A Study to Evaluate Safety, Reactogenicity, and Immunogenicity of the GSK 4-component Strep A Vaccine With Aluminum Hydroxide (Alum) or AS37 in Healthy Young Adults

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-25
SponsorGlaxoSmithKline

About this trial

The purpose of this study is to assess the safety of 3 doses of 2 new Strep A vaccine formulations, one with an Alum adjuvant, and the other with AS37 adjuvant. The Strep A vaccine will be tested for the first time in humans, in healthy young adults 18 to 25 years of age. The study will also assess if the vaccines have any immediate reactions and if they induce an immune response. A low, medium, and high dose of each formulation of the vaccine will be assessed in sequence.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Participants, who, in the opinion of the Investigator, can and will comply with the requirements of the protocol (e.g., completion of electronic diaries [eDiaries], return for follow-up visits).

Written or witnessed/thumb-printed informed consent obtained from the participant prior to performance of any study-specific procedure.

Healthy participants as established by medical history, clinical examination, and laboratory assessments.

Satisfies all screening requirements.

Disqualifiers

History of rheumatic fever or rheumatic heart disease during the lifetime of the participant as confirmed during interview with the participant or as documented in medical records.

Recent history of pharyngitis in the last four (4) weeks will be excluded. These participants can be rescreened once the recent pharyngitis passes the 4-weeks period. Participants with symptoms of acute pharyngitis at Screening will be tested with a Strep A rapid antigen test. Those with positive results will be excluded.

Progressive, unstable, or uncontrolled clinical conditions.

History (known or suspected) of any reaction or hypersensitivity likely to be exacerbated by any component of the study interventions.

Trial design

Design model

Sequential

Treatments tested in this trial

  • Low dose Strep A Alum

    Biological/Vaccine

    Low dose Strep A Alum vaccine will be administered intramuscularly (IM)

  • Medium dose Strep A Alum

    Biological/Vaccine

    Medium dose Strep A Alum vaccine will be administered IM

  • High dose Strep A Alum

    Biological/Vaccine

    High dose Strep A Alum vaccine will be administered IM

  • Low dose Strep A AS37

    Biological/Vaccine

    Low dose Strep A AS37 vaccine will be administered IM

  • Medium dose Strep A AS37

    Biological/Vaccine

    Medium dose Strep A AS37 vaccine will be administered IM

  • High dose Strep A AS37

    Biological/Vaccine

    High dose Strep A AS37 vaccine will be administered IM

  • Strep A Alum Placebo

    Drug

    Strep A Alum Placebo will be administered IM

Treatment groups

108 Participants
are divided into 7 treatment groups

7

Treatment groups

See each treatment group below.

Group A: Low dose Strep A Alum GroupExperimental treatment 1 intervention
Group B: Medium dose Strep A Alum GroupExperimental treatment 1 intervention
Group C: High dose Strep A Alum GroupExperimental treatment 1 intervention
Group D: Low dose Strep A AS37 GroupExperimental treatment 1 intervention
Group E: Medium dose Strep A AS37 GroupExperimental treatment 1 intervention
Group F: High dose Strep A AS37 GroupExperimental treatment 1 intervention
Group G: Strep A Alum Placebo GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants with solicited administration site events

Solicited administration-site events include pain, redness, and swelling at the administration site.

Time frame
Up to 7 days after each study intervention administration occurring at Day 1, Day 31, and Day 121
2

Number of participants with solicited systemic events

Solicited systemic events include fever, headache, myalgia (muscle pain), arthralgia (joint pain), and fatigue (tiredness). Fever is defined as body temperature equal to or above 38.0°C. The preferred location for measuring temperature is the axilla.

Time frame
Up to 7 days after each study intervention administration occurring at Day 1, Day 31, and Day 121
3

Number of participants with unsolicited adverse events (AEs)

An unsolicited AE is an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs include both serious and nonserious AEs.

Time frame
Up to 30 days after each study intervention administration occurring at Day 1, Day 31, and Day 121
4

Number of participants with laboratory abnormalities

Time frame
7 days after each study intervention administration at Day 8, Day 38, and Day 128

Secondary outcomes

1

Geometric mean concentrations of immunoglobulin G (IgG) against Streptolysin O (SLO), S. pyogenes Cell Envelope Protease (SpyCEP), S. pyogenes Adhesion and Division protein (SpyAD), and Group A Carbohydrate (GAC), as measured by multiplex immunoassay

Time frame
Before each study intervention (Day 1, Day 31, and Day 121), 30 days after each study intervention (Day 31, Day 61, and Day 151), and 7 days and 6 months after the third study intervention administration (Days 128 and 301, respectively)
2

Geometric mean fold increase of IgG against SLO, SpyCEP, SpyAD, and GAC, as measured by multiplex immunoassay

Time frame
30 days after each study intervention administration compared to before each study intervention administration (Day 31 versus Day 1, Day 61 versus Day 31, and Day 151 versus Day 121) and to before study intervention administration (Day 1)
3

Number of participants with greater than or equal to (>=) 2-fold and >=4 fold increase in IgG antibody concentration against SLO, SpyCEP, SpyAD, and GAC, as measured by multiplex immunoassay

Time frame
30 days after each study intervention administration (Day 31, Day 61, and Day 151) compared to before study intervention administration (Day 1)

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

GlaxoSmithKline

Lead sponsor

HHS/BARDA

Collaborator

Wellcome Trust

Collaborator

DHSC/GAMRIF

Collaborator

Germany/BMBF

Collaborator

DG HERA (kfW)

Collaborator