- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07758972
Safety and Immunogenicity Study of a Multivalent Gonorrhoea Vaccine (LTBNG601)
A First in Human Phase I Randomized and Controlled Trial to Test Safety and Immunogenicity of a Multivalent Vaccine Against Neisseria Gonorrhoeae
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
LTB-NG6 is a vaccine including 6 N. gonorrhoeae antigens. During the study, healthy adults will be randomized to receive 1 of 5 different vaccine doses, or a placebo.
Participants will receive a 2-dose schedule.
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Steffen Haffner, Dr.
- Phone Number: +49 731 9840 452
- Email: Steffen.Haffner@nuvisan.com
Study Contact Backup
- Name: Christian Reh, Dr.
- Phone Number: +49 731 9840 131
- Email: Christian.Reh@nuvisan.com
Study Locations
-
-
Bavaria
-
Neu-Ulm, Bavaria, Germany, 89231
- Recruiting
- Nuvisan GmbH
-
Contact:
- Steffen Haffner, Dr.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged 18-50 years (inclusive) at the time of the first injection
- Good and stable general health, determined by medical history, laboratory findings and physical examination as judged by the Investigator before receiving the first injection.
- Willingness and ability to comply with the requirements of the protocol (e.g., completion of the diary forms, return for follow-up visits)
- Signed written informed consent obtained
- Availability for the trial duration, including all planned follow-up visits and phone calls
- Negative urine pregnancy test for WOCBP. WOCBP must be willing to use a highly effective method of contraception during the trial
Exclusion Criteria:
- Health conditions that, in the opinion of the Investigator, may interfere with optimal participation in the trial or place the participant at increased risk of adverse events
- Acute or active infectious disease (including symptomatic sexually transmitted infections or any other ongoing acute infections), fever (oral temperature ≥38.0°C), or acute illness at the time of enrollment.
- History of gonorrhea at any time (either self-reported or medically confirmed) or confirmed at screening by a positive nucleic acid amplification test (NAAT) result for Neisseria gonorrhoeae
- History of prior confirmed N. meningitidis infection
- Previous vaccination with Bexsero or any meningococcal serogroup B vaccine (including self-report)
- Any deviation from the normal range in biochemistry or hematology blood tests clinically significant in the opinion of the Investigator, measured at the screening visit
- Clinical conditions representing contraindication to intramuscular vaccination and blood draws (e.g., coagulation disorder)
- Known or suspected impairment of immunological function (e.g., documented HIV infection, asplenia/splenectomy, or history of autoimmune disease or lymphoproliferative disorder)
- Positive test for active HBV infection (positive HBsAG test), any HCV infection (positive HCV antibody test), or any HIV-1/2 infection
- Planned or actual administration of any licensed vaccine within 14 days prior to enrollment. Note: In case an emergency mass vaccination for an unforeseen public health threat (e.g., a pandemic) is organized by the public health authorities, the time period described above can be reduced, if necessary, for that vaccine, provided that it is licensed or authorized and that it is used according to the local governmental recommendations, and provided that a written approval from the Sponsor is obtained
- Body Mass Index (BMI) ≤19 or ≥35
- History of systemic administration of corticosteroids (PO/IV/IM) within the last month prior to injection or for more than 14 consecutive days within 3 months prior to injection (i.e., prednisone or equivalent ≥20 mg/day). Inhaled and topical steroids are allowed
- Administration of antineoplastic, immune-modulating, immunosuppressive agents or chemotherapy within 3 months prior to injection
- Suspected or known hypersensitivity (including allergy) to any of the vaccine components or medical equipment whose use is foreseen in this trial
- Concurrently participating in another clinical trial or planned participation at any time during the trial period, in which the participant has been or will be exposed to an investigational or a non-investigational interventional vaccine/product (pharmaceutical product)
- History of any chronic or progressive disease that according to judgment of the Investigator could interfere with the trial outcomes or pose a threat to the participant's health
- Received an investigational or non-registered product (medicinal drug or vaccine), within 3 months prior to enrollment or planned use during the trial period
- Administration of immunoglobulin and/or any blood products within the three months prior to enrollment
- Blood donation equal or greater to 500 mL of blood drawn within 3 months prior to enrollment
- Participants with an elective surgical intervention, planned during the trial period until one month after second injection
- Female participants lactating, pregnant, or intending to become pregnant as reported by the participant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Participants receive 2 administrations of Sodium chloride 0.9%
|
sodium chloride 0.9% used as a diluent in LTB-NG6 and as a placebo
|
|
Experimental: Dose 1
Participants receive 2 Dose 1 administrations of the investigational product
|
LTB-NG6 administrated at 5 different doses
|
|
Experimental: Dose 2
Participants receive 2 Dose 2 administrations of the investigational product
|
LTB-NG6 administrated at 5 different doses
|
|
Experimental: Dose 3
Participants receive 2 Dose 3 administrations of the investigational product
|
LTB-NG6 administrated at 5 different doses
|
|
Experimental: Dose 4
Participants receive 2 Dose 4 administrations of the investigational product
|
LTB-NG6 administrated at 5 different doses
|
|
Experimental: Dose 5
Participants receive 2 Dose 5 administrations of the investigational product
|
LTB-NG6 administrated at 5 different doses
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety: local and systemic AEs (7-days-post)
Time Frame: During 7 days following each injection
|
To evaluate the safety and tolerability of vaccination with LTB-NG6 in healthy participants after each injection in vaccinees vs. placebo and by dose: - Percentage of participants reporting each solicited local and systemic AE during the seven days after each injection (i.e., day of injection and the six subsequent days). |
During 7 days following each injection
|
|
Safety: any events after each injection
Time Frame: During 28 days following each injection
|
To evaluate the safety and tolerability of vaccination with LTB-NG6 in healthy participants after each injection in vaccinees vs. placebo and by dose:
|
During 28 days following each injection
|
|
Safety: unsolicited AEs, SAEs, MAAEs
Time Frame: Through study completion, an average of 18 months
|
To evaluate the safety and tolerability of vaccination with LTB-NG6 in healthy participants after each injection in vaccinees vs. placebo and by dose:
|
Through study completion, an average of 18 months
|
|
Immunogenicity - primary IgGs GMT
Time Frame: At 28 days after the second injection
|
To evaluate the immunogenicity of different doses of LTB-NG6 to identify the preferred dose(s).
Serum IgG geometric mean titers (GMTs) against each of the N. gonorrhoeae antigens included in LTB-NG6 summarized by treatment group
|
At 28 days after the second injection
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Immunogenicity - secondary IgGs
Time Frame: At baseline and 28 days after the second injection
|
To expand the evaluation of the immunogenicity of LTB-NG6 for each treatment group at baseline and 28 days after each injection for each of the antigens included in LTB-NG6:
|
At baseline and 28 days after the second injection
|
|
Safety: AEs relatedness to injection, vaccine vs. placebo
Time Frame: Through study completion, an average of 18 months
|
To further evaluate the safety of LTB-NG6.
Percentage of participants with solicited local, systemic, unsolicited AEs, and SAEs according to relatedness to injection, in vaccinees vs. placebo.
|
Through study completion, an average of 18 months
|
|
Safety: lab abnormalities
Time Frame: At baseline and 7 days after each injection
|
To evaluate changes in hematological and blood chemistry parameters following each injection.
Percentage of participants with hematological and blood chemistry laboratory abnormalities at 7 days after each injection compared to baseline in vaccinees vs. placebo.
|
At baseline and 7 days after each injection
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Hedges SR, Mayo MS, Mestecky J, Hook EW 3rd, Russell MW. Limited local and systemic antibody responses to Neisseria gonorrhoeae during uncomplicated genital infections. Infect Immun. 1999 Aug;67(8):3937-46. doi: 10.1128/IAI.67.8.3937-3946.1999.
- Petousis-Harris H, Paynter J, Morgan J, Saxton P, McArdle B, Goodyear-Smith F, Black S. Effectiveness of a group B outer membrane vesicle meningococcal vaccine against gonorrhoea in New Zealand: a retrospective case-control study. Lancet. 2017 Sep 30;390(10102):1603-1610. doi: 10.1016/S0140-6736(17)31449-6. Epub 2017 Jul 10.
- Russell MW, Jerse AE, Gray-Owen SD. Progress Toward a Gonococcal Vaccine: The Way Forward. Front Immunol. 2019 Oct 15;10:2417. doi: 10.3389/fimmu.2019.02417. eCollection 2019.
- Wi T, Lahra MM, Ndowa F, Bala M, Dillon JR, Ramon-Pardo P, Eremin SR, Bolan G, Unemo M. Antimicrobial resistance in Neisseria gonorrhoeae: Global surveillance and a call for international collaborative action. PLoS Med. 2017 Jul 7;14(7):e1002344. doi: 10.1371/journal.pmed.1002344. eCollection 2017 Jul.
- Zhu W, Thomas CE, Chen CJ, Van Dam CN, Johnston RE, Davis NL, Sparling PF. Comparison of immune responses to gonococcal PorB delivered as outer membrane vesicles, recombinant protein, or Venezuelan equine encephalitis virus replicon particles. Infect Immun. 2005 Nov;73(11):7558-68. doi: 10.1128/IAI.73.11.7558-7568.2005.
- Bruxvoort KJ, Lewnard JA, Chen LH, Tseng HF, Chang J, Veltman J, Marrazzo J, Qian L. Prevention of Neisseria gonorrhoeae With Meningococcal B Vaccine: A Matched Cohort Study in Southern California. Clin Infect Dis. 2023 Feb 8;76(3):e1341-e1349. doi: 10.1093/cid/ciac436.
- Abara WE, Bernstein KT, Lewis FMT, Schillinger JA, Feemster K, Pathela P, Hariri S, Islam A, Eberhart M, Cheng I, Ternier A, Slutsker JS, Mbaeyi S, Madera R, Kirkcaldy RD. Effectiveness of a serogroup B outer membrane vesicle meningococcal vaccine against gonorrhoea: a retrospective observational study. Lancet Infect Dis. 2022 Jul;22(7):1021-1029. doi: 10.1016/S1473-3099(21)00812-4. Epub 2022 Apr 12.
- Belcher T, Rollier CS, Dold C, Ross JDC, MacLennan CA. Immune responses to Neisseria gonorrhoeae and implications for vaccine development. Front Immunol. 2023 Aug 17;14:1248613. doi: 10.3389/fimmu.2023.1248613. eCollection 2023.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- LTBNG601
- 224842/Z/21/Z (Other Grant/Funding Number: Wellcome Trust)
- NNF23SA0088536 (Other Identifier: Novo Nordisk Foundation (NNF))
- OTA No. 75A50122C00028 (Other Grant/Funding Number: HHS/BARDA)
- Agreement Dated 1/30/23 (Other Grant/Funding Number: Germany's Federal Ministry of Research, Technology, and Space (BMFTR))
- 2026-526168-19-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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