A Post-marketing Observational Study of Oral Cholera Vaccine
A Randomized, Double-blind, Placebo-Controlled Clinical Study to Evaluate the Protective Efficacy of Oral Recombinant Subunit B/Bacterial Cholera Vaccine (Enteric-coated Capsules) Against Infectious Diarrhea Caused by Non-Vibrio Cholerae in Healthy People Aged 2 to 14 Years
1 other identifier
interventional
6,000
1 country
5
Brief Summary
Chinese survey data indicate that the incidence rate of diarrhea in the general population ranges from 0.17 to 0.70 episodes per person-year, whereas among children under five years of age, the rate is significantly higher, ranging from 2.50 to 3.38 episodes per person-year. Over recent decades, rapid economic development has contributed substantially to the reduction of mortality associated with infectious diseases. However, emerging challenges-such as increasing antimicrobial resistance and heightened population mobility-have complicated efforts in infectious disease prevention and control. In a phase III clinical trial of the recombinant B subunit/bacterial whole-cell cholera vaccine (enteric-coated capsule), a statistically significant difference was observed in the overall incidence of diarrhea between the vaccinated group (12.9%) and the control group (26.7%) (P \< 0.01). Findings from similar vaccine studies conducted in Sweden have demonstrated cross-protection against diarrhea caused by enterotoxigenic Escherichia coli (ETEC) and other intestinal pathogens. Specifically, the vaccine conferred a 50% protection rate against Salmonella enterica infections, 82% against mixed infections involving ETEC and Salmonella, and 71% against mixed infections involving ETEC and other pathogens. Evidence from relevant studies suggests that the recombinant B subunit/bacterial whole-cell cholera vaccine may offer protective benefits against non-cholera infectious diarrhea. Nevertheless, there remains a paucity of real-world effectiveness data, particularly in pediatric populations who bear a disproportionately high burden of diarrheal disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Mar 2026
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 10, 2025
CompletedFirst Posted
Study publicly available on registry
December 23, 2025
CompletedStudy Start
First participant enrolled
March 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2027
February 9, 2026
February 1, 2026
9 months
December 10, 2025
February 5, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
the incidence of infectious diarrhea in the vaccinated group and placebo group
Protective effect of recombinant subunit B/bacterial cholera vaccine (enteric-coated capsules) against infectious diarrhea due to enteropathogens (except Vibrio cholerae) (Day 7 after full immunization to the end of the study).
The incidence of diarrhea in the experimental group and the control group within 180 days starting from 7 days after full immunization (the baseline day for diarrhea)
Study Arms (2)
Recombinant subunit B/bacterial cholera vaccine (enteric-coated capsules)
EXPERIMENTALRecombinant B subunit/bacterial cholera vaccine (enteric-coated capsule) placebo
PLACEBO COMPARATORInterventions
The participants in the experimental group will be given three oral doses of recombinant subunit B/bacterial cholera vaccine (enteric-coated capsules) on D0, D7, and D28 .
The participants in the Control group will be given three oral doses of recombinant subunit B/bacterial cholera vaccine (enteric-coated capsules) Placebo on D0, D7, and D28 .
Eligibility Criteria
You may qualify if:
- Age ≥ 2 years old, ≤ 14 years old, male or female.
- Not vaccinated against cholera.
- Obtain the consent of the study subject or guardian and sign the informed consent form.
- The subjects and their guardians were able to comply with the requirements of the clinical study protocol.
- Axillary temperature \< 37.0 °C was measured on the day of inoculation.
You may not qualify if:
- Patients with febrile illness (axillary temperature ≥ 37.0 °C on the day of vaccination), other acute diseases, and diarrhea within 7 days before vaccination.
- Use of antibiotics within 7 days prior to vaccination.
- Patients with gastric ulcer, abnormal gastric acid secretion and other gastric diseases or discomfort.
- History of allergy to vaccinations and oral medications.
- Patients with congenital malformations, developmental disorders, or severe chronic diseases.
- Suspected progressive neurological disorder, epilepsy, or long-term use of antibiotics.
- Received blood products within 3 months prior to vaccination.
- Received other investigational drugs within 30 days prior to vaccination.
- Received any Rotavirus vaccine within 12 months prior to vaccination.
- Live attenuated vaccine within 14 days or subunit or inactivated vaccine within 7 days prior to vaccination.
- Asthma requiring urgent treatment, hospitalization, intubation, oral or intravenous corticosteroids for unstable past two years.
- Patients with severe hypertension, heart, liver, kidney disease, and severe infectious diseases (acquired immunodeficiency syndrome and active tuberculosis).
- Has a malignancy, is active or has been treated without definitive cure, or has the potential to relapse during the study.
- Epilepsy, excluding epilepsy that has been discontinued within the past 3 years and has not recurred.
- Patients with coagulation disorders.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
Anhui Provincial Center for Disease Control and Prevention
Hefei, Anhui, China
National Institute for Communicable Disease Control and Prevention, China
Beijing, Beijing Municipality, China
Hubei Provincial Center for Disease Control and Prevention
Wuhan, Hubei, China
Jiangsu Provincial Center for Disease Control and Prevention
Nanjing, Jiangsu, China
Shandong Provincial Center for Disease Control and Prevention
Jinan, Shandong, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 10, 2025
First Posted
December 23, 2025
Study Start
March 1, 2026
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
June 1, 2027
Last Updated
February 9, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share