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ShigellosisPhase 1NCT02017899

A Phase 1, Dose Escalation Study, to Evaluate a New Shigella Sonnei Vaccine in Healthy Adults.

A Phase 1 study testing S. sonnei 1790GAHB in people with Shigellosis, run by GSK Vaccines Institute For Global Health S.r.l. at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This Phase 1 clinical trial is aimed to evaluate the safety and immunogenicity of 3 doses of 5 sequentially escalating dosages of a candidate vaccine against Shigella sonnei (1790GAHB vaccine) administered by intramuscular route in healthy adults (18 to 45 years of age at enrollment). Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Shigellosis
What is being tested?
S. sonnei 1790GAHB
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
1 siteFrance
Study dates
Feb 2014to Mar 2015
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Males and females of age ≥18 years to ≤45 years.
  • Individuals who, after the nature of the study has been explained to them, and prior to any protocol specific procedures being performed, have given written consent according to local regulatory requirements.
  • Individuals in good health as determined by the outcome of medical history, physical examination, hematological / hematochemical blood tests (including presence of high antibody titers against S. sonnei by agglutination test), urinalysis and clinical judgment of the investigator.
  • If women of child-bearing potential, have a negative pregnancy test prior study vaccination and willingness to use acceptable birth control measures for the entire study duration.
  • Individuals affiliated to a social security regimen.

Who cannot join

  • Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study.
  • Individuals with any progressive or severe neurological disorder, seizure disorder or Guillain-Barré syndrome.
  • Individuals who are not able to understand and to follow all required study procedures for the whole period of the study.
  • Individuals with history of any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study.
  • Individuals human leukocyte antigen (HLA) -B27 positive and/or with history of reactive arthritis.
  • Individuals with known or suspected HIV infection or HIV related disease, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy including use of systemic corticosteroids or chronic use of inhaled high-potency corticosteroids (i.e. prednisone, or equivalent ≥10 mg/day) within the previous 28 days, or in chemotherapy treatment within the past 168 days.
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  • Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  • Individuals with any serious chronic or progressive disease according to judgment of the investigator (e.g., neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease).
  • Individuals who have any malignancy or lymphoproliferative disorder.
  • Individuals with history of allergy to vaccine components.
  • Individuals participating in any clinical trial with another investigational product 28 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
  • Individuals who received any other vaccines within 4 weeks prior to enrollment in this study or who are planning to receive any vaccine within the entire study duration except influenza vaccination, which is not allowed within the period included between 28 days before 1st vaccination and 28 days after 3rd vaccination.
  • Individuals who have received blood, blood products, and/or plasma derivatives including parenteral immunoglobulin preparations in the past 12 weeks.
  • Individuals who are part of study personnel or close family members to the personnel conducting this study or employees of the clinical trial site institution.
  • Individuals with body temperature > 38.0 degrees Celsius within 3 days of intended study vaccination.
  • Individuals with Body Mass Index (BMI)> 30 kg/m2
  • Individuals with history of substance or alcohol abuse within the past 2 years.
  • Women who are pregnant or are breast-feeding, or are of childbearing age who have not used or do not plan to use acceptable birth control measures, for the duration of the study.
  • Females with history of stillbirth, neonatal loss, or previous infant with anomaly.
  • Individuals who have a previously laboratory confirmed or suspected disease caused by S. sonnei.
  • Individuals who have had household contact with/and or intimate exposure to an individual with laboratory confirmed S. sonnei.
  • Any condition, which, in the opinion of the investigator may pose an increased and unreasonable safety risk to the subject if participating to the present study

Trial locations and contacts

1 site in 1 country.

France1 site
  • Centre d'Investigation Clinique en Vaccinologie Cochin-Pasteur (CIC1417)

    Paris, Paris Cedex 14, 75679

Other trials in France

About this study

Official title: A Phase 1, Randomized, Observer Blinded, Placebo Controlled, Single Center, Dose Escalation Study to Evaluate the Safety and Immunogenicity of 3 Vaccinations With Shigella Sonnei Vaccine (1790GAHB) Administered Intramuscularly in Healthy Adults.

This Phase 1 clinical trial is aimed to evaluate the safety and immunogenicity of 3 doses of 5 sequentially escalating dosages of a candidate vaccine against Shigella sonnei (1790GAHB vaccine) administered by intramuscular route in healthy adults (18 to 45 years of age at enrollment). The safety profile of the 1790GAHB vaccine is evaluated in comparison to that of placebo (GAHB-Placebo), constituted by an aluminum hydroxide suspension having the same concentration as study vaccine formulations. A total of 50 eligible subjects will be assigned to one of five sequential cohorts of 10 subjects each.

Within each cohort, in an observer-blind fashion, subjects will be randomized to receive three vaccinations, four weeks apart, of either 1790GAHB vaccine (at five antigen concentrations) or GAHB placebo. A Data Safety Monitoring Board will be in place to receive a summary of all safety data obtained during one week follow-up post-first vaccination with the lower dose. Based on evaluation of the safety data, the Data Safety Monitoring Board will make a recommendation, as to whether the next cohort should be vaccinated with higher antigen concentration or not.

Expected duration of the study for an individual subject is 9 months. Each subject will be followed-up for 6 months after the 3rd vaccination.

Conditions
Shigellosis
Being tested
S. sonnei 1790GAHB, Placebo
Keywords
prevention, Shigella sonnei
Medical subject headings
Dysentery, Bacillary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • S. sonnei 1790GAHBBiological

    Also called Shigella sonnei vaccine

  • PlaceboBiological

Study groups in NCT02017899
Study groupRoleWhat they receive
S. sonnei 1790GAHB - 1 mcgExperimentalSubjects enrolled in COHORT A receiving 3 injections of S. sonnei 1790GAHB - 1 mcg
Receives: Biological: S. sonnei 1790GAHB
S. sonnei 1790GAHB - 5 mcgExperimentalSubjects enrolled in COHORT B receiving 3 injections of S. sonnei 1790GAHB - 5 mcg
Receives: Biological: S. sonnei 1790GAHB
S. sonnei 1790GAHB - 25 mcgExperimentalSubjects enrolled in COHORT C receiving 3 injections of S. sonnei 1790GAHB - 25 mcg
Receives: Biological: S. sonnei 1790GAHB
S. sonnei 1790GAHB - 50 mcgExperimentalSubjects enrolled in COHORT D receiving 3 injections of S. sonnei 1790GAHB - 50 mcg
Receives: Biological: S. sonnei 1790GAHB
S. sonnei 1790GAHB - 100 mcgExperimentalSubjects enrolled in COHORT E receiving 3 injections of S. sonnei 1790GAHB - 100 mcg
Receives: Biological: S. sonnei 1790GAHB
PlaceboPlacebo comparator2 subjects enrolled in each COHORT A, B, C, D, E receiving 3 injections of Placebo. These were pooled in one Placebo group in the analyses
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects With Solicited Local Reaction After Any Vaccination

    Any erythema/induration refers to: ≥25 mm in diameter. Grade 3 (severe) refers to erythema/induration >100 mm in diameter. Grade 3 (severe) for injection site pain refers to: prevents daily activity

    Measured: During a 7-day (Days 1-7) post vaccination period following any injection

  2. Number of Subjects With Solicited Systemic Reaction After Any Vaccination

    Any= Incidence of any symptom regardless of intensity grade. Grade 3 = symptom that prevented daily activities

    Measured: During a 7-day (Days 1 to 7) post vaccination period following any injection

  3. Number of Subjects With Neutrophils Results Below and Above the Normal Ranges

    Day 8: VISIT 2 (D7 post 1st vac)

    Measured: At Day 8

  4. Number of Subjects With Neutrophils Results Below and Above the Normal

    Day 36: VISIT 3.1 (D7 post 2nd vac.)

    Measured: At Day 36

  5. Number of Subjects With Neutrophils Results Below and Above the Normal

    Day 57: VISIT 4 (3rd vac.)

    Measured: At Day 57

  6. Number of Subjects With Neutrophils Results Below and Above the Normal

    Day 64: VISIT 4.1 (D7 post 3rd vac.)

    Measured: At Day 64

  7. Number of Subjects With Neutrophils Results Below and Above the Normal

    Day 85: VISIT 5 (1 month post 3rd vac.)

    Measured: At Day 85

  8. Number of Subjects With Neutrophils Results Below and Above the Normal

    Day 225: VISIT 6 (6 months post 3rd vac.)

    Measured: At Day 225

Secondary outcomes (3)
  1. Anti-LPS S. Sonnei Serum IgG Geometric Mean Concentration (GMCs)

    Measured: At baseline, at 28 days after each vaccination and at 168 days after last vaccination

  2. Number of Subjects With Seroresponse for Anti-LPS S. Sonnei

    Seroresponse is defined as: If half of the baseline value is greater than 25 ELISA Unit (EU) then an increase of at least 50% in the post-vaccination sample as compared to baseline [i.e. ((Post-vac minus baseline)/baseline)100% ≥ 50%]. If half of the baseline value is less or equal to 25 EU then an increase of at least 25 EU in the post-vaccination sample as compared to baseline (i.e. [post-vac minus baseline] ≥25 EU)

    Measured: At 28 days after each vaccination and 168 days after last vaccination

  3. Number of Subjects With High Seroresponse for Anti-LPS S. Sonnei (IgG ELISA ≥121 EU)

    High seroresponse is defined as a post vaccination titer ≥X anti-LPS serum IgG units in the GSK (former Novartis) ELISA that correspond to a titer of 1:800 in the ELISA method used by Cohen et al. To determine the value for 'X' the GSK (former Novartis) anti-LPS ELISA was calibrated against the Cohen ELISA and it was found that a concentration of 121 EU EU/mL corresponds to a titer of 1:800 in the Cohen assay

    Measured: At baseline, at 28 days after each vaccination and at 168 days after last vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2013 (estimated)
  2. Study startFeb 2014
  3. Primary completionMar 2015
  4. Study completionMar 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02017899
Sponsor's protocol ID
H03_01TP
Status last verified
Aug 2018
First submitted
17 Dec 2013
Last updated
23 Jan 2019
Data monitoring committee
Yes

Publications

  • Micoli F, Rossi O, Conti V, Launay O, Scire AS, Aruta MG, Nakakana UN, Marchetti E, Rappuoli R, Saul A, Martin LB, Necchi F, Podda A. Antibodies Elicited by the Shigella sonnei GMMA Vaccine in Adults Trigger Complement-Mediated Serum Bactericidal Activity: Results From a Phase 1 Dose Escalation Trial Followed by a Booster Extension. Front Immunol. 2021 May 4;12:671325. doi: 10.3389/fimmu.2021.671325. eCollection 2021.

    PubMed 34017343
  • Launay O, Lewis DJM, Anemona A, Loulergue P, Leahy J, Scire AS, Maugard A, Marchetti E, Zancan S, Huo Z, Rondini S, Marhaba R, Finco O, Martin LB, Auerbach J, Cohen D, Saul A, Gerke C, Podda A. Safety Profile and Immunologic Responses of a Novel Vaccine Against Shigella sonnei Administered Intramuscularly, Intradermally and Intranasally: Results From Two Parallel Randomized Phase 1 Clinical Studies in Healthy Adult Volunteers in Europe. EBioMedicine. 2017 Aug;22:164-172. doi: 10.1016/j.ebiom.2017.07.013. Epub 2017 Jul 15.

    PubMed 28735965
  • Muturi-Kioi V, Lewis D, Launay O, Leroux-Roels G, Anemona A, Loulergue P, Bodinham CL, Aerssens A, Groth N, Saul A, Podda A. Neutropenia as an Adverse Event following Vaccination: Results from Randomized Clinical Trials in Healthy Adults and Systematic Review. PLoS One. 2016 Aug 4;11(8):e0157385. doi: 10.1371/journal.pone.0157385. eCollection 2016.

    PubMed 27490698

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing S. sonnei 1790GAHB in people with Shigellosis, run by GSK Vaccines Institute For Global Health S.r.l. at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Jan 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects With Solicited Local Reaction After Any Vaccination (time frame: During a 7-day (Days 1-7) post vaccination period following any injection). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02017899, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2019.

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