150 Participants Needed

Vivotif Vaccine for Typhoid Risk Reduction

RB
SH
Overseen BySusan Holian, RN
Age: 18+
Sex: Any
Trial Phase: Phase 4
Sponsor: University of Maryland, Baltimore
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a vaccine called Vivotif, designed to prevent typhoid, a serious illness that spreads through contaminated food and water. Researchers aim to understand how this vaccine aids the immune system in fighting typhoid and possibly other similar diseases. Participants will provide samples, such as blood and saliva, over several years to gather this information. Those in good health without issues like diabetes or heart problems in the past five years may be suitable for this trial. As a Phase 4 trial, the treatment has FDA approval and proven effectiveness, and this research seeks to understand how it benefits more patients.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. However, if you are currently being treated with anti-malarial drugs, you would be excluded from participating.

What is the safety track record for the Vivotif Typhoid Oral Vaccine?

Research has shown that the Vivotif oral typhoid vaccine is very safe and easy to handle. Studies have found that side effects are rare and usually mild. Most side effects, such as an upset stomach or headache, resolve on their own. The FDA has already approved Vivotif for travelers, indicating it has been tested and used widely, which adds to the confidence in its safety.12345

Why are researchers enthusiastic about this study treatment?

Unlike the standard injectable vaccines for typhoid, Vivotif is unique because it is an oral vaccine, which makes it easier to administer and potentially more appealing to people who are needle-averse. This oral vaccine contains live attenuated bacteria, which can stimulate a robust immune response. Researchers are excited about Vivotif because it has the potential to offer effective protection against typhoid fever through a simpler, less invasive method compared to traditional shots.

What is the effectiveness track record for the Vivotif Typhoid Oral Vaccine?

Research shows that the Vivotif oral vaccine, which participants in this trial will receive, helps protect against typhoid fever. Studies indicate that it benefits adults and children over six years old. The vaccine has proven to be 45% effective in preventing typhoid fever. For travelers, this moderate effectiveness supports its use and aligns with vaccination guidelines. This evidence highlights the vaccine's ability to lower the risk of typhoid, especially for those visiting areas where the disease is more common.12678

Are You a Good Fit for This Trial?

Adults over 18 in good health can join this trial. They must not have heart disease, active ulcers, intestinal conditions, recent anemia treatment, substance abuse issues, diabetes or recent cancer (except certain skin and cervical cancers). Blood tests will exclude those with abnormal blood counts or liver function, hepatitis B/C or HIV infections. Pregnant women and those on anti-malarial drugs cannot participate.

Inclusion Criteria

Informed, written consent
I was found to be in good health during a check-up within the last 28 days.

Exclusion Criteria

You currently have a problem with drugs or alcohol.
I have been hospitalized more than 3 times for serious infections like pneumonia or meningitis.
I have been treated for anemia in the past 6 months.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Vaccination

Volunteers receive immunization with Vivotif oral typhoid vaccine

1 day
1 visit (in-person)

Specimen Collection

Blood, saliva, and stool specimens are collected at subsequent visits

up to 8 years

Follow-up

Participants are monitored for safety and effectiveness after vaccination

approximately 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • Vivotif Typhoid Oral Vaccine
Trial Overview The study involves the Vivotif typhoid oral vaccine already approved for travelers to certain countries. Participants will receive the vaccine and provide blood, saliva, and stool samples for up to eight years to help researchers understand how it protects against other similar diseases.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Vaccination with Oral Typhoid Vaccine (Vivotif)Experimental Treatment1 Intervention

Vivotif Typhoid Oral Vaccine is already approved in United States for the following indications:

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Approved in United States as Vivotif for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Maryland, Baltimore

Lead Sponsor

Trials
729
Recruited
540,000+

Published Research Related to This Trial

In a study of 115 travelers, 68% reported complete compliance with all dosing and storage recommendations for the Ty21a typhoid vaccine, but electronic monitoring revealed only 53% adherence, highlighting the importance of accurate compliance assessment methods.
Despite many travelers not following all guidelines, the vaccine's viability was not significantly affected by storage conditions, as no differences were found compared to controls, suggesting that the vaccine remains effective even with some temperature excursions.
Compliance to live oral Ty21a typhoid vaccine, and its effect on viability.Stubi, CL., Landry, PR., Pétignat, C., et al.[2022]
The live attenuated vaccine Ty800, derived from Salmonella typhi Ty2, was found to be safe in human volunteers, with only mild side effects reported and no serious adverse events like bacteremia.
Ty800 elicited strong intestinal immune responses in 10 out of 11 subjects, indicating high immunogenicity, and produced IgG responses comparable to those seen in control subjects vaccinated with the standard Ty21a vaccine.
phoP/phoQ-deleted Salmonella typhi (Ty800) is a safe and immunogenic single-dose typhoid fever vaccine in volunteers.Hohmann, EL., Oletta, CA., Killeen, KP., et al.[2019]
The Ty21a strain of Salmonella typhi, used in the Vivotif vaccine, acts as a preventive measure against typhoid fever by inducing specific immune responses rather than treating the disease after infection.
Ty21a can also be utilized as a carrier for delivering other antigens, enhancing its potential for vaccine development through efficient protein secretion.
Vivotif--a 'magic shield' for protection against typhoid fever and delivery of heterologous antigens.Gentschev, I., Spreng, S., Sieber, H., et al.[2009]

Citations

Vivotif® Typhoid Vaccine Live Oral Ty21aResults from clinical studies indicate that adults and children greater than 6 years of age may be protected against typhoid fever following the oral ingestion ...
2.vivotif.comvivotif.com/
Vivotif: Live Typhoid Vaccine Administered OrallyEstablished Efficacy1. Results from clinical studies indicate that adults and children greater than 6 years of age may be protected against typhoid fever ...
Effectiveness of typhoid vaccination in US travelers - PMCWe demonstrated moderate effectiveness of typhoid vaccination in US travelers, supporting vaccination recommendations.
Efficacy of typhoid vaccines against culture-confirmed ...The pooled efficacy against typhoid fever was 45% (95% CI 33–55%; four trials; 247 649 participants; I2 59%; moderate certainty) for Ty21a and 58% (44–69%; ...
Duration of efficacy of Ty21a, attenuated Salmonella typhi ...Table 1 summarizes the efficacy data from the Area Occidente field trial showing efficacy over three doses of Ty21a in enteric-coated capsules given on an every ...
Consumer & Patient Information | Vivotif® Oral Typhoid VaccineDon't let Typhoid Fever ruin your trip! Vivotif® is the only FDA-approved oral typhoid vaccine to help protect you while traveling abroad.
Typhoid vaccine, live (oral route) - Side effects & dosageTyphoid vaccine taken by mouth helps prevent typhoid fever, but does not provide 100% protection.
Overview of the impact of Typhoid and Paratyphoid fever. ...Thus, it is now accepted that the Ty21a vaccine is very safe and very well tolerated, and that adverse reactions are rare and self-limiting and consist of: ...
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