NCT06213506

Brief Summary

The purpose of this study is to evaluate the safety, reactogenicity, and immune response of the GlaxoSmithKline (GSK) Vaccines Institute for Global Health (GVGH) invasive nontyphoidal Salmonella-generalized modules for membrane antigens (iNTS-GMMA) candidate vaccine against S. Typhimurium and S. Enteritidis with an age de-escalation and dose escalation approach in African population, starting with adults (18-50 years of age), then on children (24-59 months of age) and finally to infants (9 months and 6 weeks of age). Infants are the target for primary vaccination from 6 weeks of age.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
516

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2024

Geographic Reach
1 country

1 active site

Status
recruiting

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

December 19, 2023

Completed
27 days until next milestone

Study Start

First participant enrolled

January 15, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 19, 2024

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 27, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 27, 2026

Completed
Last Updated

January 19, 2024

Status Verified

January 1, 2024

Enrollment Period

2.3 years

First QC Date

December 19, 2023

Last Update Submit

January 18, 2024

Conditions

Keywords

GVGH iNTS-GMMA vaccineSafetyReactogenicityImmunogenicitysub-Saharan AfricaAfrican adults, children and infantsAge de-escalationDose escalationInvasive nontyphoidal Salmonella

Outcome Measures

Primary Outcomes (45)

  • Anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) geometric mean concentrations (GMCs) in infants 6 weeks of age part of the dose-finding cohort

    Anti-Salmonella Typhimurium (S. Typhimurium) O antigen (Ag) total IgG and anti-Salmonella Enteritidis (S. Enteritidis) OAg total IgG GMCs are assessed.

    At Day 85 (28 days after the second study intervention administration)

  • Percentage of adult participants 18-50 years of age with solicited administration site events

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

    During 7 days after the first study intervention administration occurring at Day 1

  • Percentage of adult participants 18-50 years of age with solicited administration site events

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

    During 7 days after the second study intervention administration occurring at Day 57

  • Percentage of adult participants 18-50 years of age with solicited systemic events

    The solicited systemic events are fever, headache, myalgia, arthralgia and fatigue. Fever is defined as axillary temperature higher than or equal to (\>=) 38.0 degrees Celsius (°C)/100.4 degrees Fahrenheit (°F).

    During 7 days after the first study intervention administration occurring at Day 1

  • Percentage of adult participants 18-50 years of age with solicited systemic events

    The solicited systemic events are fever, headache, myalgia, arthralgia and fatigue. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the second study intervention administration occurring at Day 57

  • Percentage of adult participants 18-50 years of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the first study intervention administration occurring at Day 1

  • Percentage of adult participants 18-50 years of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the second study intervention administration occurring at Day 57

  • Percentage of adult participants 18-50 years of age with serious adverse events (SAEs)

    An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in abnormal pregnancy outcomes.

    From first study intervention administration (Day 1) up to the end of study participation (Day 85)

  • Percentage of adult participants 18-50 years of age with adverse events (AEs) leading to withdrawal from the study or discontinuation of study intervention

    An AE is any untoward medical occurrence (an unfavorable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention. Any AEs that lead to discontinuation of study intervention and/or the study are considered under this outcome measure.

    From first study intervention administration (Day 1) up to the end of study participation (Day 85)

  • Percentage of adult participants 18-50 years of age with deviations from reference ranges l or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

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

  • Percentage of adult participants 18-50 years of age with deviations from reference ranges or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

    At Day 64 (7 days after the second study intervention administration)

  • Percentage of child participants 24-59 months of age with solicited administration site events

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

    During 7 days after the first study intervention administration occurring at Day 1

  • Percentage of child participants 24-59 months of age with solicited administration site events

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

    During 7 days after the second study intervention administration occurring at Day 57

  • Percentage of child participants 24-59 months of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the first study intervention administration occurring at Day 1

  • Percentage of child participants 24-59 months of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the second study intervention administration occurring at Day 57

  • Percentage of child participants 24-59 months of age with unsolicited AEs

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the first study intervention administration occurring at Day 1

  • Percentage of child participants 24-59 months of age with unsolicited AEs

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the second study intervention administration occurring at Day 57

  • Percentage of child participants 24-59 months of age 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 or any other situation based on appropriate medical or scientific judgement.

    From first study intervention administration (Day 1) up to the end of study participation (Day 85)

  • Percentage of child participants 24-59 months of age with AEs leading to withdrawal from the study or discontinuation of study intervention

    An AE is any untoward medical occurrence (an unfavorable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention. Any AEs that lead to discontinuation of study intervention and/or the study are considered under this outcome measure.

    From first study intervention administration (Day 1) up to the end of study participation (Day 85)

  • Percentage of child participants 24-59 months of age with deviations from reference ranges or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

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

  • Percentage of child participants 24-59 months of age with deviations from reference ranges or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

    At Day 64 (7 days after the second study intervention administration)

  • Percentage of infant participants 9 months of age with solicited administration site events

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

    During 7 days after the first study intervention administration occurring at Day 1

  • Percentage of infant participants 9 months of age with solicited administration site events

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

    During 7 days after the second study intervention administration occurring at Day 85

  • Percentage of infant participants 9 months of age with solicited administration site events

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

    During 7 days after the third study intervention administration occurring at Day 169

  • Percentage of infant participants 9 months of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness, and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the first study intervention administration occurring at Day 1

  • Percentage of infant participants 9 months of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness, and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the second study intervention administration occurring at Day 85

  • Percentage of infant participants 9 months of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness, and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the third study intervention administration occurring at Day 169

  • Percentage of infant participants 9 months of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the first study intervention administration occurring at Day 1

  • Percentage of infant participants 9 months of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the second study intervention administration occurring at Day 85

  • Percentage of infant participants 9 months of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the third study intervention administration occurring at Day 169

  • Percentage of infant participants 9 months of age 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 or any other situation based on appropriate medical or scientific judgement.

    From first study intervention administration (Day 1) up to the end of study participation (Day 337)

  • Percentage of infant participants 9 months of age with adverse events (AEs) leading to withdrawal from the study or discontinuation of study intervention

    An AE is any untoward medical occurrence (an unfavorable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention. Any AEs that lead to discontinuation of study intervention and/or the study are considered under this outcome measure.

    From first study intervention administration (Day 1) up to the end of study participation (Day 337)

  • Percentage of infant participants 9 months of age with deviations from reference range or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

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

  • Percentage of infant participants 9 months of age with deviations from reference range or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

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

  • Percentage of infant participants 9 months of age with deviations from reference range or baseline values for hematological, renal and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

    At Day 176 (7 days after the third study intervention administration)

  • Percentage of infant participants 6 weeks of age with solicited administration site events

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

    During 7 days after the first study intervention administration occurring at Day 1 in the Priming phase

  • Percentage of infant participants 6 weeks of age with solicited administration site events

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

    During 7 days after the second study intervention administration occurring at Day 57 in the Priming phase

  • Percentage of infant participants 6 weeks of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness, and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the first study intervention administration occurring at Day 1 in the Priming phase

  • Percentage of infant participants 6 weeks of age with solicited systemic events

    The solicited systemic events are fever, irritability/fussiness, loss of appetite, drowsiness, and vomiting. Fever is defined as axillary temperature \>= 38.0 °C/100.4 degrees °F.

    During 7 days after the second study intervention administration occurring at Day 57 in the Priming phase

  • Percentage of infant participants 6 weeks of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the first study intervention administration occurring at Day 1 in the Priming phase

  • Percentage of infant participants 6 weeks of age with unsolicited adverse events (AEs)

    An unsolicited AE is any 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 will be reported as an unsolicited adverse event.

    During 28 days after the second study intervention administration occurring at Day 57 in the Priming phase

  • Percentage of infant participants 6 weeks of age 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.

    From first study intervention administration (Day 1) up to 28 days after second study intervention (Day 85)

  • Percentage of infant participants 6 weeks of age with adverse events (AEs) leading to MR-VAC administration withdrawal from the study or discontinuation of study intervention

    An AE is any untoward medical occurrence (an unfavorable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. The AE may or may not be considered related to the study intervention. Any AEs that lead to discontinuation of study intervention and/or the study are considered under this outcome measure.

    From first study intervention administration (Day 1) up to 28 days after second study intervention (Day 85)

  • Percentage of infant participants 6 weeks of age with deviations from reference ranges or baseline values for hematological, renal, and hepatic panel test results

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

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

  • Percentage of infant participants 6 weeks of age with deviations from reference ranges or baseline values for hematological, renal, and hepatic panel test results at Day 64

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

    At Day 64 (7 days after the second study intervention administration) in the Priming phase

Secondary Outcomes (23)

  • Percentage of infant participants 6 weeks of age with solicited administration site events

    During 7 days after the third study intervention administration occurring at Day 232 in the Booster phase

  • Percentage of infant participants 6 weeks of age with solicited systemic events

    During 7 days after the third study intervention administration occurring at Day 232 in the Booster phase

  • Number of infant participants 6 weeks of age with unsolicited AEs

    During 28 days after the third study intervention administration occurring at Day 232 in the Booster phase

  • Percentage of infant participants 6 weeks of age with SAEs

    From 28 days after the second study intervention administration (Day 85) up to end of study participation (Day 400)

  • Percentage of infant participants 6 weeks of age with adverse events (AEs) leading to withdrawal from the study or discontinuation of study intervention

    From 28 days after the second study intervention administration (Day 85) up to end of study participation (Day 400)

  • +18 more secondary outcomes

Study Arms (22)

Adults_Dose C Group

EXPERIMENTAL

Adults 18-50 years of age, part of the safety cohort, randomized to receive 2 doses of the iNTS-GMMA Dose C vaccine at Day 1 and Day 57.

Biological: iNTS-GMMA Dose C

Adults_Control Group

ACTIVE COMPARATOR

Adults 18-50 years of age, part of the safety cohort, randomized to receive 1 dose of the MenACWY vaccine at Day 1 and 1 dose of Placebo at Day 57.

Biological: MenACWYDrug: Placebo

Children_Dose B Group

EXPERIMENTAL

Children 24-59 months of age, part of the safety cohort, randomized to receive 2 doses of the iNTS-GMMA Dose B vaccine at Day 1 and Day 57.

Biological: iNTS-GMMA Dose B

Children_Control B Group

ACTIVE COMPARATOR

Children 24-59 months of age, part of the safety cohort, randomized to receive 2 doses of the MenACWY vaccine at Day 1 and Day 57.

Biological: MenACWY

Children_Dose C Group

EXPERIMENTAL

Children 24-59 months of age, part of the safety cohort, randomized to receive 2 doses of the iNTS-GMMA Dose C vaccine at Day 1 and Day 57.

Biological: iNTS-GMMA Dose C

Children_Control C Group

ACTIVE COMPARATOR

Children 24-59 months of age, part of the safety cohort, randomized to receive 2 doses of the MenACWY vaccine at Day 1 and Day 57.

Biological: MenACWY

Infants_9M_Dose A Group

EXPERIMENTAL

Infants 9 months of age, part of the safety cohort, randomized to receive 3 doses of the iNTS-GMMA Dose A vaccine at Day 1, Day 85 and Day 169. These infants also receive an Expanded Program on Immunization (EPI) vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the first study intervention administration occurring at Day 1, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: iNTS-GMMA Dose A

Infants_9M_Control A Group

ACTIVE COMPARATOR

Infants 9 months of age, part of the safety cohort, randomized to receive 2 doses of the MenACWY vaccine at Day 1 and Day 85 and 1 dose of the DTPaHBV-IPV+Hib vaccine at Day 169. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the first study intervention administration occurring at Day 1, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: MenACWYCombination Product: DTPa-HBV-IPV+Hib

Infants_9M_Dose B Group

EXPERIMENTAL

Infants 9 months of age, part of the safety cohort, randomized to receive 3 doses of the iNTS-GMMA Dose B vaccine at Day 1, Day 85 and Day 169. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the first study intervention administration occurring at Day 1, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: iNTS-GMMA Dose B

Infants_9M_Control B Group

ACTIVE COMPARATOR

Infants 9 months of age, part of the safety cohort, randomized to receive 2 doses of the MenACWY vaccine at Day 1 and Day 85 and 1 dose of the DTPaHBV-IPV+Hib vaccine at Day 169. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the first study intervention administration occurring at Day 1, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: MenACWYCombination Product: DTPa-HBV-IPV+Hib

Infants_9M_Dose C Group

EXPERIMENTAL

Infants 9 months of age, part of the safety cohort, randomized to receive 3 doses of the iNTS-GMMA Dose C vaccine at Day 1, Day 85 and Day 169. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the first study intervention administration occurring at Day 1, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: iNTS-GMMA Dose C

Infants_9M_Control C Group

ACTIVE COMPARATOR

Infants 9 months of age, part of the safety cohort, randomized to receive 2 doses of the MenACWY vaccine at Day 1 and Day 85 and 1 dose of the DTPaHBV-IPV+Hib vaccine at Day 169. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the first study intervention administration occurring at Day 1, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: MenACWYCombination Product: DTPa-HBV-IPV+Hib

Infants_6W_Dose A Group

EXPERIMENTAL

Infants 6 weeks of age, part of the safety cohort, randomized to receive 3 doses of the iNTS-GMMA Dose A vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the third study intervention administration occurring at Day 232, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: iNTS-GMMA Dose A

Infants_6W_Control A Group

ACTIVE COMPARATOR

Infants 6 weeks of age, part of the safety cohort, randomized to receive 3 doses of the MenACWY vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). To allow completion of the vaccination schedule a fourth dose of the MenACWY vaccine is administered after the trial ends, as per the licensed indication and in private vaccination settings. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the third study intervention administration occurring at Day 232, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: MenACWY

Infants_6W_Dose B Group

EXPERIMENTAL

Infants 6 weeks of age, part of the safety cohort, randomized to receive 3 doses of the iNTS-GMMA Dose B vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the third study intervention administration occurring at Day 232, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: iNTS-GMMA Dose B

Infants_6W_Control B Group

ACTIVE COMPARATOR

Infants 6 weeks of age, part of the safety cohort, randomized to receive 3 doses of the MenACWY vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). To allow completion of the vaccination schedule a fourth dose of the MenACWY vaccine is administered after the trial ends, as per the licensed indication and in private vaccination settings. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the third study intervention administration occurring at Day 232, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: MenACWY

Infants_6W_Dose C Group

EXPERIMENTAL

Infants 6 weeks of age, part of the safety cohort, randomized to receive 3 doses of the iNTS-GMMA Dose C vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the third study intervention administration occurring at Day 232, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: iNTS-GMMA Dose C

Infants_6W_Control C Group

ACTIVE COMPARATOR

Infants 6 weeks of age, part of the safety cohort, randomized to receive 3 doses of the MenACWY vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). To allow completion of the vaccination schedule a fourth dose of the MenACWY vaccine is administered after the trial ends, as per the licensed indication and in private vaccination settings. These infants also receive an EPI vaccination with Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine at 28 days after the third study intervention administration occurring at Day 232, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: MenACWY

Infants_6W_Dose A_2 Group

EXPERIMENTAL

Infants 6 weeks of age, part of the dose-finding cohort, randomized to receive 3 doses of the iNTS-GMMA Dose A vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). These infants also receive an EPI vaccination with the following vaccines: Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine administered concomitantly during the last iNTS-GMMA administration at Day 232, and the pentavalent vaccine (DTPwHepB-Hib), the Pneumococcal conjugate vaccine, and the inactivated polio vaccine administered at the same time, at 6, 10 and 14 weeks of age, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: Pentavalent vaccineBiological: Pneumococcal vaccineBiological: Inactivated polio vaccineBiological: iNTS-GMMA Dose A

Infants_6W_Dose B_2 Group

EXPERIMENTAL

Infants 6 weeks of age, part of the dose-finding cohort, randomized to receive 3 doses of the iNTS-GMMA Dose B vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). These infants also receive an EPI vaccination with the following vaccines: Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine administered concomitantly during the last iNTS-GMMA administration at Day 232, and the pentavalent vaccine (DTPwHepB-Hib), the Pneumococcal conjugate vaccine, and the inactivated polio vaccine administered at the same time, at 6, 10 and 14 weeks of age, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: Pentavalent vaccineBiological: Pneumococcal vaccineBiological: Inactivated polio vaccineBiological: iNTS-GMMA Dose B

Infants_6W_Dose C_2 Group

EXPERIMENTAL

Infants 6 weeks of age, part of the dose-finding cohort, randomized to receive 3 doses of the iNTS-GMMA Dose C vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). These infants also receive an EPI vaccination with the following vaccines: Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine administered concomitantly during the last iNTS-GMMA administration at Day 232, and the pentavalent vaccine (DTPwHepB-Hib), the Pneumococcal conjugate vaccine, and the inactivated polio vaccine administered at the same time, at 6, 10 and 14 weeks of age, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: Pentavalent vaccineBiological: Pneumococcal vaccineBiological: Inactivated polio vaccineBiological: iNTS-GMMA Dose C

Infants_6W_Control_2 Group

ACTIVE COMPARATOR

Infants 6 weeks of age, part of the dose-finding cohort, randomized to receive 3 doses of the MenACWY vaccine at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase). To allow completion of the vaccination schedule a fourth dose of the MenACWY vaccine is administered after the trial ends, as per the licensed indication and in private vaccination settings. These infants also receive an EPI vaccination with the following vaccines: Measles and Rubella Vaccine (MR-VAC) and Yellow Fever (YF) vaccine administered concomitantly during the last study intervention administration at Day 232, and the pentavalent vaccine (DTPw-HepB-Hib), the Pneumococcal conjugate vaccine, and the inactivated polio vaccine administered at the same time, at 6, 10 and 14 weeks of age, at the local EPI vaccination centers, and not part of the current clinical trial.

Biological: Measles and Rubella vaccineBiological: Yellow Fever vaccineBiological: Pentavalent vaccineBiological: Pneumococcal vaccineBiological: Inactivated polio vaccineBiological: MenACWY

Interventions

Measles and Rubella vaccine is administered to study participants, as part of an Expanded Program on Immunization (EPI) vaccination at the local EPI vaccination centers, and not part of the current clinical trial, as follows: - at 28 days after the first study intervention administration (occurring at Day 1) to infants in the Infants\_9M\_Dose A, Infants\_9M\_Control A, Infants\_9M\_Dose B, Infants\_9M\_Control B, Infants\_9M\_Dose C and Infants\_9M\_Control C groups. - at 28 days after the third study intervention administration (occurring at Day 232) to infants in Infants\_6W\_Dose A, Infants\_6W\_Control A, Infants\_6W\_Dose B, Infants\_6W\_Control B, Infants\_6W\_Dose C and Infants\_6W\_Control C groups. - at Day 232, concomitantly during the last study intervention administration to infants in Infants\_6W\_Dose A\_2, Infants\_6W\_Dose B\_2, Infants\_6W\_Dose C\_2 and Infants\_6W\_Control\_2 groups.

Also known as: MR-VAC
Infants_6W_Control A GroupInfants_6W_Control B GroupInfants_6W_Control C GroupInfants_6W_Control_2 GroupInfants_6W_Dose A GroupInfants_6W_Dose A_2 GroupInfants_6W_Dose B GroupInfants_6W_Dose B_2 GroupInfants_6W_Dose C GroupInfants_6W_Dose C_2 GroupInfants_9M_Control A GroupInfants_9M_Control B GroupInfants_9M_Control C GroupInfants_9M_Dose A GroupInfants_9M_Dose B GroupInfants_9M_Dose C Group

Yellow Fever vaccine is administered to study participants, as part of an Expanded Program on Immunization (EPI) vaccination at the local EPI vaccination centers, and not part of the current clinical trial, as follows: - at 28 days after the first study intervention administration (occurring at Day 1) to infants in the Infants\_9M\_Dose A, Infants\_9M\_Control A, Infants\_9M\_Dose B, Infants\_9M\_Control B, Infants\_9M\_Dose C and Infants\_9M\_Control C groups. - at 28 days after the third study intervention administration (occurring at Day 232) to infants in Infants\_6W\_Dose A, Infants\_6W\_Control A, Infants\_6W\_Dose B, Infants\_6W\_Control B, Infants\_6W\_Dose C and Infants\_6W\_Control C groups. - at Day 232, concomitantly during the last study intervention administration to infants in Infants\_6W\_Dose A\_2, Infants\_6W\_Dose B\_2, Infants\_6W\_Dose C\_2 and Infants\_6W\_Control\_2 groups.

Infants_6W_Control A GroupInfants_6W_Control B GroupInfants_6W_Control C GroupInfants_6W_Control_2 GroupInfants_6W_Dose A GroupInfants_6W_Dose A_2 GroupInfants_6W_Dose B GroupInfants_6W_Dose B_2 GroupInfants_6W_Dose C GroupInfants_6W_Dose C_2 GroupInfants_9M_Control A GroupInfants_9M_Control B GroupInfants_9M_Control C GroupInfants_9M_Dose A GroupInfants_9M_Dose B GroupInfants_9M_Dose C Group

Pentavalent vaccine is administered, as part of an Expanded Program on Immunization (EPI) vaccination, at the local EPI vaccination centers, and not part of the current clinical trial, at 6, 10 and 14 weeks of age to infants in Infants\_6W\_Dose A\_2, Infants\_6W\_Dose B\_2, Infants\_6W\_Dose C\_2 and Infants\_6W\_Control\_2 groups.

Also known as: DTPw-HepB-Hib
Infants_6W_Control_2 GroupInfants_6W_Dose A_2 GroupInfants_6W_Dose B_2 GroupInfants_6W_Dose C_2 Group

Pneumococcal vaccine is administered, as part of an Expanded Program on Immunization (EPI) vaccination, at the local EPI vaccination centers, and not part of the current clinical trial, at 6, 10 and 14 weeks of age to infants in Infants\_6W\_Dose A\_2, Infants\_6W\_Dose B\_2, Infants\_6W\_Dose C\_2 and Infants\_6W\_Control\_2 groups.

Infants_6W_Control_2 GroupInfants_6W_Dose A_2 GroupInfants_6W_Dose B_2 GroupInfants_6W_Dose C_2 Group

Inactivated polio vaccine is administered, as part of an Expanded Program on Immunization (EPI) vaccination, at the local EPI vaccination centers, and not part of the current clinical trial, at 6, 10 and 14 weeks of age to infants in Infants\_6W\_Dose A\_2, Infants\_6W\_Dose B\_2, Infants\_6W\_Dose C\_2 and Infants\_6W\_Control\_2 groups.

Infants_6W_Control_2 GroupInfants_6W_Dose A_2 GroupInfants_6W_Dose B_2 GroupInfants_6W_Dose C_2 Group

-2 doses of iNTS-GMMA Dose C vaccine administered intramuscularly, at Day 1 and Day 57 to adults and children in the Adults\_Dose C and Children\_Dose C groups; -3 doses of iNTS-GMMA Dose C vaccine administered intramuscularly, at Day 1, Day 85 and Day 169 to infants in the Infants\_9M\_Dose C group, and at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase) to infants in the Infants\_6W\_Dose C and Infants\_6W\_Dose C\_2 groups.

Adults_Dose C GroupChildren_Dose C GroupInfants_6W_Dose C GroupInfants_6W_Dose C_2 GroupInfants_9M_Dose C Group

-2 doses of iNTS-GMMA Dose B vaccine administered intramuscularly, at Day 1 and Day 57 to children in the Children\_Dose B group; -3 doses of iNTS-GMMA Dose B vaccine administered intramuscularly, at Day 1, Day 85 and Day 169 to infants in the Infants\_9M\_Dose B group, and at Day 1, Day 57 (during the Priming phase) and Day at 232 (during the Booster phase) to infants in the Infants\_6W\_Dose B and Infants\_6W\_Dose B\_2 groups.

Children_Dose B GroupInfants_6W_Dose B GroupInfants_6W_Dose B_2 GroupInfants_9M_Dose B Group

3 doses of iNTS-GMMA Dose A vaccine administered intramuscularly, at Day 1, Day 85 and Day 169 to infants in the Infants\_9M\_Dose A group, and at Day 1, Day 57 (during the Priming phase) and Day at 232 (during the Booster phase) to infants in the Infants\_6W\_Dose A and Infants\_6W\_Dose A\_2 groups.

Infants_6W_Dose A GroupInfants_6W_Dose A_2 GroupInfants_9M_Dose A Group
MenACWYBIOLOGICAL

-1 dose of MenACWY vaccine administered intramuscularly at Day 1 to adults in the Adults\_Control group; -2 doses of MenACWY vaccine administered intramuscularly at Day 1 and Day 57 to children in the Children\_Control B and Children\_Control C groups, and at Day 1 and Day 85 to infants in the Infants\_9M\_Control A, Infants\_9M\_Control B and Infants\_9M\_Control C groups; -3 doses of MenACWY vaccine administered intramuscularly at Day 1, Day 57 (during the Priming phase) and at Day 232 (during the Booster phase) to infants in the Infants\_6W\_Control A, Infants\_6W\_Control B, Infants\_6W\_Control C and Infants\_6W\_Control\_2 groups. A 4th dose of MenACWY vaccine is administered after the trial ends, to infants in the aforementioned study groups, as per the licensed indication and in private vaccination settings.

Also known as: Menveo
Adults_Control GroupChildren_Control B GroupChildren_Control C GroupInfants_6W_Control A GroupInfants_6W_Control B GroupInfants_6W_Control C GroupInfants_6W_Control_2 GroupInfants_9M_Control A GroupInfants_9M_Control B GroupInfants_9M_Control C Group
DTPa-HBV-IPV+HibCOMBINATION_PRODUCT

1 dose of DTPa-HBV-IPV+Hib vaccine administered intramuscularly at Day 169 to infants in the Infants\_9M\_Control A, Infants\_9M\_Control B and Infants\_9M\_Control C groups.

Also known as: Infanrix hexa
Infants_9M_Control A GroupInfants_9M_Control B GroupInfants_9M_Control C Group

1 dose of Placebo administered intramuscularly at Day 57 to adults in the Adults\_Control group.

Adults_Control Group

Eligibility Criteria

Age6 Weeks - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • All participants (adults, children, infants at 9 months of age and infants at 6 weeks of age) will be enrolled in the clinical site in Ghana and must satisfy ALL the following criteria at study entry:
  • Participants and/or participants' parent(s)/Legally Acceptable Representative(s) (LAR), 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 investigations.
  • Participants satisfying screening requirements.
  • Participants negative for human immunodeficiency virus (HIV), hepatitis B, and hepatitis C.
  • Adult participants must satisfy ALL the following criteria at study entry:
  • 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.
  • The Ghana card will be used as source document to verify the ages for the adults.
  • Child participants must satisfy ALL the following criteria at study entry:
  • +8 more criteria

You may not qualify if:

  • Medical conditions
  • Known exposure to S. Typhimurium or S. Enteritidis during the period starting at birth for infants and children, and at 3 years for adults, as documented by patient records
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the study interventions.
  • Hypersensitivity, including allergy, to medicinal products or medical equipment whose use is foreseen in this study.
  • Progressive, unstable, or uncontrolled clinical conditions.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination
  • Major congenital defects, as assessed by the investigator.
  • Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by physical examination or laboratory screening tests.
  • Acute disease and/or fever at the time of enrollment (fever is defined as temperature ≥ 38.0°C).
  • Recurrent history or uncontrolled neurological disorders or seizures.
  • Any clinically significant hematological and/or biochemical laboratory abnormality.
  • Undernutrition defined as WHO Z-score less than -2 SD.
  • Malaria infection defined as the presence of asexual parasites in the blood.
  • Clinical conditions representing a contraindication to intramuscular vaccination and blood draws.
  • Any behavioral 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.
  • +17 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

GSK Investigational Site

Kumasi, Ghana

RECRUITING

MeSH Terms

Conditions

Salmonella Infections

Interventions

Rubella VaccineYellow Fever VaccineVaccines, CombinedPneumococcal VaccinesPoliovirus Vaccine, InactivatedMenACWYMeningococcal Vaccinesdiphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae b conjugate-hepatitis B vaccine

Condition Hierarchy (Ancestors)

Enterobacteriaceae InfectionsGram-Negative Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex MixturesStreptococcal VaccinesBacterial VaccinesVaccines, InactivatedPoliovirus Vaccines

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Central Study Contacts

US GSK Clinical Trials Call Center

CONTACT

EU GSK Clinical Trials Call Center

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Model Details: Data will be collected in an observer-blind manner.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 19, 2023

First Posted

January 19, 2024

Study Start

January 15, 2024

Primary Completion

April 27, 2026

Study Completion

April 27, 2026

Last Updated

January 19, 2024

Record last verified: 2024-01

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, a 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