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Group B streptococcus vaccine

Phase 2

Streptococcal Infections | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Feb 11, 2020

Target and mechanism

ModalityMonoclonal antibody

Also known as Group B streptococcus (GBS) vaccine, Group B streptococcus (GBS) vaccine- low dose, Group B streptococcus vaccine- low dose

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment270

FDA Designations

No designations recorded

Clinical trial landscape

Group B streptococcus vaccine · 4 trials · 5 indications

Phase 2 1Phase 1 3
NCT01412801Magnitude of the Antibody Response to and Safety of a GBS Trivalent Vaccine in HIV Positive and HIV Negative Pregnant Women and Their OffspringsStreptococcal Infections
COMPLETED270 Analytics
PHASE2COMPLETED
Magnitude of the Antibody Response to and Safety of a GBS Trivalent Vaccine in HIV Positive and HIV Negative Pregnant Women and Their Offsprings
Streptococcal InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Geometric Mean Concentrations (GMCs) of Antibodies in Maternal Subjects and Infants at Delivery/Birth
Day of delivery/birth

GMCs of Group B Streptococcus (GBS)-specific Abs against serotypes Ia, Ib and III in mothers and in infants at delivery/birth are presented.

Geometric Mean Antibody Transfer Ratio Between Infant Antibody Level (μg/mL) and Maternal Antibody Level (μg/mL), for GBS Serotypes Ia, Ib and III at Delivery/Birth.
Day of delivery/birth

The Geometric mean transfer ratio of GBS-specific Ab against serotypes Ia, Ib and III at delivery is calculated as the geometric mean of the pairwise ratios between the antibody concentrations from infant at birth and to maternal serum concentration at delivery.

Percentage of Subjects Achieving Specific Thresholds of Antibody Concentrations for Subjects in Enrollment Group 1
Day 1 and Day 61

The percentage of subjects achieving a specific threshold of antibody concentrations of ≥ 0.5 µg/mL as determined by ELISA at day 61 across cohorts 1 and 2 for potential use in pregnant women.

Geometric Mean Concentrations of Serum Anti-GBS IgG Antibody Levels by Serotype at Day 61
Day 1 and Day 61

Serotype-specific (Ia, Ib \& III) group B streptococcus (GBS) IgG antibody levels in healthy subjects for potential use in pregnant woman was assessed in terms of Geometric Mean Concentrations (GMCs) at Day 61 in cohorts 1 and 2.

Geometric Mean Ratios of Serum Group B Streptococcus IgG Antibody Levels By Serotype
Day 61/Day 1

Geometric mean ratios (GMRs) relative to baseline (Day 1) of serotype-specific (Ia, Ib, III) GBS IgG antibody levels measured at Day 61 for subjects across cohorts 1 and 2.

Percentage of Subjects Achieving Specific Thresholds of Antibody Concentrations for Subjects in Enrollment Groups 1 & 2
Day 1 and Day 361

The percentage of subjects achieving a specific threshold of antibody concentrations of ≥ 0.5 µg/mL at day 361 across all the cohorts for potential use in non-pregnant women.

Geometric Mean Concentrations of Serum Anti-GBS IgG Antibody Levels by Serotype at Day 361
Day 1 and Day 361

Serotype-specific (Ia, Ib \& III) GBS IgG antibody levels in healthy subjects for potential use in non-pregnant woman was assessed in terms of GMCs at Day 361 across all cohorts.

Geometric Mean Ratios of Serum Group B Streptococcus IgG Antibody Levels By Serotype at Day 361
Day 1 and day 361

GMRs relative to baseline (Day 1) of serotype-specific (Ia, Ib, III) GBS IgG antibody levels in healthy subjects for potential use in non-pregnant women, measured at Day 361 across all cohorts.

Antibody (Ab) response data at 24-months after the last injection given in study V98P1 GMCs, GMRs and associated 95% confidence intervals will also be determined
24- months post last injection from V98P1
Antibody (Ab) response data at 24-months after the last injection given in study V98P2 GMCs, GMRs and associated 95% confidence intervals will also be determined.
24- months post last injection from V98P2

Secondary Endpoints

Vaccine Induced Maternal Serotype Specific GBS Antibody Levels for GBS Serotypes Ia, Ib and III at Day 1, 15, 31 and at Delivery
Day 1, 15, 31 and at Delivery
Percentages of Maternal Subjects With The Enzyme-linked Immunosorbent Assay (ELISA) Antibody Levels for GBS Serotypes Ia, Ib and III Above a Specific Threshold at Delivery
Day of Delivery
Percentages of Subjects With Solicited Local Adverse Events (AEs)
From 6 Hours to Day 7 After Each Vaccination, for up to 24 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
HIVnegEXPERIMENTALHIV-antibody negative maternal subjects at 24 to 35 weeks gestation received one dose of Group B streptococcus vaccine.
HIVposCD4HIGHEXPERIMENTALHIV-antibody positive maternal subjects at 24 to 35 weeks gestation with CD4+ count \>350 cells/µL received one dose of Group B streptococcus vaccine.
HIVposCD4LOWEXPERIMENTALHIV-antibody positive maternal subjects at 24 to 35 weeks gestation with CD4+ count ≤350 cells/µL but \> 50 cells/µL received one dose of Group B streptococcus vaccine
5 µg_No AdjEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (5 µg) without any adjuvant
20 µg_No AdjEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (20 µg) without any adjuvant.
5 µg_AlumEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (5 µg) with Alum adjuvant.
20 µg_AlumEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (5 µg) with Alum adjuvant.
5 µg_MF59-HEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (5 µg) adjuvanted with 4.87 mg of MF59
20 µg_MF59-HEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (20 µg) adjuvanted with 4.87 mg of MF59
5 µg_MF59-FEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (5 µg) adjuvanted with 9.75 mg of MF59
20 µg_MF59-FEXPERIMENTALSubjects received either 1 or 2 doses of active vaccine (20 µg) adjuvanted with 9.75 mg of MF59
PlaceboPLACEBO_COMPARATORSubjects received 2 injections of placebo administered 1 month apart
Arm 1NO_INTERVENTIONThis is a phlebotomy study.

Interventions

NameTypeDescription
Group B streptococcus vaccineBIOLOGICALSubjects receive one dose of 5 μg of each of the 3 glycoconjugates present in the Group B streptococcus vaccine.
Group B streptococcus (GBS) vaccine- low doseBIOLOGICAL -
Group B streptococcus (GBS) vaccine- High doseBIOLOGICAL -
Placebo- SalineBIOLOGICAL -
Group B streptococcus (GBS) vaccineBIOLOGICALNo vaccine will be administered in this study. Only one study visit is required. Subjects will return to the clinic for a single visit at 24 months (± 3 months) after the last injection administered in the V98P1 study.
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Eligibility Criteria

Age Range18 Years to 40 Years
SexFEMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Pregnant women 18-40 years of age between 24-35 weeks gestation * Women who were HIVneg or HIVpos with WHO stage I or II disease and with CD4+ counts \> 50 cells/µL Exclusion Criteria: * Women who had CD4+ count ≤ 50 cells/µL * Women who were HIVpos with WHO stage III or IV ...

Countries:MalawiSouth AfricaBelgiumSwitzerland
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