A Study to Investigate the Safety and Immunogenicity of the SF2a-TT15 Synthetic Carbohydrate-based Conjugate Vaccine Against Shigella Flexneri 2a

NCT ID: NCT04602975

Last Updated: 2024-04-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

248 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-06

Study Completion Date

2023-11-15

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

A study among adults, children and infants in Kenya to determine if a new type of glycoconjugate vaccine incorporating a synthetic carbohydrate component is safe and induces immunity against Shigella.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The purpose of this study is to examine the safety and immunogenicity of two doses of the parenteral synthetic carbohydrate-based conjugate vaccine against Shigella flexneri 2a (Shigella flexneri 2a-Tetanus Toxoid15 (SF2a-TT15)) adjuvanted or not with Alhydrogel in infants in an endemic country (Kenya), the target population for the vaccine, using an age-descending approach. In total, 232 participants will be enrolled in the study: 16 adults (18-50 years-old), 16 children (2-5 years-old) and 200 infants (9 months-old +/ 1 mo).

The vaccine will be tested in adults first, then in children and eventually in infants in Kenya (where Shigella infection is present), based on the safety/tolerability in each group before to moving to the other. Participants will be randomly assigned to receive the study vaccine or a placebo control (same solution but without the vaccine component). The participants will have to go through all the trial procedures including the 14 visits (3 injections and 11 follow-up) during a 16 months period.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Healthy

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, age descending (3 cohorts), with dose escalation in the target cohort
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Every team will be masked except the pharmacist and the pharmacy team on site and one dedicated personal within Sponsor team.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Adults cohort 1 vaccinees

Eligible subjects (adults - 18 to 50 yr-old) will be randomized to receive 3 intramuscular (IM) injections with the 10μg OS adjuvanted dose (or matching placebo), at a ratio of 3:1.

Group Type EXPERIMENTAL

Injection SF2A-TT15 10 µg Adjuvanted

Intervention Type BIOLOGICAL

Intramuscular injection of experimental vaccine (adjuvanted 10 µg)

Adults cohort 1 placebo recipients

Eligible subjects (adults - 18 to 50 yr-old) will be randomized to receive 3 IM injections with the adjuvanted matching placebo.

Group Type PLACEBO_COMPARATOR

Injection Adjuvanted Placebo

Intervention Type BIOLOGICAL

Intramuscular injection of Placebo with alhydrogel

Children cohort 2 vaccinees

Eligible subjects (Children 2 to 5 yr-old) will be randomized to receive 3 IM injections of the 10 μg OS dose with Alhydrogel (or matching placebo) at a ratio of 3:1.

Group Type EXPERIMENTAL

Injection SF2A-TT15 10 µg Adjuvanted

Intervention Type BIOLOGICAL

Intramuscular injection of experimental vaccine (adjuvanted 10 µg)

Children cohort 2 placebo recipients

Eligible subjects (Children 2 to 5 yr-old) will be randomized to receive 3 IM injections of the matching placebo with Alhydrogel.

Group Type PLACEBO_COMPARATOR

Injection Adjuvanted Placebo

Intervention Type BIOLOGICAL

Intramuscular injection of Placebo with alhydrogel

Infants cohort 3A vaccinees (-)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the not adjuvanted 2 μg dose (or of matching placebo), at a ratio of 4:1.

Group Type EXPERIMENTAL

Injection SF2A-TT15 2 µg

Intervention Type BIOLOGICAL

Intramuscular injection of experimental vaccine (not adjuvanted 2 µg)

Infants cohort 3A placebo recipients (-)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the not adjuvanted matching placebo.

Group Type PLACEBO_COMPARATOR

Injection Placebo

Intervention Type BIOLOGICAL

Intramuscular injection of the not adjuvanted Placebo

Infants cohort 3A vaccinees (+)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the adjuvanted 2 μg dose (or of matching placebo), at a ratio of 4:1.

Group Type EXPERIMENTAL

Injection SF2A-TT15 2 µg Adjuvanted

Intervention Type BIOLOGICAL

Intramuscular injection of experimental vaccine (adjuvanted 2 µg)

Infants cohort 3A placebo recipients (+)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the adjuvanted matching placebo.

Group Type PLACEBO_COMPARATOR

Injection Adjuvanted Placebo

Intervention Type BIOLOGICAL

Intramuscular injection of Placebo with alhydrogel

Infants cohort 3B vaccinees (-)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the not adjuvanted 10 μg dose (or of matching placebo), at a ratio of 4:1.

Group Type EXPERIMENTAL

Injection SF2A-TT15 10 µg

Intervention Type BIOLOGICAL

Intramuscular injection of experimental vaccine (not adjuvanted 10 µg)

Infants cohort 3B placebo recipients (-)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the not adjuvanted matching placebo.

Group Type PLACEBO_COMPARATOR

Injection Placebo

Intervention Type BIOLOGICAL

Intramuscular injection of the not adjuvanted Placebo

Infants cohort 3B vaccinees (+)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the adjuvanted 10 μg dose (or of matching placebo), at a ratio of 4:1.

Group Type EXPERIMENTAL

Injection SF2A-TT15 10 µg Adjuvanted

Intervention Type BIOLOGICAL

Intramuscular injection of experimental vaccine (adjuvanted 10 µg)

Infants cohort 3B placebo recipients (+)

Eligible subjects (9 mo-old +/- 1mo infants) will be randomized to receive 3 IM injections of the adjuvanted matching placebo.

Group Type PLACEBO_COMPARATOR

Injection Adjuvanted Placebo

Intervention Type BIOLOGICAL

Intramuscular injection of Placebo with alhydrogel

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Injection SF2A-TT15 10 µg Adjuvanted

Intramuscular injection of experimental vaccine (adjuvanted 10 µg)

Intervention Type BIOLOGICAL

Injection SF2A-TT15 10 µg

Intramuscular injection of experimental vaccine (not adjuvanted 10 µg)

Intervention Type BIOLOGICAL

Injection Adjuvanted Placebo

Intramuscular injection of Placebo with alhydrogel

Intervention Type BIOLOGICAL

Injection Placebo

Intramuscular injection of the not adjuvanted Placebo

Intervention Type BIOLOGICAL

Injection SF2A-TT15 2 µg Adjuvanted

Intramuscular injection of experimental vaccine (adjuvanted 2 µg)

Intervention Type BIOLOGICAL

Injection SF2A-TT15 2 µg

Intramuscular injection of experimental vaccine (not adjuvanted 2 µg)

Intervention Type BIOLOGICAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

SF2A-TT15 10 µg Adjuvanted Anti-shigella experimental vaccine (10µg with alhydrogel) SF2A-TT15 10 µg not adjuvanted Anti-shigella experimental vaccine (10µg without alhydrogel) Placebo with Alhydrogel injection Placebo without alhydrogel injection SF2A-TT15 2 µg Adjuvanted Anti-shigella experimental vaccine (2µg with alhydrogel) SF2A-TT15 2 µg not adjuvanted Anti-shigella experimental vaccine (2µg without alhydrogel)

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

For adults:

1. Healthy men and women between 18 and 50 (inclusive) years of age.
2. Subjects who provide written informed consent or thumb print in the presence of a witness to participate in the study
3. Women willing to use at least 1 reliable method of contraception during the study period, or are surgically sterilized, and agree to undergo repeated pregnancy tests (before each vaccination) and men willing to use an effective method of contraception (e.g. condom).

For children and infants:

1. Healthy boys and girls between 2 and 5 years of age for the children group (cohort 2)
2. Healthy boys and girls 9 mo-old (+/- 1 month) for the infant group (cohort 3)
3. Parents or legally acceptable representatives, as appropriate, who are willing and able to provide signed/thumb printed informed consent for children and infants.
4. Infant and children should have a normal nutritional Z score (-2 or greater) according to the mother and child health handbook of the republic of Kenya - Ministry of Health before entering the trial.

For all:

1. Signed/thumb written informed consent, in accordance with local practice, provided by adult volunteers (participants 18 years of age and older), parent(s) or legal representative(s) for children and infants participants as applicable, who, in the opinion of the Investigator, can and will comply with the requirements of the protocol.
2. Subjects in general good health in the opinion of the Investigator as determined by medical history, vital signs and a physical examination.
3. No clinically significant abnormalities in hematology, blood chemistry, or urinalysis laboratory tests at screening.
4. Negative HIV, Hepatitis B and Hepatitis C serology tests and malaria test.

Exclusion Criteria

1. Subjects with a history of clinically significant gastrointestinal disorders (e.g. gastroesophageal reflux disease, peptic ulcer, celiac disease, inflammatory bowel disease).
2. Individuals with immunosuppressive diseases or under immunosuppressive therapy.
3. Previous participation in any study in which a Shigella-vaccine candidate was administered.
4. Suspected or known hypersensitivity (including allergy) to any of the vaccine components or to previous vaccine, or to medicinal products or medical equipment whose use is foreseen in this study.
5. Use of any prescription or over-the-counter (OTC) medications, within 14 days prior vaccination. Paracetamol or ibuprofen for symptomatic relief of pain is allowed until 48 hours prior to vaccination.
6. Women who are pregnant, breast-feeding, or are of childbearing age and are not on or do not plan to use acceptable contraceptives for the duration of the study.
7. Subjects with any significant acute medical situation (e.g. acute infection) within 48 hrs prior to study entry, in the opinion of the Principal Investigator.
8. Participation in another clinical trial with drugs within 3 months prior first study injection.
Minimum Eligible Age

8 Months

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Wellcome Trust

OTHER

Sponsor Role collaborator

Gates Medical Research Institute

OTHER

Sponsor Role collaborator

Henry M. Jackson Foundation Medical Research International

UNKNOWN

Sponsor Role collaborator

Walter Reed Army Institute of Research (WRAIR)

FED

Sponsor Role collaborator

Parexel

INDUSTRY

Sponsor Role collaborator

ClinWin Research

UNKNOWN

Sponsor Role collaborator

Institut Pasteur

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Armelle Phalipon, PhD

Role: STUDY_CHAIR

Institut Pasteur

Laurence Mulard, PhD

Role: STUDY_CHAIR

Institut Pasteur

Christiane Gerke, PhD

Role: STUDY_CHAIR

Institut Pasteur (Consulting)

Fredrick Sawe, MBChB MMED

Role: PRINCIPAL_INVESTIGATOR

Kenya Medical Research Institute

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

KEMRI / Henry M. Jackson Foundation Medical Research International

Kericho, , Kenya

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Kenya

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2018-017

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.