This study will investigate a Clostridium difficile vaccine in healthy adults aged 65-85 years. Each subject will initially receive 3 doses of vaccine on 1 of 2 vaccination schedules. The study will assess the safety and tolerability of the vaccine as well as the subjects' immune response to the vaccine. One year after the third dose subjects that did not receive placebo will be randomized to receive a fourth dose. Subjects will be followed for up to 4 years after their third vaccination.
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Day 1, 8 and 30 Regimen: Percentage of Participants Achieving Prespecified Antibody Titer Level for Toxin A at Day 37
Timeframe: Day 37 (7 days after Vaccination 3 of Day 1, 8 and 30 regimen)
Month 0, 1 and 6 Regimen: Percentage of Participants Achieving Prespecified Antibody Titer Level for Toxin A at Month 7
Timeframe: Month 7 (1 month after Vaccination 3 of Month 0, 1 and 6 regimen)
Day 1, 8 and 30 Regimen: Percentage of Participants Achieving Prespecified Antibody Titer Level for Toxin B at Day 37
Timeframe: Day 37 (7 days after Vaccination 3 of Day 1, 8 and 30 regimen)
Month 0, 1 and 6 Regimen: Percentage of Participants Achieving Prespecified Antibody Titer Level for Toxin B at Month 7
Timeframe: Month 7 (1 month after Vaccination 3 of Month 0, 1 and 6 regimen)
Day 1, 8 and 30 Regimen: Percentage of Participants Achieving Prespecified Antibody Titer Level for Both Toxin A and Toxin B at Day 37
Timeframe: Day 37 (7 days after Vaccination 3 of Day 1, 8 and 30 regimen)
Month 0, 1 and 6 Regimen: Percentage of Participants Achieving Prespecified Antibody Titer Level for Both Toxin A and Toxin B at Month 7
Timeframe: Month 7 (1 month after Vaccination 3 of Month 0, 1 and 6 regimen)
Day 1, 8 and 30 Regimen: Percentage of Participants With Local Reactions by Severity Within 7 Days After Vaccination 1
Timeframe: within 7 days After Vaccination 1
Month 0, 1 and 6 Regimen: Percentage of Participants With Local Reactions by Severity Within 14 Days After Vaccination 1
Timeframe: within 14 days After Vaccination 1
Day 1, 8 and 30 Regimen: Percentage of Participants With Local Reactions by Severity Within 14 Days After Vaccination 2
Timeframe: within 14 days After Vaccination 2
Month 0, 1 and 6 Regimen: Percentage of Participants With Local Reactions by Severity Within 14 Days After Vaccination 2
Timeframe: within 14 days after Vaccination 2
Day 1, 8 and 30 Regimen: Percentage of Participants With Local Reactions by Severity Within 14 Days After Vaccination 3
Timeframe: within 14 days after Vaccination 3
Month 0, 1 and 6 Regimen: Percentage of Participants With Local Reactions by Severity Within 14 Days After Vaccination 3
Timeframe: within 14 days after Vaccination 3
Day 1, 8 and 30 Regimen: Percentage of Participants With Systemic Events by Severity Within 7 Days After Vaccination 1
Timeframe: within 7 days after Vaccination 1
Month 0, 1 and 6 Regimen: Percentage of Participants With Systemic Events by Severity Within 14 Days After Vaccination 1
Timeframe: within 14 days after Vaccination 1
Day 1, 8 and 30 Regimen: Percentage of Participants With Systemic Events by Severity Within 14 Days After Vaccination 2
Timeframe: within 14 days after Vaccination 2
Month 0, 1 and 6 Regimen: Percentage of Participants With Systemic Events by Severity Within 14 Days After Vaccination 2
Timeframe: within 14 days after Vaccination 2
Day 1, 8 and 30 Regimen: Percentage of Participants With Systemic Events by Severity Within 14 Days After Vaccination 3
Timeframe: within 14 days after Vaccination 3
Month 0, 1 and 6 Regimen: Percentage of Participants With Systemic Events by Severity Within 14 Days After Vaccination 3
Timeframe: within 14 days after Vaccination 3
Day 1, 8 and 30 Regimen: Percentage of Participants With Treatment Emergent Adverse Events (AEs)
Timeframe: From Vaccination 1 up to 28 days after Vaccination 3 (Day 58)
Month 0, 1 and 6 Regimen: Percentage of Participants With Treatment Emergent Adverse Events (AEs)
Timeframe: From Vaccination 1 up to 28 days after Vaccination 3 (Day 208)
Day 1, 8 and 30 Regimen: Percentage of Participants With Treatment Emergent Serious Adverse Events (SAEs)
Timeframe: From Vaccination 1 up to 6 months after Vaccination 3 (Month 7)
Month 0, 1 and 6 Regimen: Percentage of Participants With Treatment Emergent Serious Adverse Events (SAEs)
Timeframe: From Vaccination 1 up to 6 months after Vaccination 3 (Month 12)