Cholera Clinical Trial
Official title:
Safety and Immunogenicity of a Killed, Oral Cholera Vaccine in Indian Subjects in Eastern Kolkata, West Bengal
The purpose of the study is to confirm the safety and immunogenicity of the oral killed bivalent cholera vaccine in adult and pediatric volunteers in Eastern Kolkata, West Bengal, India.
Cholera remains to be a serious public health problem worldwide. In the mid-1980s following
technology transfer from Sweden, Vietnamese scientists developed and produced an oral killed
monovalent cholera vaccine for Vietnam's public health programs. A 2-dose regimen of this
vaccine has been shown to be safe and efficacious. Subsequently, a bivalent vaccine was
developed containing the newly emergent O139 V. cholerae. This vaccine has several
advantages over the existing Swedish vaccine. It confers protection against the El Tor
biotype in younger children, is considerably less expensive, does not require a buffer
during administration and does not require strict cold chain requirements. However, this
vaccine is not licensed for use in countries other than Vietnam.
Through IVI, an agreement between VABIOTECH in Hanoi and Shantha Biotechnics PVT, LTD in
India has been reached that will make the bivalent vaccine available in India. A
double-blind randomized phase III trial in a cholera-endemic area would be necessary to
demonstrate the efficacy of this vaccine in other settings. This would pave the way for the
introduction of the vaccine into the national immunization programme in India and the
internationalization of this vaccine and licensure in other countries where it is needed.
Prior to the phase III trial, a phase II study will be performed among adults and children.
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Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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