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Post-marketing Evaluation of Reactions Following Receipt of Recommended Adolescent Pertussis Vaccine

Primary Purpose

Pertussis, Diphtheria, Tetanus

Status
Completed
Phase
Phase 4
Locations
Germany
Study Type
Interventional
Intervention
COVAXIS™: Tetanus, diphtheria, acellular 5-component pertussis, or + inactivated poliovirus vaccine (REPEVAX®)
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pertussis focused on measuring Pertussis,, Diphtheria,, Tetanus,, Poliomyelitis

Eligibility Criteria

10 Years - 14 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Eligible to receive REPEVAX® or COVAXIS® vaccine, in accord with German recommendations for a booster dose of acellular pertussis vaccine at 9-17 years of age. Signed and dated informed consent or assent form (as applicable) that is obtained prior to the first study intervention. Judged to be in good health on the basis of reported medical history and history-directed physical examination. Plans to remain in the study area for the length of the trial. The participant and a parent or legal guardian can read, write, and understand the documents and all are mentally competent to give assent and consent. If female, not known or suspected to be pregnant at the time of enrollment into the study and is not planning pregnancy during participation in this trial. Either prior participation in study 371-03/01 (Group 1 - 6th Dose Pertussis Vaccine Group) or a documented history of 3 doses of tetanus, diphtheria and whole-cell pertussis vaccine in infancy plus at least one subsequent dose of pertussis vaccine in their 2nd through 7th year of life (Group 2 - 5th Dose Pertussis Vaccine Group). Has access to a telephone. Oral temperature < 38.0ºC. Exclusion Criteria: Pregnancy or nursing a child Known or suspected primary or acquired disease of the immune system (conditions suspected of having an immunologic component such as autoimmune diseases [e.g. rheumatoid arthritis or inflammatory bowel disease] will not be excluded unless they meet exclusion criterion 3 or 5). Malignancy, allergy immunotherapy, or receiving immunosuppressive therapy (participants who are taking topical and inhaled steroids could be included in the study as would participants on a "short course" of oral steroids, -<7 days, as long as there are not two courses within the previous two weeks prior to vaccination). Receipt of any pertussis, diphtheria or tetanus-containing vaccines within the past 3 years. Any unstable significant underlying chronic disease, including (but not limited to) malignancy, cardiopulmonary disease, renal, endocrinologic, hematologic or hepatic dysfunction. Known impairment of neurologic function or currently active seizure disorder or currently requiring medication for seizures. Personal history of physician-diagnosed or laboratory-confirmed pertussis disease within the last 2 years. Receipt of blood products or immunoglobulin within the previous 3 months. Known or suspected allergy to any of the vaccines or vaccine components intended for use in the study. Daily use of non-steroidal anti-inflammatory drugs. Receipt of any vaccine or investigational product within the 30 days prior to enrollment, or planning to receive another vaccine within 28 days after receiving study vaccine. Chemical dependency (e.g. alcoholism or intravenous drug use but not including nicotine or caffeine), based on investigator judgment. Known or suspected acute infectious respiratory illness at the time of vaccination with active symptoms and signs including one or more of the following: rhinorrhea, new cough, pharyngitis, respiratory problems (e.g. wheezing, shortness of breath). Any condition which, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine. History of immediate anaphylaxis, encephalopathy within 7 days, or seizure within 3 days of receiving diphtheria, tetanus, or pertussis vaccine. Planned participation in another interventional clinical trial during the present trial period (participation in a related study to evaluate immune responses to this study's vaccination is permitted). Thrombocytopenia or bleeding disorder that would pose a contraindication to an intramuscular (IM) vaccination.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

6th Dose Pertussis Vaccine Group

5th Dose Pertussis Vaccine Group

Arm Description

Participants received 6th dose of pertussis vaccine

Participants received 5th dose of pertussis vaccine

Outcomes

Primary Outcome Measures

Number of Participants Reporting a Solicited Local or Systemic Reaction Post-Vaccination With Either REPEVAX® or COVAXIS® Vaccine
Solicited injection site reactions: Pain, Erythema, Swelling, and Arm circumference. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia.

Secondary Outcome Measures

Full Information

First Posted
March 16, 2006
Last Updated
April 12, 2016
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT00304265
Brief Title
Post-marketing Evaluation of Reactions Following Receipt of Recommended Adolescent Pertussis Vaccine
Official Title
Reactogenicity of Acellular Pertussis Vaccine Booster in Adolescents Who Have Received 5 Prior Doses of BIKEN Acellular Pertussis Vaccine in Combination With Diphtheria and Tetanus Toxoids (TRIPEDIA®) or Who Have Received Primary Vaccination With 3 Doses of Whole-Cell Pertussis Vaccine, Plus at Least 1 Pertussis Booster Vaccination
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
October 2006 (Actual)
Study Completion Date
October 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Post-marketing evaluation of reactions following receipt of recommended adolescent pertussis vaccine among persons with prior vaccination with acellular vs whole-cell pertussis vaccine. To describe and characterize adverse events occurring after vaccination with REPEVAX® (Tdap-IPV: combination diphtheria, tetanus and acellular pertussis with inactivated poliomyelitis vaccine) or COVAXIS® (Tdap: combination diphtheria, tetanus and acellular pertussis) vaccine among two groups: Group 1 - adolescents 10-14 years of age who participated in study 371-03/01 (and thus received a 5th dose of TRIPEDIA® vaccine) and Group 2 - controls 10-14 years of age who were vaccinated with at least three doses of a whole-cell pertussis vaccine in infancy plus at least one subsequent dose of pertussis vaccine in their 2nd through 7th year of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pertussis, Diphtheria, Tetanus, Poliomyelitis
Keywords
Pertussis,, Diphtheria,, Tetanus,, Poliomyelitis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
215 (Actual)

8. Arms, Groups, and Interventions

Arm Title
6th Dose Pertussis Vaccine Group
Arm Type
Experimental
Arm Description
Participants received 6th dose of pertussis vaccine
Arm Title
5th Dose Pertussis Vaccine Group
Arm Type
Experimental
Arm Description
Participants received 5th dose of pertussis vaccine
Intervention Type
Biological
Intervention Name(s)
COVAXIS™: Tetanus, diphtheria, acellular 5-component pertussis, or + inactivated poliovirus vaccine (REPEVAX®)
Other Intervention Name(s)
REPEVAX®, COVAXIS™, IPV Merieux™
Intervention Description
0.5 mL, Intramuscular
Primary Outcome Measure Information:
Title
Number of Participants Reporting a Solicited Local or Systemic Reaction Post-Vaccination With Either REPEVAX® or COVAXIS® Vaccine
Description
Solicited injection site reactions: Pain, Erythema, Swelling, and Arm circumference. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia.
Time Frame
Days 0 to 14 Post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
10 Years
Maximum Age & Unit of Time
14 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Eligible to receive REPEVAX® or COVAXIS® vaccine, in accord with German recommendations for a booster dose of acellular pertussis vaccine at 9-17 years of age. Signed and dated informed consent or assent form (as applicable) that is obtained prior to the first study intervention. Judged to be in good health on the basis of reported medical history and history-directed physical examination. Plans to remain in the study area for the length of the trial. The participant and a parent or legal guardian can read, write, and understand the documents and all are mentally competent to give assent and consent. If female, not known or suspected to be pregnant at the time of enrollment into the study and is not planning pregnancy during participation in this trial. Either prior participation in study 371-03/01 (Group 1 - 6th Dose Pertussis Vaccine Group) or a documented history of 3 doses of tetanus, diphtheria and whole-cell pertussis vaccine in infancy plus at least one subsequent dose of pertussis vaccine in their 2nd through 7th year of life (Group 2 - 5th Dose Pertussis Vaccine Group). Has access to a telephone. Oral temperature < 38.0ºC. Exclusion Criteria: Pregnancy or nursing a child Known or suspected primary or acquired disease of the immune system (conditions suspected of having an immunologic component such as autoimmune diseases [e.g. rheumatoid arthritis or inflammatory bowel disease] will not be excluded unless they meet exclusion criterion 3 or 5). Malignancy, allergy immunotherapy, or receiving immunosuppressive therapy (participants who are taking topical and inhaled steroids could be included in the study as would participants on a "short course" of oral steroids, -<7 days, as long as there are not two courses within the previous two weeks prior to vaccination). Receipt of any pertussis, diphtheria or tetanus-containing vaccines within the past 3 years. Any unstable significant underlying chronic disease, including (but not limited to) malignancy, cardiopulmonary disease, renal, endocrinologic, hematologic or hepatic dysfunction. Known impairment of neurologic function or currently active seizure disorder or currently requiring medication for seizures. Personal history of physician-diagnosed or laboratory-confirmed pertussis disease within the last 2 years. Receipt of blood products or immunoglobulin within the previous 3 months. Known or suspected allergy to any of the vaccines or vaccine components intended for use in the study. Daily use of non-steroidal anti-inflammatory drugs. Receipt of any vaccine or investigational product within the 30 days prior to enrollment, or planning to receive another vaccine within 28 days after receiving study vaccine. Chemical dependency (e.g. alcoholism or intravenous drug use but not including nicotine or caffeine), based on investigator judgment. Known or suspected acute infectious respiratory illness at the time of vaccination with active symptoms and signs including one or more of the following: rhinorrhea, new cough, pharyngitis, respiratory problems (e.g. wheezing, shortness of breath). Any condition which, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine. History of immediate anaphylaxis, encephalopathy within 7 days, or seizure within 3 days of receiving diphtheria, tetanus, or pertussis vaccine. Planned participation in another interventional clinical trial during the present trial period (participation in a related study to evaluate immune responses to this study's vaccination is permitted). Thrombocytopenia or bleeding disorder that would pose a contraindication to an intramuscular (IM) vaccination.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Sanofi Pasteur Inc.
Official's Role
Study Director
Facility Information:
City
Munich
State/Province
Lindwurmstrasse 4
ZIP/Postal Code
D-80337
Country
Germany
City
Bielefeld
ZIP/Postal Code
D-33611
Country
Germany
City
Detmold
ZIP/Postal Code
D-32756
Country
Germany
City
Donzdorf
ZIP/Postal Code
D-73072
Country
Germany
City
Grafing
ZIP/Postal Code
D-85567
Country
Germany
City
Heilbronn
ZIP/Postal Code
D-74072
Country
Germany
City
Lauffen
ZIP/Postal Code
D-74348
Country
Germany
City
Marbach
ZIP/Postal Code
D-71672
Country
Germany
City
Marktoberdorf
ZIP/Postal Code
D-87616
Country
Germany
City
Munich
ZIP/Postal Code
D-80939
Country
Germany
City
Munich
ZIP/Postal Code
D-81247
Country
Germany
City
Schwandorf
ZIP/Postal Code
D-92421
Country
Germany
City
Schwieberdingen
ZIP/Postal Code
D-71701
Country
Germany
City
Schwäbisch Hall
ZIP/Postal Code
D-74523
Country
Germany
City
Stuttgart
ZIP/Postal Code
D-70469
Country
Germany
City
Süßen
ZIP/Postal Code
D-73079
Country
Germany
City
Veitshöchheim
ZIP/Postal Code
D-97209
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
20616762
Citation
Liese JG, Rieber N, Malzer T, Ocak M, Johnson DR, Decker MD; Munich Vaccine Study Group. Reactogenicity of tetanus, diphtheria, 5-component acellular pertussis vaccine administered as a sixth consecutive acellular pertussis vaccine dose to adolescents. Pediatr Infect Dis J. 2010 Dec;29(12):1067-71. doi: 10.1097/INF.0b013e3181ea5866.
Results Reference
result
Links:
URL
http://www.sanofipasteur.com
Description
Related Info

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Post-marketing Evaluation of Reactions Following Receipt of Recommended Adolescent Pertussis Vaccine

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