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Open-label, Randomized Study in a Pediatric Population in a JEV (Japanese Encephalitis Virus)-Endemic Country

Primary Purpose

Japanese Encephalitis

Status
Completed
Phase
Phase 3
Locations
Philippines
Study Type
Interventional
Intervention
IXIARO
IXIARO
Sponsored by
Valneva Austria GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Japanese Encephalitis focused on measuring immune response, IC51-325, Japanese Encephalitis, Intercell AG

Eligibility Criteria

9 Months - 18 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Children and adolescents who have completed study IC51-323 and received both IXIARO vaccinations according to protocol.
  • Children who have received the dose confirmed for their age group.
  • Male or female healthy children and adolescents aged ≥9 months to <17 years and 7 months at the time of enrolment into this study.
  • Written informed consent by the subject's legal representative(s), according to local requirements, and written informed assent of the subject, if applicable.
  • Female subjects: either no childbearing potential or negative pregnancy test (pregnancy test to be performed in female subjects after onset of menarche) at Visits 1, 2 and 2a as stipulated by the protocol. For females after menarche willingness to practice a reliable method of contraception

Exclusion Criteria:

  • Vaccination against JE virus (JEV) (except within study IC51-323 and IC51 325), Yellow fever, West Nile virus and Dengue fever at any time prior to or planned during the study.
  • History of or clinical manifestation of any Flavivirus disease during IC51-323 or IC51 325.
  • Participation in another study with an investigational drug during IC51 323 or IC51 325.
  • Planned active or passive immunization within 2 weeks before and 1 week after the IXIARO booster.
  • History of or development of any immunodeficiency including post-organ-transplantation after inclusion into IC51-323 or IC51 325.
  • History of or development of an autoimmune disease during study IC51-323 or IC51 325.

    • Administration of chronic (defined as more than 14 days) immunosuppressants or other immune-modifying medications started during IC51-323 or IC51 325. (For corticosteroids, this would mean prednisone or equivalent at >0.05 mg/kg/day; topical and inhaled steroids are allowed).
  • Acute febrile infection at Visit 2 (only for the Booster Group).
  • Pregnancy (positive pregnancy test at Visit 1 and Visit 2), lactation or unreliable contraception in female subjects after onset of menarche.
  • Hypersensitivity reactions to IXIARO or adverse events in study IC51-323 requiring withdrawal from further vaccination or anaphylaxis or severe cases of atopy requiring emergency treatment or hospital admission during IC51-323 or IC51 325.
  • History of urticaria after hymenoptera envenomation, drugs, physical or other provocations or of idiopathic cause during IC51-323 or IC51 325.
  • Known infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) (measurement of Hepatitis B surface antigen [HBsAg] titers) or hepatitis C virus (HCV).
  • Illicit drug use and/or current drug or alcohol addiction.
  • Inability or unwillingness by the legal representative(s) and/or the subject (where applicable) to provide informed consent/assent and to abide by the requirements of the study.
  • Persons who have been committed to an institution (by a court or by an authority).

Sites / Locations

  • Research Institute for Tropical Medicine - Clinical Research Division
  • Research Institute for Tropical Medicine
  • UP-Philippine General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

>14 months to <2 years

>3 years - <18 years

Arm Description

IXIARO 0.25 ml i.m. (milliliter, intramuscular)

IXIARO 0.5 ml i.m (milliliter, intramuscular)

Outcomes

Primary Outcome Measures

SCRs (Seroconversion Rate) as Defined by Percentage of Subjects With Plaque Reduction Neutralization Test Titers of>1:10 at 1 Month After the Booster Dose

Secondary Outcome Measures

Rate of Subjects Achieving a >4-fold Increase in JEV (Japanese Encephalitis Virus) Neutralizing Antibody Titers at 1 Month After the Booster Dose
GMTs (Geometric Mean Titre) for JEV Neutralizing Antibodies Measured Using a Validated PRNT (Plaque Reduction Neutralization Test) at 1 Month After the Booster Dose
GMTs and Rate of Subjects With a PRNT Titer of >1:10 at Months 12, 24 and 36 After First IXIARO Vaccination in IC51-323 With and Without Booster Vaccination
Rate of Subjects With SAEs (Serious Adverse Events) Following Immunization and Medically Attended AEs (Adverse Events) up to Months 12, 24 and 36 After the First IXIARO Vaccination in IC51 323 With and Without Booster Vaccination. Severity, Duration and
Rate of Subjects With Unsolicited AEs (Adverse Events) up to Months 12, 24 and 36 After the First IXIARO Vaccination in IC51 323 With and Without Booster Vaccination. Severity, Duration and Relationship to Vaccinations.
Rate of Subjects With SAEs and Medically Attended AEs Within 1 Month Following the Booster Dose. Severity, Duration and Relationship to Vaccinations.
Rate of Subjects With Unsolicited AEs Within 1 Month Following the Booster Dose. Severity, Duration and Relationship to Vaccinations.
Rate of Subjects With Solicited AEs for up to 7 Days Following the Booster Dose. Severity and Duration.

Full Information

First Posted
December 28, 2010
Last Updated
December 10, 2014
Sponsor
Valneva Austria GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT01296360
Brief Title
Open-label, Randomized Study in a Pediatric Population in a JEV (Japanese Encephalitis Virus)-Endemic Country
Official Title
Long-Term Immunity and Safety With or Without a Booster Dose Following Primary Vaccination With the Japanese Encephalitis Vaccine IC51 (IXIARO®) in a Pediatric Population in a JEV-Endemic Country. Open-Label, Randomized, Phase 3 Study
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Valneva Austria GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, open-label Phase 3 study including children aged >9 months to <17 years and 7 months who have been vaccinated with IXIARO in study IC51-323.
Detailed Description
This is a randomized, open-label Phase 3 study including children aged >9 months to <17 years and 7 months who have been vaccinated with IXIARO in the previous study IC51-323.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Japanese Encephalitis
Keywords
immune response, IC51-325, Japanese Encephalitis, Intercell AG

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
300 (Actual)

8. Arms, Groups, and Interventions

Arm Title
>14 months to <2 years
Arm Type
Active Comparator
Arm Description
IXIARO 0.25 ml i.m. (milliliter, intramuscular)
Arm Title
>3 years - <18 years
Arm Type
Active Comparator
Arm Description
IXIARO 0.5 ml i.m (milliliter, intramuscular)
Intervention Type
Biological
Intervention Name(s)
IXIARO
Intervention Description
0.25 ml i.m. (milliliter, intramuscular)
Intervention Type
Biological
Intervention Name(s)
IXIARO
Intervention Description
0.5 ml i.m. (milliliter, intramuscular)
Primary Outcome Measure Information:
Title
SCRs (Seroconversion Rate) as Defined by Percentage of Subjects With Plaque Reduction Neutralization Test Titers of>1:10 at 1 Month After the Booster Dose
Time Frame
1 month post booster
Secondary Outcome Measure Information:
Title
Rate of Subjects Achieving a >4-fold Increase in JEV (Japanese Encephalitis Virus) Neutralizing Antibody Titers at 1 Month After the Booster Dose
Time Frame
1 month
Title
GMTs (Geometric Mean Titre) for JEV Neutralizing Antibodies Measured Using a Validated PRNT (Plaque Reduction Neutralization Test) at 1 Month After the Booster Dose
Time Frame
1 month
Title
GMTs and Rate of Subjects With a PRNT Titer of >1:10 at Months 12, 24 and 36 After First IXIARO Vaccination in IC51-323 With and Without Booster Vaccination
Time Frame
36 months
Title
Rate of Subjects With SAEs (Serious Adverse Events) Following Immunization and Medically Attended AEs (Adverse Events) up to Months 12, 24 and 36 After the First IXIARO Vaccination in IC51 323 With and Without Booster Vaccination. Severity, Duration and
Time Frame
36 months
Title
Rate of Subjects With Unsolicited AEs (Adverse Events) up to Months 12, 24 and 36 After the First IXIARO Vaccination in IC51 323 With and Without Booster Vaccination. Severity, Duration and Relationship to Vaccinations.
Time Frame
36 months
Title
Rate of Subjects With SAEs and Medically Attended AEs Within 1 Month Following the Booster Dose. Severity, Duration and Relationship to Vaccinations.
Time Frame
1 month
Title
Rate of Subjects With Unsolicited AEs Within 1 Month Following the Booster Dose. Severity, Duration and Relationship to Vaccinations.
Time Frame
1 month
Title
Rate of Subjects With Solicited AEs for up to 7 Days Following the Booster Dose. Severity and Duration.
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
9 Months
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Children and adolescents who have completed study IC51-323 and received both IXIARO vaccinations according to protocol. Children who have received the dose confirmed for their age group. Male or female healthy children and adolescents aged ≥9 months to <17 years and 7 months at the time of enrolment into this study. Written informed consent by the subject's legal representative(s), according to local requirements, and written informed assent of the subject, if applicable. Female subjects: either no childbearing potential or negative pregnancy test (pregnancy test to be performed in female subjects after onset of menarche) at Visits 1, 2 and 2a as stipulated by the protocol. For females after menarche willingness to practice a reliable method of contraception Exclusion Criteria: Vaccination against JE virus (JEV) (except within study IC51-323 and IC51 325), Yellow fever, West Nile virus and Dengue fever at any time prior to or planned during the study. History of or clinical manifestation of any Flavivirus disease during IC51-323 or IC51 325. Participation in another study with an investigational drug during IC51 323 or IC51 325. Planned active or passive immunization within 2 weeks before and 1 week after the IXIARO booster. History of or development of any immunodeficiency including post-organ-transplantation after inclusion into IC51-323 or IC51 325. History of or development of an autoimmune disease during study IC51-323 or IC51 325. Administration of chronic (defined as more than 14 days) immunosuppressants or other immune-modifying medications started during IC51-323 or IC51 325. (For corticosteroids, this would mean prednisone or equivalent at >0.05 mg/kg/day; topical and inhaled steroids are allowed). Acute febrile infection at Visit 2 (only for the Booster Group). Pregnancy (positive pregnancy test at Visit 1 and Visit 2), lactation or unreliable contraception in female subjects after onset of menarche. Hypersensitivity reactions to IXIARO or adverse events in study IC51-323 requiring withdrawal from further vaccination or anaphylaxis or severe cases of atopy requiring emergency treatment or hospital admission during IC51-323 or IC51 325. History of urticaria after hymenoptera envenomation, drugs, physical or other provocations or of idiopathic cause during IC51-323 or IC51 325. Known infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) (measurement of Hepatitis B surface antigen [HBsAg] titers) or hepatitis C virus (HCV). Illicit drug use and/or current drug or alcohol addiction. Inability or unwillingness by the legal representative(s) and/or the subject (where applicable) to provide informed consent/assent and to abide by the requirements of the study. Persons who have been committed to an institution (by a court or by an authority).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vera Kadlecek, Mag.
Organizational Affiliation
Valneva Austria GmbH
Official's Role
Study Chair
Facility Information:
Facility Name
Research Institute for Tropical Medicine - Clinical Research Division
City
Muntinlupa City
State/Province
Alabang
ZIP/Postal Code
1781
Country
Philippines
Facility Name
Research Institute for Tropical Medicine
City
Muntinlupa City
State/Province
Alabang
ZIP/Postal Code
1781
Country
Philippines
Facility Name
UP-Philippine General Hospital
City
Manila
ZIP/Postal Code
1000
Country
Philippines

12. IPD Sharing Statement

Learn more about this trial

Open-label, Randomized Study in a Pediatric Population in a JEV (Japanese Encephalitis Virus)-Endemic Country

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