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A Study of the Safety and Tolerability of V419 in Healthy Infants at 2,4, 6 and 12 to 14 Months of Age (V419-003)

Primary Purpose

Bacterial Infections; Virus Diseases

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
AR51 (12, 10)
PR51 (3, 10)
PR51 (6, 10)
PENTACEL™
RECOMBIVAX HB™
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Bacterial Infections; Virus Diseases

Eligibility Criteria

6 Weeks - 9 Weeks (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy infants 2 months of age who have not received prior vaccinations for Haemophilus influenzae type b (Hib), hepatitis B, Diptheria/Pertussis/Tetanus (DPT), or Polio

Exclusion Criteria:

  • HIV infection in participant (child/mother)
  • Documented HBsAg seropositivity in the participant (child or mother)
  • History of invasive Hib disease, hepatitis B, diphtheria, tetanus, pertussis, or poliovirus infection
  • History of seizure disorder
  • Underlying medical conditions such as inborn errors of metabolism, failure to thrive, or any major congenital abnormalities requiring surgery
  • Prior or anticipated receipt of immune globulin, blood, or blood products
  • Known hypersensitivity to any component of the investigational or marketed vaccines being administered in this protocol
  • Any history or condition that would exclude the participant from receiving any vaccine administered under this protocol based on the contraindications that appear in the package circulars for each component of these vaccines
  • Any condition that, in the opinion of the investigator, is not stable or may interfere with the evaluation of the study objectives

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Active Comparator

    Arm Label

    AR51 (12, 10)

    PR51 (3, 10)

    PR51 (6, 10)

    PENTACEL™ + RECOMBIVAX HB™

    Arm Description

    Participants were vaccinated with 0.5 ml of AR51 (12,10) formulation via intramuscular injection as a primary series at 2, 4, and 6 months of age, and as a booster at 12 to 14 months of age.

    Participants were vaccinated with 0.5 ml of PR51 (3,10) formulation via intramuscular injection as a primary series at 2, 4, and 6 months of age, and as a booster at 12 to 14 months of age.

    Participants were vaccinated with 0.5 ml of PR51 (6,10) formulation via intramuscular injection as a primary series at 2, 4, and 6 months of age, and as a booster at 12 to 14 months of age.

    Participants were vaccinated with 0.5 ml each of PENTACEL™ + RECOMBIVAX HB™ via intramuscular injection as a primary series at 2, 4, and 6 months of age, and with 0.5 ml PENTACEL™ as a booster at 12 to 14 months of age.

    Outcomes

    Primary Outcome Measures

    Percentage of participants with level of anti-PRP antibodies >1.0 μg/mL at the Postdose 3 time point
    Percentage of participants with level of anti-HBsAg antibodies ≥10 mIU/L at the Postdose 3 time point
    Percentage of participants with a ≥4-fold rise in levels of antibodies to pertussis antigens at the Postdose 3 time point
    Percentage of participants with level of anti-diphtheria antibodies ≥0.01 IU/mL at the Postdose 3 time point
    Percentage of participants with level of anti-tetanus antibodies ≥0.01 IU/mL at the Postdose 3 time point
    Percentage of participants with neutralizing anti-poliovirus type antibodies at ≥1:8 dilution at the Postdose 3 time point

    Secondary Outcome Measures

    Percentage of participants with level of anti-PRP antibodies >1.0 μg/mL at the Postdose 2 time point
    Percentage of participants with level of anti-HBsAg antibodies ≥10 mIU/L at the Postdose 2 time point
    Percentage of participants with a ≥4-fold rise in level of antibodies to pertussis antigens at the Postdose 2 time point
    Percentage of participants with level of anti-diphtheria antibodies ≥0.01 IU/mL at the Postdose 2 time point
    Percentage of participants with level of anti-tetanus antibodies ≥0.01 IU/mL at the Postdose 2 time point
    Percentage of participants with neutralizing anti-poliovirus type antibodies at ≥1:8 dilution at the Postdose 2 time point
    Number of participants with at least 1 adverse event (AE)
    Number of participants who discontinued study treatment due to an AE

    Full Information

    First Posted
    October 29, 2007
    Last Updated
    October 29, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00551915
    Brief Title
    A Study of the Safety and Tolerability of V419 in Healthy Infants at 2,4, 6 and 12 to 14 Months of Age (V419-003)
    Official Title
    Safety, Tolerability, and Immunogenicity of 3 Different Formulations of a Liquid Hexavalent Combination Vaccine, HR5I When Administered to Healthy Hepatitis B Vaccine-Naive Infants at 2, 4, 6, and 12-14 Months of Age
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2001 (undefined)
    Primary Completion Date
    January 2003 (Actual)
    Study Completion Date
    January 2003 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to evaluate the safety, tolerability and immunogenicity of 3 formulations of the HR5I vaccine (Haemophilus influenzae type b conjugate, recombinant hepatitis B surface antigen, diphtheria, tetanus, 5-component acellular pertussis, and inactivated poliovirus Types 1, 2, and 3). The primary hypothesis is that at least 1 of the 3 formulations of HR5I administered as a primary series at 2, 4, and 6 months of age will be acceptable (similar to targeted rates) with respect to Postdose 3 antibody responses to all antigens.
    Detailed Description
    Participants will be randomized into 4 arms: AR51 (12, 10): arm receiving vaccine formulation containing 12 mcg of polyribosylribitol phosphate (PRP) conjugated to tetanus toxoid (PRP-T) and 10 mcg of Hepatitis B surface antigen (HBsAg) PR51 (3, 10): arm receiving vaccine formulation containing 3 mcg of polyribosylribitol phosphate conjugated to the outer membrane protein complex of Neisseria meningitides (PRP-OMPC) and 10 mcg of HBsAg PR51 (6, 10): arm receiving vaccine formulation containing 6 mcg of PRP-OMPC and 10 mcg of HBsAg PENTACEL™ + RECOMBIVAX HB™: open-label control group receiving PENTACEL™ (licensed vaccine for diphtheria, tetanus, pertussis, poliomyelitis, and invasive disease due to Haemophilus influenzae type b) and RECOMBIVAX HB™ (licensed vaccine for hepatitis)

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Bacterial Infections; Virus Diseases

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    756 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    AR51 (12, 10)
    Arm Type
    Experimental
    Arm Description
    Participants were vaccinated with 0.5 ml of AR51 (12,10) formulation via intramuscular injection as a primary series at 2, 4, and 6 months of age, and as a booster at 12 to 14 months of age.
    Arm Title
    PR51 (3, 10)
    Arm Type
    Experimental
    Arm Description
    Participants were vaccinated with 0.5 ml of PR51 (3,10) formulation via intramuscular injection as a primary series at 2, 4, and 6 months of age, and as a booster at 12 to 14 months of age.
    Arm Title
    PR51 (6, 10)
    Arm Type
    Experimental
    Arm Description
    Participants were vaccinated with 0.5 ml of PR51 (6,10) formulation via intramuscular injection as a primary series at 2, 4, and 6 months of age, and as a booster at 12 to 14 months of age.
    Arm Title
    PENTACEL™ + RECOMBIVAX HB™
    Arm Type
    Active Comparator
    Arm Description
    Participants were vaccinated with 0.5 ml each of PENTACEL™ + RECOMBIVAX HB™ via intramuscular injection as a primary series at 2, 4, and 6 months of age, and with 0.5 ml PENTACEL™ as a booster at 12 to 14 months of age.
    Intervention Type
    Biological
    Intervention Name(s)
    AR51 (12, 10)
    Intervention Description
    vaccine formulation containing 12 mcg of PRP-T and 10 mcg of HBsAg
    Intervention Type
    Biological
    Intervention Name(s)
    PR51 (3, 10)
    Intervention Description
    vaccine formulation containing 3 mcg of PRP-OMPC and 10 mcg of HBsAg
    Intervention Type
    Biological
    Intervention Name(s)
    PR51 (6, 10)
    Intervention Description
    vaccine formulation containing 6 mcg of PRP-OMPC and 10 mcg of HBsAg
    Intervention Type
    Biological
    Intervention Name(s)
    PENTACEL™
    Intervention Description
    licensed vaccine for diphtheria, tetanus, pertussis, poliomyelitis, and invasive disease due to Haemophilus influenzae type b, administered open-label
    Intervention Type
    Biological
    Intervention Name(s)
    RECOMBIVAX HB™
    Intervention Description
    licensed vaccine for hepatitis, administered open-label
    Primary Outcome Measure Information:
    Title
    Percentage of participants with level of anti-PRP antibodies >1.0 μg/mL at the Postdose 3 time point
    Time Frame
    At 7 months of age (1 month after 3rd vaccination)
    Title
    Percentage of participants with level of anti-HBsAg antibodies ≥10 mIU/L at the Postdose 3 time point
    Time Frame
    At 7 months of age (1 month after 3rd vaccination)
    Title
    Percentage of participants with a ≥4-fold rise in levels of antibodies to pertussis antigens at the Postdose 3 time point
    Time Frame
    At 7 months of age (1 month after 3rd vaccination)
    Title
    Percentage of participants with level of anti-diphtheria antibodies ≥0.01 IU/mL at the Postdose 3 time point
    Time Frame
    At 7 months of age (1 month after 3rd vaccination)
    Title
    Percentage of participants with level of anti-tetanus antibodies ≥0.01 IU/mL at the Postdose 3 time point
    Time Frame
    At 7 months of age (1 month after 3rd vaccination)
    Title
    Percentage of participants with neutralizing anti-poliovirus type antibodies at ≥1:8 dilution at the Postdose 3 time point
    Time Frame
    At 7 months of age (1 month after 3rd vaccination)
    Secondary Outcome Measure Information:
    Title
    Percentage of participants with level of anti-PRP antibodies >1.0 μg/mL at the Postdose 2 time point
    Time Frame
    At 6 months of age (2 months after 2nd vaccination)
    Title
    Percentage of participants with level of anti-HBsAg antibodies ≥10 mIU/L at the Postdose 2 time point
    Time Frame
    At 6 months of age (2 months after 2nd vaccination)
    Title
    Percentage of participants with a ≥4-fold rise in level of antibodies to pertussis antigens at the Postdose 2 time point
    Time Frame
    At 6 months of age (2 months after 2nd vaccination)
    Title
    Percentage of participants with level of anti-diphtheria antibodies ≥0.01 IU/mL at the Postdose 2 time point
    Time Frame
    At 6 months of age (2 months after 2nd vaccination)
    Title
    Percentage of participants with level of anti-tetanus antibodies ≥0.01 IU/mL at the Postdose 2 time point
    Time Frame
    At 6 months of age (2 months after 2nd vaccination)
    Title
    Percentage of participants with neutralizing anti-poliovirus type antibodies at ≥1:8 dilution at the Postdose 2 time point
    Time Frame
    At 6 months of age (2 months after 2nd vaccination)
    Title
    Number of participants with at least 1 adverse event (AE)
    Time Frame
    From 1st vaccination up to 14 days following last vaccination (up to 14.5 months)
    Title
    Number of participants who discontinued study treatment due to an AE
    Time Frame
    From 1st vaccination up to 14 days following last vaccination (up to 14.5 months)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Weeks
    Maximum Age & Unit of Time
    9 Weeks
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy infants 2 months of age who have not received prior vaccinations for Haemophilus influenzae type b (Hib), hepatitis B, Diptheria/Pertussis/Tetanus (DPT), or Polio Exclusion Criteria: HIV infection in participant (child/mother) Documented HBsAg seropositivity in the participant (child or mother) History of invasive Hib disease, hepatitis B, diphtheria, tetanus, pertussis, or poliovirus infection History of seizure disorder Underlying medical conditions such as inborn errors of metabolism, failure to thrive, or any major congenital abnormalities requiring surgery Prior or anticipated receipt of immune globulin, blood, or blood products Known hypersensitivity to any component of the investigational or marketed vaccines being administered in this protocol Any history or condition that would exclude the participant from receiving any vaccine administered under this protocol based on the contraindications that appear in the package circulars for each component of these vaccines Any condition that, in the opinion of the investigator, is not stable or may interfere with the evaluation of the study objectives
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    21134456
    Citation
    Diaz-Mitoma F, Halperin SA, Tapiero B, Hoffenbach A, Zappacosta PS, Radley D, Bradshaw S, Martin JC, Boslego JW, Hesley TM, Bhuyan PK, Silber JL. Safety and immunogenicity of three different formulations of a liquid hexavalent diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae b conjugate-hepatitis B vaccine at 2, 4, 6 and 12-14 months of age. Vaccine. 2011 Feb 1;29(6):1324-31. doi: 10.1016/j.vaccine.2010.11.053. Epub 2010 Dec 4.
    Results Reference
    result

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    A Study of the Safety and Tolerability of V419 in Healthy Infants at 2,4, 6 and 12 to 14 Months of Age (V419-003)

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