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Safety and Immunogenicity of 2 Doses Versus 1 Dose of Acellular Pertussis Vaccines Containing Genetically-detoxified Pertussis Toxin in Young Adults Previously Primed With Acellular Pertussis Vaccines (Pertagen2x)

Primary Purpose

Pertussis, Vaccine-Preventable Diseases

Status
Recruiting
Phase
Phase 2
Locations
Switzerland
Study Type
Interventional
Intervention
Pertagen®
Revaxis®
Sponsored by
University Hospital, Geneva
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pertussis

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Has provided written informed consent;
  • Male or female, ages 18 to 30 years (inclusive) at the time of enrollment;
  • With documented history of acellular pertussis immunization (5 doses);
  • Free of clinically significant health problems, as determined by pertinent medical history and clinical examination at study screening;
  • Non-pregnant, non-lactating females :
  • Able to attend all scheduled visits during one year and to understand and comply with the study procedures;

Exclusion Criteria:

  • Prior dTpa immunization within the last 5 years or prior dT immunization within the last 2 years, or any other investigational vaccine likely to impact on interpretation of the trial data
  • Suspected or confirmed pertussis infection within the last 10 years or documented pertussis infection in a household member within the last 10 years;
  • History of severe local or systemic reactions to any vaccination;
  • Known hypersensitivity or allergy to diphtheria, tetanus, or pertussis-containing vaccines (including excipients);
  • Receipt of investigational product up to 30 days prior to enrollment or ongoing participation in another interventional clinical trial;
  • Receipt of licensed vaccines within 30 days of planned study immunization or ongoing participation in another clinical interventional trial likely to interfere with study results;
  • Acute or chronic, clinically significant psychiatric, hematologic, pulmonary, cardiovascular, or hepatic or renal functional abnormality as determined by the Investigator based on medical history and physical exam;
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection, asplenia, cytotoxic therapy in the previous 5 years, and/or diabetes;
  • Has a known history of vaccine-induced Guillain-Barré Syndrome;
  • Has an active malignancy or recent (<10 years) history of metastatic or hematologic malignancy;
  • Suspected or known alcohol and/or illicit drug abuse within the past 5 years;
  • Pregnant or lactating female, or female intending to becoming pregnant during the study period;
  • Administration of immunoglobulins within the 120 days preceding study entry or planned administration during the study period;
  • History of blood donation (at least 450 ml) within 30 days of enrollment or plans to donate within the 30 days following and preceding each blood draw;
  • Receipt of chronic (>14 days) immunosuppressants or other immune-modifying drugs within 6 months of study entry:
  • Any other significant finding that, in the opinion of the investigator, would increase the risk of the individual's having an adverse outcome by participating in this study.

Sites / Locations

  • University of GenevaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Group Pertagen

Group Control

Arm Description

Outcomes

Primary Outcome Measures

Immunogenicity of two doses compared to a single dose of an acellular pertussis vaccine
The primary objective is to assess the immunogenicity of two doses compared to a single dose of an acellular pertussis vaccine (Pertagen®) including genetically-detoxified pertussis toxin (rPT) administered at 6 months interval and delivered by the intramuscular route to adults aged 18-30 years previously primed and boosted with chemically-detoxified PT. The main immunogenicity endpoints will be the geometric mean concentration (GMC) of anti-PT neutralizing antibodies assessed 4 weeks (early immunity) and 6 months (sustained immunity) following one or two injections of Pertagen® given at 6 months interval

Secondary Outcome Measures

Incidence of Treatment-Emergent Adverse Events OBJECTIVE
Safety endpoints evaluated by solicited local and systemic reactions and unsolicited adverse events (AEs)
Humoral immune response
GMCs and seroresponse rates of PT, FHA, tetanus and diphtheria-toxoid specific IgG antibodies measured by ELISA and specific elicited by two doses of Pertagen® as compared to a single dose.
Cellular immune response
Concentration of specific memory B cells for PT, tetanus

Full Information

First Posted
November 23, 2021
Last Updated
January 11, 2022
Sponsor
University Hospital, Geneva
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1. Study Identification

Unique Protocol Identification Number
NCT05193734
Brief Title
Safety and Immunogenicity of 2 Doses Versus 1 Dose of Acellular Pertussis Vaccines Containing Genetically-detoxified Pertussis Toxin in Young Adults Previously Primed With Acellular Pertussis Vaccines
Acronym
Pertagen2x
Official Title
A Phase II/III Randomized, Double-blind Controlled Study to Compare the Safety and Immunogenicity of 1 or 2 Doses of Acellular Pertussis Vaccines Containing Genetically-detoxified Pertussis Toxin in Young Adults Previously Primed With Acellular Pertussis Vaccines
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
February 7, 2022 (Anticipated)
Primary Completion Date
August 1, 2022 (Anticipated)
Study Completion Date
March 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Hospital, Geneva

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
A significant increase of pertussis incidence is reported in a growing number of countries. This resurgence is considered as resulting from the limited durability of aP-vaccine-induced immunity and is associated with increased mortality in young infants and morbidity at all age groups. As the pertussis immunity acquired through immunization or infection is short-lived, its maintenance or reactivation requires repeat boosting at regular time points. Thus, novel strategies capable of reactivating pertussis immunity are needed. The efficacy of current acellular pertussis vaccines (which contain chemically-detoxified pertussis toxoid (PT)) rapidly wanes, in part because priming and repeat immunization with acellular vaccines induce antibodies specific for the chemically-detoxified PT but unable to efficiently recognize the native PT expressed by B. pertussis. Clinical studies have shown the superior immunogenicity profile of acellular pertussis vaccines including genetically-detoxified PT (rPT) in adults and adolescents previously primed with aP. In particular, the investigators showed in a past Geneva study in teenagers previously primed with aP that rPT/FHA induced a stronger recall response than the current aP-vaccine at one month post-vaccination. However, the difference was less clear one year after vaccination, suggesting that 2 doses may be needed for more sustained immunity. In the present study, the investigators would like to assess whether giving two doses of rPT/FHA at 6 months interval induces stronger immune responses than a single dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pertussis, Vaccine-Preventable Diseases

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group Pertagen
Arm Type
Experimental
Arm Title
Group Control
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Pertagen®
Other Intervention Name(s)
Genetically detoxified pertussis toxin (rPT) and filamentous hemagglutinin (FHA), alum adsorbed
Intervention Description
Schedule: Group Pertagen will receive two doses of Pertagen®. (one vaccination on Day 0 and 6 months later for each volunteer.) Mode of Administration: Intramuscular injection into the deltoid region of the upper extremity, using a syringe with a 1 to 1.5 inch #25-gauge sterile needle.
Intervention Type
Drug
Intervention Name(s)
Revaxis®
Intervention Description
Schedule: Group Control will receive one dose of Revaxis® on Day 0 followed by 1 dose of Pertagen® 6 months later for each volunteer. Mode of Administration: Intramuscular injection into the deltoid region of the upper extremity, using a syringe with a 1 to 1.5 inch #25-gauge sterile needle.
Primary Outcome Measure Information:
Title
Immunogenicity of two doses compared to a single dose of an acellular pertussis vaccine
Description
The primary objective is to assess the immunogenicity of two doses compared to a single dose of an acellular pertussis vaccine (Pertagen®) including genetically-detoxified pertussis toxin (rPT) administered at 6 months interval and delivered by the intramuscular route to adults aged 18-30 years previously primed and boosted with chemically-detoxified PT. The main immunogenicity endpoints will be the geometric mean concentration (GMC) of anti-PT neutralizing antibodies assessed 4 weeks (early immunity) and 6 months (sustained immunity) following one or two injections of Pertagen® given at 6 months interval
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events OBJECTIVE
Description
Safety endpoints evaluated by solicited local and systemic reactions and unsolicited adverse events (AEs)
Time Frame
Solicited local and systemic reactions will be followed up for 7 days and AEs for 28 days after vaccination
Title
Humoral immune response
Description
GMCs and seroresponse rates of PT, FHA, tetanus and diphtheria-toxoid specific IgG antibodies measured by ELISA and specific elicited by two doses of Pertagen® as compared to a single dose.
Time Frame
At 28 days after vaccination
Title
Cellular immune response
Description
Concentration of specific memory B cells for PT, tetanus
Time Frame
At 28 days after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Has provided written informed consent; Male or female, ages 18 to 30 years (inclusive) at the time of enrollment; With documented history of acellular pertussis immunization (5 doses); Free of clinically significant health problems, as determined by pertinent medical history and clinical examination at study screening; Non-pregnant, non-lactating females : Able to attend all scheduled visits during one year and to understand and comply with the study procedures; Exclusion Criteria: Prior dTpa immunization within the last 5 years or prior dT immunization within the last 2 years, or any other investigational vaccine likely to impact on interpretation of the trial data Suspected or confirmed pertussis infection within the last 10 years or documented pertussis infection in a household member within the last 10 years; History of severe local or systemic reactions to any vaccination; Known hypersensitivity or allergy to diphtheria, tetanus, or pertussis-containing vaccines (including excipients); Receipt of investigational product up to 30 days prior to enrollment or ongoing participation in another interventional clinical trial; Receipt of licensed vaccines within 30 days of planned study immunization or ongoing participation in another clinical interventional trial likely to interfere with study results; Acute or chronic, clinically significant psychiatric, hematologic, pulmonary, cardiovascular, or hepatic or renal functional abnormality as determined by the Investigator based on medical history and physical exam; Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection, asplenia, cytotoxic therapy in the previous 5 years, and/or diabetes; Has a known history of vaccine-induced Guillain-Barré Syndrome; Has an active malignancy or recent (<10 years) history of metastatic or hematologic malignancy; Suspected or known alcohol and/or illicit drug abuse within the past 5 years; Pregnant or lactating female, or female intending to becoming pregnant during the study period; Administration of immunoglobulins within the 120 days preceding study entry or planned administration during the study period; History of blood donation (at least 450 ml) within 30 days of enrollment or plans to donate within the 30 days following and preceding each blood draw; Receipt of chronic (>14 days) immunosuppressants or other immune-modifying drugs within 6 months of study entry: Any other significant finding that, in the opinion of the investigator, would increase the risk of the individual's having an adverse outcome by participating in this study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
GUALTIERI Renato, MD
Phone
+41 (0)79 55 35 509
Email
renato.gualtieri@hcuge.ch
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
BLANCHARD ROHNER Geraldine, MD
Organizational Affiliation
University of Geneva
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Geneva
City
Geneva
ZIP/Postal Code
1205
Country
Switzerland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gualtieri Renato, MD
Phone
+41 (0)79 55 35 509
Email
renato.gualtieri@hcuge.ch

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of 2 Doses Versus 1 Dose of Acellular Pertussis Vaccines Containing Genetically-detoxified Pertussis Toxin in Young Adults Previously Primed With Acellular Pertussis Vaccines

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