Clinical trial

A Randomised, Double-blind, Placebo-controlled, Single Dose, Dose Escalation Study to Determine the Immunogenicity, Safety and Tolerability of S. Typhi (Ty2 aroC-ssaV-) ZH9 at Doses of 5.0 x 10E9 CFU, 7.5 x 10E9 CFU, 1.1 x 10E10 and 1.7 x 10E10 CFU and 1.7 x 10E10 CFU, Following Oral Administration to Healthy, Typhoid Vaccine naïve Subjects in the USA.

Name
MS01.13
Description
This study is to investigate the safety, tolerability and immunogenicity of the typhoid fever vaccine candidate M01ZH09 manufactured at commercial scale, at a new manufacturing facility. The vaccine will be delivered as a single oral dose to healthy, typhoid vaccine-naïve adults.
Trial arms
Trial start
2008-05-01
Estimated PCD
2008-12-01
Trial end
2008-12-01
Status
Completed
Phase
Early phase I
Treatment
Dose of 5.0 x 10^9 CFU (Cohort 1)
S. typhi (Ty2 aroC-ssaV-) ZH9 live attenuated typhoid vaccine, single dose, oral administration
Arms:
M01ZH09 Vaccine Candidate Cohort 1
Dose of 7.5 x 10^9 CFU (Cohort 2)
S. typhi (Ty2 aroC-ssaV-) ZH9 live attenuated typhoid vaccine, single dose, oral administration
Arms:
M01ZH09 Vaccine Candidate Cohort 2
Dose of 1.1 x 10^10 CFU (Cohort 3)
S. typhi (Ty2 aroC-ssaV-) ZH9 live attenuated typhoid vaccine, single dose, oral administration
Arms:
M01ZH09 Vaccine Candidate Cohort 3
Dose of of 1.7 x 10^10 CFU (Cohort 4)
S. typhi (Ty2 aroC-ssaV-) ZH9 live attenuated typhoid vaccine, single dose, oral administration
Arms:
M01ZH09 Vaccine Candidate Cohort 4
Placebo (Cohorts 1-4 pooled)
Excipients only, single dose, oral administration
Arms:
M01ZH09 Vaccine Candidate Cohort 1, M01ZH09 Vaccine Candidate Cohort 2, M01ZH09 Vaccine Candidate Cohort 3, M01ZH09 Vaccine Candidate Cohort 4
Size
187
Primary endpoint
Number and Proportion of Subjects Reporting Suspected Unexpected Serious Adverse Reactions.
From start of dosing to 28 days post-dosing.
Number and Proportion of Subjects Experiencing Symptomatic Fever.
From start of dosing to 14 days post-dosing.
Number of Subjects Having Clinically Significant Changes in Laboratory Test Parameters.
From start of dosing to 28 days post-dosing.
Number of Subjects Reporting Treatment-related TEAEs.
From start of dosing to 28 days post-dosing.
Number and Proportion of Subjects Experiencing Bacteraemia.
From start of dosing to 28 days post-dosing.
Number of Subjects Having Shedding in Stool of Salmonella Typhi (S. Typhi) (Ty2 aroC-ssaV-) ZH9.
Beyond 7 days post-dosing through 14 days post-dosing (Cohorts 1-3) or through 21 days post-dosing (Cohort 4).
Number and Proportion of Subjects Developing an Immune Response as Determined by the Level of IgG and/or IgA Antibodies for S. Typhi Lipopolysaccharide (LPS).
From baseline (pre-dose) to Days 14 or 28 (IgG) or to Days 7 or 14 (IgA).
Eligibility criteria
Inclusion Criteria: * healthy adult subjects aged 18 to 50 years inclusive, who are able and willing to give informed consent, following a detailed explanation of participation in protocol * available for the duration of the study and available for scheduled and potential additional visits Exclusion Criteria: * women who are pregnant, breast-feeding or of childbearing potential and unwilling to use a reliable method of contraception throughout the study period * history of anaphylactic shock following vaccination by any route have phenylketonuria * hypersensitivity to any component of the vaccine or are hypersensitive to two of the following antibiotics: ciprofloxacin, azithromycin, ampicillin, trimethoprim sulfamethoxazole * received antibiotic medication within 14 days prior to dosing * received any vaccine within 4 weeks prior to dosing or plan to receive a vaccine within 4 weeks after dosing * received any vaccine against Salmonella typhi (licensed or investigational) or ever suffered from typhoid fever * subjects who test positive for hepatitis B, hepatitis C, HIV or human leucocyte antigen B-27 * known or suspected history of liver or active gall bladder disease, ongoing gastro-intestinal disease or abnormality * commercial food handlers or health care workers with direct contact with high risk patients or who have household contacts with immuno-compromised individuals, pregnant women or children less than 2 years of age * subjects who have a clinically significant amount of protein or haemoglobin in their urine or abnormality of their haematology or serum biochemistry parameters * impairment of immune function or those receiving or have received cytotoxic drugs in the 6 months prior to study entry * subjects who use antacids, proton pump inhibitors or H2 blockers on a regular basis or have consumed proton pump inhibitors or H2 blockers within 24 hours prior to dosing * acute infections (including fever of 37.5 degrees Celsius or greater) on the day of dosing. * subjects with chronic disease (e.g Crohn's disease, inflammatory bowel disease, diabetes) who cannot withstand a 3 hour fast * substance abuse or a history of substance abuse that might interfere with participation in the study * body mass index (BMI) is less than 19 or greater than 34 kg per m2 * clinically significant medical condition that precludes participation in the study * subjects who have participated in an interventional clinical trial within 60 days of dosing
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 187, 'type': 'ACTUAL'}}
Updated at
2024-04-09

1 organization

5 products

1 indication

Product
CFU
Indication
Typhoid