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A Clinical Study Comparing Safety and Immunogenicity of bOPV of Bilthoven Biologicals

Primary Purpose

Immune Response to Oral Polio Vaccine

Status
Completed
Phase
Phase 3
Locations
Bangladesh
Study Type
Interventional
Intervention
Part 1 study - BBio bOPV
Part 2 study - BBio bOPV Lot 1
Part 2 study - BBio bOPV Lot 2
Part 2 study - BBio bOPV Lot 3
Part 2 study - Licensed bOPV
Part 1 study - Licensed bOPV
Sponsored by
Bilthoven Biologicals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Immune Response to Oral Polio Vaccine

Eligibility Criteria

42 Days - 83 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Normal healthy children of both sexes of age 5 to 6 years (60-83 months) at the time of vaccination and who have received at least 3 doses of trivalent oral polio vaccine (tOPV) based upon documentation (Study Part 1).
  2. Normal healthy infants of both sexes of age 6-8 weeks (42-56 days) at the time of the first vaccination and have not received oral polio vaccine (OPV) previously based upon documentation (Study Part 2).
  3. Parents/legal guardians of participants willing to give written informed consent and willing to comply with study protocol.
  4. Free of obvious health problems as established by medical history and screening evaluation including clinical examination.
  5. Resident of study area.

Exclusion Criteria:

  1. Participation in another clinical trial in the 4 weeks preceding the (first) trial vaccination or planned participation in another clinical trial during the present trial period.
  2. A diagnosis or suspicion of congenital or acquired immunodeficiency disorder, malignancy, receiving immunosuppressive therapy such as systemic corticosteroids therapy for a period of ≥ 1 week either in the participant or in an immediate family member.
  3. A diagnosis or suspicion of bleeding disorder that would contraindicate collection of blood by venipuncture.
  4. Acute or persistent diarrhea (defined as diarrhea that lasts 14 days or longer), infection or illness at the time of enrollment (6-8 weeks of age) that would require participant's admission to a hospital or would contraindicate provision of OPV.
  5. Acute vomiting and intolerance to liquids within 24 hours before the enrollment visit.
  6. Infants from multiple births (i.e. twins).
  7. History of allergy or systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the study vaccines or a vaccine containing the same substances.
  8. Chronic illness at a stage that could interfere with trial conduct or completion.
  9. Planned administration/ administration of a vaccine not foreseen by the study protocol during the study period with the exception of routine Expanded Program on Immunization (EPI) program vaccines including pneumococcal vaccine, and rotavirus vaccine (Polio vaccines are not allowed during the study period).
  10. Blood or blood-derived products received in the past.
  11. Any vaccination one week preceding the trial vaccination.
  12. Presence of significant malnutrition (< -3 standard deviation [SD] weight for length) or acute or chronic, clinically significant pulmonary, endocrine, autoimmune, cardiovascular, metabolic, hepatic or renal functional abnormality, as determined by medical history, and physical examination, which in the opinion of the investigator, might interfere with the study objectives
  13. History of any neurological disorder or history of seizure (febrile or afebrile), or encephalopathy, encephalitis, hypotonic-hyporesponsive episode.
  14. Febrile illness or acute illness on the day of inclusion is temporary exclusion criterion.
  15. Participant with any other condition, which, in the opinion of the investigator would jeopardize the safety or rights of the participant participating in the study or making it unlikely the participant, could complete the protocol.

Sites / Locations

  • Matlab Hospital Research Centre, International Center for Diarrheal Disease Research, Matlab

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Active Comparator

Experimental

Experimental

Experimental

Active Comparator

Arm Label

Part 1 Study - BBio bOPV

Part 1 Study - Licensed bOPV

Part 2 Study - BBio bOPV Lot 1

Part 2 Study - BBio bOPV Lot 2

Part 2 Study - BBio bOPV Lot 3

Part 2 Study - Licensed bOPV

Arm Description

Outcomes

Primary Outcome Measures

Part 1 study: Frequency of adverse events (AEs)
Safety of single dose of BBio bOPV will be assessed at 4 days after vaccination.
Part 2 study: Percentage of seroconversion to poliovirus type 1 and type 3
Percentage of seroconversion to poliovirus type 1 and type 3 one month after administration of third dose of the BBio bOPV to that of control group bOPV to assess non-inferiority of BBio bOPV to that of a licensed bOPV.
Part 1 study: Frequency of AEs and serious AEs (SAEs)
Safety of single dose of BBio bOPV will be assessed at 28 days after vaccination.

Secondary Outcome Measures

Part 1 study: Percentage of seroprotection to poliovirus type 1 and type 3
Percentage of seroprotection to poliovirus type 1 and type 3 one month after administration of single dose of the BBio bOPV to that of control group.
Part 1 study: Geometric mean titers (GMTs) of poliovirus neutralizing antibody (PVNA) to poliovirus type 1 and type 3
GMTs of PVNA to poliovirus type 1 and type 3 at one month after administration of single dose of the BBio bOPV.
Part 2 study: GMTs of serum PVNA for the three lots of BBio bOPV
Serum PVNA concentrations expressed as GMTs for the BBio bOPV to assess equivalence in manufacturing consistency among three current Good Manufacturing Practices (cGMP) lots of the BBio bOPV.
Part 2 study: GMTs of PVNA to poliovirus type 1 and type 3
Comparison of GMTs of PVNA to poliovirus type 1 and type 3 at one month after administration of third dose of the BBio bOPV to that of control group bOPV.
Part 2 study: Percentage of seroprotection to poliovirus type 1 and type 3
Percentage of seroprotection to poliovirus type 1 and type 3 one month after administration of third dose of the BBio bOPV to that of control group bOPV.
Part 2 study: Frequency of adverse events within 4 days following the administration of each dose of vaccine
Frequency of adverse events within 4 days following the administration of each dose of vaccine
Part 2 study: Frequency of adverse events and serious adverse events

Full Information

First Posted
May 6, 2016
Last Updated
July 26, 2019
Sponsor
Bilthoven Biologicals
Collaborators
Serum Institute of India Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02766816
Brief Title
A Clinical Study Comparing Safety and Immunogenicity of bOPV of Bilthoven Biologicals
Official Title
A Phase III, Observer Blind, Active Controlled, Randomized, Clinical Study Comparing Safety and Immunogenicity of BBio Bivalent Oral Polio Vaccine With a Licensed Bivalent Oral Polio Vaccine
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
June 8, 2016 (Actual)
Primary Completion Date
February 14, 2018 (Actual)
Study Completion Date
February 14, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bilthoven Biologicals
Collaborators
Serum Institute of India Pvt. Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Bilthoven Biologicals has developed a new bivalent oral polio vaccine (bOPV) containing World Health Organization (WHO) approved Sabin strains of poliovirus type 1 and type 3. This study will assess non-inferiority of bOPV manufactured by BBio to that of licensed bOPV. This study will also assess lot-to-lot consistency among three lots of BBio bOPV.
Detailed Description
Bilthoven Biologicals has developed a new bivalent OPV containing WHO approved Sabin strains of poliovirus type 1 and type 3. This phase III study will be conducted in two parts: Part 1 - 40 children of 60 to 83 months of age will be given single dose of BBio bOPV or licensed bOPV in 1:1 ratio. Primary objective is to assess safety of BBio bOPV. Part 2 - A total of 1080 infants of 42 to 56 days of age will be randomized to receive three doses of either BBio bOPV from one of the three lots or a licensed bOPV in 1:1:1:1 ratio as primary immunization series at 6, 10 and 14 weeks of age. Primary objective of this study is to assess non-inferiority of bOPV manufactured by BBio to that of licensed bOPV in terms of seroconversion. This study also will assess lot-to-lot consistency among three lots of BBio bOPV.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Immune Response to Oral Polio Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1 Study - BBio bOPV
Arm Type
Experimental
Arm Title
Part 1 Study - Licensed bOPV
Arm Type
Active Comparator
Arm Title
Part 2 Study - BBio bOPV Lot 1
Arm Type
Experimental
Arm Title
Part 2 Study - BBio bOPV Lot 2
Arm Type
Experimental
Arm Title
Part 2 Study - BBio bOPV Lot 3
Arm Type
Experimental
Arm Title
Part 2 Study - Licensed bOPV
Arm Type
Active Comparator
Intervention Type
Biological
Intervention Name(s)
Part 1 study - BBio bOPV
Intervention Description
A single dose of 2 drops (0.1 ml) orally of BBio bOPV to 20 children 60 to 83 months of age.
Intervention Type
Biological
Intervention Name(s)
Part 2 study - BBio bOPV Lot 1
Intervention Description
Three doses of 2 drops (0.1 ml) orally of BBio bOPV Lot 1 to 270 infants at 6-8, 10-12 and 14-16 weeks of age.
Intervention Type
Biological
Intervention Name(s)
Part 2 study - BBio bOPV Lot 2
Intervention Description
Three doses of 2 drops (0.1 ml) orally of BBio bOPV Lot 2 to 270 infants at 6-8, 10-12 and 14-16 weeks of age.
Intervention Type
Biological
Intervention Name(s)
Part 2 study - BBio bOPV Lot 3
Intervention Description
Three doses of 2 drops (0.1 ml) orally of BBio bOPV Lot 3 to 270 infants at 6-8, 10-12 and 14-16 weeks of age.
Intervention Type
Biological
Intervention Name(s)
Part 2 study - Licensed bOPV
Intervention Description
Three doses of 2 drops (0.1 ml) orally of a licensed bOPV to 270 infants at 6-8, 10-12 and 14-16 weeks of age.
Intervention Type
Biological
Intervention Name(s)
Part 1 study - Licensed bOPV
Intervention Description
A single dose of 2 drops (0.1 ml) orally of a licensed bOPV to 20 children 60 to 83 months of age.
Primary Outcome Measure Information:
Title
Part 1 study: Frequency of adverse events (AEs)
Description
Safety of single dose of BBio bOPV will be assessed at 4 days after vaccination.
Time Frame
4 Days
Title
Part 2 study: Percentage of seroconversion to poliovirus type 1 and type 3
Description
Percentage of seroconversion to poliovirus type 1 and type 3 one month after administration of third dose of the BBio bOPV to that of control group bOPV to assess non-inferiority of BBio bOPV to that of a licensed bOPV.
Time Frame
one month after dose 3
Title
Part 1 study: Frequency of AEs and serious AEs (SAEs)
Description
Safety of single dose of BBio bOPV will be assessed at 28 days after vaccination.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Part 1 study: Percentage of seroprotection to poliovirus type 1 and type 3
Description
Percentage of seroprotection to poliovirus type 1 and type 3 one month after administration of single dose of the BBio bOPV to that of control group.
Time Frame
one month
Title
Part 1 study: Geometric mean titers (GMTs) of poliovirus neutralizing antibody (PVNA) to poliovirus type 1 and type 3
Description
GMTs of PVNA to poliovirus type 1 and type 3 at one month after administration of single dose of the BBio bOPV.
Time Frame
one month
Title
Part 2 study: GMTs of serum PVNA for the three lots of BBio bOPV
Description
Serum PVNA concentrations expressed as GMTs for the BBio bOPV to assess equivalence in manufacturing consistency among three current Good Manufacturing Practices (cGMP) lots of the BBio bOPV.
Time Frame
one month after dose 3
Title
Part 2 study: GMTs of PVNA to poliovirus type 1 and type 3
Description
Comparison of GMTs of PVNA to poliovirus type 1 and type 3 at one month after administration of third dose of the BBio bOPV to that of control group bOPV.
Time Frame
one month after dose 3
Title
Part 2 study: Percentage of seroprotection to poliovirus type 1 and type 3
Description
Percentage of seroprotection to poliovirus type 1 and type 3 one month after administration of third dose of the BBio bOPV to that of control group bOPV.
Time Frame
one month after dose 3
Title
Part 2 study: Frequency of adverse events within 4 days following the administration of each dose of vaccine
Description
Frequency of adverse events within 4 days following the administration of each dose of vaccine
Time Frame
4 days after each dose of vaccine
Title
Part 2 study: Frequency of adverse events and serious adverse events
Time Frame
84 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
42 Days
Maximum Age & Unit of Time
83 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Normal healthy children of both sexes of age 5 to 6 years (60-83 months) at the time of vaccination and who have received at least 3 doses of trivalent oral polio vaccine (tOPV) based upon documentation (Study Part 1). Normal healthy infants of both sexes of age 6-8 weeks (42-56 days) at the time of the first vaccination and have not received oral polio vaccine (OPV) previously based upon documentation (Study Part 2). Parents/legal guardians of participants willing to give written informed consent and willing to comply with study protocol. Free of obvious health problems as established by medical history and screening evaluation including clinical examination. Resident of study area. Exclusion Criteria: Participation in another clinical trial in the 4 weeks preceding the (first) trial vaccination or planned participation in another clinical trial during the present trial period. A diagnosis or suspicion of congenital or acquired immunodeficiency disorder, malignancy, receiving immunosuppressive therapy such as systemic corticosteroids therapy for a period of ≥ 1 week either in the participant or in an immediate family member. A diagnosis or suspicion of bleeding disorder that would contraindicate collection of blood by venipuncture. Acute or persistent diarrhea (defined as diarrhea that lasts 14 days or longer), infection or illness at the time of enrollment (6-8 weeks of age) that would require participant's admission to a hospital or would contraindicate provision of OPV. Acute vomiting and intolerance to liquids within 24 hours before the enrollment visit. Infants from multiple births (i.e. twins). History of allergy or systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the study vaccines or a vaccine containing the same substances. Chronic illness at a stage that could interfere with trial conduct or completion. Planned administration/ administration of a vaccine not foreseen by the study protocol during the study period with the exception of routine Expanded Program on Immunization (EPI) program vaccines including pneumococcal vaccine, and rotavirus vaccine (Polio vaccines are not allowed during the study period). Blood or blood-derived products received in the past. Any vaccination one week preceding the trial vaccination. Presence of significant malnutrition (< -3 standard deviation [SD] weight for length) or acute or chronic, clinically significant pulmonary, endocrine, autoimmune, cardiovascular, metabolic, hepatic or renal functional abnormality, as determined by medical history, and physical examination, which in the opinion of the investigator, might interfere with the study objectives History of any neurological disorder or history of seizure (febrile or afebrile), or encephalopathy, encephalitis, hypotonic-hyporesponsive episode. Febrile illness or acute illness on the day of inclusion is temporary exclusion criterion. Participant with any other condition, which, in the opinion of the investigator would jeopardize the safety or rights of the participant participating in the study or making it unlikely the participant, could complete the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
K Zaman, MBBS, MPH
Organizational Affiliation
International Center for Diarrheal Disease Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Matlab Hospital Research Centre, International Center for Diarrheal Disease Research, Matlab
City
Matlab South, Chandpur District
State/Province
Chittagong Division
ZIP/Postal Code
3640
Country
Bangladesh

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
31235374
Citation
Zaman K, Kingma R, Yunus M, van Straaten I, Mekkes D, Bouwstra X, Gunale B, Kulkarni PS. Safety, immunogenicity and lot-to-lot consistency of a new Bivalent Oral Polio Vaccine (bOPV) in healthy Infants: Results of a Phase III, observer blind, randomized, controlled clinical study. Vaccine. 2019 Jul 18;37(31):4275-4280. doi: 10.1016/j.vaccine.2019.06.048. Epub 2019 Jun 22. Erratum In: Vaccine. 2020 Jan 16;38(3):707-708.
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A Clinical Study Comparing Safety and Immunogenicity of bOPV of Bilthoven Biologicals

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