Skip to content

Dose-Finding Study of Lyophilized Shigella Sonnei 53G Challenge Strain

Dose-Finding Study of Lyophilized Shigella Sonnei 53G Challenge Strain

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02816346
Enrollment
56
Registered
2016-06-28
Start date
2016-09-12
Completion date
2017-12-31
Last updated
2019-06-03

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

Conditions

Healthy

Keywords

shigella

Brief summary

Development of an S. sonnei human challenge model using a newly manufactured lyophilized lot of S. sonnei strain 53G (Lot 1794) that can be used in the future as a challenge strain for all S. sonnei vaccine candidates. An adaptable dosing plan was used to determine the dose of Shigella sonnei 53G that induces the primary outcome in approximately 60% of subjects.

Detailed description

Primary objectives: 1. Establish a human challenge model of S. sonnei 53G infection using a lyophilized formulation of the challenge strain. 2. Identify a dose of lyophilized S. sonnei 53G that induces the primary outcome in approximately 60% of subjects with no adverse safety concerns. Secondary objectives: 1. Estimate quantitative shedding and basic immunogenicity of the challenge strain. 2. Collect and archive blood and fecal samples for systems biology, microbiome, and other omics-based work to be conducted under a separate research protocol in future studies.

Interventions

Investigational Product: Shigella sonnei strain 53G (Lot 1794) Mode of Administration: Delivered with sodium bicarbonate orally after a 90 minute fast. Dose: 500-1500 cfu (doses were to be increased or lowered based on results of preceding cohorts)

Sponsors

United States Department of Defense
CollaboratorFED
Children's Hospital Medical Center, Cincinnati
CollaboratorOTHER
PATH
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 49 Years
Healthy volunteers
Yes

Inclusion criteria

1. Male or non-pregnant female between 18 and 49 years of age (inclusive). 2. General good health defined as (a) no significant medical illness, (b) no clinically significant physical examination findings and (c) no screening laboratory values significantly outside the normal limits of the testing laboratory within 45 days of challenge. 3. Demonstrate comprehension of the protocol procedures and knowledge of study by passing a written examination (pass grade ≥70%) on day -1. 4. Willing to sign an informed consent form (ICF). 5. Willingness to participate for an inpatient stay lasting up to 11 days and an outpatient follow-up lasting 6 months from challenge. 6. Willing to not smoke during the inpatient stay. 7. Available for all planned follow-up visits. 8. Negative serum pregnancy test at screening and negative urine pregnancy test on the day of admission to the inpatient phase for female subjects of childbearing potential. Females of childbearing potential must agree to use an effective method of birth control (birth control pills, injection hormonal contraceptive, implant hormonal contraceptive, hormonal patch, intrauterine device (IUD), sterilization by hysterectomy or tubal ligation, spermicidal products and barrier methods such as cervical sponge, diaphragm, or condom) within two months of challenge and during the entire study. Abstinence is acceptable. A woman is eligible if she is monogamous with a vasectomized partner. 9. Willing to not donate blood for up to 6 months after completion of the inpatient phase of the study. 10. Willing to refrain from participation in another investigational vaccine or drug trial at least until after completion of the 6 month follow-up safety call.

Exclusion criteria

1. Presence of a significant medical condition (e.g. psychiatric conditions, alcohol or illicit drug abuse/dependency, or gastrointestinal disease, such as peptic ulcer, symptoms or evidence of active gastritis or gastroesophageal reflux disease, inflammatory bowel disease), or other laboratory abnormalities which in the opinion of the investigator precludes participation in the study. 2. Immunosuppressive illness or immunoglobulin A (IgA) deficiency 3. Positive serology results for HIV, HBsAg, hepatitis C virus (HCV), or syphilis (RPR) antibodies. 4. Evidence of inflammatory arthritis on exam and/or human leukocyte antigen B27 (HLA-B27) positive. 5. Family history of inflammatory arthritis. 6. Significant abnormalities in screening lab hematology or serum chemistry, as determined by PI. 7. Allergy to fluoroquinolones or trimethoprim-sulfamethoxazole 8. Fewer than 3 stools per week or more than 3 stools per day as the usual frequency. 9. History of diarrhea in the 2 weeks prior to planned inpatient phase 10. Use of antibiotics during the 7 days before receiving the challenge inoculum dosing 11. Use of prescription and/or over the counter (OTC) medications that contain Imodium, acetaminophen, aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs, during the 48 hours prior to investigational product administration 12. Travel within two years prior to dosing to countries where Shigella infection is endemic. 13. Use of any medication known to affect the immune function \[e.g., oral steroids, parenteral steroids, or high-dose inhaled steroids (\>800 μg/day of beclomethasone dipropionate or equivalent and others): nasal and topical steroids are allowed\] within 30 days preceding receipt of the challenge inoculum or planned use during the active study period. 14. Serologic evidence of Shigella sonnei (titer \> 1:2500) 15. A positive urine test for opiates. 16. A chronic disease (such as hypertension, hyperlipidemia or anxiety/depression) for which doses of prescription medications are not stable for at least the past 3 months. 17. Scheduled and/or long-term use of oral steroids, parenteral steroids, or high-dose inhaled steroids (\>800 μg/day of beclomethasone dipropionate or equivalent) within the preceding 6 months (Nasal, intra-articular, and topical steroids are allowed) 18. Have immunocompromised household contacts. 19. A clinically significant abnormality on physical examination, including a systolic blood pressure \>140 mm Hg or diastolic blood pressure \>90 mm Hg, or a resting pulse \>100 beats/min or \<55 beats/min (\<50 beats/min for conditioned athletes). 20. Pregnant, nursing, or plan to become pregnant within 6 months of receipt of the study product. 21. In the 4 weeks following challenge, subject will be living with or having daily contact with elderly persons aged 70 years or more, diapered individuals, persons with disabilities, children \<2 years old, or a woman known to be pregnant or nursing, or anyone with diminished immunity. This includes contact at home, school, day-care, nursing homes, or similar places. 22. Work in a health care setting, day care center, or as a food handler in the 4 weeks following the challenge with S. sonnei. 23. Use of any investigational drug or any investigational vaccine within 60 days preceding challenge, or planned use during the 6 months after receipt of the study agent. 24. Have received a licensed, live vaccine within 28 days or a licensed inactivated vaccine within 14 days of receiving the challenge inoculum. 25. Inability to comply with inpatient rules and regulations. 26. Has any other condition that, in the opinion of the Investigator, would jeopardize the safety or rights of a participant or would render the subject unable to comply with the protocol. 27. Received blood or blood products within the past six months.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Shigellosis11 days after administration of S. sonneiPer protocol definition: shedding of S. sonnei in the stool accompanied by moderate-severe diarrhea (4 or more loose/watery Grade 3-5 stools or 400+ gram stools per 24 hours, or requires medical intervention) and/or dysentery (a Grade 3, 4, or 5 stool with gross blood on at least 2 occasions and reportable constitutional symptoms) along with moderate fever (Oral temperature of ≥101.2°F) or one or more severe intestinal symptoms. Alternative endpoint 1 definition: severe diarrhea, or moderate diarrhea plus fever, or moderate diarrhea plus 1 moderate constitutional/enteric symptom, or dysentery. Alternative endpoint 2 definition: severe diarrhea, or moderate diarrhea plus fever, or moderate diarrhea plus 1 severe constitutional/enteric symptom, or dysentery plus 1 severe constitutional/enteric symptom

Secondary

MeasureTime frameDescription
Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline (days -5,-1), Day 3, Day 7, and Day 14IgA (total and S. sonnei specific) will be determined in fecal extracts using standard ELISA. IgA was recovered from stool samples using a soybean trypsin inhibitor-EDTA procedure. The shigella-antigen specific activity was calculated by dividing the endpoint titer by the IgA concentration in matched samples.
Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) Antigen57 daysBlood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).
Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline (days -5,-1), Day 3, Day 7, and Day 14IgA (total and S. sonnei specific) will be determined in fecal extracts using standard ELISA. IgA was recovered from stool samples using a soybean trypsin inhibitor ethylenediaminetetraacetic acid (EDTA) procedure. The shigella-antigen specific activity was calculated by dividing the endpoint titer by the IgA concentration in matched samples.
Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex Antigen57 daysBlood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).
Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex Antigen57 daysBlood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).
Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) Antigen57 daysBlood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).

Countries

United States

Participant flow

Recruitment details

Subjects were recruited from the recruiting range of Cincinnati Children's Hospital Medical Center (CCHMC) via word of mouth and advertisements in multiple formats including but not limited to newspapers, fliers, e-mails, and the CCHMC website.

Participants by arm

ArmCount
Cohort 1
Received 500 colony-forming units (CFU) of Shigella sonnei 53G. Shigella sonnei 53G: Investigational Product: Shigella sonnei strain 53G (Lot 1794) Mode of Administration: Delivered with sodium bicarbonate orally after a 90 minute fast. Dose: 500-1500 cfu (doses were to be increased or lowered based on results of preceding cohorts)
10
Cohort 2
Received higher dose of Shigella sonnei 53G if ≥ 60% of subjects in Cohort 1 experienced shigellosis, or lower dose if not. Shigella sonnei 53G: Investigational Product: Shigella sonnei strain 53G (Lot 1794) Mode of Administration: Delivered with sodium bicarbonate orally after a 90 minute fast. Dose: 500-1500 cfu (doses were to be increased or lowered based on results of preceding cohorts)
10
Cohort 3
Received higher dose of Shigella sonnei 53G if ≥ 60% of subjects in Cohort 2 experienced shigellosis, or lower dose if not. Shigella sonnei 53G: Investigational Product: Shigella sonnei strain 53G (Lot 1794) Mode of Administration: Delivered with sodium bicarbonate orally after a 90 minute fast. Dose: 500-1500 cfu (doses were to be increased or lowered based on results of preceding cohorts)
10
Cohort 4
Received higher dose of Shigella sonnei 53G if ≥ 60% of subjects in Cohort 3 experienced shigellosis, or lower dose if not. Shigella sonnei 53G: Investigational Product: Shigella sonnei strain 53G (Lot 1794) Mode of Administration: Delivered with sodium bicarbonate orally after a 90 minute fast. Dose: 500-1500 cfu (doses were to be increased or lowered based on results of preceding cohorts)
10
Cohort 5
Received higher dose of Shigella sonnei 53G if ≥ 60% of subjects in Cohort 4 experienced shigellosis, or lower dose if not. Shigella sonnei 53G: Investigational Product: Shigella sonnei strain 53G (Lot 1794) Mode of Administration: Delivered with sodium bicarbonate orally after a 90 minute fast. Dose: 500-1500 cfu (doses were to be increased or lowered based on results of preceding cohorts)
16
Total56

Baseline characteristics

CharacteristicCohort 1Cohort 2Cohort 3Cohort 4Cohort 5Total
Age, Continuous35.7 years
STANDARD_DEVIATION 10.7
32.3 years
STANDARD_DEVIATION 9.9
34.3 years
STANDARD_DEVIATION 9.9
32.2 years
STANDARD_DEVIATION 8.8
30.1 years
STANDARD_DEVIATION 8.8
32.6 years
STANDARD_DEVIATION 9.2
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants10 Participants10 Participants10 Participants16 Participants55 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
9 Participants9 Participants10 Participants10 Participants14 Participants52 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants0 Participants0 Participants0 Participants1 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 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
1 Participants0 Participants0 Participants0 Participants2 Participants3 Participants
Sex: Female, Male
Female
7 Participants3 Participants6 Participants7 Participants10 Participants33 Participants
Sex: Female, Male
Male
3 Participants7 Participants4 Participants3 Participants6 Participants23 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 / 100 / 100 / 100 / 100 / 16
other
Total, other adverse events
6 / 1010 / 1010 / 1010 / 1015 / 16
serious
Total, serious adverse events
0 / 100 / 100 / 100 / 100 / 16

Outcome results

Primary

Number of Participants With Shigellosis

Per protocol definition: shedding of S. sonnei in the stool accompanied by moderate-severe diarrhea (4 or more loose/watery Grade 3-5 stools or 400+ gram stools per 24 hours, or requires medical intervention) and/or dysentery (a Grade 3, 4, or 5 stool with gross blood on at least 2 occasions and reportable constitutional symptoms) along with moderate fever (Oral temperature of ≥101.2°F) or one or more severe intestinal symptoms. Alternative endpoint 1 definition: severe diarrhea, or moderate diarrhea plus fever, or moderate diarrhea plus 1 moderate constitutional/enteric symptom, or dysentery. Alternative endpoint 2 definition: severe diarrhea, or moderate diarrhea plus fever, or moderate diarrhea plus 1 severe constitutional/enteric symptom, or dysentery plus 1 severe constitutional/enteric symptom

Time frame: 11 days after administration of S. sonnei

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Cohort 1Number of Participants With ShigellosisPer protocol definitionNo10 Participants
Cohort 1Number of Participants With ShigellosisAlternative endpoint 2No10 Participants
Cohort 1Number of Participants With ShigellosisAlternative endpoint 1No10 Participants
Cohort 1Number of Participants With ShigellosisAlternative endpoint 2Yes0 Participants
Cohort 1Number of Participants With ShigellosisPer protocol definitionYes0 Participants
Cohort 1Number of Participants With ShigellosisAlternative endpoint 1Yes0 Participants
Cohort 2Number of Participants With ShigellosisAlternative endpoint 1No4 Participants
Cohort 2Number of Participants With ShigellosisAlternative endpoint 2Yes5 Participants
Cohort 2Number of Participants With ShigellosisPer protocol definitionNo8 Participants
Cohort 2Number of Participants With ShigellosisAlternative endpoint 1Yes6 Participants
Cohort 2Number of Participants With ShigellosisAlternative endpoint 2No5 Participants
Cohort 2Number of Participants With ShigellosisPer protocol definitionYes2 Participants
Cohort 3Number of Participants With ShigellosisPer protocol definitionYes1 Participants
Cohort 3Number of Participants With ShigellosisAlternative endpoint 2No7 Participants
Cohort 3Number of Participants With ShigellosisPer protocol definitionNo9 Participants
Cohort 3Number of Participants With ShigellosisAlternative endpoint 1Yes4 Participants
Cohort 3Number of Participants With ShigellosisAlternative endpoint 1No6 Participants
Cohort 3Number of Participants With ShigellosisAlternative endpoint 2Yes3 Participants
Cohort 4Number of Participants With ShigellosisAlternative endpoint 2Yes6 Participants
Cohort 4Number of Participants With ShigellosisAlternative endpoint 1No3 Participants
Cohort 4Number of Participants With ShigellosisPer protocol definitionYes4 Participants
Cohort 4Number of Participants With ShigellosisAlternative endpoint 2No4 Participants
Cohort 4Number of Participants With ShigellosisAlternative endpoint 1Yes7 Participants
Cohort 4Number of Participants With ShigellosisPer protocol definitionNo6 Participants
Cohort 5Number of Participants With ShigellosisAlternative endpoint 2No9 Participants
Cohort 5Number of Participants With ShigellosisPer protocol definitionNo14 Participants
Cohort 5Number of Participants With ShigellosisAlternative endpoint 1Yes7 Participants
Cohort 5Number of Participants With ShigellosisAlternative endpoint 1No9 Participants
Cohort 5Number of Participants With ShigellosisAlternative endpoint 2Yes7 Participants
Cohort 5Number of Participants With ShigellosisPer protocol definitionYes2 Participants
Secondary

Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex Antigen

Blood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).

Time frame: 57 days

Population: No sample was available for one subject in Cohort 3 on Day 56.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 281970 titerStandard Deviation 4825
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)348 titerStandard Deviation 596
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 56985 titerStandard Deviation 1046
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 7429 titerStandard Deviation 451
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 143200 titerStandard Deviation 16194
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 281213 titerStandard Deviation 4011
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 142263 titerStandard Deviation 7995
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 71056 titerStandard Deviation 4076
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 56650 titerStandard Deviation 1180
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)283 titerStandard Deviation 330
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 145198 titerStandard Deviation 7205
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)115 titerStandard Deviation 113
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 7528 titerStandard Deviation 420
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 281715 titerStandard Deviation 3660
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 56864 titerStandard Deviation 2032
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 561213 titerStandard Deviation 5145
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 282425 titerStandard Deviation 7953
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)400 titerStandard Deviation 3957
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 147879 titerStandard Deviation 19368
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 71600 titerStandard Deviation 8146
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 145620 titerStandard Deviation 13385
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 56872 titerStandard Deviation 2105
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 281822 titerStandard Deviation 4613
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)183 titerStandard Deviation 1694
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Invaplex AntigenDay 71131 titerStandard Deviation 3217
Secondary

Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) Antigen

Blood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).

Time frame: 57 days

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 144222 titerStandard Deviation 16541
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)373 titerStandard Deviation 666
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 56919 titerStandard Deviation 877
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7528 titerStandard Deviation 611
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 282425 titerStandard Deviation 15598
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 142425 titerStandard Deviation 10086
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 56528 titerStandard Deviation 1212
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)264 titerStandard Deviation 610
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 71213 titerStandard Deviation 10390
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 28857 titerStandard Deviation 5990
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 28919 titerStandard Deviation 2444
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 143200 titerStandard Deviation 9864
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7264 titerStandard Deviation 344
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 56635 titerStandard Deviation 1219
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)123 titerStandard Deviation 138
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7919 titerStandard Deviation 2474
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)348 titerStandard Deviation 2073
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 142111 titerStandard Deviation 7898
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 56800 titerStandard Deviation 2532
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 28919 titerStandard Deviation 4032
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 56591 titerStandard Deviation 1784
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 71037 titerStandard Deviation 3047
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 143644 titerStandard Deviation 10457
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)248 titerStandard Deviation 823
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 281288 titerStandard Deviation 4164
Secondary

Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex Antigen

IgA (total and S. sonnei specific) will be determined in fecal extracts using standard ELISA. IgA was recovered from stool samples using a soybean trypsin inhibitor-EDTA procedure. The shigella-antigen specific activity was calculated by dividing the endpoint titer by the IgA concentration in matched samples.

Time frame: Baseline (days -5,-1), Day 3, Day 7, and Day 14

Population: Stool samples were not collected from all subjects at all time points. Samples containing less than 2 ug/mL of total IgA were excluded from analysis. If both baseline samples were below 2 ug/mL, the subject was excluded from analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 14422 titerStandard Deviation 3317
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 319 titerStandard Deviation 130
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 2 (Day -1)19 titerStandard Deviation 130
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 753 titerStandard Deviation 140
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 1 (Day -5)20 titerStandard Deviation 211
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 14118 titerStandard Deviation 1679
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 315 titerStandard Deviation 98
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 1 (Day -5)18 titerStandard Deviation 60
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 2 (Day -1)12 titerStandard Deviation 111
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 792 titerStandard Deviation 381
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 36 titerStandard Deviation 2
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 750 titerStandard Deviation 124
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 2 (Day -1)9 titerStandard Deviation 105
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 1 (Day -5)10 titerStandard Deviation 104
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 14320 titerStandard Deviation 459
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 780 titerStandard Deviation 441
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 2 (Day -1)10 titerStandard Deviation 403
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 1 (Day -5)20 titerStandard Deviation 638
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 14403 titerStandard Deviation 540
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 316 titerStandard Deviation 400
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 14104 titerStandard Deviation 478
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 2 (Day -1)9 titerStandard Deviation 11
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 380 titerStandard Deviation 441
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenDay 784 titerStandard Deviation 498
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Invaplex AntigenBaseline 1 (Day -5)11 titerStandard Deviation 22
Secondary

Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) Antigen

IgA (total and S. sonnei specific) will be determined in fecal extracts using standard ELISA. IgA was recovered from stool samples using a soybean trypsin inhibitor ethylenediaminetetraacetic acid (EDTA) procedure. The shigella-antigen specific activity was calculated by dividing the endpoint titer by the IgA concentration in matched samples.

Time frame: Baseline (days -5,-1), Day 3, Day 7, and Day 14

Population: Stool samples were not collected from all subjects at all time points. Samples containing less than 2 ug/mL of total IgA were excluded from analysis. If both baseline samples were below 2 ug/mL, the subject was excluded from analysis.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 2 (Day -1)15 titerStandard Deviation 53
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 1 (Day -5)19 titerStandard Deviation 130
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 749 titerStandard Deviation 121
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 315 titerStandard Deviation 65
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 14211 titerStandard Deviation 1024
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 1 (Day -5)11 titerStandard Deviation 8
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 1440 titerStandard Deviation 841
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 2 (Day -1)8 titerStandard Deviation 26
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 311 titerStandard Deviation 14
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 770 titerStandard Deviation 413
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 780 titerStandard Deviation 136
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 1 (Day -5)11 titerStandard Deviation 24
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 2 (Day -1)11 titerStandard Deviation 51
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 39 titerStandard Deviation 11
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 14226 titerStandard Deviation 371
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 311 titerStandard Deviation 99
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 749 titerStandard Deviation 296
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 14101 titerStandard Deviation 205
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 2 (Day -1)9 titerStandard Deviation 200
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 1 (Day -5)17 titerStandard Deviation 157
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 311 titerStandard Deviation 21
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 742 titerStandard Deviation 155
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 2 (Day -1)10 titerStandard Deviation 15
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenBaseline 1 (Day -5)8 titerStandard Deviation 6
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin A (IgA) Antibodies in Stool: Lipopolysaccharide (LPS) AntigenDay 1457 titerStandard Deviation 431
Secondary

Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex Antigen

Blood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).

Time frame: 57 days

Population: No sample was available for one subject in Cohort 3 on Day 56.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 289701 titerStandard Deviation 18863
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)2599 titerStandard Deviation 5412
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 566400 titerStandard Deviation 9199
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 73430 titerStandard Deviation 7619
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 1410397 titerStandard Deviation 31301
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 286859 titerStandard Deviation 14595
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 147352 titerStandard Deviation 30508
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 73940 titerStandard Deviation 4221
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 564525 titerStandard Deviation 7013
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)2599 titerStandard Deviation 1960
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 1414703 titerStandard Deviation 14347
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)2986 titerStandard Deviation 15270
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 73200 titerStandard Deviation 7303
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 2811943 titerStandard Deviation 14904
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 5610159 titerStandard Deviation 9659
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 565971 titerStandard Deviation 4758
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)2263 titerStandard Deviation 4011
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 289701 titerStandard Deviation 9361
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 1411143 titerStandard Deviation 18203
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 73940 titerStandard Deviation 3477
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 148300 titerStandard Deviation 28740
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 286683 titerStandard Deviation 33105
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenBaseline (Day -1)1745 titerStandard Deviation 12365
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 564525 titerStandard Deviation 16370
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Invaplex AntigenDay 73490 titerStandard Deviation 24798
Secondary

Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) Antigen

Blood (10 mL) was collected on days -1, 7, 14, 28 and 56 for Immunoglobulin A (IgA), Immunoglobulin M (IgM), and Immunoglobulin G (IgG) assay by Enzyme linked immunosorbent assay (ELISA).

Time frame: 57 days

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 282425 titerStandard Deviation 15506
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)528 titerStandard Deviation 611
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 561393 titerStandard Deviation 3897
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7746 titerStandard Deviation 913
Cohort 1Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 144222 titerStandard Deviation 19953
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 281715 titerStandard Deviation 8165
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 142425 titerStandard Deviation 7591
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7919 titerStandard Deviation 3813
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 561131 titerStandard Deviation 8350
Cohort 2Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)492 titerStandard Deviation 547
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 146859 titerStandard Deviation 15472
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)246 titerStandard Deviation 450
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7400 titerStandard Deviation 458
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 283430 titerStandard Deviation 15370
Cohort 3Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 561372 titerStandard Deviation 2418
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 561300 titerStandard Deviation 4188
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)459 titerStandard Deviation 420
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 281715 titerStandard Deviation 4974
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 143676 titerStandard Deviation 9816
Cohort 4Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7857 titerStandard Deviation 1315
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 143200 titerStandard Deviation 17160
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 281532 titerStandard Deviation 6991
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenBaseline (Day -1)497 titerStandard Deviation 3137
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 561131 titerStandard Deviation 12550
Cohort 5Geometric Mean Titer (GMT) of Immunoglobulin G (IgG) Antibodies in Serum: Lipopolysaccharide (LPS) AntigenDay 7951 titerStandard Deviation 6276

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