A Study to Evaluate Safety, Reactogenicity, and Immunogenicity of the GSK 4-component Strep A Vaccine With Aluminum Hydroxide (Alum) or AS37 in Healthy Young Adults

NCT ID: NCT07085702

Last Updated: 2025-08-11

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-31

Study Completion Date

2026-11-30

Brief Summary

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The purpose of this study is to assess the safety of 3 doses of 2 new Strep A vaccine formulations, one with an Alum adjuvant, and the other with AS37 adjuvant. The Strep A vaccine will be tested for the first time in humans, in healthy young adults 18 to 25 years of age. The study will also assess if the vaccines have any immediate reactions and if they induce an immune response. A low, medium, and high dose of each formulation of the vaccine will be assessed in sequence.

Detailed Description

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Conditions

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Streptococcal Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Observer-blinded

Study Groups

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Low dose Strep A Alum Group

Participants randomized to receive 3 doses of Low dose Strep A Alum vaccine on Day 1, Day 31, and Day 121.

Group Type EXPERIMENTAL

Low dose Strep A Alum

Intervention Type BIOLOGICAL

Low dose Strep A Alum vaccine will be administered intramuscularly (IM)

Medium dose Strep A Alum Group

Participants randomized to receive 3 doses of Medium dose Strep A Alum vaccine on Day 1, Day 31, and Day 121.

Group Type EXPERIMENTAL

Medium dose Strep A Alum

Intervention Type BIOLOGICAL

Medium dose Strep A Alum vaccine will be administered IM

High dose Strep A Alum Group

Participants randomized to receive 3 doses of High dose Strep A Alum vaccine on Day 1, Day 31, and Day 121.

Group Type EXPERIMENTAL

High dose Strep A Alum

Intervention Type BIOLOGICAL

High dose Strep A Alum vaccine will be administered IM

Low dose Strep A AS37 Group

Participants randomized to receive 3 doses of Low dose Strep A AS37 vaccine on Day 1, Day 31, and Day 121.

Group Type EXPERIMENTAL

Low dose Strep A AS37

Intervention Type BIOLOGICAL

Low dose Strep A AS37 vaccine will be administered IM

Medium dose Strep A AS37 Group

Participants randomized to receive 3 doses of Medium dose Strep A AS37 vaccine on Day 1, Day 31, and Day 121.

Group Type EXPERIMENTAL

Medium dose Strep A AS37

Intervention Type BIOLOGICAL

Medium dose Strep A AS37 vaccine will be administered IM

High dose Strep A AS37 Group

Participants randomized to receive 3 doses of High dose Strep A AS37 vaccine on Day 1, Day 31, and Day 121.

Group Type EXPERIMENTAL

High dose Strep A AS37

Intervention Type BIOLOGICAL

High dose Strep A AS37 vaccine will be administered IM

Strep A Alum Placebo Group

Participants randomized to receive 3 doses of Strep A Alum Placebo on Day 1, Day 31, and Day 121.

Group Type PLACEBO_COMPARATOR

Strep A Alum Placebo

Intervention Type DRUG

Strep A Alum Placebo will be administered IM

Interventions

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Low dose Strep A Alum

Low dose Strep A Alum vaccine will be administered intramuscularly (IM)

Intervention Type BIOLOGICAL

Medium dose Strep A Alum

Medium dose Strep A Alum vaccine will be administered IM

Intervention Type BIOLOGICAL

High dose Strep A Alum

High dose Strep A Alum vaccine will be administered IM

Intervention Type BIOLOGICAL

Low dose Strep A AS37

Low dose Strep A AS37 vaccine will be administered IM

Intervention Type BIOLOGICAL

Medium dose Strep A AS37

Medium dose Strep A AS37 vaccine will be administered IM

Intervention Type BIOLOGICAL

High dose Strep A AS37

High dose Strep A AS37 vaccine will be administered IM

Intervention Type BIOLOGICAL

Strep A Alum Placebo

Strep A Alum Placebo will be administered IM

Intervention Type DRUG

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 (e.g., completion of electronic diaries \[eDiaries\], return for follow-up visits).
* 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 assessments.
* Satisfies all screening requirements.
* Male and female participants between and including 18 and 25 years of age at the time of informed consent.
* Female participants of nonchildbearing potential may be enrolled in the study. Nonchildbearing potential is defined as premenarche, postmenopause, or had current bilateral tubal ligation or occlusion, hysterectomy, or bilateral ovariectomy.
* Female participants who are 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 study intervention administration period and for 1 month after completion of the study intervention administration series.
* Male participants who are sexually active with a female partner of childbearing potential are eligible to participate if they agree to have their partner use a highly effective method of contraception for 1 month prior to the first study intervention administration until 1 month after completion of the study intervention administration series.
* Male participants must refrain from donating sperm for 1 month prior to the first study intervention administration until 1 month after completion of the study intervention administration series.
* Participants seronegative for human immunodeficiency virus (HIV), hepatitis B, and hepatitis C at Screening.

Exclusion Criteria

* History of rheumatic fever or rheumatic heart disease during the lifetime of the participant as confirmed during interview with the participant or as documented in medical records.
* Recent history of pharyngitis in the last four (4) weeks will be excluded. These participants can be rescreened once the recent pharyngitis passes the 4-weeks period. Participants with symptoms of acute pharyngitis at Screening will be tested with a Strep A rapid antigen test. Those with positive results will be excluded.
* Progressive, unstable, or uncontrolled clinical conditions.
* History (known or suspected) of any reaction or hypersensitivity likely to be exacerbated by any component of the study interventions.
* Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
* Hypersensitivity (e.g., allergy) to medicinal products or medical equipment anticipated to be used in this study.
* Clinical conditions that represents a contraindication for IM vaccination or blood draws.
* Any behavioral or cognitive impairment or psychiatric disease that, in the opinion of the Investigator, may interfere with the participant's ability to participate in the study.
* Acute disease and/or fever (defined as temperature \>=38.0°C) at the time of enrollment.
* Any Grade \>=2 and/or clinically significant hematological and/or biochemical laboratory abnormality.
* Any echocardiographic/Doppler Echo findings consistent with carditis at Screening.
* Recurrent history or uncontrolled neurological disorders or seizures.
* Medical history or family history of autoimmune disease and other pIMDs.
* Family history of acute rheumatic fever.
* Acute or chronic illness, or clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality.
* Any other clinical condition that might pose additional risk to the participant due to participation in the study.
* Administration of long-acting immune-modifying drugs (e.g., infliximab) at any time prior to the administration of the first dose of study intervention(s) or planned administration during the study period.
* Prior receipt of an experimental Strep A vaccine.
* Use of any investigational or nonregistered product (drug, vaccine, or medical device) other than the study interventions during the period starting 30 days before the first dose of study intervention (Day -30 to Day 1), or their planned use during the study period.
* Receipt of a vaccine not foreseen by the study protocol administered during the period starting at 21 days before the first dose of study intervention (28 days before the first dose, in case of live vaccines) and ending after the last dose of study intervention administration.
* Administration of immunoglobulins and/or any blood products or plasma derivatives, or bone marrow transplantation, during the period starting 3 months before administration of the first dose of study intervention(s) or planned administration during the study period.
* Chronic administration (defined as \>14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the first dose of study intervention. For corticosteroids, this means prednisone equivalent \>=20 mg/day for adult participants. Inhaled, topical, intra-articular, and intranasal steroids are allowed.
* Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational intervention (drug, vaccine, or invasive medical device).
* Pregnant or lactating female participant.
* Participant who is planning to become pregnant or planning to discontinue contraceptive precautions.
* History of or current chronic alcohol consumption and/or drug abuse.
* Any study personnel or their immediate dependents, family, or household members.
Minimum Eligible Age

18 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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HHS/BARDA

UNKNOWN

Sponsor Role collaborator

Wellcome Trust

OTHER

Sponsor Role collaborator

DHSC/GAMRIF

UNKNOWN

Sponsor Role collaborator

Germany/BMBF

UNKNOWN

Sponsor Role collaborator

GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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King C Cheung

Role: PRINCIPAL_INVESTIGATOR

Emeritus Research

Juliet Freeborn

Role: PRINCIPAL_INVESTIGATOR

Emeritus Research

Locations

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GSK Investigational Site

Botany, New South Wales, Australia

Site Status RECRUITING

GSK Investigational Site

Camberwell, Victoria, Australia

Site Status RECRUITING

Countries

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Australia

Central Contacts

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US GSK Clinical Trials Call Center

Role: CONTACT

877-379-3718

EU GSK Clinical Trials Call Center

Role: CONTACT

+44 (0) 20 89904466

Facility Contacts

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US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

Other Identifiers

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75A50122C00028

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

224842/Z/21/Z

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2-28-23

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

217935

Identifier Type: -

Identifier Source: org_study_id

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