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CTRI Number  CTRI/2024/08/072503 [Registered on: 14/08/2024] Trial Registered Prospectively
Last Modified On: 14/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Vaccine 
Study Design  Single Arm Study 
Public Title of Study   A phase 1 study to assess the safety and tolerability of bivalent typhoid and paratyphoid a conjugate vaccine (btpt) of M/s Zydus Lifesciences ltd., India in healthy, adult human subjects 
Scientific Title of Study   An Open-label, Single-treatment, Single-period, Single dose, clinical phase 1 study to assess the safety and tolerability of bivalent typhoid and paratyphoid a conjugate vaccine (btpt) of M/s Zydus Lifesciences ltd., India in healthy, adult human subjects 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
BTPT 1001 Version No. 02 dated 16th May 2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Krunal Prajapati 
Designation  Sr.Manager 
Affiliation  Zydus Lifesciences Ltd 
Address  Zydus Research Centre, Zydus Lifesciences Ltd, Survey No. 396/403, Opp. Sarvotam Hotel, Nr. Nova Petrochemicals, Sarkhej-Bavla N.H. No. 8A, Village: Moraiya,

Ahmadabad
GUJARAT
382213
India 
Phone  02717665555  
Fax    
Email  Krunal.G.Prajapati@ZydusLife.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Krunal Prajapati 
Designation  Sr.Manager 
Affiliation  Zydus Lifesciences Ltd 
Address  Zydus Research Centre, Zydus Lifesciences Ltd, Survey No. 396/403, Opp. Sarvotam Hotel, Nr. Nova Petrochemicals, Sarkhej-Bavla N.H. No. 8A, Village: Moraiya,


GUJARAT
382213
India 
Phone  02717665555  
Fax    
Email  Krunal.G.Prajapati@ZydusLife.com  
 
Details of Contact Person
Public Query
 
Name  Dr Krunal Prajapati 
Designation  Sr.Manager 
Affiliation  Zydus Lifesciences Ltd 
Address  Zydus Research Centre, Zydus Lifesciences Ltd, Survey No. 396/403, Opp. Sarvotam Hotel, Nr. Nova Petrochemicals, Sarkhej-Bavla N.H. No. 8A, Village: Moraiya,


GUJARAT
382213
India 
Phone  02717665555  
Fax    
Email  Krunal.G.Prajapati@ZydusLife.com  
 
Source of Monetary or Material Support  
Zydus Lifesciences Ltd., Zydus Corporate Park, Scheme No. 63, Survey No. 536, Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad- 382481, Gujarat, India. 
 
Primary Sponsor  
Name  Zydus Lifesciences Ltd 
Address  M/s Zydus Lifesciences Limited, Plot Survey No. 23, 25/P, 37, 40/P, 42 to 47, 49 & 50, Sarkhej-Bavla N. H. No. 8A, Opp. Ramdev Masala, Village: Changodar, Tal.: Sanand, Dist.: Ahmedabad – 382213, State: Gujarat, (India), 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Krunal Prajapati  Zydus Research Centre  Survey No. 396/403, Opp. Sarvotam Hotel, Nr. Nova Petrochemicals, Sarkhej-Bavla N.H. No. 8A, Village Moraiya, 382213
Ahmadabad
GUJARAT 
02717665555

Krunal.G.Prajapati@ZydusLife.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Riddhi Medical Nursing Home Institutional Ethics Committee, Riddhi Medical Nursing Home, A/101 Jalaram Plaza, Jawahar chowk, Maninagar, Ahmedabad - 380008, Gujarat, India.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NA  NA 
Intervention  Typhoid Conjugate Vaccine  Dose : 0.5 ml Route:Intramuscular injection Frequency :- Once Duration :- Single time 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Male and non-pregnant, non-lactating female subjects aged between 18 and 50 years (Both inclusive).
2.Ability to communicate effectively with study personnel.
3.Willingness to adhere to the protocol requirements.
4.Be able to give written informed consent for participation in the trial.
5.Normal health as determined by personal medical/surgical history, vital signs, physical examination, Chest X-ray PA view (only if clinically indicated), ECG and laboratory assessment data during screening (within the clinically acceptable range).
6.Male subjects and female subjects of childbearing potential must agree to use effective contraception till study completion.
7.Subject should be literate to understand study requirement. 
 
ExclusionCriteria 
Details  1.Any hypersensitivity reaction or History of anaphylaxis or serious adverse event with previous receipt of tetanus and/or diphtheria toxoid containing vaccines.
2.Subjects with known hypersensitivity to any component of the study vaccine.
3.Household contact with known exposure to an individual with laboratory confirmed S. Typhi or S. Paratyphi A.
4.Subjects who are taking immunostimulant therapy (e.g., interferons) or immunosuppressant medications (e.g., corticosteroids, cytotoxic drugs or antimetabolites, etc.).
5.Subjects who are known to be suffering from diseases which can affect immune competence e.g., diabetes, immunodeficiency disorders or known to be HIV positive.
6.Subjects who have received immunoglobulins parenterally during the preceding 3 months.
7.Subjects who have received any type of typhoid vaccine in last 3 years.
8.Subjects who have received any vaccine in preceding one month of dosing and who are planning to take vaccine during study period.
9.History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, immunological, dermatological, neurological, psychiatric disease, gynaecological or any other body system involvement which interferes with safety assessment as per investigator discretion.
10.History or presence of alcoholism or drug abuse within the past one-year.
11.History or presence of significant smoking (more than 10 cigarettes per day)
12.Blood pressure less than 100/60 (Systolic/diastolic) mm Hg or more than 140/90 (Systolic/diastolic) mm Hg.
13.Pulse less than 60/minute or more than 100/minute.
14.History of fever or any other infection in last 2 weeks of enrollment
15.Any clinically significant ECG abnormalities at screening.
16.Any clinically significant abnormal laboratory values during screening.
17.Subjects who have participated in clinical research studies within past 3 months.
18.A positive urine drugs of abuse test or positive alcohol test at check-in.
19.For female subjects, positive serum β-hCG level or urine pregnancy test at the screening or check-in visit.
20.Female subjects with history of pregnancy or lactation in the past 3 months.
21.Female subjects with history of less than 1 year of menopause and not using adequate anti-fertility measures. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate safety and tolerability of Bivalent Typhoid and Paratyphoid A Conjugate Vaccine given intramuscularly in healthy adult human subjects.  Baseline to Day 28 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the immunogenicity of Bivalent Typhoid and Paratyphoid A Conjugate Vaccine given by intramuscular route in healthy subjects.  Baseline to Day 28 
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="24" 
Final Enrollment numbers achieved (Total)= "24"
Final Enrollment numbers achieved (India)="24" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   28/08/2024 
Date of Study Completion (India) 25/10/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Zydus Lifesciences Ltd has already developed and commercialized S. Typhi conjugate vaccine (ZyVac®TCV) in India. To cover the range of enteric fever causing agents, a combination vaccine of typhoid and paratyphoid A conjugate vaccine has been developed. In this combination vaccine, Vi Polysaccharide of S. typhi is conjugated with tetanus toxoid and O specific Polysaccharide of S. Paratyphi A conjugated with diphtheria toxoid. Both conjugates were formulated using suitable excipients and preservative. Drug substance is tested and released as per the quality control specification. After that it is formulated and converted to the drug product. Drug product is also tested and released as per the quality control specification.

The acute and repeated dose toxicity studies were carried out to demonstrate the safety and tolerability of the Bivalent Typhoid and Paratyphoid A Conjugate Vaccine and to identify the inherent toxicities of formulation, toxicities of impurities and contaminants or toxicities that may result from interactions between the vaccine components. Using this formulation, animal studies were performed and vaccine immunogenicity and safety was determined. In preclinical toxicity (PCT) studies, the bivalent Typhoid and Paratyphoid conjugate vaccine was found to be safe & immunogenic. The proposed route of administration of the vaccine is intramuscular (IM).
 
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