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.
A total of 150 eligible participants will be recruited in 3 sequential dose cohorts: low-dose 5 µg, medium-dose 10 µg, and high-dose 25 µg. In each dose cohorts, the participants will be randomized in a blinded manner into three arms (vaccine antigen with aluminum phosphate, vaccine antigen without Aluminum phosphate or placebo) in 2:2:1 ratio. All the participants will receive two intramuscular injections of 0.5 mL of the designated study vaccine or placebo on deltoid muscle, on Days 0 and 28. The DSMB will review the safety data and approve dose escalation before investigational product injection of the next cohort is initiated. The study primary objective is to evaluate the safety of the O Specific Polysaccharide recombinant Tetanus Toxoid Heavy Chain Fragment (OSP:rTTHc) cholera conjugate vaccine (CCV) after each dose vaccination. The secondary objectives are: * To evaluate the Antibody response to OSP IgG against V. cholerae O1 after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination. * To evaluate the serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa 4 weeks after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination. The exploratory objectives are: * To describe the anti tetanus toxoid (anti-TT) Immunoglobulin G (IgG) 4 weeks after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination. * To describe memory B cell responses 4 and 28 weeks after first dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
150
OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 5 µg of OSP:rTTHc
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 5 µg of OSP:rTTHc
Sterile 0.9% sodium chloride
The Catholic University of Korea Seoul St. Mary's Hospital
Seoul, South Korea
CHA Bundang Medical Center (CBMC) of CHA University
Seoul, South Korea
Soon Chun Hyang University Hospital
Seoul, South Korea
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
Time frame: 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.
Time frame: 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
Time frame: 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.
Time frame: 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.
Time frame: Within 28 days post each dose
Seroconversion rates of IgG antibody responses to OSP
Proportion of participants achieving seroconversion (defined as a 4-fold increase of serum anti-OSP IgG antibody titer at approximately 28 days after the first and second dose of investigational product compared to baseline
Time frame: Baseline and at 28 days post the first and second dose
Geometric Mean Titers (GMTs) of serum anti-OSP IgG
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OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 10 µg of OSP:rTTHc
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 10 µg of OSP:rTTHc
Sterile 0.9% sodium chloride
OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc
OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc
Sterile 0.9% sodium chloride
GMTs of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product compared to baseline
Time frame: Baseline and at 28 days post the first and second dose
Geometric Mean Fold Rise (GMFR) of serum anti-OSP IgG
GMFR of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product
Time frame: At 28 days post the first and second dose
Seroconversion rates of serum vibriocidal antibody titers
Proportion of participants with a 4-fold or greater rises in serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa, relative to baseline, 28 days after the first and second dose of investigational product compared to baseline
Time frame: Baseline and at 28 days post the first and second dose
GMT of serum vibriocidal antibody titers
Geometric Mean Titers (GMT) of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product compared to baseline .
Time frame: Baseline and at 28 days post the first and second dose
GMFR of serum vibriocidal antibody titers
GMFR of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product
Time frame: At 28 days post the first and second dose