Table 1.
Inclusion Criteria | |
• Healthy, adult, male or female, age (generally 18–50 or 18–45 y) | • Women: Negative pregnancy test with understanding to not become pregnant during the study |
• Signed informed consent document. | |
• Available for inpatient study and for outpatient follow-up visits | • Completion and review of comprehension test (achieved >70% accuracy) |
Exclusion Criteria | |
• Clinically significant medical or psychiatric problem by history | • Chronic use of antidiarrheal, anticonstipation, or antacid therapy |
• Clinically significant abnormalities on physical examination or screening labs | • History of irritable bowel syndrome or abnormal stool pattern |
• Use of steroids or other immunosuppressive and/or immunomodulatory drugs | • Personal or family history of inflammatory arthritis |
• Currently pregnant or nursing | • Positive blood test for HLA-B27 |
• Participation in research involving another investigational product within 30 d before enrollment and during the duration of the study | • History of Shigella infection (exclusion duration protocol specific) |
• Positive and confirmatory blood test for HBsAg, HCV, HIV-1 | • Received previous experimental Shigella vaccine or live Shigella challenge (exclusion duration protocol specific) |
• Clinically significant abnormalities on basic laboratory screening | • Travel to countries with symptoms of travelers' diarrhea where Shigella or other enteric infections are endemic within 6 mo prior to enrollment |
• Immunosuppressive illness or IgA deficiency (serum IgA <7 mg/dL or limit of detection of assay) | • Occupation involving handling of Shigella bacteria |
• Current alcohol or drug dependence | • Serum IgG titer ≥2500 to Shigella LPS [39, 40] |
• Current or prior history of inflammatory bowel disease | • Use of antibiotics within 7 d prior to challenge |
Abbreviations: HBsAg, hepatitis B surface antigen; HCV, hepatitis C virus; HIV-1, human immunodeficiency virus type 1; IgA, immunoglobulin A; IgG, immunoglobulin G; LPS, lipopolysaccharide.