ClinicalTrials.gg
CompletedNCT03719066Updated Oct 5, 2022

Extended Dose Intervals With Oral Cholera Vaccine in Cameroon

A Phase 2 interventional study of killed whole cell oral cholera vaccine in Adverse Reaction to Cholera Vaccine and Cholera Vaccination Reaction, sponsored by Johns Hopkins Bloomberg School of Public Health. Completed at 1 site in Cameroon. Open to participants aged 1 Year and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-05.

Sponsored by Johns Hopkins Bloomberg School of Public Health · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
181
Allocation
Randomized
Ages
1 Year and older
Sex
All
01

Study summary

The primary aim of this project is to determine changes in the vibriocidal geometric mean titers (GMT) in subjects who receive the second dose of oral cholera vaccine (OCV) at different intervals: 2 weeks, 6 months, or 11 months following the first dose of vaccine. Secondary aims include a) vibriocidal antibody response rates in subjects who receive OCV at 2 weeks, 6 months, or 11 months following the first dose of vaccine, b) age specific serum vibriocidal GMTs following the second dose among participants given the second dose of OCV at intervals of 2 weeks, 6 months, or 11 months following the first dose of vaccine, c) GMT and antibody response rates of Immunoglobulin A (IgA) and Immunoglobulin G (IgG) anti-lipopolysaccharide (LPS) as measured by ELISA following the second dose among participants given the second dose of OCV at intervals of 2 weeks, 6 months, or 11 months following the first dose of vaccine. The hypothesis is that the vibriocidal GMT following the second dose, when given after 6 or 12 months will not be inferior to the response when the second dose is given according to the standard interval of two weeks.

Read the detailed description

This is an open label, randomized, phase 2 clinical trial of the immunogenicity of killed oral cholera vaccine (OCV) when the vaccine is administered to participants of three age cohorts (1-4 years, 5-14 years, and >14 years) and in three dose interval groups (DIGs). The subjects in each age cohort will be randomized to a DIG of 2 weeks (DIG-1), 6 months (DIG-2) or 11 months (DIG-3). A total of 180 subjects from Douala, Cameroon will be enrolled and these are equally divided between the different groups (20 per age/dose interval group). The OCV to be used in the trial is Shanchol.

Blood samples will be collected before the first dose and at intervals following the first dose depending on the dosing interval group assigned. The serum (or plasma) will be tested for antibodies to cholera.

02

Conditions studied

  • Adverse Reaction to Cholera Vaccine
  • Cholera Vaccination Reaction

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Keywords

  • cholera
  • oral cholera vaccine
  • vibriocidal titer
  • ELISA antibodies
  • Adverse event following immunization
03

In context

Cholera

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

This study's enrollment of 181 is below the median of 262 across 72 interventional studies indexed under Cholera.

Browse Cholera studies →

Lead sponsor

Johns Hopkins Bloomberg School of Public Health is the lead sponsor of 371 studies on the registry; 42 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
1 Year and older
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

  1. Age ≥1 year, stratified into different age groups
  2. Living in the Soboum Health Area or adjoining area
  3. Good health condition, without medical history (by participant or guardian, in case of minor)
  4. Not pregnant for female subjects.
  5. Available to participate for the study duration, including all planned follow-up visits for up to 18 months from screening.
  6. Signed -

Exclusion criteria

Exclusion Criteria:

  1. Presence of a significant medical or psychiatric condition (Examples include: Diagnosis and treatment of tuberculosis (TB) or ; renal insufficiency; hepatic disease; oral or parenteral medication known to affect the immune function , such as , other drugs; or behavioural or memory issues)
  2. Ever having received oral cholera vaccine.
  3. Receipt of an product (within 30 days before vaccination).
  4. History of diarrhoea in 7 days prior to first dose of vaccine (defined as ≥3 unformed loose stools in 24 hours).
  5. History of chronic diarrhea (lasting for more than 2 weeks in the past 6 months)
  6. Current use of laxatives, antacids, or other agents to lower stomach acidity?
  7. Planning to become pregnant in the next 2 years
Terms in these criteria, in plain language(6)

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.

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.

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.

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.

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.

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 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
181 participants (actual)

Study arms

  • Active comparator
    DIG 1 (dose interval group)

    This group will receive two doses of killed whole cell oral cholera vaccine. The second dose being administered two weeks after the first dose.

    Biological: killed whole cell oral cholera vaccine

  • Experimental
    DIG 2 (dose interval group)

    This group will receive two doses of killed whole cell oral cholera vaccine. The second dose being administered 6 months after the first dose.

    Biological: killed whole cell oral cholera vaccine

  • Experimental
    DIG 3 (dose interval group)

    This group will receive two doses of killed whole cell oral cholera vaccine. The second dose being administered 11 months after the first dose.

    Biological: killed whole cell oral cholera vaccine

Interventions

06

What researchers measure

Primary outcomes

  1. Vibriocidal titer

    Geometric Mean titre of the vibriocidal titre

    Time frame: two weeks after the second dose

Secondary outcomes

  1. ELISA titres

    IgG and IgA geometric mean titres against V cholerae LPS

    Time frame: two weeks after the second dose

07

Study locations

1 site
  • M.A. Sante
    Douala, Cameroon
08

References and documents

Individual participant data

Plan to share: Yes — We will publish the results of this study in a peer reviewed publication and will make the data available on request after the paper has been published.

Supporting information: Clinical study report

Time frame: When the manuscript is published.

Access criteria: Researchers will need to submit a request to the investigators detailing their plans for analysis.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2018 to primary completion in Feb 2020, 16 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 23, 2018
First posted
Oct 25, 2018
StartActual
Oct 23, 2018
Primary completionActual
Feb 27, 2020
CompletionActual
Oct 5, 2021
Last update
Oct 5, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03719066
Collaborators
Bill and Melinda Gates Foundation, Meilleur Accès aux Soins de Santé (M.A. Santé)
Responsible party
Sponsor
First posted
Oct 25, 2018
Start date
Oct 23, 2018
Primary completion
Feb 27, 2020
Completion
Oct 5, 2021
Last update
Oct 5, 2022

Study contacts

David Sack, MD
principal investigator · Johns Hopkins Bloomberg School of Public Health

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Shanchol

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