DX-104 vaccine safety and immune response in healthy adults 18–50

A Phase I, Randomized, Double-blinded, Positive-Controlled Clinical Trial to Assess the Safety and Immunogenicity of the Group B Meningococcal OMV Vaccine (DX-104) in Adults Aged 18 to 50 Years

This trial will test whether the DX-104 vaccine is safe and triggers an immune response in healthy adults aged 18 to 50.

Quick facts

• Phase: Phase 1
• Study type: Interventional
• Enrollment: 30 (estimated)
• Ages: 18 Years to 50 Years
• Sex: All
• Sponsor: Shanghai Yuguan Biotech Co., Ltd.（Delonix Bioworks) (Industry-sponsored)
• Drugs / interventions: prednisone
• Locations: 1 site (Perth, Western Australia)
• Trial ID: NCT07395739 on ClinicalTrials.gov

What this trial studies

This randomized, double-blind, positive-controlled Phase 1 trial will enroll 30 healthy adults and randomize them 2:1 to receive DX-104 or the licensed MenB vaccine Bexsero. Participants will receive three intramuscular doses at Months 0, 1, and 6 and will be followed for safety and immunogenicity through six months after the final dose. The primary outcomes are safety/tolerability and antibody responses, with Bexsero used as an active comparator. The trial is conducted at a single early-phase site in Perth, Western Australia.

Who should consider this trial

Good fit: Healthy adults aged 18–50 with a BMI between 18.0 and 32.0 kg/m2 who can attend all study visits and meet the protocol's pregnancy/contraception requirements are ideal candidates.

Not a fit: Children, older adults, pregnant people, immunocompromised individuals, or anyone who cannot attend the scheduled visits are unlikely to receive direct benefit from participating.

Why it matters

Potential benefit: If successful, DX-104 could become an additional meningococcal B vaccine option that provides comparable safety and protective immune responses.

How similar studies have performed: Licensed MenB vaccines such as Bexsero and Trumenba have shown safety and immunogenicity, so this approach builds on an established vaccine strategy.

Eligibility criteria

Inclusion Criteria

1. Healthy male or female participants aged 18 to 50 years (inclusive) at the time of screening, who can provide valid legal identification.
2. Willing and able to give written informed consent before any study-related activities are carried out and must be able to understand the full nature and purpose of the trial, including possible risks and adverse effects.
3. Willing and able to comply with all study procedures and available for the entire duration of the study follow-up.
4. Participants must have a Body Mass Index (BMI) between ≥18.0 and ≤32.0 kg/m2 at screening.
5. For female participants at least 1 of the following conditions must apply:

   i) Is not of childbearing potential (WONCBP), defined as surgically sterile (hysterectomy, bilateral salpingectomy, tubal ligation or bilateral oophorectomy - verbal confirmation through medical history review acceptable) or postmenopausal (no menses for 12 months and confirmed by FSH level ≥40 mIU/mL); or ii) Is of childbearing potential (WOCBP), has negative pregnancy tests at screening and prior to the first vaccination, and agrees to: Practice true abstinence (where this is consistent with their usual lifestyle); or Use a highly effective method of contraception consistently from signing the consent form until 6 months after the last vaccination. Highly effective contraception includes hormonal contraception (oral, injected, implanted or transdermal) plus use of a condom, placement of an intrauterine device (IUD) or intrauterine system (IUS) plus use of a condom, or a vasectomized male partner (performed at least 6 months prior) who has been documented to no longer produce sperm - verbal confirmation through medical history review acceptable; or iii) Are in an exclusively same-sex relationship. iv) In addition, pre-menopausal women must agree not to donate their ova from signing the consent form until at 6 months after the last vaccination.
6. Females should not be currently breastfeeding, and should not breastfeed for the duration of the study.
7. Male participants are able to participate if they:

   i) Practice true abstinence (where this is consistent with their usual lifestyle); or ii) Are surgically sterilized (performed at least 6 months prior and documented to no longer produce sperm - verbal confirmation through medical history review acceptable); or iii) If their female partner is a WOCBP, the male participant must use a condom and the WOCBP female partner must use a highly effective contraception method (i.e. established use of hormonal contraception started at least 30 days prior to Day 0/Visit 1; or placement or an IUD), from screening and for 6 months after the last vaccination; or iv) Are in an exclusively same sex relationship. v) In addition, non-sterile males must agree not to donate their sperm from signing the consent form until 6 months after the last vaccination.

Exclusion Criteria

1\. Oral temperature \>37.5°C at screening or prior to vaccination\* 2. Previous vaccination with any Group B meningococcal vaccine (including GSK's Bexsero® or Pfizer's Trumenba®) or a history of invasive disease caused by Neisseria meningitidis.

3\. Individuals with abnormal findings in pre-vaccination laboratory tests, vital signs, physical examination, or electrocardiogram (ECG) that are deemed clinically significant by the Investigator or delegate. \* 4. Known allergy or hypersensitivity to any component of the investigational vaccine, or a history of severe allergic reactions (including, but not limited to: anaphylaxis, allergic laryngeal edema, allergic purpura, thrombocytopenic purpura, Arthus reaction, dyspnea, angioneurotic edema, etc.).

5\. Administration of any live-attenuated vaccine within 14 days (inclusive) prior to vaccination, or any other subunit, inactivated, or recombinant protein vaccine within 7 days (inclusive) before vaccination.\* 6. Acute illness or exacerbation of a chronic illness within 3 days prior to vaccination.\* 7. Use of antipyretics, analgesics, or anti-allergy medications within 24 hours prior to vaccination. \* 8. Long-term use of immunomodulators within 3 months prior to screening (e.g., systemic corticosteroids for ≥14 days at a dose of ≥2 mg/kg/day or ≥20 mg/day of prednisone or equivalent), or planned use during the study period. Note: Topical preparations (e.g., ointments, eye drops, inhalers, nasal sprays) are permitted.

9\. Receipt of blood products and/or immunoglobulins within 3 months prior to vaccination, or planned administration during the study period.\* 10. Participants who have donated or lost more than 450 mL of blood within 30 days before the screening visit. \* 11. Participants with any severe underlying disease, congenital malformation, or ongoing medical condition that, in the judgment of the investigator or delegate, may pose a risk to the participant or interfere with the conduct, safety, or scientific validity of the trial. This includes, but is not limited to: active or latent tuberculosis (Mycobacterium tuberculosis), symptomatic or poorly controlled respiratory diseases such as asthma or chronic bronchitis, Down syndrome, thalassemia, heart disease, kidney disease, autoimmune disorders, atopic predisposition, Guillain-Barré syndrome, current skin diseases, etc.

12\. Participants with encephalopathy, uncontrolled epilepsy, convulsions, other progressive neurological disorders, or a significant personal history of psychiatric disorders.

13\. Contraindications to intramuscular injection, including, but not limitedto: diagnosed thrombocytopenia, any coagulation disorder, or current treatment with anticoagulants. 14. Asplenia, functional asplenia, or splenectomy due to any reason. 15. Planned relocation from the local area before trial completion or prolonged absences scheduled during the trial visit periods.

16\. Participation in another clinical trial involving an investigational or unregistered product (drug, vaccine, device, etc.) within 30 days prior to vaccination, or planned participation in any other clinical trial before the completion of this study.\* 17. Positive test for hepatitis C virus (HCV), hepatitis B surface antigen (HBsAg), human immunodeficiency virus (HIV) or syphilis at screening.

18\. Participants with skin conditions that in the opinion of the investigator or delegate may interfere with the assessment of local adverse reactions (e.g., tattoos at the injection site, psoriasis, plaques affecting the skin in the deltoid area, etc.).

19\. Any other condition which, in the opinion of the Investigator or delegate, may compromise the assessment of the trial objectives.

Where this trial is running

Perth, Western Australia

• Linear Early Phase Limited — Perth, Western Australia, Australia (Recruiting)

Study contacts

• Study coordinator: Project Manager

Conditions Neisseria Meningitidis Serogroup B