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Safety Study of Inactivated Shigella Whole Cell Vaccine in Adults

A Phase 1 Study to Evaluate the Safety, Tolerability, and Immunogenicity of an Oral Inactivated Whole Cell Shigella Flexneri 2a Vaccine in Healthy Adult Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01509846
Enrollment
82
Registered
2012-01-13
Start date
2011-03-31
Completion date
2012-12-31
Last updated
2021-08-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Shigellosis

Keywords

Shigella, vaccine, shigellosis, dysentery, whole cell

Brief summary

This is a research study about an experimental (investigational) oral inactivated whole cell Shigella flexneri 2a killed vaccine (Sf2aWC). Sf2aWC is a killed vaccine that is being made to prevent disease from Shigella., which causes bloody, watery diarrhea. Infants and children living in developing countries experience the greatest consequences of this disease. The purpose of this study is to find a dose of the vaccine that is safe, tolerable, and develops an immune response. About 82 healthy adults, ages 18-45, will participate in this study. This study will require volunteers to stay in the research facility for several nights for the first dose. Participants in Cohorts 2, 3, and 4 will not be required to stay overnight for the second and third doses. Participants will be assigned to receive 1 of 4 vaccine doses by mouth. Study procedures include: stool samples, blood samples and documenting side effects. Participants will be involved in study related procedures for about 8 months.

Detailed description

Despite the public health burden of Shigella spp. on travelers, deployed soldiers and, most significantly, young children in the developing world, there is no licensed vaccine against Shigella. The rationale for using Shigella flexneri 2a whole cell killed vaccine (Sf2aWC), is that it is expected to be especially well tolerated by subjects. If Sf2aWC is safe and immunogenic, it may be combined with S. sonnei and S. flexneri 3a as the basis of a multivalent vaccine, because these three components should cover up to 80% of shigella infections in developing countries and over 90% in developed countries. This is a single site, Phase 1, double-blind, randomized, placebo-controlled, dose-escalation study in healthy adult subjects. Approximately 82 subjects will be enrolled into four separate cohorts and will be randomized to receive Sf2aWC or placebo. The placebo preparation will be bicarbonate buffer. Cohort 1 subjects will receive a single oral dose of Sf2aWC (2.6±0.8 x 10\^8 vp/mL) or placebo. Dosing and 72 hours of supervised post-vaccination safety follow-up will be conducted in the Center for Immunization Research, Johns Hopkins School of Public Health (CIR) Inpatient Unit. Before enrolling subjects in subsequent cohorts, safety data from the previous Cohort(s) through Study Day 7 will be evaluated and reviewed by the Safety Review Committee (SRC). Cohorts 2, 3, and 4 participants will receive three doses of Sf2aWC vaccine or placebo at 0, 1 and 2 months. The first immunization will be administered in the CIR inpatient unit, followed by 72 hours of direct post-immunization observation. If after review by the SRC the first dose appears safe and well tolerated, subsequent doses will be administered on an outpatient basis. Safety will be assessed by solicited symptoms/subject memory aid and laboratory evaluations. Adverse events (AE)s will be graded according to standardized criteria. The immunogenicity outcome measures of interest include serum immunoglobulin G (IgG) and immunoglobulin A (IgA) antibodies by ELISA against S. flexneri 2a Lipopolysaccharide (LPS) and S. flexneri 2a invasive protein antigens (Ipa), cytokine assays, B and T cell memory responses, and vaccine-specific IgA responses. The proposed sample size of twenty per group in Cohorts 2, 3, and 4 would be sufficient to select the appropriate dose to move into the next study phase, providing that a difference in the immunogenicity between the two arms is 20% or greater. Participants will include 82 healthy adult male and female subjects, ages 18 to 45 inclusive. The primary objective of this study is to assess the safety and tolerability of Sf2aWC vaccine when administered in three oral doses over a range of dose levels in healthy adult subjects. The secondary objective is to assess the immunogenicity of the Sf2aWC vaccine over a range of doses in healthy adult subjects.

Interventions

BIOLOGICALVaccine: 2.6±0.8 x 10^8 vp/mL, 1 dose

Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^8 vp/mL administered on Day 0

BIOLOGICALVaccine: 2.6±0.8 x 10^9 vp/mL, 3 doses

Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^9 vp/mL administered on Days 0, 28, and 56

BIOLOGICALVaccine: 2.6±0.8 x 10^10 vp/mL, 3 doses

Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^10 vp/mL administered on Days 0, 28, and 56

BIOLOGICALVaccine: 2.6±0.8 x 10^11 vp/mL, 3 doses

Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^11 vp/mL administered on Days 0, 28, and 56

BIOLOGICALPlacebo: 1-3 doses

Placebo administered on Day 0 (if 1 dose) or Day 0, 28, and 56 (3 doses)

Sponsors

PATH
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy adults, male or female, age 18 to 45 years (inclusive) at the time of enrollment. * Completion and review of comprehension test (achieved \>70% accuracy). * Signed informed consent form. * Available for the required follow-up period and scheduled clinic visits. * Negative urine pregnancy test before each vaccination for female subjects of childbearing potential. Females of childbearing potential must agree to use an efficacious hormonal or barrier method of birth control during the study. Abstinence is also acceptable.

Exclusion criteria

* Presence of a significant medical or psychiatric condition that in the opinion of the investigator precludes participation in the study. Some medical conditions, that are adequately treated and stable, would not preclude entry into the study. These conditions might include stable asthma, hypertension or depression controlled with medication. * Clinically significant abnormalities on physical examination. * Clinically significant abnormalities in screening hematology, serum chemistry, or urinalysis as determined by PI or PI in consultation with Medical Monitor. * History of febrile illness within 48 hours prior to vaccination. * BMI \<19 or \>34. * Positive blood test for HBsAG, hepatitis C virus (HCV), HIV-1, Human leukocyte antigen (HLA)-B27. * Women currently nursing. * History of reactive arthritis. * Evidence of current excessive alcohol consumption * Evidence of current drug use or drug dependence. * Regular use of anti-diarrheal, anti-constipation, or antacid therapy (excluding use associated with spicy meals). * Abnormal stool pattern (fewer than 3 stools per week or more than 3 stools per day) on a regular basis; loose or liquid stools on other than an occasional basis. * Personal or family history of an inflammatory arthritis. * History of allergy to soy products. * History of microbiologically confirmed Shigella infection within 3 years. * Prior receipt of experimental Shigella vaccine or live Shigella challenge within 3 years. * Symptoms of travelers' diarrhea associated with travel to countries where Shigella or other enteric infections are endemic (most of the developing world) within 1 year prior to dosing. * Occupation involving handling of Shigella bacteria currently, or in the past 3 years. * History of diarrhea during the 7 days before vaccination. * Use of antibiotics during the 7 days before vaccination. * Use of proton pump inhibitors, H2 blockers, or antacids within 48 hours prior to dosing. * Inability to comply with inpatient rules and regulations. * Use of immunosuppressive and/or immunomodulative drugs such as corticosteroids or chemotherapeutics that may influence antibody development. * Participation in research involving another investigational product (defined as receipt of investigational product or exposure to invasive investigational device) 30 days before planned date of first vaccination.

Design outcomes

Primary

MeasureTime frameDescription
Maximum Reactogenicity Per Subject and Treatment Group7 days after each vaccination (Day 0, Day 35, Day 63)Local and systemic reactogenicity was assessed post-vaccination using targeted physical examinations, vital signs and clinical laboratory tests, and diary cards (completed following discharge daily through Day 7). Reactogenicity included: nausea, vomiting, fever, abdominal pain, abdominal cramping, bloating, malaise, headache, decreased appetite, generalized myalgias, chills, light-headedness, constipation, excessive flatulence, reactive arthritis, dysentery, loose stool, diarrhea, hypovolemia, joint pain, defecation urgency, and oral temperature.
Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the Event6 months after final vaccination (Day 168 or Day 224)

Secondary

MeasureTime frameDescription
Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 335 daysS. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 463 daysS. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From Baseline16 weeksA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From Baseline16 weeksA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 335 daysS. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 416 weeksS. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline63 daysS. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response63 daysS. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline35 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response63 daysWhole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From Baseline16 weeksA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 316 weeksImmunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From Baseline16 weeksA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 316 weeksWhole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 463 daysWhole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.
Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 463 daysImmunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response63 daysWhole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.
Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline63 daysA positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Countries

United States

Participant flow

Participants by arm

ArmCount
Cohort 1
Received one oral dose of 2.6±0.8 x 10\^8 vp/mL Shigella flexneri 2a whole cell killed vaccine (Sf2aWC) Vaccine: 2.6±0.8 x 10\^8 vp/mL, 1 dose: Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^8 vp/mL administered on Day 0
5
Cohort 2
Received three oral doses of 2.6±0.8 x 10\^9 vp/mL Shigella flexneri 2a whole cell killed vaccine (Sf2aWC) Vaccine: 2.6±0.8 x 10\^9 vp/mL, 3 doses: Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^9 vp/mL administered on Days 0, 28, and 56
20
Cohort 3
Received three oral doses of 2.6±0.8 x 10\^10 vp/mL Shigella flexneri 2a whole cell killed vaccine (Sf2aWC) Vaccine: 2.6±0.8 x 10\^10 vp/mL, 3 doses: Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^10 vp/mL administered on Days 0, 28, and 56
21
Cohort 4
Received three oral doses of 2.6±0.8 x 10\^11 vp/mL Shigella flexneri 2a whole cell killed vaccine (Sf2aWC) Vaccine: 2.6±0.8 x 10\^11 vp/mL, 3 doses: Shigella flexneri 2a whole cell killed vaccine (Sf2aWC): 2.6±0.8 x 10\^11 vp/mL administered on Days 0, 28, and 56
20
Placebo
Received oral dose of placebo concurrent with Cohort 1 (one dose), 2, 3, or 4 (3 doses). Placebo: 1-3 doses: Placebo administered on Day 0 (if 1 dose) or Day 0, 28, and 56 (3 doses)
17
Total83

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Received Vaccination 2Illness00001
Received Vaccination 2Not vaccinated per protocol50002
Received Vaccination 2Withdrawal by Subject00100
Received Vaccination 3Lost to Follow-up00100
Received Vaccination 3Pregnancy00010
Received Vaccination 3Withdrawal by Subject01000

Baseline characteristics

CharacteristicCohort 4TotalPlaceboCohort 1Cohort 2Cohort 3
Age, Continuous32.3 years32.6 years31.3 years29 years31.7 years35.6 years
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants4 Participants2 Participants0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants79 Participants15 Participants5 Participants19 Participants20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
19 Participants73 Participants16 Participants4 Participants19 Participants15 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
1 Participants8 Participants0 Participants1 Participants0 Participants6 Participants
Sex: Female, Male
Female
8 Participants24 Participants5 Participants2 Participants6 Participants3 Participants
Sex: Female, Male
Male
12 Participants59 Participants12 Participants3 Participants14 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 50 / 200 / 200 / 200 / 17
other
Total, other adverse events
0 / 58 / 2015 / 2013 / 2011 / 17
serious
Total, serious adverse events
0 / 50 / 200 / 200 / 200 / 17

Outcome results

Primary

Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the Event

Time frame: 6 months after final vaccination (Day 168 or Day 224)

ArmMeasureGroupValue (NUMBER)
Cohort 1Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventSevere0 adverse events
Cohort 1Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventModerate0 adverse events
Cohort 1Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventTotal1 adverse events
Cohort 1Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventMild1 adverse events
Cohort 2Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventTotal0 adverse events
Cohort 2Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventSevere0 adverse events
Cohort 2Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventMild0 adverse events
Cohort 2Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventModerate0 adverse events
Cohort 3Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventModerate0 adverse events
Cohort 3Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventMild1 adverse events
Cohort 3Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventSevere0 adverse events
Cohort 3Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventTotal1 adverse events
Cohort 4Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventMild1 adverse events
Cohort 4Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventModerate1 adverse events
Cohort 4Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventSevere0 adverse events
Cohort 4Frequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventTotal2 adverse events
PlaceboFrequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventMild2 adverse events
PlaceboFrequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventModerate1 adverse events
PlaceboFrequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventTotal3 adverse events
PlaceboFrequency of Unsolicited Adverse Events With a Reasonable Possibility That the Study Product Caused the EventSevere0 adverse events
Primary

Maximum Reactogenicity Per Subject and Treatment Group

Local and systemic reactogenicity was assessed post-vaccination using targeted physical examinations, vital signs and clinical laboratory tests, and diary cards (completed following discharge daily through Day 7). Reactogenicity included: nausea, vomiting, fever, abdominal pain, abdominal cramping, bloating, malaise, headache, decreased appetite, generalized myalgias, chills, light-headedness, constipation, excessive flatulence, reactive arthritis, dysentery, loose stool, diarrhea, hypovolemia, joint pain, defecation urgency, and oral temperature.

Time frame: 7 days after each vaccination (Day 0, Day 35, Day 63)

Population: Number may differ from overall number of participants analyzed if vaccination was not received.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Moderate0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Mild0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Severe0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1None5 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3None0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Severe0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Moderate0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Severe0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Moderate0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2None0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Mild0 Participants
Cohort 1Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Mild0 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Moderate0 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Moderate2 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Mild1 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3None18 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Moderate0 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Severe0 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Severe0 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Severe2 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Mild6 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2None17 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1None12 Participants
Cohort 2Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Mild1 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Severe0 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1None9 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Mild10 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Moderate1 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Severe0 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2None17 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Mild2 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Moderate0 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3None16 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Mild2 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Moderate0 Participants
Cohort 3Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Severe0 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Mild6 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2None11 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1None11 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Mild4 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Severe0 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Moderate2 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Severe0 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3Moderate1 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Severe0 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 2Moderate3 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 1Mild7 Participants
Cohort 4Maximum Reactogenicity Per Subject and Treatment GroupAfter vaccination 3None15 Participants
Secondary

Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3

Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Week 166.75 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Baseline21 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Day 73.17 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Day 635.64 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Day 353.66 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Day 630.94 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Day 350.68 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Week 161.74 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Day 71.02 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 3Baseline0.88 titer
Secondary

Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4

Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Baseline1.35 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Day 72.06 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Day 355.39 titer
Cohort 1Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Day 633.98 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Day 633.88 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Baseline2.11 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Day 354.01 titer
Cohort 2Geometric Mean Titer (GMT) of Fecal Immunoglobulin A (IgA) Response in Cohort 4Day 74.34 titer
Secondary

Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response

Whole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 63.15 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 3 (Day 56).14 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 7.14 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 2 (Day 28).15 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 35.15 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseBaseline.14 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 35.22 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 2 (Day 28).18 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 63.17 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseBaseline.17 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 3 (Day 56).19 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 7.21 titer
Secondary

Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response

Whole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseBaseline0.15 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 350.14 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 70.15 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 3 (Day 56)0.14 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 630.14 titer
Cohort 1Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 2 (Day 28)0.17 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 630.25 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 3 (Day 56)0.19 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 70.23 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponsePre-vaccination 2 (Day 28)0.20 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseDay 350.28 titer
Cohort 2Geometric Mean Titer (GMT) of Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) ResponseBaseline0.20 titer
Secondary

Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline

S. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 70.18 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 630.31 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineBaseline0.21 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)0.38 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)0.19 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 350.22 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)0.14 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 630.14 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 70.19 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)0.16 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 350.14 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineBaseline0.21 titer
Cohort 3Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)0.17 titer
Cohort 3Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineBaseline0.19 titer
Cohort 3Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 350.58 titer
Cohort 3Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 70.47 titer
Cohort 3Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 630.42 titer
Cohort 3Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)0.19 titer
Cohort 4Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 630.64 titer
Cohort 4Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineBaseline0.22 titer
Cohort 4Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 75.3 titer
Cohort 4Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 351.34 titer
Cohort 4Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)0.25 titer
Cohort 4Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)0.27 titer
Secondary

Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response

S. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponsePre-vaccination 2 (Day 28)0.42 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseBaseline0.65 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseDay 70.51 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseDay 350.38 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponsePre-vaccination 3 (Day 56)0.36 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseDay 630.51 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponsePre-vaccination 3 (Day 56)0.60 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponsePre-vaccination 2 (Day 28)0.55 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseDay 351.32 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseBaseline0.63 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseDay 630.94 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) ResponseDay 74.93 titer
Secondary

Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3

S. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 35 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Baseline27 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Day 731 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Pre-vaccination 2 (Day 28)27 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Day 3526 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Day 3529 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Baseline23 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Pre-vaccination 2 (Day 28)28 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 3Day 734 titer
Secondary

Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4

S. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Baseline240 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Day 7221 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Pre-vaccination 2 (Day 28)213 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Day 35281 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Pre-vaccination 3 (Day 56)278 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Day 63252 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Pre-vaccination 3 (Day 56)376 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Baseline240 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Day 35560 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Day 7757 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Day 63479 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response in Cohort 4Pre-vaccination 2 (Day 28)345 titer
Secondary

Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3

S. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 35 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Baseline1156 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Day 71388 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Pre-vaccination 2 (Day 28)1593 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Day 351994 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Day 351790 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Baseline1388 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Pre-vaccination 2 (Day 28)1464 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 3Day 71646 titer
Secondary

Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4

S. flexneri 2a LPS were used as the ELISA antigens. Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Pre-vaccination 2 (Day 28)2473 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Pre-vaccination 3 (Day 56)2635 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Day 72541 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Day 632642 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Day 352498 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Week 162903 titer
Cohort 1Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Baseline2616 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Week 162722 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Baseline1530 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Day 72571 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Pre-vaccination 2 (Day 28)2514 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Day 352997 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Pre-vaccination 3 (Day 56)2884 titer
Cohort 2Geometric Mean Titer (GMT) of Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response in Cohort 4Day 632969 titer
Secondary

Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3

Whole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (MEAN)
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Week 160.16 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Baseline0.23 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Day 70.11 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Day 350.08 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Day 630.09 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Day 630.12 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Day 350.08 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Baseline0.17 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Week 160.29 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 3Day 70.14 titer
Secondary

Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4

Whole blood samples were collected for determination of ALS (antibody from lymphocytes supernatant). Immunogenicity responses are presented for Cohorts 3 and 4 only. Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected. For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Day 70.81 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Baseline0.63 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Day 630.66 titer
Cohort 1Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Day 350.98 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Day 631.27 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Baseline0.52 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Day 350.87 titer
Cohort 2Geometric Mean Titer (GMT) of Total Immunoglobulin A (IgA) Response in Cohort 4Day 71.31 titer
Secondary

Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63Yes1 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63No3 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineWeek 16Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineWeek 16No4 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineWeek 16No13 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7Yes3 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63Yes4 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7No17 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineWeek 16Yes4 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35Yes3 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63No14 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35No16 Participants
Secondary

Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 35 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes2 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes3 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No17 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No17 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No17 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes2 Participants
Secondary

Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)Yes1 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)No4 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35Yes3 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35No2 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35Yes2 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7Yes0 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)No16 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7No20 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35No17 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)Yes3 Participants
Secondary

Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63Yes1 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63No3 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7Yes1 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineWeek 16Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineWeek 16No4 Participants
Cohort 1Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7No4 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineWeek 16No12 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7Yes4 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35Yes1 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35No18 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63Yes5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63No13 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineWeek 16Yes5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 3 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7No16 Participants
Secondary

Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35No2 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35Yes3 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63Yes2 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7No3 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63No3 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7Yes2 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63No10 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7Yes7 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35Yes7 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 35No12 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 63Yes8 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Fecal Immunoglobulin A (IgA) Response From BaselineDay 7No13 Participants
Secondary

Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes1 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No4 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63No5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No16 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes13 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No11 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No7 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63No10 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes3 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes4 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No17 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes10 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes9 Participants
Secondary

Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 16 weeks

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineWeek 16Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineWeek 16No5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineWeek 16Yes11 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7Yes7 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)Yes7 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7No13 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63No11 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)Yes7 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)No12 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)No13 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineWeek 16No9 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35Yes9 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63Yes9 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Serum Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35No11 Participants
Secondary

Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63No4 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63Yes1 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35No14 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63No13 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 35Yes5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7Yes6 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 63Yes5 Participants
Cohort 2Number and Percentage of Subjects in Cohort 4 With Positive Immunologic Response in Total Immunoglobulin A (IgA) Response From BaselineDay 7No14 Participants
Secondary

Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63No20 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes1 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7No19 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes2 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35No18 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes1 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No19 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigen D (IpaD) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No20 Participants
Secondary

Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63No5 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes2 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes1 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 7No19 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes1 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No19 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63No19 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 35No18 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes1 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No18 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Invasion Plasmid Antigens B (IpaB) Lymphocytes Supernatant (ALS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes1 Participants
Secondary

Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes1 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No4 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63No4 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes1 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No4 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63No5 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No5 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No5 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No5 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes1 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No17 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes6 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No14 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No19 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes7 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No12 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes6 Participants
Cohort 3Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63No12 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)Yes2 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)No18 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 3 (Day 56)No17 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselinePre-vaccination 2 (Day 28)Yes2 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7No4 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63No12 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 63Yes8 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 7Yes16 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35No7 Participants
Cohort 4Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin A (IgA) Response From BaselineDay 35Yes13 Participants
Secondary

Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From Baseline

A positive immunological response is defined as an increase of 4-fold or more over the appropriate baseline value for ALS or an increase of more than 2-fold for serological responses (fold increases will be calculated to 1 decimal place). For all immunology variables, the raw values were first adjusted to the geometric mean of positive controls, and any values \<0.15 were changed to 0.14. The fold-change in response was then calculated as the ratio of each value to the baseline value (so the minimum baseline value was 0.14). Specimens from vaccine recipients in Cohorts 1 and 2 were not tested for immunogenicity data and no data were collected.

Time frame: 63 days

Population: Results were included for subjects that received each vaccination and with usable samples.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)No5 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63Yes0 Participants
Cohort 1Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63No5 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)No18 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7Yes13 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35No13 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 7No7 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63No18 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)Yes0 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 3 (Day 56)Yes1 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselinePre-vaccination 2 (Day 28)No20 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 63Yes2 Participants
Cohort 2Number and Percentage of Subjects With Positive Immunologic Response in Serum Antibody From Lymphocytes Supernatant (ALS) Lipopolysaccharide (LPS) Immunoglobulin G (IgG) Response From BaselineDay 35Yes7 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026