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CompletedNCT01585181Updated Jun 27, 2023

Safety and Immunogenicity of the Live Oral Cholera Vaccine Candidate PXVX0200

A Phase 1 interventional study of PXVX0200 and Placebo in Cholera, sponsored by Bavarian Nordic. Completed at 2 sites in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-27.

Sponsored by Bavarian Nordic · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The purpose of this study is to compare the safety and immunogenicity of a single dose of the PXVX0200 live cholera vaccine versus placebo in volunteers (Vaccinees) and whether PXVX0200, which is a live attenuated bacteria, can be transmitted to other adults living in the same household.

Read the detailed description

Approximately 60 subjects and up to 120 household contacts will be enrolled in the United States. Vaccinees will be randomly assigned to receive either PXVX0200 or placebo in a 5:1 ratio and will be followed for 180 days postdose.

02

Conditions studied

  • Cholera

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Keywords

  • Vaccine, Bacterial disease condition, Cholera
03

In context

Cholera

83 studies on the registry are indexed under Cholera; 16 are open to participants now.

This study's enrollment of 66 is below the median of 262 across 72 interventional studies indexed under Cholera.

Browse Cholera studies →

Lead sponsor

Bavarian Nordic is the lead sponsor of 58 studies on the registry; 2 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 12 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy Men or women, age 18 to 50 years (inclusive) without significant medical history, physical or clinical lab abnormalities (as per protocol defined ranges)
  • Women of must have negative urine pregnancy test and must be willing to use adequate for 2 months following vaccination and have additional pregnancy tests as indicated
  • Vaccinees must live alone or have no more than two household contacts willing to sign and participate in the study
  • Household contacts must be healthy (based on medical history) men or women aged 18-65 years (inclusive)

Exclusion criteria

Exclusion Criteria:

  • Healthcare workers who have direct contact with patients who are immunodeficient, are -positive, have unstable medical condition or are under the age of 18
  • Childcare workers who have direct contact with children who are 2 years of age or younger or those employed in the food service industry
  • Resides with HHCs who are under the age of 18 or over the age of 65
  • Has abnormal stool pattern defined as fewer than 3 stools per week or more than 2 stools per day in past 6 months
  • Has known allergy to, or known medical condition that precludes the use of both tetracycline or ciprofloxacin
  • Previously received a licensed or cholera vaccine
  • Has history of cholera or enterotoxigenic E. coli infection (natural infection or experimental challenge)
  • Travel to a cholera-endemic area and experienced symptoms consistent with traveler's diarrhea in the previous 5 years
  • Received or plans to receive any other licensed vaccines from 14 days prior to the study vaccination until Day 28
  • Received or plans to receive antibiotics (other than protocol-specified) or chloroquine within 14 days prior to the study vaccination through to Day 28
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
66 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Biological: Placebo

  • Experimental
    PXVX0200

    Biological: PXVX0200

Interventions

  • BiologicalPXVX0200

    Single dose; liquid suspension after reconstitution with buffer; 2x108 to 2x109 CFU in a liquid suspension

  • BiologicalPlacebo

    Approx 2 grams of lactose reconstituted in water

06

What researchers measure

Primary outcomes

  1. Safety

    Safety defined as frequency and severity of vaccine-related reactogenicity events and reported AEs

    Time frame: Day 0-180

  2. Immunogenicity

    Immunogenicity as defined as rate of seroconversion (4-fold rise) of serum Inaba vibriocidal antibody and initial estimates of between subject variability of vibriocidal antibody response

    Time frame: Day 0-28

Secondary outcomes

  1. Kinetics

    Kinetics of serum Inaba vibriocidal antibody after 1 oral dose of CVD 103-HgR

    Time frame: Day 0-28

  2. Serum anti-cholera toxin (CT) IgG antibody conversion rates

    Anti-cholera toxin IgG antibody conversion rates

    Time frame: Day 0-28

  3. Fecal shedding

    Fecal shedding of CVD 103-HgR by vaccine recipient

    Time frame: Day 0-7

  4. Vibriocidal seroconversion and shedding of CVD 103-HgR in household contacts

    Vibriocidal seroconversion and shedding of CVD 103-HgR in household contacts

    Time frame: Day 0-28

07

Study locations

2 sites
  • University of Kentucky
    Lexington, Kentucky 40536-0084, United States
  • University of Maryland
    Baltimore, Maryland 21201, United States
08

References and documents

Publications

  • Chen WH, Greenberg RN, Pasetti MF, Livio S, Lock M, Gurwith M, Levine MM. Safety and immunogenicity of single-dose live oral cholera vaccine strain CVD 103-HgR, prepared from new master and working cell banks. Clin Vaccine Immunol. 2014 Jan;21(1):66-73. doi: 10.1128/CVI.00601-13. Epub 2013 Oct 30. PubMed 24173028 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01585181
Lead sponsor
Bavarian Nordic
Responsible party
Sponsor
First posted
Apr 25, 2012
Start date
Apr 2012
Primary completion
Aug 2012
Completion
Jan 2013
Last update
Jun 27, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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