Immune Response Elicited by Concomitant Administration of Oral Typhoid Fever (Vivotif®) and Cholera (Dukoral®) Vaccines

NCT ID: NCT06104345

Last Updated: 2024-12-05

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

PHASE4

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-25

Study Completion Date

2024-06-26

Brief Summary

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The goal of this clinical trial is to explore the coadministration of oral typhoid fever (Vivotif®) and cholera (Dukoral®) vaccines in healthy volunteers aged 18-65 years. The main question it aims to answer is:

• Does coadministration impact the immune responses to Vivotif® and Dukoral® vaccines

Participants will:

* receive either oral typhoid fever (Vivotif®) or oral cholera (Dukoral®) vaccines or both simultaneously
* give blood samples for immunogenicity analyses
* participate in adverse event follow up

Researchers will compare those receiving only one of the vaccines to those receiving both simultaneously to see if coadministration has an impact on antigen-specific responses measured with:

* ELISPOT (plasmablast responses specific to Salmonella typhi, Vibrio Cholerae and Enterotoxigenic Escherichia coli)
* ELISA (antibodies in lymphocyte supernatants (ALS) and serum antibodies specific to vaccine antigens)

Detailed Description

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Conditions

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Vaccine-Preventable Diseases Typhoid Fever Cholera

Keywords

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Immunogenicity Coadministration ELISPOT B cells Oral vaccination Salmonella Typhi Vibrio cholerae

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Vivotif

Three oral doses of typhoid fever vaccine (Vivotif®).

Group Type ACTIVE_COMPARATOR

Oral typhoid fever vaccine

Intervention Type BIOLOGICAL

Oral typhoid fever vaccine (Vivotif®) on Days 0, 2 and 4.

Dukoral

Two oral doses of cholera vaccine (Dukoral®).

Group Type ACTIVE_COMPARATOR

Oral cholera vaccine

Intervention Type BIOLOGICAL

Oral cholera vaccine (Dukoral®) on Days 0 and 7.

Dukoral+Vivotif

Oral typhoid fever and cholera vaccines (Vivotif® and Dukoral®) administered simultaneously.

Group Type EXPERIMENTAL

Oral typhoid fever vaccine

Intervention Type BIOLOGICAL

Oral typhoid fever vaccine (Vivotif®) on Days 0, 2 and 4.

Oral cholera vaccine

Intervention Type BIOLOGICAL

Oral cholera vaccine (Dukoral®) on Days 0 and 7.

Interventions

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Oral typhoid fever vaccine

Oral typhoid fever vaccine (Vivotif®) on Days 0, 2 and 4.

Intervention Type BIOLOGICAL

Oral cholera vaccine

Oral cholera vaccine (Dukoral®) on Days 0 and 7.

Intervention Type BIOLOGICAL

Other Intervention Names

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Vivotif® Dukoral®

Eligibility Criteria

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Inclusion Criteria

1. Male or female subjects aged ≥18 to ≤65 years.
2. General good health as established by medical history and physical examination.
3. Written informed consent.
4. Females of childbearing potential must agree to use an efficacious hormonal or barrier method of birth control during the study (14 days before immunization to day 28 ± 3). Abstinence is acceptable.
5. Available for all visits scheduled in this study.

Exclusion Criteria

1. Vaccination against typhoid fever or cholera within 5 years before dosing.
2. History of clinical typhoid fever or cholera.
3. Immunization with any other vaccine (oral or parenteral) within 4 weeks prior to study period or vaccination planned during it.
4. Current intake of antibiotics or end of antibiotic therapy \<8 days before first IMP administration.
5. Chronic (longer than 14 days) administration of immunosuppressants or other immunemodifying drugs within 6 months before the first dose of IMP; oral corticosteroids in dosages of ≥0.5 mg/kg/d prednisolone or equivalent are excluded; inhaled or topical steroids allowed.
6. Acute or chronic clinically significant gastrointestinal disease.
7. Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
8. Pregnancy or lactation.
9. Acute disease at the time of enrolment (defined as the presence of a moderate or severe illness with or without fever (fever defined as body temperature of ≥38 °C).
10. Alcohol or drug abuse.
11. Suspected non-compliance.
12. Use of any investigational drug or vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
13. Any clinically significant history of known or suspected anaphylaxis or hypersensitivity reaction based on the judgement of the investigator.
14. Employee at the investigational site or relative or spouse of the investigator.
15. Any other criteria which, in the investigator's opinion, would compromise the ability of a subject to participate in the study, a subject's well-being, or the outcome of the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Helsinki

OTHER

Sponsor Role collaborator

Helsinki University Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Anu Kantele

MD, PhD, Professor of Infectious Diseases

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anu Kantele, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Meilahti Vaccine Research Center, MeVac, Helsinki University Hospital

Locations

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Meilahti Vaccine Research Center, Helsinki University Hospital

Helsinki, , Finland

Site Status

Countries

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Finland

Other Identifiers

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Dukoral+Vivotif

Identifier Type: -

Identifier Source: org_study_id