Skip to content

Study of Novel Types 1 and 3 Oral Poliomyelitis Vaccines

A First-in-human, Phase 1, Randomized, Observer-blind, Controlled Study to Assess the Safety and Immunogenicity of Novel Live Attenuated Type 1 and Type 3 Oral Poliomyelitis Vaccines in Healthy Adults

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04529538
Enrollment
226
Registered
2020-08-27
Start date
2021-03-26
Completion date
2023-02-17
Last updated
2024-11-20

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

Conditions

Poliomyelitis

Keywords

Vaccine tolerability, Vaccine reactogenicity, Vaccine viral shedding, Vaccine immunogenicity

Brief summary

The purpose of this study is to assess the safety (primary objective), the ability to trigger the production of antibodies (immunogenicity; a secondary objective) and presence of vaccine virus in the stool (fecal shedding; a secondary objective) of two novel oral polio vaccines (nOPV), novel oral poliomyelitis vaccine type 1 (nOPV1) and novel oral poliomyelitis vaccine type 3 (nOPV3), as compared to Sabin strain monovalent oral poliomyelitis vaccine (mOPV) controls, in healthy adults.

Detailed description

This multicenter trial is the first-in-human assessment of two novel oral polio vaccines for poliovirus type 1 and type 3. It will be a 4-cohort, 8-arm, randomized, observer-blind, controlled trial, with Sabin monovalent vaccines serving as the control for each type: Cohort 1: Healthy adults with an exclusive inactivated poliovirus vaccine (IPV) prior vaccination history will be randomized in a 1:1 ratio and allocated to receive nOPV1 (Group 1) or mOPV1 (Group 2). Cohort 2: Healthy adults with an OPV-containing prior vaccination history will be randomized in a 2:1 ratio and allocated to receive two doses of nOPV1 (Group 3) or mOPV1 (Group 4), respectively; Cohort 3: Healthy adults with an exclusive IPV prior vaccination history will be randomized in a 1:1 ratio and allocated to receive nOPV3 (Group 5) or mOPV3 (Group 6); Cohort 4: Healthy adults with an OPV-containing prior vaccination history will be randomized in a 2:1 ratio to study groups 3 and 4 and allocated to receive two doses of nOPV3 (Group 7) or mOPV3 (Group 8), respectively.

Interventions

Each 0.1 mL (2 drops) dose of vaccine contains approximately 10\^6.5 CCID50.

BIOLOGICALNovel Oral Polio Vaccine Type 3 (nOPV3)

Each 0.1 mL (2 drops) dose of vaccine contains approximately 10\^6.5 CCID50.

BIOLOGICALSabin Monovalent Oral Polio Vaccine Type 1 (mOPV1)

The Sabin mOPV1 control vaccine contains ≥ 10\^6.0 CCID50 per 0.1 mL (2 drops) dose.

BIOLOGICALSabin Monovalent Oral Polio Vaccine Type 3 (mOPV3)

the Sabin mOPV3 control vaccine contains ≥ 10\^5.8 CCID50 per 0.1 mL (2 drops) dose.

Sponsors

Bill and Melinda Gates Foundation
CollaboratorOTHER
Centers for Disease Control and Prevention
CollaboratorFED
Viroclinics Biosciences B.V.
CollaboratorINDUSTRY
The Emmes Company, LLC
CollaboratorINDUSTRY
PATH
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Intervention model description

It will be an 8-arm, randomized, observer-blind, controlled trial

Eligibility

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

Inclusion criteria

1. Males or females, from 18 to 45 years of age (inclusive) at the time of enrollment 2. Healthy, as defined by the absence of any clinically significant medical conditions, either acute or chronic, as determined by medical history, physical examination, screening laboratory test results, and clinical assessment of the investigator 3. Willing and able to provide written informed consent prior to performance of any study-specific procedure 4. If female and of childbearing potential\*, be not breastfeeding and not pregnant (based on a negative serum pregnancy test at screening and a negative urine pregnancy test during the 24 hours prior to any study vaccination), agreeing to have repeated pregnancy tests prior to any study vaccination, and having practiced adequate contraception\*\* for 30 days prior to first study vaccination and willing to continue using adequate contraception consistently for at least 90 days after the last study vaccination and until cessation of vaccine virus shedding is confirmed \* Females can be considered not of childbearing potential if they are with current bilateral tubal ligation, occlusion or removal, or post-total hysterectomy, or post-bilateral ovariectomy \*\* Adequate contraception is defined as a contraceptive method with failure rate of less than 1% per year when used consistently and correctly and when applicable, in accordance with the product label, for example: * Abstinence from penile-vaginal intercourse * Combined estrogen and progesterone oral contraceptives * Hormonal (e.g., progestogen) injections * Hormonal (e.g., etonogestrel or levonorgestrel) implants * Contraceptive vaginal ring * Percutaneous contraceptive patches * Intrauterine device * Intrauterine hormonal system * Male condom combined with a vaginal spermicide (foam, gel, film, cream, or suppository), and/or progesterone alone oral contraceptive * Monogamous relationship with vasectomized (≥ 180 days prior to enrollment) partner 5. Resides in study area and is able and willing to adhere to all study restrictions and to all study visits and procedures (as evidenced by a signed informed consent form \[ICF\] and assessment by the investigator) 6. Agrees not to and has no plans to travel outside the United States (US) until confirmation of cessation of vaccine virus shedding in stool at or after the study Day 57 stool collection 7. Able and willing to be contacted by telephone or text, and willing for study staff to leave telephone voice or electronic messages as needed 8. Neutralizing antibody titer ≥ 1:8 for poliovirus type 1 (for participants in cohorts 1 and 2) and ≥ 1:8 for poliovirus type 3 (for participants in cohorts 3 and 4) 9. For Cohorts 1 and 3 only: previously received at least 3 doses of IPV and with no history of receipt of OPV. For Cohorts 2 and 4 only: previously received a primary polio immunization series containing OPV

Exclusion criteria

1. Have any condition (medical, psychiatric or behavioral) that, in the opinion of the investigator, would increase the participant's health risks in study participation or would increase the risk of not achieving the study's objectives (e.g., would compromise adherence to protocol requirements or interfere with planned safety and immunogenicity assessments) 2. Receipt of polio vaccine within 12 months before the start of the study 3. Having Crohn's disease or ulcerative colitis or having had major surgery of the gastrointestinal tract involving significant loss or resection of the bowel 4. A known allergy, hypersensitivity, or intolerance to any components of the study vaccines, including all macrolide and aminoglycoside antibiotics (e.g., erythromycin and kanamycin) 5. Any confirmed or suspected immunosuppressive or immunodeficiency condition (human immunodeficiency virus \[HIV\] infection, or total serum immunoglobulin A (IgA) or immunoglobulin G (IgG) level below the testing laboratory's lower limit of normal \[LLN\]) 6. Administration of any long-acting immune-modifying drugs (e.g., infliximab or rituximab) or the chronic administration (i.e., longer than 14 days) of immunosuppressant drugs (e.g., oral or systemic steroids) or other immune-modifying drugs within 6 months prior to the first vaccine dose or planned use during the study (inhaled and topical steroids are allowed whereas intraarticular and epidural injection/administration of steroids are not allowed) 7. Will have household direct or close professional contact during the study with individuals expected to be immunosuppressed (due to underlying condition or treatments) or individuals who have not yet completed their primary infant polio immunization series (i.e., three doses) 8. Will have household direct or close professional contact during the study with pregnant women 9. Will have household direct or close professional (e.g., neonatal nurses) contact during the study with children less than 2 years of age or with individuals who are encopretic (i.e., infants/toddlers who are not yet toilet trained or other individuals, including adults, with fecal incontinence) 10. Will have professional handling of food, catering, or food production activities during the study 11. Reside in homes with septic tanks 12. Acute illness or fever (body temperature measured orally ≥ 38°C or 100.4°F) at the time of study vaccine administration (once acute illness/fever is resolved, if appropriate, as per investigator assessment, participant may complete screening) 13. Indications of drug abuse or excessive use of alcohol as deemed by the investigator to confound safety assessments or render the participant unable or unlikely to adhere to protocol requirements or provide accurate safety reports 14. Participation in another investigational product (drug or vaccine) clinical trial within 30 days prior to entry in this study or receipt of any such investigational product other than the study vaccine within 30 days prior to the first administration of study vaccine, or planned use during the study period 15. Administration of any vaccine (except seasonal inactivated influenza and COVID-19 vaccines which are prohibited for only 14 days prior to or following each study vaccination) other than the study vaccine or any intramuscular injection within 30 days prior to the first dose of study vaccine or planned administration within 30 days prior to or after any study vaccination. 16. Receipt of transfusion of any blood product or application of immunoglobulins within the 12 weeks prior to the first administration of study vaccine or planned use during the study period 17. Hepatitis B or C virus infection 18. Any hematological# or chemistry\*\* parameter that is out of range of normal†† and is considered clinically significant by the investigator #Complete blood count (CBC), includes hemoglobin, hematocrit, white blood cell (WBC) count, neutrophil count, lymphocyte count, eosinophil count, and platelet count \*\*Creatinine, alanine transaminase (ALT), total bilirubin ††Per the site clinical laboratory's reference ranges. All tests with out of range results that are regarded as clinically significant by the clinician must be repeated and determined to be not clinically significant before any participant can be enrolled. 19. The following hematological or chemistry laboratory results will be considered exclusionary, irrespective of assessment of clinical significance: * Hemoglobin (Male) \< 12.5 g/dL * Hemoglobin (Female) \< 11.0 g/dL * Neutrophil count \< 1,000 cells/mm\^3 * Eosinophil count \> 650 cells/mm\^3 * Platelet count \< 125,000 cells/mm\^3 * Creatinine \> 1.4 mg/dL * ALT \> 1.1 X upper limit of normal (ULN) (per the site clinical laboratory's reference ranges)

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Serious Adverse Events (SAEs)From Day 1 to end of study, up to 169 daysA serious adverse event is any adverse event that resulted in any of the following outcomes: * Death * Was life-threatening * Required inpatient hospitalization or prolongation of existing hospitalization * Resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions * Congenital anomaly or birth defect * Important medical event that may not result in one of the above outcomes but may jeopardize the health of the study participant and/or require medical or surgical intervention to prevent one of the outcomes listed above
Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFrom vaccination to 7 days post vaccination (Days 1-7)Solicited AEs are pre-specified AEs that are common or known to be associated with vaccination that are actively monitored as potential indicators of vaccine reactogenicity. Solicited AEs for this study included: * Fever (oral temperature ≥ 38.0°C or 100.4°F) * Chills * Fatigue * Headache * Muscle aches/myalgias * Joint aches/arthralgias * Nausea * Vomiting * Abdominal pain * Diarrhea
Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFrom Day 29 to Day 35Solicited AEs are pre-specified AEs that are common or known to be associated with vaccination that are actively monitored as potential indicators of vaccine reactogenicity. Solicited AEs for this study included: * Fever (oral temperature ≥ 38.0°C or 100.4°F) * Chills * Fatigue * Headache * Muscle aches/myalgias * Joint aches/arthralgias * Nausea * Vomiting * Abdominal pain * Diarrhea
Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationFrom vaccination to 28 days post vaccination (Day 1-28 for 1st vaccination and Day 29-56 for the 2nd vaccination)Unsolicited AEs are any AEs reported spontaneously by the participant, observed by the study personnel during study visits or those identified during review of medical records or source documents. In the absence of a diagnosis, abnormal physical examination findings or abnormal clinical safety laboratory test results that are assessed by the investigator to be clinically significant were reported as an AE.

Secondary

MeasureTime frameDescription
Geometric Mean Titer (GMT) of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline and Day 29 (28 days post-vaccination)GMT and 95% confidence intervals are maximum likelihood estimates incorporating left and right censoring at the lower limit of quantitation (LLOQ) and ULOQ, respectively.
Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline, Day 29 (28 days after 1st vaccination) and Day 57 (28 days after 2nd vaccination)
Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline and Day 29 (28 days post-vaccination)
Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline, Day 29 (28 days after 1st vaccination) and Day 57 (28 days after 2nd vaccination)
Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPVBaseline (pre-vaccination) and Day 29 (28 days post-vaccination)* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.
Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVBaseline, Day 29 (28 days post-vaccination) and Day 57 (28 days after 2nd vaccination)* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.
Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPVBaseline and Day 29 (28 days post-vaccination)* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.
Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVBaseline, Day 29 (28 days after 1st vaccination) and Day 57 (28 days after 2nd vaccination)* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.
Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline and Day 29 (28 days post-vaccination)Blood samples collected from participants for type-specific poliovirus neutralizing antibodies were analyzed at the Polio and Picornavirus Laboratory Branch at the United States Centers for Disease Control and Prevention (CDC). For all immunogenicity endpoints, data are presented separately by: * Prior vaccination history (exclusively IPV vs OPV), and * Type-specific poliovirus vaccine received (type 1 vs type 3).
Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryFrom vaccination through 28 days after each vaccinationThe presence of the vaccine virus in stool samples was assessed using polymerase chain reaction (PCR). Time to cessation of shedding is defined as the time between vaccination and the last PCR-positive stool prior to 2 consecutive PCR-negative stools (with a minimum 24-hour interval between the 2 negative stools). The time to cessation of fecal shedding of nOPV1 and nOPV3 in prior OPV recipients was evaluated separately after each dose, estimated using Kaplan-Meier methodology with interval-censoring.
Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDays 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57Presence of the vaccine virus in stool samples was assessed by polymerase chain reaction (PCR). This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.
Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDays 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57Presence of the vaccine virus in stool samples was assessed by polymerase chain reaction (PCR). This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.
Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDays 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57Samples positive for vaccine virus in stool as detected by PCR were quantified using a cell culture infectious dose assay. Participants who were PCR-positive for type 1 viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.
Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDays 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57Samples positive for vaccine virus in stool as detected by PCR were quantified using a cell culture infectious dose assay. Participants who were PCR-positive for type 3 viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.
Shedding Index of Vaccine Virus Shedding in Stool in Participants With IPV Vaccination HistoryDays 8, 15, 22, and 29The Shedding Index Endpoint (SIE) was computed as the mean of the log₁₀ cell culture infectious dose 50% (CCID50) per gram from nominal collection days 7, 14, 21, and 28 post-dose (i.e., study days 8, 15, 22, and 29). Participants who were PCR-positive for type-specific viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.
Area Under the Curve From Vaccination to 28 Days After Vaccination (AUC₀-₂₈) of Vaccine Virus Shed in Stool in Participants With an IPV Vaccination HistoryDays 3, 5, 8, 10, 15, 22, and 29Area under the curve (AUC) was computed for each participant using CCID50 per gram data collected through Day 29 using the linear trapezoidal rule. Participants were assumed to be not shedding at time of vaccination (i.e. there was no stool collection on Day 1). Participants who were PCR-positive for type-specific viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.
Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With IPV Vaccination HistoryUp to Day 57The presence of the vaccine virus in stool samples was assessed using polymerase chain reaction (PCR). Time to cessation of shedding is defined as the time between vaccination and the last PCR-positive stool prior to 2 consecutive PCR-negative stools (with a minimum 24-hour interval between the 2 negative stools). The time to cessation of fecal shedding of nOPV1 and nOPV3 in prior IPV recipients was estimated using Kaplan-Meier methodology with interval-censoring.
Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline, Day 29 (28 days post-vaccination) and Day 57 (28 days after 2nd vaccination)
Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline and Day 29 (28 days post-vaccination)
Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline, Day 29 (28 days after the 1st vaccination) and Day 57 (28 days after 2nd vaccination)

Countries

United States

Participant flow

Recruitment details

Healthy volunteers were enrolled at four study sites in the United States. This study consisted of 4 cohorts, each with 2 groups of participants. Participants must have received either prior vaccination with at least 3 doses of inactivated poliovirus vaccine (IPV) with no history of receipt of oral poliomyelitis vaccine (OPV) (Cohorts 1 and 3) or previously received a primary polio immunization series containing OPV (Cohorts 2 and 4).

Pre-assignment details

Cohorts 1 and 2 received vaccine against poliovirus type 1 and Cohorts 3 and 4 received vaccine against poliovirus type 3. In Cohorts 1 and 3 participants with an exclusive IPV vaccination history were randomized in a 1:1 ratio to receive novel oral poliomyelitis vaccine (nOPV) or Sabin strain monovalent oral poliomyelitis vaccine (mOPV) control. In Cohorts 2 and 4, participants with an OPV-containing vaccination history were randomized in a 2:1 ratio to receive nOPV or mOPV.

Participants by arm

ArmCount
Group1: nOPV1 (IPV History)
Healthy adults fully vaccinated against polio exclusively by IPV were administered 1 vaccination of nOPV1 containing 10\^6.5 CCID50 on Day 1.
18
Group 2: mOPV1 (IPV History)
Healthy adults fully vaccinated against polio exclusively by IPV were administered 1 vaccination of Sabin mOPV1 containing 10\^6.0 CCID50 on Day 1.
18
Group 3: nOPV1 (OPV History)
Healthy adults fully vaccinated against polio with an OPV-containing vaccine history were administered 2 vaccinations of nOPV1 containing 10\^6.5 CCID50/dose, given 28 days apart.
50
Group 4: mOPV1 (OPV History)
Healthy adults fully vaccinated against polio with an OPV-containing vaccine history were administered 2 doses of Sabin mOPV1 containing ≥ 10\^6.0 CCID50/dose, given 28 days apart.
25
Group 5: nOPV3 (IPV History)
Healthy adults fully vaccinated against polio exclusively by IPV were administered 1 vaccination of nOPV3 containing 10\^6.5 CCID50 on Day 1.
19
Group 6: mOPV3 (IPV History)
Healthy adults fully vaccinated against polio by exclusively IPV were administered 1 vaccination of Sabin mOPV3 containing ≥ 10\^5.8 CCID50 on Day 1.
15
Group 7: nOPV3 (OPV History)
Healthy adults fully vaccinated against polio with an OPV-containing vaccine history were administered 2 vaccinations of nOPV3 containing 10\^6.5 CCID50/dose, given 28 days apart.
35
Group 8: mOPV3 (OPV History)
Healthy adults fully vaccinated against polio with an OPV-containing vaccine history were administered 2 vaccinations of mOPV3 containing ≥ 10\^5.8 CCID50/dose, given 28 days apart.
19
Total199

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyAdverse Event00010000
Overall StudyLost to Follow-up32101120
Overall StudyNot eligible at enrollment01210001
Overall StudyOther01000000
Overall StudyPhysician Decision00000101
Overall StudyProtocol Deviation00010000
Overall StudyWithdrawal by Subject01120230

Baseline characteristics

CharacteristicGroup1: nOPV1 (IPV History)Group 2: mOPV1 (IPV History)Group 3: nOPV1 (OPV History)Group 4: mOPV1 (OPV History)Group 5: nOPV3 (IPV History)Group 6: mOPV3 (IPV History)Group 7: nOPV3 (OPV History)Group 8: mOPV3 (OPV History)Total
Age, Continuous20.8 years
STANDARD_DEVIATION 2.6
20.0 years
STANDARD_DEVIATION 1.6
30.0 years
STANDARD_DEVIATION 6.3
30.0 years
STANDARD_DEVIATION 6.5
20.7 years
STANDARD_DEVIATION 2.1
21.5 years
STANDARD_DEVIATION 2.4
30.4 years
STANDARD_DEVIATION 6.6
33.1 years
STANDARD_DEVIATION 8.8
27.1 years
STANDARD_DEVIATION 5.7
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants6 Participants0 Participants2 Participants0 Participants2 Participants0 Participants10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants18 Participants44 Participants24 Participants17 Participants13 Participants33 Participants19 Participants186 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
2 Participants1 Participants5 Participants1 Participants1 Participants1 Participants3 Participants1 Participants15 Participants
Race (NIH/OMB)
Black or African American
0 Participants1 Participants3 Participants1 Participants5 Participants2 Participants17 Participants9 Participants38 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants2 Participants1 Participants5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants1 Participants0 Participants4 Participants
Race (NIH/OMB)
White
16 Participants16 Participants40 Participants22 Participants13 Participants9 Participants12 Participants8 Participants136 Participants
Sex: Female, Male
Female
10 Participants9 Participants25 Participants15 Participants10 Participants7 Participants21 Participants13 Participants110 Participants
Sex: Female, Male
Male
8 Participants9 Participants25 Participants10 Participants9 Participants8 Participants14 Participants6 Participants89 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
0 / 210 / 230 / 530 / 270 / 200 / 210 / 400 / 21
other
Total, other adverse events
13 / 2013 / 2039 / 5021 / 2512 / 1910 / 1715 / 3512 / 19
serious
Total, serious adverse events
0 / 200 / 200 / 500 / 250 / 190 / 170 / 350 / 19

Outcome results

Primary

Number of Participants With Serious Adverse Events (SAEs)

A serious adverse event is any adverse event that resulted in any of the following outcomes: * Death * Was life-threatening * Required inpatient hospitalization or prolongation of existing hospitalization * Resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions * Congenital anomaly or birth defect * Important medical event that may not result in one of the above outcomes but may jeopardize the health of the study participant and/or require medical or surgical intervention to prevent one of the outcomes listed above

Time frame: From Day 1 to end of study, up to 169 days

Population: The Reactogenicity Population was defined as all participants who provided informed consent and received a study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group1: nOPV1 (IPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Serious Adverse Events (SAEs)0 Participants
Primary

Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study Vaccine

Solicited AEs are pre-specified AEs that are common or known to be associated with vaccination that are actively monitored as potential indicators of vaccine reactogenicity. Solicited AEs for this study included: * Fever (oral temperature ≥ 38.0°C or 100.4°F) * Chills * Fatigue * Headache * Muscle aches/myalgias * Joint aches/arthralgias * Nausea * Vomiting * Abdominal pain * Diarrhea

Time frame: From Day 29 to Day 35

Population: The Reactogenicity Population was defined as all participants who provided informed consent and received a study vaccine. The analysis includes groups / participants who received a 2nd vaccination.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAny Solicited Event16 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFatigue8 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineNausea3 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFever1 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineJoint Aches/Arthralgias1 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineHeadache9 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineChills1 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineDiarrhea4 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAbdominal pain4 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineMuscle Aches/Myalgias4 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineVomiting0 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineMuscle Aches/Myalgias3 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineVomiting1 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineJoint Aches/Arthralgias4 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineNausea2 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineChills2 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineDiarrhea4 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFatigue6 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAbdominal pain2 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineHeadache5 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFever0 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAny Solicited Event12 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAbdominal pain1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAny Solicited Event6 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFever0 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineChills0 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFatigue1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineHeadache3 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineMuscle Aches/Myalgias1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineJoint Aches/Arthralgias1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineNausea3 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineVomiting1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineDiarrhea3 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineMuscle Aches/Myalgias1 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineDiarrhea3 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineVomiting0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineHeadache2 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFatigue3 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineChills1 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAbdominal pain0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineFever1 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineAny Solicited Event7 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineNausea1 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events 7 Days After Second Dose of Study VaccineJoint Aches/Arthralgias0 Participants
Primary

Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study Vaccine

Solicited AEs are pre-specified AEs that are common or known to be associated with vaccination that are actively monitored as potential indicators of vaccine reactogenicity. Solicited AEs for this study included: * Fever (oral temperature ≥ 38.0°C or 100.4°F) * Chills * Fatigue * Headache * Muscle aches/myalgias * Joint aches/arthralgias * Nausea * Vomiting * Abdominal pain * Diarrhea

Time frame: From vaccination to 7 days post vaccination (Days 1-7)

Population: The Reactogenicity Population was defined as all participants who provided informed consent and received a study vaccine.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias2 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain5 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea2 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event11 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting0 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills1 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias1 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue5 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache5 Participants
Group1: nOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea2 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias4 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue8 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea2 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting2 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event12 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea4 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias6 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills5 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache7 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain5 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias2 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea9 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event25 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills1 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain4 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue17 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting0 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache10 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea6 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias6 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills1 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias2 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache7 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea6 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain3 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea2 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias3 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting1 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue9 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event15 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain6 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event10 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills1 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue7 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache3 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias2 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias1 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea1 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting1 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea3 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event9 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue7 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache5 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting0 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias2 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias2 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea6 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills0 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea1 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain5 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea8 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event13 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue9 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea3 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting0 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache6 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills1 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineVomiting0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineHeadache3 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineNausea0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFatigue5 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineJoint Aches/Arthralgias1 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineChills0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineFever0 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAbdominal pain2 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineAny Solicited Event7 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineMuscle Aches/Myalgias2 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Solicited Adverse Events (AEs) 7 Days After First Dose of Study VaccineDiarrhea3 Participants
Primary

Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post Vaccination

Unsolicited AEs are any AEs reported spontaneously by the participant, observed by the study personnel during study visits or those identified during review of medical records or source documents. In the absence of a diagnosis, abnormal physical examination findings or abnormal clinical safety laboratory test results that are assessed by the investigator to be clinically significant were reported as an AE.

Time frame: From vaccination to 28 days post vaccination (Day 1-28 for 1st vaccination and Day 29-56 for the 2nd vaccination)

Population: Reactogenicity population; the analysis includes participants who received each vaccination

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group1: nOPV1 (IPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose7 Participants
Group 2: mOPV1 (IPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose7 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 2nd dose16 Participants
Group 3: nOPV1 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose21 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 2nd dose7 Participants
Group 4: mOPV1 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose10 Participants
Group 5: nOPV3 (IPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose4 Participants
Group 6: mOPV3 (IPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose1 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose3 Participants
Group 7: nOPV3 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 2nd dose2 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 2nd dose3 Participants
Group 8: mOPV3 (OPV History)Number of Participants With Unsolicited Adverse Events (AEs) up to 28 Days Post VaccinationAfter 1st dose2 Participants
Secondary

Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination History

Samples positive for vaccine virus in stool as detected by PCR were quantified using a cell culture infectious dose assay. Participants who were PCR-positive for type 1 viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.

Time frame: Days 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57

Population: Participants in the Safety population who were PCR-positive for poliovirus type 1 viral shedding and with available CCID50 data. The analysis includes groups with prior IPV history who received vaccination with a type 1 OPV.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 32.94 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 53.22 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 83.41 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 103.19 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 152.75 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 222.75 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 292.77 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 362.75 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 292.88 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 152.75 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 33.22 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 433.34 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 54.28 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 222.75 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 84.33 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 362.91 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 1 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 104.08 log₁₀ CCID50 per gram
Secondary

Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination History

Samples positive for vaccine virus in stool as detected by PCR were quantified using a cell culture infectious dose assay. Participants who were PCR-positive for type 3 viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.

Time frame: Days 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57

Population: Participants in the Safety population who were PCR-positive for poliovirus type 3 viral shedding. The analysis includes groups with prior IPV history who received vaccination with a type 3 OPV.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 34.06 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 53.88 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 84.28 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 104.16 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 152.84 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 222.75 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 292.75 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 362.78 log₁₀ CCID50 per gram
Group1: nOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 432.77 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 153.02 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 573.78 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 223.09 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 34.00 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 432.97 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 54.23 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 292.78 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 84.42 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 502.81 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 103.97 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Amount of Type 3 Vaccine Virus in Each Stool Sample Positive for Virus in Participants With IPV Vaccination HistoryDay 362.75 log₁₀ CCID50 per gram
Secondary

Area Under the Curve From Vaccination to 28 Days After Vaccination (AUC₀-₂₈) of Vaccine Virus Shed in Stool in Participants With an IPV Vaccination History

Area under the curve (AUC) was computed for each participant using CCID50 per gram data collected through Day 29 using the linear trapezoidal rule. Participants were assumed to be not shedding at time of vaccination (i.e. there was no stool collection on Day 1). Participants who were PCR-positive for type-specific viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.

Time frame: Days 3, 5, 8, 10, 15, 22, and 29

Population: Participants with available CCID50/g shedding data (must have data from Day 3 and Day 29, and no 2 missing consecutive samples from Days 5, 8, 10, 15, and 22). The analysis includes groups with prior IPV history.

ArmMeasureValue (MEDIAN)
Group1: nOPV1 (IPV History)Area Under the Curve From Vaccination to 28 Days After Vaccination (AUC₀-₂₈) of Vaccine Virus Shed in Stool in Participants With an IPV Vaccination History57.84 days * log₁₀ CCID50/gram
Group 2: mOPV1 (IPV History)Area Under the Curve From Vaccination to 28 Days After Vaccination (AUC₀-₂₈) of Vaccine Virus Shed in Stool in Participants With an IPV Vaccination History66.88 days * log₁₀ CCID50/gram
Group 3: nOPV1 (OPV History)Area Under the Curve From Vaccination to 28 Days After Vaccination (AUC₀-₂₈) of Vaccine Virus Shed in Stool in Participants With an IPV Vaccination History60.80 days * log₁₀ CCID50/gram
Group 4: mOPV1 (OPV History)Area Under the Curve From Vaccination to 28 Days After Vaccination (AUC₀-₂₈) of Vaccine Virus Shed in Stool in Participants With an IPV Vaccination History71.46 days * log₁₀ CCID50/gram
Secondary

Geometric Mean Titer (GMT) of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPV

GMT and 95% confidence intervals are maximum likelihood estimates incorporating left and right censoring at the lower limit of quantitation (LLOQ) and ULOQ, respectively.

Time frame: Baseline and Day 29 (28 days post-vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior IPV history who received vaccination with a type 1 OPV.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group1: nOPV1 (IPV History)Geometric Mean Titer (GMT) of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline49.6 titer
Group1: nOPV1 (IPV History)Geometric Mean Titer (GMT) of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 295208.2 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer (GMT) of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline73.2 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer (GMT) of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 292846.7 titer
Comparison: Comparison of Type 1 neutralizing antibody GMT at Day 2995% CI: [0.252, 1.838]
Secondary

Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPV

Time frame: Baseline, Day 29 (28 days after 1st vaccination) and Day 57 (28 days after 2nd vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior OPV history who received vaccination with a type 1 OPV.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 574407.5 titer
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline111.6 titer
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 2910869.2 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 5716500.8 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline116.0 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 1 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 294495.1 titer
Comparison: Comparison of type 1 neutralizing antibody GMT at Day 2995% CI: [0.232, 6.833]
Comparison: Comparison of type 1 neutralizing antibody GMT at Day 5795% CI: [0.603, 6.528]
Secondary

Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPV

Time frame: Baseline and Day 29 (28 days post-vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior IPV history who received vaccination with a type 3 OPV.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline113.0 titer
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 293091.2 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline74.6 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 293945.5 titer
Comparison: Comparison of type 3 neutralizing antibody GMT at Day 2995% CI: [0.639, 3.828]
Secondary

Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPV

Time frame: Baseline, Day 29 (28 days after 1st vaccination) and Day 57 (28 days after 2nd vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior OPV history who received vaccination with a type 3 OPV.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline53.4 titer
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 292810.1 titer
Group1: nOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 573337.0 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline101.1 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 291483.8 titer
Group 2: mOPV1 (IPV History)Geometric Mean Titer of Anti-poliovirus Type 3 Serum Neutralizing Antibodies at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 571076.8 titer
Comparison: Comparison of type 3 neutralizing antibody GMT at Day 2995% CI: [0.772, 4.163]
Comparison: Comparison of type 3 neutralizing antibody GMT at Day 5795% CI: [0.994, 6.34]
Secondary

Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPV

Blood samples collected from participants for type-specific poliovirus neutralizing antibodies were analyzed at the Polio and Picornavirus Laboratory Branch at the United States Centers for Disease Control and Prevention (CDC). For all immunogenicity endpoints, data are presented separately by: * Prior vaccination history (exclusively IPV vs OPV), and * Type-specific poliovirus vaccine received (type 1 vs type 3).

Time frame: Baseline and Day 29 (28 days post-vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior IPV history who received vaccination with a type 1 OPV.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline5.67 log₂ titer
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 29NA log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline6.00 log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 29NA log₂ titer
Secondary

Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPV

Time frame: Baseline, Day 29 (28 days post-vaccination) and Day 57 (28 days after 2nd vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior OPV history who received vaccination with a type 1 OPV.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline6.83 log₂ titer
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 29NA log₂ titer
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 57NA log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline7.17 log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 29NA log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 57NA log₂ titer
Secondary

Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPV

Time frame: Baseline and Day 29 (28 days post-vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior IPV history who received vaccination with a type 3 OPV.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline6.17 log₂ titer
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 29NA log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVBaseline6.17 log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of IPVDay 29NA log₂ titer
Secondary

Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPV

Time frame: Baseline, Day 29 (28 days after the 1st vaccination) and Day 57 (28 days after 2nd vaccination)

Population: The Per-Protocol Population (PPP) for immunogenicity was defined as all participants in the Reactogenicity Population who provided a baseline and at least 1 post-vaccination evaluable serum sample and who received correct study vaccinations per randomization with no major protocol deviations that might interfere with the immunogenicity result. The PPP was determined separately for each time point.~The analysis includes groups with prior OPV history who received vaccination with a type 3 OPV.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline5.83 log₂ titer
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 29NA log₂ titer
Group1: nOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 57NA log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVBaseline6.50 log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 29NA log₂ titer
Group 2: mOPV1 (IPV History)Median Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers at Baseline and Post-vaccination Among Participants With a Vaccine History of OPVDay 579.83 log₂ titer
Secondary

Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination History

Presence of the vaccine virus in stool samples was assessed by polymerase chain reaction (PCR). This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.

Time frame: Days 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57

Population: Participants in the Safety Population with available PCR data at each time point. The analysis includes groups with prior IPV history who received vaccination with a type 1 OPV.

ArmMeasureGroupValue (NUMBER)
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 362.5 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 593.3 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 8100 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 10100 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 1594.1 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2250.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2922.2 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 3630.8 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 430.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 500.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 570.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryAt any time point100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 570.0 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 382.4 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2926.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 5100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 500.0 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 8100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 3613.3 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 10100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryAt any time point100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 1581.3 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 436.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 1 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2243.8 percentage of participants
Secondary

Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination History

Presence of the vaccine virus in stool samples was assessed by polymerase chain reaction (PCR). This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.

Time frame: Days 3, 5, 8, 10, 15, 22, 29, 36, 43, 50, and 57

Population: Participants in the Safety Population with available PCR data at each time point. The analysis includes groups with prior IPV history who received vaccination with a type 3 OPV

ArmMeasureGroupValue (NUMBER)
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 388.2 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 5100 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 8100 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 1093.8 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 1576.5 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2238.9 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2938.9 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 3627.8 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 4311.8 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 500.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 570.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryAt any time point100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 576.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 371.4 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2950.0 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 5100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 507.1 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 8100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 3633.3 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 10100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryAt any time point100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 1593.3 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 437.1 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants Shedding Type 3 Vaccine Virus at Each Post-vaccination Stool Collection in Participants With IPV Vaccination HistoryDay 2261.5 percentage of participants
Secondary

Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPV

* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.

Time frame: Baseline, Day 29 (28 days post-vaccination) and Day 57 (28 days after 2nd vaccination)

Population: Per Protocol Population; The analysis includes groups with prior OPV history who received vaccination with a type 1 OPV; participants were only included in each analysis if the appropriate measure could be observed based on Baseline neutralizing antibody titer.

ArmMeasureGroupValue (NUMBER)
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 4-fold rise86.1 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 2-fold rise83.3 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: Any fold-rise83.0 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 4-fold rise97.1 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 2-fold rise95.1 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: Any fold-rise97.8 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 2-fold rise94.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 4-fold rise88.9 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 4-fold rise88.9 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 2-fold rise90.0 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: Any fold-rise94.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: Any fold-rise100 percentage of participants
Comparison: Between-group seroconversion rate (4-fold rise) in neutralizing antibody titers 28 days after first dose.p-value: >0.99995% CI: [-20.47, 20.86]Fisher Exact
Comparison: Between-group comparison of seroconversion rate (4-fold rise) in neutralizing antibody titers 28 days after 2nd dose.p-value: 0.26395% CI: [-5.71, 30.57]Fisher Exact
Secondary

Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV

* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.

Time frame: Baseline (pre-vaccination) and Day 29 (28 days post-vaccination)

Population: Per Protocol Population. The analysis includes groups with prior IPV history who received vaccination with a type 1 OPV; participants were only included in each analysis if the appropriate measure could be observed based on Baseline neutralizing antibody titer.

ArmMeasureGroupValue (NUMBER)
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 4-fold rise88.9 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 2-fold rise94.4 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPVAny fold-rise100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 4-fold rise92.9 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 2-fold rise100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 1 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPVAny fold-rise100 percentage of participants
Comparison: Between-Group Seroconversion Rate (4-fold rise) in Neutralizing Antibody Titersp-value: >0.99995% CI: [-27.67, 22.72]Fisher Exact
Secondary

Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPV

* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.

Time frame: Baseline, Day 29 (28 days after 1st vaccination) and Day 57 (28 days after 2nd vaccination)

Population: Per Protocol Population; The analysis includes groups with prior OPV history who received vaccination with a type 3 OPV; participants were only included in each analysis if the appropriate measure could be observed based on Baseline neutralizing antibody titer.

ArmMeasureGroupValue (NUMBER)
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 4-fold rise96.4 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 2-fold rise96.9 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: Any fold-rise94.1 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 4-fold rise96.4 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 2-fold rise90.6 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: Any fold-rise100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 2-fold rise76.5 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 4-fold rise86.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: ≥ 4-fold rise78.6 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: ≥ 2-fold rise83.3 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 57: Any fold-rise88.2 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Each Vaccination Among Participants With a Vaccine History of OPVDay 29: Any fold-rise94.4 percentage of participants
Comparison: Between-group comparison of seroconversion rate (4-fold rise) in neutralizing antibody titers 28 days after first dose.p-value: 0.27595% CI: [-7.29, 35.19]Fisher Exact
Comparison: Between-group comparison of seroconversion rate (4-fold rise) in neutralizing antibody titers 28 days after 2nd dose.p-value: 0.195% CI: [-1.27, 44.93]Fisher Exact
Secondary

Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV

* Seroconversion (SCR) is defined as a minimum 4-fold increase in titer from Baseline (pre-vaccination) to 28 days post-vaccination among those participants with a 4-fold increase possible to observe, i.e., with a Baseline titer not greater than 8.5 log₂. * Minimum 2-fold-rise from Baseline to 28 days post-vaccination among those participants with a 2-fold increase possible to observe, i.e., with a Baseline titer not greater than 9.5 log₂. * Any fold-rise is defined as any increase in titer from Baseline to 28 days post-vaccination (log₂ neutralizing antibody titer post-dose minus Baseline \> 0), among those with an increase possible to observe, i.e., with a Baseline titer less than 10.5 log₂.

Time frame: Baseline and Day 29 (28 days post-vaccination)

Population: Per Protocol Population. The analysis includes groups with prior IPV history who received vaccination with a type 3 OPV; participants were only included in each analysis if the appropriate measure could be observed based on Baseline neutralizing antibody titer.

ArmMeasureGroupValue (NUMBER)
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 4-fold rise100 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 2-fold rise94.1 percentage of participants
Group1: nOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPVAny fold-rise94.4 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 4-fold rise85.7 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPV≥ 2-fold rise100 percentage of participants
Group 2: mOPV1 (IPV History)Percentage of Participants With Any-Fold Rise, 2-fold Rise and 4-fold Rise in Anti-poliovirus Type 3 Serum Neutralizing Antibody Titers From Baseline to 28 Days After Vaccination Among Participants With a Vaccine History of IPVAny fold-rise100 percentage of participants
Comparison: Between-group seroconversion rate (4-fold rise) in neutralizing antibody titers 28 days after vaccinationp-value: 0.22495% CI: [-8.3, 40.45]Fisher Exact
Secondary

Shedding Index of Vaccine Virus Shedding in Stool in Participants With IPV Vaccination History

The Shedding Index Endpoint (SIE) was computed as the mean of the log₁₀ cell culture infectious dose 50% (CCID50) per gram from nominal collection days 7, 14, 21, and 28 post-dose (i.e., study days 8, 15, 22, and 29). Participants who were PCR-positive for type-specific viral shedding but with log₁₀ CCID50 per gram ≤ LLOQ contributed a value equal to the LLOQ. This endpoint was pre-specified to be analyzed in participants with IPV vaccination history.

Time frame: Days 8, 15, 22, and 29

Population: Participants with complete data at all four time points (Days 8, 15, 22, and 29) were included in the analysis. The analysis includes groups with prior IPV history.

ArmMeasureValue (MEDIAN)
Group1: nOPV1 (IPV History)Shedding Index of Vaccine Virus Shedding in Stool in Participants With IPV Vaccination History1.88 log₁₀ CCID50 per gram
Group 2: mOPV1 (IPV History)Shedding Index of Vaccine Virus Shedding in Stool in Participants With IPV Vaccination History1.96 log₁₀ CCID50 per gram
Group 3: nOPV1 (OPV History)Shedding Index of Vaccine Virus Shedding in Stool in Participants With IPV Vaccination History2.20 log₁₀ CCID50 per gram
Group 4: mOPV1 (OPV History)Shedding Index of Vaccine Virus Shedding in Stool in Participants With IPV Vaccination History2.41 log₁₀ CCID50 per gram
Secondary

Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With IPV Vaccination History

The presence of the vaccine virus in stool samples was assessed using polymerase chain reaction (PCR). Time to cessation of shedding is defined as the time between vaccination and the last PCR-positive stool prior to 2 consecutive PCR-negative stools (with a minimum 24-hour interval between the 2 negative stools). The time to cessation of fecal shedding of nOPV1 and nOPV3 in prior IPV recipients was estimated using Kaplan-Meier methodology with interval-censoring.

Time frame: Up to Day 57

Population: Participants in the Safety Population with available PCR data; the analysis includes groups with prior IPV history.

ArmMeasureValue (MEDIAN)
Group1: nOPV1 (IPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With IPV Vaccination History22 days
Group 2: mOPV1 (IPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With IPV Vaccination History20 days
Group 3: nOPV1 (OPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With IPV Vaccination History20 days
Group 4: mOPV1 (OPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With IPV Vaccination History29 days
Secondary

Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination History

The presence of the vaccine virus in stool samples was assessed using polymerase chain reaction (PCR). Time to cessation of shedding is defined as the time between vaccination and the last PCR-positive stool prior to 2 consecutive PCR-negative stools (with a minimum 24-hour interval between the 2 negative stools). The time to cessation of fecal shedding of nOPV1 and nOPV3 in prior OPV recipients was evaluated separately after each dose, estimated using Kaplan-Meier methodology with interval-censoring.

Time frame: From vaccination through 28 days after each vaccination

Population: Participants in the Safety Population with available PCR data at each time point; the analysis includes groups with prior OPV history.

ArmMeasureGroupValue (MEDIAN)
Group1: nOPV1 (IPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter first dose20 days
Group1: nOPV1 (IPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter 2nd dose5 days
Group 2: mOPV1 (IPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter 2nd dose7 days
Group 2: mOPV1 (IPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter first dose20 days
Group 3: nOPV1 (OPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter first dose21 days
Group 3: nOPV1 (OPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter 2nd dose2 days
Group 4: mOPV1 (OPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter first dose17 days
Group 4: mOPV1 (OPV History)Time to Cessation of Fecal Shedding of Vaccine Virus in Participants With OPV Vaccination HistoryAfter 2nd dose2 days

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026