Immune Response Elicited by Concomitant Administration of Oral Typhoid Fever (Vivotif®) and Cholera (Dukoral®) Vaccines

Last updated: December 3, 2024
Sponsor: Helsinki University Central Hospital
Overall Status: Completed

Phase

4

Condition

Fever

Intra-abdominal Infections

Treatment

Oral typhoid fever vaccine

Oral cholera vaccine

Clinical Study ID

NCT06104345
Dukoral+Vivotif
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The goal of this clinical trial is to explore the coadministration of oral typhoid fever (Vivotif®) and cholera (Dukoral®) vaccines in healthy volunteers aged 18-65 years. The main question it aims to answer is:

• Does coadministration impact the immune responses to Vivotif® and Dukoral® vaccines

Participants will:

  • receive either oral typhoid fever (Vivotif®) or oral cholera (Dukoral®) vaccines or both simultaneously

  • give blood samples for immunogenicity analyses

  • participate in adverse event follow up

Researchers will compare those receiving only one of the vaccines to those receiving both simultaneously to see if coadministration has an impact on antigen-specific responses measured with:

  • ELISPOT (plasmablast responses specific to Salmonella typhi, Vibrio Cholerae and Enterotoxigenic Escherichia coli)

  • ELISA (antibodies in lymphocyte supernatants (ALS) and serum antibodies specific to vaccine antigens)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or female subjects aged ≥18 to ≤65 years.

  2. General good health as established by medical history and physical examination.

  3. Written informed consent.

  4. Females of childbearing potential must agree to use an efficacious hormonal orbarrier method of birth control during the study (14 days before immunization to day 28 ± 3). Abstinence is acceptable.

  5. Available for all visits scheduled in this study.

Exclusion

Exclusion Criteria:

  1. Vaccination against typhoid fever or cholera within 5 years before dosing.

  2. History of clinical typhoid fever or cholera.

  3. Immunization with any other vaccine (oral or parenteral) within 4 weeks prior tostudy period or vaccination planned during it.

  4. Current intake of antibiotics or end of antibiotic therapy <8 days before first IMPadministration.

  5. Chronic (longer than 14 days) administration of immunosuppressants or otherimmunemodifying drugs within 6 months before the first dose of IMP; oralcorticosteroids in dosages of ≥0.5 mg/kg/d prednisolone or equivalent are excluded;inhaled or topical steroids allowed.

  6. Acute or chronic clinically significant gastrointestinal disease.

  7. Any confirmed or suspected immunosuppressive or immunodeficient condition, includinghuman immunodeficiency virus (HIV) infection.

  8. Pregnancy or lactation.

  9. Acute disease at the time of enrolment (defined as the presence of a moderate orsevere illness with or without fever (fever defined as body temperature of ≥38 °C).

  10. Alcohol or drug abuse.

  11. Suspected non-compliance.

  12. Use of any investigational drug or vaccine within 30 days preceding the first doseof study vaccine, or planned use during the study period.

  13. Any clinically significant history of known or suspected anaphylaxis orhypersensitivity reaction based on the judgement of the investigator.

  14. Employee at the investigational site or relative or spouse of the investigator.

  15. Any other criteria which, in the investigator's opinion, would compromise theability of a subject to participate in the study, a subject's well-being, or theoutcome of the study.

Study Design

Total Participants: 65
Treatment Group(s): 2
Primary Treatment: Oral typhoid fever vaccine
Phase: 4
Study Start date:
October 25, 2023
Estimated Completion Date:
June 26, 2024

Connect with a study center

  • Meilahti Vaccine Research Center, Helsinki University Hospital

    Helsinki, 00290
    Finland

    Site Not Available

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