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S.sonnei vaccine

Phase 2

Dysentery, Bacillary | Monoclonal antibody | Other |GSK plc|Last Updated: Jul 28, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment71
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03527173A Study to Evaluate the Efficacy, Safety and Immunogenicity of a Vaccine Designed to Protect Against Infection With Shigella Sonnei in Healthy AdultsPHASE2 COMPLETED 71Aug 29, 2018Nov 11, 2019Jul 28, 20201 United States
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Study Endpoints
Primary Endpoints
Percentage of Subjects With at Least One Episode of Shigellosis According to the Protocol Primary Case Definition
Starting with the challenge visit (Day 57) and lasting up to the end of the inpatient stay (Day 64)

Attack rate of shigellosis expressed as percentage of subjects with at least one episode of shigellosis after challenge, and 90% confidence interval (CI) (Clopper-Pearson method). Episodes of shigellosis fulfilling primary case definition: Shedding of S. sonnei 53G accompanied by moderate or severe diarrhea OR shedding with oral temperature greater than or equal to (≥) 38.5°C. Moderate diarrhea consists of 4 to 5 loose or watery (Grade \[G\]3 to 5) stools or 400 to 800 grams of G3 to 5 stools within 24 hours. Severe diarrhea consists of 6 or more loose or watery (G3 to 5) stools or \> 800 grams of G3 to 5 stools within 24 hours or required medical intervention. In case of severe diarrhea, medical intervention is defined as intravenous fluids administration or anticipation of antibiotic treatment before the 5th day after challenge. G3 = viscous opaque liquid or semi-liquid which assumes the shape of the bowl; G4 = watery opaque liquid; G5 = clear watery or mucoid liquid.

Secondary Endpoints
Percentage of Subjects With at Least One Episode of Shigellosis According to Controlled Human Infection Model (CHIM) Working Group Case Definition for Shigellosis
Starting with the challenge visit (Day 57) and lasting up to the end of the inpatient stay (Day 64)
Percentage of Subjects With at Least One Episode of Shigellosis
Starting with the challenge visit (Day 57) and lasting up to the end of the inpatient stay (Day 64)
Percentage of Subjects With at Least One Episode of More Severe Shigellosis
Starting with the challenge visit (Day 57) and lasting up to the end of the inpatient stay (Day 64)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
S. sonnei GroupEXPERIMENTALMale or female subjects between, and including, 18 and 50 years of age at the time of the first vaccination, received 2 doses of the S. sonnei study vaccine at Day 1 and Day 29 respectively, by intramuscular injection into the upper deltoid region of the non-dominant arm. At 28 days after the second dose (Day 57), subjects received the challenge dose of S. sonnei 53G strain, orally.
Placebo GroupPLACEBO_COMPARATORMale or female subjects between, and including, 18 and 50 years of age at the time of the first vaccination, received 2 doses of the placebo at Day 1 and Day 29 respectively, by intramuscular injection into the upper deltoid region of the non-dominant arm. At 28 days after the second dose (Day 57), subjects received the challenge dose of S. sonnei 53G strain, orally.
Interventions
NameTypeDescription
S.sonnei vaccineBIOLOGICALSubjects receiving 2 doses of the study vaccine by intramuscular route, 28 days apart (at Day 1 and Day 29).
PlaceboDRUGSubjects receiving 2 doses of placebo by intramuscular route, 28 days apart (at Day 1 and Day 29).
S. sonnei 53G challenge strainBIOLOGICALSubjects receiving the challenge dose of S. sonnei 53G strain, orally, at Day 57.
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Eligibility Criteria
Age Range18 Years — 50 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol. * Written informed consent obtained from the subject prior to performing any study specific procedure. * Individuals who, after the nature of the study has been explain...

Countries:United States
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