-vaccination sample as compared to baseline [i.e. ((Post-vac minus baseline)/baseline)100% ≥ 50%]. If half of the baseline value is less or equal to 25 EU then an increase of at least 25 EU in the post-vaccination sample as compared to baseline (i.e. [post-vac minus baseline] ≥25 EU)
Number of Subjects With High Seroresponse for Anti-LPS S. Sonnei (IgG ELISA ≥121 EU)
High seroresponse is defined as a post vaccination titer ≥X anti-LPS serum IgG units in the GSK (former Novartis) ELISA that correspond to a titer of 1:800 in the ELISA method used by Cohen et al. To determine the value for 'X' the GSK (former Novartis) anti-LPS ELISA was calibrated against the Cohen ELISA and it was found that a concentration of 121 EU EU/mL corresponds to a titer of 1:800 in the Cohen assay

Full Information

First Posted
December 17, 2013
Last Updated
August 10, 2018
Sponsor
GSK Vaccines Institute For Global Health S.r.l.
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1. Study Identification

Unique Protocol Identification Number
NCT02017899
Brief Title
A Phase 1, Dose Escalation Study, to Evaluate a New Shigella Sonnei Vaccine in Healthy Adults.
Official Title
A Phase 1, Randomized, Observer Blinded, Placebo Controlled, Single Center, Dose Escalation Study to Evaluate the Safety and Immunogenicity of 3 Vaccinations With Shigella Sonnei Vaccine (1790GAHB) Administered Intramuscularly in Healthy Adults.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
February 2014 (undefined)
Primary Completion Date
March 2015 (Actual)
Study Completion Date
March 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GSK Vaccines Institute For Global Health S.r.l.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase 1 clinical trial is aimed to evaluate the safety and immunogenicity of 3 doses of 5 sequentially escalating dosages of a candidate vaccine against Shigella sonnei (1790GAHB vaccine) administered by intramuscular route in healthy adults (18 to 45 years of age at enrollment). The safety profile of the 1790GAHB vaccine is evaluated in comparison to that of placebo (GAHB-Placebo), constituted by an aluminum hydroxide suspension having the same concentration as study vaccine formulations. A total of 50 eligible subjects will be assigned to one of five sequential cohorts of 10 subjects each. Within each cohort, in an observer-blind fashion, subjects will be randomized to receive three vaccinations, four weeks apart, of either 1790GAHB vaccine (at five antigen concentrations) or GAHB placebo. A Data Safety Monitoring Board will be in place to receive a summary of all safety data obtained during one week follow-up post-first vaccination with the lower dose. Based on evaluation of the safety data, the Data Safety Monitoring Board will make a recommendation, as to whether the next cohort should be vaccinated with higher antigen concentration or not. Expected duration of the study for an individual subject is 9 months. Each subject will be followed-up for 6 months after the 3rd vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shigellosis
Keywords
prevention, Shigella sonnei

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
S. sonnei 1790GAHB - 1 mcg
Arm Type
Experimental
Arm Description
Subjects enrolled in COHORT A receiving 3 injections of S. sonnei 1790GAHB - 1 mcg
Arm Title
S. sonnei 1790GAHB - 5 mcg
Arm Type
Experimental
Arm Description
Subjects enrolled in COHORT B receiving 3 injections of S. sonnei 1790GAHB - 5 mcg
Arm Title
S. sonnei 1790GAHB - 25 mcg
Arm Type
Experimental
Arm Description
Subjects enrolled in COHORT C receiving 3 injections of S. sonnei 1790GAHB - 25 mcg
Arm Title
S. sonnei 1790GAHB - 50 mcg
Arm Type
Experimental
Arm Description
Subjects enrolled in COHORT D receiving 3 injections of S. sonnei 1790GAHB - 50 mcg
Arm Title
S. sonnei 1790GAHB - 100 mcg
Arm Type
Experimental
Arm Description
Subjects enrolled in COHORT E receiving 3 injections of S. sonnei 1790GAHB - 100 mcg
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
2 subjects enrolled in each COHORT A, B, C, D, E receiving 3 injections of Placebo. These were pooled in one Placebo group in the analyses
Intervention Type
Biological
Intervention Name(s)
S. sonnei 1790GAHB
Other Intervention Name(s)
Shigella sonnei vaccine
Intervention Type
Biological
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Number of Subjects With Solicited Local Reaction After Any Vaccination
Description
Any erythema/induration refers to: ≥25 mm in diameter. Grade 3 (severe) refers to erythema/induration >100 mm in diameter. Grade 3 (severe) for injection site pain refers to: prevents daily activity
Time Frame
During a 7-day (Days 1-7) post vaccination period following any injection
Title
Number of Subjects With Solicited Systemic Reaction After Any Vaccination
Description
Any= Incidence of any symptom regardless of intensity grade. Grade 3 = symptom that prevented daily activities
Time Frame
During a 7-day (Days 1 to 7) post vaccination period following any injection
Title
Number of Subjects With Neutrophils Results Below and Above the Normal Ranges
Description
Day 8: VISIT 2 (D7 post 1st vac)
Time Frame
At Day 8
Title
Number of Subjects With Neutrophils Results Below and Above the Normal
Description
Day 36: VISIT 3.1 (D7 post 2nd vac.)
Time Frame
At Day 36
Title
Number of Subjects With Neutrophils Results Below and Above the Normal
Description
Day 57: VISIT 4 (3rd vac.)
Time Frame
At Day 57
Title
Number of Subjects With Neutrophils Results Below and Above the Normal
Description
Day 64: VISIT 4.1 (D7 post 3rd vac.)
Time Frame
At Day 64
Title
Number of Subjects With Neutrophils Results Below and Above the Normal
Description
Day 85: VISIT 5 (1 month post 3rd vac.)
Time Frame
At Day 85
Title
Number of Subjects With Neutrophils Results Below and Above the Normal
Description
Day 225: VISIT 6 (6 months post 3rd vac.)
Time Frame
At Day 225
Secondary Outcome Measure Information:
Title
Anti-LPS S. Sonnei Serum IgG Geometric Mean Concentration (GMCs)
Time Frame
At baseline, at 28 days after each vaccination and at 168 days after last vaccination
Title
Number of Subjects With Seroresponse for Anti-LPS S. Sonnei
Description
Seroresponse is defined as: If half of the baseline value is greater than 25 ELISA Unit (EU) then an increase of at least 50% in the post-vaccination sample as compared to baseline [i.e. ((Post-vac minus baseline)/baseline)100% ≥ 50%]. If half of the baseline value is less or equal to 25 EU then an increase of at least 25 EU in the post-vaccination sample as compared to baseline (i.e. [post-vac minus baseline] ≥25 EU)
Time Frame
At 28 days after each vaccination and 168 days after last vaccination
Title
Number of Subjects With High Seroresponse for Anti-LPS S. Sonnei (IgG ELISA ≥121 EU)
Description
High seroresponse is defined as a post vaccination titer ≥X anti-LPS serum IgG units in the GSK (former Novartis) ELISA that correspond to a titer of 1:800 in the ELISA method used by Cohen et al. To determine the value for 'X' the GSK (former Novartis) anti-LPS ELISA was calibrated against the Cohen ELISA and it was found that a concentration of 121 EU EU/mL corresponds to a titer of 1:800 in the Cohen assay
Time Frame
At baseline, at 28 days after each vaccination and at 168 days after last vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females of age ≥18 years to ≤45 years. Individuals who, after the nature of the study has been explained to them, and prior to any protocol specific procedures being performed, have given written consent according to local regulatory requirements. Individuals in good health as determined by the outcome of medical history, physical examination, hematological / hematochemical blood tests (including presence of high antibody titers against S. sonnei by agglutination test), urinalysis and clinical judgment of the investigator. If women of child-bearing potential, have a negative pregnancy test prior study vaccination and willingness to use acceptable birth control measures for the entire study duration. Individuals affiliated to a social security regimen. Exclusion Criteria: Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study. Individuals with any progressive or severe neurological disorder, seizure disorder or Guillain-Barré syndrome. Individuals who are not able to understand and to follow all required study procedures for the whole period of the study. Individuals with history of any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study. Individuals human leukocyte antigen (HLA) -B27 positive and/or with history of reactive arthritis. Individuals with known or suspected HIV infection or HIV related disease, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy including use of systemic corticosteroids or chronic use of inhaled high-potency corticosteroids (i.e. prednisone, or equivalent ≥10 mg/day) within the previous 28 days, or in chemotherapy treatment within the past 168 days. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. Individuals with any serious chronic or progressive disease according to judgment of the investigator (e.g., neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease). Individuals who have any malignancy or lymphoproliferative disorder. Individuals with history of allergy to vaccine components. Individuals participating in any clinical trial with another investigational product 28 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study. Individuals who received any other vaccines within 4 weeks prior to enrollment in this study or who are planning to receive any vaccine within the entire study duration except influenza vaccination, which is not allowed within the period included between 28 days before 1st vaccination and 28 days after 3rd vaccination. Individuals who have received blood, blood products, and/or plasma derivatives including parenteral immunoglobulin preparations in the past 12 weeks. Individuals who are part of study personnel or close family members to the personnel conducting this study or employees of the clinical trial site institution. Individuals with body temperature > 38.0 degrees Celsius within 3 days of intended study vaccination. Individuals with Body Mass Index (BMI)> 30 kg/m2 Individuals with history of substance or alcohol abuse within the past 2 years. Women who are pregnant or are breast-feeding, or are of childbearing age who have not used or do not plan to use acceptable birth control measures, for the duration of the study. Females with history of stillbirth, neonatal loss, or previous infant with anomaly. Individuals who have a previously laboratory confirmed or suspected disease caused by S. sonnei. Individuals who have had household contact with/and or intimate exposure to an individual with laboratory confirmed S. sonnei. Any condition, which, in the opinion of the investigator may pose an increased and unreasonable safety risk to the subject if participating to the present study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Odile Launay, Prof
Organizational Affiliation
Centre d'Investigation Clinique en Vaccinologie Cochin-Pasteur (CIC1417)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre d'Investigation Clinique en Vaccinologie Cochin-Pasteur (CIC1417)
City
Paris
State/Province
Paris Cedex 14
ZIP/Postal Code
75679
Country
France

12. IPD Sharing Statement

Citations:
PubMed Identifier
34017343
Citation
Micoli F, Rossi O, Conti V, Launay O, Scire AS, Aruta MG, Nakakana UN, Marchetti E, Rappuoli R, Saul A, Martin LB, Necchi F, Podda A. Antibodies Elicited by the Shigella sonnei GMMA Vaccine in Adults Trigger Complement-Mediated Serum Bactericidal Activity: Results From a Phase 1 Dose Escalation Trial Followed by a Booster Extension. Front Immunol. 2021 May 4;12:671325. doi: 10.3389/fimmu.2021.671325. eCollection 2021.
Results Reference
derived
PubMed Identifier
28735965
Citation
Launay O, Lewis DJM, Anemona A, Loulergue P, Leahy J, Scire AS, Maugard A, Marchetti E, Zancan S, Huo Z, Rondini S, Marhaba R, Finco O, Martin LB, Auerbach J, Cohen D, Saul A, Gerke C, Podda A. Safety Profile and Immunologic Responses of a Novel Vaccine Against Shigella sonnei Administered Intramuscularly, Intradermally and Intranasally: Results From Two Parallel Randomized Phase 1 Clinical Studies in Healthy Adult Volunteers in Europe. EBioMedicine. 2017 Aug;22:164-172. doi: 10.1016/j.ebiom.2017.07.013. Epub 2017 Jul 15.
Results Reference
derived
PubMed Identifier
27490698
Citation
Muturi-Kioi V, Lewis D, Launay O, Leroux-Roels G, Anemona A, Loulergue P, Bodinham CL, Aerssens A, Groth N, Saul A, Podda A. Neutropenia as an Adverse Event following Vaccination: Results from Randomized Clinical Trials in Healthy Adults and Systematic Review. PLoS One. 2016 Aug 4;11(8):e0157385. doi: 10.1371/journal.pone.0157385. eCollection 2016.
Results Reference
derived

Learn more about this trial

A Phase 1, Dose Escalation Study, to Evaluate a New Shigella Sonnei Vaccine in Healthy Adults.

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