Dose Escalation Study to Evaluate the Safety and Immunogenicity of the Cholera Conjugate Vaccine in Healthy Adults
A Phase I, Multicenter, Observer-Blinded, Randomized, Placebo-Controlled, Dose Escalation Trial to Evaluate the Safety and Immunogenicity of the OSP:rTTHc Cholera Conjugate Vaccine in 19 to 45 Years Old Healthy Korean Participants
This Phase I, first-in-human study is intended to primarily determine the safety of the dose range with or without Aluminum phosphate adjuvant expected to be needed for later clinical studies, to determine the nature of adverse reactions (i.e., safety profile) and to secondly assess the Aluminum phosphate humoral immune responses in non-endemic population to guide future dose selection.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
150 participants
Study completion date
January 23, 2024
Actual (reported)
Listed locations
1 countries · 3 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Cholera Conjugate VaccineO Specific PolysaccharideRecombinant Tetanus Toxoid Heavy Chain Fragment
Outcome Measures
Primary Outcomes (5)
Serious adverse events (SAEs) and adverse events of special interest (AESIs)
Occurrence of any SAEs/AESIs from the time of the first dose of study vaccine
Entire study participation period (approximately 7 months)
Immediate adverse events
Occurrence of immediate adverse events within 30 minutes from the time of each study vaccination.
Within 30 minutes post each dose
Solicited adverse events
Occurrence of solicited injection site and solicited systemic adverse events from the time of each study vaccination through 7 days after each study vaccination
Within 7 days post each dose
Unsolicited adverse events
Occurrence of unsolicited adverse events from the time of each study vaccination through 28 days after each study vaccination.
Within 28 days post each dose
Clinical safety laboratory parameters
Occurrence of clinically significant changes in clinical safety laboratory parameters from the time of each vaccination through 28 days after each study vaccination.
Secondary Outcomes (6)
Seroconversion rates of IgG antibody responses to OSP
Baseline and at 28 days post the first and second dose
Geometric Mean Titers (GMTs) of serum anti-OSP IgG
Baseline and at 28 days post the first and second dose
Geometric Mean Fold Rise (GMFR) of serum anti-OSP IgG
At 28 days post the first and second dose
Seroconversion rates of serum vibriocidal antibody titers
Baseline and at 28 days post the first and second dose
GMT of serum vibriocidal antibody titers
Baseline and at 28 days post the first and second dose
+1 more secondary outcomes
Other Outcomes (2)
Seroconversion of serum anti-TT antibody titer
Baseline and at 28 days post the first and second dose
Memory B Cell responses
Baseline, 28 days, and 6 months
Study Arms (3)
OSP:rTTHc Cholera Conjugate Vaccine
EXPERIMENTAL
2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart
The Catholic University of Korea Seoul St. Mary's Hospital
Seoul, 06591, South Korea
CHA Bundang Medical Center (CBMC) of CHA University
Seoul, 08826, South Korea
Soon Chun Hyang University Hospital
Seoul, 08826, South Korea
Related Publications (2)
Kelly M, Janardhanan J, Wagh C, Verma S, Charles RC, Leung DT, Kamruzzaman M, Pansuriya RK, Chowdhury F, Vann WF, Kaminski RW, Khan AI, Bhuiyan TR, Qadri F, Kovac P, Xu P, Ryan ET. Development of a Shigella conjugate vaccine targeting Shigella flexneri 6 that is immunogenic and provides protection against virulent challenge. Vaccine. 2024 Oct 24;42(24):126263. doi: 10.1016/j.vaccine.2024.126263. Epub 2024 Aug 31.
Kelly M, Jeon S, Yun J, Lee B, Park M, Whang Y, Lee C, Charles RC, Bhuiyan TR, Qadri F, Kamruzzaman M, Cho S, Vann WF, Xu P, Kovac P, Ganapathy R, Lynch J, Ryan ET. Vaccination of Rabbits with a Cholera Conjugate Vaccine Comprising O-Specific Polysaccharide and a Recombinant Fragment of Tetanus Toxin Heavy Chain Induces Protective Immune Responses against Vibrio cholerae O1. Am J Trop Med Hyg. 2023 Oct 2;109(5):1122-1128. doi: 10.4269/ajtmh.23-0259. Print 2023 Nov 1.
150 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Study investigators, study nurse, and those assessing clinical outcomes, and laboratory analysis will be blinded to investigational product allocation until database lock for the final analysis.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: The first fifty participant in the study will be enrolled into cohort A and receive low antigen product with or without adjuvant, or placebo. The Safety Monitoring Committee (SMC) and the independent Data Safety Monitoring Board (DSMB) will review the safety data collected through seven days after the second dose vaccination of the cohort A before the study enrollment can progress to cohort B (middle dose). Dose escalation to cohort C (high dose) will follow the same procedures.
Sponsor Type
OTHER
Responsible Party
SPONSOR
Study Record Dates
First Submitted
September 21, 2022
Within 28 days post each dose
Biological: OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort C
Placebo
PLACEBO COMPARATOR
2 doses @0.5 mL of Sterile 0.9% sodium chloride administered intramuscularly in deltoid region at 4 weeks apart
Other: Placebo Cohort AOther: Placebo Cohort BOther: Placebo Cohort C
OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc
OSP:rTTHc Cholera Conjugate Vaccine
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort CBiological
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant
Placebo Cohort COther
Sterile 0.9% sodium chloride
Placebo
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Participants who can be followed up during the study period and can comply with the study requirements
Individual in good health as determined by the outcome of medical history, physical examination, laboratory evaluations and the clinical judgment of the investigator
Females of childbearing potential with negative pregnancy test result on the day of screening
Females of childbearing potential who agree to use an effective birth control method\* from the screening and p to 12 weeks after the second dose vaccination.
Males who agree to use an effective birth control method\* from the screening and up to 12 weeks after the second dose vaccination
You may not qualify if:
Known history or allergy to investigational vaccine components and/or excipients 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 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)
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.
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 intramuscular 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 test vaccination or planned to receive any vaccine within 4 weeks of the last dose of the investigational product
Body mass index (BMI) ≥ 35 kg/m2
Individuals with active or previous Vibrio cholerae infection
Individuals with history of severe diarrhea requiring hospitalization or emergency room visit for the last 5 years
Individuals with receipt of a cholera vaccine
Individuals who lived in cholera endemic areas for more than 6 months for the past 10 years
Any female participant who is lactating\*, pregnant or planning for pregnancy\*\* during study period
+2 more criteria
Contact the study team to confirm eligibility.
Othercollaborator
DERIVED
First Posted
September 29, 2022
Study Start
December 5, 2022
Actual (reported)
Primary Completion
September 8, 2023
Actual (reported)
Study Completion
January 23, 2024
Actual (reported)
Last Updated
March 25, 2025
Record last verified: 2025-03
Data Sharing
IPD Sharing
Will not share
Source record
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Source: ClinicalTrials.gov.
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