ClinicalTrials.gg
CompletedNCT04760236Updated Jun 22, 2023

Immune Non-Inferiority, Safety and Lot-to-Lot Consistency of Oral Cholera Vaccine-Simplified Compared to Shanchol™

A Phase 3 interventional study of Oral Cholera Vaccine Simplified (OCV-S) and Shanchol™ in Cholera, sponsored by International Vaccine Institute. Completed at 4 sites in Nepal. Open to participants aged 1 Year to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-22.

Sponsored by International Vaccine Institute · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
2,530
Allocation
Randomized
Ages
1 Year to 40 Years
Sex
All
01

Study summary

This study is to evaluate immune non-inferiority, safety and lot-to-lot consistency of OCV-S compared to Shanchol™ in 1 to 40 years old healthy Nepalese participants. The investigators hypothesize that the simplified formulation is able to induce non-inferior immunogenicity compared to licensed OCV, Shanchol™.

02

Conditions studied

  • Cholera

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03

In context

Cholera

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

This study's enrollment of 2,530 is above the median of 262 across 72 interventional studies indexed under Cholera.

Browse Cholera studies →

Lead sponsor

International Vaccine Institute is the lead sponsor of 47 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
1 Year to 40 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 participants 1 to 40 years of age at enrollment
  • Participants/Parent(s)/Legally authorized representative (LAR) willing to provide written to participate study voluntarily
  • Participants/Parent(s)/LAR who can be followed up during the study period and can comply with the study requirements

Exclusion criteria

Exclusion Criteria:

  • Known history of reactions to other preventive vaccines
  • Severe chronic diseases or medical conditions based on the medical judgment of the investigator. In particular, a participant with a) chronic infection such as tuberculosis, or sequel of poliomyelitis, b) known history of immune function disorders, c) chronic use of systemic (>2 mg/kg/day or >20 mg/day prednisone equivalent for periods exceeding 10 days)/cytotoxic drugs/ within past 6 weeks, d) active with the exception of adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I cancer from which the participant is currently in complete remission, or any other cancer from which the participant has been disease-free for 5 years, e) Congestive heart failure, f) myocardial infarction within the previous 6 months, g) known -infected patients, h) neurological and/or psychiatric disorder, or i) known history of uncontrolled coagulopathy or blood disorders
  • Participant who planned to or has received other vaccines from 1 month prior to test vaccination excluding a public health vaccination campaign due to an outbreak
  • Participant concomitantly enrolled or scheduled to be enrolled in another trial
  • Receipt of blood or blood-derived products in the past 3 months
  • Participant who has previously received a cholera vaccine
  • Any female participant who is lactating, pregnant or planning for pregnancy during study period
  • Participants planning to move from the study area before the end of study period
  • Employees or the family members of the OCV-S study sites

Temporary :

Should a participant have one of the conditions/situations listed below, the Investigator will postpone primary or subsequent vaccination until the condition/situation is resolved.

  • Febrile illness (axillary temperature ≥ 37.5°C) or moderate or severe acute illness/infection on the day of vaccination or planned vaccination, according to Investigator's judgment.
  • Gastrointestinal symptoms including nausea, vomiting, or decreased appetite within 24 hours prior to study initiation.
  • Administration of antidiarrheal drugs or antibiotics to treat diarrhea or abdominal pain lasting 2 weeks or longer within 6 months prior to study initiation
  • Diarrhea occurring up to 1 week within 6 months prior to study initiation.

    • Lactation: Breastfeeding women will not be enrolled. Should a female participant decide to breastfeed during the vaccination period, she will be excluded from further vaccination, but will be followed for safety until the end of the study
    • Pregnancy Test is necessary for all married female participants of childbearing age.
Terms in these criteria, in plain language(7)

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,530 participants (actual)

Study arms

  • Experimental
    Oral Cholera Vaccine-Simplified (OCV-S) group (Lot 1)

    Participants (n=330) aged 18-40 years old will received OCV-S (Lot 1) according to 0-2 week schedule.

    Biological: Oral Cholera Vaccine Simplified (OCV-S)

  • Experimental
    Oral Cholera Vaccine-Simplified (OCV-S) group (Lot 2)

    Participants (n=330) aged 18-40 years old will received OCV-S (Lot 2) according to 0-2 week schedule.

    Biological: Oral Cholera Vaccine Simplified (OCV-S)

  • Experimental
    Oral Cholera Vaccine-Simplified (OCV-S) group (Lot 3)

    Participants (n=935) aged 1-40 years old will received OCV-S (Lot 3) according to 0-2 week schedule.

    Biological: Oral Cholera Vaccine Simplified (OCV-S)

  • Active comparator
    Shanchol™ group

    Participants (n=935) aged 1-40 years old will received Shanchol™ according to 0-2 week schedule.

    Biological: Shanchol™

Interventions

  • BiologicalOral Cholera Vaccine Simplified (OCV-S)

    * Manufacturer: EuBiologics Co., Ltd. * Oral administration

  • BiologicalShanchol™

    * Manufacturer: Shantha Biotechnics * Oral administration

06

What researchers measure

Primary outcomes

  1. Immune non-inferiority of OCV-S compared to Shanchol™ (i.e., one lot of OCV-S) as measured by seroconversion rates for all ages

    Proportion of participants showing seroconversion of vibriocidal titers against Vibrio cholerae O1 Inaba and O1 Ogawa 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™ for all ages

    Time frame: 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

  2. Vaccine Safety profile

    Frequency of solicited adverse events within 7 days post vaccination, unsolicited adverse events within 28 days post vaccination, Serious Adverse Events (SAEs) after each dose during the entire study period in all ages and in each age stratum

    Time frame: As in Description

Secondary outcomes

  1. Immune non-inferiority of OCV-S compared to Shanchol™ (i.e., one lot of OCV-S) as measured by GMT for all ages

    Geometric Mean Titer (GMT) of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™ for all ages

    Time frame: 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

  2. Immune non-inferiority of OCV-S compared to Shanchol™ (i.e., one lot of OCV-S) as measured by seroconversion rate in each age stratum

    Proportion of participants showing seroconversion against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™ in each age stratum

    Time frame: 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

  3. Immune non-inferiority of OCV-S compared to Shanchol™ (i.e., one lot of OCV-S) as measured by GMT in each age stratum

    Geometric Mean Titer of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™ in each age stratum

    Time frame: 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

  4. The equivalence of immunogenicity in 3 lots as measured by GMT

    Geometric Mean Titer of vibriocidal antibodies against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of 3 lots of OCV-S in adults

    Time frame: 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

Other outcomes

  1. The equivalence of immunogenicity in 3 lots as measured by seroconversion rates

    Proportion of participants showing seroconversion of vibriocidal titers against Vibrio cholerae O1 Inaba and Ogawa 2 weeks after second dose of 3 lots of OCV-S in adults

    Time frame: 2 weeks after second dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

  2. Vibriocidal antibody responses

    Seroconversion rate and GMT of vibriocidal antibody responses 2 weeks after first dose for all ages and for each age stratum

    Time frame: 2 weeks after first dose of either OCV-S (i.e., one lot of OCV-S) or Shanchol™

07

Study locations

4 sites
  • Nepalgunj medical college
    Banke, City- Nepalgunj, Nepal
  • B.P.Koirala Institute of Health Sciences
    Rautahat, Dharan, Nepal
  • Dhulikhel Hospital
    Kavre, Dhulikhel, Nepal
  • Kanti Children's Hospital
    Kathmandu, Sukedhara 44600, Nepal
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2021 to primary completion in Dec 2022, 14 months.

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

Registered
Jan 13, 2021
First posted
Feb 18, 2021
StartActual
Oct 6, 2021
Primary completionActual
Dec 22, 2022
CompletionActual
Mar 21, 2023
Last update
Jun 22, 2023
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 Jun 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04760236
Lead sponsor
International Vaccine Institute
Collaborators
EuBiologics Co.,Ltd
Responsible party
Sponsor
First posted
Feb 18, 2021
Start date
Oct 6, 2021
Primary completion
Dec 22, 2022
Completion
Mar 21, 2023
Last update
Jun 22, 2023

Study contacts

Julia Lynch, MD
principal investigator · International Vaccine Institution

Oversight

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

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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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