A Phase 1 interventional study of ZH9PA and ZH9 and Placebo in Enteric Fever, sponsored by Prokarium Ltd. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-17.
Sponsored by Prokarium Ltd · Phase 1, Interventional, and Prevention
A Phase 1, randomised, double-blind, placebo-controlled, parallel group study in 45 healthy participants aged 18 to 45 years inclusive.
This is a Phase I, randomised, double-blind, placebo-controlled, parallel group, single-centre study involving 45 healthy participants. The aim is to evaluate the safety and immunogenicity of Entervax, a combination vaccine against enteric fever comprising Typhi ZH9 (hereafter ZH9) plus an engineered derivative that will provide an immune response to the key antigens (LPS 0:2 and H:a flagella) from S. Paratyphi A (hereafter ZH9PA). ZH9PA has not previously been tested in humans therefore the first two cohorts comprise a dose escalation of ZH9PA and the final cohort comprises a single dose level of the combination of ZH9PA and ZH9.
74 studies on the registry are indexed under Typhoid Fever; 10 are open to participants now.
This study's enrollment of 46 is below the median of 149 across 64 interventional studies indexed under Typhoid Fever.
Browse Typhoid Fever studies →Prokarium Ltd is the lead sponsor of 2 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
To be confirmed at Screening
To be re-confirmed on Day 0 / prior to each dosing visit
Exclusion Criteria:
To be confirmed at Screening:
To be re-confirmed at Day 0 / prior to each dosing visit:
1mL ZH9PA 1x10\^9 CFU suspension in normal saline will be mixed with sodium bicarbonate 2%w/v to produce 150mL for oral administration
Biological: Placebo · Biological: ZH9PA
1mL ZH9PA 1x10\^10 CFU suspension in normal saline will be mixed with sodium bicarbonate 2%w/v to produce 150mL for oral administration
Biological: Placebo · Biological: ZH9PA
1mL ZH9PA 1x10\^10 CFU suspension in normal saline and 1mL ZH9 1x10\^10 CFU suspension in normal saline will be mixed with sodium bicarbonate 2%w/v to produce 150mL for oral administration
Biological: ZH9PA and ZH9 · Biological: Placebo
1mL (Cohorts 1 and 2) or 2mL (Cohort 3) normal saline will be mixed with sodium bicarbonate 2%w/v to produce 150mL for oral administration
Biological: ZH9PA and ZH9 · Biological: Placebo · Biological: ZH9PA
150mL vaccine for oral administration
Also known as: Entervax
150mL vaccine for oral administration
150mL vaccine for oral administration
Number of Participants With Treatment Emergent Adverse Events
Number of adverse events as assessed by adverse events, laboratory safety tests (biochemistry, haematology, urinalysis), vital signs and physical examination.
Time frame: From Day 0 to Day 84
Number of Participants With Abnormal Clinically or Non-clinically Significant or Out of Expected Range Tests
Tests include blood pressure, heart rate, physical examination, laboratory biochemistry, haematology and urinalysis tests
Time frame: From Day 0 to Day 84
Number of Participants With Serious Adverse Events
Incidence of Serious adverse events
Time frame: From Day 85 to Day 224
Number of Participants With Abnormal Clinically or Non-clinically Significant or Out of Expected Range Tests
Tests include blood pressure, heart rate, physical examination, laboratory biochemistry, haematology and urinalysis tests if these assessments are undertaken for cause.
Time frame: From Day 85 to Day 224
Fold-Increase Serum IgG Antibody Concentration of Specific Serum Immunoglobulin (Ig)G Antibodies to the Antigen H:a
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen H:a
Time frame: Day 0, Day 21, Day 42, and Day 84
Fold-Increase Serum IgG Antibody Concentration of Specific Serum Immunoglobulin (Ig)G Antibodies to the Antigen H:d
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen H:d
Time frame: Day 0, Day 21, Day 42, and Day 84
Fold-Increase Serum IgG Antibody Concentration of Specific Serum Immunoglobulin (Ig)G Antibodies to the Antigen LPSO:2
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen LPSO:2
Time frame: Day 0, Day 21, Day 42, and Day 84
Fold-Increase Serum IgG Antibody Concentration of Specific Serum Immunoglobulin (Ig)G Antibodies to the Antigen LPSO:9
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen LPSO:9
Time frame: Day 0, Day 21, Day 42, and Day 84
Forty-six (46) subjects (45 and 1 replacement) were enrolled into the study and dosed. The study started (first visit) on 16 December 2019 and recruitment was completed by 19 June 2020.
| Milestone | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Started | 7 | 12 | 12 | 15 |
| Completed | 6 | 12 | 11 | 15 |
| Not completed | 1 | 0 | 1 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 | 1 | 0 |
Number of adverse events as assessed by adverse events, laboratory safety tests (biochemistry, haematology, urinalysis), vital signs and physical examination.
| Participants | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events | 4 | 9 | 8 | 9 |
Tests include blood pressure, heart rate, physical examination, laboratory biochemistry, haematology and urinalysis tests
| Participants | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Number of Participants With Abnormal Clinically or Non-clinically Significant or Out of Expected Range Tests | 0 | 0 | 0 | 0 |
Incidence of Serious adverse events
| Participants | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Number of Participants With Serious Adverse Events | 0 | 0 | 0 | 0 |
Tests include blood pressure, heart rate, physical examination, laboratory biochemistry, haematology and urinalysis tests if these assessments are undertaken for cause.
| Participants | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Number of Participants With Abnormal Clinically or Non-clinically Significant or Out of Expected Range Tests | 0 | 0 | 0 | 0 |
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen H:a
| Fold-Increase | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Day 21 | 0.984 (0.594 to 1.375) | 1.470 (1.194 to 1.746) | 1.106 (0.817 to 1.394) | 1.055 (0.808 to 1.302) |
| Day 42 | 1.346 (-1.721 to 4.414) | 4.522 (2.353 to 6.691) | 1.349 (-0.917 to 3.614) | 1.119 (-0.822 to 3.059) |
| Day 84 | 1.643 (-0.812 to 4.098) | 4.968 (3.232 to 6.704) | 2.417 (0.604 to 4.230) | 1.372 (-0.181 to 2.925) |
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen H:d
| Fold-Increase | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Day 21 | — | — | 8.068 (6.760 to 9.376) | 0.878 (-0.374 to 2.130) |
| Day 42 | — | — | 6.783 (5.731 to 7.836) | 0.838 (-0.170 to 1.846) |
| Day 84 | — | — | 5.819 (4.693 to 6.946) | 0.875 (-0.204 to 1.953) |
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen LPSO:2
| Fold-Increase | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Day 21 | 2.489 (-5.270 to 10.248) | 4.466 (-1.020 to 9.953) | 15.858 (10.127 to 21.589) | 0.964 (-3.943 to 5.872) |
| Day 42 | 3.061 (-0.658 to 6.780) | 3.305 (0.675 to 5.935) | 8.877 (6.130 to 11.624) | 0.939 (-1.413 to 3.292) |
| Day 84 | 2.621 (1.157 to 4.085) | 2.759 (1.723 to 3.794) | 4.386 (3.305 to 5.468) | 1.024 (0.098 to 1.950) |
Fold Increase Serum IgG Antibody Concentration of specific serum immunoglobulin (Ig)G antibodies to the antigen LPSO:9
| Fold-Increase | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| Day 21 | — | — | 19.292 (5.265 to 33.320) | 1.005 (-12.425 to 14.436) |
| Day 42 | — | — | 11.103 (4.275 to 17.931) | 0.845 (-5.692 to 7.383) |
| Day 84 | — | — | 9.686 (3.074 to 16.297) | 0.998 (-5.332 to 7.328) |
Collected over Up to 12 weeks post-dose (Day 84). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ZH9PA 1x10^9 CFU | 0/7 (0%) | 0/7 (0%) | 4/7 (57.1%) |
| ZH9PA 1x10^10 CFU | 0/12 (0%) | 0/12 (0%) | 9/12 (75%) |
| ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | 0/12 (0%) | 0/12 (0%) | 8/12 (66.7%) |
| Placebo | 0/15 (0%) | 0/15 (0%) | 9/15 (60%) |
| Event | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo |
|---|---|---|---|---|
| HeadacheNervous system disorders | 0/7 | 4/12 | 3/12 | 4/15 |
| NasopharyngitisInfections and infestations | 0/7 | 2/12 | 0/12 | 2/15 |
| VomitingGastrointestinal disorders | 1/7 | 1/12 | 2/12 | 0/15 |
| DiarrhoeaGastrointestinal disorders | 1/7 | 0/12 | 2/12 | 0/15 |
| Abdominal painGastrointestinal disorders | 1/7 | 1/12 | 1/12 | 0/15 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 1/7 | 1/12 | 0/12 | 1/15 |
| DyspepsiaGastrointestinal disorders | 1/7 | 0/12 | 0/12 | 0/15 |
| Influenza like illnessGeneral disorders | 1/7 | 0/12 | 0/12 | 0/15 |
| Taste disorderNervous system disorders | 1/7 | 0/12 | 0/12 | 0/15 |
| NauseaGastrointestinal disorders | 0/7 | 1/12 | 1/12 | 1/15 |
| Age, Continuous(years) | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo | Total |
|---|---|---|---|---|---|
| Mean | 33.4 ± 3.69 | 33.0 ± 7.87 | 34.4 ± 5.81 | 36.9 ± 5.52 | 34.7 ± 6.12 |
| Sex: Female, Male(Participants) | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo | Total |
|---|---|---|---|---|---|
| Female | 3 | 5 | 7 | 3 | 18 |
| Male | 4 | 7 | 5 | 12 | 28 |
| Race (NIH/OMB)(Participants) | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo | 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 | 0 | 0 | 0 | 0 | 0 |
| White | 6 | 12 | 12 | 14 | 44 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 1 | 0 | 0 | 1 | 2 |
| Region of Enrollment(Participants) | ZH9PA 1x10^9 CFU | ZH9PA 1x10^10 CFU | ZH9PA 1x10^10 CFU Plus ZH9 1x10^10 CFU | Placebo | Total |
|---|---|---|---|---|---|
| United Kingdom | 7 | 12 | 12 | 15 | 46 |
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Prokarium Ltd