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V221 Concomitant Use Study With Pneumococcal Conjugate Vaccine (V221-019)

Primary Purpose

Measles, Mumps, Rubella

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Comparator: ProQuad™ (V221)
Comparator: PREVNAR™ (pneumococcal 7-valent conjugate vaccine)
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Measles

Eligibility Criteria

12 Months - 15 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria: In good health 12 to 15 months of age Negative clinical history to measles, mumps, rubella, varicella and/or zoster Received only the 3-dose primary series of a pneumococcal conjugate vaccine with at least 2 months prior to the receipt of any of the study vaccines Signed consent Exclusion Criteria: Previous administration of any measles, mumps, rubella, or varicella vaccine either alone or in any combination Any condition resulting in depressed immunity Any allergy to any vaccine component as stated in the package circulars Exposure to measles, mumps, rubella, varicella, or zoster within 4 weeks prior to the study vaccination History of seizure disorder Receipt of an inactivated vaccine within 14 days prior to enrollment or live vaccine within 30 days Recent febrile illness

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    1

    2

    3

    Arm Description

    Group 1: ProQuad™ (V221) + PREVNAR™ (pneumococcal 7-valent conjugate vaccine) followed by ProQuad™ (Day 91)

    Group 2: PREVNAR™ followed by ProQuad™ (Day 43) followed by ProQuad™ (Day 133)

    Group 3: ProQuad™ followed by PREVNAR™ (Day 43), followed by ProQuad™ (Day 91)

    Outcomes

    Primary Outcome Measures

    Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL
    Antibody Response to Measles at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer <255 mIU/mL) to Measles at Baseline.
    Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL
    Antibody Response to Mumps at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer <10 ELISA Ab units/mL) to Mumps at Baseline.
    Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL
    Antibody Response to Rubella at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer <10 IU/mL) to Rubella at Baseline.
    Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mL
    Antibody Response to Varicella at 6 Weeks Postvaccination for Subjects Initially With Varicella Antibody Titer <1.25 gpELISA units/mL at Baseline
    Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 4
    Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 6B
    Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 9V
    Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 14
    Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 18C
    Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 19F
    Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 23F

    Secondary Outcome Measures

    Full Information

    First Posted
    April 27, 2005
    Last Updated
    March 15, 2017
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00109343
    Brief Title
    V221 Concomitant Use Study With Pneumococcal Conjugate Vaccine (V221-019)
    Official Title
    An Open, Randomized, Multicenter Study of the Safety, Tolerability, and Immunogenicity of V221 Given Concomitantly With Pneumococcal Conjugate Vaccine in Healthy Children 12 to 15 Months of Age
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2006 (undefined)
    Primary Completion Date
    September 2007 (Actual)
    Study Completion Date
    September 2007 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    5. Study Description

    Brief Summary
    The study is being conducted to demonstrate that V221 may be administered concomitantly with pneumococcal conjugate vaccine without impairing the safety or immunogenicity of measles, mumps, rubella, varicella, or the 7 serotypes of S. pneumoniae.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Measles, Mumps, Rubella, Varicella

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    1027 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Description
    Group 1: ProQuad™ (V221) + PREVNAR™ (pneumococcal 7-valent conjugate vaccine) followed by ProQuad™ (Day 91)
    Arm Title
    2
    Arm Type
    Experimental
    Arm Description
    Group 2: PREVNAR™ followed by ProQuad™ (Day 43) followed by ProQuad™ (Day 133)
    Arm Title
    3
    Arm Type
    Experimental
    Arm Description
    Group 3: ProQuad™ followed by PREVNAR™ (Day 43), followed by ProQuad™ (Day 91)
    Intervention Type
    Biological
    Intervention Name(s)
    Comparator: ProQuad™ (V221)
    Other Intervention Name(s)
    ProQuad™, V221
    Intervention Description
    0.5-mL subcutaneous injection of measles, mumps, rubella, varicella virus vaccine live (MMRV)
    Intervention Type
    Biological
    Intervention Name(s)
    Comparator: PREVNAR™ (pneumococcal 7-valent conjugate vaccine)
    Other Intervention Name(s)
    PREVNAR™
    Intervention Description
    0.5-mL intramuscular injection of pneumococcal 7-valent conjugate vaccine
    Primary Outcome Measure Information:
    Title
    Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL
    Description
    Antibody Response to Measles at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer <255 mIU/mL) to Measles at Baseline.
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone
    Title
    Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL
    Description
    Antibody Response to Mumps at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer <10 ELISA Ab units/mL) to Mumps at Baseline.
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone
    Title
    Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL
    Description
    Antibody Response to Rubella at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer <10 IU/mL) to Rubella at Baseline.
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone
    Title
    Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mL
    Description
    Antibody Response to Varicella at 6 Weeks Postvaccination for Subjects Initially With Varicella Antibody Titer <1.25 gpELISA units/mL at Baseline
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone
    Title
    Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 4
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 6B
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone.
    Title
    Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 9V
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 14
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 18C
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 19F
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer
    Description
    Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 23F
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Other Pre-specified Outcome Measures:
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 4
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 6B
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 9V
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 14
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 18C
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 19F
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone
    Title
    Number of Participants With Postvaccination Pneumococcal Polysaccharide ELISA Titer ≥0.2 mcg/mL for S. Pneumoniae Serotype 23F
    Time Frame
    6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    12 Months
    Maximum Age & Unit of Time
    15 Months
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: In good health 12 to 15 months of age Negative clinical history to measles, mumps, rubella, varicella and/or zoster Received only the 3-dose primary series of a pneumococcal conjugate vaccine with at least 2 months prior to the receipt of any of the study vaccines Signed consent Exclusion Criteria: Previous administration of any measles, mumps, rubella, or varicella vaccine either alone or in any combination Any condition resulting in depressed immunity Any allergy to any vaccine component as stated in the package circulars Exposure to measles, mumps, rubella, varicella, or zoster within 4 weeks prior to the study vaccination History of seizure disorder Receipt of an inactivated vaccine within 14 days prior to enrollment or live vaccine within 30 days Recent febrile illness
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    22123890
    Citation
    Leonardi M, Bromberg K, Baxter R, Gardner JL, Klopfer S, Nicholson O, Brockley M, Trammel J, Leamy V, Williams W, Kuter B, Schodel F. Immunogenicity and safety of MMRV and PCV-7 administered concomitantly in healthy children. Pediatrics. 2011 Dec;128(6):e1387-94. doi: 10.1542/peds.2010-2132. Epub 2011 Nov 28.
    Results Reference
    result

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    V221 Concomitant Use Study With Pneumococcal Conjugate Vaccine (V221-019)

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