A Phase 1 interventional study of Shigella flexneri 2a InvaplexAR in Shigellosis and Bacillary Dysentery, sponsored by U.S. Army Medical Research and Development Command. Completed at 1 site in United States. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-12.
Sponsored by U.S. Army Medical Research and Development Command · Phase 1, Interventional, and Prevention
Among 23 studies in Dysentery, Bacillary with a site in United States — 2 open to participants now, 3 under way, none of them phase 3. Dysentery, Bacillary · United States.
Among the 23 studies in Dysentery, Bacillary with a site in United States, this one is the 17th largest by enrollment, is one of 3 that started in 2015, is one of 12 in phase 1, and was the 9th registered.
61 studies on the registry are indexed under Dysentery, Bacillary; 6 are open to participants now.
Browse Dysentery, Bacillary studies →2 of the 23 studies in Dysentery, Bacillary with a site in United States are open now. Recruiting first, the newest first:
Inventprise Inc. · Sites in United States
Eveliqure Biotechnologies GmbH · Sites in United States
A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →
Of the 5 Dysentery, Bacillary studies recruiting now, 0 (0%) set no upper age limit and 5 (100%) stop at 75 or younger; 1 take children under 18; 4 take healthy volunteers.
This study: 18 Years to 45 Years · all sexes · healthy volunteers too.
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23 studies; the count open now beside each. This study's row is marked.
A study in two phases is counted once above. Listed by phase, each with its combined phases: Phase 1 14 · Phase 2 11
First in 2004; this study’s year is marked. 3 started in 2015.
This study's enrollment of 38 is below the median of 76 across 54 interventional studies indexed under Dysentery, Bacillary.
Median enrollment 58 across the 23 interventional studies. Of the 19 that completed or were terminated, 11 (58%) have results posted.
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7 of 23 have an industry lead sponsor. The 9 most frequent:
U.S. Army Medical Research and Development Command is the lead sponsor of 153 studies on the registry; 8 are open to participants now.
Of its 23 completed or terminated interventional studies of FDA-regulated products, 16 (70%) have results posted.
U.S. Army Medical Research and Development Command has 4 studies filed under Dysentery, Bacillary — fewer than ten, so there is no comparison to draw.
1 of the studies in Dysentery, Bacillary with a site in United States that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT07049159Eveliqure Biotechnologies GmbHSafety, and Efficacy Study of ShigETEC, a Live, Attenuated, Oral Combination Vaccine to Prevent Shigella and ETEC Disease Delivered to Healthy Adults Ages 18 to 50 Years Old | 2027-05-23 |
Among the 23 studies in Dysentery, Bacillary with a site in United States, from their registry updates:
Nothing recorded among them since 2026-09-25.
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This study is an open-label, dose-escalating Phase 1 investigation of S. flexneri 2a InvaplexAR vaccine. A total of up to 40 subjects will receive one of four S. flexneri 2a InvaplexAR vaccine doses. The vaccine will be administered intranasally (without adjuvant).
The vaccine will be administered on Days 0,14, and 28. Volunteers (10 per group [8 minimum]) will receive the same dose at each vaccination dependent upon group assignment. Groups will be divided according to the table below. An interval no less than 1 week will separate the third dose of a group from the first dose of the next group (receiving an increased InvaplexAR dose). Blood, stool, and saliva specimens will be collected at pre-specified intervals to examine systemic and mucosal vaccine antigen-specific immune responses. Ocular tear samples will be collected in groups C and D. Vaccine safety will be actively monitored during vaccination and for 28 days following the third vaccine dose. The decision to advance to the next dose level is based on the safety assessment (not immunogenicity). A dose level with no occurrence of stopping criteria in the 7 days following the last vaccine dose will prompt moving to the next higher level. All safety data will be summarized and reviewed with the research monitor prior to dose escalation. In addition, a report of all safety data will be provided to the sponsor's safety office for informational purposes.
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.
Exclusion Criteria:
Research specific
Prior Exposure to Shigella
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.
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.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.
Read whether the line is about a condition or about medicines, and which medicines and doses it means.
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
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.
Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.
After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.
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.
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Immunosuppression
A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.
Read whether the line is about a condition or about medicines, and which medicines and doses it means.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Corticosteroids (steroids)
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hepatitis C tests
Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.
After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
COPD
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
10 subjects vaccinated on days 0, 14, 28
Biological: Shigella flexneri 2a InvaplexAR
10 subjects vaccinated on days 0, 14, 28
Biological: Shigella flexneri 2a InvaplexAR
10 subjects vaccinated on days 0, 14, 28
Biological: Shigella flexneri 2a InvaplexAR
10 subjects vaccinated on days 0, 14, 28
Biological: Shigella flexneri 2a InvaplexAR
The investigational product is S. flexneri 2a InvaplexAR. The product is composed of three individual components IpaB, IpaC, and LPS. The components were assembled into the high molecular weight S. flexneri 2a InvaplexAR complex and subsequently purified by ion-exchange chromatography yielding a bulk lot.
Number of Treatment Related Adverse Events
Number of adverse events related to the vaccine for each arm
Time frame: 166 days
Antibody Titers Against IgG and IgA Immunizing Antigens
Serum samples will be assayed for antibody titers against the immunizing antigens LPS, IpaB, IpaC, and S. flexneri 2a Invaplex at screening, and Days 0, 14, 28, 35, 42, and 56 for 36 subjects. Previously established high-titer specimens will be included on each plate to track day to day interassay variation. For each antigen, pre- and post-vaccination serum samples will be assayed side-by-side. The antibody titer assigned to each sample will represent the geometric mean of duplicate tests performed on 2 different days. Reciprocal endpoint titers \< 5 will be assigned a value of 2.5 for computational purposes. Seroconversion will be defined as a \> 4-fold increase in endpoint titer between pre-and post-vaccination samples AND a post-vaccination reciprocal titer \>10.
Time frame: At screening and Days 0, 14, 28, 35, 42, and 56
IgG and IgA Antigen-Specific Antibody Secreting Cell (ASC) Mucosal Responses
ASC responses were assessed using isolated peripheral blood mononuclear cells (PBMCs). For each antigen, pre- and post-vaccination samples were tested on the same plates for total and vaccine-specific numbers. The ASC responses indirectly reflect intestinal immune responses through measurement of antigen-specific B-lymphocytes in systemic circulation before homing to gut effector sites. An ASC response was defined as \> 10 ASCs above baseline.
Time frame: 56 Days
IgG and IgA Antigen-Specific Antibody Lymphocyte Supernatant (ALS) Mucosal Responses
ALS responses were assessed using isolated peripheral blood mononuclear cells (PBMCs). For each antigen, pre- and post-vaccination samples were tested on the same plates for total and vaccine-specific numbers. The ALS responses indirectly reflect intestinal immune responses through measurement of antigen-specific B-lymphocytes in systemic circulation before homing to gut effector sites. An ALS response was defined as a ≥ 4-fold increase over baseline ALS titers.
Time frame: 56 Days
| Milestone | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex |
|---|---|---|---|---|
| Started | 9 | 9 | 10 | 10 |
| Completed | 7 | 9 | 9 | 10 |
| Not completed | 2 | 0 | 1 | 0 |
| Withdrew: Lost to follow-up | 1 | 0 | 0 | 0 |
| Withdrew: Change in employment | 1 | 0 | 0 | 0 |
| Withdrew: Symptoms post-vaccination | 0 | 0 | 1 | 0 |
Number of adverse events related to the vaccine for each arm
| Adverse Events | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex |
|---|---|---|---|---|
| Number of Treatment Related Adverse Events | 27 | 37 | 41 | 46 |
Serum samples will be assayed for antibody titers against the immunizing antigens LPS, IpaB, IpaC, and S. flexneri 2a Invaplex at screening, and Days 0, 14, 28, 35, 42, and 56 for 36 subjects. Previously established high-titer specimens will be included on each plate to track day to day interassay variation. For each antigen, pre- and post-vaccination serum samples will be assayed side-by-side. The antibody titer assigned to each sample will represent the geometric mean of duplicate tests performed on 2 different days. Reciprocal endpoint titers \< 5 will be assigned a value of 2.5 for computational purposes. Seroconversion will be defined as a \> 4-fold increase in endpoint titer between pre-and post-vaccination samples AND a post-vaccination reciprocal titer \>10.
| titers | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex |
|---|---|---|---|---|
| Serum IgG (Invaplex) | 1345.4 (805.0 to 2248.8) | 4703.2 (2104.6 to 10510.2) | 5486.4 (2199.0 to 13688.0) | 5571.5 (2680.3 to 11581.5) |
| Serum IgA (Invaplex) | 259.4 (108.4 to 620.7) | 800.0 (330.7 to 1935.6) | 685.8 (192.3 to 2445.5) | 606.3 (259.3 to 1417.4) |
| Serum IgG (LPS) | 1902.7 (1138.4 to 3180.2) | 4703.2 (2434.3 to 9086.5) | 4703.2 (2939.8 to 7524.2) | 6400 (3056.1 to 13402.8) |
| Serum IgA (LPS) | 259.4 (108.4 to 620.7) | 635.0 (330.6 to 1219.4) | 544.3 (207.5 to 1428.2) | 527.8 (233.3 to 1194.1) |
| Serum IgG (IpaB) | 183.4 (103.3 to 325.7) | 740.7 (228.8 to 2397.8) | 342.9 (86.4 to 1361.0) | 229.7 (102.9 to 512.8) |
| Serum IgA (IpaB) | 50.0 (NA to NA) | 73.5 (36.1 to 149.5) | 85.7 (42.8 to 171.5) | 50.0 (NA to NA) |
| Serum IgG (IpaC) | 336.4 (171.2 to 660.7) | 2539.8 (1049.8 to 6145.1) | 1728.1 (353.8 to 8440.5) | 2599.2 (1049.6 to 6436.6) |
| Serum IgA (IpaC) | 70.7 (38.1 to 131.4) | 317.5 (72.0 to 1399.2) | 272.2 (84.9 to 872.2) | 400.0 (144.4 to 1108.0) |
ASC responses were assessed using isolated peripheral blood mononuclear cells (PBMCs). For each antigen, pre- and post-vaccination samples were tested on the same plates for total and vaccine-specific numbers. The ASC responses indirectly reflect intestinal immune responses through measurement of antigen-specific B-lymphocytes in systemic circulation before homing to gut effector sites. An ASC response was defined as \> 10 ASCs above baseline.
| ASC per 10^6 PBMCs | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex |
|---|---|---|---|---|
| ASC IgG (Invaplex) | 0.5 (0.0 to 4.5) | 4.0 (3.0 to 9.0) | 5.0 (5.0 to 12.0) | 9.0 (4.0 to 17.0) |
| ASC IgA (Invaplex) | 1.00 (1.0 to 2.0) | 27.0 (20.0 to 96.0) | 23.0 (15.0 to 62.0) | 41.5 (24.0 to 73.0) |
| ASC IgG (LPS) | 0.0 (0.0 to 0.5) | 0.0 (0.0 to 0.0) | 1.0 (0.0 to 3.0) | 2.0 (0.0 to 9.0) |
| ASC IgA (LPS) | 0.0 (0.0 to 0.0) | 4.0 (1.0 to 23.0) | 1.0 (0.0 to 7.0) | 3.0 (0.0 to 12.0) |
ALS responses were assessed using isolated peripheral blood mononuclear cells (PBMCs). For each antigen, pre- and post-vaccination samples were tested on the same plates for total and vaccine-specific numbers. The ALS responses indirectly reflect intestinal immune responses through measurement of antigen-specific B-lymphocytes in systemic circulation before homing to gut effector sites. An ALS response was defined as a ≥ 4-fold increase over baseline ALS titers.
| fold change | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex |
|---|---|---|---|---|
| ALS IgG (Invaplex) | 1.2 (0.8 to 1.8) | 8.6 (2.5 to 29.7) | 9.3 (2.9 to 30.5) | 7.0 (2.8 to 17.6) |
| ALS IgA (Invaplex) | 1.3 (0.7 to 2.4) | 8.6 (2.4 to 30.5) | 3.7 (1.3 to 10.9) | 4.3 (1.7 to 10.7) |
| ALS IgG (LPS) | 1.2 (0.8 to 1.8) | 2.9 (1.4 to 6.0) | 4.0 (1.9 to 8.5) | 3.5 (1.8 to 6.7) |
| ALS IgA (LPS) | 1.1 (0.9 to 1.3) | 3.2 (1.5 to 6.7) | 2.0 (1.2 to 3.4) | 2.1 (1.2 to 3.9) |
Collected over Through study completion, an average of 8 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 10 μg S. Flexneri 2a Invaplex | 0/9 (0%) | 0/9 (0%) | 9/9 (100%) |
| 50 μg S. Flexneri 2a Invaplex | 0/9 (0%) | 0/9 (0%) | 9/9 (100%) |
| 250 μg S. Flexneri 2a Invaplex | 0/10 (0%) | 0/10 (0%) | 10/10 (100%) |
| 500 μg S. Flexneri 2a Invaplex | 0/10 (0%) | 0/10 (0%) | 10/10 (100%) |
| Event | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex |
|---|---|---|---|---|
| Nasal CongestionRespiratory, thoracic and mediastinal disorders | 6/9 | 5/9 | 6/10 | 10/10 |
| Post-Nasal DripRespiratory, thoracic and mediastinal disorders | 2/9 | 4/9 | 6/10 | 9/10 |
| EpistaxisRespiratory, thoracic and mediastinal disorders | 0/9 | 7/9 | 4/10 | 3/10 |
| PharyngitisInfections and infestations | 3/9 | 1/9 | 4/10 | 7/10 |
| RhinorrheaRespiratory, thoracic and mediastinal disorders | 4/9 | 5/9 | 7/10 | 6/10 |
| Nasal Mucosal HyperemiaRespiratory, thoracic and mediastinal disorders | 2/9 | 1/9 | 6/10 | 2/10 |
| HeadacheNervous system disorders | 3/9 | 2/9 | 4/10 | 5/10 |
| SneezingRespiratory, thoracic and mediastinal disorders | 4/9 | 3/9 | 5/10 | 5/10 |
| Nasal ItchingRespiratory, thoracic and mediastinal disorders | 1/9 | 4/9 | 1/10 | 2/10 |
| FatigueGeneral disorders | 3/9 | 2/9 | 2/10 | 4/10 |
| Age, Continuous(years) | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex | Total |
|---|---|---|---|---|---|
| Median | 24 (22 to 28) | 34 (26 to 42) | 28 (27 to 31) | 28 (24 to 36) | 28 (24 to 34) |
| Sex: Female, Male(Participants) | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex | Total |
|---|---|---|---|---|---|
| Female | 2 | 5 | 1 | 2 | 10 |
| Male | 7 | 4 | 9 | 8 | 28 |
| Ethnicity (NIH/OMB)(Participants) | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 1 | 0 | 2 |
| Not Hispanic or Latino | 9 | 8 | 9 | 10 | 36 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 2 | 3 | 0 | 4 | 9 |
| White | 7 | 6 | 9 | 6 | 28 |
| More than one race | 0 | 0 | 1 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | 10 μg S. Flexneri 2a Invaplex | 50 μg S. Flexneri 2a Invaplex | 250 μg S. Flexneri 2a Invaplex | 500 μg S. Flexneri 2a Invaplex | Total |
|---|---|---|---|---|---|
| United States | 9 | 9 | 10 | 10 | 38 |
Ran from Oct 2015 to primary completion in May 2016, 7 months.
Results were first posted in Jul 2020, 4 years 2 months after primary completion.
Of 15 phase 1 interventional studies under Dysentery, Bacillary, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 24. This study's 7 months is below that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.
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U.S. Army Medical Research and Development Command →