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Evaluation of Efficacy and Safety of VPM1002 in Comparison to BCG in Prevention of Tb Infection in Infants (VPM1002)

Primary Purpose

Mycobacterium Tuberculosis Infection

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
VPM1002
BCG SII
Sponsored by
Serum Institute of India Pvt. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Mycobacterium Tuberculosis Infection focused on measuring Bacterial and fungal diseases

Eligibility Criteria

0 Days - 14 Days (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

A Maternal

  1. Age: 18 years or older at screening.
  2. Willing to comply with the trial protocol, available and willing to allow her child to complete all the trial assessments and must have signed an Informed Consent form that has been approved by respective Site Ethics Committee.
  3. No symptoms or signs of active TB at the time of participant's enrolment.
  4. Parent / guardian who intends to remain in the trial area with the child should be reachable by phone during the trial period.
  5. For HIV-unexposed group: Test negative for HIV within two months prior to the newborn infant's vaccination. Test result must be documented, in absence of which a HIV test must be performed at the infant screening visit.
  6. For the HIV-exposed group: Test positive for HIV and test result must be documented. If documentation is missing, a HIV test must be performed at the screening visit. The newborn infant's mother must have enrolled for standard antiretroviral therapy (ART) at least 2 months before the participant's birth
  7. No participation in an interventional clinical trial within 3 months prior to the participant's birth. In addition, if mother is breast-feeding then she must not participate in another clinical trial during the current trial period while breastfeeding.

B Infant

  1. Healthy male or female newborn infant.
  2. Birth weight of at least 2,300 g.
  3. Test negative for HIV by PCR at screening if born to an HIV-infected mother.
  4. No participation in an interventional clinical trial prior to enrolment. Participant should not take part in another clinical trial for the duration of the current trial period.

Exclusion Criteria:

A Maternal

  1. Any reported or suspected substance abuse during pregnancy.
  2. House-hold contact with active TB (defined as residing in the same house as an individual with active TB) within the 3 months prior to enrolment.

B Infant

  1. Fever at the time of enrolment.
  2. Eczema or other significant skin lesion or infection at the site/s of injection as per protocol.
  3. Receipt of routine BCG vaccine (as per vaccination record).
  4. Clinically suspected sepsis.
  5. Clinically suspected sepsis.
  6. Any malignant condition.
  7. Any clinically significant severe congenital malformation, which may interfere with the evaluation of the safety, efficacy or immunogenicity of the vaccine.
  8. Concomitant treatment with medication that may significantly affect immune function (e.g. systemic corticoids, immunosuppressive drugs) before trial vaccination. (Note: Routine medication given at birth such as topical antibiotics for eye care and vitamins A and K are permitted. In HIV-exposed newborn infants prevention of mother-to-child transmission (PMTCT) based on standard of care is allowed, but must be documented.)
  9. Receipt of blood products or immunoglobulin before trial vaccination.

Sites / Locations

  • Centre de Recherches Médicales de Lambaréné
  • Kenya Medical Research Institute / Center for Respiratory Disease Research
  • Kenya Medical Research Institute - Center for Respiratory Disease Research
  • Empilweni Services and Research Unit (ESRU)
  • Family Center for Research with Ubuntu
  • Mecru Clinical Research Unit
  • Respiratory and Meningeal Pathogens Research Unit
  • South African Tuberculosis Vaccine Initiative
  • Ifakara Health Institute
  • The national institute for Medical Research (NIMR) - Mbeya Medical Research Center (MMRC)
  • Medical Research Council / Uganda Virus Research Institute and London School of Hygiene and Tropical Medicines (MRC/UVRI and LSHTM) Uganda Research Unit
  • Makerere University/CISMAC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

VPM1002

BCG SII

Arm Description

Total 3470 subjects will be enrolled in VPM1002 arm. Single dose of VPM1002 will be administered.

Total 3470 subjects will be enrolled in BCG SII arm. Single dose of BCG SII will be administered.

Outcomes

Primary Outcome Measures

Incident cases of QFT conversion, indicating Mtb infection

Secondary Outcome Measures

The rate of TB disease in children receiving VPM1002 compared to BCG SII. Incident cases of sustained QFT conversion, indicating sustained Mtb infection.

Full Information

First Posted
April 1, 2020
Last Updated
December 19, 2022
Sponsor
Serum Institute of India Pvt. Ltd.
Collaborators
Vakzine Projekt Management GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT04351685
Brief Title
Evaluation of Efficacy and Safety of VPM1002 in Comparison to BCG in Prevention of Tb Infection in Infants
Acronym
VPM1002
Official Title
A Multicenter, Phase III, Double-blind, Randomized, Active-controlled Study to Evaluate the Efficacy and Safety of VPM1002 in Comparison to BCG in Prevention of Mycobacterium Tuberculosis Infection in Newborn Infants
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 9, 2020 (Actual)
Primary Completion Date
August 30, 2023 (Anticipated)
Study Completion Date
November 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Serum Institute of India Pvt. Ltd.
Collaborators
Vakzine Projekt Management GmbH

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The trial is designed as a phase III, double-blind, multicenter, randomized, single administration, active-controlled, parallel-group design with two groups of newborn infants receiving either VPM1002 or BCG SII (1:1 allocation) to assess the efficacy, safety and immunogenicity of VPM1002 against Mtb infection.
Detailed Description
The trial is designed as a phase III, double-blind, multicenter, randomized, single administration, active-controlled, parallel-group design with two groups of newborn infants receiving either VPM1002 or BCG SII (1:1 allocation) to assess the efficacy, safety and immunogenicity of VPM1002 against Mtb infection. Healthy male or female newborn infants will be centrally randomized to receive the allocated vaccine, stratified by the HIV status of the mother. Single dose of VPM1002 or BCG SII will be administered (within 14 days of birth) strictly intradermally.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mycobacterium Tuberculosis Infection
Keywords
Bacterial and fungal diseases

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
The study is designed as a double-blind study.
Allocation
Randomized
Enrollment
6940 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VPM1002
Arm Type
Experimental
Arm Description
Total 3470 subjects will be enrolled in VPM1002 arm. Single dose of VPM1002 will be administered.
Arm Title
BCG SII
Arm Type
Active Comparator
Arm Description
Total 3470 subjects will be enrolled in BCG SII arm. Single dose of BCG SII will be administered.
Intervention Type
Biological
Intervention Name(s)
VPM1002
Intervention Description
The active ingredient of the recombinant BCG vaccine, VPM1002 is Mycobacterium bovis A dose of 0.05 ml will be administered intradermally. Manufactured by the Serum Institute of India Pvt. Ltd., India Diluent: 1 ml of Water for injection/vial
Intervention Type
Biological
Intervention Name(s)
BCG SII
Intervention Description
Commercially available BCG vaccine from Serum Institute of India Pvt. Ltd. A dose of 0.05 ml will be administered intradermally. Manufactured by the Serum Institute of India Pvt. Ltd., India Diluent: 1 ml of Sodium Chloride for injection/vial Injection
Primary Outcome Measure Information:
Title
Incident cases of QFT conversion, indicating Mtb infection
Time Frame
Minimum of 12 months and maximum of 36 months
Secondary Outcome Measure Information:
Title
The rate of TB disease in children receiving VPM1002 compared to BCG SII. Incident cases of sustained QFT conversion, indicating sustained Mtb infection.
Time Frame
36 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Days
Maximum Age & Unit of Time
14 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: A Maternal Age: 18 years or older at screening. Willing to comply with the trial protocol, available and willing to allow her child to complete all the trial assessments and must have signed an Informed Consent form that has been approved by respective Site Ethics Committee. No symptoms or signs of active TB at the time of participant's enrolment. Parent / guardian who intends to remain in the trial area with the child should be reachable by phone during the trial period. For HIV-unexposed group: Test negative for HIV within two months prior to the newborn infant's vaccination. Test result must be documented, in absence of which a HIV test must be performed at the infant screening visit. For the HIV-exposed group: Test positive for HIV and test result must be documented. If documentation is missing, a HIV test must be performed at the screening visit. The newborn infant's mother must have enrolled for standard antiretroviral therapy (ART) at least 2 months before the participant's birth No participation in an interventional clinical trial within 3 months prior to the participant's birth. In addition, if mother is breast-feeding then she must not participate in another clinical trial during the current trial period while breastfeeding. B Infant Healthy male or female newborn infant. Birth weight of at least 2,300 g. Test negative for HIV by PCR at screening if born to an HIV-infected mother. No participation in an interventional clinical trial prior to enrolment. Participant should not take part in another clinical trial for the duration of the current trial period. Exclusion Criteria: A Maternal Any reported or suspected substance abuse during pregnancy. House-hold contact with active TB (defined as residing in the same house as an individual with active TB) within the 3 months prior to enrolment. B Infant Fever at the time of enrolment. Eczema or other significant skin lesion or infection at the site/s of injection as per protocol. Receipt of routine BCG vaccine (as per vaccination record). Clinically suspected sepsis. Clinically suspected sepsis. Any malignant condition. Any clinically significant severe congenital malformation, which may interfere with the evaluation of the safety, efficacy or immunogenicity of the vaccine. Concomitant treatment with medication that may significantly affect immune function (e.g. systemic corticoids, immunosuppressive drugs) before trial vaccination. (Note: Routine medication given at birth such as topical antibiotics for eye care and vitamins A and K are permitted. In HIV-exposed newborn infants prevention of mother-to-child transmission (PMTCT) based on standard of care is allowed, but must be documented.) Receipt of blood products or immunoglobulin before trial vaccination.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr Prasad Kulkarni, MD
Organizational Affiliation
Serum Institute of India Pvt. Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Centre de Recherches Médicales de Lambaréné
City
Lambaréné
Country
Gabon
Facility Name
Kenya Medical Research Institute / Center for Respiratory Disease Research
City
Nairobi
ZIP/Postal Code
47855-00100
Country
Kenya
Facility Name
Kenya Medical Research Institute - Center for Respiratory Disease Research
City
Siaya
ZIP/Postal Code
144
Country
Kenya
Facility Name
Empilweni Services and Research Unit (ESRU)
City
Johannesburg
State/Province
Coronation Ville
ZIP/Postal Code
2093
Country
South Africa
Facility Name
Family Center for Research with Ubuntu
City
Cape Town
ZIP/Postal Code
7505
Country
South Africa
Facility Name
Mecru Clinical Research Unit
City
Medunsa
ZIP/Postal Code
0204
Country
South Africa
Facility Name
Respiratory and Meningeal Pathogens Research Unit
City
Soweto
ZIP/Postal Code
2013
Country
South Africa
Facility Name
South African Tuberculosis Vaccine Initiative
City
Worcester
ZIP/Postal Code
6850
Country
South Africa
Facility Name
Ifakara Health Institute
City
Dar Es Salaam
ZIP/Postal Code
61665
Country
Tanzania
Facility Name
The national institute for Medical Research (NIMR) - Mbeya Medical Research Center (MMRC)
City
Mbeya
ZIP/Postal Code
2410
Country
Tanzania
Facility Name
Medical Research Council / Uganda Virus Research Institute and London School of Hygiene and Tropical Medicines (MRC/UVRI and LSHTM) Uganda Research Unit
City
Entebbe
Country
Uganda
Facility Name
Makerere University/CISMAC
City
Kampala
ZIP/Postal Code
7062
Country
Uganda

12. IPD Sharing Statement

Plan to Share IPD
No

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Evaluation of Efficacy and Safety of VPM1002 in Comparison to BCG in Prevention of Tb Infection in Infants

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