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Phase 1 N=58 Randomized Quadruple-blind Prevention

Dose Escalating Study of Intramuscular Invaplex[AR-DETOX]

Diarrhea

Enrolled (actual)
58
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcome: Primary: Percentage of Participants With Adverse Events — 100; 100.0; 100.0; 91.7 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Invaplex[AR-DETOX] (Biological); Placebo (Other)
Age
Adult · 18+ yrs
Sex
All
Sponsor
PATH
Primary completion
Jun 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Adverse Events
100; 100.0; 100.0; 91.7; 50.0; 56.3
PRIMARY
Number of Participants With Solicited Adverse Events Up to 7 Days After Dose 1
13; 16; 16; 6; 0; 1
PRIMARY
Number of Participants With Solicited Adverse Events Up to 7 Days After Dose 2
12; 15; 15; 4; 1; 2
PRIMARY
Number of Participants With Solicited Adverse Events After Dose 3
11; 15; 13; 5; 0; 2
PRIMARY
Number of Participants With Unsolicited Adverse Events After Each Dose
5; 5; 5; 6; 7; 6
SECONDARY
Geometric Mean Titer (GMT) of Serum Immunoglobulin A (IgA) Antibodies to Invaplex
189.6; 126.0; 141.4; 200.0; 3560.1; 2917.5 0.504
SECONDARY
Geometric Mean Titer (GMT) of Serum Immunoglobulin G (IgG) Antibodies to Invaplex
1516.9; 1269.9; 2166.8; 1695.1; 15020.3; 22286.1 0.129
SECONDARY
Geometric Mean Titer (GMT) of Immunoglobulin A Antibodies to Invaplex in α4β7+ Antibody in Lymphocyte Supernatant (ALS)
1.1; 1.3; 1.1; 1.0; 139.6; 115.2 0.226
SECONDARY
Geometric Mean Titer of Immunoglobulin G Antibodies to Invaplex in α4β7+ Antibody in Lymphocyte Supernatant
1.2; 1.1; 1.1; 1.3; 310.6; 220.1 0.762
SECONDARY
Percentage of Participants With a ≥ 4-fold Increase in Serum IgA Antibodies From Baseline
92.3; 86.7; 93.8; 0.0; 100.0; 86.7 0.828
SECONDARY
Percentage of Participants With a ≥ 4-fold Increase in Serum IgG Antibodies From Baseline
69.2; 100.0; 100.0; 0.0; 84.6; 100.0 0.005 sig
SECONDARY
Percentage of Participants With a ≥ 4-fold Increase in ALS IgA From Baseline
92.3; 86.7; 93.8; 8.3; 76.9; 73.3 0.828
SECONDARY
Percentage of Participants With a ≥ 4-fold Increase in ALS IgG From Baseline
100.0; 93.3; 93.8; 8.3; 76.9; 93.3 >0.999
SECONDARY
Geometric Mean Fold-rise (GMFR) in Serum IgA From Baseline
18.8; 23.2; 103.1; 0.9; 17.8; 19.2 0.009 sig
SECONDARY
Geometric Mean Fold-rise in Serum IgG From Baseline
9.9; 17.5; 34.9; 1.1; 16.9; 23.2 0.028 sig
SECONDARY
Geometric Mean Fold-rise in ALS IgA From Baseline
132.3; 87.3; 241.9; 1.2; 18.4; 8.4
SECONDARY
Geometric Mean Fold-rise in ALS IgG From Baseline
250.9; 200.7; 708.3; 1.1; 19.0; 51.2 0.348

Summary

The main purpose of this study is to evaluate the safety of a Shigella flexneri 2a detoxified artificial invasin complex (Invaplex[AR-Detox]) vaccine candidate administered by intramuscular immunization.

Eligibility Criteria

Inclusion Criteria

  • Healthy, adult, male or female, age 18 to 50 years (inclusive) at the time of enrollment.
  • Completion and review of comprehension test (achieved ≥ 70% accuracy, two attempts allowed).
  • Provide written informed consent before initiation of any study procedures.
  • Agrees to complete all study visits and procedures and to provide a screening stool sample.
  • Women of childbearing capacity: Negative pregnancy test with understanding (through informed consent process) to not become pregnant during the study or within three (3) months following the last vaccine dose.

Exclusion Criteria

  • Health problems (for example, chronic medical conditions such as psychiatric conditions, diabetes mellitus, hypertension, or any other conditions that might place the subjects at increased risk of adverse events) - study clinicians, in consultation with the Principal Investigator (PI), will use clinical judgment on a case-by-case basis to assess safety risks under this criterion. The PI will consult with the Research Monitor as appropriate.
  • History of autoimmune disorders, cardiovascular and renal disease.
  • Use of immunosuppressive medications (systemic corticosteroids or chemotherapeutics that may influence antibody development), or immunosuppressive illness, including immunoglobulin A (IgA) deficiency (defined by serum IgA 2500 to Shigella flexneri 2a lipopolysaccharide antigen (LPS).
  • History of microbiologically confirmed Shigella infection.
  • Received previous licensed or experimental Shigella vaccine or live Shigella challenge.
  • Travel to countries where Shigella or other enteric infections are endemic (most of the developing world) within two years prior to dosing (clinician judgement).
  • Occupation involving handling of Shigella bacteria currently, or in the past 3 years.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03869333). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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