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Concomitant Use of Hepatitis A Vaccine With Measles, Mumps, Rubella and Varicella Vaccine and Pneumococcal 7-Valent Conjugate Vaccine in Healthy 12-Month-Old Children (V251-067)

Primary Purpose

Hepatitis A Virus

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Comparator: VAQTA™ (Hepatitis A vaccine)
Comparator: ProQuad™ (Measles, Mumps, Rubella and Varicella vaccine)
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 Hepatitis A Virus focused on measuring Hepatitis A Virus

Eligibility Criteria

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

Inclusion Criteria: 12- to 15-month-old males and females with no active liver disease A negative history of hepatitis A, measles, mumps, rubella, chickenpox, and/or zoster Exclusion Criteria: Males and females previously vaccinated with hepatitis A, measles, mumps, rubella, and/or chickenpox vaccine Any immune deficiency History of allergy to any of the vaccine components History of any seizure disorder

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    1

    2

    Arm Description

    Arm 1: VAQTA™ 0.5 mL injection (2 doses 6 months apart), ProQuad™ 0.5 mL injection (2 doses 6 months apart), Prevnar™ 0.5 mL injection (one dose), all vaccines administered concomitantly. 28 weeks of study duration.

    Arm 2: ProQuad™ 0.5 mL injection (2 doses ~8 months apart), Prevnar™ 0.5 mL injection (one dose), both administered concomitantly, VAQTA™ 0.5 mL injection (2 doses 6 months apart) administered alone. 34 weeks of study duration.

    Outcomes

    Primary Outcome Measures

    Antibody Response to Hepatitis A - Participants With a Serological Response
    Number of participants with titer ≥10 mIU/mL, i.e., seropositive for hepatitis A antibody, regardless of initial serostatus
    Antibody Response to Varicella - Participants With a Serological Response
    Participants with varicella baseline antibody titer <1.25 gpELISA units/mL and Postdose 1 titers ≥1.25 gpELISA units/mL (seroconversion) and ≥5 gpELISA units/mL (seroprotection)
    Antibody Response to Streptococcus Pneumoniae - Geometric Mean Titers
    Serum antibodies to serotype-specific pneumococcal polysaccharides were determined by enzyme-linked immunosorbent assay
    Participants With 1 or More Systemic Adverse Experience
    Systemic adverse experiences are unfavorable or unintended changes in the body after getting study vaccine. They are collected the first 14 days after receipt of dose 1 of hepatitis A vaccine (VAQTA™) (Days 1 to 14) within the 6 week study period.
    Participants With 1 or More Systemic Adverse Experience
    Systemic adverse experiences are unfavorable or unintended changes in the body after getting study vaccine. They are collected the first 14 days after receipt of dose 2 of hepatitis A vaccine (VAQTA™) (Days 1 to 14) within the 4 week study period.
    Participants With 1 or More Systemic Adverse Experience.
    Systemic adverse experiences are unfavorable or unintended changes in the body after getting study vaccine. Collected the first 14 days after each of the 2 doses of hepatitis A vaccine (VAQTA™) (Days 1 to 14), given 6 months apart
    Participants With 1 or More Injection-site Adverse Experience
    Injection-site adverse experiences collected the first 5 days after receipt of dose 1 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 6 week study period.
    Participants With 1 or More Injection-site Adverse Experience
    Injection-site adverse experiences collected the first 5 days after receipt of dose 2 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 4 week study period.
    Participants With 1 or More Injection-site Adverse Experience
    Injection-site adverse experiences collected the first 5 days after receipt of each dose of hepatitis A vaccine (VAQTA™) (Days 1 to 5) over the 6 months in which the 2 doses of vaccine were administered.
    Participants With Elevated Temperature (≥102.2F/ ≥39.0C)
    Elevated temperatures measured the first 5 days after receipt of dose 1 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 6 week study period.
    Participants With Elevated Temperature (≥102.2F/ ≥39.0C)
    Elevated temperatures measured the first 5 days after receipt of dose 2 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 4 week study period.
    Participants With Elevated Temperature (≥102.2F/ ≥39.0C)
    Elevated temperatures measured the first 5 days after receipt of each dose of hepatitis A vaccine (VAQTA™) (Days 1 to 5) over the 6 months in which the 2 doses of vaccine were administered.
    Participants With 1 or More Serious Vaccine-related Adverse Experience
    Serious vaccine-related adverse experience causes death, persistent or significant disability, causes or prolong a hospital stay, is a cancer, an overdose, or life-threatening. They were collected during the entire study and believed due to study vaccine
    Participants With 1 or More Serious Vaccine-related Adverse Experience
    Serious vaccine-related adverse experience causes death, persistent or significant disability, causes or prolong a hospital stay, is a cancer, an overdose, or life-threatening. They were collected during the entire study and believed due to study vaccine
    Participants With 1 or More Serious Vaccine-related Adverse Experience
    Serious vaccine-related adverse experience causes death, persistent or significant disability, causes or prolong a hospital stay, is a cancer, an overdose, or life-threatening. They were collected during the entire study and believed due to study vaccine

    Secondary Outcome Measures

    Full Information

    First Posted
    April 7, 2006
    Last Updated
    March 16, 2017
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00312858
    Brief Title
    Concomitant Use of Hepatitis A Vaccine With Measles, Mumps, Rubella and Varicella Vaccine and Pneumococcal 7-Valent Conjugate Vaccine in Healthy 12-Month-Old Children (V251-067)
    Official Title
    An Open, Randomized, Multicenter Study of the Safety, Tolerability, & Immunogenicity of VAQTA™ Given Concomitantly With PROQUAD™ and PREVNAR™ in Healthy Children 12 Months of Age
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    April 2006 (undefined)
    Primary Completion Date
    March 2008 (Actual)
    Study Completion Date
    March 2008 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Hepatitis A vaccine will be given either alone or together with measles, mumps, rubella, and varicella vaccine and pneumococcal 7-valent conjugate vaccine at the first dose and together with measles, mumps, rubella, and varicella [Oka/Merck] virus vaccine at the second dose. Immunogenicity and safety data will be collected after each dose of vaccine.
    Detailed Description
    Vaccines: V251, Hepatitis A Vaccine, Inactivated (VAQTA™) administered with Measles, Mumps, Rubella and Varicella Vaccine (ProQuad™) and Pneumococcal 7-Valent Conjugate Vaccine (Prevnar™) will have a Duration of Treatment: 2 Doses, 6 months apart. Vaccine: Hepatitis A Vaccine, Inactivated (VAQTA™), administered alone will have a Duration of Treatment: 2 Doses, 6 months apart.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis A Virus
    Keywords
    Hepatitis A Virus

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    653 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Active Comparator
    Arm Description
    Arm 1: VAQTA™ 0.5 mL injection (2 doses 6 months apart), ProQuad™ 0.5 mL injection (2 doses 6 months apart), Prevnar™ 0.5 mL injection (one dose), all vaccines administered concomitantly. 28 weeks of study duration.
    Arm Title
    2
    Arm Type
    Active Comparator
    Arm Description
    Arm 2: ProQuad™ 0.5 mL injection (2 doses ~8 months apart), Prevnar™ 0.5 mL injection (one dose), both administered concomitantly, VAQTA™ 0.5 mL injection (2 doses 6 months apart) administered alone. 34 weeks of study duration.
    Intervention Type
    Biological
    Intervention Name(s)
    Comparator: VAQTA™ (Hepatitis A vaccine)
    Intervention Description
    VAQTA™ 0.5 mL injection
    Intervention Type
    Biological
    Intervention Name(s)
    Comparator: ProQuad™ (Measles, Mumps, Rubella and Varicella vaccine)
    Intervention Description
    ProQuad™ 0.5 mL injection
    Intervention Type
    Biological
    Intervention Name(s)
    Comparator: Prevnar™ (Pneumococcal 7-Valent Conjugate vaccine)
    Intervention Description
    Prevnar™ 0.5 mL injection
    Primary Outcome Measure Information:
    Title
    Antibody Response to Hepatitis A - Participants With a Serological Response
    Description
    Number of participants with titer ≥10 mIU/mL, i.e., seropositive for hepatitis A antibody, regardless of initial serostatus
    Time Frame
    4 weeks Postdose 2 of hepatitis A vaccine (VAQTA™)
    Title
    Antibody Response to Varicella - Participants With a Serological Response
    Description
    Participants with varicella baseline antibody titer <1.25 gpELISA units/mL and Postdose 1 titers ≥1.25 gpELISA units/mL (seroconversion) and ≥5 gpELISA units/mL (seroprotection)
    Time Frame
    6 weeks Postdose 1 of varicella-containing vaccine (ProQuad™)
    Title
    Antibody Response to Streptococcus Pneumoniae - Geometric Mean Titers
    Description
    Serum antibodies to serotype-specific pneumococcal polysaccharides were determined by enzyme-linked immunosorbent assay
    Time Frame
    6 weeks Postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Participants With 1 or More Systemic Adverse Experience
    Description
    Systemic adverse experiences are unfavorable or unintended changes in the body after getting study vaccine. They are collected the first 14 days after receipt of dose 1 of hepatitis A vaccine (VAQTA™) (Days 1 to 14) within the 6 week study period.
    Time Frame
    6 weeks post dose 1
    Title
    Participants With 1 or More Systemic Adverse Experience
    Description
    Systemic adverse experiences are unfavorable or unintended changes in the body after getting study vaccine. They are collected the first 14 days after receipt of dose 2 of hepatitis A vaccine (VAQTA™) (Days 1 to 14) within the 4 week study period.
    Time Frame
    4 weeks post dose 2
    Title
    Participants With 1 or More Systemic Adverse Experience.
    Description
    Systemic adverse experiences are unfavorable or unintended changes in the body after getting study vaccine. Collected the first 14 days after each of the 2 doses of hepatitis A vaccine (VAQTA™) (Days 1 to 14), given 6 months apart
    Time Frame
    6 months
    Title
    Participants With 1 or More Injection-site Adverse Experience
    Description
    Injection-site adverse experiences collected the first 5 days after receipt of dose 1 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 6 week study period.
    Time Frame
    6 weeks post dose 1
    Title
    Participants With 1 or More Injection-site Adverse Experience
    Description
    Injection-site adverse experiences collected the first 5 days after receipt of dose 2 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 4 week study period.
    Time Frame
    4 weeks post dose 2
    Title
    Participants With 1 or More Injection-site Adverse Experience
    Description
    Injection-site adverse experiences collected the first 5 days after receipt of each dose of hepatitis A vaccine (VAQTA™) (Days 1 to 5) over the 6 months in which the 2 doses of vaccine were administered.
    Time Frame
    6 months
    Title
    Participants With Elevated Temperature (≥102.2F/ ≥39.0C)
    Description
    Elevated temperatures measured the first 5 days after receipt of dose 1 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 6 week study period.
    Time Frame
    6 weeks post dose 1
    Title
    Participants With Elevated Temperature (≥102.2F/ ≥39.0C)
    Description
    Elevated temperatures measured the first 5 days after receipt of dose 2 of hepatitis A vaccine (VAQTA™) (Days 1 to 5) within the 4 week study period.
    Time Frame
    4 weeks post dose 2
    Title
    Participants With Elevated Temperature (≥102.2F/ ≥39.0C)
    Description
    Elevated temperatures measured the first 5 days after receipt of each dose of hepatitis A vaccine (VAQTA™) (Days 1 to 5) over the 6 months in which the 2 doses of vaccine were administered.
    Time Frame
    6 months
    Title
    Participants With 1 or More Serious Vaccine-related Adverse Experience
    Description
    Serious vaccine-related adverse experience causes death, persistent or significant disability, causes or prolong a hospital stay, is a cancer, an overdose, or life-threatening. They were collected during the entire study and believed due to study vaccine
    Time Frame
    6 weeks post dose 1
    Title
    Participants With 1 or More Serious Vaccine-related Adverse Experience
    Description
    Serious vaccine-related adverse experience causes death, persistent or significant disability, causes or prolong a hospital stay, is a cancer, an overdose, or life-threatening. They were collected during the entire study and believed due to study vaccine
    Time Frame
    4 weeks post dose 2
    Title
    Participants With 1 or More Serious Vaccine-related Adverse Experience
    Description
    Serious vaccine-related adverse experience causes death, persistent or significant disability, causes or prolong a hospital stay, is a cancer, an overdose, or life-threatening. They were collected during the entire study and believed due to study vaccine
    Time Frame
    6 months
    Other Pre-specified Outcome Measures:
    Title
    Antibody Response to Hepatitis A - Geometric Mean Titer
    Description
    Geometric Mean Titer of hepatitis A antibody, regardless of initial serostatus
    Time Frame
    4 weeks Postdose 2 of hepatitis A vaccine (VAQTA™)
    Title
    Antibody Response to Varicella - Geometric Mean Titer
    Description
    Geometric Mean Titer of varicella antibody, baseline antibody titer was <1.25 gpELISA units/mL
    Time Frame
    6 weeks Postdose 1 of varicella-containing vaccine (ProQuad™)
    Title
    Antibody Response to S. Pneumoniae Serotype 4 - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 4
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Antibody Response to S. Pneumoniae Serotype 6B - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 6B
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Antibody Response to S. Pneumoniae Serotype 9V - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 9V
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Antibody Response to S. Pneumoniae Serotype 14 - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 14
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Antibody Response to S. Pneumoniae Serotype 18C - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 18C
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Antibody Response to S. Pneumoniae Serotype 19F - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 19F
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)
    Title
    Antibody Response to S. Pneumoniae Serotype 23F - Participants With a Serological Response
    Description
    Number of participants with a postvaccination titer >=0.2 mcg/mL for S. pneumoniae serotype 23F
    Time Frame
    6 weeks postvaccination of pneumococcal 7-valent conjugate vaccine (Prevnar™)

    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: 12- to 15-month-old males and females with no active liver disease A negative history of hepatitis A, measles, mumps, rubella, chickenpox, and/or zoster Exclusion Criteria: Males and females previously vaccinated with hepatitis A, measles, mumps, rubella, and/or chickenpox vaccine Any immune deficiency History of allergy to any of the vaccine components History of any seizure disorder
    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
    23744509
    Citation
    Yetman RJ, Shepard JS, Duke A, Stek JE, Petrecz M, Klopfer SO, Kuter BJ, Schodel FP, Lee AW. Concomitant administration of hepatitis A vaccine with measles/mumps/rubella/varicella and pneumococcal vaccines in healthy 12- to 23-month-old children. Hum Vaccin Immunother. 2013 Aug;9(8):1691-7. doi: 10.4161/hv.24873. Epub 2013 Jun 6.
    Results Reference
    derived

    Learn more about this trial

    Concomitant Use of Hepatitis A Vaccine With Measles, Mumps, Rubella and Varicella Vaccine and Pneumococcal 7-Valent Conjugate Vaccine in Healthy 12-Month-Old Children (V251-067)

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