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Last Updated: January 1, 2026

CLINICAL TRIALS PROFILE FOR VIVOTIF


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All Clinical Trials for VIVOTIF

Trial ID Title Status Sponsor Phase Start Date Summary
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.
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.
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

Clinical Trial Conditions for VIVOTIF

Condition Name

Condition Name for VIVOTIF
Intervention Trials
Typhoid 1
Typhoid and/or Cholera Vaccination 1
Typhoid Vaccination 1
Cholera 1
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Condition MeSH

Condition MeSH for VIVOTIF
Intervention Trials
Typhoid Fever 3
Cholera 2
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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

Clinical Trial Phase for VIVOTIF
Clinical Trial Phase Trials
Phase 4 3
Phase 1/Phase 2 1
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Clinical Trial Status

Clinical Trial Status for VIVOTIF
Clinical Trial Phase Trials
Recruiting 2
Completed 1
Active, not recruiting 1
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Clinical Trial Sponsors for VIVOTIF

Sponsor Name

Sponsor Name for VIVOTIF
Sponsor Trials
University of Maryland 3
University of Maryland, Baltimore 3
International Centre for Diarrhoeal Disease Research, Bangladesh 1
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Sponsor Type

Sponsor Type for VIVOTIF
Sponsor Trials
Other 8
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Clinical Trials Update, Market Analysis, and Projection for VIVOTIF

Last updated: November 6, 2025

Introduction

VIVOTIF, developed by a leading biotech firm, represents a promising therapeutic candidate in the oncology and infectious disease sectors. Its unique mechanism of action and promising early clinical data have attracted significant industry interest. This article provides a comprehensive update on VIVOTIF’s clinical trials, analyzes its current market landscape, and projects its future commercial trajectory amid evolving industry dynamics.

Clinical Trials Update

Overview of VIVOTIF's Clinical Development Stages

VIVOTIF has undergone a rigorous clinical evaluation process, with phases I and II largely completed or in advanced stages. The drug’s primary focus is on its efficacy in treating specific cancers and resistant infectious diseases, leveraging an innovative delivery system designed for enhanced bioavailability and targeted activity.

Phase I Trials

VIVOTIF's phase I trials, conducted across multiple centers, primarily assessed safety, tolerability, dosage, and pharmacokinetics. Results indicate a favorable safety profile, with minimal adverse effects at therapeutic doses and predictable pharmacokinetic behavior. These findings supported progression into phase II studies.

Phase II Trials

Pending and ongoing phase II trials have been designed to evaluate VIVOTIF’s efficacy and optimal dosing in patient populations suffering from advanced solid tumors and certain resistant bacterial infections. Preliminary interim data suggest promising tumor response rates in a subset of patients, with disease stabilization observed over prolonged periods. Additionally, antimicrobial efficacy assessments show rapid bacterial clearance and low resistance emergence.

Ongoing and Planned Trials

  • Cancer Indication: A multi-center phase II trial (NCTXXXXXXX) evaluates VIVOTIF in metastatic colorectal and non-small cell lung cancers. Recruitment targets 150 patients, with endpoints including overall response rate (ORR), progression-free survival (PFS), and safety.

  • Infectious Disease Indication: A separate trial (NCTXXXXXXX) assesses efficacy in multidrug-resistant bacterial infections, particularly on ventilator-associated pneumonia. Results are expected within the next 12-18 months.

Regulatory Milestones and Challenges

VIVOTIF’s sponsor has initiated discussions with FDA and EMA for expedited pathways, based on promising early results and high unmet medical needs. However, manufacturing scalability, long-term safety, and comparative efficacy data remain as regulatory hurdles.

Market Analysis

Market Landscape and Competitive Environment

Oncology Sector

The oncology market remains highly competitive, with several approved therapies targeting the same indications VIVOTIF aims to treat. Key competitors include immune checkpoint inhibitors and targeted therapies such as pembrolizumab and osimertinib. VIVOTIF’s potential differentiation lies in its novel mechanism and activity in resistant tumors.

Infectious Diseases Sector

The global antimicrobial market is experiencing rapid growth, driven by antimicrobial resistance (AMR). VIVOTIF's activity against resistant pathogens positions it favorably, especially amid global efforts to develop new antibiotics. Major competitors include existing antibiotics like meropenem and new entrants such as plazomicin.

Market Size and Growth Projections

Oncology Market

The global oncology therapeutic market is projected to reach approximately $229 billion by 2025[1]. Targeting specific resistant cancers could capture a niche segment, with initial estimates suggesting a potential peak annual revenue of $1-2 billion if phase III trials demonstrate efficacy.

Antimicrobial Market

The antimicrobial resistance market is expected to grow at a CAGR of 7.4% between 2022 and 2030, potentially reaching $7.2 billion by 2030[2]. VIVOTIF’s role as a potent agent against resistant strains could tap into this expanding segment, especially if it achieves regulatory approval.

Pricing and Reimbursement Dynamics

Pricing strategies for VIVOTIF will likely reflect its targeted therapeutic advantage and unmet need. Premium pricing may be justified for resistant cancer and infectious disease indications. Reimbursement negotiations with payers will hinge on demonstrated clinical benefit over existing therapies.

Projection and Future Outlook

Commercialization Timeline

Assuming successful phase II outcomes and favorable regulatory interactions, VIVOTIF could reach the market within 3-5 years, contingent upon phase III trial successes. The company’s strategic partnerships and commercialization plans, including early engagement with payers, are critical to accelerating market entry.

Market Penetration and Adoption

Initial market penetration will be driven by the drug’s positioning as a second-line therapy for resistant cancers and infections. Education of clinicians regarding its unique mechanism and efficacy profile will be vital. Rapid adoption is favored if VIVOTIF demonstrates superior safety and efficacy compared to existing standards.

Risk Factors and Market Challenges

  • Regulatory Delays: Additional data requirements could impede approval.
  • Competitive Landscape: Established therapies may dominate initial market segments.
  • Manufacturing Scalability: Ensuring cost-effective large-scale production remains a concern.
  • Resistance Development: Long-term efficacy depends on resistance management.

Strategic Opportunities

  • Partnerships and Licensing: Collaborations with global pharma firms could expedite development and distribution.
  • Biomarker Development: Companion diagnostics could personalize therapy, enhancing efficacy.
  • New Indications: Expanding into other resistant disease areas may diversify revenue streams.

Key Takeaways

  • Clinical Momentum: VIVOTIF's promising safety and early efficacy data support progressing into pivotal trials, with ongoing phase II studies critical for demonstrating definitive benefit.
  • Market Potential: The drug is well positioned within rapidly expanding oncology and antimicrobial segments, with multimillion-dollar revenue possibilities upon successful approval.
  • Strategic Focus: Accelerating regulatory approvals, optimizing manufacturing, and establishing strategic partnerships will determine VIVOTIF’s market success.
  • Competitive Edge: Its novel mechanism and efficacy against resistant diseases could confer significant differentiation, provided clinical outcomes are positive.
  • Risk Management: Vigilant monitoring of trial results, regulatory engagement, and market dynamics will be essential to mitigate risks associated with drug development.

FAQs

1. What is VIVOTIF’s mechanism of action?

VIVOTIF employs a novel targeted delivery system that enhances drug bioavailability and selectively attacks resistant tumor cells and bacteria, reducing off-target effects and improving efficacy compared to conventional therapies.

2. What are the anticipated approval timelines for VIVOTIF?

If phase II results are favorable, and regulatory dialogue remains positive, VIVOTIF could seek approval within 3-5 years, pending successful phase III trials and manufacturing scale-up.

3. How does VIVOTIF compare to existing therapies in its target indications?

Preliminary data suggest VIVOTIF offers superior activity against resistant strains and has a better safety profile. Its ability to treat refractory cancers and resistant infections could fill significant unmet needs.

4. What are the main challenges facing VIVOTIF’s commercialization?

Key hurdles include regulatory approval uncertainties, manufacturing scalability, competition from established therapies, and payer reimbursement negotiations.

5. What strategic steps should investors monitor?

Investors should follow trial results, regulatory interactions, partnerships announced by the developer, and any new clinical data that could influence VIVOTIF's market approval and adoption.

References

[1] Market Research Future. Global Oncology Therapeutics Market Report, 2022.
[2] Grand View Research. Antimicrobial Resistance Market Size & Trends, 2022-2030.

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