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Extension Study of H01_04TP to Evaluate the Booster Response Induced by Vi-CRM197 in Adults

Primary Purpose

Typhoid Fever

Status
Completed
Phase
Phase 2
Locations
Belgium
Study Type
Interventional
Intervention
NVGH Vi-CRM197
Sponsored by
Novartis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Typhoid Fever focused on measuring Typhoid fever, Glycoconjugate vaccine, Vi polysaccharide, Immunogenicity

Eligibility Criteria

18 Years - 42 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria

All Subjects:

  1. Males and females of age ≥18 to ≤42 years.
  2. Individuals, who, after the nature of the study have been explained to them, have given written consent according to local regulatory requirements.
  3. Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.
  4. If women, use of birth control one month before study start, a negative pregnancy test and willingness to use birth control measures for the entire study duration.

    H01_04TP subjects only:

  5. Individuals who previously participated in the H01_04TP study and were vaccinated with either NVGH Vi-CRM197 (5μg) or with the licensed Vi-PS.
  6. Individuals who have received no Vi vaccination subsequent to the one received in the H01_04TP study.

Inclusion criteria

All subjects:

  1. Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study.
  2. Individuals with any progressive or severe neurological disorder, seizure disorder or Guillain-Barré syndrome.
  3. Individuals who are not able to understand and to follow all required study procedures for the whole period of the study.
  4. Individuals with history of any illness that, in the opinion of the investigator, pose additional risk to the subjects due to participation in the study.
  5. Individuals with known or suspected HIV infection or HIV related disease, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy including use of systemic corticosteroids or chronic use of inhaled high-potency corticosteroids within the previous 30 days, or were in chemotherapy treatment within the past 6 months.
  6. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  7. Individuals with any serious chronic or progressive disease according to judgment of the investigator (e.g., neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease).
  8. Individuals who have any malignancy or lymphoproliferative disorder.
  9. Individuals with history of allergy to vaccine components.
  10. Individuals participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
  11. Individuals who received any vaccines within 4 weeks prior to enrolment in this study or who are planning to receive any vaccine within 4 weeks from the study vaccine
  12. Individuals who have received blood, blood products and/or plasma derivatives including parenteral immunoglobulin preparations in the past 12 weeks.
  13. Individuals who are part of study personnel or close family members to the personnel conducting this study.
  14. Individuals with body temperature > 38.0 degrees Celsius within 3 days of intended study immunization.
  15. BMI > 35 kg/m2.
  16. Individuals with history of substance or alcohol abuse within the past 2 years.
  17. Women who are pregnant or breast-feeding or of childbearing age who have not used any birth control measure one month prior to study start or do not plan to use acceptable birth control measures, for the duration of the study.
  18. Females with history of stillbirth, neonatal loss, or previous infant with anomaly.
  19. Individuals who have a previously ascertained or suspected disease caused by S. Typhi.
  20. Individuals who have had household contact with/and or intimate exposure to an individual with laboratory confirmed S. Typhi.
  21. Any condition which, in the opinion of the investigator may interfere with the evaluation of the study objectives.

    Naïve subjects only:

  22. Individuals who have previously received any vaccine against typhoid fever (either oral live attenuated or injectable vaccines)

Sites / Locations

  • Centre for the Evaluation of Vaccination (CEV)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

NVGH Vi-CRM/NVGH Vi-CRM

Vi-PS/NVGH Vi-CRM

NVGH Vi-CRM

Arm Description

One 0.5 mL dose of NVGH Vi-CRM197 5.0 mcg in adults who received 1 dose of NVGH Vi-CRM197 5.0 mcg in H01_04TP study

One 0.5 mL dose of NVGH Vi-CRM197 5.0 mcg in adults who received 1 dose of Vi-polysaccharide (PS) in H01_04TP study

One 0.5 mL dose of NVGH Vi-CRM197 5.0 mcg in naive adults

Outcomes

Primary Outcome Measures

Anti-Vi ELISA Geometric Mean Concentration (GMC)
To evaluate the immunogenicity and the kinetics of the immune response induced by one dose of NVGH Vi-CRM197 at study day 3 after vaccination as as measured by enzyme-linked immunosorbent assay (ELISA)
Anti-Vi ELISA GMC
To evaluate the immunogenicity and the kinetics of the immune response induced by one dose of NVGH Vi-CRM197 at study day 7 after vaccination as as measured by ELISA
Anti-Vi ELISA GMC
To evaluate the immunogenicity and the kinetics of the immune response induced by one dose of NVGH Vi-CRM197 at study day 28 after vaccination as as measured by ELISA
Percentage of Subjects With at Least 4-fold Increase in Anti-Vi ELISA Titers
Percentage of Subjects With at Least 4-fold Increase in Anti-Vi ELISA Titers
Percentage of Subjects With at Least 4-fold Increase in Anti-Vi ELISA Titers

Secondary Outcome Measures

Number of Subjects Reporting Any (Local, Systemic and Other) Post Vaccination Reaction
Solicited reactions collected during the 7-day period after vaccination are pain, erythema, induration, chills, malaise, myalgia, headache, arthralgia, fatigue and fever.
Number of Subjects Reporting AE
AE during 28 days after vaccination(including solicited reactions during 7 days after vaccination)
Number of Subjects Reporting Serious Adverse Events (SAEs)

Full Information

First Posted
September 19, 2011
Last Updated
February 4, 2014
Sponsor
Novartis
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1. Study Identification

Unique Protocol Identification Number
NCT01438996
Brief Title
Extension Study of H01_04TP to Evaluate the Booster Response Induced by Vi-CRM197 in Adults
Official Title
A Phase 2, Open-label, Single-center, Extension Study to Evaluate the Booster Response Induced by Vi-CRM197 After Priming With Either Vi-CRM197 or Typherix Administered in Adult Subjects in H01_04TP Study (NCT01193907)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the immunogenicity and the kinetics of the anti-Vi antibody response following secondary vaccination with the Novartis Vaccines Institute for Global Health (NVGH) Vi-CRM197 vaccine in healthy adults previously vaccinated with either the NVGH Vi-CRM197 or Vi-polysaccharide (Typherix) in the H01_04TP study (NCT01193907) and the immunogenicity and the kinetics of the anti-Vi antibody response following primary vaccination with the NVGH Vi-CRM197 vaccine in naïve healthy adults.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Typhoid Fever
Keywords
Typhoid fever, Glycoconjugate vaccine, Vi polysaccharide, Immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
51 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NVGH Vi-CRM/NVGH Vi-CRM
Arm Type
Experimental
Arm Description
One 0.5 mL dose of NVGH Vi-CRM197 5.0 mcg in adults who received 1 dose of NVGH Vi-CRM197 5.0 mcg in H01_04TP study
Arm Title
Vi-PS/NVGH Vi-CRM
Arm Type
Experimental
Arm Description
One 0.5 mL dose of NVGH Vi-CRM197 5.0 mcg in adults who received 1 dose of Vi-polysaccharide (PS) in H01_04TP study
Arm Title
NVGH Vi-CRM
Arm Type
Experimental
Arm Description
One 0.5 mL dose of NVGH Vi-CRM197 5.0 mcg in naive adults
Intervention Type
Biological
Intervention Name(s)
NVGH Vi-CRM197
Intervention Description
Vi-CRM197 glycoconjugated vaccine
Primary Outcome Measure Information:
Title
Anti-Vi ELISA Geometric Mean Concentration (GMC)
Description
To evaluate the immunogenicity and the kinetics of the immune response induced by one dose of NVGH Vi-CRM197 at study day 3 after vaccination as as measured by enzyme-linked immunosorbent assay (ELISA)
Time Frame
At 3 days after vaccination
Title
Anti-Vi ELISA GMC
Description
To evaluate the immunogenicity and the kinetics of the immune response induced by one dose of NVGH Vi-CRM197 at study day 7 after vaccination as as measured by ELISA
Time Frame
At 7 days after vaccination
Title
Anti-Vi ELISA GMC
Description
To evaluate the immunogenicity and the kinetics of the immune response induced by one dose of NVGH Vi-CRM197 at study day 28 after vaccination as as measured by ELISA
Time Frame
At 28 days after vaccination
Title
Percentage of Subjects With at Least 4-fold Increase in Anti-Vi ELISA Titers
Time Frame
At 3 days after vaccination as compared to baseline
Title
Percentage of Subjects With at Least 4-fold Increase in Anti-Vi ELISA Titers
Time Frame
At 7 days after vaccination as compared to baseline
Title
Percentage of Subjects With at Least 4-fold Increase in Anti-Vi ELISA Titers
Time Frame
At 28 days after vaccination as compared to baseline
Secondary Outcome Measure Information:
Title
Number of Subjects Reporting Any (Local, Systemic and Other) Post Vaccination Reaction
Description
Solicited reactions collected during the 7-day period after vaccination are pain, erythema, induration, chills, malaise, myalgia, headache, arthralgia, fatigue and fever.
Time Frame
During the 7-day period after vaccination
Title
Number of Subjects Reporting AE
Description
AE during 28 days after vaccination(including solicited reactions during 7 days after vaccination)
Time Frame
During the 28-day period after vaccination
Title
Number of Subjects Reporting Serious Adverse Events (SAEs)
Time Frame
During the 28-day period after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
42 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria All Subjects: Males and females of age ≥18 to ≤42 years. Individuals, who, after the nature of the study have been explained to them, have given written consent according to local regulatory requirements. Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator. If women, use of birth control one month before study start, a negative pregnancy test and willingness to use birth control measures for the entire study duration. H01_04TP subjects only: Individuals who previously participated in the H01_04TP study and were vaccinated with either NVGH Vi-CRM197 (5μg) or with the licensed Vi-PS. Individuals who have received no Vi vaccination subsequent to the one received in the H01_04TP study. Inclusion criteria All subjects: Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study. Individuals with any progressive or severe neurological disorder, seizure disorder or Guillain-Barré syndrome. Individuals who are not able to understand and to follow all required study procedures for the whole period of the study. Individuals with history of any illness that, in the opinion of the investigator, pose additional risk to the subjects due to participation in the study. Individuals with known or suspected HIV infection or HIV related disease, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy including use of systemic corticosteroids or chronic use of inhaled high-potency corticosteroids within the previous 30 days, or were in chemotherapy treatment within the past 6 months. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. Individuals with any serious chronic or progressive disease according to judgment of the investigator (e.g., neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease). Individuals who have any malignancy or lymphoproliferative disorder. Individuals with history of allergy to vaccine components. Individuals participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study. Individuals who received any vaccines within 4 weeks prior to enrolment in this study or who are planning to receive any vaccine within 4 weeks from the study vaccine Individuals who have received blood, blood products and/or plasma derivatives including parenteral immunoglobulin preparations in the past 12 weeks. Individuals who are part of study personnel or close family members to the personnel conducting this study. Individuals with body temperature > 38.0 degrees Celsius within 3 days of intended study immunization. BMI > 35 kg/m2. Individuals with history of substance or alcohol abuse within the past 2 years. Women who are pregnant or breast-feeding or of childbearing age who have not used any birth control measure one month prior to study start or do not plan to use acceptable birth control measures, for the duration of the study. Females with history of stillbirth, neonatal loss, or previous infant with anomaly. Individuals who have a previously ascertained or suspected disease caused by S. Typhi. Individuals who have had household contact with/and or intimate exposure to an individual with laboratory confirmed S. Typhi. Any condition which, in the opinion of the investigator may interfere with the evaluation of the study objectives. Naïve subjects only: Individuals who have previously received any vaccine against typhoid fever (either oral live attenuated or injectable vaccines)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pierre Van Damme, MD
Organizational Affiliation
Universiteit Antwerpen
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for the Evaluation of Vaccination (CEV)
City
Antwerp
State/Province
Wilrijk
ZIP/Postal Code
2610
Country
Belgium

12. IPD Sharing Statement

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Extension Study of H01_04TP to Evaluate the Booster Response Induced by Vi-CRM197 in Adults

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