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Immunogenicity and Safety of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine in Infants and Children

Primary Purpose

Group A, C Polysaccharide Meningitis, Type b Haemophilus Influenza

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
A+C+hib Conjugate Vaccine
Placebo
A+C Vaccine
Hib vaccine
Sponsored by
Jiangsu Province Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Group A, C Polysaccharide Meningitis focused on measuring immunogenicity, safety, group A, C polysaccharide meningitis, type b haemophilus Influenza, conjugate vaccine

Eligibility Criteria

6 Months - 5 Years (Child)All SexesDoes not accept healthy volunteers

For the children (aged from 2 to 5 years old)

Inclusion Criteria:

  • Healthy subjects aged from 2 to 5 years old of normal intelligence.
  • The subjects' guardians are able to understand and sign the informed consent.
  • Subjects established as healthy after medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine.
  • Subjects who can comply with the requirements of the clinical trial program according to the researcher's views.
  • Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine.
  • Subjects with temperature <37°C on axillary setting.

Exclusion Criteria:

  • Subject who has a medical history of Meningitis;
  • Subject that has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on;
  • Subject who is allergic with tetanus toxoid components;
  • Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection;
  • Subject who has a history of allergic reactions;
  • Any known immunological dysfunction;
  • Had received gamma globulin or immune globulin, in the past two weeks
  • Subject suffering from congenital malformations, dysgenopathy or serious chronic disease;
  • Any acute infections
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

For the infants (aged from 6 to 23 months old)

Inclusion Criteria:

  • Healthy subjects aged from 6 months to 23 months old of normal intelligence.
  • The subjects' guardians are able to understand and sign the informed consent.
  • Subjects established as healthy after medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine.
  • Subjects who can comply with the requirements of the clinical trial program according to the researcher's views.
  • Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine.
  • Subjects with temperature<37°C on axillary setting.

Exclusion Criteria for the first vaccination:

  • Subject who has a medical history of Meningitis;
  • Subject that has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on;
  • Subject who is allergic with tetanus toxoid components;
  • Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection;
  • Subject who has a history of allergic reactions;
  • Any known immunological dysfunction;
  • Had received gamma globulin or immune globulin, in the past two weeks
  • Subject suffering from congenital malformations, dysgenopathy or serious chronic disease;
  • Any acute infections
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Exclusion Criteria for the second vaccination:

  • Had any Grade 3 or Grade 4 adverse reactions or events occurred since the first vaccination
  • Any situation meets the exclusion criteria stated in the exclusion criteria for first dose;
  • Any condition the investigator believed may affect the evaluation of the vaccine.

Sites / Locations

  • Funing county Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

children group A

infants group A

children group B

infants group B

Arm Description

600 children aged 2-5 years old, will be vaccinated on day0

600 infants aged 6-23 months old, will be vaccinated on day0, 28

600 children aged 2-5 years old, will be vaccinated on day0

600 infants aged 6-23 months old, will be vaccinated on day0, 28

Outcomes

Primary Outcome Measures

The seroconversion rate of antibody against group A, C polysaccharide meningitis in children after vaccination
to evaluate the seroconversion rate of antibody against group A, C polysaccharide meningitis in children when measured 4 weeks (28±3 days) after the vaccination
The seroconversion rate of antibody against group A, C polysaccharide meningitis in infants after infant series
to evaluate the seroconversion rate of antibody against group A, C polysaccharide meningitis in infants when measured 4 weeks (28±3 days) after the infant series (two times, 28 day apart).
The seroconversion rate of antibody against type b haemophilus influenza in children after the vaccination
to evaluate the seroconversion rate of antibody against type b haemophilus Influenza in children when measured 4 weeks (28±3 days) after the vaccination
The seroconversion rate of antibody against type b haemophilus influenza in infants after infant series
to evaluate the seroconversion rate of antibody against type b haemophilus Influenza in infants when measured 4 weeks (28±3 days) after the infant series (two times, 28 day apart)

Secondary Outcome Measures

Injection-site reactions and systemic events after the vaccination in children
to evaluate the injection-site reactions and systemic events of the investigational vaccines in healthy children for 7 days after the vaccination
Injection-site reactions and systemic events after the first vaccination in infants
to evaluate the injection-site reactions and systemic events of the investigational vaccines in healthy infants for 7 days after the first vaccination
Injection-site reactions and systemic events after the second vaccination in infants
to evaluate the injection-site reactions and systemic events of the investigational vaccines in healthy infants for 7 days after the second vaccination
GMT of antibody against group A, C polysaccharide meningitis in children after the vaccination
to evaluate the GMT of antibody against group A, C polysaccharide meningitis in children 4 weeks (28±3 days) after the vaccination
GMT of antibody against group A, C polysaccharide meningitis in infants after the infant series
to evaluate the GMT of antibody against group A, C polysaccharide meningitis in infants 4 weeks (28±3 days) after the infant series (two times, 28 day apart)
GMT of antibody against type b haemophilus Influenza in serum in children after the vaccination
to evaluate the GMT of antibody against type b haemophilus Influenza in children 4 weeks (28±3 days) after the vaccination

Full Information

First Posted
September 2, 2011
Last Updated
April 17, 2012
Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Royal (Wuxi) Biological Co., LTD
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1. Study Identification

Unique Protocol Identification Number
NCT01428908
Brief Title
Immunogenicity and Safety of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine in Infants and Children
Official Title
A Phase III Clinical Trial the Immunogenicity and Safety Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine in Infants and Children.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2012
Overall Recruitment Status
Completed
Study Start Date
September 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
January 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Royal (Wuxi) Biological Co., LTD

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Haemophilus influenzae is an important pathogen which can cause primary infection and respiratory viral infection in infants and leaded to secondary infections. The infection of haemophilus is a major cause of morbidity and mortality in infants and children. At present, the developed conjugant Hib vaccine is proved to be safe and effective. Because Hib vaccine can prevent meningitis, pneumonia, epiglottis inflammation and other serious infection caused by Hib bacteria, the WHO suggested that Hib vaccine should be included in the infant's normal immune programming. Since the use of meningitis aureus polysaccharide vaccine, incidence of a disease in recent years is declined and maintain to the level of 0.5 per 1/100 thousand. But meningitis aureus polysaccharide vaccine with a relatively poor immune response in the infants under the age of two, and the remaining 60% with a low antibody level and a short duration. According to the present immunization schedule, to reach the median level of antibody levels there are at least 4 doses in need. So it is meaningful to improving vaccine immunogenicity, to provide high levels of long-term protection and to reduce the number of injections. After the phase I study which was conducted in August, 2011, the safety profile of this vaccine is proved to be acceptable. The phase III study is aimed to further evaluate the safety and the immunization of the vaccine. The objective of this study is to evaluate the safety of the group A, C polysaccharide meningococcal and type b haemophilus influenzal conjugate vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Group A, C Polysaccharide Meningitis, Type b Haemophilus Influenza
Keywords
immunogenicity, safety, group A, C polysaccharide meningitis, type b haemophilus Influenza, conjugate vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
2394 (Actual)

8. Arms, Groups, and Interventions

Arm Title
children group A
Arm Type
Experimental
Arm Description
600 children aged 2-5 years old, will be vaccinated on day0
Arm Title
infants group A
Arm Type
Experimental
Arm Description
600 infants aged 6-23 months old, will be vaccinated on day0, 28
Arm Title
children group B
Arm Type
Active Comparator
Arm Description
600 children aged 2-5 years old, will be vaccinated on day0
Arm Title
infants group B
Arm Type
Active Comparator
Arm Description
600 infants aged 6-23 months old, will be vaccinated on day0, 28
Intervention Type
Biological
Intervention Name(s)
A+C+hib Conjugate Vaccine
Intervention Description
The group A, C polysaccharide meningococcal and type b haemophilus influenzal conjugate vaccine (Wuxi Royal Biological Co., LTD, 20110101) will be administered intramuscularly on one arm, per 0.5ml dose
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo will be administered intramuscularly on the other arm, per 0.5ml dose
Intervention Type
Biological
Intervention Name(s)
A+C Vaccine
Intervention Description
The group A, C polysaccharide meningococcal vaccine (Wuxi Royal Biological Co., LTD, 20101202) will be administered intramuscularly on one arm, per 0.5ml dose
Intervention Type
Biological
Intervention Name(s)
Hib vaccine
Intervention Description
The type b haemophilus influenzal vaccine (Sanofi Pasteur Limited) will be administered intramuscularly on the other arm, per 0.5ml dose
Primary Outcome Measure Information:
Title
The seroconversion rate of antibody against group A, C polysaccharide meningitis in children after vaccination
Description
to evaluate the seroconversion rate of antibody against group A, C polysaccharide meningitis in children when measured 4 weeks (28±3 days) after the vaccination
Time Frame
4 weeks (28±3 days) after the vaccination
Title
The seroconversion rate of antibody against group A, C polysaccharide meningitis in infants after infant series
Description
to evaluate the seroconversion rate of antibody against group A, C polysaccharide meningitis in infants when measured 4 weeks (28±3 days) after the infant series (two times, 28 day apart).
Time Frame
4 weeks (28±3 days) after the infant series (two times, 28 day apart)
Title
The seroconversion rate of antibody against type b haemophilus influenza in children after the vaccination
Description
to evaluate the seroconversion rate of antibody against type b haemophilus Influenza in children when measured 4 weeks (28±3 days) after the vaccination
Time Frame
4 weeks (28±3 days) after the vaccination
Title
The seroconversion rate of antibody against type b haemophilus influenza in infants after infant series
Description
to evaluate the seroconversion rate of antibody against type b haemophilus Influenza in infants when measured 4 weeks (28±3 days) after the infant series (two times, 28 day apart)
Time Frame
4 weeks (28±3 days) after the infant series (two times, 28 day apart)
Secondary Outcome Measure Information:
Title
Injection-site reactions and systemic events after the vaccination in children
Description
to evaluate the injection-site reactions and systemic events of the investigational vaccines in healthy children for 7 days after the vaccination
Time Frame
7 days after the vaccination
Title
Injection-site reactions and systemic events after the first vaccination in infants
Description
to evaluate the injection-site reactions and systemic events of the investigational vaccines in healthy infants for 7 days after the first vaccination
Time Frame
7 days after the first vaccination
Title
Injection-site reactions and systemic events after the second vaccination in infants
Description
to evaluate the injection-site reactions and systemic events of the investigational vaccines in healthy infants for 7 days after the second vaccination
Time Frame
7 days after the second vaccination
Title
GMT of antibody against group A, C polysaccharide meningitis in children after the vaccination
Description
to evaluate the GMT of antibody against group A, C polysaccharide meningitis in children 4 weeks (28±3 days) after the vaccination
Time Frame
4 weeks (28±3 days) after the vaccination
Title
GMT of antibody against group A, C polysaccharide meningitis in infants after the infant series
Description
to evaluate the GMT of antibody against group A, C polysaccharide meningitis in infants 4 weeks (28±3 days) after the infant series (two times, 28 day apart)
Time Frame
4 weeks (28±3 days) after the infant series (two times, 28 day apart)
Title
GMT of antibody against type b haemophilus Influenza in serum in children after the vaccination
Description
to evaluate the GMT of antibody against type b haemophilus Influenza in children 4 weeks (28±3 days) after the vaccination
Time Frame
4 weeks (28±3 days) after the vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
For the children (aged from 2 to 5 years old) Inclusion Criteria: Healthy subjects aged from 2 to 5 years old of normal intelligence. The subjects' guardians are able to understand and sign the informed consent. Subjects established as healthy after medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine. Subjects who can comply with the requirements of the clinical trial program according to the researcher's views. Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine. Subjects with temperature <37°C on axillary setting. Exclusion Criteria: Subject who has a medical history of Meningitis; Subject that has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on; Subject who is allergic with tetanus toxoid components; Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection; Subject who has a history of allergic reactions; Any known immunological dysfunction; Had received gamma globulin or immune globulin, in the past two weeks Subject suffering from congenital malformations, dysgenopathy or serious chronic disease; Any acute infections Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives For the infants (aged from 6 to 23 months old) Inclusion Criteria: Healthy subjects aged from 6 months to 23 months old of normal intelligence. The subjects' guardians are able to understand and sign the informed consent. Subjects established as healthy after medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine. Subjects who can comply with the requirements of the clinical trial program according to the researcher's views. Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine. Subjects with temperature<37°C on axillary setting. Exclusion Criteria for the first vaccination: Subject who has a medical history of Meningitis; Subject that has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on; Subject who is allergic with tetanus toxoid components; Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection; Subject who has a history of allergic reactions; Any known immunological dysfunction; Had received gamma globulin or immune globulin, in the past two weeks Subject suffering from congenital malformations, dysgenopathy or serious chronic disease; Any acute infections Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Exclusion Criteria for the second vaccination: Had any Grade 3 or Grade 4 adverse reactions or events occurred since the first vaccination Any situation meets the exclusion criteria stated in the exclusion criteria for first dose; Any condition the investigator believed may affect the evaluation of the vaccine.
Facility Information:
Facility Name
Funing county Center for Disease Control and Prevention
City
Funing county
State/Province
Jiangsu
ZIP/Postal Code
224400
Country
China

12. IPD Sharing Statement

Learn more about this trial

Immunogenicity and Safety of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine in Infants and Children

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