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A Phase III Clinical Trial of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants

Primary Purpose

Pneumonia

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
13-valent pneumococcal conjugate vaccine
Prevnar 13
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 Pneumonia focused on measuring pneumococcal conjugate vaccine, immunogenicity, safety

Eligibility Criteria

42 Days - 77 Days (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Aged 42-77 days old on the day of inclusion
  • Subjects' legal guardians are able to understand and sign the informed consent
  • Subjects' legal guardians can and will comply with the requirements of the protocol
  • Subjects with temperature <=37.0°C on axillary setting

Exclusion Criteria for First Vaccination:

  • Preterm infants or low birth weight infants
  • Any administration history of pneumococcal polysaccharide vaccine or pneumococcal conjugate vaccine
  • A medical history of culture-confirmed invasive disease caused by Streptococcus pneumonia
  • Subject who has allergic history or serious adverse reaction history after vaccination such as allergies, hives, difficulty in breathing, angioedema or abdominal pain
  • Subject with congenital malformation, developmental disorder, genetic defects or severe malnutrition
  • Subject with epilepsy, a history of seizures or convulsions, or a family history of mental illness
  • Known or suspected immune deficiency or immune suppression
  • Diagnosed coagulation abnormalities (such as clotting factor deficiency, coagulation disorders, platelet disorder) or significant bruising or blood clotting disorder
  • Had immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (not including allergic rhinitis corticosteroid spray treatment, acute uncomplicated dermatitis surfaces corticosteroid therapy) in the past 6 months
  • Any prior administration of blood products in last 3 months
  • Any prior administration of any attenuated live vaccine in last 14 days
  • Any prior administration of subunit or inactivated vaccines in last 7 days
  • Any acute infection or serious infection needing systemic antibiotics or antiviral treatment in last 7 days
  • Any fever with temperature >=38.0°C on axillary setting in last 3 days
  • Any other factors judged by investigator, that may interfere subject's compliance with the protocol

Exclusion Criteria for Second/Third and Booster Vaccination:

If one of the following (1) to (3) adverse events (AE) occurs, further vaccination is prohibited, but other study steps can be continued according to the judgment of the investigators; If one of the following (4) to (5) adverse events occurs, the investigator shall determine whether to continue the following vaccination. In the event of one of the following adverse events (6) to (7), vaccination may be postponed within the time window specified in the protocol.

  • (1)The subjects have suffered from severe adverse events caused by the previous vaccination.
  • (2)The subjects suffered from severe allergic reactions or hypersensitivity after the previous vaccination.
  • (3)Known or suspected autoimmune diseases or immunodeficiency diseases,including HIV infection.
  • (4)The occurrence of acute or emerging chronic diseases at the time of vaccination.
  • (5)Other reactions (including severe pain, severe swelling, severe restriction of movement, persistent high fever, severe headache, or other systemic or local reactions) judged by the investigators.
  • (6)Acute illness (acute illness refers to moderate or severe illness with or without fever) at the time of vaccination.
  • (7)The axillary temperature >37.0℃ at the time of vaccination.

Sites / Locations

  • Huaiyin District Center for Diseases Control and Prevention
  • Hongze District Center for Disease Control and Prevention
  • Lianshui County Center for Disease Control and Prevention
  • Guanyun County Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

13-valent pneumococcal conjugate vaccine

Prevnar 13

Arm Description

Single 0.5 ml dose will be given via intramuscular injection in Month 0,2,4 and 10

Single 0.5 ml dose will be given via intramuscular injection in Month 0,2,4 and 10

Outcomes

Primary Outcome Measures

Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after primary vaccination
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after primary vaccination
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination

Secondary Outcome Measures

Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after primary vaccination
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after primary vaccination
Geometric mean fold increase (GMI) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Geometric mean fold increase (GMI) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after primary vaccination
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after primary vaccination
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after primary vaccination
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after primary vaccination
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after booster vaccination
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after booster vaccination
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after booster vaccination
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after booster vaccination
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after booster vaccination
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after booster vaccination
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after booster vaccination
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after booster vaccination
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after booster vaccination
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after booster vaccination
Incidence of adverse reactions (including systemic and local adverse reaction) 30 days after each dose of vaccination
Incidence of adverse reactions (including systemic and local adverse reaction) 30 days after each dose of vaccination
Incidence of severe adverse event (SAE) within 6 months after the first doseof vaccination
Incidence of severe adverse event (SAE) within 6 months after the first doseof vaccination
Incidence of severe adverse event (SAE) 30 days after booster vaccination
Incidence of severe adverse event (SAE) 30 days after booster vaccination

Full Information

First Posted
July 6, 2015
Last Updated
May 11, 2020
Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Beijing Minhai Biotechnology Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02494999
Brief Title
A Phase III Clinical Trial of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants
Official Title
A Randomized, Double-blind, Parallel-Controlled Phase III Clinical Trial of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
June 2016 (Actual)
Primary Completion Date
December 2018 (Actual)
Study Completion Date
October 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Beijing Minhai Biotechnology Co., Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
In order to evaluate immunogenicity and safety of a 13-valent pneumococcal conjugate vaccine produced by Beijing Minhai Biotechnology Co., Ltd., a randomized, double-blind, parallel-controlled phase III clinical trial is planned to conduct in healthy infants aged 2 months in China.
Detailed Description
There will be two arms. 1200 healthy infants aged 2 months will be randomly assigned (1:1) to receive an experimental vaccine or a comparator vaccine in Month 0,2 and 4 (primary vaccination). All of them will receive a fourth dose as booster vaccination in Month 10.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pneumonia
Keywords
pneumococcal conjugate vaccine, immunogenicity, safety

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
13-valent pneumococcal conjugate vaccine
Arm Type
Experimental
Arm Description
Single 0.5 ml dose will be given via intramuscular injection in Month 0,2,4 and 10
Arm Title
Prevnar 13
Arm Type
Active Comparator
Arm Description
Single 0.5 ml dose will be given via intramuscular injection in Month 0,2,4 and 10
Intervention Type
Biological
Intervention Name(s)
13-valent pneumococcal conjugate vaccine
Intervention Description
0.5ml vaccine produced by Beijing Minhai Biotechnology Co., Ltd.,three doses with 2 month interval, a booster dose 10 months after the first dose
Intervention Type
Biological
Intervention Name(s)
Prevnar 13
Intervention Description
0.5ml vaccine produced by Wyeth,three doses with 2 month interval, a booster dose 10 months after the first dose
Primary Outcome Measure Information:
Title
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after primary vaccination
Description
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after primary vaccination
Time Frame
30 days after primary vaccination
Title
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Description
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Time Frame
30 days after primary vaccination
Secondary Outcome Measure Information:
Title
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after primary vaccination
Description
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after primary vaccination
Time Frame
30 days after primary vaccination
Title
Geometric mean fold increase (GMI) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Description
Geometric mean fold increase (GMI) of serotype-specific pneumococcal IgG antibody 30 days after primary vaccination
Time Frame
30 days after primary vaccination
Title
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after primary vaccination
Description
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after primary vaccination
Time Frame
30 days after primary vaccination
Title
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after primary vaccination
Description
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after primary vaccination
Time Frame
30 days after primary vaccination
Title
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after booster vaccination
Description
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 0.35 ug/mL 30 days after booster vaccination
Time Frame
30 days after booster vaccination
Title
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after booster vaccination
Description
Proportion of subjects with serotype-specific pneumococcal IgG antibody concentration ≥ 1.0 ug/mL 30 days after booster vaccination
Time Frame
30 days after booster vaccination
Title
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after booster vaccination
Description
Geometric mean concentration (GMC) of serotype-specific pneumococcal IgG antibody 30 days after booster vaccination
Time Frame
30 days after booster vaccination
Title
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after booster vaccination
Description
Proportion of subjects with serotype-specific geometric mean titer measured by OPA ≥1:8 30 days after booster vaccination
Time Frame
30 days after booster vaccination
Title
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after booster vaccination
Description
Geometric mean titer (GMT) of serotype-specific pneumococcal IgG antibody measured by OPA 30 days after booster vaccination
Time Frame
30 days after booster vaccination
Title
Incidence of adverse reactions (including systemic and local adverse reaction) 30 days after each dose of vaccination
Description
Incidence of adverse reactions (including systemic and local adverse reaction) 30 days after each dose of vaccination
Time Frame
30 days after each dose of vaccination
Title
Incidence of severe adverse event (SAE) within 6 months after the first doseof vaccination
Description
Incidence of severe adverse event (SAE) within 6 months after the first doseof vaccination
Time Frame
6 months after the first doseof vaccination
Title
Incidence of severe adverse event (SAE) 30 days after booster vaccination
Description
Incidence of severe adverse event (SAE) 30 days after booster vaccination
Time Frame
30 days after booster vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
42 Days
Maximum Age & Unit of Time
77 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged 42-77 days old on the day of inclusion Subjects' legal guardians are able to understand and sign the informed consent Subjects' legal guardians can and will comply with the requirements of the protocol Subjects with temperature <=37.0°C on axillary setting Exclusion Criteria for First Vaccination: Preterm infants or low birth weight infants Any administration history of pneumococcal polysaccharide vaccine or pneumococcal conjugate vaccine A medical history of culture-confirmed invasive disease caused by Streptococcus pneumonia Subject who has allergic history or serious adverse reaction history after vaccination such as allergies, hives, difficulty in breathing, angioedema or abdominal pain Subject with congenital malformation, developmental disorder, genetic defects or severe malnutrition Subject with epilepsy, a history of seizures or convulsions, or a family history of mental illness Known or suspected immune deficiency or immune suppression Diagnosed coagulation abnormalities (such as clotting factor deficiency, coagulation disorders, platelet disorder) or significant bruising or blood clotting disorder Had immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (not including allergic rhinitis corticosteroid spray treatment, acute uncomplicated dermatitis surfaces corticosteroid therapy) in the past 6 months Any prior administration of blood products in last 3 months Any prior administration of any attenuated live vaccine in last 14 days Any prior administration of subunit or inactivated vaccines in last 7 days Any acute infection or serious infection needing systemic antibiotics or antiviral treatment in last 7 days Any fever with temperature >=38.0°C on axillary setting in last 3 days Any other factors judged by investigator, that may interfere subject's compliance with the protocol Exclusion Criteria for Second/Third and Booster Vaccination: If one of the following (1) to (3) adverse events (AE) occurs, further vaccination is prohibited, but other study steps can be continued according to the judgment of the investigators; If one of the following (4) to (5) adverse events occurs, the investigator shall determine whether to continue the following vaccination. In the event of one of the following adverse events (6) to (7), vaccination may be postponed within the time window specified in the protocol. (1)The subjects have suffered from severe adverse events caused by the previous vaccination. (2)The subjects suffered from severe allergic reactions or hypersensitivity after the previous vaccination. (3)Known or suspected autoimmune diseases or immunodeficiency diseases,including HIV infection. (4)The occurrence of acute or emerging chronic diseases at the time of vaccination. (5)Other reactions (including severe pain, severe swelling, severe restriction of movement, persistent high fever, severe headache, or other systemic or local reactions) judged by the investigators. (6)Acute illness (acute illness refers to moderate or severe illness with or without fever) at the time of vaccination. (7)The axillary temperature >37.0℃ at the time of vaccination.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuemei Hu
Organizational Affiliation
Jiangsu Provincial Centre for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Huaiyin District Center for Diseases Control and Prevention
City
Huai'an
State/Province
Jiangsu
ZIP/Postal Code
222300
Country
China
Facility Name
Hongze District Center for Disease Control and Prevention
City
Huai'an
State/Province
Jiangsu
Country
China
Facility Name
Lianshui County Center for Disease Control and Prevention
City
Huai'an
State/Province
Jiangsu
Country
China
Facility Name
Guanyun County Center for Disease Control and Prevention
City
Lianyungang
State/Province
Jiangsu
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
34706841
Citation
Liang Q, Li H, Chang X, Zhang H, Hao H, Ye Q, Li G. A phase 3 clinical trial of MINHAI PCV13 in Chinese children aged from 7 months to 5 years old. Vaccine. 2021 Nov 16;39(47):6947-6955. doi: 10.1016/j.vaccine.2021.09.047. Epub 2021 Oct 24.
Results Reference
derived

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A Phase III Clinical Trial of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants

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