This study is an inpatient trial to determine the safety, immunogenicity and efficacy of the WRSS1 candidate vaccine in healthy Thai adult volunteers.
This study is designed as 2 parts. * Part 1 is a blinded, placebo-controlled inpatient trial in a total of 20 volunteers (14 vaccinees and 6 controls) to determine the safety and immunogenicity. Volunteers will be vaccinated with a single oral dose of 104 colony forming unit (cfu) of WRSS1 or placebo given with bicarbonate buffer. * Part 2 will be started approximately 60 days after WRSS1 vaccination. This part is an inpatient phase II efficacy trial involving a challenge with the S.sonnei 53G of 10 vaccinees from the first part and 10 naïve controls.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
30
Single, oral dose of WRSS1
Placebo vaccine
Subject from Part 1/Arm 1 of Study are given 53G S. sonnei
Vaccine Trial Centre, Faculty of Tropical Medicine, Mahidol University
Bangkok, Thailand
Number of Participants With Adverse Events
Overview of AEs highlighting all AEs, withdrawals and deaths related to AEs
Time frame: Up to 12 months
Number of Participants With Shigella Induced Clinical Disease in Part 2
Study Part 2-Frequency of Shigella induced clinical disease defined as one or more of diarrhea, dysentery or fever in vaccinees and controls following challenge with S. sonnei 53G. Transmissibility of disease will be evaluated by the presence of fecal shedding in control subjects.
Time frame: 0-5 days
Count of Subjects With Normal and Abnormal Clinical Laboratory Values During Parts 1 and 2 of Study
Count of subjects in Parts 1 and 2 with normal and abnormal clinical laboratory values after samples taken on days 1, 7, 14, and 28. Abnormal lab values are determined clinically significant by the PI
Time frame: Days 1, 7, 14, and 28
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10 naïve controls are given S. sonnei 53G