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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
76
Oral tablets.
Oral tablets.
Oral tablets.
WITS RHI Research Centre
Hillbrow, South Africa
Progress Clinical Research Unit
Honeydew, South Africa
Newtown Clinical Research Centre
Johannesburg, South Africa
Trident Clinical
Kimberley, South Africa
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.
Time frame: 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.
Time frame: 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).
Time frame: Days 1, 8 and 29
GMC of Serum VP1 Specific (G2.4) IgA on Days 1, 8 and 29
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FCRN Clinical Trials Centre (Pty) Ltd
Vereeniging, South Africa
GMC of serum VP1 specific (G2.4) IgA was measured by MSD assay. Assay is measured in AU/mL.
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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.
Time frame: 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.
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: Days 1, 8, 29, 60 and 180
Number of Participants With SAEs, AESIs and NOCIs Through 12 Months Post Dose
An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the eCRF in terms of diagnosis and/or onset window post-vaccination. An AESIs serious or nonserious) is one of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor can be appropriate. NOCIs was defined as diagnosis post-enrollment and vaccination of a new medical condition, which is chronic in nature, including those potentially controllable by medication. Only unsolicited SAEs, AESI and NOCIs data was planned to be collected and assessed for the assessment of this OM and solicited SAEs, AESIs and NOCIs was out of the scope of assessment. Participants with unsolicited SAEs, AESIs and NOCIs throughout the trial were reported in this outcome measure.
Time frame: Up to 12 months
GMC of Serum VP1 Specific (G1.1) IgA on Day 180
GMC of serum VP1 specific (G1.1) IgA was measured by MSD assay. Assay is measured in AU/mL.
Time frame: Day 180
GMC of Serum VP1 Specific (G2.4) IgA on Day 180
GMC of serum VP1 specific (G2.4) IgA was measured by MSD assay. Assay is measured in AU/mL.
Time frame: Day 180
GMFR of Serum VP1 Specific (G1.1) IgA From Day 1 to Day 180
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 180 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Day 180
GMFR of Serum VP1 Specific (G2.4) IgA From Day 1 to Day 180
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 180 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Day 180
GMC of Breastmilk VP1 Specific (G1.1) IgA on Days 60 and 180
GMC of breastmilkVP1 specific (G1.1) 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.
Time frame: Days 60 and 180
GMC of Breastmilk VP1 Specific (G2.4) IgA on Days 60 and 180
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.
Time frame: Days 60 and 180
GMFR of Breastmilk VP1 Specific (G1.1) IgA From Day 1 to Day 60
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 60 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Day 60
GMFR of Breastmilk VP1 Specific (G2.4) IgA From Day 1 to Day 60
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 60 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Day 60
GMFR of Breastmilk VP1 Specific (G1.1) IgA From Day 1 to Day 180
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 180 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Day 180
GMFR of Breastmilk VP1 Specific (G2.4) IgA From Day 1 to Day 180
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Day 180 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Day 180
GMC of Serum VP1 Specific (G1.1) Immunoglobulin G (IgG) on Days 1, 8, 29, and 180
GMC of serum VP1 specific (G1.1) IgG was measured by MSD assay. Assay is measured in AU/mL.
Time frame: Days 1, 8, 29, and 180
GMC of Serum VP1 Specific (G2.4) IgG on Days 1, 8, 29, and 180
GMC of serum VP1 specific (G2.4) IgG was measured by MSD assay. Assay is measured in AU/mL.
Time frame: Days 1, 8, 29 and 180
GMFR of Serum VP1 Specific (G1.1) IgG From Day 1 to Days 8, 29, and 180
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Days 8, 29 and 180 with least square mean value at baseline (Day 1).
Time frame: From Day 1 to Days 8, 29, and 180
GMFR of Serum VP1 Specific (G2.4) IgG From Day 1 to Days 8, 29, and 180
GMFR was measured by MSD assay. The fold rise was calculated per participant by dividing the least square mean value on Days 8, 29 and 180 with least square mean value at baseline (Day 1).
Time frame: From Day 1 to Days 8, 29, and 180
Number of Participants Who Achieved a 2-fold, 3-fold, and 4-fold GMC Rise in Serum VP1 Specific (G1.1) IgG
A 2, 3, and 4-fold rise represents the participants with at least a 2, 3, or 4-fold rise in antibodies compared to pre-vaccination dosing Baseline (Day 1).
Time frame: Days 1, 8, 29, and 180
Number of Participants Who Achieved a 2-fold, 3-fold and 4-fold GMC Rise in Serum VP1 Specific (G2.4) IgG
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).
Time frame: Days 1, 8, 29, and 180
Geometric Mean Titer (GMT) of Serum Blocking Titers 50 (BT50) (G1.1) on Days 1, 8, 29, and 180
Serum BT50 (G1.1) through 6 months after trial drug dose was measured by histo-blood group antigen (HBGA) assay. Blood samples were collected at different timepoints throughout the trial.
Time frame: Days 1, 8, 29, and 180
GMT of Serum BT50 (G2.4) on Days 1, 8, 29, and 180
Serum BT50 (G2.4) through 6 months after trial drug dose was measured by HBGA assay. Blood samples were collected at different timepoints throughout the trial.
Time frame: Days 1, 8, 29, and 180
GMFR of Serum BT50 (G1.1) From Day 1 to Days 8, 29 and 180
The fold rise was calculated per participant by dividing the least square mean value on Days 8, 29 and 180 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Days 8, 29, and 180
GMFR of Serum BT50 (G2.4) From Day 1 to Days 8, 29 and 180
The fold rise was calculated per participant by dividing the least square mean value on Days 8, 29 and 180 with least square mean value at baseline (Day 1).
Time frame: Day 1 to Days 8, 29 and 180
Number of Participants Who Achieved 2-fold, 3-fold, and 4-fold GMT Rise in Serum VP1 Specific (G1.1) IgG
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).
Time frame: Days 1, 8, 29, and 180
Number of Participants With 2-fold, 3-fold and 4-fold GMT Rise in Serum VP1 Specific IgG (G2.4)
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).
Time frame: Days 1, 8, 29, and 180