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Safety and Tolerability of a Bioconjugate Vaccine Against Shigella Flexneri 2a

Primary Purpose

Shigellosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Flexyn2a
Placebo
Flexyn2a plus adjuvant
Sponsored by
LimmaTech Biologics AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Shigellosis focused on measuring bioconjugate vaccine, safety, immunogenicity, shigellosis

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy male or female volunteers, age of 18 to 50 years (inclusive) at the time of enrollment.
  2. Signed informed consent form.
  3. Completion and review of comprehension test (achieved >70% accuracy)
  4. Available for the required follow-up period and scheduled clinic visits.
  5. Women: negative pregnancy test with understanding (through informed consent process) to not become pregnant or or breastfeed during the study or within twelve (12) weeks after the last vaccine dose.

Exclusion Criteria:

  1. Health condition that, in the opinion of the investigator, may interfere with optimal participation in the study or place the volunteer at increased risk of adverse Events (AEs). Study clinicians, in consultation with the PI, will use clinical judgment on a case by-case basis to assess safety risks under this criterion. The PI will consult with the Research Monitor as appropriate.
  2. Clinically significant abnormalities on physical examination.
  3. Clinically significant abnormalities on basic laboratory screening.
  4. Presence of significant unexplained laboratory abnormalities that, in the opinion of the PI, may potentially confound the analysis of the study results
  5. Regular use of constipation, antacid or anti-diarrheal medications or treatments.
  6. Abnormal stool pattern (fewer than 3 stools per week or more than 3 per day) or loose/liquid stools more than occasionally.
  7. Use of immunosuppressive drugs such as corticosteroids or chemotherapeutics that may influence antibody development.
  8. Women currently nursing.
  9. Participation in research involving another investigational product (defined as receipt of investigational product or exposure to invasive investigational device) within 30 days of planned date of first vaccination or anytime throughout the duration of the study.
  10. Positive blood test for HBsAg, hepatitis C Virus (HCV), HIV-1.
  11. Positive blood test for HLA-B27.
  12. Immunosuppressive illness or immunoglobulin deficiency (serum immunoglobulin A level < 7 mg/dL or limit of detection of assay).
  13. Family history of congenital or hereditary immunodeficiency.
  14. Treatment with immunoglobulins or blood products within 3 months from first candidate vaccine injection.
  15. History of microbiologically confirmed Shigella infection.
  16. Personal or family history of inflammatory arthritis.
  17. Personal or family history of irritable bowel syndrome.
  18. Received previous experimental Shigella vaccine or live Shigella challenge.
  19. Have had diarrhea while traveling outside the United States or lived for 2 or more months during the past 3 years in a country with potentially higher Shigella infection rates, including Africa, South America, Central America, and Asia (except Japan).
  20. Occupation involving handling of Shigella bacteria currently, or in the past 3 years.
  21. History of allergy to any vaccine.
  22. History of allergy to aluminum hydroxide.
  23. Serum immunoglobulin G endpoint titer ≥ 2500 to Shigella Lipopolysaccharide.

Sites / Locations

  • WRAIR Clinical Trial Center (CTC)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Flexyn2a

Flexyn2a plus adjuvant

Placebo

Arm Description

2 doses of 10 μg of Flexyn2a will be injected intramuscularly 4 weeks apart

2 doses of 10 μg of Flexyn2a plus adjuvant will be injected intramuscularly 4 weeks apart

2 doses of saline buffer plus adjuvant will be injected intramuscularly 4 weeks apart

Outcomes

Primary Outcome Measures

Occurrence and severity of adverse events
Number and severity of local site injection and general adverse events will be collected and compared between the different arms of the study

Secondary Outcome Measures

Evaluation of antigen-specific antibodies between baseline (D0) and after injection for all groups.
Immunogenicity will be evaluated after the first and second injection and compared to pre-immune levels
Evaluation of antigen-specific antibodies between subjects receiving the candidate vaccine with and without adjuvant
Immunogenicity will be compared between subjects receiving candidate vaccine with and without adjuvant after the first and second injection

Full Information

First Posted
February 23, 2015
Last Updated
December 21, 2015
Sponsor
LimmaTech Biologics AG
Collaborators
Wellcome Trust, Naval Medical Research Center
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1. Study Identification

Unique Protocol Identification Number
NCT02388009
Brief Title
Safety and Tolerability of a Bioconjugate Vaccine Against Shigella Flexneri 2a
Official Title
Safety and Tolerability of a Candidate Bioconjugate Vaccine Against Shigella Flexneri 2a When Administered to Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
February 2015 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
September 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LimmaTech Biologics AG
Collaborators
Wellcome Trust, Naval Medical Research Center

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase I, single-blind, randomized, placebo-controlled, single-center study in healthy subjects using a staggered approach to dosing. 30 subjects will be randomized to receive 10 μg Flexyn2a candidate vaccine with or without adjuvant or placebo.
Detailed Description
A total of 30 subjects will be randomly assigned to one of 3 different arms in order to evaluate the safety, tolerability and immunogenicity of a candidate vaccine, formulated with or without adjuvant, and the outcome compared to a placebo control group. For each active treatment group, 12 subjects will be injected twice with 10 μg Flexyn2a candidate vaccine 4 weeks apart. A control group with 6 subjects will be injected following the same schedule with a placebo solution.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shigellosis
Keywords
bioconjugate vaccine, safety, immunogenicity, shigellosis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flexyn2a
Arm Type
Active Comparator
Arm Description
2 doses of 10 μg of Flexyn2a will be injected intramuscularly 4 weeks apart
Arm Title
Flexyn2a plus adjuvant
Arm Type
Active Comparator
Arm Description
2 doses of 10 μg of Flexyn2a plus adjuvant will be injected intramuscularly 4 weeks apart
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
2 doses of saline buffer plus adjuvant will be injected intramuscularly 4 weeks apart
Intervention Type
Biological
Intervention Name(s)
Flexyn2a
Intervention Description
Intramuscular doses of 0.5 mL
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Intramuscular doses of 0.5 mL
Intervention Type
Biological
Intervention Name(s)
Flexyn2a plus adjuvant
Intervention Description
Intramuscular doses of 0.5 mL
Primary Outcome Measure Information:
Title
Occurrence and severity of adverse events
Description
Number and severity of local site injection and general adverse events will be collected and compared between the different arms of the study
Time Frame
until Day 56
Secondary Outcome Measure Information:
Title
Evaluation of antigen-specific antibodies between baseline (D0) and after injection for all groups.
Description
Immunogenicity will be evaluated after the first and second injection and compared to pre-immune levels
Time Frame
until Day 56
Title
Evaluation of antigen-specific antibodies between subjects receiving the candidate vaccine with and without adjuvant
Description
Immunogenicity will be compared between subjects receiving candidate vaccine with and without adjuvant after the first and second injection
Time Frame
until Day 56

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: Healthy male or female volunteers, age of 18 to 50 years (inclusive) at the time of enrollment. Signed informed consent form. Completion and review of comprehension test (achieved >70% accuracy) Available for the required follow-up period and scheduled clinic visits. Women: negative pregnancy test with understanding (through informed consent process) to not become pregnant or or breastfeed during the study or within twelve (12) weeks after the last vaccine dose. Exclusion Criteria: Health condition that, in the opinion of the investigator, may interfere with optimal participation in the study or place the volunteer at increased risk of adverse Events (AEs). Study clinicians, in consultation with the PI, will use clinical judgment on a case by-case basis to assess safety risks under this criterion. The PI will consult with the Research Monitor as appropriate. Clinically significant abnormalities on physical examination. Clinically significant abnormalities on basic laboratory screening. Presence of significant unexplained laboratory abnormalities that, in the opinion of the PI, may potentially confound the analysis of the study results Regular use of constipation, antacid or anti-diarrheal medications or treatments. Abnormal stool pattern (fewer than 3 stools per week or more than 3 per day) or loose/liquid stools more than occasionally. Use of immunosuppressive drugs such as corticosteroids or chemotherapeutics that may influence antibody development. Women currently nursing. Participation in research involving another investigational product (defined as receipt of investigational product or exposure to invasive investigational device) within 30 days of planned date of first vaccination or anytime throughout the duration of the study. Positive blood test for HBsAg, hepatitis C Virus (HCV), HIV-1. Positive blood test for HLA-B27. Immunosuppressive illness or immunoglobulin deficiency (serum immunoglobulin A level < 7 mg/dL or limit of detection of assay). Family history of congenital or hereditary immunodeficiency. Treatment with immunoglobulins or blood products within 3 months from first candidate vaccine injection. History of microbiologically confirmed Shigella infection. Personal or family history of inflammatory arthritis. Personal or family history of irritable bowel syndrome. Received previous experimental Shigella vaccine or live Shigella challenge. Have had diarrhea while traveling outside the United States or lived for 2 or more months during the past 3 years in a country with potentially higher Shigella infection rates, including Africa, South America, Central America, and Asia (except Japan). Occupation involving handling of Shigella bacteria currently, or in the past 3 years. History of allergy to any vaccine. History of allergy to aluminum hydroxide. Serum immunoglobulin G endpoint titer ≥ 2500 to Shigella Lipopolysaccharide.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark S. Riddle, MD Dr Ph
Organizational Affiliation
Navy Medical Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
WRAIR Clinical Trial Center (CTC)
City
Silver Spring
State/Province
Maryland
ZIP/Postal Code
20910
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
27581434
Citation
Riddle MS, Kaminski RW, Di Paolo C, Porter CK, Gutierrez RL, Clarkson KA, Weerts HE, Duplessis C, Castellano A, Alaimo C, Paolino K, Gormley R, Gambillara Fonck V. Safety and Immunogenicity of a Candidate Bioconjugate Vaccine against Shigella flexneri 2a Administered to Healthy Adults: a Single-Blind, Randomized Phase I Study. Clin Vaccine Immunol. 2016 Dec 5;23(12):908-917. doi: 10.1128/CVI.00224-16. Print 2016 Dec.
Results Reference
derived

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Safety and Tolerability of a Bioconjugate Vaccine Against Shigella Flexneri 2a

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