Trial Outcomes & Findings for Shigella CVD 31000: Study of Responses With Shigella-ETEC Vaccine Strain CVD 1208S-122 (NCT NCT04634513)

NCT ID: NCT04634513

Last Updated: 2026-02-02

Results Overview

Participants experiencing fever, diarrhea, or dysentery; solicited local adverse events; solicited systemic adverse events; and clinical safety laboratory adverse events

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

53 participants

Primary outcome timeframe

Solicited AEs: Cohorts 1-3 during 4 days of inpatient and memory aid for another 3 days; Cohort 4 memory aid over 7 days after each dose of study product Clinical Safety Labs: Cohorts 1-3: Day 1 and Day 8; Cohort 4: Days 1 and 29 and Days 8 and 36

Results posted on

2026-02-02

Participant Flow

In Cohorts 1-3, individuals received vaccine or placebo, according to random assignment and double-blinded conditions. In Cohort 4, individuals received either 2 doses of vaccine, 1 dose of vaccine, or only placebo; according to random assignment and double-blinded conditions. The reporting of outcomes discriminates those allocated to vaccine vs. placebo.

Participant milestones

Participant milestones
Measure
Cohort 1: Shigella Vaccine at 10^8 Cfu
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 1: Placebo
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Overall Study
STARTED
6
2
5
2
6
2
12
12
6
Overall Study
COMPLETED
6
2
5
2
6
2
12
12
6
Overall Study
NOT COMPLETED
0
0
0
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Shigella CVD 31000: Study of Responses With Shigella-ETEC Vaccine Strain CVD 1208S-122

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 1: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Total
n=53 Participants
Total of all reporting groups
Age, Continuous
31 years
n=13 Participants
36.5 years
n=15 Participants
31.8 years
n=28 Participants
38 years
n=2 Participants
29.3 years
n=32 Participants
39 years
n=43 Participants
32.6 years
n=615 Participants
32.7 years
n=10 Participants
32.7 years
n=19 Participants
32.45 years
n=19 Participants
Sex: Female, Male
Female
3 Participants
n=13 Participants
1 Participants
n=15 Participants
0 Participants
n=28 Participants
1 Participants
n=2 Participants
2 Participants
n=32 Participants
2 Participants
n=43 Participants
6 Participants
n=615 Participants
4 Participants
n=10 Participants
2 Participants
n=19 Participants
21 Participants
n=19 Participants
Sex: Female, Male
Male
3 Participants
n=13 Participants
1 Participants
n=15 Participants
5 Participants
n=28 Participants
1 Participants
n=2 Participants
4 Participants
n=32 Participants
0 Participants
n=43 Participants
6 Participants
n=615 Participants
8 Participants
n=10 Participants
4 Participants
n=19 Participants
32 Participants
n=19 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
1 Participants
n=43 Participants
0 Participants
n=615 Participants
2 Participants
n=10 Participants
0 Participants
n=19 Participants
3 Participants
n=19 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=13 Participants
2 Participants
n=15 Participants
5 Participants
n=28 Participants
2 Participants
n=2 Participants
6 Participants
n=32 Participants
1 Participants
n=43 Participants
12 Participants
n=615 Participants
10 Participants
n=10 Participants
6 Participants
n=19 Participants
50 Participants
n=19 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
0 Participants
n=43 Participants
0 Participants
n=615 Participants
0 Participants
n=10 Participants
0 Participants
n=19 Participants
0 Participants
n=19 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
0 Participants
n=43 Participants
0 Participants
n=615 Participants
0 Participants
n=10 Participants
0 Participants
n=19 Participants
0 Participants
n=19 Participants
Race (NIH/OMB)
Asian
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
0 Participants
n=43 Participants
2 Participants
n=615 Participants
1 Participants
n=10 Participants
0 Participants
n=19 Participants
3 Participants
n=19 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
0 Participants
n=43 Participants
0 Participants
n=615 Participants
0 Participants
n=10 Participants
0 Participants
n=19 Participants
0 Participants
n=19 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=13 Participants
0 Participants
n=15 Participants
2 Participants
n=28 Participants
0 Participants
n=2 Participants
1 Participants
n=32 Participants
0 Participants
n=43 Participants
2 Participants
n=615 Participants
1 Participants
n=10 Participants
4 Participants
n=19 Participants
13 Participants
n=19 Participants
Race (NIH/OMB)
White
2 Participants
n=13 Participants
2 Participants
n=15 Participants
3 Participants
n=28 Participants
2 Participants
n=2 Participants
5 Participants
n=32 Participants
2 Participants
n=43 Participants
7 Participants
n=615 Participants
9 Participants
n=10 Participants
2 Participants
n=19 Participants
34 Participants
n=19 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
0 Participants
n=43 Participants
1 Participants
n=615 Participants
1 Participants
n=10 Participants
0 Participants
n=19 Participants
3 Participants
n=19 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
0 Participants
n=2 Participants
0 Participants
n=32 Participants
0 Participants
n=43 Participants
0 Participants
n=615 Participants
0 Participants
n=10 Participants
0 Participants
n=19 Participants
0 Participants
n=19 Participants

PRIMARY outcome

Timeframe: Solicited AEs: Cohorts 1-3 during 4 days of inpatient and memory aid for another 3 days; Cohort 4 memory aid over 7 days after each dose of study product Clinical Safety Labs: Cohorts 1-3: Day 1 and Day 8; Cohort 4: Days 1 and 29 and Days 8 and 36

Participants experiencing fever, diarrhea, or dysentery; solicited local adverse events; solicited systemic adverse events; and clinical safety laboratory adverse events

Outcome measures

Outcome measures
Measure
Cohort 1: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Participants Experiencing Fever, Diarrhea, or Dysentery; Solicited Local Adverse Events; Solicited Systemic Adverse Events; and Clinical Safety Laboratory Adverse Events
0 Participants
2 Participants
1 Participants
5 Participants
0 Participants
8 Participants
6 Participants
3 Participants
2 Participants

PRIMARY outcome

Timeframe: 7 days

Population: Only cohorts 1-3 are included in this outcome.

Vaccine organisms shed in stools in Cohorts 1-3

Outcome measures

Outcome measures
Measure
Cohort 1: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Vaccine Organisms Shed in Stools in Cohorts 1-3 - Cohorts 1-3
0 CFU/mL
Interval 0.0 to 0.0
1,130,000 CFU/mL
Interval 99000.0 to
0 CFU/mL
Interval 0.0 to 0.0
15,760,000 CFU/mL
0 CFU/mL
Interval 0.0 to 0.0
694500 CFU/mL
Interval 239500.0 to 1500000.0

PRIMARY outcome

Timeframe: 2 days

Population: Only cohort 4 was analyzed in this outcome

Vaccine organisms shed in stools in Cohort 4

Outcome measures

Outcome measures
Measure
Cohort 1: Placebo
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Cohort 1: Shigella Vaccine at 10^8 Cfu
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Vaccine Organisms Shed in Stools in Cohort 4
11805 CFU/mL
Interval 1733.0 to 313750.0
1510 CFU/mL
Interval 47.75 to 42050.0
0 CFU/mL
Interval 0.0 to 0.0

PRIMARY outcome

Timeframe: 7 days

Fecal shed organisms found to be genetically stable, as defined as being PCR positive for Shigella (ipaH or virG), CFA/I (cfaB), and LTB (eltB)

Outcome measures

Outcome measures
Measure
Cohort 1: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Number of Participants With Genetically Stable Fecal Shed Organisms
0 Participants
5 Participants
0 Participants
6 Participants
0 Participants
10 Participants
9 Participants
0 Participants
6 Participants

SECONDARY outcome

Timeframe: 28 days

Seroconversions (defined as 4-fold or higher compared to baseline) in antigen-specific ELISA antibody responses

Outcome measures

Outcome measures
Measure
Cohort 1: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=12 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Participants With ELISA Antibody Responses
LPS IgG
0 Participants
0 Participants
0 Participants
6 Participants
0 Participants
4 Participants
2 Participants
0 Participants
2 Participants
Participants With ELISA Antibody Responses
IpaB IgG
0 Participants
1 Participants
0 Participants
4 Participants
0 Participants
2 Participants
3 Participants
0 Participants
1 Participants
Participants With ELISA Antibody Responses
CFA/I IgG
0 Participants
4 Participants
0 Participants
4 Participants
0 Participants
8 Participants
7 Participants
0 Participants
6 Participants
Participants With ELISA Antibody Responses
LT IgG
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Participants With ELISA Antibody Responses
LPS IgA
0 Participants
3 Participants
0 Participants
5 Participants
0 Participants
2 Participants
2 Participants
0 Participants
1 Participants
Participants With ELISA Antibody Responses
IpaB IgA
0 Participants
1 Participants
0 Participants
2 Participants
0 Participants
2 Participants
1 Participants
0 Participants
1 Participants
Participants With ELISA Antibody Responses
CFA/I IgA
0 Participants
3 Participants
0 Participants
4 Participants
0 Participants
6 Participants
3 Participants
0 Participants
6 Participants
Participants With ELISA Antibody Responses
LT IgA
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 7 days

Responses (defined as ≥8 spot forming cells/10\^6 PBMC) in antigen-specific ASC responses post-vaccination

Outcome measures

Outcome measures
Measure
Cohort 1: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=11 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=11 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 Participants
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 Participants
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Participants With ASC Responses
IpaB IgA
0 Participants
2 Participants
0 Participants
2 Participants
0 Participants
2 Participants
2 Participants
0 Participants
0 Participants
Participants With ASC Responses
LT IgA
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Participants With ASC Responses
CFA/I IgA
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
2 Participants
3 Participants
0 Participants
0 Participants
Participants With ASC Responses
LT IgG
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Participants With ASC Responses
LPS IgA
0 Participants
3 Participants
0 Participants
5 Participants
0 Participants
9 Participants
7 Participants
0 Participants
6 Participants
Participants With ASC Responses
LPS IgG
0 Participants
2 Participants
0 Participants
4 Participants
0 Participants
6 Participants
3 Participants
0 Participants
4 Participants
Participants With ASC Responses
IpaB IgG
0 Participants
1 Participants
0 Participants
4 Participants
0 Participants
1 Participants
1 Participants
0 Participants
1 Participants

Adverse Events

Cohort 1: Shigella Vaccine at 10^8 Cfu

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 1: Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cohort 2: Shigella Vaccine at 10^9 Cfu

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Cohort 2: Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 3: Shigella Vaccine at 10^10 Cfu

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Cohort 3: Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 4: Shigella 2-Dose Vaccine

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 4: Shigella 1-Dose Vaccine

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 4: Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1: Shigella Vaccine at 10^8 Cfu
n=6 participants at risk
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 1: Placebo
n=2 participants at risk
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 2: Shigella Vaccine at 10^9 Cfu
n=5 participants at risk
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 2: Placebo
n=2 participants at risk
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 3: Shigella Vaccine at 10^10 Cfu
n=6 participants at risk
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 3: Placebo
n=2 participants at risk
3:1 randomization to one dose of vaccine or placebo (Cohort n=8) Placebo: Sodium bicarbonate buffer
Cohort 4: Shigella 2-Dose Vaccine
n=12 participants at risk
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Shigella 1-Dose Vaccine
n=12 participants at risk
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) strain CVD 1208S-122: Live, attenuated, vaccine strain of S. flexneri 2a expressing CFA/I and LT of enterotoxigenic E. coli
Cohort 4: Placebo
n=6 participants at risk
2:2:1 randomization to receive either two doses of vaccine, 1 dose of vaccine and one dose of placebo, or two doses of placebo at Days 1 and 29 (Cohort n=30) Placebo: Sodium bicarbonate buffer
Investigations
Platelet Count Increased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
16.7%
2/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
White Blood Cell Count Decreased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
50.0%
1/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Musculoskeletal and connective tissue disorders
Athralgia
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
20.0%
1/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
20.0%
1/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Nervous system disorders
Headache
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
50.0%
1/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Nervous system disorders
Narcolepsy
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
50.0%
1/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Respiratory, thoracic and mediastinal disorders
Runny Nose
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Congestion
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
8.3%
1/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Skin and subcutaneous tissue disorders
Dermatitis
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Vascular disorders
Hypertensive Urgency
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
50.0%
1/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
40.0%
2/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Gastrointestinal disorders
Diarrhea
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
8.3%
1/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Gastrointestinal disorders
Tooth Pain
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
General disorders
Malaise
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Infections and infestations
Streptococcal Sore Throat
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Infections and infestations
Viral Syndrome
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
16.7%
2/12 • 6 months
0.00%
0/6 • 6 months
Injury, poisoning and procedural complications
Dog Bite
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
8.3%
1/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Injury, poisoning and procedural complications
Wrist Pain
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Absolute Neutrophil Count Decreased
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
50.0%
1/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
16.7%
1/6 • 6 months
Investigations
Alanine Aminotransferase Increased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
40.0%
2/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
16.7%
1/6 • 6 months
Investigations
Bilirubin Total Increased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Blood Pressure Diastolic Decreased
33.3%
2/6 • 6 months
0.00%
0/2 • 6 months
20.0%
1/5 • 6 months
0.00%
0/2 • 6 months
66.7%
4/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Blood Pressure Diastolic Increased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
60.0%
3/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Blood Pressure Systolic Decreased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
33.3%
2/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Blood Pressure Systolic Increased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
40.0%
2/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
50.0%
1/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Body Temperature Increased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
8.3%
1/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Heart Rate Decreased
33.3%
2/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
50.0%
1/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Heart Rate Increased
16.7%
1/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/12 • 6 months
0.00%
0/12 • 6 months
0.00%
0/6 • 6 months
Investigations
Hemoglobin Decreased
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
0.00%
0/5 • 6 months
0.00%
0/2 • 6 months
0.00%
0/6 • 6 months
0.00%
0/2 • 6 months
16.7%
2/12 • 6 months
0.00%
0/12 • 6 months
16.7%
1/6 • 6 months

Additional Information

Wilbur H. Chen, MD, MS, FACP, FIDSA

University of Maryland, School of Medicine

Phone: 410-706-5328

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place