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PCV7 in the Prevention of Nasopharyngeal Carriage of Vaccine Serotype (VT) Streptococcus Pneumoniae

Primary Purpose

Streptococcal Pneumonia, Nasopharyngeal Diseases, Vaccination Adverse Event

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
PCV7 (Pneumococcal 7-Valent Conjugate Vaccine)
Hib Vaccine
Sponsored by
Centers for Disease Control and Prevention, China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Streptococcal Pneumonia focused on measuring Effectiveness, Prevenar, nasopharyngeal carriage, vaccine serotype

Eligibility Criteria

2 Years - 5 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy children aged 2 to 5 years.
  2. Evidence of a personally signed and dated informed consent document indicating that the parent(s) (or legal guardian) has been informed of all pertinent aspects of the study.
  3. Subjects and parents / legal guardian/ adult caregiver who are willing and able to comply with scheduled visits, treatment plan, and other study procedures.
  4. Available for entire study period and whose parent/legal guardian/adult caregiver can be reached by telephone.
  5. Healthy child as determined by medical history, physical examination, and judgment of the investigator.

Exclusion Criteria:

  1. Previous vaccination with licensed or investigational pneumococcal vaccine.
  2. Receipt of a full series or catch-up dose of licensed or investigational Hib vaccinations.
  3. Contraindication to vaccination with a pneumococcal conjugate vaccine or Hib.
  4. Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection.
  5. Known or suspected immune deficiency or suppression including treatment with systemic steroids, anti-metabolites, chemotherapy and immunomodulatory agents.
  6. Major known congenital malformation or serious chronic disorder.
  7. Malformation or injury of the nasopharynx that makes the procedure of taking a nasopharyngeal swab impossible.
  8. Significant neurologic disorder including congenital neurological disease in sibling of the subject or history of seizure including febrile seizure, or significant stable or evolving disorder such as cerebral palsy, encephalopathy, hydrocephalus, or other significant disorder. Does not include resolving syndromes due to birth trauma such as Erb's palsy.
  9. Receipt of blood products or gamma-globulin (including hepatitis B immunoglobulin and monoclonal antibodies) within 12 weeks prior to enrollment.
  10. Participation in another investigational or interventional trial within the 28-day period before enrollment and during the conduct of the study. Participation in purely observational studies is acceptable.
  11. Subjects whose parents or legal representative are investigational site staff members or subjects whose parents or legal representative are Pfizer employees directly involved in the conduct of the trial.

Temporary Exclusion Criteria(The following conditions are temporary or self-limiting and a subject may be included in the study once the condition(s) has/have resolved and no other exclusion criteria are met):

  1. Subjects with current febrile illness (axillary temperature of ≥ 38.0ºC).
  2. Subjects who used antibiotics within the previous 15 days.

Sites / Locations

  • Huairou District Center for Disease Prevention and Control
  • Daxing District Center for Disease Prevention and Control
  • Chongwen District Center for Disease Control and Prevention
  • Shijingshan District Center for Disease Control and Prevention
  • Xuanwu District Center for Disease Control and Prevention
  • Chaoyang District Center for Disease Control and Prevention
  • Dongcheng District Center for Disease Control and Prevention
  • Fengtai District Center for Disease Control and Prevention
  • Xicheng District Center for Disease Prevention and Control

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

PCV7 (Vaccine)

Hib vaccine

Arm Description

Randomized group of 1634 subjects to be administered a single dose of PCV7 (Hib vaccine offered at end of study).

Randomized group of 1634 subjects to be administered a single dose of Hib Vaccine(PCV7 vaccine offered at end of study).

Outcomes

Primary Outcome Measures

Carriage Rate of Vaccine-Serotype S. pneumoniae at 180days after vaccination

Secondary Outcome Measures

Carriage Rate of vaccine-serotype S. pneumoniae in PCV7 group versus Hib group.
Carriage rate of non-vaccine serotype S. pneumoniae in PCV7 group versus Hib group.
Carriage rate of non-vaccine serotype S. pneumoniae in PCV7 group versus Hib group.
Carriage rate of non-vaccine serotype S. pneumoniae in PCV7 group versus Hib group.
Carriage rate of individual serotype S. pneumoniae in PCV7 group and Hib group.
Carriage rate of individual serotype S. pneumoniae in PCV7 group and Hib group.
Carriage rates of individual serotype S. pneumoniae in PCV7 group and Hib group.
Carriage rate of antibiotic resistant S. pneumoniae as a group in PCV7 group and Hib group.
Percentage of adverse event related to vaccination in PVC7 group and Hib group.
Category of adverse event related to vaccination in PVC7 group and Hib group.
Adverse effects are classified as referenced from the China Food and Drug Administration's "Preventive Vaccines Clinical Study Adverse Effects Assessment Standards". This evaluation of systemic reactions is partially based on standards for classification set by the United States National Institutes of Health and the National Institute of Allergy and Infectious Diseases.

Full Information

First Posted
May 7, 2014
Last Updated
May 19, 2016
Sponsor
Centers for Disease Control and Prevention, China
Collaborators
Beijing Municipal Health Bureau, Beijing Center for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT02133469
Brief Title
PCV7 in the Prevention of Nasopharyngeal Carriage of Vaccine Serotype (VT) Streptococcus Pneumoniae
Official Title
Effectiveness of PCV7 in the Prevention of Nasopharyngeal Carriage of Vaccine Serotype (VT) Streptococcus Pneumoniae in 2 to 5 Years Old Healthy Chinese Children.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Centers for Disease Control and Prevention, China
Collaborators
Beijing Municipal Health Bureau, Beijing Center for Disease Control and Prevention

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A parallel-group, randomized, open-label study will be performed in subjects receiving PCV7 and subjects receiving controlled vaccine Hib vaccine, to claim the efficacy of PCV7 in the prevention of NP carriage of vaccine-serotype S. pneumoniae (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F combined) in 2 to 5 years old healthy Chinese children.
Detailed Description
In 2005, clinical trials with PCV7 (Prevenar) were first conducted in China. In the phase 3 study involving Chinese infants, Prevenar was shown to be immunogenic, well tolerated, and safe when given either separately or concomitantly with a diphtheria, tetanus, and acellular pertussis (DTaP) vaccine at 3, 4, and 5 months of age. Controlled clinical trials elsewhere in the world showed the correlation between immunogenicity and disease prevention. In addition to the direct effect of Prevenar, immunization of children has also reduced the incidence of disease in adults. The changes are presumed to be due to reductions in nasopharyngeal carriage of vaccine serotype S. pneumoniae in children who have been vaccinated. The purpose of this study will be to assess the effectiveness of Prevenar vaccination to reduce vaccine serotype (VT) NPC rates in Chinese children aged 2 to 5 years old.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Streptococcal Pneumonia, Nasopharyngeal Diseases, Vaccination Adverse Event
Keywords
Effectiveness, Prevenar, nasopharyngeal carriage, vaccine serotype

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
3281 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PCV7 (Vaccine)
Arm Type
Experimental
Arm Description
Randomized group of 1634 subjects to be administered a single dose of PCV7 (Hib vaccine offered at end of study).
Arm Title
Hib vaccine
Arm Type
Active Comparator
Arm Description
Randomized group of 1634 subjects to be administered a single dose of Hib Vaccine(PCV7 vaccine offered at end of study).
Intervention Type
Biological
Intervention Name(s)
PCV7 (Pneumococcal 7-Valent Conjugate Vaccine)
Other Intervention Name(s)
Prevenar
Intervention Description
injection 0.5 mL, single dose
Intervention Type
Biological
Intervention Name(s)
Hib Vaccine
Intervention Description
Single Dose
Primary Outcome Measure Information:
Title
Carriage Rate of Vaccine-Serotype S. pneumoniae at 180days after vaccination
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Carriage Rate of vaccine-serotype S. pneumoniae in PCV7 group versus Hib group.
Time Frame
60 days
Title
Carriage rate of non-vaccine serotype S. pneumoniae in PCV7 group versus Hib group.
Time Frame
Baseline before vaccination
Title
Carriage rate of non-vaccine serotype S. pneumoniae in PCV7 group versus Hib group.
Time Frame
60 days after vaccination
Title
Carriage rate of non-vaccine serotype S. pneumoniae in PCV7 group versus Hib group.
Time Frame
6 months after vaccination
Title
Carriage rate of individual serotype S. pneumoniae in PCV7 group and Hib group.
Time Frame
Baseline before vaccination
Title
Carriage rate of individual serotype S. pneumoniae in PCV7 group and Hib group.
Time Frame
60 days after vaccination
Title
Carriage rates of individual serotype S. pneumoniae in PCV7 group and Hib group.
Time Frame
6 months after vaccination
Title
Carriage rate of antibiotic resistant S. pneumoniae as a group in PCV7 group and Hib group.
Time Frame
6 months after vaccination
Title
Percentage of adverse event related to vaccination in PVC7 group and Hib group.
Time Frame
6 months after vaccination
Title
Category of adverse event related to vaccination in PVC7 group and Hib group.
Description
Adverse effects are classified as referenced from the China Food and Drug Administration's "Preventive Vaccines Clinical Study Adverse Effects Assessment Standards". This evaluation of systemic reactions is partially based on standards for classification set by the United States National Institutes of Health and the National Institute of Allergy and Infectious Diseases.
Time Frame
6 months after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy children aged 2 to 5 years. Evidence of a personally signed and dated informed consent document indicating that the parent(s) (or legal guardian) has been informed of all pertinent aspects of the study. Subjects and parents / legal guardian/ adult caregiver who are willing and able to comply with scheduled visits, treatment plan, and other study procedures. Available for entire study period and whose parent/legal guardian/adult caregiver can be reached by telephone. Healthy child as determined by medical history, physical examination, and judgment of the investigator. Exclusion Criteria: Previous vaccination with licensed or investigational pneumococcal vaccine. Receipt of a full series or catch-up dose of licensed or investigational Hib vaccinations. Contraindication to vaccination with a pneumococcal conjugate vaccine or Hib. Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection. Known or suspected immune deficiency or suppression including treatment with systemic steroids, anti-metabolites, chemotherapy and immunomodulatory agents. Major known congenital malformation or serious chronic disorder. Malformation or injury of the nasopharynx that makes the procedure of taking a nasopharyngeal swab impossible. Significant neurologic disorder including congenital neurological disease in sibling of the subject or history of seizure including febrile seizure, or significant stable or evolving disorder such as cerebral palsy, encephalopathy, hydrocephalus, or other significant disorder. Does not include resolving syndromes due to birth trauma such as Erb's palsy. Receipt of blood products or gamma-globulin (including hepatitis B immunoglobulin and monoclonal antibodies) within 12 weeks prior to enrollment. Participation in another investigational or interventional trial within the 28-day period before enrollment and during the conduct of the study. Participation in purely observational studies is acceptable. Subjects whose parents or legal representative are investigational site staff members or subjects whose parents or legal representative are Pfizer employees directly involved in the conduct of the trial. Temporary Exclusion Criteria(The following conditions are temporary or self-limiting and a subject may be included in the study once the condition(s) has/have resolved and no other exclusion criteria are met): Subjects with current febrile illness (axillary temperature of ≥ 38.0ºC). Subjects who used antibiotics within the previous 15 days.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wu Jiang, Bachelor
Organizational Affiliation
Beijing Centers for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Huairou District Center for Disease Prevention and Control
City
Beijing
State/Province
Beijing
ZIP/Postal Code
101400
Country
China
Facility Name
Daxing District Center for Disease Prevention and Control
City
Beijing
State/Province
Beijing
ZIP/Postal Code
102600
Country
China
Facility Name
Chongwen District Center for Disease Control and Prevention
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Shijingshan District Center for Disease Control and Prevention
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Xuanwu District Center for Disease Control and Prevention
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Chaoyang District Center for Disease Control and Prevention
City
Chaoyang District
State/Province
Beijing
Country
China
Facility Name
Dongcheng District Center for Disease Control and Prevention
City
Dongcheng District
State/Province
Beijing
Country
China
Facility Name
Fengtai District Center for Disease Control and Prevention
City
Fengtai District
State/Province
Beijing
Country
China
Facility Name
Xicheng District Center for Disease Prevention and Control
City
Xicheng District
State/Province
Beijing
ZIP/Postal Code
100120
Country
China

12. IPD Sharing Statement

Learn more about this trial

PCV7 in the Prevention of Nasopharyngeal Carriage of Vaccine Serotype (VT) Streptococcus Pneumoniae

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