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A Study to Evaluate the Efficacy, Immunogenicity and Safety of an EV71 Vaccine in Healthy Infants and Children

Primary Purpose

Enterovirus Infections

Status
Enrolling by invitation
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
EV71 vaccine
Placebo
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 - 71 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy children aged from 2 months to 6 years old (i.e. >= 2 months old and < 7 years old) 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℃.

Exclusion Criteria:

  1. Subject with previous known Enterovirus 71 (EV71) infection or investigational EV71 vaccination.
  2. Subject with a history of herpangina, hand-foot-mouth disease, and acute hemorrhagic conjunctivitis associated with enterovirus infection in the past 30 days.
  3. 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.
  4. Subject under 2 years old with gestation <34weeks or a birth weight <2200g.
  5. History of epilepsy, seizures or non-febrile convulsions that may affect subject participation in the study in the opinion of the investigator.
  6. Severe malnutrition or dysgenopathy at the screening visit.
  7. Major congenital defects or serious chronic illness, including perinatal brain damage at the screening visit.
  8. 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) that may affect subject participation in the study in the opinion of the investigator.
  9. Bleeding disorder diagnosed by a doctor or significant bruising or hemostatic difficulties with IM injections or blood draws.
  10. Any acute febrile illness 3 days prior to administrating the first vaccination.
  11. Use of any investigational product (including drug, vaccine) within 30 days prior to vaccination or planned use during Visit 1 to Visit 4 (Day 0 to Day 196).
  12. Administration of any vaccine within 14 days prior to each study vaccination.
  13. Use of immunoglobulins or any blood products within 3 months prior to vaccination.
  14. Chronic administration (defined as > 14 day of continuous use) of systemic immunosuppressants, other systemic immunomodulators, or systemic corticosteroids within 6 months prior to vaccination.
  15. Any condition that in the opinion of the investigator may interfere with the evaluation of study objectives.
  16. Subject with any confirmed or suspected immunodeficiency.

Sites / Locations

  • Changhua Christian Hospital
  • National Taiwan University Hospital HsinChu Branch
  • China Medical University Hospital
  • Taichung Veterans General Hospital
  • National Taiwan University Hospital
  • Taipei Veterans General Hospital
  • Linkou Chang Gung Memorial Hospital
  • Pasteur Institute of HCMC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

EV71 Vaccine

Placebo

Arm Description

Outcomes

Primary Outcome Measures

The incidence rate of Hand, Foot and Mouth disease caused by EV71 after the second vaccination.
Evaluate the efficacy of EV71 vacccine against HFMD caused by EV71
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Evaluate the immunogenicity by the response rate

Secondary Outcome Measures

The incidence rate of the severe complications and hospitalization of EV71 associated HFMD/HA disease after the second vaccination.
Evaluate the efficacy of vaccination against the severe complications, including neurologic, pulmonary edema, and cardiorespiratory failure, of EV71 associated HFMD/HA diseases after completion of full vaccination. Evaluate the efficacy of vaccination against the hospitalization of EV71 associated HFMD/HA diseases after completion of full vaccination.
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Evaluate the immunogenicity of EV71 vaccine with two-dose regimen. Evaluate the immune persistence of EV71 vaccine with two-dose regimen. Evaluate lot-to-lot consistency by comparing the immunogenicity induced by 3 independent EV71 vaccines.
Adverse events of EV71 vaccine
Occurrence and severity of solicited injection site relations and general reactions within 7 days following each injection. Occurrence and severity of unsolicited adverse events within 28 days following each injection. Occurrence and relations with vaccination of some special AE during the 6-months follow-up period (up to Day 196). Occurrence and relations with vaccination of serious adverse events (SAEs) during the one year follow-up period (up to Day 392).

Full Information

First Posted
October 18, 2021
Last Updated
August 9, 2023
Sponsor
Enimmune Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT05099029
Brief Title
A Study to Evaluate the Efficacy, Immunogenicity and Safety of an EV71 Vaccine in Healthy Infants and Children
Official Title
A Phase III, Multiple-center, Double-blind, Randomized, Placebo-controlled Study to Evaluate the Efficacy, Immunogenicity, and Safety of an Adjuvanted, Inactivated Enterovirus 71 (EV71) Vaccine in Healthy Infants and Children
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Enrolling by invitation
Study Start Date
June 27, 2018 (Actual)
Primary Completion Date
June 30, 2024 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The objectives of this study are to evaluate the EV71vaccine efficacy, immune response and safety profiles after two injections of the cell culture-based inactivated EV71 vaccine with adjuvant Al(OH)3 administrated in pediatric population aged 2 months to 6 years old.
Detailed Description
The clinical trial designed in this Study is a placebo-controlled, double-blinded Phase III and is aimed to evaluate the vaccine efficacy, safety, immunogenicity and immune persistence of cell culture-based inactivated EV71 vaccine in children age of 2 months to <6 years old. Two doses of Alum-adjuvanted 1.0 μg per dose of EV71 vaccine candidate will be administrated to subjects. The efficacy will be evaluated within a two year period after receiving 2-regimen vaccination by comparing the EV71-associated disease rates between the vaccine and placebo groups. Whereas, the immunogenicity will be assessed on Day 56 and Day 196, and the immune persistence will be evaluated on Day 392. Safety will be followed up to Day 392.

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 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
3982 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
EV71 Vaccine
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
EV71 vaccine
Intervention Description
EV71 vaccine ([1 μg total protein + adjuvant 150 μg AI(OH)3] per dose) Two vaccinations at 28 days apart
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo ([ adjuvant 150 μg AI(OH)3] per dose) Two vaccinations at 28 days apart
Primary Outcome Measure Information:
Title
The incidence rate of Hand, Foot and Mouth disease caused by EV71 after the second vaccination.
Description
Evaluate the efficacy of EV71 vacccine against HFMD caused by EV71
Time Frame
From 28 days after the second vaccination to two year
Title
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Description
Evaluate the immunogenicity by the response rate
Time Frame
28 days after the second vaccination
Secondary Outcome Measure Information:
Title
The incidence rate of the severe complications and hospitalization of EV71 associated HFMD/HA disease after the second vaccination.
Description
Evaluate the efficacy of vaccination against the severe complications, including neurologic, pulmonary edema, and cardiorespiratory failure, of EV71 associated HFMD/HA diseases after completion of full vaccination. Evaluate the efficacy of vaccination against the hospitalization of EV71 associated HFMD/HA diseases after completion of full vaccination.
Time Frame
From 28 days after the second vaccination to two year
Title
Serum neutralizing antibody titers (NT) induced by the EV71 vaccine
Description
Evaluate the immunogenicity of EV71 vaccine with two-dose regimen. Evaluate the immune persistence of EV71 vaccine with two-dose regimen. Evaluate lot-to-lot consistency by comparing the immunogenicity induced by 3 independent EV71 vaccines.
Time Frame
Day 0,56,196,and 392
Title
Adverse events of EV71 vaccine
Description
Occurrence and severity of solicited injection site relations and general reactions within 7 days following each injection. Occurrence and severity of unsolicited adverse events within 28 days following each injection. Occurrence and relations with vaccination of some special AE during the 6-months follow-up period (up to Day 196). Occurrence and relations with vaccination of serious adverse events (SAEs) during the one year follow-up period (up to Day 392).
Time Frame
Day 0 to Day 392

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Months
Maximum Age & Unit of Time
71 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy children aged from 2 months to 6 years old (i.e. >= 2 months old and < 7 years old) 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℃. Exclusion Criteria: Subject with previous known Enterovirus 71 (EV71) infection or investigational EV71 vaccination. Subject with a history of herpangina, hand-foot-mouth disease, and acute hemorrhagic conjunctivitis associated with enterovirus infection in the past 30 days. 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. Subject under 2 years old with gestation <34weeks or a birth weight <2200g. History of epilepsy, seizures or non-febrile convulsions that may affect subject participation in the study in the opinion of the investigator. Severe malnutrition or dysgenopathy at the screening visit. Major congenital defects or serious chronic illness, including perinatal brain damage at the screening visit. 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) that may affect subject participation in the study in the opinion of the investigator. Bleeding disorder diagnosed by a doctor or significant bruising or hemostatic difficulties with IM injections or blood draws. Any acute febrile illness 3 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 Visit 1 to Visit 4 (Day 0 to Day 196). Administration of any vaccine within 14 days prior to each study vaccination. Use of immunoglobulins or any blood products within 3 months prior to vaccination. Chronic administration (defined as > 14 day of continuous use) of systemic immunosuppressants, other systemic immunomodulators, or systemic corticosteroids within 6 months prior to vaccination. Any condition that in the opinion of the investigator may interfere with the evaluation of study objectives. Subject with any confirmed or suspected immunodeficiency.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chin-Fen Yang
Organizational Affiliation
Enimmune Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Changhua Christian Hospital
City
Changhua
Country
Taiwan
Facility Name
National Taiwan University Hospital HsinChu Branch
City
Hsinchu
Country
Taiwan
Facility Name
China Medical University Hospital
City
Taichung
Country
Taiwan
Facility Name
Taichung Veterans General 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
Facility Name
Pasteur Institute of HCMC
City
Ho Chi Minh City
Country
Vietnam

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Study to Evaluate the Efficacy, Immunogenicity and Safety of an EV71 Vaccine in Healthy Infants and Children

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