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Dose Escalation Study to Evaluate the Safety and Immunogenicity of the Cholera Conjugate Vaccine in Healthy Adults

Primary Purpose

Cholera Vaccination Reaction

Status
Recruiting
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
OSP:rTTHc Cholera Conjugate Vaccine Cohort A
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort A
Placebo Cohort A
OSP:rTTHc Cholera Conjugate Vaccine Cohort B
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort B
Placebo Cohort B
OSP:rTTHc Cholera Conjugate Vaccine Cohort C
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort C
Placebo Cohort C
Sponsored by
International Vaccine Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cholera Vaccination Reaction focused on measuring Cholera Conjugate Vaccine, O Specific Polysaccharide, Recombinant Tetanus Toxoid Heavy Chain Fragment

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy Korean participants aged 19 to 45 years at consent
  2. Participants willing to provide written informed consent to participate study voluntarily
  3. Participants who can be followed up during the study period and can comply with the study requirements
  4. Individual in good health as determined by the outcome of medical history, physical examination, laboratory evaluations and the clinical judgment of the investigator
  5. Females of childbearing potential with negative pregnancy test result on the day of screening
  6. Females of childbearing potential who agree to use an effective birth control method* from the screening and p to 12 weeks after the second dose vaccination.
  7. Males who agree to use an effective birth control method* from the screening and up to 12 weeks after the second dose vaccination

Exclusion Criteria:

  1. Known history or allergy to investigational vaccine components and/or excipients or other medications, or any other allergies deemed by the investigator to increase the risk of an adverse event if they were to participate in the trial
  2. Individuals with major congenital abnormalities which in the opinion of investigator may affect the participant's participation in the study
  3. Known history of immune function disorders including immunodeficiency diseases (known HIV infection or other immune function disorders)
  4. Use of systemic steroids within past 6 months (>10 mg/day prednisone equivalent for periods exceeding 2 consecutive weeks), or receive chemotherapy, radiation therapy or other immunosuppressive drugs within the past 6 months.
  5. Individuals with behavioral or cognitive impairment or psychiatric disease or neural disorders that, in the opinion of the investigator, could interfere with the participant's ability to participate in the trial
  6. Individuals with splenectomy
  7. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time resulting in contraindication for intramuscular injections/blood extractions
  8. Receipt of blood, blood-derived products, or immunoglobulin products in the past 3 months
  9. Individuals who have received other vaccines from 4 weeks prior to the first dose of test vaccination or planned to receive any vaccine within 4 weeks of the last dose of the investigational product
  10. Body mass index (BMI) ≥ 35 kg/m2
  11. Individuals with active or previous Vibrio cholerae infection
  12. Individuals with history of severe diarrhea requiring hospitalization or emergency room visit for the last 5 years
  13. Individuals with receipt of a cholera vaccine
  14. Individuals who lived in cholera endemic areas for more than 6 months for the past 10 years
  15. As per Investigator's medical judgement, an individual could be excluded from the study despite meeting all inclusion/exclusion criteria mentioned above
  16. Any female participant who is lactating*, pregnant or planning for pregnancy** during study period
  17. Individuals enrolled in another clinical trial or bioequivalence test during 6 months prior to enrollment, concomitantly enrolled or scheduled to be enrolled in another trial
  18. Individuals who are research staff involved with the clinical study or family/household members of research staff

Sites / Locations

  • The Catholic University of Korea Seoul St. Mary's HospitalRecruiting
  • CHA Bundang Medical Center (CBMC) of CHA UniversityRecruiting
  • Soon Chun Hyang University HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

OSP:rTTHc Cholera Conjugate Vaccine

OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant

Placebo

Arm Description

2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart

2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart

2 doses @0.5 mL of Sterile 0.9% sodium chloride administered intramuscularly in deltoid region at 4 weeks apart

Outcomes

Primary Outcome Measures

Serious adverse events (SAEs) and adverse events of special interest (AESIs)
Occurrence of any SAEs/AESIs from the time of the first dose of study vaccine
Immediate adverse events
Occurrence of immediate adverse events within 30 minutes from the time of each study vaccination.
Solicited adverse events
Occurrence of solicited injection site and solicited systemic adverse events from the time of each study vaccination through 7 days after each study vaccination
Unsolicited adverse events
Occurrence of unsolicited adverse events from the time of each study vaccination through 28 days after each study vaccination.
Clinical safety laboratory parameters
Occurrence of clinically significant changes in clinical safety laboratory parameters from the time of each vaccination through 28 days after each study vaccination.

Secondary Outcome Measures

Seroconversion rates of IgG antibody responses to OSP
Proportion of participants achieving seroconversion (defined as a 4-fold increase of serum anti-OSP IgG antibody titer at approximately 28 days after the first and second dose of investigational product compared to baseline
Geometric Mean Titers (GMTs) of serum anti-OSP IgG
GMTs of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product compared to baseline
Geometric Mean Fold Rise (GMFR) of serum anti-OSP IgG
GMFR of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product
Seroconversion rates of serum vibriocidal antibody titers
Proportion of participants with a 4-fold or greater rises in serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa, relative to baseline, 28 days after the first and second dose of investigational product compared to baseline
GMT of serum vibriocidal antibody titers
Geometric Mean Titers (GMT) of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product compared to baseline .
GMFR of serum vibriocidal antibody titers
GMFR of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product

Full Information

First Posted
September 21, 2022
Last Updated
March 1, 2023
Sponsor
International Vaccine Institute
Collaborators
EuBiologics Co.,Ltd, Massachusetts General Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05559983
Brief Title
Dose Escalation Study to Evaluate the Safety and Immunogenicity of the Cholera Conjugate Vaccine in Healthy Adults
Official Title
A Phase I, Multicenter, Observer-Blinded, Randomized, Placebo-Controlled, Dose Escalation Trial to Evaluate the Safety and Immunogenicity of the OSP:rTTHc Cholera Conjugate Vaccine in 19 to 45 Years Old Healthy Korean Participants
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 5, 2022 (Actual)
Primary Completion Date
July 31, 2023 (Anticipated)
Study Completion Date
January 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
International Vaccine Institute
Collaborators
EuBiologics Co.,Ltd, Massachusetts General Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase I, first-in-human study is intended to primarily determine the safety of the dose range with or without Aluminum phosphate adjuvant expected to be needed for later clinical studies, to determine the nature of adverse reactions (i.e., safety profile) and to secondly assess the Aluminum phosphate humoral immune responses in non-endemic population to guide future dose selection.
Detailed Description
A total of 150 eligible participants will be recruited in 3 sequential dose cohorts: low-dose 5 µg, medium-dose 10 µg, and high-dose 25 µg. In each dose cohorts, the participants will be randomized in a blinded manner into three arms (vaccine antigen with aluminum phosphate, vaccine antigen without Aluminum phosphate or placebo) in 2:2:1 ratio. All the participants will receive two intramuscular injections of 0.5 mL of the designated study vaccine or placebo on deltoid muscle, on Days 0 and 28. The DSMB will review the safety data and approve dose escalation before investigational product injection of the next cohort is initiated. The study primary objective is to evaluate the safety of the O Specific Polysaccharide recombinant Tetanus Toxoid Heavy Chain Fragment (OSP:rTTHc) cholera conjugate vaccine (CCV) after each dose vaccination. The secondary objectives are: To evaluate the Antibody response to OSP IgG against V. cholerae O1 after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination. To evaluate the serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa 4 weeks after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination. The exploratory objectives are: To describe the anti tetanus toxoid (anti-TT) Immunoglobulin G (IgG) 4 weeks after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination. To describe memory B cell responses 4 and 28 weeks after first dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cholera Vaccination Reaction
Keywords
Cholera Conjugate Vaccine, O Specific Polysaccharide, Recombinant Tetanus Toxoid Heavy Chain Fragment

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
The first fifty participant in the study will be enrolled into cohort A and receive low antigen product with or without adjuvant, or placebo. The Safety Monitoring Committee (SMC) and the independent Data Safety Monitoring Board (DSMB) will review the safety data collected through seven days after the second dose vaccination of the cohort A before the study enrollment can progress to cohort B (middle dose). Dose escalation to cohort C (high dose) will follow the same procedures.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Study investigators, study nurse, and those assessing clinical outcomes, and laboratory analysis will be blinded to investigational product allocation until database lock for the final analysis.
Allocation
Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
OSP:rTTHc Cholera Conjugate Vaccine
Arm Type
Experimental
Arm Description
2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart
Arm Title
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant
Arm Type
Experimental
Arm Description
2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
2 doses @0.5 mL of Sterile 0.9% sodium chloride administered intramuscularly in deltoid region at 4 weeks apart
Intervention Type
Biological
Intervention Name(s)
OSP:rTTHc Cholera Conjugate Vaccine Cohort A
Intervention Description
OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 5 µg of OSP:rTTHc
Intervention Type
Biological
Intervention Name(s)
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort A
Intervention Description
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 5 µg of OSP:rTTHc
Intervention Type
Other
Intervention Name(s)
Placebo Cohort A
Intervention Description
Sterile 0.9% sodium chloride
Intervention Type
Biological
Intervention Name(s)
OSP:rTTHc Cholera Conjugate Vaccine Cohort B
Intervention Description
OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 10 µg of OSP:rTTHc
Intervention Type
Biological
Intervention Name(s)
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort B
Intervention Description
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 10 µg of OSP:rTTHc
Intervention Type
Other
Intervention Name(s)
Placebo Cohort B
Intervention Description
Sterile 0.9% sodium chloride
Intervention Type
Biological
Intervention Name(s)
OSP:rTTHc Cholera Conjugate Vaccine Cohort C
Intervention Description
OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc
Intervention Type
Biological
Intervention Name(s)
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort C
Intervention Description
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc
Intervention Type
Other
Intervention Name(s)
Placebo Cohort C
Intervention Description
Sterile 0.9% sodium chloride
Primary Outcome Measure Information:
Title
Serious adverse events (SAEs) and adverse events of special interest (AESIs)
Description
Occurrence of any SAEs/AESIs from the time of the first dose of study vaccine
Time Frame
Entire study participation period (approximately 7 months)
Title
Immediate adverse events
Description
Occurrence of immediate adverse events within 30 minutes from the time of each study vaccination.
Time Frame
Within 30 minutes post each dose
Title
Solicited adverse events
Description
Occurrence of solicited injection site and solicited systemic adverse events from the time of each study vaccination through 7 days after each study vaccination
Time Frame
Within 7 days post each dose
Title
Unsolicited adverse events
Description
Occurrence of unsolicited adverse events from the time of each study vaccination through 28 days after each study vaccination.
Time Frame
Within 28 days post each dose
Title
Clinical safety laboratory parameters
Description
Occurrence of clinically significant changes in clinical safety laboratory parameters from the time of each vaccination through 28 days after each study vaccination.
Time Frame
Within 28 days post each dose
Secondary Outcome Measure Information:
Title
Seroconversion rates of IgG antibody responses to OSP
Description
Proportion of participants achieving seroconversion (defined as a 4-fold increase of serum anti-OSP IgG antibody titer at approximately 28 days after the first and second dose of investigational product compared to baseline
Time Frame
Baseline and at 28 days post the first and second dose
Title
Geometric Mean Titers (GMTs) of serum anti-OSP IgG
Description
GMTs of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product compared to baseline
Time Frame
Baseline and at 28 days post the first and second dose
Title
Geometric Mean Fold Rise (GMFR) of serum anti-OSP IgG
Description
GMFR of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product
Time Frame
At 28 days post the first and second dose
Title
Seroconversion rates of serum vibriocidal antibody titers
Description
Proportion of participants with a 4-fold or greater rises in serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa, relative to baseline, 28 days after the first and second dose of investigational product compared to baseline
Time Frame
Baseline and at 28 days post the first and second dose
Title
GMT of serum vibriocidal antibody titers
Description
Geometric Mean Titers (GMT) of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product compared to baseline .
Time Frame
Baseline and at 28 days post the first and second dose
Title
GMFR of serum vibriocidal antibody titers
Description
GMFR of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product
Time Frame
At 28 days post the first and second dose
Other Pre-specified Outcome Measures:
Title
Seroconversion of serum anti-TT antibody titer
Description
Proportion of participants achieving seroconversion (defined as at least 4-fold increase) of serum anti-TT antibody titer at 28 days after first and second dose vaccination compared to baseline
Time Frame
Baseline and at 28 days post the first and second dose
Title
Memory B Cell responses
Description
Memory B Cell responses measured by Elispot assay at 28 days after the first dose vaccination and 6 months after second dose vaccination compared to baseline.
Time Frame
Baseline, 28 days, and 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy Korean participants aged 19 to 45 years at consent Participants willing to provide written informed consent to participate study voluntarily Participants who can be followed up during the study period and can comply with the study requirements Individual in good health as determined by the outcome of medical history, physical examination, laboratory evaluations and the clinical judgment of the investigator Females of childbearing potential with negative pregnancy test result on the day of screening Females of childbearing potential who agree to use an effective birth control method* from the screening and p to 12 weeks after the second dose vaccination. Males who agree to use an effective birth control method* from the screening and up to 12 weeks after the second dose vaccination Exclusion Criteria: Known history or allergy to investigational vaccine components and/or excipients or other medications, or any other allergies deemed by the investigator to increase the risk of an adverse event if they were to participate in the trial Individuals with major congenital abnormalities which in the opinion of investigator may affect the participant's participation in the study Known history of immune function disorders including immunodeficiency diseases (known HIV infection or other immune function disorders) Use of systemic steroids within past 6 months (>10 mg/day prednisone equivalent for periods exceeding 2 consecutive weeks), or receive chemotherapy, radiation therapy or other immunosuppressive drugs within the past 6 months. Individuals with behavioral or cognitive impairment or psychiatric disease or neural disorders that, in the opinion of the investigator, could interfere with the participant's ability to participate in the trial Individuals with splenectomy Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time resulting in contraindication for intramuscular injections/blood extractions Receipt of blood, blood-derived products, or immunoglobulin products in the past 3 months Individuals who have received other vaccines from 4 weeks prior to the first dose of test vaccination or planned to receive any vaccine within 4 weeks of the last dose of the investigational product Body mass index (BMI) ≥ 35 kg/m2 Individuals with active or previous Vibrio cholerae infection Individuals with history of severe diarrhea requiring hospitalization or emergency room visit for the last 5 years Individuals with receipt of a cholera vaccine Individuals who lived in cholera endemic areas for more than 6 months for the past 10 years As per Investigator's medical judgement, an individual could be excluded from the study despite meeting all inclusion/exclusion criteria mentioned above Any female participant who is lactating*, pregnant or planning for pregnancy** during study period Individuals enrolled in another clinical trial or bioequivalence test during 6 months prior to enrollment, concomitantly enrolled or scheduled to be enrolled in another trial Individuals who are research staff involved with the clinical study or family/household members of research staff
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Naveena Aloysia D'Cor, MD
Phone
+82 2 8811 000
Email
Naveena.DCor@ivi.int
First Name & Middle Initial & Last Name or Official Title & Degree
Anh Wartel, MD
Phone
+82 2 8811 274
Email
Anh.Wartel@ivi.int
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anh Wartel, MD
Organizational Affiliation
+82 2 8811 274
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Catholic University of Korea Seoul St. Mary's Hospital
City
Seoul
ZIP/Postal Code
06591
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dong Gun Lee, MD, PhD
Email
symonlee@catholic.ac.kr
First Name & Middle Initial & Last Name & Degree
Professor Dong Gun Lee, MD, PhD
Facility Name
CHA Bundang Medical Center (CBMC) of CHA University
City
Seoul
ZIP/Postal Code
08826
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Anhye Kim, MD, PhD
Email
ahkim1@cha.ac.kr
First Name & Middle Initial & Last Name & Degree
Anhye Kim, MD, PhD
Facility Name
Soon Chun Hyang University Hospital
City
Seoul
ZIP/Postal Code
08826
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jong Tak Jung, MD, PhD
Email
unsymmetry@gmail.com
First Name & Middle Initial & Last Name & Degree
Jong Tak Jung, MD, PhD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Dose Escalation Study to Evaluate the Safety and Immunogenicity of the Cholera Conjugate Vaccine in Healthy Adults

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