Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202105845422919 Date of Approval: 27/05/2021
Trial Status: Retrospective registration - This trial was registered after enrolment of the first participant
TRIAL DESCRIPTION
Public title Safety and immunogenicity of a travalent bioconjugate vaccine Shigella -: A phase1/2 randomized controlled and aged escending study including dose finding in 9 month old infants
Official scientific title Safety and immunogenicity of a travalent bioconjugate vaccine Shigella -: A phase1/2 randomized controlled and aged escending study including dose finding in 9 month old infants
Brief summary describing the background and objectives of the trial In this study, the tetravalent bioconjugate candidate vaccine Shigella4V will be tested to obtain first-in-human data on its safety and immunogenicity in infants and to identify the preferred dose of Shigella4V in 9 month old infants Shigella4V is a tetravalent bioconjugate vaccine including O antigen-polysaccharides of the most predominant Shigella serotypes. The study will be conducted in two steps. In Step1: safety and reactogenicity of the vaccine will be evaluated first in adults and subsequently in children and infants through an age-descending and dose escalation approach. In Step 2: in order to further evaluate safety and to identify the optimum immunogenic dose, infants will be randomised to receive 1 of 4 different vaccine doses or control vaccine. Adults will receive a 2 dose schedule, children and infants will receive a 3 dose schedule. For each vaccine dose, formulation with and without Aluminium adjuvant will be tested PRIMARY ENDPOINT 1. Safety: Safety and tolerability of the candidate vaccine Shigella4V as determined by occurrence, severity and relationship, of solicited and unsolicited adverse events (AEs) and serious AEs (SAEs), through: Solicited local and systemic AEs during 7 days following each vaccination Unsolicited AEs during 28 days following each vaccination SAEs and medically relevant AEs throughout the study duration 2. Immunology: Serum IgG responses and fold-increases between post- and pre-vaccination samples from infants of step 2, as determined by ELISA against LPS corresponding to the 4 Shigella serotypes included in the Shigella4V bioconjugate.
Type of trial RCT
Acronym (If the trial has an acronym then please provide) S4V01
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied Shigelossis
Purpose of the trial Prevention: Vaccines
Anticipated trial start date 02/09/2019
Actual trial start date 02/09/2019
Anticipated date of last follow up 31/07/2022
Actual Last follow-up date 31/07/2022
Anticipated target sample size (number of participants) 592
Actual target sample size (number of participants)
Recruitment status Recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
NCT04056117 ClinicalTrials.gov
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Randomised Permuted block randomization Allocation was determined by the holder of the sequence who is situated off site Masking/blinding used Care giver/Provider,Outcome Assessors,Participants
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group Shigella vaccine with or without adjuvant Adults and children 24µg and 48µg Infants 4µg, 12µg, 24µg and 48µg Adults will receive 2 vaccinations (1st and 2nd vaccination 2 months apart) Children will receive 3 vaccinations(1st and 2nd vaccination 2 months apart and booster vaccintaion 6 months post 2nd vaccination) Infants will receive 3 vaccinations(1st and 2nd vaccination 3 months apart and booster vaccintaion 6 months post 2nd vaccination) Biological: Shigella 4V Non-adjuvanted and adjuvanted Shigella 4V administrated at 4 different doses: very low, low, medium and high. 500
Control Group different control Vaccines MenACWY 0.5 mls Rabies0.5 mls Diphtheria, Tetanus and Pertussis (DTaP)0.5 mls Placebo0.5 mls Adults will receive one injection of Menveo, at 1st injection, and a placebo injection at V2nd Injection( two months apart). Children will receive rabies immunisation at all vaccination visits(1st, 2nd and booster vaccination). Infants will receive Menveo at 1st and 2nd vaccination and in order to ensure blinding during the entire study duration, they will receive diphtheria, tetanus, and acellular pertussis (DTaP) vaccination at booster vaccination. Biological: MenACWY Control vaccine administrated to adults and infants Biological: Rabies Control vaccine administrated to children Biological: Diphtheria, Tetanus and Pertussis (DTaP) Control vaccine administrated to infants Biological: Placebo Control administrated to adults 92 Active-Treatment of Control Group
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
All ages Healthy by medical history, laboratory findings and physical examination before entering into the study (Participants with a minor illness (such as mild diarrhoea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator) Seronegative for HIV, hepatitis B and C (as per screening laboratory tests) Resident in the study area village during the whole trial period (Kilifi -Kilifi Health and Demographic Surveillance System (Described in more detail in the SSA); (Kericho-a 75km radius from the Kericho Clinical Research Centre). Previously completed routine primary vaccinations (6,10 and 14 weeks or thereabouts) to the best knowledge of the participant/parent/guardian. Signed/thumb written informed consent, in accordance with local practice, provided by adult volunteers (participants 18 years of age and older), parents or legal representatives for children and infants participants as applicable, who, in the opinion of the investigator, can and will comply with the requirements of the protocol Demonstrated comprehension of the protocol procedures by passing score of 90% or better on a written/verbal comprehension test. Adults Female and male participants between, and including 18-50 years at the time of first vaccination Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as pre-menarche, current bilateral tubal ligation or occlusion, hysterectomy, bilateral ovariectomy or post-menopause. Female volunteers of childbearing potential may be enrolled in the study if the participant: has a negative urine pregnancy test at the day of screening and vaccinations, respectively, andagree to use effective contraception for 30 days prior to vaccination and agree to continue contraception at least for 2 months after completion of vaccination series. Children and Infants Female and male aged 9 months (+/- 1 month) old (infants) or between, and including, 2-5 years All ages Any clinically significant deviation from the normal range in biochemistry or haematological blood tests. Suspected or known hypersensitivity (including allergy) to any of the vaccine components or to previous vaccine, or to medicinal products or medical equipment whose use is foreseen in this study Clinical conditions representing a contraindication to intramuscular vaccination and blood draws Any confirmed or suspected immunosuppressive or immune-deficient condition. Systemic administration of corticosteroids (PO/IV/IM): prednisone ≥20 mg/day, or equivalent for more than 14 consecutive days from birth (for infants) / within 90 days prior to informed consent. Inhaled except for doses > 800 mg/day and topical steroids are allowed. Administration of antineoplastic or radiotherapy from birth / within 90 days prior to informed consent. Participants may be on chronic or as needed medications if, in the opinion of the site principal investigator or appropriate sub-investigator, they pose no additional risk to participant safety or assessment of reactogenicity and immunogenicity and do not indicate a worsening of medical diagnosis or condition Known exposure to Shigella during lifetime of the subject Concurrently participating in another clinical study, or participation in the preceding month, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product (pharmaceutical product or device) Acute disease and /or fever at the time of enrolment Note: enrolment may be postponed/delayed until such transient circumstances have terminated History of any malignancy of lymphoproliferative disorder Known to be part of study personnel or being a close family member to the personnel conducting this study. Previous history of significant persistent neutropenia, or drug related Neutropenia Adults with clinical wasting; children with weight-for-age Z score less than -3SD. History of any c Adult: 19 Year-44 Year,Infant: 13 Month(s)-24 Month(s),Middle Aged: 45 Year(s)-64 Year(s),Preschool Child: 2 Year-5 Year 8 Month(s) 50 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 28/01/2019 KEMRI scientific ethics review unit
Ethics Committee Address
Street address City Postal code Country
54840 Nairobi 00200 Kenya
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Safety - Solicited Local and Systemic Adverse Events (AEs) [ Time Frame: during 7 days following each vaccination ] Safety and tolerability of the candidate vaccine Shigella4V as determined by occurrence, severity and relationship of solicited AEs Safety - Unsolicited Adverse Events (AEs) [ Time Frame: during 28 days following each vaccination ] Safety and tolerability of the candidate vaccine Shigella4V as determined by occurrence, severity and relationship of unsolicited AEs Safety - Serious Adverse Events (SAEs) [ Time Frame: throughout the study duration, up to 15 months ] Safety and tolerability of the candidate vaccine Shigella4V as determined by occurrence, severity and relationship of SAEs Immunology - change in serum immunoglobulin G (IgG) [ Time Frame: throughout the study, up to 15 months ] Serum IgG responses and fold-increases between post- and pre-vaccination samples from infants of step 2, as determined by enzyme-linked immunosorbent assay (ELISA) against lipopolysaccharide (LPS) corresponding to the 4 Shigella serotypes included in the Shigella4V bioconjugate. Solicited Local and Systemic AEs 7 days,Unsolicited 28 days following each vaccination, SAEs and Immunology upto 15months
Secondary Outcome Safety - clinically significant changes in cell blood count (CBC) with differentials [ Time Frame: throughout the study, up to 15 months ] Assess the safety of the candidate vaccine Shigella4V by measuring clinical significant changes in haematological safety parameters Safety - clinically significant changes in creatinine level [ Time Frame: throughout the study, up to 15 months ] Assess the safety of the candidate vaccine Shigella4V by measuring clinical significant changes in biochemical safety parameters Safety - clinically significant changes in alanine aminotransferase (ALT) level [ Time Frame: throughout the study, up to 15 months ] Assess the safety of the candidate vaccine Shigella4V by measuring clinical significant changes in biochemical safety parameters Safety - clinically significant changes in aspartate aminotransferase (AST) level [ Time Frame: throughout the study, up to 15 months ] Assess the safety of the candidate vaccine Shigella4V by measuring clinical significant changes in biochemical safety parameters Immunogenicity - change is serum IgG [ Time Frame: throughout the study, up to 15 months ] Serum IgG responses and fold-increases between post- and pre-vaccination samples from all participants of step 1, as determined by ELISA against LPS corresponding to the 4 Shigella serotypes included in the Shigella4V bioconjugate. Immunogenicity - change in anti-Shigella LPS antibody titre [ Time Frame: throughout the study, up to 15 months ] Percentage of participants (from step 1 and 2) achieving at least a four-fold rise in anti-Shigella LPS antibody titre after each injection compared to baseline. throughout the study, up to 15 months
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Kenya Medical Research Institute (KEMRI)/ United States Army Medical Research Directorate- Kenya (USAMRD-K) 1357 Kericho 20200 Kenya
FUNDING SOURCES
Name of source Street address City Postal code Country
LimmaTech Biologics AG Grabenstrasse 3 8952 Schlieren Schlieren Switzerland
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor LimmaTech Biologics AG Grabenstrasse 3 8952 Schlieren Schlieren Switzerland Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Mainga Hamaluba mhamaluba@kemri-wellcome.org 254795320422 230
City Postal code Country Position/Affiliation
Kilifi 80801 Kenya Head of clinical trials facility KEMRI Wellcome Trust
Role Name Email Phone Street address
Principal Investigator Josphat Kosgei josphat.kosgei@usamru-k.orgStudy 254729110122 1357
City Postal code Country Position/Affiliation
Kericho 20200 Kenya PI KEMRI United States Army Medical Research Directorate Kenya
Role Name Email Phone Street address
Public Enquiries Mainga Hamaluba mhamaluba@kemri-wellcome.org +254795320422 230
City Postal code Country Position/Affiliation
Kilifi 80801 Kenya Head of clinical trials facility KEMRI Wellcome Trust
Role Name Email Phone Street address
Scientific Enquiries Mainga Hamaluba mhamaluba@kemri-wellcome.org +254795320422 230
City Postal code Country Position/Affiliation
Kilifi 80801 Kenya Head of clinical trials facility KEMRI Wellcome Trust
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes In accordance with standard editorial and ethical practice, the Sponsor will support publication of this trial. All rights and duties related to publication are regulated as described in the Clinical Trial Service Agreement with the Site. On completion of the trial, the data will be analysed and tabulated and a Clinical Study Report will be generated. The Sponsor of this study is LimmaTech Biologics AG. Individual-level anonymized data will be shared with the sponsor. For wider stake-holder engagement and the medical community, summary-level statistical analyses will be shared. Information collected or generated during this study may be anonymised for use to support new research on Shigella vaccines. Any future research using information from this study must first be approved by a local or national expert committee to make sure that the interests of participants and their communities are protected. As well as the committees agreed above any data request will also need To be agreed with the sponsor. Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol Following publication of the main study results. Access will be managed through the KWTRP Data Governance Committee (Data_Governance_Committee@kemri-wellcome.org).
URL Results Available Results Summary Result Posting Date First Journal Publication Date
No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information