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- Klinische proef NCT07666750
Safety and Immunogenicity Study of IP-QSV Vaccine in Healthy Adults/Adolescents, Children and Infants
A Phase 1/2a, Randomized, Observer-blind, Age-descending, Dose Finding Study to Evaluate the Safety and Immunogenicity of Institut Pasteur Quadrivalent Shigella Vaccine (IP-QSV) for Intramuscular Administration in Healthy Adults/Adolescents, Children and Infants
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
this is phase 1/2a, randomized, observer-blind, age-descending, dose-finding trial to evaluate the safety and immunogenicity of a quadrivalent synthetic oligosaccharide-based Shigella vaccine (adjuvanted IP-QSV) in adults, children, and infants in Mali
A total of 370 healthy participants aged 6 months to 45 years in Mali will be enrolled and randomly assigned in a 2:1 or 2:2:1 ratio. The study groups are as follow
- Group A (18-45 years): one dose of 30 µg IP / placebo in a 2:1 ratio
- Group B (2-5 years): two doses of 10 µg IP / placebo administered 3 months apart in a 2:1 ratio
- Group C (2-5 years): one dose of 30 µg IP / placebo in a 2:1 ratio
- Group D (6-8 months): three doses of 2 µg IP / placebo administered at 3- and 6-month intervals in a 2:1 ratio
- Group E (6-8 months): three doses of 10 µg IP or placebo administered at 3- and 6-month intervals in a 2:2:1 ratio
- Group F (9-11 months): two doses of 10 µg IP / placebo administered 6 months apart in a 2:1 ratio
- Group G (6-8 months): two doses of 30 µg IP or placebo administered 9 months apart in a 2:1 ratio.
The DSMB must review the safety data of each group and approve study continuation before investigational product administration of the next group is initiated.
Participants will attend between 5 and 11 scheduled study visits, including blood sampling for immunogenicity assessments and safety evaluations. Blood samples will be collected at screening and at multiple time points throughout the study to assess immune responses and overall health status. Baseline laboratory assessments will include HIV testing, hepatitis screening, complete blood counts, and renal and liver function tests. Women of childbearing potential will undergo pregnancy testing at screening.
Serious adverse events (SAEs) will be reported and followed until resolution or stabilization. Participants will be instructed to contact the study team immediately if they experience any serious adverse event.
The study will monitor for SAEs, including hospitalization, death, or significant disability, occurring during the study, regardless of whether they are considered related to the study vaccine. Immediate reactions occurring within 0.5 - 1 hours after vaccination will be monitored to detect allergic or other acute responses. Solicited mild to moderate adverse events, such as nausea, fever, and diarrhea, will be recorded for up to 7 days after each vaccination.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Tarun Saluja, MD
- Telefoonnummer: +82 2 8811 236
- E-mail: tarun.saluja@ivi.int
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Individuals aged 18-45 years in Group A, 2-5 years in Groups B and C, 6-8 months in Groups D, E and G , and 9-11 months in Group F
- Participants/ Participants' Legally Acceptable representative (LAR) willing to provide written informed consent to participate in the study voluntarily
- Participants who can comply with the study requirements
- Individuals in good health as determined by the outcome of medical history, physical examination, and the clinical judgment of the investigator
Exclusion Criteria:
- Known history or allergy to investigational vaccine components or other medications, or any other allergies deemed by the investigator to increase the risk of an adverse event if they were to participate in the trial
- Individuals with major congenital abnormalities, developmental disorders, genetic defects, or severe malnutrition, among other conditions which in the opinion of investigator may affect the participant's participation in the study
- Known history of immune function disorders including immunodeficiency diseases (known HIV infection¥ or other immune function disorders) which in the opinion of investigator may affect the participant's participation in the study or interfere with the assessment of the study objectives
- 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
- Any abnormality or chronic disease which in the opinion of the investigator might be detrimental for the safety of the participant and interfere with the assessment of the study objectives
- Individuals with behavioral or cognitive impairment or psychiatric disease or neural disorders that, in the opinion of the investigator, could interfere with the participant's ability to participate in the trial
- Individuals with splenectomy
- Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time resulting in contraindication for IM injections/blood extractions
- 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 the first dose of investigational product administration or planned to receive any vaccine within 4 weeks post any dose of the investigational product
- Individuals with active or known previous culture-proven Shigella infection
- Individuals who have household contact with/and /or intimate exposure to an individual with laboratory confirmed Shigella infection
- Previous participation in any study in which a Shigella-vaccine candidate was administered
- Individuals with a history of severe diarrhea in the last 6 months requiring care at a medical facility lasting 24 hours or more
- Individuals with a history of clinically significant gastrointestinal disorders or with any history of frequent diarrhea, nausea or emesis, within the last 6 months
- Individuals aged below 5 years with Weight for Height Z score and/or Height for Age Z score of less than -3
- Any female participant who is lactating or pregnant#
- Females of childbearing potential who do not agree to use an effective birth control method* for at least 4 weeks before the screening and up to 12 weeks after the investigational product administration
- Individuals enrolled in another clinical trial within 6 months prior to enrollment, concomitantly enrolled or scheduled to be enrolled in another trial during study period
- Individuals who are research staff involved with the clinical trial or household members of research staff
- As per Investigator's medical judgement, an individual could be excluded from the study despite meeting all inclusion/exclusion criteria mentioned above
- Special Conditions for Children Aged 24 Months and Below: For such children, additional exclusion criteria include difficult birth, resuscitation after suffocation, a history of neurological damage, premature birth (delivery before the 37th week of gestation), and low birth weight (less than 2500 grams)
- Clinically significant abnormal findings in blood tests during the screening
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Group A
A total of 30 participants aged 18-45 years will receive one dose of 30 µg IP-QSV or placebo.
|
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
Sterile 0.9% sodium chloride.
|
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Experimenteel: Group B
A total of 30 participants aged 2-5 years will receive two doses of 10 µg IP-QSV or placebo at 3 months interval.
|
Sterile 0.9% sodium chloride.
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
|
|
Experimenteel: Group C
A total of 30 participants aged 2-5 years will receive one dose of 30 µg IP-QSV or placebo
|
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
Sterile 0.9% sodium chloride.
|
|
Placebo-vergelijker: Group D
A total of 60 participants aged 6-8 months will receive three doses of 2 µg IP-QSV or placebo at Months 0, 3, and 9.
|
Sterile 0.9% sodium chloride.
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
|
|
Experimenteel: Group E
A total of 100 participants aged 6-8 months will receive three doses of 10 µg IP-QSV or placebo at Months 0, 3, and 9.
|
Sterile 0.9% sodium chloride.
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
|
|
Experimenteel: Group F
A total of 60 participants aged 9-11 months will receive two doses of 10 µg IP-QSV or placebo at 6 months interval
|
Sterile 0.9% sodium chloride.
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
|
|
Experimenteel: Group G
A total of 60 participants aged 6-8 months will receive two doses of 30 µg IP-QSV or placebo at 9 months interval
|
A mix of the four synthetic OS-based conjugates, each independently targeting SF 2a, 3a, 6, or Sson, and using tetanus toxoid as carrier protein.
30 ㎍ of IP-QSV adjuvanted with Aluminum phosphate.
Sterile 0.9% sodium chloride.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Gevraagde bijwerkingen
Tijdsspanne: Binnen 7 dagen na elke dosis
|
Optreden van gevraagde injectieplaats en gevraagde systemische bijwerkingen vanaf het moment van elke studievaccinatie tot 7 dagen na elke studievaccinatie
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Binnen 7 dagen na elke dosis
|
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Ongevraagde bijwerkingen
Tijdsspanne: Binnen 28 dagen na elke dosis
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Het optreden van ongevraagde bijwerkingen vanaf het moment van elke studievaccinatie tot 28 dagen na elke studievaccinatie.
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Binnen 28 dagen na elke dosis
|
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Ernstige bijwerkingen (SAE's) en bijwerkingen van speciaal belang (AESI's) en medisch behandelde bijwerkingen (MAAE)
Tijdsspanne: gedurende de studie, gemiddeld 6 maanden
|
Voorkomen van elke SAE / AESI / MAAE vanaf de eerste vaccinatiedosis tot aan het laatste studiebezoek
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gedurende de studie, gemiddeld 6 maanden
|
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Onmiddellijke bijwerkingen
Tijdsspanne: Binnen 30 minuten na elke dosis
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Voorkomen van directe bijwerkingen binnen 30 minuten na elke dosis vaccinatie
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Binnen 30 minuten na elke dosis
|
|
GMT of serum IgG against SF 2a, SF3a, SF6 & Sson LPS at 4 weeks and at 6 months post primary IP administration of IP-QSV 2/10/30μg OS-equivalent dosages in infants aged 6-8 months
Tijdsspanne: Baseline, at 4 weeks, and at 6 months post primary IP administration series
|
GMT of serum IgG antibodies to SF2a, SF3a, SF6 & Sson LPSs (for each one of the four serotypes and combined serotypes (SF all)), after 2-dose primary series (0-3-month) of 2μg of IP-QSV / placebo, or 2-dose primary series (0-3-month) of 10μg of IP-QSV / placebo, or Single primary dose of 30μg of IP-QSV / placebo
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Baseline, at 4 weeks, and at 6 months post primary IP administration series
|
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Seroconversion of serum IgG against SF 2a, SF3a, SF6 & Sson LPS at 4 weeks and at 6 months post primary IP administration of IP-QSV 2/10/30μg OS-equivalent dosages in infants aged 6-8 months
Tijdsspanne: at 4 weeks and at 6 months post primary IP administration series
|
Percentage of seroconversion (defined as at least a 4-fold increase in anti-LPS IgG titer from baseline) for each one of the four serotypes and combined serotypes (SF2a, SF3a, SF6, Sson LPSs, SF all), after 2-dose primary series (0-3-month) of 2μg of IP-QSV / placebo or 2-dose primary series (0-3-month) of 10μg of IP-QSV / placebo or Single primary dose of 30μg of IP-QSV / placebo
|
at 4 weeks and at 6 months post primary IP administration series
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
GMT of serum IgG against SF 2a, SF3a, SF6 & Sson LPS at 4 weeks and at 6 months post full IP administration of IP-QSV 2/10/30μg OS-equivalent dosages in infants aged 6-8 months
Tijdsspanne: Baseline, at 4 weeks, and at 6 months post full IP administration series
|
GMT of serum IgG antibodies to SF2a, SF3a, SF6 & Sson LPSs, (for each one of the four serotypes and combined serotypes (SF all)), after 3 doses(0-3-9-month) of 2μg IP-QSV / placebo, or 3 doses ( 0-3-9-month) of 10μg IP-QSV / placebo, or 2 doses ( 0-9-month) of 30μg IP-QSV / placebo
|
Baseline, at 4 weeks, and at 6 months post full IP administration series
|
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Seroconversion of serum IgG against SF 2a, SF3a, SF6 & Sson LPS at 4 weeks and at 6 months post full IP administration of IP-QSV 2/10/30μg OS-equivalent dosages in infants aged 6-8 months
Tijdsspanne: Baseline, at 4 weeks, and at 6 months post full IP administration series
|
Percentage of seroconversion (defined as at least a 4-fold increase in anti-LPS IgG titer from baseline) for each one of the four serotypes (SF2a, SF3a, SF6 & Sson LPSs, and combined serotypes (SF, all)), after 3 doses ( 0-3-9-month) of 2μg IP-QSV / placebo, or 3 doses ( 0-3-9-month)of 10μg IP-QSV / placebo, or 2 doses ( 0-9-month) of 30μg IP-QSV / placebo
|
Baseline, at 4 weeks, and at 6 months post full IP administration series
|
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GMT of serum IgG against SF 2a, SF3a, SF6 & Sson LPS at 4 weeks post each dose of full IP administration series and at 6 months post full IP administration of IP-QSV 10μg OS-equivalent dosages in infants aged 9-11 month
Tijdsspanne: Baseline and at post each dose of full IP administration series
|
GMT of serum IgG antibodies to SF2a, SF3a, SF6 & Sson LPSs(for each one of the four serotypes and combined serotypes (SF, all)), at 4 weeks after 1 and 2 doses ( 0-6-month) of 10μg of IP-QSV / placebo
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Baseline and at post each dose of full IP administration series
|
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Seroconversion of serum IgG against SF 2a, SF3a, SF6 & Sson LPS at 4 weeks post each dose of full IP administration series and at 6 months post full IP administration of IP-QSV 10μg OS-equivalent dosages in infants aged 9-11 months
Tijdsspanne: at post each dose of full IP administration series
|
Percentage of Seroconversion (defined as at least a 4-fold increase in anti-LPS IgG titer from baseline) for each one of the four serotypes (SF2a, SF3a, SF6 & Sson LPSs, and combined serotypes (SF, all)) at 4 weeks after 1 and 2 doses in 0-6-month dose schedule of 10μg IP-QSV / placebo
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at post each dose of full IP administration series
|
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GMT of SF2a, SF3a, SF6 & Sson -specific serum bactericidal antibodies (SBA) at 4 weeks and at 6 months post primary IP and full IP administration of IP-QSV 2/10/30μg OS-equivalent dosages in infants aged 6-11 months
Tijdsspanne: Baseline, at 4 weeks and at 6 months post primary and full IP administration series
|
GMT of SBA to SF2a, SF3a, SF6 & Sson, independently for each one of the four serotypes and combined serotypes (SF, all), after 2-dose primary series (0-3-month) of 2/10μg of IP-QSV / placebo in infants aged 6-8 months, or Single primary dose of 30μg of IP-QSV / placebo in infants aged 6-8 months, or 3 doses in 0-3-9-month dose schedule of 2/10μg IP-QSV / placebo in infants aged 6-8 months, or Single primary dose of 10μg of IP-QSV / placebo in infants aged 9-11 months, or 2 doses in 0-6-month dose schedule of 10μg IP-QSV / placebo in infants aged 9-11 months, or 2 doses in 0-9-month dose schedule of 30μg IP-QSV / placebo in infants aged 6-8 months
|
Baseline, at 4 weeks and at 6 months post primary and full IP administration series
|
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Seroconversion of SF2a, SF3a, SF6 & Sson -specific serum bactericidal antibodies (SBA) at 4 weeks and at 6 months post primary IP and full IP administration of IP-QSV 2/10/30μg OS-equivalent dosages in infants aged 6-11 months
Tijdsspanne: at 4 weeks and at 6 months post primary and full IP administration series
|
Percentage of seroconversion of SBA to SF2a, SF3a, SF6 & Sson, independently for each one of the four serotypes and combined serotypes (SF, all), after 2-dose primary series (0-3-month) of 2/10μg of IP-QSV / placebo in infants aged 6-8 months, or Single primary dose of 30μg of IP-QSV / placebo in infants aged 6-8 months, or 3 doses in 0-3-9-month dose schedule of 2/10μg IP-QSV / placebo in infants aged 6-8 months, or Single primary dose of 10μg of IP-QSV / placebo in infants aged 9-11 months, or 2 doses in 0-6-month dose schedule of 10μg IP-QSV / placebo in infants aged 9-11 months, or 2 doses in 0-9-month dose schedule of 30μg IP-QSV / placebo in infants aged 6-8 months
|
at 4 weeks and at 6 months post primary and full IP administration series
|
|
GMT of serum IgG against SF2a, SF3a, SF6 & Sson LPS at 4 weeks post each dose of full IP administration series of IP-QSV 10/30μg OS-equivalent dosages in adults aged 18-45 years and children aged 2-5 years
Tijdsspanne: Baseline and at 4 weeks post each dose of full IP administration series
|
GMT of serum IgG antibodies to SF2a, SF3a, SF6 & Sson, and percentage of seroconversion, after 1 dose of 30μg in adults aged 18-45 years and in children aged 2-5 years or after each dose of 10μg in 0-3mo dose schedule in children aged 2-5 years
|
Baseline and at 4 weeks post each dose of full IP administration series
|
|
Seroconversion of serum IgG against SF2a, SF3a, SF6 & Sson LPS at 4 weeks post each dose of full IP administration of IP-QSV 10/30μg OS-equivalent dosages in adults aged 18-45 years and children aged 2-5 years
Tijdsspanne: at 4 weeks post each dose of full IP administration series
|
Percentage of seroconversion of serum IgG antibodies to SF2a, SF3a, SF6 & Sson, after 1 dose of 30μg in adults aged 18-45 years and in children aged 2-5 years or after each dose of 10μg in 0-3mo dose schedule in children aged 2-5 years
|
at 4 weeks post each dose of full IP administration series
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Samba Sow, MD, CVD-Mali
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- IVI IP QSV
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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