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Last Updated: April 27, 2025

CLINICAL TRIALS PROFILE FOR VIVOTIF


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All Clinical Trials for VIVOTIF

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT03705585 ↗ CVD 38000: Study of Responses to Vaccination With Typhoid and/or Cholera Recruiting University of Maryland Phase 4 2018-11-05 This is an open-label, non-randomized study. The purpose of this study is to better understand how vaccines against typhoid fever and cholera affect the normal immune system and bacteria in the intestine. Patients having standard-of-care endoscopies (colonoscopy and/or esophagogastroduodenoscopy (EGD)) will be divided into 3 groups: Group 1: Vivotif typhoid vaccination and/or Vaxchora cholera vaccination then endoscopy Group 2: Endoscopy, then Vivotif typhoid vaccination and/or Vaxchora cholera vaccination, then follow-up endoscopy Group 3: Endoscopy without vaccination. Both vaccines used in this study are licensed by the Food and Drug Administration (FDA) for travelers to developing countries. Volunteers will be asked to donate tissue, blood, saliva and stool samples for studying how the body responds to the typhoid and/or cholera vaccine.
NCT03705585 ↗ CVD 38000: Study of Responses to Vaccination With Typhoid and/or Cholera Recruiting University of Maryland, Baltimore Phase 4 2018-11-05 This is an open-label, non-randomized study. The purpose of this study is to better understand how vaccines against typhoid fever and cholera affect the normal immune system and bacteria in the intestine. Patients having standard-of-care endoscopies (colonoscopy and/or esophagogastroduodenoscopy (EGD)) will be divided into 3 groups: Group 1: Vivotif typhoid vaccination and/or Vaxchora cholera vaccination then endoscopy Group 2: Endoscopy, then Vivotif typhoid vaccination and/or Vaxchora cholera vaccination, then follow-up endoscopy Group 3: Endoscopy without vaccination. Both vaccines used in this study are licensed by the Food and Drug Administration (FDA) for travelers to developing countries. Volunteers will be asked to donate tissue, blood, saliva and stool samples for studying how the body responds to the typhoid and/or cholera vaccine.
NCT03970304 ↗ CVD 37000: Immunity and Microbiome Studies at Intestinal and Systemic Sites in Ty21a Vaccinated Adults Active, not recruiting University of Maryland Phase 4 2013-10-24 This is an open-label, non-randomized study. The purpose of this study is to better understand how vaccines against typhoid fever affect the normal immune system and bacteria in the intestine. Patients having standard-of-care colonoscopies will be divided into 3 groups: Group 1: Vivotif typhoid vaccination then colonoscopy; Group 2: Colonoscopy, then Vivotif typhoid vaccination, then follow-up colonoscopy; Group 3: Colonoscopy without vaccination. The Vivotif typhoid vaccine used in this study is licensed by the Food and Drug Administration (FDA) for travelers to developing countries. Volunteers will be asked to donate tissue, blood, saliva and stool samples for studying how the body responds to the typhoid vaccine.
NCT03970304 ↗ CVD 37000: Immunity and Microbiome Studies at Intestinal and Systemic Sites in Ty21a Vaccinated Adults Active, not recruiting University of Maryland, Baltimore Phase 4 2013-10-24 This is an open-label, non-randomized study. The purpose of this study is to better understand how vaccines against typhoid fever affect the normal immune system and bacteria in the intestine. Patients having standard-of-care colonoscopies will be divided into 3 groups: Group 1: Vivotif typhoid vaccination then colonoscopy; Group 2: Colonoscopy, then Vivotif typhoid vaccination, then follow-up colonoscopy; Group 3: Colonoscopy without vaccination. The Vivotif typhoid vaccine used in this study is licensed by the Food and Drug Administration (FDA) for travelers to developing countries. Volunteers will be asked to donate tissue, blood, saliva and stool samples for studying how the body responds to the typhoid vaccine.
NCT01019083 ↗ Studies of Immune Responses to Orally Administered Vaccines in Developing Country Completed Göteborg University Phase 1/Phase 2 2008-02-01 The efficacy and immunogenicity of enteric vaccines have generally been found to be lower in children in the developed than in the developing countries. This has been observed with vaccines against cholera rotavirus, ETEC and typhoid vaccines. There are a number of factors that may contribute to such differences in vaccine "take rates" in children, e.g. breast feeding and nutritional status of the children might influence their immunogenicity and efficacy. Thus, breast feeding of newborn and young infants may adversely influence the immune response to vaccination, which might have more pronounced effect in developing than in developed countries. Breastfeeding has also been shown to interfere with the serum immune responses to rotavirus vaccine although this effect could be overcome by administering three rather than one dose of the oral rotavirus vaccine. Our recent study of Dukoral in Bangladeshi children aged 18 months or younger has shown that the response rates and the magnitude of responses improved when breast milk was temporarily withheld . Thus, administration of vaccines may have to be adjusted when given to breast fed children. Another factor that may affect the immunogenicity is the effect of zinc. Previous studies have shown that zinc enhances the immune response to cholera vaccine in participants > 2 years of age , a recent study also observed a similar effect in infants. In this research project, we plan to study a number of different factors that might influence the immunogenicity of the two licensed oral model vaccines, specifically the inactivated killed oral cholera vaccine, Dukoral, and the live oral typhoid vaccine, Ty21a. We will also identify strategies that might improve the immunogenicity of the vaccines. The main objective of our study is to identify immunization regimens that may improve the immunogenicity of the vaccines in young children, which could be subsequently in field trials in Bangladesh and other developing countries. Specifically, we will determine if: (i) interventions identified to enhance immune responses to Dukoral, including zinc supplementation, could also enhance the immune responses to Ty21a; (ii) these two vaccines are able to induce both acute and memory B and T cell responses, (iii) treatment with antiparasitic drugs prior to immunization could modulate the immune responses to cholera and typhoid vaccines; and (iv) examine if arsenic exerts a suppressive effect on the immunogenicity of these vaccines.
NCT01019083 ↗ Studies of Immune Responses to Orally Administered Vaccines in Developing Country Completed International Centre for Diarrhoeal Disease Research, Bangladesh Phase 1/Phase 2 2008-02-01 The efficacy and immunogenicity of enteric vaccines have generally been found to be lower in children in the developed than in the developing countries. This has been observed with vaccines against cholera rotavirus, ETEC and typhoid vaccines. There are a number of factors that may contribute to such differences in vaccine "take rates" in children, e.g. breast feeding and nutritional status of the children might influence their immunogenicity and efficacy. Thus, breast feeding of newborn and young infants may adversely influence the immune response to vaccination, which might have more pronounced effect in developing than in developed countries. Breastfeeding has also been shown to interfere with the serum immune responses to rotavirus vaccine although this effect could be overcome by administering three rather than one dose of the oral rotavirus vaccine. Our recent study of Dukoral in Bangladeshi children aged 18 months or younger has shown that the response rates and the magnitude of responses improved when breast milk was temporarily withheld . Thus, administration of vaccines may have to be adjusted when given to breast fed children. Another factor that may affect the immunogenicity is the effect of zinc. Previous studies have shown that zinc enhances the immune response to cholera vaccine in participants > 2 years of age , a recent study also observed a similar effect in infants. In this research project, we plan to study a number of different factors that might influence the immunogenicity of the two licensed oral model vaccines, specifically the inactivated killed oral cholera vaccine, Dukoral, and the live oral typhoid vaccine, Ty21a. We will also identify strategies that might improve the immunogenicity of the vaccines. The main objective of our study is to identify immunization regimens that may improve the immunogenicity of the vaccines in young children, which could be subsequently in field trials in Bangladesh and other developing countries. Specifically, we will determine if: (i) interventions identified to enhance immune responses to Dukoral, including zinc supplementation, could also enhance the immune responses to Ty21a; (ii) these two vaccines are able to induce both acute and memory B and T cell responses, (iii) treatment with antiparasitic drugs prior to immunization could modulate the immune responses to cholera and typhoid vaccines; and (iv) examine if arsenic exerts a suppressive effect on the immunogenicity of these vaccines.
NCT03971669 ↗ Blood Donor CVD 5000 Recruiting University of Maryland Phase 4 2004-01-16 This is an open-label, non-randomized study. Volunteers will be vaccinated with the typhoid oral vaccine, Vivotif. Vivotif has been licensed by the Food and Drug Administration (FDA) for travelers to developing countries. Volunteers will also be asked to provide blood, saliva, and stool specimens over a follow-up time period of up to eight years. The specimens obtained in this clinical research study will be used to further the investigator's understanding of the protective immunological mechanisms that can be elicited systemically and may be applicable to other enteric pathogens.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 7 of 7 entries

Clinical Trial Conditions for VIVOTIF

Condition Name

11110-0.100.10.20.30.40.50.60.70.80.911.1CholeraRisk ReductionTyphoidTyphoid and/or Cholera Vaccination[disabled in preview]
Condition Name for VIVOTIF
Intervention Trials
Cholera 1
Risk Reduction 1
Typhoid 1
Typhoid and/or Cholera Vaccination 1
[disabled in preview] 0
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Condition MeSH

32000.511.522.53Typhoid FeverCholera[disabled in preview]
Condition MeSH for VIVOTIF
Intervention Trials
Typhoid Fever 3
Cholera 2
[disabled in preview] 0
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Clinical Trial Locations for VIVOTIF

Trials by Country

+
Trials by Country for VIVOTIF
Location Trials
United States 3
Bangladesh 1
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Trials by US State

+
Trials by US State for VIVOTIF
Location Trials
Maryland 3
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Clinical Trial Progress for VIVOTIF

Clinical Trial Phase

75.0%25.0%000.511.522.53Phase 4Phase 1/Phase 2[disabled in preview]
Clinical Trial Phase for VIVOTIF
Clinical Trial Phase Trials
Phase 4 3
Phase 1/Phase 2 1
[disabled in preview] 0
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Clinical Trial Status

50.0%25.0%25.0%0-0.200.20.40.60.811.21.41.61.822.2RecruitingActive, not recruitingCompleted[disabled in preview]
Clinical Trial Status for VIVOTIF
Clinical Trial Phase Trials
Recruiting 2
Active, not recruiting 1
Completed 1
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Clinical Trial Sponsors for VIVOTIF

Sponsor Name

trials0112233University of MarylandUniversity of Maryland, BaltimoreGöteborg University[disabled in preview]
Sponsor Name for VIVOTIF
Sponsor Trials
University of Maryland 3
University of Maryland, Baltimore 3
Göteborg University 1
[disabled in preview] 1
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Sponsor Type

100.0%0012345678Other[disabled in preview]
Sponsor Type for VIVOTIF
Sponsor Trials
Other 8
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VIVOTIF: Clinical Trials, Market Analysis, and Projections

Introduction to VIVOTIF

VIVOTIF, also known as Typhoid Vaccine Live Oral Ty21a, is a live attenuated vaccine designed to protect against typhoid fever, a disease caused by the bacterium Salmonella typhi. This vaccine is the only oral vaccine approved for use against typhoid fever and has been on the market for over 20 years, with an excellent safety record[3][4].

Clinical Trials and Immune Response

Current Clinical Trials

A recent clinical trial (NCT06104345) is investigating the immune response elicited by the concomitant administration of VIVOTIF (oral typhoid fever vaccine) and Dukoral® (oral cholera vaccine) in healthy volunteers aged 18-65 years. The primary goal is to determine whether coadministration affects the immune responses to both vaccines. Participants will receive either one of the vaccines or both simultaneously and will undergo immunogenicity analyses using ELISPOT and ELISA tests to measure antigen-specific responses[1].

Efficacy and Duration of Protection

Clinical studies have shown that VIVOTIF provides protection against typhoid fever in adults and children over six years old following the oral ingestion of four doses. The efficacy of the S. typhi Ty21a strain has been evaluated in several randomized, double-blind, controlled field trials. The protection provided by VIVOTIF is known to persist for at least five years, with reimmunization recommended every five years for individuals with continued exposure to typhoid fever[4].

Adverse Reactions

The vaccine has a favorable safety profile, with common adverse reactions including abdominal pain, nausea, diarrhea, fever, headache, and skin rash. These symptoms are generally mild and resolve spontaneously within a few days. In rare cases, more severe reactions such as anaphylactic shock have been reported[4].

Market Analysis

Global Market Size and Growth

The market for vaccines, including those like VIVOTIF, is part of a broader healthcare sector that is experiencing significant growth. While specific market data for VIVOTIF alone is not readily available, the global vaccine market is expanding due to increasing demand for preventive healthcare measures.

In Vivo Toxicology Market Context

The in vivo toxicology market, which includes testing for vaccine safety and efficacy, is estimated to grow from $5.0 billion in 2020 to $6.6 billion by 2025, at a CAGR of 11.5%. This growth is driven by the development of innovative animal models and increasing competition in the market. However, stringent regulations on the use of animal models in research pose a challenge[2].

Cholera Vaccines Market

The cholera vaccines market, which is related due to the coadministration study with Dukoral®, is projected to grow at a CAGR of 7.30% from 2025 to 2032. The global market size for cholera vaccines is expected to increase from $79.07 million in 2023 to $149.07 million by 2032. This growth indicates a rising demand for vaccines against infectious diseases, which could indirectly benefit the market for typhoid vaccines like VIVOTIF[5].

Market Projections

Increasing Demand for Travel Vaccines

VIVOTIF is particularly important for travelers to regions where typhoid fever is prevalent. With increasing global travel and the rise in international tourism, the demand for travel vaccines is expected to grow. This trend is likely to contribute to the sustained market presence and potential growth of VIVOTIF.

Regulatory and Competitive Landscape

The vaccine market is highly regulated, and any new developments or changes in regulatory requirements can impact market dynamics. PaxVax, the company behind VIVOTIF, has a pipeline of other travel vaccine candidates, which could enhance their market position and drive further growth in the sector[3].

Geographical Expansion

The market for VIVOTIF is not limited to endemic regions but also includes travelers from non-endemic areas. The global reach of the vaccine, coupled with its established efficacy and safety profile, positions it well for continued market presence and expansion.

Key Takeaways

  • Clinical Trials: Ongoing trials are exploring the coadministration of VIVOTIF with other vaccines to understand potential impacts on immune responses.
  • Efficacy and Safety: VIVOTIF has a well-documented efficacy and safety profile, providing protection against typhoid fever for at least five years.
  • Market Growth: The broader vaccine market, including in vivo toxicology and cholera vaccines, is experiencing significant growth, which could benefit VIVOTIF.
  • Regulatory and Competitive Landscape: Stringent regulations and competitive market dynamics will continue to shape the market for VIVOTIF.
  • Geographical Expansion: The vaccine's global reach and established safety profile support its continued market presence and potential expansion.

FAQs

What is VIVOTIF and how is it administered?

VIVOTIF is a live attenuated typhoid fever vaccine administered orally. It is the only oral vaccine approved for use against Salmonella typhi and is indicated for adults and children over six years old[3][4].

What are the common adverse reactions to VIVOTIF?

Common adverse reactions include abdominal pain, nausea, diarrhea, fever, headache, and skin rash. These symptoms are generally mild and resolve within a few days[4].

How long does the protection provided by VIVOTIF last?

The protection provided by VIVOTIF is known to persist for at least five years, with reimmunization recommended every five years for individuals with continued exposure to typhoid fever[4].

Is VIVOTIF effective in non-endemic regions?

Yes, VIVOTIF is expected to provide protection to recipients from non-typhoid-endemic areas, although efficacy studies were not feasible in these populations due to the low incidence of typhoid fever[4].

Can VIVOTIF be administered with other medications or vaccines?

VIVOTIF can be administered with certain anti-malarial drugs, but caution is advised with other medications that may interfere with its immunogenicity. Current clinical trials are also investigating its coadministration with the cholera vaccine Dukoral®[1][4].

Sources

  1. CenterWatch: "Immune Response Elicited by Concomitant Administration of Oral Typhoid Fever (Vivotif®) and Cholera (Dukoral®) Vaccines"[1].
  2. MarketsandMarkets: "In Vivo Toxicology Market Size, Share & Trends [2025]"[2].
  3. FiercePharma: "PaxVax Acquires the FDA-Approved Typhoid Vaccine Vivotif"[3].
  4. Vivotif.com: "Vivotif: Live Typhoid Vaccine Administered Orally | Emergent"[4].
  5. SkyQuestT: "Cholera Vaccines Market Trends, Size, Share & Forecast | 2032"[5].

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