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A Study to Describe the Safety Profile and Compare the Immune Response of 4 Different Formulations of an Investigational Tdap Vaccine When Compared to Licensed Tdap Vaccine in Young Adults in Canada

Primary Purpose

Tetanus Immunisation (Healthy Volunteers), Diphtheria Immunisation (Healthy Volunteers), Pertussis Immunisation (Healthy Volunteers)

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Investigational Tdap vaccine Formulation B
Investigational Tdap vaccine Formulation C
Investigational Tdap vaccine Formulation A
Investigational Tdap vaccine Formulation D
Licensed Tdap vaccine
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Tetanus Immunisation (Healthy Volunteers)

Eligibility Criteria

19 Years - 21 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria :

  • Individuals born in Canada and vaccinated with a combination vaccine in accordance with the National Immunization Program (NIP).
  • Aged ≥ 19 years and < 22 years on the day of inclusion.
  • Able to attend all scheduled visits and to comply with all trial procedures.

Exclusion criteria:

  • Pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination until at least 3 months after the last vaccination. To be considered of non-childbearing potential, a female must be pre-menarche, or post-menopausal for at least 1 year, or surgically sterile.
  • Participation at the time of study enrollment (or in the 4 weeks preceding the first trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
  • Receipt of any vaccine in the 4 weeks preceding the first trial vaccination or planned receipt of any vaccine in the 4 weeks before and/or after any study vaccination except for influenza vaccination only, which may be received at least 2 weeks before or 2 weeks after any study vaccination.
  • History of autoimmune disorder.
  • History of cardiovascular disorder.
  • History of Guillain-Barré syndrome.
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months.
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances.
  • Laboratory-confirmed/self-reported thrombocytopenia, contraindicating intramuscular vaccination.
  • Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination.
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion.
  • Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 1240006
  • Investigational Site Number 1240009
  • Investigational Site Number 1240004
  • Investigational Site Number 1240005
  • Investigational Site Number 1240003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

Group 1: Investigational Product (IP) Formulation A

Group 2: IP Formulation A

Group 3: IP Formulation B

Group 4: IP Formulation B

Group 5: IP Formulation C

Group 6: IP Formulation C

Group 7: IP Formulation D

Group 8: Tdap

Group 9: Tdap

Arm Description

IP Formulation A administration, participation in Stage 1 and Stage 2

IP Formulation A administration, participation in Stage 1

IP Formulation B administration, participation in Stage 1 and Stage 2

IP Formulation B administration, participation in Stage 1

IP Formulation C administration, participation in Stage 1 and Stage 2

IP Formulation C administration, participation in Stage 1 and Stage 2

IP Formulation D administration, participation in Stage 1 and Stage 2

TdaP administration, participation in Stage 1 and Stage 2

TdaP administration, participation in Stage 1

Outcomes

Primary Outcome Measures

Number of participants reporting immediate adverse events (AEs)
AEs, including those related to the product administered
Number of participants reporting solicited injection sites or systemic reactions
Solicited reaction: adverse reaction prelisted in the case report book (CRB) Injection site reactions: pain, erythema, swelling Systemic reactions: fever, headache, malaise, myalgia, arthralgia, chills
Number of participants reporting unsolicited AEs
AEs other than solicited reactions
Number of participants reporting serious adverse events (SAEs)
SAEs, including adverse event of special interest (AESIs)
Number of participants reporting medically attended adverse events (MAAEs)
MAAE: a new onset or a worsening of a condition that prompts the participant to seek unplanned medical advice at a physician's office or emergency department
Number of participants reporting adverse events of special interest (AESIs)
AESIs are reported until the end of the safety follow-up period
Number of participants reporting Grade 2 and Grade 3 laboratory parameter abnormalities
Haematological and biochemical laboratory parameters
Geometric mean concentrations (GMCs) of anti-pertussis antigen immunoglobulins
Anti-pertussis antigen immunoglobulins concentration will be measured by mesoscale discovery electrochemiluminescence (MSD ECL)
GMCs of anti-diphtheria toxoid immunoglobulins
Anti-diphtheria toxoid total immunoglobulins concentration will be measured by MSD ECL
GMCs of anti-tetanus toxoid immunoglobulins
Anti-tetanus toxoid total immunoglobulins concentration will be measured by MSD ECL
Geometric means of antigen-specific cells
Antigen specific cells will be measured by FLUOROSPOT
Percentages of antigen-specific cells
Antigen specific cells will be measured by FLUOROSPOT

Secondary Outcome Measures

Full Information

First Posted
May 20, 2019
Last Updated
April 21, 2022
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT03958799
Brief Title
A Study to Describe the Safety Profile and Compare the Immune Response of 4 Different Formulations of an Investigational Tdap Vaccine When Compared to Licensed Tdap Vaccine in Young Adults in Canada
Official Title
Safety and Immunogenicity of an Investigational Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Adsorbed (Tdap) Vaccine in Young Adults
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
June 26, 2019 (Actual)
Primary Completion Date
April 6, 2021 (Actual)
Study Completion Date
April 6, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objectives of this study are: To describe the safety profile of each of the investigational vaccine formulations for all participants To describe the humoral and cell-mediated immune responses to all of the investigational vaccine formulations To evaluate the dose response to vaccine components To describe the magnitude, quality, and longevity of immune responses to each of the investigational vaccine formulations
Detailed Description
Study duration per participant is approximately 1 year, which will include a safety follow-up contact at 12 months after vaccination

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tetanus Immunisation (Healthy Volunteers), Diphtheria Immunisation (Healthy Volunteers), Pertussis Immunisation (Healthy Volunteers)

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Modified double-blind: the study participant, the Investigator, and other study personnel remain unaware of the treatment assignments throughout the trial. An unblinded vaccine administrator will administer the appropriate vaccine but will not be involved in safety assessment and data collection.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
71 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: Investigational Product (IP) Formulation A
Arm Type
Experimental
Arm Description
IP Formulation A administration, participation in Stage 1 and Stage 2
Arm Title
Group 2: IP Formulation A
Arm Type
Experimental
Arm Description
IP Formulation A administration, participation in Stage 1
Arm Title
Group 3: IP Formulation B
Arm Type
Experimental
Arm Description
IP Formulation B administration, participation in Stage 1 and Stage 2
Arm Title
Group 4: IP Formulation B
Arm Type
Experimental
Arm Description
IP Formulation B administration, participation in Stage 1
Arm Title
Group 5: IP Formulation C
Arm Type
Experimental
Arm Description
IP Formulation C administration, participation in Stage 1 and Stage 2
Arm Title
Group 6: IP Formulation C
Arm Type
Experimental
Arm Description
IP Formulation C administration, participation in Stage 1 and Stage 2
Arm Title
Group 7: IP Formulation D
Arm Type
Experimental
Arm Description
IP Formulation D administration, participation in Stage 1 and Stage 2
Arm Title
Group 8: Tdap
Arm Type
Active Comparator
Arm Description
TdaP administration, participation in Stage 1 and Stage 2
Arm Title
Group 9: Tdap
Arm Type
Active Comparator
Arm Description
TdaP administration, participation in Stage 1
Intervention Type
Biological
Intervention Name(s)
Investigational Tdap vaccine Formulation B
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Investigational Tdap vaccine Formulation C
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Investigational Tdap vaccine Formulation A
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Investigational Tdap vaccine Formulation D
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Licensed Tdap vaccine
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Primary Outcome Measure Information:
Title
Number of participants reporting immediate adverse events (AEs)
Description
AEs, including those related to the product administered
Time Frame
Within 30 minutes post-vaccination
Title
Number of participants reporting solicited injection sites or systemic reactions
Description
Solicited reaction: adverse reaction prelisted in the case report book (CRB) Injection site reactions: pain, erythema, swelling Systemic reactions: fever, headache, malaise, myalgia, arthralgia, chills
Time Frame
Within 7 days post-vaccination
Title
Number of participants reporting unsolicited AEs
Description
AEs other than solicited reactions
Time Frame
Within 30 days post-vaccination
Title
Number of participants reporting serious adverse events (SAEs)
Description
SAEs, including adverse event of special interest (AESIs)
Time Frame
Up to 12 months post-vaccination
Title
Number of participants reporting medically attended adverse events (MAAEs)
Description
MAAE: a new onset or a worsening of a condition that prompts the participant to seek unplanned medical advice at a physician's office or emergency department
Time Frame
Up to 12 months post-vaccination
Title
Number of participants reporting adverse events of special interest (AESIs)
Description
AESIs are reported until the end of the safety follow-up period
Time Frame
Up to 12 months post-vaccination
Title
Number of participants reporting Grade 2 and Grade 3 laboratory parameter abnormalities
Description
Haematological and biochemical laboratory parameters
Time Frame
Within 60 days post-vaccination
Title
Geometric mean concentrations (GMCs) of anti-pertussis antigen immunoglobulins
Description
Anti-pertussis antigen immunoglobulins concentration will be measured by mesoscale discovery electrochemiluminescence (MSD ECL)
Time Frame
From Day 0 to Day 360
Title
GMCs of anti-diphtheria toxoid immunoglobulins
Description
Anti-diphtheria toxoid total immunoglobulins concentration will be measured by MSD ECL
Time Frame
From Day 0 to Day 360
Title
GMCs of anti-tetanus toxoid immunoglobulins
Description
Anti-tetanus toxoid total immunoglobulins concentration will be measured by MSD ECL
Time Frame
From Day 0 to Day 360
Title
Geometric means of antigen-specific cells
Description
Antigen specific cells will be measured by FLUOROSPOT
Time Frame
From Day 0 to Day 360
Title
Percentages of antigen-specific cells
Description
Antigen specific cells will be measured by FLUOROSPOT
Time Frame
From Day 0 to Day 360

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria : Individuals born in Canada and vaccinated with a combination vaccine in accordance with the National Immunization Program (NIP). Aged ≥ 19 years and < 22 years on the day of inclusion. Able to attend all scheduled visits and to comply with all trial procedures. Exclusion criteria: Pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination until at least 3 months after the last vaccination. To be considered of non-childbearing potential, a female must be pre-menarche, or post-menopausal for at least 1 year, or surgically sterile. Participation at the time of study enrollment (or in the 4 weeks preceding the first trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure. Receipt of any vaccine in the 4 weeks preceding the first trial vaccination or planned receipt of any vaccine in the 4 weeks before and/or after any study vaccination except for influenza vaccination only, which may be received at least 2 weeks before or 2 weeks after any study vaccination. History of autoimmune disorder. History of cardiovascular disorder. History of Guillain-Barré syndrome. Receipt of immune globulins, blood or blood-derived products in the past 3 months. Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months). Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances. Laboratory-confirmed/self-reported thrombocytopenia, contraindicating intramuscular vaccination. Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination. Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion. Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided. Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi Pasteur, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 1240006
City
Halifax
ZIP/Postal Code
B3K 6R8
Country
Canada
Facility Name
Investigational Site Number 1240009
City
Pierrefonds
ZIP/Postal Code
H9H 4Y6
Country
Canada
Facility Name
Investigational Site Number 1240004
City
Quebec
ZIP/Postal Code
G1N 4V3
Country
Canada
Facility Name
Investigational Site Number 1240005
City
Sherbrooke
ZIP/Postal Code
J1L 0H8
Country
Canada
Facility Name
Investigational Site Number 1240003
City
Truro
ZIP/Postal Code
B2N 1L2
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

A Study to Describe the Safety Profile and Compare the Immune Response of 4 Different Formulations of an Investigational Tdap Vaccine When Compared to Licensed Tdap Vaccine in Young Adults in Canada

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