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Phase 3 Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine

Primary Purpose

Meningitis, Influenza

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
A+C+hib Conjugate Vaccine
Placebo
A+C Vaccine
Hib vaccine
Sponsored by
Jiangsu Province Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningitis focused on measuring immunogenicity, safety, group A, C polysaccharide meningitis, type b haemophilus Influenza

Eligibility Criteria

3 Months - 5 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy subjects aged 3 to 5 months, normal intelligence.
  • The subjects' guardians are able to understand and sign the informed consent.
  • Healthy subjects confirmed by medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine.
  • Subjects who can comply with the requirements of the clinical trial program according to the researcher's views.
  • Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine.
  • Subjects with temperature<=37°C on axillary setting.

Exclusion Criteria for the first vaccination:

  • Subject who has a medical history of Meningitis;
  • Subject who has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on;
  • Subject who is allergic with tetanus toxoid components;
  • Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection;
  • Subject who has a history of allergic reactions;
  • Any known immunological dysfunction;
  • Had received gamma globulin or immune globulin, in the past two weeks
  • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws
  • Any acute infections in last 7 days
  • Any prior administration of immunodepressant or corticosteroids in last 6month
  • Any prior administration of other research medicines in last 1 month
  • Any prior administration of attenuated live vaccine in last 28 days
  • Any prior administration of subunit or inactivated vaccines in last 14 days, such as pneumococcal vaccine
  • Subject suffering from congenital malformations, developmental delay or serious chronic disease;
  • Any acute infections
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Exclusion Criteria for the second or third vaccination:

  • Had any Grade 3 or Grade 4 adverse reactions or events associated with investigational vaccine occurred since the vaccination
  • Any situation meets the exclusion criteria for first dose;
  • Any condition the investigator believed may affect the evaluation of the vaccine.

Sites / Locations

  • Funing county Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

A+C+hib Conjugate Vaccine

Walvax AC vaccine, Pasteur Hib vaccine

Arm Description

600 infants aged 3-5 months, will be vaccinated on day0, 28, 56

300 infants aged 3-5 months, will be vaccinated on day0, 28, 56

Outcomes

Primary Outcome Measures

The seroconversion rate of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months
the seroconversion rate of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months when measured 4 weeks (28±3 days) after the infant series (three doses, 28 day apart).
The seroconversion rate of antibody against type b haemophilus influenza in infants aged 3-5 months
the seroconversion rate of antibody against type b haemophilus Influenza in infants aged 3-5 months when measured 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)

Secondary Outcome Measures

adverse reactions after the first vaccination in infants aged 3-5 months
adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the first vaccination
adverse reactions after the second vaccination in infants aged 3-5 months
adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the second vaccination
adverse reactions after the third vaccination in infants aged 3-5 months
adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the third vaccination
GMT of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months
GMT of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)
GMT of antibody against type b haemophilus Influenza in serum in infants aged 3-5 months
GMT of antibody against type b haemophilus Influenza in infants aged 3-5 months 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)

Full Information

First Posted
April 17, 2012
Last Updated
May 7, 2013
Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Royal (Wuxi) Biological Co., LTD
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1. Study Identification

Unique Protocol Identification Number
NCT01580033
Brief Title
Phase 3 Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine
Official Title
Immunogenicity and Safety Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine in Aged 3-5 Months: A Phase 3 Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Royal (Wuxi) Biological Co., LTD

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Haemophilus influenzae is an important pathogen which can cause primary infection and respiratory viral infection in infants and leaded to secondary infections. The infection of haemophilus is a major cause of morbidity and mortality in infants and children. At present, the developed conjugant Hib vaccine is proved to be safe and effective. Because Hib vaccine can prevent meningitis, pneumonia, epiglottis inflammation and other serious infection caused by Hib bacteria, the WHO suggested that Hib vaccine should be included in the infant's normal immune programming. Since the use of meningitis aureus polysaccharide vaccine, incidence of a disease in recent years is declined and maintain to the level of 0.5 per 1/100 thousand. But meningitis aureus polysaccharide vaccine with a relatively poor immune response in the infants under the age of two, and the remaining 60% with a low antibody level and a short duration. The immunogenicity and safety of this vaccine has been proved in older children aged 6-23 months and 2-5 years. And in the phase I study which was conducted in February, 2012, the safety profile of this vaccine is proved to be acceptable in infants aged 3-5 months. The phase III study is aimed to further evaluate the safety and the immunization of the vaccine. The objective of this study is to evaluate the safety of the group A, C polysaccharide meningococcal and type b haemophilus influenzal conjugate vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningitis, Influenza
Keywords
immunogenicity, safety, group A, C polysaccharide meningitis, type b haemophilus Influenza

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
900 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A+C+hib Conjugate Vaccine
Arm Type
Experimental
Arm Description
600 infants aged 3-5 months, will be vaccinated on day0, 28, 56
Arm Title
Walvax AC vaccine, Pasteur Hib vaccine
Arm Type
Active Comparator
Arm Description
300 infants aged 3-5 months, will be vaccinated on day0, 28, 56
Intervention Type
Biological
Intervention Name(s)
A+C+hib Conjugate Vaccine
Intervention Description
The group A, C polysaccharide meningococcal and type b haemophilus influenzal conjugate vaccine (Wuxi Royal Biological Co., LTD, 20110101) will be administered on one arm, intramuscularly, per 0.5ml dose
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo will be administered intramuscularly on the other arm, intramuscularly, per 0.5ml dose
Intervention Type
Biological
Intervention Name(s)
A+C Vaccine
Intervention Description
The group A, C polysaccharide meningococcal vaccine (Yunnan Walvax Biotechnology Co., LTD, 20101202) will be administered intramuscularly on one arm, per 0.5ml dose
Intervention Type
Biological
Intervention Name(s)
Hib vaccine
Intervention Description
The type b haemophilus influenzal vaccine (Sanofi Pasteur Limited) will be administered intramuscularly on the other arm, per 0.5ml dose
Primary Outcome Measure Information:
Title
The seroconversion rate of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months
Description
the seroconversion rate of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months when measured 4 weeks (28±3 days) after the infant series (three doses, 28 day apart).
Time Frame
4 weeks (28±3 days) after the infant series
Title
The seroconversion rate of antibody against type b haemophilus influenza in infants aged 3-5 months
Description
the seroconversion rate of antibody against type b haemophilus Influenza in infants aged 3-5 months when measured 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)
Time Frame
4 weeks (28±3 days) after the infant series
Secondary Outcome Measure Information:
Title
adverse reactions after the first vaccination in infants aged 3-5 months
Description
adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the first vaccination
Time Frame
7 days after the first vaccination
Title
adverse reactions after the second vaccination in infants aged 3-5 months
Description
adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the second vaccination
Time Frame
7 days after the second vaccination
Title
adverse reactions after the third vaccination in infants aged 3-5 months
Description
adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the third vaccination
Time Frame
7 days after the third vaccination
Title
GMT of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months
Description
GMT of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)
Time Frame
4 weeks (28±3 days) after the infant series
Title
GMT of antibody against type b haemophilus Influenza in serum in infants aged 3-5 months
Description
GMT of antibody against type b haemophilus Influenza in infants aged 3-5 months 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)
Time Frame
4 weeks (28±3 days) after the infant series

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Months
Maximum Age & Unit of Time
5 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy subjects aged 3 to 5 months, normal intelligence. The subjects' guardians are able to understand and sign the informed consent. Healthy subjects confirmed by medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine. Subjects who can comply with the requirements of the clinical trial program according to the researcher's views. Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine. Subjects with temperature<=37°C on axillary setting. Exclusion Criteria for the first vaccination: Subject who has a medical history of Meningitis; Subject who has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on; Subject who is allergic with tetanus toxoid components; Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection; Subject who has a history of allergic reactions; Any known immunological dysfunction; Had received gamma globulin or immune globulin, in the past two weeks Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws Any acute infections in last 7 days Any prior administration of immunodepressant or corticosteroids in last 6month Any prior administration of other research medicines in last 1 month Any prior administration of attenuated live vaccine in last 28 days Any prior administration of subunit or inactivated vaccines in last 14 days, such as pneumococcal vaccine Subject suffering from congenital malformations, developmental delay or serious chronic disease; Any acute infections Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Exclusion Criteria for the second or third vaccination: Had any Grade 3 or Grade 4 adverse reactions or events associated with investigational vaccine occurred since the vaccination Any situation meets the exclusion criteria for first dose; Any condition the investigator believed may affect the evaluation of the vaccine.
Facility Information:
Facility Name
Funing county Center for Disease Control and Prevention
City
Yancheng
State/Province
Jiangsu
Country
China

12. IPD Sharing Statement

Learn more about this trial

Phase 3 Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine

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