A Phase I, Multicenter, Randomized, Double-blind, Placebo-controlled Single Dose, Dose-ranging Study to Evaluate the Safety, Tolerability, and Immunogenicity of Orally Administered Bivalent GI.1/GII.4 Norovirus Vaccine in Healthy Lactating Females ≥ 18 Years Old and Their Breast-feeding Infants
Sponsor study identifier
interventional
76
1 country
5
Study Start
October 27, 2023
Actual (reported)Primary Completion
December 13, 2024
Actual (reported)Study Completion
December 13, 2024
Actual (reported)The primary objective of this study is to evaluate the safety and tolerability of an oral bivalent GI.1/GII.4 norovirus vaccine administration in healthy lactating female participants and to assess the short-term immunogenicity of oral bivalent GI.1/GII.4 norovirus vaccine administration in healthy lactating female participants and its association with the immunogenicity response in breastmilk.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 13, 2024
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
October 27, 2023
Actual (reported)December 13, 2024
Actual (reported)December 13, 2024
Actual (reported)November 19, 2025
Actual (reported)November 28, 2025
Actual (reported)April 15, 2026
Actual (reported)Number of Participants (Mothers) With Any Solicited Symptoms of Reactogenicity for 1 Week Following Trial Dose
Solicited symptoms of reactogenicity were predefined adverse events (AEs) for which the participant was specifically questioned, and which were noted by the participant in their solicited symptom diary, including: fever (any temperature 100°F or higher), headache, myalgia (muscle pain), abdominal pain, anorexia (defined as not eating), nausea, vomiting, diarrhea, and malaise/fatigue. The severity of each solicited symptom of reactogenicity was graded by the participant as mild, moderate, severe or life-threatening.
1 week post study dose (8 days)
Number of Participants (Mothers) With Unsolicited Treatment-emergent Adverse Events (TEAEs)
TEAEs:AEs that began after start of an investigational product or an already present event that worsens in intensity or frequency following intervention.An AE considered serious (SAE) if,in view of Investigator or Sponsor,it resulted in death,life-threatening AE,inpatient hospitalization/prolongation of hospitalization,persistent or significant incapacity or disability disrupting normal life functions,congenital anomaly/birth defect,or an important medical event which based upon medical judgment may have jeopardized participant and required intervention to prevent 1 of outcomes.AESIs:serious/non-serious AEs of scientific and medical concern with potential immune mediated conditions and events associated with thrombosis and thrombocytopenia.NOCI:diagnosis post-enrollment and vaccination of new chronic medical condition,including those controllable by medication.An AE was unsolicited if it did not fulfill conditions prelisted in eCRF in terms of diagnosis/onset window post-vaccination.
4 weeks post dose (29 days)
Geometric Mean Concentration (GMC) of Serum Viral Protein 1 (VP1) Specific (G1.1) Immunoglobulin A (IgA) on Days 1, 8 and 29
GMC of serum VP1 specific (G1.1) IgA was measured by Meso Scale Discovery (MSD) assay. Assay was measured in an arbitrary unit per milliliter (AU/mL).
Number of Participants With SAEs, AESIs and NOCIs Through 12 Months Post Dose
Up to 12 months
GMC of Serum VP1 Specific (G1.1) IgA on Day 180
Day 180
GMC of Serum VP1 Specific (G2.4) IgA on Day 180
Day 180
GMFR of Serum VP1 Specific (G1.1) IgA From Day 1 to Day 180
Day 1 to Day 180
GMFR of Serum VP1 Specific (G2.4) IgA From Day 1 to Day 180
Day 1 to Day 180
GMC of Nasal VP1 Specific (G1.1) IgA
Days 1, 8, 29, 60, and 180
GMC of Nasal VP1 Specific (G2.4) IgA
Days 1, 8, 29, 60, and 180
GMFR of Nasal VP1 Specific (GI.I) IgA From Day 1 to Days 8, 29, 60 and 180
Day 1 to Days 8, 29, 60 and 180
Participants will receive a medium dose of bivalent VXA-G1.1-NN and VXA-GII.4-NS as an oral tablet on Day 1.
Participants will receive a high dose of bivalent VXA-G1.1-NN and VXA-GII.4-NS as an oral tablet on Day 1.
Oral tablets.
Oral tablets.
WITS RHI Research Centre
Hillbrow, 2001, South Africa
Progress Clinical Research Unit
Honeydew, 2040, South Africa
Newtown Clinical Research Centre
Johannesburg, 2001, South Africa
Trident Clinical
Kimberley, 8301, South Africa
FCRN Clinical Trials Centre (Pty) Ltd
Vereeniging, 1935, South Africa
Medical Director
Vaxart, Inc.
76 participants (actual enrollment reported by the registry).
First Submitted
November 19, 2025
First Posted
November 28, 2025
Study Start
October 27, 2023
Actual (reported)Days 1, 8 and 29
GMC of Serum VP1 Specific (G2.4) IgA on Days 1, 8 and 29
GMC of serum VP1 specific (G2.4) IgA was measured by MSD assay. Assay is measured in AU/mL.
Days 1, 8 and 29
Geometric Mean Fold Rise (GMFR) From Day 1 to Day 8 of Serum VP1 Specific (G1.1) IgA From Day 1 to Day 8
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 8 with least square mean value at baseline (Day 1).
Day 1 to Day 8
GMFR of Serum VP1 Specific (G1.1) IgA From Day 1 to Day 29
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 29 with least square mean value at baseline (Day 1).
Day 1 to Day 29
GMFR of Serum VP1 Specific (G2.4) IgA From Day 1 to Day 8
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 8 with least square mean value at baseline (Day 1).
Day 1 to Day 8
GMFR of Serum VP1 Specific (G2.4) IgA From Day 1 to Day 29
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 29 with least square mean value at baseline (Day 1).
Day 1 to Day 29
Number of Participants Who Achieved a 2-fold, 3-fold and 4-fold GMC Rise in Serum VP1 Specific (G1.1) IgA
A 2, 3, 4-fold rise represented the participants with at least a 2, 3, or 4-fold rise in antibodies compared to pre-vaccination dosing Baseline (Day 1).
Days 1, 8, 29 and 180
Number of Participants Who Achieve a 2-fold, 3-fold and 4-fold GMC Rise in Serum VP1 Specific (G2.4) IgA
A 2, 3, 4-fold rise represented the participants with at least a 2, 3, or 4-fold rise in antibodies compared to pre-vaccination dosing Baseline (Day 1).
Days 1, 8, 29 and 180
GMC of Breastmilk VP1 Specific (G1.1) IgA on Days 1, 8 and 29
GMC of breastmilk VP1 specific (G1.1) IgA was measured by MSD assay. Assay is measured in Relative Light Unit per microgram (RLU)/µg of total IgA which is a normalized measure used to quantify the specific binding of IgA antibodies to norovirus VLPs (measured in RLU) relative to the total amount of IgA protein present in a breast milk.
Days 1, 8, and 29
GMC of Breastmilk VP1 Specific (G2.4) IgA on Days 1, 8 and 29
GMC of breastmilk VP1 specific (G2.4) IgA was measured by MSD assay. Assay is measured in RLU/µg of total IgA which is a normalized measure used to quantify the specific binding of IgA antibodies to norovirus VLPs (measured in RLU) relative to the total amount of IgA protein present in a breast milk.
Days 1, 8 and 29
GMFR of Breastmilk VP1 Specific (G1.1) IgA From Day 1 to Day 8
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 8 with least square mean value at baseline (Day 1).
Day 1 to Day 8
GMFR of Breastmilk VP1 Specific (G2.4) IgA From Day 1 to Day 8
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 8 with least square mean value at baseline (Day 1).
Day 1 to Day 8
GMFR of Breastmilk VP1 Specific (G1.1) IgA From Day 1 to Day 29
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 29 with least square mean value at baseline (Day 1).
Day 1 to Day 29
GMFR of Breastmilk VP1 Specific (G2.4) IgA From Day 1 to Day 29
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 29 with least square mean value at baseline (Day 1).
Day 1 to Day 29
Number of Participants Who Achieve a 2-fold, 3-fold and 4-fold GMC Rise in Breastmilk VP1 Specific (G1.1) IgA
A 2, 3, and 4-fold rise represented the participants with at least a 2, 3, or 4-fold rise in antibody compared to pre-vaccination dosing Baseline (Day 1).
Days 1, 8, 29, 60 and 180
Number of Participants Who Achieve a 2-fold, 3-fold and 4-fold GMC Rise in Breastmilk VP1 Specific (G2.4) IgA
A 2, 3, and 4-fold rise represented the participants with at least a 2, 3, or 4-fold rise in antibodies compared to pre-vaccination dosing Baseline (Day 1).
Days 1, 8, 29, 60 and 180
Participants will receive matching placebo orally on Day 1.
Oral tablets.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Primary Completion
December 13, 2024
Actual (reported)Study Completion
December 13, 2024
Actual (reported)Last Updated
April 15, 2026
Results First Posted
April 15, 2026
Record last verified: 2026-03
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Source: ClinicalTrials.gov.
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