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 in children (24-59 months of age) and finally in infants (9 months and 6 weeks of age). Infants are the target for primary vaccination from 6 weeks of age.
The study will be conducted as follows: * Adult participants will receive either iNTS-GMMA Dose C (high) or a control vaccine intramuscularly on Day 1 and Day 57. * Child participants will receive either Dose B (medium) or Dose C (high) of the candidate vaccine or the control on Day 1 and Day 57. * Infant participants (9 months of age) will receive either Dose A (low), Dose B (medium), or Dose C (high) of the candidate vaccine or the control on Day 1, Day 85, and Day 169. * Infant participants (6 weeks of age) will receive either Dose A (low), Dose B (medium), or Dose C (high) of the candidate vaccine or the control on Day 1, Day 57 and Day 232.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
215
-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 and at Day 232 to infants in the Infants\_6W\_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 and Day at 232 to infants in the Infants\_6W\_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 and Day at 232 to infants in the Infants\_6W\_Dose A group.
-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 and at Day 232 to infants in the Infants\_6W\_Control A, Infants\_6W\_Control B and Infants\_6W\_Control C 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.
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.
1 dose of Placebo administered intramuscularly at Day 57 to adults in the Adults\_Control group.
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.
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.
GSK Investigational Site
Kumasi, Ghana
Number of adult participants 18-50 years of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number of adult participants 18-50 years of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the second study intervention administration occurring at Day 57
Number 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).
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number 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.
Time frame: During 7 days after the second study intervention administration occurring at Day 57
Number 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.
Time frame: During 28 days after the first study intervention administration occurring at Day 1
Number 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.
Time frame: During 28 days after the second study intervention administration occurring at Day 57
Number 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.
Time frame: From first study intervention administration (Day 1) up to the end of study participation (Day 85)
Number 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.
Time frame: From first study intervention administration (Day 1) up to the end of study participation (Day 85)
Number 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.
Time frame: At Day 8 (7 days after the first study intervention administration)
Number 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.
Time frame: At Day 64 (7 days after the second study intervention administration)
Number of child participants 24-59 months of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number of child participants 24-59 months of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the second study intervention administration occurring at Day 57
Number 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.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number 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.
Time frame: During 7 days after the second study intervention administration occurring at Day 57
Number of child participants 24-59 months of age with unsolicited AEs
Time frame: During 28 days after the first study intervention administration occurring at Day 1
Number of child participants 24-59 months of age with unsolicited AEs
Time frame: During 28 days after the second study intervention administration occurring at Day 57
Number of child participants 24-59 months of age with serious adverse events (SAEs)
Time frame: From first study intervention administration (Day 1) up to the end of study participation (Day 85)
Number of child participants 24-59 months of age with AEs leading to withdrawal from the study or discontinuation of study intervention
Time frame: From first study intervention administration (Day 1) up to the end of study participation (Day 85)
Number of child participants 24-59 months of age with deviations from reference ranges or baseline values for hematological, renal and hepatic panel test results
Time frame: At Day 8 (7 days after the first study intervention administration)
Number of child participants 24-59 months of age with deviations from reference ranges or baseline values for hematological, renal and hepatic panel test results
Time frame: At Day 64 (7 days after the second study intervention administration)
Number of infant participants 9 months of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number of infant participants 9 months of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the second study intervention administration occurring at Day 85
Number of infant participants 9 months of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the third study intervention administration occurring at Day 169
Number 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.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number 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.
Time frame: During 7 days after the second study intervention administration occurring at Day 85
Number 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.
Time frame: During 7 days after the third study intervention administration occurring at Day 169
Number of infant participants 9 months of age with unsolicited adverse events (AEs)
Time frame: During 28 days after the first study intervention administration occurring at Day 1
Number of infant participants 9 months of age with unsolicited adverse events (AEs)
Time frame: During 28 days after the second study intervention administration occurring at Day 85
Number of infant participants 9 months of age with unsolicited adverse events (AEs)
Time frame: During 28 days after the third study intervention administration occurring at Day 169
Number of infant participants 9 months of age with serious adverse events (SAEs)
Time frame: From first study intervention administration (Day 1) up to the end of study participation (Day 337)
Number of infant participants 9 months of age with adverse events (AEs) leading to withdrawal from the study or discontinuation of study intervention
Time frame: From first study intervention administration (Day 1) up to the end of study participation (Day 337)
Number of infant participants 9 months of age with deviations from reference range or baseline values for hematological, renal and hepatic panel test results
Time frame: At Day 8 (7 days after the first study intervention administration)
Number of infant participants 9 months of age with deviations from reference range or baseline values for hematological, renal and hepatic panel test results
Time frame: At Day 92 (7 days after the second study intervention administration)
Number of infant participants 9 months of age with deviations from reference range or baseline values for hematological, renal and hepatic panel test results
Time frame: At Day 176 (7 days after the third study intervention administration)
Number of infant participants 6 weeks of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number of infant participants 6 weeks of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the second study intervention administration occurring at Day 57
Number 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.
Time frame: During 7 days after the first study intervention administration occurring at Day 1
Number 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.
Time frame: During 7 days after the second study intervention administration occurring at Day 57
Number of infant participants 6 weeks of age with unsolicited adverse events (AEs)
Time frame: During 28 days after the first study intervention administration occurring at Day 1
Number of infant participants 6 weeks of age with unsolicited adverse events (AEs)
Time frame: During 28 days after the second study intervention administration occurring at Day 57
Number of infant participants 6 weeks of age with SAEs
Time frame: From first study intervention administration (Day 1) up to 28 days after second study intervention (Day 85)
Number 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
Time frame: From first study intervention administration (Day 1) up to 28 days after second study intervention (Day 85)
Number of infant participants 6 weeks of age with deviations from reference ranges or baseline values for hematological, renal, and hepatic panel test results
Time frame: At Day 8 (7 days after the first study intervention administration)
Number 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
Time frame: At Day 64 (7 days after the second study intervention administration)
Number of infant participants 6 weeks of age with solicited administration site events
The solicited administration site events are pain, redness and swelling.
Time frame: During 7 days after the third study intervention administration occurring at Day 232
Number 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.
Time frame: During 7 days after the third study intervention administration occurring at Day 232
Number of infant participants 6 weeks of age with unsolicited AEs
Time frame: During 28 days after the third study intervention administration occurring at Day 232
Number of infant participants 6 weeks of age with SAEs
Time frame: From 28 days after the second study intervention administration (Day 85) up to end of study participation (Day 400)
Number of infant participants 6 weeks of age with adverse events (AEs) leading to withdrawal from the study or withholding further study intervention administration
Time frame: From 28 days after the second study intervention administration (Day 85) up to end of study participation (Day 400)
Number of infant participants 6 weeks of age with deviations from reference ranges or baseline values for hematological, renal, and hepatic panel test results
Time frame: At Day 239 (7 days after the study intervention administration)
Anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) geometric mean concentrations (GMCs) in adult participants 18-50 years of age
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG GMCs are assessed.
Time frame: At Days 1 and 57 (before each study intervention administration) and at Days 29 and 85 (28 days after each study intervention administration)
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Anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) geometric mean concentrations (GMCs) in child participants 24-59 months of age
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG GMCs are assessed.
Time frame: At Days 1 and 57 (before each study intervention administration) and at Days 29 and 85 (28 days after each study intervention administration)
Anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) geometric mean concentrations (GMCs) in infant participants 9 months of age
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG GMCs are assessed.
Time frame: At Days 1, 85 and 169 (before each study intervention administration) and at Days 29, 113 and 197 (28 days after each study intervention administration)
Anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) geometric mean concentrations (GMCs) in infant participants 6 weeks of age
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG GMCs are assessed.
Time frame: At Days 1, 57 and 232 (before each study intervention administration) at Days 29, 85 and 260 (28 days after each study intervention administration) and at Day 239 (7 days after the third study intervention administration)
Number of adult participants 18-50 years of age achieving, for each antigen (Ag), at least a 2-fold and 4-fold rise in anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) antibody concentration
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG antibody concentrations are assessed.
Time frame: At Days 29 and 85 (28 days after each study intervention administration) compared to Day 1 (baseline, prior to first study intervention administration)
Number of child participants 24-59 months of age achieving, for each antigen (Ag), at least a 2-fold and 4-fold rise in anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) antibody concentration
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG antibody concentrations are assessed.
Time frame: At Days 29 and 85 (28 days after each study intervention administration) compared to Day 1 (baseline, prior to first study intervention administration)
Number of infant participants 9 months of age achieving, for each antigen (Ag), at least a 2-fold and 4-fold rise in anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) antibody concentration
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG antibody concentrations are assessed.
Time frame: At Days 29, 113 and 197 (28 days after each study intervention administration) compared to Day 1 (baseline, prior to first study intervention administration)
Number of infant participants 6 weeks of age achieving, for each antigen (Ag), at least a 2-fold and 4-fold rise in anti-invasive nontyphoidal Salmonella (iNTS) serotype specific immunoglobulin G (IgG) antibody concentration
Anti-S. Typhimurium OAg total IgG and anti-S. Enteritidis OAg total IgG antibody concentrations are assessed.
Time frame: At Days 29, 85 and 260 (28 days after each study intervention administration) and at Day 239 (7 days after the third study intervention administration) compared to Day 1 (baseline, prior to first study intervention administration)