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CompletedNCT05559983Updated Mar 25, 2025

Dose Escalation Study to Evaluate the Safety and Immunogenicity of the Cholera Conjugate Vaccine in Healthy Adults

A Phase 1 interventional study of OSP:rTTHc Cholera Conjugate Vaccine Cohort A and OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort A in Cholera Vaccination Reaction, sponsored by International Vaccine Institute. Completed at 3 sites in Korea, Republic of. Open to participants aged 19 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-25.

Sponsored by International Vaccine Institute · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
19 Years to 45 Years
Sex
All
01

Study summary

This Phase I, first-in-human study is intended to primarily determine the safety of the dose range with or without Aluminum phosphate adjuvant expected to be needed for later clinical studies, to determine the nature of adverse reactions (i.e., safety profile) and to secondly assess the Aluminum phosphate humoral immune responses in non-endemic population to guide future dose selection.

Read the detailed description

A total of 150 eligible participants will be recruited in 3 sequential dose cohorts: low-dose 5 µg, medium-dose 10 µg, and high-dose 25 µg. In each dose cohorts, the participants will be randomized in a blinded manner into three arms (vaccine antigen with aluminum phosphate, vaccine antigen without Aluminum phosphate or placebo) in 2:2:1 ratio. All the participants will receive two intramuscular injections of 0.5 mL of the designated study vaccine or placebo on deltoid muscle, on Days 0 and 28.

The DSMB will review the safety data and approve dose escalation before investigational product injection of the next cohort is initiated.

The study primary objective is to evaluate the safety of the O Specific Polysaccharide recombinant Tetanus Toxoid Heavy Chain Fragment (OSP:rTTHc) cholera conjugate vaccine (CCV) after each dose vaccination.

The secondary objectives are:

  • To evaluate the Antibody response to OSP IgG against V. cholerae O1 after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination.
  • To evaluate the serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa 4 weeks after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination.

The exploratory objectives are:

  • To describe the anti tetanus toxoid (anti-TT) Immunoglobulin G (IgG) 4 weeks after each dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination.
  • To describe memory B cell responses 4 and 28 weeks after first dose vaccination of OSP:rTTHc CCV/placebo compared to pre-vaccination.
02

Conditions studied

  • Cholera Vaccination Reaction

Browse trials for

Keywords

  • Cholera Conjugate Vaccine
  • O Specific Polysaccharide
  • Recombinant Tetanus Toxoid Heavy Chain Fragment
03

In context

Cholera

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

This study's enrollment of 150 is below 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
19 Years to 45 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

  1. Healthy Korean participants aged 19 to 45 years at consent
  2. Participants willing to provide written to participate study voluntarily
  3. Participants who can be followed up during the study period and can comply with the study requirements
  4. Individual in good health as determined by the outcome of medical history, physical examination, laboratory evaluations and the clinical judgment of the investigator
  5. Females of with negative pregnancy test result on the day of screening
  6. Females of childbearing potential who agree to use an effective method* from the screening and p to 12 weeks after the second dose vaccination.
  7. Males who agree to use an effective birth control method* from the screening and up to 12 weeks after the second dose vaccination

Exclusion criteria

Exclusion Criteria:

  1. Known history or allergy to vaccine components and/or or other medications, or any other allergies deemed by the investigator to increase the risk of an adverse event if they were to participate in the trial
  2. Individuals with major congenital abnormalities which in the opinion of investigator may affect the participant's participation in the study
  3. Known history of immune function disorders including immunodeficiency diseases (known infection or other immune function disorders)
  4. Use of systemic within past 6 months (>10 mg/day prednisone equivalent for periods exceeding 2 consecutive weeks), or receive chemotherapy, radiation therapy or other drugs within the past 6 months.
  5. Individuals with behavioral or cognitive impairment or psychiatric disease or neural disorders that, in the opinion of the investigator, could interfere with the participant's ability to participate in the trial
  6. Individuals with splenectomy
  7. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time resulting in for intramuscular injections/blood extractions
  8. Receipt of blood, blood-derived products, or immunoglobulin products in the past 3 months
  9. Individuals who have received other vaccines from 4 weeks prior to the first dose of test vaccination or planned to receive any vaccine within 4 weeks of the last dose of the investigational product
  10. (BMI) ≥ 35 kg/m2
  11. Individuals with active or previous Vibrio cholerae infection
  12. Individuals with history of severe diarrhea requiring hospitalization or emergency room visit for the last 5 years
  13. Individuals with receipt of a cholera vaccine
  14. Individuals who lived in cholera endemic areas for more than 6 months for the past 10 years
  15. As per Investigator's medical judgement, an individual could be excluded from the study despite meeting all inclusion/exclusion criteria mentioned above
  16. Any female participant who is lactating*, pregnant or planning for pregnancy** during study period
  17. Individuals enrolled in another clinical trial or bioequivalence test during 6 months prior to enrollment, concomitantly enrolled or scheduled to be enrolled in another trial
  18. Individuals who are research staff involved with the clinical study or family/household members of research staff
Terms in these criteria, in plain language(10)

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.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    OSP:rTTHc Cholera Conjugate Vaccine

    2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart

    Biological: OSP:rTTHc Cholera Conjugate Vaccine Cohort A · Biological: OSP:rTTHc Cholera Conjugate Vaccine Cohort B · Biological: OSP:rTTHc Cholera Conjugate Vaccine Cohort C

  • Experimental
    OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant

    2 doses @0.5 mL of test vaccine administered intramuscularly in deltoid region at 4 weeks apart

    Biological: OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort A · Biological: OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort B · Biological: OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort C

  • Placebo comparator
    Placebo

    2 doses @0.5 mL of Sterile 0.9% sodium chloride administered intramuscularly in deltoid region at 4 weeks apart

    Other: Placebo Cohort A · Other: Placebo Cohort B · Other: Placebo Cohort C

Interventions

  • BiologicalOSP:rTTHc Cholera Conjugate Vaccine Cohort A

    OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 5 µg of OSP:rTTHc

  • BiologicalOSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort A

    OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 5 µg of OSP:rTTHc

  • OtherPlacebo Cohort A

    Sterile 0.9% sodium chloride

  • BiologicalOSP:rTTHc Cholera Conjugate Vaccine Cohort B

    OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 10 µg of OSP:rTTHc

  • BiologicalOSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort B

    OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 10 µg of OSP:rTTHc

  • OtherPlacebo Cohort B

    Sterile 0.9% sodium chloride

  • BiologicalOSP:rTTHc Cholera Conjugate Vaccine Cohort C

    OSP:rTTHc Cholera Conjugate Vaccine without Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc

  • BiologicalOSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate adjuvant Cohort C

    OSP:rTTHc Cholera Conjugate Vaccine with Aluminum phosphate with dose formulation 25 µg of OSP:rTTHc

  • OtherPlacebo Cohort C

    Sterile 0.9% sodium chloride

06

What researchers measure

Primary outcomes

  1. Serious adverse events (SAEs) and adverse events of special interest (AESIs)

    Occurrence of any SAEs/AESIs from the time of the first dose of study vaccine

    Time frame: Entire study participation period (approximately 7 months)

  2. Immediate adverse events

    Occurrence of immediate adverse events within 30 minutes from the time of each study vaccination.

    Time frame: Within 30 minutes post each dose

  3. Solicited adverse events

    Occurrence of solicited injection site and solicited systemic adverse events from the time of each study vaccination through 7 days after each study vaccination

    Time frame: Within 7 days post each dose

  4. Unsolicited adverse events

    Occurrence of unsolicited adverse events from the time of each study vaccination through 28 days after each study vaccination.

    Time frame: Within 28 days post each dose

  5. Clinical safety laboratory parameters

    Occurrence of clinically significant changes in clinical safety laboratory parameters from the time of each vaccination through 28 days after each study vaccination.

    Time frame: Within 28 days post each dose

Secondary outcomes

  1. Seroconversion rates of IgG antibody responses to OSP

    Proportion of participants achieving seroconversion (defined as a 4-fold increase of serum anti-OSP IgG antibody titer at approximately 28 days after the first and second dose of investigational product compared to baseline

    Time frame: Baseline and at 28 days post the first and second dose

  2. Geometric Mean Titers (GMTs) of serum anti-OSP IgG

    GMTs of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product compared to baseline

    Time frame: Baseline and at 28 days post the first and second dose

  3. Geometric Mean Fold Rise (GMFR) of serum anti-OSP IgG

    GMFR of serum anti-OSP IgG antibodies at 28 days after the first and second dose of investigational product

    Time frame: At 28 days post the first and second dose

  4. Seroconversion rates of serum vibriocidal antibody titers

    Proportion of participants with a 4-fold or greater rises in serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa, relative to baseline, 28 days after the first and second dose of investigational product compared to baseline

    Time frame: Baseline and at 28 days post the first and second dose

  5. GMT of serum vibriocidal antibody titers

    Geometric Mean Titers (GMT) of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product compared to baseline .

    Time frame: Baseline and at 28 days post the first and second dose

  6. GMFR of serum vibriocidal antibody titers

    GMFR of serum vibriocidal antibody titers against V. cholerae O1 Inaba and V. cholerae O1 Ogawa at 28 days after the first and second dose of investigational product

    Time frame: At 28 days post the first and second dose

Other outcomes

  1. Seroconversion of serum anti-TT antibody titer

    Proportion of participants achieving seroconversion (defined as at least 4-fold increase) of serum anti-TT antibody titer at 28 days after first and second dose vaccination compared to baseline

    Time frame: Baseline and at 28 days post the first and second dose

  2. Memory B Cell responses

    Memory B Cell responses measured by Elispot assay at 28 days after the first dose vaccination and 6 months after second dose vaccination compared to baseline.

    Time frame: Baseline, 28 days, and 6 months

07

Study locations

3 sites
  • The Catholic University of Korea Seoul St. Mary's Hospital
    Seoul, 06591, Korea, Republic of
  • CHA Bundang Medical Center (CBMC) of CHA University
    Seoul, 08826, Korea, Republic of
  • Soon Chun Hyang University Hospital
    Seoul, 08826, Korea, Republic of
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 Dec 2022 to primary completion in Sep 2023, 9 months.

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

Registered
Sep 21, 2022
First posted
Sep 29, 2022
StartActual
Dec 5, 2022
Primary completionActual
Sep 8, 2023
CompletionActual
Jan 23, 2024
Last update
Mar 25, 2025
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 Mar 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05559983
Lead sponsor
International Vaccine Institute
Collaborators
EuBiologics Co.,Ltd, Massachusetts General Hospital
Responsible party
Sponsor
First posted
Sep 29, 2022
Start date
Dec 5, 2022
Primary completion
Sep 8, 2023
Completion
Jan 23, 2024
Last update
Mar 25, 2025

Study contacts

Anh Wartel, MD
principal investigator · +82 2 8811 274

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 Mar 2025. You cannot join it, but the record below documents what was studied.

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