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Study to Assess Efficacy and Safety of M72/AS01E-4 Mycobacterium Tuberculosis (Mtb) Vaccine in Adolescents and Adults

Phase 3
Active, not recruiting
Conditions
Tuberculosis
Interventions
Biological: Placebo
Biological: M72/AS01E-4 Mycobacterium tuberculosis investigational vaccine
Registration Number
NCT06062238
Lead Sponsor
Bill & Melinda Gates Medical Research Institute
Brief Summary

The study is a randomized, double-blind, placebo-controlled, multicenter, clinical trial to assess the prophylactic efficacy, safety, and immunogenicity of the investigational M72/AS01E-4 Mtb vaccine when administered intramuscularly (IM) on a 0,1-month schedule to adolescents and adults. This trial will be conducted in 3 cohorts: Interferon gamma release assay (IGRA)-positive Cohort, IGRA-Negative Cohort and Human Immunodeficiency virus (HIV) Cohort.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
20081
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Participants receiving placeboPlacebo-
Participants receiving M72/AS01E-4M72/AS01E-4 Mycobacterium tuberculosis investigational vaccine-
Primary Outcome Measures
NameTimeMethod
IGRA-Positive Cohort: Number of participants with laboratory-confirmed pulmonary tuberculosis (TB)Up to Month 49

Laboratory-confirmed pulmonary TB case is defined as a participant with suspected pulmonary TB presenting with one or more of the following signs or symptoms: unexplained cough, unintentional weight loss, hemoptysis, unexplained fever, night sweats, pleuritic chest pain; who has least 2 positive Mtb test results (positive Mtb culture and/or positive test result from Xpert Ultra or similar assay, excluding "trace positive"), from the same or from different sputum samples collected during the 3 suspected TB visits, preferably within a 7-day time frame, before initiation of TB treatment.

Secondary Outcome Measures
NameTimeMethod
HIV Cohort: Number of participants with laboratory-confirmed pulmonary TBUp to Month 49
IGRA-Positive Cohort: Number of participants with laboratory-confirmed pulmonary TB (Less stringent laboratory-confirmed pulmonary TB case definition)Up to Month 49

Laboratory-confirmed pulmonary TB case is defined as a participant with suspected pulmonary TB presenting with one or more of the following signs or symptoms: unexplained cough, unintentional weight loss, hemoptysis, unexplained fever, night sweats, pleuritic chest pain; who has at least 1 positive Mtb culture or at least 1 positive result from Xpert Ultra or similar assay (excluding "trace positive"), from the same or from different sputum samples collected during the 3 suspected TB visits, preferably within a 7-day time frame, before initiation of TB treatment.

Compose

All Cohorts: Number of participants with serious adverse events (SAEs)Up to Month 13
IGRA-Negative Cohort: Number of participants with sustained QuantiFERON®-TB Gold Plus assay conversionUp to Month 49
All Cohorts: Number of participants with potential immunemediated diseases (pIMDs)Up to Month 13
All Cohorts: Number of participants with SAEs related to trial participationUp to Month 49
All Cohorts: Number of participants with unsolicited AEsUp to 28 days
IGRA-Negative Cohort: Number of participants with laboratory-confirmed pulmonary TBUp to Month 49
All cohorts: Number of participants with seropositivity of M72-specific antibodiesAt Day 1, Month 1, Month 2, Month 7, Month 13, Month 37, and Month 49
All Cohorts: Number of participants with solicited adverse events (AEs)Up to 7 days
All cohorts: Number of participants with geometric mean concentration (GMC) of M72-specific antibodiesAt Day 1, Month 1, Month 2, Month 7, Month 13, Month 37, and Month 49

Trial Locations

Locations (54)

1209-Gates MRI Investigational Site

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Nairobi, Kenya

1201-Gates MRI Investigational Site

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Nairobi, Kenya

2402-Gates MRI Investigational Site

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Chichiri, Malawi

2401-Gates MRI Investigational Site

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Lilongwe, Malawi

1033-Gates MRI Investigational Site

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Bloemfontein, South Africa

1016-Gates MRI Investigational Site

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Brits, South Africa

1021-Gates MRI Investigational Site

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Cape Town, South Africa

1024-Gates MRI Investigational Site

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Cape Town, South Africa

1006-Gates MRI Investigational Site

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Cape Town, South Africa

1003-Gates MRI Investigational Site

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Cape Town, South Africa

2202-Gates MRI Investigational Site

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Jakarta, Indonesia

2205-Gates MRI Investigational Site

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Jakarta, Indonesia

2203-Gates MRI Investigational Site

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Jakarta, Indonesia

1205-Gates MRI Investigational Site

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Eldoret, Kenya

1203-Gates MRI Investigational Site

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Homa Bay, Kenya

1206-Gates MRI Investigational Site

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Kericho, Kenya

1207-Gates MRI Investigational Site

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Kilifi, Kenya

1202-Gates MRI Investigational Site

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Kisumu, Kenya

1208-Gates MRI Investigational Site

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Machakos, Kenya

1204-Gates MRI Investigational Site

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Mombasa, Kenya

2201-Gates MRI Investigational Site

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Bandung, Indonesia

2204-Gates MRI Investigational Site

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Depok, Indonesia

1034-Gates MRI Investigational Site

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Cape Town, South Africa

1022-Gates MRI Investigational Site

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Cape Town, South Africa

1008-Gates MRI Investigational Site

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Cape Town, South Africa

1009-Gates MRI Investigational Site

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Durban, South Africa

1026-Gates MRI Investigational Site

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Durban, South Africa

1029-Gates MRI Investigational Site

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Durban, South Africa

1010-Gates MRI Investigational Site

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East London, South Africa

1028-Gates MRI Investigational Site

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Johannesburg, South Africa

1031-Gates MRI Investigational Site

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Johannesburg, South Africa

1018-Gates MRI Investigational Site

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Johannesburg, South Africa

1020-Gates MRI Investigational Site

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Johannesburg, South Africa

1007-Gates MRI Investigational Site

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Johannesburg, South Africa

1014-Gates MRI Investigational Site

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Jouberton, South Africa

1027-Gates MRI Investigational Site

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Kimberley, South Africa

1017-Gates MRI Investigational Site

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Klerksdorp, South Africa

1012-Gates MRI Investigational Site

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Ladysmith, South Africa

1004-Gates MRI Investigational Site

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Middelburg, South Africa

1002-Gates MRI Investigational Site

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Mtubatuba, South Africa

1001-Gates MRI Investigational Site

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Paarl, South Africa

1013-Gates MRI Investigational Site

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Port Elizabeth, South Africa

1005-Gates MRI Investigational Site

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Pretoria, South Africa

1019-Gates MRI Investigational Site

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Rustenburg, South Africa

1011-Gates MRI Investigational Site

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Soweto, South Africa

1015-Gates MRI Investigational Site

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Soweto, South Africa

1025-Gates MRI Investigational Site

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Tembisa, South Africa

1032-Gates MRI Investigational Site #1

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Tembisa, South Africa

1030-Gates MRI Investigational Site

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Vereeniging, South Africa

1023-Gates MRI Investigational Site

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Worcester, South Africa

1302-Gates MRI Investigational Site

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Lusaka, Zambia

1303-Gates MRI Investigational Site

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Lusaka, Zambia

1301-Gates MRI Investigational Site

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Lusaka, Zambia

1304-Gates MRI Investigational Site

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Ndola, Zambia

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