NCT05073003

Brief Summary

The aim of the current clinical study is to evaluate, for the first time in humans (FTIH), the safety and immunogenicity of the altSonflex1-2-3 candidate vaccine against S. sonnei and S. flexneri serotypes 1b, 2a, and 3a. The vaccine will be first administered in adults 18 to 50 years of age in Europe. Subsequently, the vaccine will be administered to a shigellosis-endemic population in Africa, first in adults 18 to 50 years of age, then in children 24 to 59 months of age, finally in infants 9 months of age. Infants will also receive a third vaccination. Three different doses of the vaccine \[low (Dose A), medium (Dose B), and high (Dose C) amounts of antigen\] will be evaluated using an age de-escalation approach (from least vulnerable adult population to most vulnerable paediatric population). The results of this study will allow the selection of the most appropriate dose for further vaccine development in infants 9 months of age, which is the main target age group for this vaccine.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
551

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Oct 2021

Typical duration for phase_1

Geographic Reach
2 countries

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 29, 2021

Completed
7 days until next milestone

Study Start

First participant enrolled

October 6, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 11, 2021

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 24, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 24, 2025

Completed
Last Updated

December 4, 2025

Status Verified

November 1, 2025

Enrollment Period

3.7 years

First QC Date

September 29, 2021

Last Update Submit

November 27, 2025

Conditions

Keywords

Shigella infectionShigellosisDiarrhoeaS. sonneiS. flexneriLow and middle income countries

Outcome Measures

Primary Outcomes (26)

  • Anti-serotype specific Shigella lipopolysaccharide (LPS)/O-Antigen (OAg) serum immunoglobulin G (IgG) geometric mean concentrations (GMCs) in infants 9 months of age in Africa

    Anti-serotype specific Shigella LPS/OAg serum IgG GMCs are measured by GSK Vaccines Institute for Global Health (GVGH) enzyme-linked immunosorbent assay (ELISA) and expressed in ELISA units per milliliter (EU/mL) of serum.

    At Day 281 (28 days after the third study intervention administration)

  • Number of adults 18 to 50 years of age in Europe with solicited administration site events

    The solicited administration site events are pain, redness, and swelling.

    During 7 days after each study intervention administration (study interventions administered at Day 1 and Day 85/Day 169)

  • Number of adults 18 to 50 years of age in Europe with solicited systemic events

    The solicited systemic event is fever. Fever is defined as temperature equal to or above (≥) 38.0°C. The preferred location for measuring temperature is the axilla for all participants.

    During 7 days after each study intervention administration (study interventions administered at Day 1 and Day 85/Day 169)

  • Number of adults 18 to 50 years of age in Europe with unsolicited adverse events (AEs)

    An unsolicited AE is an AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms is reported as an unsolicited adverse event.

    During 28 days after each study intervention administration (study interventions administered at Day 1 and Day 85/Day 169)

  • Number of adults 18 to 50 years of age in Europe with serious adverse events (SAEs)

    An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, results in abnormal pregnancy outcomes or any other situation based on appropriate medical or scientific judgement.

    During the entire study participation period [Day 1 to Day 113 (for ST1_Adults_Placebo_GR1 and ST1_Adults_Dose C_GR1 groups)/Day 197 (for ST1_Adults_Placebo_GR2 and ST1_Adults_Dose C_GR2 groups)

  • Number of adults 18 to 50 years of age in Europe with deviations from normal values of haematological, renal, and hepatic panel test results at Day 8 (7 days after the first study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, aspartate aminotransferase (AST) and alanine aminotransferase (ALT).

    At Day 8 (7 days after the first study intervention administration)

  • Number of adults 18 to 50 years of age in Europe with deviations from normal values of haematological, renal, and hepatic panel test results at Day 92/Day 176 (7 days after the second study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, aspartate aminotransferase (AST) and alanine aminotransferase (ALT).

    At Day 92 (for ST1_Adults_Placebo_GR1 and ST1_Adults_Dose C_GR1 groups)/Day 176 (for ST1_Adults_Placebo_GR2 and ST1_Adults_Dose C_GR2 groups) (7 days after the second study intervention administration)

  • Number of adults 18 to 50 years of age in Africa with solicited administration site events

    The solicited administration site events are pain, redness, and swelling.

    During 7 days after each study intervention administration (study interventions administered at Day 1 and Day 85)

  • Number of adults 18 to 50 years of age in Africa with solicited systemic events

    The solicited systemic event is fever. Fever is defined as temperature ≥ 38.0°C. The preferred location for measuring temperature is the axilla for all participants.

    During 7 days after each study intervention administration (study interventions administered at Day 1 and Day 85)

  • Number of adults 18 to 50 years of age in Africa with unsolicited AEs

    An unsolicited AE is an AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms is reported as an unsolicited adverse event.

    During 28 days after each study intervention administration (study interventions administered at Day 1 and Day 85)

  • Number of adults 18 to 50 years of age in Africa with SAEs

    An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, results in abnormal pregnancy outcomes or any other situation based on appropriate medical or scientific judgement.

    During the entire study participation (Day 1 to Day 113)

  • Number of adults 18 to 50 years of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 8 (7 days after the first study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 8 (7 days after the first study intervention administration)

  • Number of adults 18 to 50 years of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 92 (7 days after the second study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 92 (7 days after the second study intervention administration)

  • Number of children 24 to 59 months of age in Africa with solicited administration site events

    The solicited administration site events are pain, redness, and swelling.

    During 7 days after each study intervention administration (study interventions administered at Day 1 and Day 85)

  • Number of children 24 to 59 months of age in Africa with solicited systemic events

    The solicited systemic event is fever. Fever is defined as temperature ≥ 38.0°C. The preferred location for measuring temperature is the axilla for all participants.

    During 7 days after each study intervention administration (study interventions administered at Day 1 and Day 85)

  • Number of children 24 to 59 months of age in Africa with unsolicited AEs

    An unsolicited AE is an AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms is reported as an unsolicited adverse event.

    During 28 days after each study intervention administration (study interventions administered on Day 1 and Day 85)

  • Number of children 24 to 59 months of age in Africa with SAEs

    An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity or any other situation based on appropriate medical or scientific judgement.

    During the entire study participation period (Day 1 to Day 113)

  • Number of children 24 to 59 months of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 8 (7 days after the first study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 8 (7 days after the first study intervention administration)

  • Number of children 24 to 59 months of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 92 (7 days after the second study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 92 (7 days after the second study intervention administration)

  • Number of infants 9 months of age in Africa with solicited administration site events

    The solicited administration site events are pain, redness and swelling.

    During 7 days after each study intervention administration (study interventions administered at Day 1, Day 85 and Day 253)

  • Number of infants 9 months of age in Africa with solicited systemic events

    The solicited systemic event is fever. Fever is defined as temperature ≥ 38.0°C. The preferred location for measuring temperature is the axilla for all participants.

    During 7 days after each study intervention administration (study interventions administered at Day 1, Day 85 and Day 253)

  • Number of infants 9 months of age in Africa with unsolicited AEs

    An unsolicited AE is an AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms is reported as an unsolicited adverse event.

    During 28 days after each study intervention administration (study intervention administered at Day 1, Day 85 and Day 253)

  • Number of infants 9 months of age in Africa with SAEs

    An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity or any other situation based on appropriate medical or scientific judgement.

    During the entire study participation period (Day 1 to Day 281)

  • Number of infants 9 months of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 8 (7 days after the first study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 8 (7 days after the first study intervention administration)

  • Number of infants 9 months of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 92 (7 days after the second study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 92 (7 days after the second study intervention administration)

  • Number of infants 9 months of age in Africa with deviations from normal values of haematological, renal, and hepatic panel test results at Day 260 (7 days after the third study intervention administration)

    Panel tests include measures of leukocytes, erythrocytes, haemoglobin, haematocrit, platelets, eosinophils, basophils, neutrophils, monocytes, lymphocytes, creatinine, blood urea, sodium, potassium, AST, and ALT.

    At Day 260 (7 days after the third study intervention administration)

Secondary Outcomes (20)

  • Anti-serotype specific Shigella LPS/OAg serum IgG GMCs in adults 18 to 50 years of age in Europe

    At Day 1 and Day 85/Day 169 (before each study intervention administration), at Day 15 (14 days after the first study intervention administration) and at Day 29 and Day 113/Day197 (28 days after each study intervention administration)

  • Anti-serotype specific Shigella LPS/OAg serum IgG GMCs in adults 18 to 50 years of age in Africa

    At Day 1 and Day 85 (before each study intervention administration) and at Day 29 and Day 113 (28 days after each study intervention administration)

  • Anti-serotype specific Shigella LPS/OAg serum IgG GMCs in children 24 to 59 months of age in Africa

    At Day 1 and Day 85 (before each study intervention administration) and at Day 29 and Day 113 (28 days after each study intervention administration)

  • Anti-serotype specific Shigella LPS/OAg serum IgG GMCs in infants 9 months of age in Africa

    At Day 1, Day 85 and Day 253 (before each study intervention administration) and at Day 29, Day 113 and Day 281 (28 days after each study intervention administration)

  • Number of adults 18 to 50 years of age in Europe achieving a GVGH ELISA level equivalent to ≥1:800 titer against S. sonnei LPS/OAg

    At Day 1 and Day 85/Day 169 (before each study intervention administration), at Day 15 (14 days after the first study intervention administration) and at Day 29 and Day 113/Day 197 (28 days after each study intervention administration)

  • +15 more secondary outcomes

Study Arms (20)

ST1_Adults_Placebo_GR1 Group

PLACEBO COMPARATOR

Adults 18 to 50 years of age in Stage 1 (Europe) randomized to receive two doses of altSonflex Placebo, one each at Day 1 and Day 85.

Drug: altSonflex Placebo

ST1_Adults_Dose C_GR1 Group

EXPERIMENTAL

Adults 18 to 50 years of age in Stage 1 (Europe) randomized to receive two doses of altSonflex1-2-3 Dose C vaccine, one each at Day 1 and Day 85.

Biological: altSonflex1-2-3 Dose C

ST1_Adults_Placebo_GR2 Group

PLACEBO COMPARATOR

Adults 18 to 50 years of age in Stage 1 (Europe) randomized to receive two doses of altSonflex Placebo, one each at Day 1 and Day 169.

Drug: altSonflex Placebo

ST1_Adults_Dose C_GR2 Group

EXPERIMENTAL

Adults 18 to 50 years of age in Stage 1 (Europe) randomized to receive two doses of altSonflex1-2-3 Dose C vaccine, one each at Day 1 and Day 169.

Biological: altSonflex1-2-3 Dose C

ST2_Adults_Control C Group

ACTIVE COMPARATOR

Adults 18 to 50 years of age in Stage 2 (Africa) randomized to receive one dose of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine at Day 1 and one dose of GSK's Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine at Day 85.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: GSK's Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine

ST2_Adults_Dose C Group

EXPERIMENTAL

Adults 18 to 50 years of age in Stage 2 (Africa) randomized to receive two doses of altSonflex1-2-3 Dose C vaccine, one each at Day 1 and Day 85.

Biological: altSonflex1-2-3 Dose C

ST2_Children_Control B Group

ACTIVE COMPARATOR

Children 24 to 59 months of age in Stage 2 (Africa) randomized to receive one dose of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine at Day 1 and one dose of Sanofi Pasteur's Typhoid Vi polysaccharide vaccine at Day 85. This group is a control group for children receiving altSonflex1-2-3 Dose B vaccine.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: Sanofi Pasteur's Typhoid Vi polysaccharide vaccine

ST2_Children_Dose B Group

EXPERIMENTAL

Children 24 to 59 months of age in Stage 2 (Africa) randomized to receive two doses of altSonflex1-2-3 Dose B vaccine, one each at Day 1 and Day 85.

Biological: altSonflex1-2-3 Dose B

ST2_Children_Control C Group

ACTIVE COMPARATOR

Children 24 to 59 months of age in Stage 2 (Africa) randomized to receive one dose of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine at Day 1 and one dose of Sanofi Pasteur's Typhoid Vi polysaccharide vaccine at Day 85. This group is a control group for children receiving altSonflex1-2-3 Dose C vaccine.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: Sanofi Pasteur's Typhoid Vi polysaccharide vaccine

ST2_Children_Dose C Group

EXPERIMENTAL

Children 24 to 59 months of age in Stage 2 (Africa) randomized to receive two doses of altSonflex1-2-3 Dose C vaccine, one each at Day 1 and Day 85.

Biological: altSonflex1-2-3 Dose C

ST2_Infants_Control A_Safety Group

ACTIVE COMPARATOR

Infants 9 months of age in Stage 2 (Africa), part of the safety cohort, randomized to receive two doses of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine, one each at Day 1 and Day 85, and one dose of GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccine at Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 29 and Day 281, as concomitant vaccination. This group is a control group for infants receiving altSonflex1-2-3 Dose A vaccine.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccineBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Dose A_Safety Group

EXPERIMENTAL

Infants 9 months of age in Stage 2 (Africa), part of the safety cohort, randomized to receive three doses of altSonflex1-2-3 Dose A, one each at Day 1, Day 85 and Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 29 and Day 281, as concomitant vaccination.

Biological: altSonflex1-2-3 Dose ABiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Control B_Safety Group

ACTIVE COMPARATOR

Infants 9 months of age in Stage 2 (Africa), part of the safety cohort, randomized to receive two doses of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine, one each at Day 1 and Day 85, and one dose of GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccine at Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 29 and Day 281, as concomitant vaccination. This group is a control group for infants receiving altSonflex1-2-3 Dose B vaccine.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccineBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Dose B_Safety Group

EXPERIMENTAL

Infants 9 months of age in Stage 2 (Africa), part of the safety cohort, randomized to receive three doses of altSonflex1-2-3 Dose B vaccine, one each at Day 1, Day 85 and Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 29 and Day 281, as concomitant vaccination.

Biological: altSonflex1-2-3 Dose BBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Control C_Safety Group

ACTIVE COMPARATOR

Infants 9 months of age in Stage 2 (Africa), part of the safety cohort, randomized to receive two doses of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine, one each at Day 1 and Day 85, and one dose of GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccine at Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 29 and Day 281, as concomitant vaccination. This group is a control group for infants receiving altSonflex1-2-3 Dose C vaccine.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccineBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Dose C_Safety Group

EXPERIMENTAL

Infants 9 months of age in Stage 2 (Africa), part of the safety cohort, randomized to receive three doses of altSonflex1-2-3 Dose C vaccine, one each at Day 1, Day 85 and Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 29 and Day 281, as concomitant vaccination.

Biological: altSonflex1-2-3 Dose CBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Control_Dose find Group

ACTIVE COMPARATOR

Infants 9 months of age in Stage 2 (Africa), part of the dose-finding cohort, randomized to receive two doses of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine, one each at Day 1 and Day 85, and one dose of GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccine at Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 1 and Day 253, as concomitant vaccination. This group is a control group for infants in dose-finding groups receiving either altSonflex1-2-3 Dose A, Dose B or Dose C vaccine.

Biological: GSK's Meningococcal A, C, Y and W-135 conjugate vaccineCombination Product: GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccineBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Dose A_Dose find Group

EXPERIMENTAL

Infants 9 months of age in Stage 2 (Africa), part of the dose-finding cohort, randomized to receive three doses of altSonflex1-2-3 Dose A vaccine, one each at Day 1, Day 85 and Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 1 and Day 253, as concomitant vaccination.

Biological: altSonflex1-2-3 Dose ABiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Dose B_Dose find Group

EXPERIMENTAL

Infants 9 months of age in Stage 2 (Africa), part of the dose-finding cohort, randomized to receive three doses of altSonflex1-2-3 Dose B vaccine, one each at Day 1, Day 85 and Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 1 and Day 253, as concomitant vaccination.

Biological: altSonflex1-2-3 Dose BBiological: Serum Institute of India's Measles and rubella vaccine

ST2_Infants_Dose C_Dose find Group

EXPERIMENTAL

Infants 9 months of age in Stage 2 (Africa), part of the dose-finding cohort, randomized to receive three doses of altSonflex1-2-3 Dose C vaccine, one each at Day 1, Day 85 and Day 253. These infants also receive two doses of Serum Institute of India's Measles and rubella vaccine, one each at Day 1 and Day 253, as concomitant vaccination.

Biological: altSonflex1-2-3 Dose CBiological: Serum Institute of India's Measles and rubella vaccine

Interventions

2 doses of altSonflex1-2-3 Dose C administered intramuscularly, in the non-dominant arm, at Day 1 and Day 85 to adults in the ST1\_Adults\_Dose C\_GR1 and ST2\_Adults\_Dose C groups in Stage 1 and 2 (Europe and Africa) and children in the ST2\_Children\_Dose C group in Stage 2 (Africa), and at Day 1 and Day 169 to adults in the ST1\_Adults\_Dose C\_GR2 group in Stage 1 (Europe); 3 doses of altSonflex1-2-3 Dose C administered intramuscularly, in the non-dominant arm, at Day 1, Day 85 and Day 253 to infants in the ST2\_Infants\_Dose C\_Safety and ST2\_Infants\_Dose C\_Dose find groups in Stage 2 (Africa).

Also known as: Shigella vaccine
ST1_Adults_Dose C_GR1 GroupST1_Adults_Dose C_GR2 GroupST2_Adults_Dose C GroupST2_Children_Dose C GroupST2_Infants_Dose C_Dose find GroupST2_Infants_Dose C_Safety Group

2 doses of altSonflex1-2-3 Dose B administered intramuscularly, in the non-dominant arm, at Day 1 and Day 85 to children in the ST2\_Children\_Dose B group in Stage 2 (Africa); 3 doses of altSonflex1-2-3 Dose B administered intramuscularly, in the non-dominant arm, at Day 1, Day 85 and Day 253 to infants in the ST2\_Infants\_Dose B\_Safety and ST2\_Infants\_Dose B\_Dose find groups in Stage 2 (Africa).

Also known as: Shigella vaccine
ST2_Children_Dose B GroupST2_Infants_Dose B_Dose find GroupST2_Infants_Dose B_Safety Group

1 dose of GSK's Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine administered intramuscularly, in the non-dominant arm, at Day 85 to adults in the ST2\_Adults\_Control C group in Stage 2 (Africa).

Also known as: BOOSTRIX
ST2_Adults_Control C Group

1 dose of Sanofi Pasteur's Typhoid Vi polysaccharide vaccine administered intramuscularly, in the non-dominant arm, at Day 85 to children in the ST2\_Children\_Control B and ST2\_Children\_Control C groups in Stage 2 (Africa).

Also known as: TYPHIM VI
ST2_Children_Control B GroupST2_Children_Control C Group

3 doses of altSonflex1-2-3 Dose A administered intramuscularly, in the non-dominant arm, at Day 1, Day 85 and Day 253 to infants in the ST2\_Infants\_Dose A\_Safety and ST2\_Infants\_Dose A\_Dose find groups in Stage 2 (Africa).

Also known as: Shigella vaccine
ST2_Infants_Dose A_Dose find GroupST2_Infants_Dose A_Safety Group

1 dose of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine administered intramuscularly, in the non-dominant arm, at Day 1 to adults in the ST2\_Adults\_Control C group and children in the ST2\_Children\_Control B and ST2\_Children\_Control C groups in Stage 2 (Africa); 2 doses of GSK's Meningococcal A, C, Y and W-135 conjugate vaccine administered intramuscularly, in the non-dominant arm, at Day 1 and Day 85 to infants in the ST2\_Infants\_Control A\_Safety, ST2\_Infants\_Control B\_Safety, ST2\_Infants\_Control C\_Safety and ST2\_Infants\_Control\_Dose find groups in Stage 2 (Africa).

Also known as: MENVEO
ST2_Adults_Control C GroupST2_Children_Control B GroupST2_Children_Control C GroupST2_Infants_Control A_Safety GroupST2_Infants_Control B_Safety GroupST2_Infants_Control C_Safety GroupST2_Infants_Control_Dose find Group

1 dose of GSK's Diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis (inactivated), and Haemophilus influenzae type b vaccine administered intramuscularly, in the non-dominant arm, at Day 253 to infants in the ST2\_Infants\_Control A\_Safety, ST2\_Infants\_Control B\_Safety, ST2\_Infants\_Control C\_Safety and ST2\_Infants\_Control\_Dose find groups in Stage 2 (Africa).

Also known as: INFANRIX Hexa
ST2_Infants_Control A_Safety GroupST2_Infants_Control B_Safety GroupST2_Infants_Control C_Safety GroupST2_Infants_Control_Dose find Group

2 doses of Serum Institute of India's Measles and rubella vaccine administered subcutaneously, in the non-dominant arm, at Day 29 and Day 281 to infants in the safety groups, and at Day 1 and Day 253 to infants in the dose-finding groups, in Stage 2 (Africa).

Also known as: MR-VAC
ST2_Infants_Control A_Safety GroupST2_Infants_Control B_Safety GroupST2_Infants_Control C_Safety GroupST2_Infants_Control_Dose find GroupST2_Infants_Dose A_Dose find GroupST2_Infants_Dose A_Safety GroupST2_Infants_Dose B_Dose find GroupST2_Infants_Dose B_Safety GroupST2_Infants_Dose C_Dose find GroupST2_Infants_Dose C_Safety Group

2 doses of altSonflex Placebo, administered intramuscularly, in the non-dominant arm, either at Day 1 and Day 85 or at Day 1 and Day 169 (depending on the vaccination schedule) to adults in the ST1\_Adults\_Placebo\_GR1 and ST1\_Adults\_Placebo\_GR2 groups in Stage 1 (Europe).

ST1_Adults_Placebo_GR1 GroupST1_Adults_Placebo_GR2 Group

Eligibility Criteria

Age9 Months - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • All participants:
  • Participants and/or participants' parent(s)/legally acceptable representative(s) LAR(s), who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. completion of the diary cards, return for follow-up visits).
  • Written or witnessed/thumb printed informed consent obtained from the participant/parent(s)/LAR(s) of the participant prior to performance of any study specific procedure.
  • Healthy participants as established by medical history, clinical examination, and laboratory assessment.
  • Participants satisfying all screening requirements.
  • Participants seronegative for hepatitis B, and hepatitis C.
  • Participants negative for human leukocyte antigen B27 (HLA-B27).
  • Adults 18 to 50 years of age:
  • A male or female between, and including, 18 and 50 years of age at the time of the first study intervention administration.
  • 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 participants of childbearing potential may be enrolled in the study, if the participant:
  • \- has practiced adequate contraception for 1 month prior to study intervention administration, and
  • \- has a negative pregnancy test on the day of study intervention administration, and
  • has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration series.
  • Participants seronegative for human immunodeficiency virus (HIV).
  • +12 more criteria

You may not qualify if:

  • All participants:
  • Known exposure to Shigella during lifetime of the participant as confirmed during interview with the participant or documented by patient records (e.g., history of microbiologically-confirmed Shigella infection), recent travel\* (within 2 years) to a country where Shigella or other enteric infections are endemic, or recent occupation\* (within 3 years) involving Shigella species.
  • Progressive, unstable or uncontrolled clinical conditions.
  • History (known or suspected) of any reaction or hypersensitivity likely to be exacerbated by any component of the study vaccine.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • Hypersensitivity, including allergy, to medicinal products or medical equipment whose use is foreseen in this study.
  • Clinical conditions representing a contraindication to IM vaccination and blood draws.
  • Any behavioural or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the participant's ability to participate in the study.
  • Acute disease and/or fever (defined as temperature ≥38.0°C) at the time of enrolment\*.
  • The participant can still be enrolled into the study at a time when the acute disease and/or fever has resolved.
  • Any clinically significant haematological and/or biochemical laboratory abnormality.
  • Confirmed positive COVID-19 test during the period starting 30 days before the first administration of study vaccines (Day -30 to Day 1).
  • Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study.
  • Administration of long-acting immune-modifying drugs at any time during the study period (e.g. infliximab).
  • Prior receipt of an experimental Shigella vaccine or live Shigella challenge.
  • +20 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

GSK Investigational Site

Ghent, 9000, Belgium

Location

GSK Investigational Site

Kericho, 20200, Kenya

Location

Related Publications (1)

  • Leroux-Roels I, Maes C, Mancini F, Jacobs B, Sarakinou E, Alhatemi A, Joye J, Grappi S, Cilio GL, Serry-Bangura A, Vitali CG, Ferruzzi P, Marchetti E, Necchi F, Rappuoli R, De Ryck I, Auerbach J, Colucci AM, Rossi O, Conti V, Scorza FB, Arora AK, Micoli F, Podda A, Nakakana UN; Shigella Project Team. Safety and Immunogenicity of a 4-Component Generalized Modules for Membrane Antigens Shigella Vaccine in Healthy European Adults: Randomized, Phase 1/2 Study. J Infect Dis. 2024 Oct 16;230(4):e971-e984. doi: 10.1093/infdis/jiae273.

MeSH Terms

Conditions

DiarrheaDysentery, Bacillary

Interventions

Shigella VaccinesMeningococcal VaccinesBoostrixTetanus ToxoidHepatitis B Vaccinesdiphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae b conjugate-hepatitis B vaccineVi polysaccharide vaccine, typhoidRubella Vaccine

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and SymptomsEnterobacteriaceae InfectionsGram-Negative Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsDysenteryGastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

Bacterial VaccinesVaccinesBiological ProductsComplex MixturesToxoidsViral Hepatitis VaccinesViral Vaccines

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Observer blind
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 29, 2021

First Posted

October 11, 2021

Study Start

October 6, 2021

Primary Completion

June 24, 2025

Study Completion

June 24, 2025

Last Updated

December 4, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will share

IPD for this study will be made available via the Clinical Study Data Request site.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study.
Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Locations