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Shigella4V2

Phase 2

Shigellosis | Monoclonal antibody | Other |Eli Lilly and Company|Trials Updated: Oct 1, 2026

Shigella4V2 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Jul 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment207

FDA Designations

No designations recorded

Shigella4V2 clinical trials

Shigella4V2 · 2 trials · 1 indication

Phase 2 2
NCT06523231Study to Expand Safety and Immunogenicity Data With Shigella Bioconjugate Vaccine (Shigella4V2) in 9-month-old Infants.Shigellosis
COMPLETED110 Analytics
NCT06615375A Human Challenge Study to Assess Protection of a Shigella Tetravalent Bioconjugate VaccineShigellosis
COMPLETED97 Analytics
PHASE2COMPLETED
Study to Expand Safety and Immunogenicity Data With Shigella Bioconjugate Vaccine (Shigella4V2) in 9-month-old Infants.
ShigellosisUnlock trial analytics
PHASE2COMPLETED
A Human Challenge Study to Assess Protection of a Shigella Tetravalent Bioconjugate Vaccine
ShigellosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety - Solicited Local and Systemic Adverse Events (AEs)
During 7 days following each vaccination

Safety and tolerability of the candidate vaccine Shigella4V2 as determined by occurrence, severity, and relationship of solicited AEs

Safety - Unsolicited Adverse Events (AEs)
During 28 days following each vaccination

Safety and tolerability of the candidate vaccine Shigella4V2 as determined by occurrence, severity, and relationship of unsolicited AEs

Safety - Serious Adverse Events (SAEs)
Throughout the study, up to 9 months

Safety and tolerability of the candidate vaccine Shigella4V2 as determined by occurrence, severity, and relationship of SAEs

Immunology - change in serum immunoglobulin G (IgG)
From first vaccination until 1 month following the second vaccination

Evaluation of geometric mean titers (GMT) and geometric mean ratios between baseline and 1-month post 2nd vaccination (GMR vs baseline) for serum IgG against the four Shigella serotypes included in the Shigella4V2 bioconjugate.

To demonstrate that the Shigella4V2 bioconjugate vaccine protects against shigellosis following challenge with the wild type S. sonnei 53G strain.
To be evaluated post-challenge during the inpatient period (Day 56 through Day 65) in vaccinees vs. placebo

The number of challenged participants with shigellosis post-challenge during the inpatient period that received vaccine compared to participants who received placebo. Shigellosis is defined as: 1. Severe diarrhea; OR 2. Moderate diarrhea AND \[fever OR ≥ 1 at least moderate constitutional/enteric symptoms OR ≥ 2 episodes of vomiting in 24 h\]; OR 3. Dysentery AND \[fever OR ≥ 1 at least moderate constitutional/enteric symptoms OR ≥ 2 episodes of vomiting in 24 h\]

Secondary Endpoints

Safety - clinically significant changes in cell blood count (CBC) with differentials
From first vaccination until 7 days following each vaccination
Safety - clinically significant changes in creatinine level
From first vaccination until 7 days following each vaccination
Safety - clinically significant changes in alanine aminotransferase (ALT) level
From first vaccination until 7 days following each vaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
low doseEXPERIMENTALParticipants receive 2 low-dose administrations of the investigational product
high doseEXPERIMENTALParticipants receive 2 high-dose administrations of the investigational product
ControlOTHERParticipants receive 2 administrations of MenACWY
Shigella4V2 High doseEXPERIMENTAL1 injection of high dose Shigella4V2 and 1 injection of low dose Shigella4V2 will be injected intramuscularly in the deltoid muscle
Shigella4V2 Low doseEXPERIMENTAL2 injections of low dose of Shigella4V2 will be injected intramuscularly in the deltoid muscle
PlaceboPLACEBO_COMPARATOR2 injections of PBS will be injected intramuscularly in the deltoid muscle

Interventions

NameTypeDescription
Shigella4V2BIOLOGICALAdjuvanted Shigella4V2 administrated at 2 different doses: low and high.
MenACWYBIOLOGICALControl vaccine
PlaceboBIOLOGICALPhosphate-buffered saline
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Eligibility Criteria

Age Range8 Months to 10 Months
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Female or male aged 9 months (± 1 month) old at the time of the first vaccination. * Born full-term (i.e., after a gestation period of 37 to less than 42 full weeks). * Healthy by medical history, laboratory findings and physical examination before entering into the study (Par...

Countries:KenyaUnited States
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Recent Changes (Last 90 Days)

MEDIUMSep 7, 2026NCT06523231TRIAL_REMOVED: changed
MEDIUMSep 7, 2026NCT06523231TRIAL_REMOVED: changed
MEDIUMSep 7, 2026NCT06523231TRIAL_REMOVED: changed
MEDIUMSep 7, 2026NCT06523231TRIAL_REMOVED: changed

Frequently asked questions about Shigella4V2

What is Shigella4V2?

Shigella4V2 is an investigational vaccine being developed for shigellosis, a diarrheal disease caused by Shigella bacteria. It is a tetravalent bioconjugate vaccine, meaning it combines multiple Shigella serotype components into a single formulation. Eli Lilly and Company is developing it, and it has completed Phase 2 clinical testing.

What is Shigella4V2 used for?

Shigella4V2 is being developed to prevent shigellosis, the diarrheal illness caused by Shigella infection. Its clinical program has studied the vaccine in healthy adult volunteers in the United States and in infants in Kenya, reflecting an intended use across both adult and pediatric populations in regions where shigellosis is a concern.

Who makes Shigella4V2?

Shigella4V2 is being developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. Lilly is the sponsor of the vaccine's clinical program, which includes human challenge and infant immunogenicity studies conducted in the United States and Kenya.

What phase is Shigella4V2 in?

Shigella4V2 has completed Phase 2 clinical development. Two Phase 2 trials have been conducted and both are listed as completed, with no active trials currently ongoing. The studies together enrolled 207 participants. Shigella4V2 is an investigational vaccine and has not been approved by the FDA.

What clinical trials is Shigella4V2 in?

Shigella4V2 has been evaluated in two completed Phase 2 trials. NCT06615375 was a human challenge study assessing protection of the Shigella tetravalent bioconjugate vaccine, enrolling 97 healthy adult volunteers in the United States. NCT06523231 evaluated safety and immunogenicity in 110 infants from 8 months of age in Kenya.

How does Shigella4V2 work?

Shigella4V2 is a tetravalent bioconjugate vaccine designed to protect against shigellosis. Bioconjugate vaccines link polysaccharide antigens to carrier proteins to generate a stronger immune response. The tetravalent formulation covers multiple Shigella serotypes in one product, and the program has assessed immune response and protection in both adult challenge and infant studies.