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Safety and Immunogenicity Study of 23-valent Pneumococcal Polysaccharide Vaccine in Healthy Children, Adults and Elderly

Primary Purpose

Pneumococcal Infections

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
investigational 23-valent PPV
control 23-valent PPV
Sponsored by
Sinovac Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pneumococcal Infections

Eligibility Criteria

2 Years - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy volunteer ≥ 2 years old;
  • Proven legal identity;
  • Written consent of the guardian of participants < 18 years old, and written consent of the participant ≥ 12 years old;
  • Complying with the requirement of the study protocol;

Exclusion Criteria:

  • Prior vaccination with pneumococcal vaccine;
  • History of bacterial pneumonia within 3 years prior to this study;
  • Pregnant, breast feeding, or women expected to conceive within 60 days after vaccination;
  • History of allergy to any vaccine or vaccine ingredient;
  • Receipt of any of the following products:

    1. Blood product within 3 months prior to study entry;
    2. Any live attenuated vaccine within 28 days prior to study entry;
    3. Any subunit vaccine or inactivated vaccine within 14 days prior to study entry;
    4. Any immunosuppressant within 6 month prior to study entry;
  • Congenital malformation, developmental disorders, serious chronic diseases, autoimmune disease, immunodeficiency, serious cardiovascular disease, diabetes, hypertension that cannot be stabilized by medication, liver or kidney disease, or malignant tumor;
  • History of asthma, thyroidectomy, angioneurotic edema, severe nervous system disease or mental illness; without spleen or splenectomy; diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities), or obvious bruising or coagulation disorders;
  • Acute disease or acute stage of chronic disease within 7 days prior to study entry;
  • Axillaty temperature > 37.0 °C;
  • Any other factor that in the opinion of the investigator suggesting the volunteer is unsuitable for this study;
  • Participants with the following conditions from day 0 - 28 would be included in the full analysis set (FAS), but would be excluded from the per protocol set (PPS):

    1. Receipt of any other investigational or unregistered product (drug or vaccine);
    2. Receipt of immunosuppressant (corticosteroid dosage that equivalent to or above 0.5 mg prednisone/kg weight/day) for > 14 days, except for inhalant or locally administrated corticosteroid;
    3. Receipt of immunoglobulin and/or blood product;
    4. Newly diagnosed autoimmune disease or immunodeficiency (e.g., HIV infection);

Sites / Locations

  • Kaifeng County Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Experimental Group

Control Group

Arm Description

Single intramuscular injection of the investigational vaccine (0.5 ml) on Day 0 Intervention: investigational 23-valent PPV

Single intramuscular injection of the control vaccine (0.5 ml) on Day 0 Intervention: control 23-valent PPV

Outcomes

Primary Outcome Measures

The seroconversion rates (SCR) of each of the 23 pneumococcal serotypes
For each serotype, the SCR is the percentage of participants with the increase of relative antibody concentration ≥ 2 folds after vaccination. The relative antibody concentrations were measured using Enzyme Linked Immunosorbent Assay (ELISA).

Secondary Outcome Measures

The incidences of adverse events (AEs)
After each injection, a 30-minute safety observation was conducted immediately. The body temperature, occurrence of solicited local and general AEs on day 0 - 7 were reported. Unsolicited AEs occurred during day 0 - 28 were also reported. Each AE case was reviewed by the investigator to determine whether or not it was an adverse reaction (related to the vaccination).
The increases of relative antibody concentration against each of the 23 pneumococcal serotypes
The relative antibody concentrations in the pre- and post-immunization serum samples were measured using ELISA.

Full Information

First Posted
May 20, 2015
Last Updated
May 1, 2017
Sponsor
Sinovac Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02451969
Brief Title
Safety and Immunogenicity Study of 23-valent Pneumococcal Polysaccharide Vaccine in Healthy Children, Adults and Elderly
Official Title
Phase III Safety and Immunogenicity Study of 23-valent Pneumococcal Polysaccharide Vaccine: A Double-blind, Randomized and Controlled Clinical Trial With 23-valent Pneumococcal Polysaccharide Vaccine in Healthy Children, Adults, and Elderly
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
February 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sinovac Biotech Co., Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the immunogenicity and safety of an investigational 23-valent pneumococcal polysaccharide vaccine (PPV) in healthy children, adults and elderly. The control vaccine is a commercialized 23-valent PPV.
Detailed Description
This study is a randomized, double-blind, single-center, controlled phase III clinical trial. The purpose of this study is to evaluate the immunogenicity and safety of an investigational 23-valent pneumococcal polysaccharide vaccine (PPV) manufactured by Sinovac Biotech Co., Ltd. The primary objective of this study is to demonstrate that the immunogenicity of the investigational vaccine is non-inferior to that of a commercialized 23-valent PPV manufactured by Chengdu Institute of Biological products Co., Ltd.; the secondary objective is to assess the safety of the investigational and control vaccines. Participants will be grouped into three cohorts by age: child cohort (2 - 17 years old), adult cohort (18 - 60 years old) and elderly cohort (≥ 61 years old). In each cohort, the participants will be randomly assigned into experimental group or control group in the ratio 1:1.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pneumococcal Infections

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1760 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental Group
Arm Type
Experimental
Arm Description
Single intramuscular injection of the investigational vaccine (0.5 ml) on Day 0 Intervention: investigational 23-valent PPV
Arm Title
Control Group
Arm Type
Active Comparator
Arm Description
Single intramuscular injection of the control vaccine (0.5 ml) on Day 0 Intervention: control 23-valent PPV
Intervention Type
Biological
Intervention Name(s)
investigational 23-valent PPV
Intervention Description
The investigational vaccine was manufactured by Sinovac Biotech Co., Ltd.
Intervention Type
Biological
Intervention Name(s)
control 23-valent PPV
Intervention Description
The control vaccine was manufactured by Chengdu Institute of Biological products Co., Ltd.
Primary Outcome Measure Information:
Title
The seroconversion rates (SCR) of each of the 23 pneumococcal serotypes
Description
For each serotype, the SCR is the percentage of participants with the increase of relative antibody concentration ≥ 2 folds after vaccination. The relative antibody concentrations were measured using Enzyme Linked Immunosorbent Assay (ELISA).
Time Frame
28 days
Secondary Outcome Measure Information:
Title
The incidences of adverse events (AEs)
Description
After each injection, a 30-minute safety observation was conducted immediately. The body temperature, occurrence of solicited local and general AEs on day 0 - 7 were reported. Unsolicited AEs occurred during day 0 - 28 were also reported. Each AE case was reviewed by the investigator to determine whether or not it was an adverse reaction (related to the vaccination).
Time Frame
28 days
Title
The increases of relative antibody concentration against each of the 23 pneumococcal serotypes
Description
The relative antibody concentrations in the pre- and post-immunization serum samples were measured using ELISA.
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy volunteer ≥ 2 years old; Proven legal identity; Written consent of the guardian of participants < 18 years old, and written consent of the participant ≥ 12 years old; Complying with the requirement of the study protocol; Exclusion Criteria: Prior vaccination with pneumococcal vaccine; History of bacterial pneumonia within 3 years prior to this study; Pregnant, breast feeding, or women expected to conceive within 60 days after vaccination; History of allergy to any vaccine or vaccine ingredient; Receipt of any of the following products: Blood product within 3 months prior to study entry; Any live attenuated vaccine within 28 days prior to study entry; Any subunit vaccine or inactivated vaccine within 14 days prior to study entry; Any immunosuppressant within 6 month prior to study entry; Congenital malformation, developmental disorders, serious chronic diseases, autoimmune disease, immunodeficiency, serious cardiovascular disease, diabetes, hypertension that cannot be stabilized by medication, liver or kidney disease, or malignant tumor; History of asthma, thyroidectomy, angioneurotic edema, severe nervous system disease or mental illness; without spleen or splenectomy; diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities), or obvious bruising or coagulation disorders; Acute disease or acute stage of chronic disease within 7 days prior to study entry; Axillaty temperature > 37.0 °C; Any other factor that in the opinion of the investigator suggesting the volunteer is unsuitable for this study; Participants with the following conditions from day 0 - 28 would be included in the full analysis set (FAS), but would be excluded from the per protocol set (PPS): Receipt of any other investigational or unregistered product (drug or vaccine); Receipt of immunosuppressant (corticosteroid dosage that equivalent to or above 0.5 mg prednisone/kg weight/day) for > 14 days, except for inhalant or locally administrated corticosteroid; Receipt of immunoglobulin and/or blood product; Newly diagnosed autoimmune disease or immunodeficiency (e.g., HIV infection);
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Weiping Ru, BS
Organizational Affiliation
Henan Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kaifeng County Center for Disease Control and Prevention
City
Kaifeng
State/Province
Henan
ZIP/Postal Code
475100
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
30215583
Citation
Huang L, Wang L, Li H, Hu Y, Ru W, Han W, Shi G, Ye Q, Han Z, Xia J, Xia S, Xu M, Li J. A phase III clinical trial to evaluate the safety and immunogenicity of 23-valent pneumococcal polysaccharide vaccine (PPV23) in healthy children, adults, and elderly. Hum Vaccin Immunother. 2019;15(1):249-255. doi: 10.1080/21645515.2018.1509648. Epub 2018 Sep 21.
Results Reference
derived

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Safety and Immunogenicity Study of 23-valent Pneumococcal Polysaccharide Vaccine in Healthy Children, Adults and Elderly

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