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Cholera VaccinationPhase 3NCT07304284

Trial to Evaluate Immunogenicity Non-Inferiority, Safety and Lot-to-Lot Consistency of Biovac OCV-S to Euvichol®-Plus

A Phase 3 study testing Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine) and Active Comparator, Euvichol®-Plus in people with Cholera Vaccination, run by International Vaccine Institute at 5 sites in South Africa.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This Phase I/III clinical trial is intended to establish the immunogenicity and safety profile of Biovac OCV-S compared to available WHO pre-qualified vaccine Euvichol®-Plus in healthy adults and children and in adult people living with HIV (PLWH). Read more about this study

Who is it for?
Ages 1 year to 45 yearsHealthy volunteers can take part
Conditions the study is for
Cholera Vaccination
What is being tested?
Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine) and Active Comparator, Euvichol®-Plus
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,824 participants
Where
5 sitesSouth Africa
Study dates
31 Oct 2025to Feb 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 1 year to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Inclusion Criteria (for healthy/HIV-negative cohorts A, B and C)
  • Healthy participants aged 1 to 45 years at consent
  • Participants/Parent(s)/Legally Authorized Representative (LAR) willing to provide informed consent/assent
  • HIV negative
  • Not pregnant or lactating
  • PLWH adults aged 18 to 45 years at consent
  • Participants on anti-retroviral (ARV) therapy with CD4 counts >350 and viral loads that are undetectable.
  • Not pregnant or lactating

Who cannot join

  • Known history or allergy to investigational vaccine components, other preventive vaccines, or any other allergies
  • Individuals with major congenital abnormalities
  • Known history of immune function disorders including immunodeficiency diseases (known HIV infection in healthy participant cohorts) or other immune function disorders (all cohorts).
  • Use of systemic steroids within past 6 months (>10 mg/day prednisone equivalent for periods exceeding 2 consecutive weeks), or receive chemotherapy, radiation therapy or other immunosuppressive drugs within the past 6 months.
  • Behavioral or cognitive impairment, chronic substance abuse, or psychiatric disease or neurological disorders.
  • Individuals with a known bleeding disorder.
Show all 10Show fewer
  • Receipt of blood, blood-derived products, or immunoglobulin products in the past 3 months.
  • Individuals who have received other vaccines from 4 weeks prior to or within 4 weeks after any dose of the investigational product.
  • Individuals with active or previous Vibrio cholerae infection.
  • Individuals with receipt of a cholera vaccine in the past 5 years.

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Dr. Naveena D'Cor Project Technical Lead / Study Medical Monitor, MD contact

+82 2 8811 000

naveena.dcor@ivi.int

Beverley Cowper Medical Consultant, MD contact

BeverleyC@biovac.co.za

5 sites in 1 country

South Africa5 sites, 5 recruiting
  • Synergy Biomed Research Institute

    Durban, Eastern Cape, 5201

    Mookho Malahleha Principal Investigator, 0437222306, drmookho@sbri.org.za

    Not yet recruiting
  • SAMRC Chatworth CRS

    Durban, KwaZulu-Natal, 4092

    Logashvari Naidoo Principal Investigator, 0314014150, logashvari.naidoo@mrc.ac.za

    Recruiting
  • SAMRC Isipingo CRS

    Durban, KwaZulu-Natal, 4110

    Vimla Naicker Principal Investigator, 0319027494, vimla.naicker@mrc.ac.za

    Not yet recruiting
  • Perinatal HIV Research Unit (PHRU)

    Johannesburg, Gauteng, 1862

    Ravindre Panchia Principal Investigator, 011-989-9711, panchiar@phru.co.za

    Recruiting
  • Wits Vaccines & Infectious Diseases Analytics (VIDA) Research Unit

    Johannesburg, Gauteng, 1862

    Christopher Stavrou Principal Investigator, +27 11 983 4283, christopher.stavrou@wits-vida.org

    Not yet recruiting

Other trials in South Africa

About this study

Official title: Phase I/III, Multicenter, Observer-Blinded, Randomized, Active Controlled Trial to Evaluate Immunogenicity Non-Inferiority, Safety and Lot-to-Lot Consistency of Biovac OCV-S to Euvichol®-Plus in 1 to 45 Years Old South Africans

This Phase I/III clinical trial is intended to establish the immunogenicity and safety profile of Biovac OCV-S compared to available WHO pre-qualified vaccine Euvichol®-Plus in healthy adults and children and in adult people living with HIV (PLWH). The lot-to-lot consistency of Biovac OCV-S in healthy adults will also be determined.

Read the detailed description

This is a phase I/III, multicenter, observer-blinded, age-descending, randomized, active controlled trial being conducted in South Africa to evaluate the immunogenicity non-inferiority and safety of Biovac OCV-S compared to Euvichol®-Plus among adults and children, and to evaluate the lot-to-lot consistency of Biovac OCV-S in adults.

A total of 2824 participants aged 1-45 years will be enrolled in the study in 4 cohorts: cohort A (1272 healthy adults aged 18-45 years), cohort AA (160 people living with HIV (PLWH) aged 18-45 years), cohort B (696 healthy children aged 6-17 years), and cohort C (696 healthy children aged 1-5 years). Participants in cohort A will be randomized into 4 arms to receive either one of the 3 lots of Biovac OCV-S or to receive the comparator Euvichol®-Plus in 1:1:1:1 ratio. Participants in cohorts AA, B and C will each be randomized into 2 arms to receive either Biovac OCV-S or Euvichol®-Plus in 3:1 ratio.

Each of the study participants will receive the assigned investigational product Biovac OCV-S or Euvichol®-Plus given orally in 2 doses at 2 weeks interval and will be followed up for safety and immunogenicity at specific time points. Each participant will be in the study for approximately 27 weeks.

Being tested
Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine), Active Comparator, Euvichol®-Plus
Keywords
Biovac OCV-S, Euvichol®-Plus, IVI BIOVAC OCV-S 001, International Vaccine Institute (IVI), Biovac Institute, South African Medical Research Council (SAMRC)

What participants receive

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

  • Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)Biological

    Two doses (1.5mL) at two weeks interval given orally.

  • Active Comparator, Euvichol®-PlusBiological

    Two doses (1.5mL) at two weeks interval given orally.

Study groups in NCT07304284
Study groupRoleWhat they receive
Arm A1: Biovac OCV-SExperimentalBiovac OCV-S (Lot 1), HIV Negative Group, 18-45 years
Receives: Biological: Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)
Arm A2: Biovac OCV-SExperimentalBiovac OCV-S (Lot 2), HIV Negative Group, 18-45 years
Receives: Biological: Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)
Arm A3: Biovac OCV-SExperimentalBiovac OCV-S (Lot 3), HIV Negative Group, 18-45 years
Receives: Biological: Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)
Arm A4: Euvichol®-PlusActive comparatorEuvichol®-Plus, HIV Negative Group, 18-45 years
Receives: Biological: Active Comparator, Euvichol®-Plus
Arm B1: Biovac OCV-SExperimentalBiovac OCV-S, HIV Negative Group, 6-17 years
Receives: Biological: Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)
Arm B2: Euvichol®-PlusActive comparatorEuvichol®-Plus, HIV Negative Group, 6-17 years
Receives: Biological: Active Comparator, Euvichol®-Plus
Arm C1: Biovac OCV-SExperimentalBiovac OCV-S, HIV Negative Group, 1-5 years
Receives: Biological: Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)
Arm C2: Euvichol®-PlusActive comparatorEuvichol®-Plus, HIV Negative Group, 1-5 years
Receives: Biological: Active Comparator, Euvichol®-Plus
Arm AA1: Biovac OCV-SExperimentalBiovac OCV-S, People living with HIV, 18-45 years
Receives: Biological: Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine)
Arm AA2: Euvichol®-PlusActive comparatorEuvichol®-Plus, People living with HIV, 18-45 years
Receives: Biological: Active Comparator, Euvichol®-Plus

What is being measured

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

  1. Seroconversion of vibriocidal titers against Vibrio cholerae O1 Inaba and O1 Ogawa

    Proportion of participants showing seroconversion of vibriocidal titers against Vibrio cholerae O1 Inaba and O1 Ogawa (seroconversion is defined as at least 4-fold increase of vibriocidal titers compared to baseline) at 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus for all ages, in the HIV negative group.

    Measured: 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus

  2. Incidence of Treatment-Emergent Adverse Events in the HIV negative group

    Safety of each investigational product dose at a specified duration in the HIV negative group:

    1. Occurrence of any Serious Adverse Event (SAE)/ Adverse Event of Special Interest (AESI)/ Medically Attended Adverse Event (MAAE) from the first dose vaccination throughout the final study visit
    2. Occurrence of immediate adverse events within 30 minutes after each dose vaccination
    3. Occurrence of solicited adverse events within 7 days after each dose vaccination
    4. Occurrence of unsolicited adverse events within 14 days after each dose vaccination

    Measured: Within 14 days after each vaccination

Secondary outcomes (4)
  1. Geometric Mean Titer (GMT) of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa for all ages

    GMT of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus for all ages, in the HIV negative group.

    Measured: 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus

  2. Proportion of participants showing seroconversion against Vibrio cholerae O1 Inaba and Ogawa

    The proportion of participants showing seroconversion against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus in each age stratum, in the HIV negative group.

    Measured: 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus

  3. GMT of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa in each age stratum

    GMT of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus in each age stratum, in the HIV negative group.

    Measured: 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus

  4. GMT of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa in adults

    GMT of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of 3 lots of Biovac OCV-S in adults in the HIV negative group.

    Measured: 2 weeks after second dose of 3 lots of Biovac OCV-S

Timeline

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

  1. First posted26 Dec 2025
  2. Study start31 Oct 2025
  3. Primary completionDec 2026 (estimated)
  4. Study completionFeb 2027 (estimated)

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
2,824 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07304284
Sponsor's protocol ID
IVI BIOVAC OCV-S 001
Status last verified
Jan 2026
First submitted
11 Dec 2025
Last updated
12 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Experimental: Biovac OCV-S (inactivated whole-cell monovalent (O1) oral cholera vaccine) and Active Comparator, Euvichol®-Plus in people with Cholera Vaccination, run by International Vaccine Institute at 5 sites in South Africa.

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 8 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 12 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in South Africa. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Dr. Naveena D'Cor Project Technical Lead / Study Medical Monitor, MD (+82 2 8811 000, naveena.dcor@ivi.int), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Seroconversion of vibriocidal titers against Vibrio cholerae O1 Inaba and O1 Ogawa (time frame: 2 weeks after second dose of either Biovac OCV-S (i.e., one lot of Biovac OCV-S) or Euvichol®-Plus). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Jan 2026.

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