Safety and Efficacy of GSK Neisseria Gonorrhoeae GMMA (NgG) Investigational Vaccine When Administered to Healthy Adults 18 to 50 Years of Age.

NCT ID: NCT05630859

Last Updated: 2025-08-07

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

1004 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-28

Study Completion Date

2025-05-22

Brief Summary

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The aim of this first time in human proof of concept (FTiH-PoC) study is to evaluate safety and reactogenicity, to demonstrate efficacy and to explore immunogenicity of GlaxoSmithKline's (GSK) Neisseria gonorrhoeae generalized modules for membrane antigens (GMMA) (NgG) investigational vaccine compared to placebo (saline).

Detailed Description

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Conditions

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Sexually Transmitted Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Data will be collected in an observer-blind manner.

Study Groups

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Phase 1:1a Low dose Group

Participants randomized to the 1a Low dose Group receive 2 doses of NgG low dose investigational vaccine.

Group Type EXPERIMENTAL

NgG low dose investigational vaccine

Intervention Type BIOLOGICAL

Two doses of NgG low dose investigational vaccine, administered intramuscularly.

Phase 1:1b Placebo Group

Participants randomized to the 1b Placebo Group receive 2 doses of placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Two doses of placebo, administered intramuscularly.

Phase 1: 2a Medium dose Group

Participants randomized to the 2a Medium dose Group receive 2 doses of NgG medium dose investigational vaccine.

Group Type EXPERIMENTAL

NgG medium dose investigational vaccine

Intervention Type BIOLOGICAL

Two doses of NgG medium dose investigational vaccine, administered intramuscularly.

Phase 1: 2b Placebo Group

Participants randomized to the 2b Placebo Group receive 2 doses of placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Two doses of placebo, administered intramuscularly.

Phase 1: 3a High dose Group

Participants randomized to the 3a High dose Group receive 2 doses of NgG high dose investigational vaccine.

Group Type EXPERIMENTAL

NgG high dose investigational vaccine

Intervention Type BIOLOGICAL

Two doses of NgG high dose investigational vaccine, administered intramuscularly.

Phase 1: 3b Placebo Group

Participants randomized to the 3b Placebo Group receive 2 doses of placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Two doses of placebo, administered intramuscularly.

Phase 2: 4a HTD Group

Participants randomized to the 4a highest tolerated dose (HTD) Group receive 2 doses of NgG highest tolerated dose selected from Phase 1.

Group Type EXPERIMENTAL

NgG HTD investigational vaccine

Intervention Type BIOLOGICAL

Two doses of NgG HTD investigational vaccine, administered intramuscularly.

Phase 2: 4b dose below HTD Group

Participants randomized to the 4b dose below HTD Group receive 2 doses of NgG dose below the highest tolerated dose selected from Phase 1.

Group Type EXPERIMENTAL

NgG below HTD investigational vaccine

Intervention Type BIOLOGICAL

Two doses of NgG below HTD investigational vaccine, administered intramuscularly.

Phase 2: 4c Placebo Group

Participants randomized to the 4c Placebo Group receive 2 doses of placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Two doses of placebo, administered intramuscularly.

Interventions

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NgG low dose investigational vaccine

Two doses of NgG low dose investigational vaccine, administered intramuscularly.

Intervention Type BIOLOGICAL

NgG medium dose investigational vaccine

Two doses of NgG medium dose investigational vaccine, administered intramuscularly.

Intervention Type BIOLOGICAL

NgG high dose investigational vaccine

Two doses of NgG high dose investigational vaccine, administered intramuscularly.

Intervention Type BIOLOGICAL

Placebo

Two doses of placebo, administered intramuscularly.

Intervention Type BIOLOGICAL

NgG HTD investigational vaccine

Two doses of NgG HTD investigational vaccine, administered intramuscularly.

Intervention Type BIOLOGICAL

NgG below HTD investigational vaccine

Two doses of NgG below HTD investigational vaccine, administered intramuscularly.

Intervention Type BIOLOGICAL

Other Intervention Names

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Sodium chloride (NaCl)

Eligibility Criteria

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Inclusion Criteria

* Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
* Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure.
* Healthy participants as established by medical history, clinical examination, and laboratory assessment.
* A participant between and including 18 and 50 years of age at the time of informed consent.
* Female participants of non-childbearing potential may be enrolled in the study.
* Female participants of childbearing potential may be enrolled in the study if the participant:

* has practiced adequate contraception for 1 month prior to study intervention administration, and
* has a negative pregnancy test on the day of study intervention administration, and
* has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series.


* Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
* Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure.
* Healthy participants as established by:

* For the 2 intensive safety monitoring subsets (i.e., first 30 HIV negative subjects per group followed by first 8 HIV positive subjects per group): medical history, clinical examination, and laboratory assessment.
* For all the remaining participants: medical history, clinical examination.
* At risk for gonococcus infections based on sexual behavioral characteristics: this may include men having sex with men, pre-exposure prophylaxis for HIV users, individuals who engage in transactional sex participants with current or past STI diagnosis, participants at time of STI screening or seeking other STI services.
* A participant between and including 18 and 50 years of age at the time of informed consent. Transgender men and women, and other gender non-conforming people who identify themselves as neither men nor women may be enrolled into the study, based on their risk factors. For the purpose of this study, they will be followed up according to their biological sex (sex at birth), sexual orientation, and genital/sexual anatomy
* Participants of non-childbearing potential may be enrolled in the study. This includes transmen that have not undergone gender affirming surgery of their genitals.
* Participants of childbearing potential may be enrolled in the study if the participant:

* has practiced adequate contraception for 1 month prior to study intervention administration, and
* has a negative pregnancy test on the day of study intervention administration, and
* has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series.

Exclusion Criteria

1. Medical conditions Dose-escalation safety lead-in part

* Any clinically significant biochemical laboratory abnormality.
* Any other clinical condition as determined by the investigator, that may increase participant's risk due to study participation.
* History of any reaction/hypersensitivity likely to be exacerbated by any component of the study intervention.
* Confirmed or suspected immunosuppressive/immunodeficient condition, based on medical history and physical examination.
* Hypersensitivity to latex.
* Acute/chronic clinically significant pulmonary, cardiovascular, hepatic/renal functional abnormality, as determined by physical examination/laboratory tests.
* Uncontrolled neurological disorders or seizures.
* History of invasive meningococcal disease. Efficacy PoC part: HIV negative intensive safety monitoring, HIV negative full enrollment and for all remaining participants
* Persons under guardianship or trusteeship.
* Persons deprived of liberty.
* Gonococcal infection identified within 14 days prior to randomization.
* Any other clinical condition as determined by the investigator, that may increase participant's risk due to study participation.
* History of severe allergic reactions and/anaphylaxis, or any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention(s).
* Bleeding diathesis / any other condition that would contraindicate intramuscular administration.
* Confirmed or suspected immunosuppressive/immunodeficient condition, based on medical history and physical examination.
* Known seropositivity for HIV infection, regardless of viremia and CD4 cell count
* Hypersensitivity to latex.
* Acute/chronic clinically significant pulmonary, cardiovascular, hepatic/renal functional abnormality, as determined by physical examination/laboratory tests.
* Recurrent history/uncontrolled neurological disorders or seizures.
* History of invasive meningococcal disease.


Seropositivity for HIV infection if:
* CD4 cell count \< 350 cells/mm3 in the last 6 months
* viral load \> 50cp/ml in the last 6 months
* participant is not on antiretroviral therapy (ART) for \> 3 months or has switched from a different ART in the last 3 months.

For both Intensive safety monitoring subset (first 30 HIV negative subjects per group and first 8 HIV positive subjects per group) these criteria apply:

Any clinically significant hematological/biochemical laboratory abnormality.
2. Prior/Concomitant therapy Applicable for both the dose-escalation safety lead-in part and the PoC part

* Use of any investigational/non-registered product other than the study intervention(s) within 30 days before the first dose/planned use during the study period.
* Previous and planned vaccination with an OMV based Neisseria meningitidis group B vaccine (e.g., Bexsero, MeNZB vaccine or MenBvac at any time prior to first dose and during the entire study period.
* Planned administration/administration of a vaccine not specified in study protocol within 15 days before the first dose and ending 15 days after the last dose of vaccine administration.
* Administration of long-acting immune-modifying drugs during the period starting 6 months prior to the first dose of study intervention/planned administration at any time during the study period.
* Administration of immunoglobulins /any blood products/plasma derivatives during the period starting 3 months before the administration of the first dose of study intervention/planned administration during the study period.
* Chronic administration (more than 14 days in total) of immunosuppressants/other immune-modifying drugs during the period starting 3 months prior to the first study intervention dose(s). For corticosteroids, this will mean prednisone equivalent ≥20 mg/day for adult participants/ ≥0.5 mg/kg/day. Inhaled and topical steroids are allowed.

The following criterion applies only for the PoC part:

•Chronic/long-term use of systemic antibiotics with an activity against Neisseria gonorrhoeae.
3. Prior/Concurrent clinical study experience applicable for both dose-escalation safety lead-in part and the PoC part Concurrently participating in another clinical study, at any time during the study period, in which the participant has been/will be exposed to an investigational/a non-investigational intervention.
4. Other exclusions applicable for both dose-escalation safety leading part and the PoC part

* Pregnant/lactating female.
* Female planning to become pregnant/to discontinue contraceptive precautions before 1 month after completion of the study intervention administration series.
* Any study personnel/their immediate dependents, family/household members.
* Lifestyle consideration that may interfere with the conduct of the study/pose additional risks to the rights and wellbeing of participants.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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GSK Investigational Site

Washington D.C., District of Columbia, United States

Site Status

GSK Investigational Site

Lenexa, Kansas, United States

Site Status

GSK Investigational Site

Boston, Massachusetts, United States

Site Status

GSK Investigational Site

Springfield, Missouri, United States

Site Status

GSK Investigational Site

The Bronx, New York, United States

Site Status

GSK Investigational Site

Pittsburgh, Pennsylvania, United States

Site Status

GSK Investigational Site

Austin, Texas, United States

Site Status

GSK Investigational Site

Salvador, , Brazil

Site Status

GSK Investigational Site

Lyon, , France

Site Status

GSK Investigational Site

Paris, , France

Site Status

GSK Investigational Site

Pierre-Bénite, , France

Site Status

GSK Investigational Site

Bochum, , Germany

Site Status

GSK Investigational Site

Frankfurt, , Germany

Site Status

GSK Investigational Site

Hamburg, , Germany

Site Status

GSK Investigational Site

Manila, , Philippines

Site Status

GSK Investigational Site

Johannesburg, , South Africa

Site Status

GSK Investigational Site

Soweto, , South Africa

Site Status

GSK Investigational Site

Barcelona, , Spain

Site Status

GSK Investigational Site

Madrid, , Spain

Site Status

GSK Investigational Site

Madrid, , Spain

Site Status

GSK Investigational Site

Valencia, , Spain

Site Status

GSK Investigational Site

London, , United Kingdom

Site Status

GSK Investigational Site

London, , United Kingdom

Site Status

Countries

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United States Brazil France Germany Philippines South Africa Spain United Kingdom

Other Identifiers

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2022-500883-37-00

Identifier Type: OTHER

Identifier Source: secondary_id

216156

Identifier Type: -

Identifier Source: org_study_id

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