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临床试验/NCT06838195
NCT06838195尚未招募3 期

A Randomized, Double-blind, Placebo-controlled Phase III Clinical Trial Evaluating the Protective Efficacy, Immunogenicity, and Safety of the S. Flexneri-S. Sonnei Bivalent Conjugate Vaccine in Infants and Children Aged 6 Months to 5 Years in Bangladesh

Beijing Zhifei Lvzhu Biopharmaceutical Co., Ltd1 个研究点 分布在 1 个国家目标入组 8,000 人开始时间: 2025年4月15日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
尚未招募
入组人数
8,000
试验地点
1
主要终点
The protective efficacy of S. Flexneri-S. Sonnei bivalent conjugate vaccine

研究概览

简要总结

The goal of this clinical trial is to evaluate the protective efficacy of S. Flexneri-S. Sonnei bivalent conjugate vaccine against diarrhea caused by Shigella infection in infants and children aged 6 months to 5 years. Researchers will observe the incidence of diarrhea of any severity due to Shigella flexneri and Shigella sonnei infection 30 days after full immunization. The subjects will receive 2 doses of vaccination.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
6 Months 至 5 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Infants and children aged 6 months to 5 years.
  • Legal guardians voluntarily agree to participate in the study and sign an informed consent form.
  • Legal guardians agree to comply with the requirements of the clinical trial protocol and are willing and able to participate in all planned follow-ups.
  • The subject's guardian agrees that the subject should not abuse antibiotics. If needed,antibiotics should be used under the guidance of a doctor and avoid taking antibiotics on their own during the clinical trial.
  • Based on medical history, physical examination, and the investigator's judgment, the subject is determined to be in good health.

排除标准

  • History of confirmed bacterial dysentery in the past 6 months.
  • Serious allergy to tetanus toxoid, history of severe allergies, fever above 39.5°C following previous vaccination with a prophylactic biological product.
  • Currently suffering from serious intestinal diseases, symptoms of diarrhea, abdominal pain, or bloody purulent stools in the past 15 days.
  • Diagnosed pathological jaundice currently.
  • Confirmed diagnosis of thrombocytopenia or other coagulation disorders.
  • Known or suspected immunological deficiencies (e.g., perianal abscesses indicating potential immune deficiency in infants and young children), long-term treatment (≥14 days) with immunosuppressants within half a year before vaccination (radiotherapy, chemotherapy, systemic corticosteroids ≥2 mg/kg/day, antimetabolites, cytotoxic drugs), or parents confirmed to have HIV infection.
  • Receipt of immunoglobulins/blood products (except hepatitis B immunoglobulin) within 3 months before vaccination.
  • Severe congenital anomalies (important organ function impairment), severe malnutrition, developmental disorders, severe hereditary diseases.
  • Currently suffering from the following diseases:
  • Severe liver or kidney diseases, cardiovascular diseases, malignant tumors, and other severe chronic diseases.
  • Diagnosed serious infectious diseases, such as tuberculosis, viral hepatitis, etc.
  • Severe asthma.
  • Generalized rashes, dermatophytosis, skin suppuration, or blistering.
  • Convulsions, epilepsy, encephalopathy, psychiatric disorders or family history of psychiatric disorders.
  • Planning to participate or currently participating in other vaccine or drug clinical trials.
  • Any condition that the investigators believe may affect the evaluation of the study.

研究组 & 干预措施

Vaccine group

Experimental

4000 subjects aged 6 months to 5 years are enrolled in this group.

干预措施: S. Flexneri-S. Sonnei bivalent conjugate vaccine (Biological)

Placebo group

Placebo Comparator

4000 subjects aged 6 months to 5 years are enrolled in this group.

干预措施: Placebo (Biological)

结局指标

主要结局

The protective efficacy of S. Flexneri-S. Sonnei bivalent conjugate vaccine

时间窗: From day 30 post full immunization to the subsequent 24-month period.

The efficacy will be assessed by comparing the incidence rate of laboratory-confirmed S. flexneri-associated or S. sonnei-associated diarrhea between the vaccinated group and the placebo group. Statistical Analysis: Protective efficacy(%)=(control group incidence (person-year incidence)- vaccine group incidence (person -year incidence))/control group incidence (person-year incidence)x100%

次要结局

  • The protective efficacy against diarrhea cases with positive bacterial culture for Shigella species(From he first dose of immunization to 24-month period post full immunization.)
  • Positive PCR testing for Shigella species(From day 30 post full immunization to the subsequent 24-month period.)
  • IgG antibody seroconversion (fourfold increase) rate on day 30 post full immunization for subgroup 1.(The 30th day after two doses of the vaccine.)
  • IgG antibody concentration on day 30 post full immunization for subgroup 1.(The 30th day after two doses of the vaccine.)
  • IgG antibody seroconversion (fourfold increase) rate on day 30 post full immunization for subgroup 2.(From 30 day to 1 year after the first immunization.)
  • IgG antibody concentration on day 30 post full immunization for subgroup 2.(From 30 day to 1 year after the first immunization.)
  • AEs within 0-30 minutes after vaccination(Within 30 minutes after each dose of vaccine)
  • Solicited AEs within 0-7 days after vaccination(Within 0-7 days after each vaccine dose.)
  • Unsolicited AEs within 0-30 days after vaccination(Within 0-30 days after each vaccination)
  • SAE within 0-6 months after primary immunization(Within 0-6 months after primary immunization.)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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