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ACTIVE NOT RECRUITING
NCT05805826
PHASE1/PHASE2

To Understand the Safety and Effects of a C. Difficile Vaccine With New Adds-Ons That Will Be Given to Healthy Adults

Sponsor: Pfizer

View on ClinicalTrials.gov

Summary

An antibody is a substance your body makes to fight off infection. This study will explore the safety and antibody response of a vaccine to prevent severe diarrhea caused by a germ called Clostridoides difficile (C. diff). Three new formulations of the C. diff vaccine will be used in this study, in addition to a C. diff vaccine formulation that has been studied in previous clinical trials. The purpose of this study is to understand if giving the new C. diff vaccine formulations helps people make as many antibodies as giving the previously studied C. diff vaccine formulation. The study is divided into 2 phases. Phase 1 will evaluate 3 new formulations of the C. diff vaccine and 2 dosing schedules spread out over 2 months or 6 months. The Phase 1 portion of the study is seeking participants: * who are healthy adults of 65 to 84 years of age * who have not had a C. diff infection before * who have not received a C. diff vaccine or C. diff monoclonal antibody therapy before. All participants in Phase 1 will receive study injections with active vaccine or placebo at each vaccination visit, depending on the vaccine group to which they are assigned. A placebo does not contain any active ingredients. Participants in Phase 1 will attend at least 9 study visits and will take part in the study for approximately 18 months. Based on the results of Phase 1, 1 or 2 of the new C. diff vaccine formulations will be chosen for further study in Phase 2. Phase 2 will evaluate the safety and effects of the new C. diff vaccine formulation(s) chosen in Phase 1. The Phase 2 portion of the study is seeking participants: * who are healthy adults ≥65 years of age; and 50 through 64 years of age (Cohort 4 only) * who have not had a C. diff infection before * who have not received a C. diff vaccine or C. diff monoclonal antibody therapy before. Phase 2 participants will receive active C. diff vaccine or placebo at each vaccination visit. Participants in Phase 2 will attend at least 6 and up to 12 study visits and will take part in the study for up to 4 years. A booster stage for selected participants in Phase 2 will have participants receive active C. diff vaccine or placebo to examine immune persistence. The booster stage participants will attend at least 10 additional study visits and will take part in the study for 6 years. A newly added cohort will evaluate the safety and effects of active C. diff vaccine formulation in participants 50 through 64 years of age. Participants will receive C. diff vaccine or placebo and will attend at least 6 study visits over a period of 18 months.

Official title: A PHASE 1/2 RANDOMIZED STUDY TO EVALUATE THE SAFETY, TOLERABILITY, IMMUNOGENICITY, AND IMMUNOPERSISTENCE OF A CLOSTRIDIOIDES DIFFICILE VACCINE ADMINISTERED WITH NOVEL ADJUVANTS IN HEALTHY ADULTS

Key Details

Gender

All

Age Range

50 Years - Any

Study Type

INTERVENTIONAL

Enrollment

936

Start Date

2023-03-23

Completion Date

2031-06-19

Last Updated

2026-01-27

Healthy Volunteers

Yes

Interventions

BIOLOGICAL

C. difficile vaccine (previously studied formulation).

Toxoid based Clostridioides difficile vaccine (previously studied formulation) given as an intramuscular injection

BIOLOGICAL

C. difficile vaccine formulation 1.

C. difficile vaccine formulation 1 given as an intramuscular injection

BIOLOGICAL

C. difficile vaccine formulation 2.

C. difficile vaccine formulation 2 given as an intramuscular injection

BIOLOGICAL

C. difficile vaccine formulation 3.

C. difficile vaccine formulation 3 given as an intramuscular injection

OTHER

Saline Placebo.

0.9% sodium chloride solution given as an intramuscular injection

Locations (22)

HOPE Research Institute

Phoenix, Arizona, United States

Anaheim Clinical Trials, LLC

Anaheim, California, United States

Alliance for Multispecialty Research, LLC

Doral, Florida, United States

Indago Research & Health Center, Inc

Hialeah, Florida, United States

Research Centers of America

Hollywood, Florida, United States

Miami Clinical Research

Miami, Florida, United States

New Horizon Research Center

Miami, Florida, United States

Charisma Medical and Research Center

Miami Lakes, Florida, United States

Private Practice - Dr. Hector Fabregas

Pembroke Pines, Florida, United States

DBC Research USA

Pembroke Pines, Florida, United States

BRCR Medical Center Inc.

Plantation, Florida, United States

Clinical Research Trials of Florida

Tampa, Florida, United States

Great Lakes Clinical Trials - Ravenswood

Chicago, Illinois, United States

Alliance for Multispecialty Research, LLC

Wichita, Kansas, United States

Prism Research LLC dba Nucleus Network

Saint Paul, Minnesota, United States

Washington University School of Medicine

St Louis, Missouri, United States

Washington University

St Louis, Missouri, United States

NYU Langone Health

New York, New York, United States

Rochester Clinical Research, LLC

Rochester, New York, United States

CTI Clinical Research Center

Cincinnati, Ohio, United States

Benchmark Research

Austin, Texas, United States

Dynamed Clinical Research, LP d/b/a DM Clinical Research

Tomball, Texas, United States