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A Study to Evaluate the Efficacy, Safety, and Immunogenicity of an EV71 Vaccine

Primary Purpose

Enterovirus 71 Infection

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
EV71vac
Placebo
Sponsored by
Medigen Vaccine Biologics Corp.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Enterovirus 71 Infection

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy children and infants aged from 2 months to less than 6 years as established by medical history and clinical examination.
  2. The subjects' parents/guardians are able to understand and sign the ICF.

Exclusion Criteria:

  1. Age < 2 months or ≥ 6 years.
  2. For subjects < 1 year, gestational age < 34 weeks or birth weight < 2200 grams.
  3. Has poor venous access (for subjects in sub-study only).
  4. Currently has a fever defined as ear/rectal temperature ≥ 38°C or axillary temperature ≥ 37.5 °C within 2 days before the time of planned vaccination.
  5. Has had previous known exposure to EV71 or has received EV71 vaccine.
  6. Has a history of herpangina or HFMD associated with enterovirus infection in the past 30 days before the date of the planned study drug vaccination.
  7. Has been diagnosed with a significant neurological, pulmonary, cardiovascular, hematological, hepatic, or renal disorder.
  8. Has a history of hypersensitivity to vaccines, or a history of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  9. Has used any investigational/non-registered product (including drug, vaccine, or invasive medical device) within 28 days before vaccination or plan to use during the study period.
  10. Has confirmed or suspected autoimmune disorder, or immunodeficiency.
  11. Administration of any licensed live attenuated vaccine within 14 days before or after each study vaccination (with the exceptions of live attenuated Rotavirus vaccine via oral route).
  12. Has used immunoglobulins or any blood products within 11 months before vaccination or plan to use during the whole study period.
  13. Has had immunosuppressants, cytotoxic drugs, corticosteroids (including prednisolone ≥ 0.5 mg/kg/day or equivalent), or immunomodulators taken for > 14 days within 6 months before first vaccination or plan to use before the last scheduled study visit. (Inhaled and topical steroids are allowed).
  14. Has any medical or psychiatric condition, that is a contraindication to protocol participation based on the judgment of the Investigator.

Sites / Locations

  • Mackay Memorial Hospital, HsincChu
  • Taichung Veteran General Hospital
  • Mackay Memorial Hospital, Taipei
  • National Taiwan Univeristy Hospital
  • Chang Gung Memorial Hospital, LinKou
  • Pasteur Institute of HCMC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

EV71vac

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Number of Laboratory Confirmed EV71-Associated Disease
The primary outcome is the number of Laboratory confirmed EV71-associated disease by viral isolation or CODEHOP assay.

Secondary Outcome Measures

Full Information

First Posted
February 20, 2019
Last Updated
April 18, 2022
Sponsor
Medigen Vaccine Biologics Corp.
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1. Study Identification

Unique Protocol Identification Number
NCT03865238
Brief Title
A Study to Evaluate the Efficacy, Safety, and Immunogenicity of an EV71 Vaccine
Official Title
A Phase 3, Prospective, Randomized, Double-blind, Placebo-controlled, Multi-region Study to Evaluate the Efficacy, Safety, and Immunogenicity of Inactivated EV71 Vaccine Produced in Vero Cells With Adjuvant in Infants and Children
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
April 23, 2019 (Actual)
Primary Completion Date
April 16, 2021 (Actual)
Study Completion Date
April 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medigen Vaccine Biologics Corp.

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
Subjects will receive the first IM injection of study vaccine on Day 1 and will receive a second dose 56 days later. A booster vaccine will be given 365 days after the first dose in subjects 2 months to < 2 years of age. The last study visit is on Day 422 when subjects will be contacted via telephone / home visit system to assess for adverse events and concomitant medications.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Enterovirus 71 Infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
3061 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EV71vac
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
EV71vac
Intervention Description
Subjects are to receive a 0.5 mL IM injection of EV71vac. Study drug is administered on Day 1 and Day 57 of the study. Subjects 2 months to < 2 years of age will receive a booster vaccination on Day 366.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Subjects are to receive a 0.5 mL IM injection of placebo. Study drug is administered on Day 1 and Day 57 of the study. Subjects 2 months to < 2 years of age will receive a booster vaccination on Day 366.
Primary Outcome Measure Information:
Title
Number of Laboratory Confirmed EV71-Associated Disease
Description
The primary outcome is the number of Laboratory confirmed EV71-associated disease by viral isolation or CODEHOP assay.
Time Frame
Approximately 14 months

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 and infants aged from 2 months to less than 6 years as established by medical history and clinical examination. The subjects' parents/guardians are able to understand and sign the ICF. Exclusion Criteria: Age < 2 months or ≥ 6 years. For subjects < 1 year, gestational age < 34 weeks or birth weight < 2200 grams. Has poor venous access (for subjects in sub-study only). Currently has a fever defined as ear/rectal temperature ≥ 38°C or axillary temperature ≥ 37.5 °C within 2 days before the time of planned vaccination. Has had previous known exposure to EV71 or has received EV71 vaccine. Has a history of herpangina or HFMD associated with enterovirus infection in the past 30 days before the date of the planned study drug vaccination. Has been diagnosed with a significant neurological, pulmonary, cardiovascular, hematological, hepatic, or renal disorder. Has a history of hypersensitivity to vaccines, or a history of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Has used any investigational/non-registered product (including drug, vaccine, or invasive medical device) within 28 days before vaccination or plan to use during the study period. Has confirmed or suspected autoimmune disorder, or immunodeficiency. Administration of any licensed live attenuated vaccine within 14 days before or after each study vaccination (with the exceptions of live attenuated Rotavirus vaccine via oral route). Has used immunoglobulins or any blood products within 11 months before vaccination or plan to use during the whole study period. Has had immunosuppressants, cytotoxic drugs, corticosteroids (including prednisolone ≥ 0.5 mg/kg/day or equivalent), or immunomodulators taken for > 14 days within 6 months before first vaccination or plan to use before the last scheduled study visit. (Inhaled and topical steroids are allowed). Has any medical or psychiatric condition, that is a contraindication to protocol participation based on the judgment of the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Li-Min Huang, MD
Organizational Affiliation
National Taiwan University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mackay Memorial Hospital, HsincChu
City
Hsinchu
Country
Taiwan
Facility Name
Taichung Veteran General Hospital
City
Taichung
Country
Taiwan
Facility Name
Mackay Memorial Hospital, Taipei
City
Taipei
Country
Taiwan
Facility Name
National Taiwan Univeristy Hospital
City
Taipei
Country
Taiwan
Facility Name
Chang Gung Memorial Hospital, LinKou
City
Taoyuan
Country
Taiwan
Facility Name
Pasteur Institute of HCMC
City
Ho Chi Minh City
Country
Vietnam

12. IPD Sharing Statement

Citations:
PubMed Identifier
35427481
Citation
Nguyen TT, Chiu CH, Lin CY, Chiu NC, Chen PY, Le TTV, Le DN, Duong AH, Nguyen VL, Huynh TN, Truong HK, Phan TL, Nguyen TTT, Shih SR, Huang CG, Weng YJ, Hsieh EF, Chang S, Chen C, Tai IC, Huang LM. Efficacy, safety, and immunogenicity of an inactivated, adjuvanted enterovirus 71 vaccine in infants and children: a multiregion, double-blind, randomised, placebo-controlled, phase 3 trial. Lancet. 2022 Apr 30;399(10336):1708-1717. doi: 10.1016/S0140-6736(22)00313-0. Epub 2022 Apr 12.
Results Reference
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A Study to Evaluate the Efficacy, Safety, and Immunogenicity of an EV71 Vaccine

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