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Heat killed Escherichia coli placebo is an oral suspension used as a control intervention in clinical trials for killed whole-cell oral cholera vaccines, such as those developed by the International Vaccine Institute (IVI). The placebo is formulated with heat-inactivated E. coli to achieve an optical turbidity identical to the active vaccine, ensuring the maintenance of the double-blind study design. It is primarily used to assess the safety and immunogenicity of cholera vaccines by providing a non-protective comparative baseline in endemic populations.
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