ClinicalTrials.gg
CompletedNCT06007781Updated Mar 14, 2025Results posted

Safety and Immunogenicity of HIL-214 in Healthy Japanese Infants

A Phase 1 interventional study of Placebo and HIL-214 in Gastroenteritis, sponsored by HilleVax. Completed at 4 sites in Japan. Open to participants aged 5 Months to 5 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-14.

Sponsored by HilleVax (part of Ligand Pharmaceuticals Incorporated) · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
5 Months to 5 Months
Sex
All
01

Study summary

This is a phase 1, randomized, double-blind multi-center, placebo-controlled trial in Japan to evaluate the safety and immunogenicity of HIL-214 in healthy infants 5 months of age (-14/+14 days) at first trial vaccine administration. In this protocol, because the trial is blinded, trial vaccine refers to both the investigational vaccine (HIL-214) and placebo.

Read the detailed description

The rationale for trial NOR-109 is to evaluate the safety and immunogenicity of HIL-214 in Japanese pediatric subjects and establish whether the data obtained is consistent with that previously obtained for non-Japanese pediatric subjects.

The clinical trials for HIL-214 have so far been performed in Europe, the United States and several countries in Latin America [26]. The incidence rate of norovirus-attributable disease in Japan is at least as high as in other developed countries with the highest rates occurring in children below the age of 5 years and hospitalization most common in very young and very old populations. The inclusion of infants (5 months [±14 days] of age at the time of first trial vaccine administration) serves to compare the data obtained for infants of non-Japanese descent with Japanese infants, in alignment with the global clinical program, and to support the inclusion of Japanese infants into phase 3. Enrollment and vaccination of the infants will be performed either before or after the required routine childhood vaccines per the national immunization schedule.

This phase 1 trial in Japan aims to assess the safety and immunogenicity of two doses of HIL-214 administered 4 to 8 weeks apart, in 21 healthy infants aged 5 months at the time of the first trial vaccine dose administration. A placebo arm is included to allow an unbiased assessment of safety and immunogenicity.

02

Conditions studied

  • Gastroenteritis

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03

In context

Gastroenteritis

237 studies on the registry are indexed under Gastroenteritis; 16 are open to participants now.

This study's enrollment of 21 is below the median of 136 across 164 interventional studies indexed under Gastroenteritis.

Browse Gastroenteritis studies →

Lead sponsor

HilleVax is the lead sponsor of 4 studies on the registry; none are open to participants now.

First submitted before HilleVax became part of Ligand Pharmaceuticals Incorporated.

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

04

Who can participate

Ages eligible
5 Months to 5 Months
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

  • Male or female subject aged 5 months [-14/+14 days].
  • Infants who are in good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs) and clinical judgment of the investigator.
  • The subject's legally acceptable representative (LAR) signs and dates a written, form (ICF) and any required privacy authorization prior to the initiation of any trial procedures, after the nature of the trial has been explained according to local regulatory requirements.
  • The subject's LAR is willing and able to comply with trial procedures and is available for the duration of follow-up.

Exclusion criteria

Exclusion Criteria

  • abnormality in growth by length/height, weight, or head circumference (according to national guidelines).
  • Gastrointestinal abnormalities or any chronic gastrointestinal disease, including any uncorrected congenital malformation of the gastrointestinal tract according to medical history and/or physical examination.
  • Chronic use of oral (equivalent to 20 mg/day prednisolone for ≥12 weeks / ≥2 mg/kg body weight /day for ≥2 weeks) within 60 days prior to Visit 1 (use of inhaled, intranasal, or topical corticosteroids are allowed).
  • Use of parenteral corticosteroids (equivalent to 20 mg/day prednisolone for ≥12 weeks / ≥2 mg/kg body weight /day for ≥2 weeks. Use of inhaled, intranasal, or topical corticosteroid is allowed) within 60 days prior to Visit 1.
  • Receipt of immunostimulants within 60 days prior to Visit 1.
  • Receipt of parenteral, epidural, or intra-articular immunoglobulin (Ig) preparations, blood products, and/or plasma derivatives within 90 days prior to Visit 1 or planned during the full duration of the trial.
  • Receipt of therapy prior to Visit 1.
  • Known or allergy to any of the trial vaccine components (including ).
  • Any clinically significant active infection (as assessed by the investigator) or temperature ≥38.0°C (>100.4°F), regardless of method used, within 3 days prior to intended trial vaccine administration.
  • Gastroenteritis within 7 days before planned dosing (can warrant delay of trial vaccine administration).
  • History of, e.g., convulsions/febrile convulsions, or any illness, that, in the opinion of the investigator, might interfere with the results of the trial or pose additional risk to the subjects due to participation the trial.
  • Abnormalities of splenic or thymic function.
  • Known or suspected impairment/alteration of immune function.
  • Known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  • Receipt or scheduled receipt of any other approved or authorized vaccines within 14 days (for all non- or oral live vaccines) or 28 days (for parenteral live vaccines) before or after trial vaccine administration.
  • Participation in any clinical trial with another product 30 days prior to first trial visit or intention to participate in another clinical trial at any time during the conduct of this trial.
  • Seropositive for, or in evaluation for, possible infection.
Terms in these criteria, in plain language(9)

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.

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.

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.

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.

Excipients

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

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

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.

05

Study design

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

Study arms

  • Placebo comparator
    Placebo

    One dose of placebo on Day 1 and one dose of placebo between Day 29 and Day 57

    Biological: Placebo

  • Experimental
    Experimental

    One dose of HIL-214 on Day 1 and one dose of HIL-214 between Day 29 and Day 57

    Biological: HIL-214

Interventions

  • BiologicalPlacebo

    2 injections - given on Day 1 and the second given between Day 29 - Day 57

  • BiologicalHIL-214

    2 injections - given on Day 1 and the second given between Day 29 - Day 57

06

What researchers measure

Primary outcomes

  1. Safety of HIL-214 Compared to Placebo - AEs Leading to Trial Withdrawal

    Percentage of Participants with Adverse Events (AEs) Leading to Trial Withdrawal

    Time frame: Day 1 to 6 months post-dose 2

  2. Safety of HIL-214 Compared to Placebo - Solicited Local Adverse Events

    Percentage of Participants with Solicited Local (Injection Site) Adverse Events (AEs) Within 7 Days of Vaccine Administration (any dose). Assessed AEs included pain, erythema, induration, and swelling.

    Time frame: Day 1 to Day 7 post-dose 1 and Day 1 to Day 7 post-dose 2 (Day 36 to Day 56)

  3. Safety of HIL-214 Compared to Placebo - Solicited Systemic Adverse Events

    Percentage of Participants with Solicited Systemic Adverse Events (AEs) Within 7 Days of Vaccine Administration. Assessed AEs included drowsiness, irritability/fussiness, loss of appetite, fever, vomiting, and diarrhea.

    Time frame: Day 1 to Day 7 post-dose 1 and Day 1 to Day 7 post-dose 2 (Day 36 to Day 56)

  4. Safety of HIL-214 Compared to Placebo - Percentage of Participants With AEs Leading to Vaccine Withdrawal

    Percentage of participants with AEs that lead to withdrawal of trial vaccine up to the planned time of second dose administration.

    Time frame: Up to 56 days post-dose 1

Secondary outcomes

  1. Immunogenicity of HIL-214 Compared to Placebo.

    The percentage of participants with a predefined seroresponse (≥4-fold rise in antibody concentration) at Visit 2, Visit 3, and/or Visit 4 to the GI.1 and GII.4c components of HIL-214 and 95% confidence interval are reported. HBGA-blocking and pan-Ig assays were used for immunogenicity analyses.

    Time frame: Day 1 to 6 months post-dose 2

07

Results

Posted Mar 14, 2025

Participant flow

Participants took part in the trial at 4 investigative sites in Japan from 18 August 2023 to 27 May 2024

Participant flow — Overall Study
MilestonePlaceboHIL-214
Started714
Completed714
Not completed00

Outcome measures

PrimarySafety of HIL-214 Compared to Placebo - AEs Leading to Trial Withdrawal

Percentage of Participants with Adverse Events (AEs) Leading to Trial Withdrawal

Time frame:
Day 1 to 6 months post-dose 2
Reported as:
Number · Percentage of Participants
Safety of HIL-214 Compared to Placebo - AEs Leading to Trial Withdrawal
Percentage of ParticipantsPlaceboHIL-214
Safety of HIL-214 Compared to Placebo - AEs Leading to Trial Withdrawal00
PrimarySafety of HIL-214 Compared to Placebo - Solicited Local Adverse Events

Percentage of Participants with Solicited Local (Injection Site) Adverse Events (AEs) Within 7 Days of Vaccine Administration (any dose). Assessed AEs included pain, erythema, induration, and swelling.

Time frame:
Day 1 to Day 7 post-dose 1 and Day 1 to Day 7 post-dose 2 (Day 36 to Day 56)
Reported as:
Number · Percentage of Participants
Safety of HIL-214 Compared to Placebo - Solicited Local Adverse Events
Percentage of ParticipantsPlaceboHIL-214
Any solicited local AE042.9
Pain014.3
Erythema014.3
Induration014.3
Swelling014.3
PrimarySafety of HIL-214 Compared to Placebo - Solicited Systemic Adverse Events

Percentage of Participants with Solicited Systemic Adverse Events (AEs) Within 7 Days of Vaccine Administration. Assessed AEs included drowsiness, irritability/fussiness, loss of appetite, fever, vomiting, and diarrhea.

Time frame:
Day 1 to Day 7 post-dose 1 and Day 1 to Day 7 post-dose 2 (Day 36 to Day 56)
Reported as:
Number · Percentage of Participants
Safety of HIL-214 Compared to Placebo - Solicited Systemic Adverse Events
Percentage of ParticipantsPlaceboHIL-214
Any solicited systemic AE14.364.3
Drowsiness14.335.7
Irritability/fussiness035.7
Loss of appetite021.4
Fever07.1
Vomiting021.4
Diarrhea035.7
PrimarySafety of HIL-214 Compared to Placebo - Percentage of Participants With AEs Leading to Vaccine Withdrawal

Percentage of participants with AEs that lead to withdrawal of trial vaccine up to the planned time of second dose administration.

Time frame:
Up to 56 days post-dose 1
Reported as:
Number · Percentage of Participants
Safety of HIL-214 Compared to Placebo - Percentage of Participants With AEs Leading to Vaccine Withdrawal
Percentage of ParticipantsPlaceboHIL-214
Safety of HIL-214 Compared to Placebo - Percentage of Participants With AEs Leading to Vaccine Withdrawal00
SecondaryImmunogenicity of HIL-214 Compared to Placebo.

The percentage of participants with a predefined seroresponse (≥4-fold rise in antibody concentration) at Visit 2, Visit 3, and/or Visit 4 to the GI.1 and GII.4c components of HIL-214 and 95% confidence interval are reported. HBGA-blocking and pan-Ig assays were used for immunogenicity analyses.

Time frame:
Day 1 to 6 months post-dose 2
Reported as:
Number · Percentage of Participants
Immunogenicity of HIL-214 Compared to Placebo.
Percentage of ParticipantsPlaceboHIL-214
Anti-GI.1 HBGA-blocking seroresponse rate at Visit 20 (0.0 to 41.1)87.5 (47.3 to 99.7)
Anti-GI.1 HBGA-blocking seroresponse rate at Visit 30 (0.0 to 41.1)100 (73.5 to 100.0)
Anti-GI.1 HBGA-blocking seroresponse rate at Visit 40 (0.0 to 41.1)100 (73.5 to 100.0)
Anti-GII.4c HBGA-blocking seroresponse rate at Visit 20 (0.0 to 41.1)23.1 (5.0 to 53.8)
Anti- GII.4c HBGA-blocking seroresponse rate at Visit 30 (0.0 to 41.1)92.3 (64.0 to 99.8)
Anti- GII.4c HBGA-blocking seroresponse rate at Visit 428.6 (3.7 to 71.0)84.6 (54.6 to 98.1)
Anti-GI.1 and GII.4c HBGA-blocking seroresponse rate at Visit 20 (0.0 to 41.1)37.5 (8.5 to 75.5)
Anti-GI.1 and GII.4c HBGA-blocking seroresponse rate at Visit 30 (0.0 to 41.1)91.7 (61.5 to 99.8)
Anti- GI.1 and GII.4c HBGA-blocking seroresponse rate at Visit 40 (0.0 to 41.1)84.6 (54.6 to 98.1)
Anti-GI.1 pan-Ig seroresponse rate at Visit 20 (0.0 to 41.1)100 (75.3 to 100.0)
Anti-GI.1 pan-Ig seroresponse rate at Visit 30 (0.0 to 41.1)100 (75.3 to 100.0)
Anti-GI.1 pan-Ig seroresponse rate at Visit 40 (0.0 to 41.1)100 (75.3 to 100.0)
Anti-GII.4c pan-Ig seroresponse rate at Visit 20 (0.0 to 41.1)69.2 (38.6 to 90.9)
Anti-GII.4c pan-Ig seroresponse rate at Visit 30 (0.0 to 41.1)100 (75.3 to 100.0)
Anti-GII.4c pan-Ig seroresponse rate at Visit 428.6 (3.7 to 71.0)84.6 (54.6 to 98.1)
Anti-GI.1 and GII.4c pan-Ig seroresponse rate at Visit 20 (0.0 to 41.1)69.2 (38.6 to 90.9)
Anti-GI.1 and GII.4c pan-Ig seroresponse rate at Visit 30 (0.0 to 41.1)100 (75.3 to 100.0)
Anti- GI.1 and GII.4c pan-Ig seroresponse rate at Visit 40 (0.0 to 41.1)84.6 (54.6 to 98.1)

Adverse events

Collected over Serious adverse events from Day 1 to 6 months post-dose 2; Unsolicited adverse events from Day 1 to 28 days post-dose 1 and Day 1 to 28 days post-dose 2.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/7 (0%)0/7 (0%)7/7 (100%)
HIL-2140/14 (0%)1/14 (7.1%)14/14 (100%)
Most frequent serious events
Most frequent serious events
EventPlaceboHIL-214
HaematocheziaGastrointestinal disorders0/71/14
Gastroenteritis norovirusInfections and infestations0/71/14
Most frequent other events
Showing 10 of 18
Most frequent other events
EventPlaceboHIL-214
NasopharyngitisInfections and infestations4/73/14
Dermatitis contactSkin and subcutaneous tissue disorders2/72/14
ConjunctivitisInfections and infestations1/71/14
ConjunctivitisInfections and infestations1/70/14
Upper respiratory tract infectionInfections and infestations1/72/14
Dermatitis diaperSkin and subcutaneous tissue disorders1/70/14
Eczema infantileSkin and subcutaneous tissue disorders0/72/14
DiarrheaGastrointestinal disorders1/72/14
DyspepsiaGastrointestinal disorders1/70/14
VomitingGastrointestinal disorders0/72/14

Baseline characteristics

Safety Analysis Set, all participants that received trial vaccine (HIL-214 or placebo).

Age, Continuous
Age, Continuous(days)PlaceboHIL-214Total
Mean152.9 ± 7.60150.9 ± 7.72151.6 ± 7.55
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboHIL-214Total
Female3710
Male4711
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboHIL-214Total
Hispanic or Latino000
Not Hispanic or Latino71421
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboHIL-214Total
American Indian or Alaska Native000
Asian71421
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)PlaceboHIL-214Total
Japan71421
Weight
Weight(kg)PlaceboHIL-214Total
Mean7.23 ± 0.5967.31 ± 0.8157.29 ± 0.735
Length
Length(cm)PlaceboHIL-214Total
Mean63.96 ± 1.93664.27 ± 2.08364.17 ± 1.992
Head circumference
Head circumference(cm)PlaceboHIL-214Total
Mean41.86 ± 1.28241.66 ± 1.87341.73 ± 1.668
08

Study locations

4 sites
  • Fukui Aiiku Hospital
    Fukui-Shi, 910-0833, Japan
  • Iizuka Children's Clinic
    Iizuka-Shi, 820-0040, Japan
  • Childrens Clinic of Kose
    Kofu-Shi, 400-0853, Japan
  • Ohigesenseino Kodomo Clinic
    Sapporo-Shi, 062-0907, Japan
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06007781
Lead sponsor
HilleVax
Responsible party
Sponsor
First posted
Aug 23, 2023
Start date
Aug 18, 2023
Primary completion
May 27, 2024
Completion
May 27, 2024
Results posted
Mar 14, 2025
Last update
Mar 14, 2025

Oversight

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

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