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This is a first-in-human, single-center, single-blinded, observer-masked randomized, dose escalation (two doses), placebo-controlled study in healthy volunteers.
Subjects will be assigned to one of two cohorts.
Eligible subjects will be randomized to receive the 2 μg dose or 10 µg without or with alum or matching placebo, at a ratio of 3:1, as three single IM injections. There will be an interval of 28(±3) days) between each treatment.
The study will be conducted in a stepwise approach in which a "Pioneer" Group of 2 subjects (one receiving the active vaccine and one receiving the matching placebo) will receive the first injection. These subjects will remain in-house for a 24-hours medical observation after the first injection (not required in the subsequent injections) Once it has been established that there are no safety concerns in the non-adjuvanted "Pioneer" Groups (and after no less than 48 hrs), the next "Pioneer" group (one subject receiving adjuvanted 2 μg vaccine and one receiving the matching alum placebo) will be injected.
If no safety concerns are raised in this group also, after no less than 48 hrs, the rest of the subjects may receive the first injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| vaccine dose 1 | Experimental | SF2a-TT15 vaccine, 2 μg |
|
| vaccine dose 1+ adjuvant | Experimental | SF2a-TT15 vaccine, 2 μg + alum |
|
| vaccine dose 2 | Experimental | SF2a-TT15 vaccine, 10 μg |
|
| vaccine dose 2 + adjuvant | Experimental | SF2a-TT15 vaccine, 10 μg + alum |
|
| Placebo | Placebo Comparator | Tris buffer |
|
| Placebo + adjuvant | Placebo Comparator | Tris buffer + Alum |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SF2a-TT15 vaccine | Biological |
| ||
| SF2a-TT15 vaccine + adjuvant |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Event | Safety: Occurrence, frequency, severity, and duration of local and systemic adverse events (AEs) including clinically significant laboratory abnormalities, after administration of the SF2a-TT15 vaccine. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity - humoral Immune response | Serum antibody response (IgG IgM, IgA) to S. flexneri 2a LPS, following the administration of the various vaccine doses and antibody secreting cells to S. flexneri 2a LPS, following the administration of the various vaccine doses | 12 months |
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Inclusion criteria
Exclusion criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tel Aviv Souraski Medical Center | Tel Aviv | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33186516 | Derived | Cohen D, Atsmon J, Artaud C, Meron-Sudai S, Gougeon ML, Bialik A, Goren S, Asato V, Ariel-Cohen O, Reizis A, Dorman A, Hoitink CWG, Westdijk J, Ashkenazi S, Sansonetti P, Mulard LA, Phalipon A. Safety and immunogenicity of a synthetic carbohydrate conjugate vaccine against Shigella flexneri 2a in healthy adult volunteers: a phase 1, dose-escalating, single-blind, randomised, placebo-controlled study. Lancet Infect Dis. 2021 Apr;21(4):546-558. doi: 10.1016/S1473-3099(20)30488-6. Epub 2020 Nov 10. |
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| ID | Term |
|---|---|
| D004405 | Dysentery, Bacillary |
| ID | Term |
|---|---|
| D004756 | Enterobacteriaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
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| ID | Term |
|---|---|
| D000277 | Adjuvants, Pharmaceutic |
| ID | Term |
|---|---|
| D010592 | Pharmaceutic Aids |
| D004364 | Pharmaceutical Preparations |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
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| Biological |
|
| Placebo | Biological |
|
| Placebo + adjuvant | Biological |
|
| D007239 | Infections |
| D004403 | Dysentery |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |