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A Study to Evaluate the Immunogenicity and Safety of EV71 Vaccine in Pediatric Subjects

Primary Purpose

Enterovirus Infections

Status
Completed
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
EV71 vaccine ([0.5 μg total protein + adjuvant 150 μg AI(OH)3] per dose)
EV71 vaccine ([1 μg total protein + adjuvant 150 μg AI(OH)3] per dose)
EV71 vaccine ([1 μg total protein ] per dose)
Sponsored by
Enimmune Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Enterovirus Infections focused on measuring Foot-and-Mouth Disease, Vaccines, Hand, Foot and Mouth Disease, EV71 vaccine

Eligibility Criteria

2 Months - 6 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy children aged from 3 to 6 years old (i.e. ≥ 3 years old and < 7 years old) for Part A,and from 2 to 35 months old (i.e. ≥ 2 months old and < 36 months old) for Part B at the time of first vaccination.
  2. Subject's guardians are able and willing to comply with study procedures and provide the signed informed consent.
  3. Subject is able and can comply with the requirements of the protocol.
  4. Subject with body temperature ≤38°C.

Exclusion Criteria:

  1. Subject with previous known exposure to Enterovirus 71 (EV71).
  2. Subject with a history of herpangina, hand-foot-mouth disease,and acute hemorrhagic conjunctivitis associated with enterovirus infection in the past 3 months.
  3. Subject with gestation < 37 weeks.
  4. Subject with birth weight <2.5 kg.
  5. Subject with a history of hypersensitivity to vaccines, or a history of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  6. Family history of seizures or progressive neurological disease.
  7. Family history of congenital or hereditary immunodeficiency.
  8. Severe malnutrition or dysgenopathy.
  9. Major congenital defects or serious chronic illness, including perinatal brain damage.
  10. Subject diagnosed of having autoimmune disease (e.g., celiac disease, type I diabetes, lupus (SLE), juvenile dermatomyositis, scleroderma, juvenile idiopathic arthritis (JIA), immune (or idiopathic) thrombocytopenia purpura).
  11. Bleeding disorder diagnosed by a doctor or significant bruising or hemostatic difficulties with IM injections or blood draws.
  12. Any acute infections 7 days prior to administrating the first vaccination.
  13. Use of any investigational product (including drug, vaccine) within 30 days prior to vaccination or planned use during the study period.
  14. Administration of any vaccines within 14 days prior to randomization.
  15. Use of immunoglobulins or any blood products within 3 months prior to vaccination or planned use during the study period.
  16. Chronic administration (defined as > 14 days) of immunosuppressants or other immunomodulators or systemic corticosteroids within 6 months prior to vaccination or planned use during the study period.
  17. Subjects who had ever received investigational EV-71 vaccine prior to randomization.
  18. Under anti-tuberculosis prevention or therapy.
  19. Any condition that in the opinion of the investigator may interfere with the evaluation of study objectives.

Sites / Locations

  • China Medical University Hospital
  • National Taiwan University Hospital
  • Taipei Veterans General Hospital
  • Linkou Chang Gung Memorial Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A1

Group A2

Group A3

Group B1

Group B2

Group B3

Arm Description

3 to 6 years

3 to 6 years

3 to 6 years

2 to 35 months

2 to 35 months

2 to 35 months

Outcomes

Primary Outcome Measures

Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Evaluate the immunogenicity change of serum neutralizing antibody titers induced by the EV71 vaccine from baseline on Day 56
Seroconversion rate (SCR) based on neutralizing antibody titers
Evaluate the immunogenicity change of SCR from baseline on Day 56
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Evaluate the immunogenicity change of serum neutralizing antibody titers induced by the EV71 vaccine from baseline on Day 28
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Evaluate the immunogenicity change of serum neutralizing antibody titers induced by the EV71 vaccine from baseline on Day 196
Seroconversion rate (SCR) based on neutralizing antibody titers
Evaluate the immunogenicity change of SCR from baseline on Day 28
Seroconversion rate (SCR) based on neutralizing antibody titers
Evaluate the immunogenicity change of SCR from baseline on Day 196

Secondary Outcome Measures

Solicited adverse events
Unsolicited adverse events
The occurrence of overall adverse events (AEs) and serious adverse event (SAEs)
The occurrence of EV 71 breakthrough infection after Visit 3
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Evaluate the immunogenicity of serum neutralization antibody titer induced by the EV 71 vaccine on Day 364

Full Information

First Posted
August 4, 2016
Last Updated
October 18, 2021
Sponsor
Enimmune Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03268083
Brief Title
A Study to Evaluate the Immunogenicity and Safety of EV71 Vaccine in Pediatric Subjects
Official Title
An Open-Label, Dose-Finding, Phase II Study to Evaluate the Immunogenicity and Safety of the Bioreactor-generated EV71 Vaccine in Pediatric Subjects Aged 3 to 6 Years and 2 to 35 Months Old
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
July 2016 (Actual)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
December 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Enimmune Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objectives of this study are to evaluate the immune response and safety profiles of two injections of EV71 vaccine administrated with or without adjuvant Al(OH)3 at 0.5-μg and 1-μg dose in children aged 3 to 6 years old and 2 to 35 months old infants/toddlers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Enterovirus Infections
Keywords
Foot-and-Mouth Disease, Vaccines, Hand, Foot and Mouth Disease, EV71 vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
140 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A1
Arm Type
Experimental
Arm Description
3 to 6 years
Arm Title
Group A2
Arm Type
Experimental
Arm Description
3 to 6 years
Arm Title
Group A3
Arm Type
Experimental
Arm Description
3 to 6 years
Arm Title
Group B1
Arm Type
Experimental
Arm Description
2 to 35 months
Arm Title
Group B2
Arm Type
Experimental
Arm Description
2 to 35 months
Arm Title
Group B3
Arm Type
Experimental
Arm Description
2 to 35 months
Intervention Type
Biological
Intervention Name(s)
EV71 vaccine ([0.5 μg total protein + adjuvant 150 μg AI(OH)3] per dose)
Intervention Description
Two vaccinations at 28 days apart
Intervention Type
Biological
Intervention Name(s)
EV71 vaccine ([1 μg total protein + adjuvant 150 μg AI(OH)3] per dose)
Intervention Description
Two vaccinations at 28 days apart
Intervention Type
Biological
Intervention Name(s)
EV71 vaccine ([1 μg total protein ] per dose)
Intervention Description
Two vaccinations at 28 days apart
Primary Outcome Measure Information:
Title
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Description
Evaluate the immunogenicity change of serum neutralizing antibody titers induced by the EV71 vaccine from baseline on Day 56
Time Frame
Day 56
Title
Seroconversion rate (SCR) based on neutralizing antibody titers
Description
Evaluate the immunogenicity change of SCR from baseline on Day 56
Time Frame
Day 56
Title
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Description
Evaluate the immunogenicity change of serum neutralizing antibody titers induced by the EV71 vaccine from baseline on Day 28
Time Frame
Day 28
Title
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Description
Evaluate the immunogenicity change of serum neutralizing antibody titers induced by the EV71 vaccine from baseline on Day 196
Time Frame
Day 196
Title
Seroconversion rate (SCR) based on neutralizing antibody titers
Description
Evaluate the immunogenicity change of SCR from baseline on Day 28
Time Frame
Day 28
Title
Seroconversion rate (SCR) based on neutralizing antibody titers
Description
Evaluate the immunogenicity change of SCR from baseline on Day 196
Time Frame
Day 196
Secondary Outcome Measure Information:
Title
Solicited adverse events
Time Frame
7 days after each vaccination
Title
Unsolicited adverse events
Time Frame
28 days after each vaccination
Title
The occurrence of overall adverse events (AEs) and serious adverse event (SAEs)
Time Frame
Day 0 to Day 196
Title
The occurrence of EV 71 breakthrough infection after Visit 3
Time Frame
Day 57 to Day 364
Title
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Description
Evaluate the immunogenicity of serum neutralization antibody titer induced by the EV 71 vaccine on Day 364
Time Frame
Day 364

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Months
Maximum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy children aged from 3 to 6 years old (i.e. ≥ 3 years old and < 7 years old) for Part A,and from 2 to 35 months old (i.e. ≥ 2 months old and < 36 months old) for Part B at the time of first vaccination. Subject's guardians are able and willing to comply with study procedures and provide the signed informed consent. Subject is able and can comply with the requirements of the protocol. Subject with body temperature ≤38°C. Exclusion Criteria: Subject with previous known exposure to Enterovirus 71 (EV71). Subject with a history of herpangina, hand-foot-mouth disease,and acute hemorrhagic conjunctivitis associated with enterovirus infection in the past 3 months. Subject with gestation < 37 weeks. Subject with birth weight <2.5 kg. Subject with a history of hypersensitivity to vaccines, or a history of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Family history of seizures or progressive neurological disease. Family history of congenital or hereditary immunodeficiency. Severe malnutrition or dysgenopathy. Major congenital defects or serious chronic illness, including perinatal brain damage. Subject diagnosed of having autoimmune disease (e.g., celiac disease, type I diabetes, lupus (SLE), juvenile dermatomyositis, scleroderma, juvenile idiopathic arthritis (JIA), immune (or idiopathic) thrombocytopenia purpura). Bleeding disorder diagnosed by a doctor or significant bruising or hemostatic difficulties with IM injections or blood draws. Any acute infections 7 days prior to administrating the first vaccination. Use of any investigational product (including drug, vaccine) within 30 days prior to vaccination or planned use during the study period. Administration of any vaccines within 14 days prior to randomization. Use of immunoglobulins or any blood products within 3 months prior to vaccination or planned use during the study period. Chronic administration (defined as > 14 days) of immunosuppressants or other immunomodulators or systemic corticosteroids within 6 months prior to vaccination or planned use during the study period. Subjects who had ever received investigational EV-71 vaccine prior to randomization. Under anti-tuberculosis prevention or therapy. Any condition that in the opinion of the investigator may interfere with the evaluation of study objectives.
Facility Information:
Facility Name
China Medical University Hospital
City
Taichung
Country
Taiwan
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan
Facility Name
Taipei Veterans General Hospital
City
Taipei
Country
Taiwan
Facility Name
Linkou Chang Gung Memorial Hospital
City
Taoyuan
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
31399275
Citation
Hung MC, Cho CY, Chen CJ, Lai CC, Wu KG. Immunogenicity and safety of an inactivated enterovirus A71 vaccine in children 3-6 years and 2-35 months of age- an open-label, randomized phase IIb clinical trial. Vaccine. 2019 Sep 3;37(37):5559-5566. doi: 10.1016/j.vaccine.2019.07.096. Epub 2019 Aug 6.
Results Reference
derived

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A Study to Evaluate the Immunogenicity and Safety of EV71 Vaccine in Pediatric Subjects

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