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Study of DTwP-HepB-Hib-IPV (SHAN6™) Vaccine Administered Concomitantly With Routine Pediatric Vaccines to Healthy Infants and Toddlers in Thailand

Primary Purpose

Pertussis Immunisation, Diphtheria Immunisation, Polio Immunisation

Status
Completed
Phase
Phase 3
Locations
Thailand
Study Type
Interventional
Intervention
DTwP-HepB-Hib-IPV hexavalent vaccine (Diphtheria toxoid, Tetanus toxoid, whole cell pertussis, Hepatitis B surface antigen (HBsAg), Haemophilus influenzae type b, inactivated poliovirus)
DTwP-HepB-Hib pentavalent vaccine (Diphtheria toxoid, Tetanus toxoid, whole cell pertussis, Hepatitis B surface antigen (HBsAg), Haemophilus influenzae type b)
Inactivated Poliomyelitis Vaccine
Poliomyelitis Vaccine bivalent types 1 and 3
Human Rotavirus, live attenuated
Pneumococcal polysaccharide conjugate vaccine (13-valent, adsorbed)
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 Immunisation

Eligibility Criteria

8 Weeks - 11 Weeks (Child)All SexesAccepts Healthy Volunteers

Inclusion criteria :

  • Aged ≥ 2 months (age range of 8 weeks <12 weeks) on the day of the first vaccination
  • Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or medically stable prematurely born infants (born after a gestational period of 27-36 weeks)
  • Infants who have received the birth dose of Bacille Calmette-Guérin vaccine (BCG) at least 4 weeks before the first trial vaccination
  • Participant and parent(s)/legally acceptable representative(s) are able to attend all scheduled visits and comply with all study procedures

Exclusion criteria:

  • Participation at the time of study enrollment (or in the 4 weeks preceding the first trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks preceding the first trial vaccination or planned receipt of any vaccine within the period of 4 weeks before to 4 weeks after each trial vaccination, except for oral polio vaccine (OPV) and influenza vaccination. OPV may be received any time during the study while influenza vaccination may be received at a gap of at least 2 weeks before or 2 weeks after any study vaccination. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines
  • Previous vaccination against diphtheria, tetanus, pertussis, hepatitis B (except the dose of Hep B vaccine given at birth or at least 4 weeks before the first trial vaccination), Haemophilus influenzae type b, poliomyelitis (except OPV), rotavirus, and Streptococcus pneumoniae with either the trial vaccines or another vaccine
  • Receipt of immune globulins, blood or blood-derived products since birth
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy since birth; or long-term systemic corticosteroid therapy (prednisone or equivalent at ≥ 0.5 mg/kg/day for more than 2 consecutive weeks since birth)
  • Known personal or maternal history of Human Immunodeficiency Virus (HIV), hepatitis B (HBsAg positive), or hepatitis C (hepatitis C virus [HCV] ribonucleic acid [RNA] positive)
  • Individuals with blood dyscrasias, leukemia, lymphoma of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems
  • History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, Haemophilus influenzae type b, rotavirus, or pneumococcal infection(s) confirmed either clinically, serologically, or microbiologically
  • History of any neurologic disorders, including encephalopathy, seizures (febrile and non-febrile) and progressive neurologic disorders
  • History of intussusception
  • In an emergency setting, or hospitalized
  • Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances
  • Thrombocytopenia, as reported by the parent/legally acceptable representative, contraindicating intramuscular vaccination in the Investigator's opinion
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination in the Investigator's opinion
  • Chronic illness that, in the Investigator's opinion, is at a stage where it might interfere with trial conduct or completion
  • Any condition which, in the Investigator's opinion, might interfere with the evaluation of the study objectives
  • Moderate or severe acute illness/infection (according to the Investigator's judgment) on the day of vaccination or febrile illness (axillary temperature ≥ 38.0 C). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
  • Identified as a natural or adopted child of the Investigator, relatives or employee with direct involvement in the proposed study

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 7640003
  • Investigational Site Number 7640001
  • Investigational Site Number 7640002

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Group A - Intervention regimen

Group B - Control regimen

Arm Description

SHAN6™ + routine pediatric vaccines pneumococcal 13-valent conjugate vaccine [PCV] [Prevnar 13®] and oral rotavirus vaccine [ORV-1] [Rotarix™] at age of 2, 4 months; SHAN6™ + Prevnar 13® at age of 6 months; SHAN6™ administered alone as a booster dose at age of 15-18 months

SHAN5™ + bivalent oral polio vaccine (bOPV), co-administered with Prevnar 13® and Rotarix™ at 2, 4 months of age and with inactivated polio vaccine [IPV] at 4 months of age; SHAN5™ + bOPV, co-administered with Prevnar 13® at 6 months of age SHAN6™ administered alone as a booster dose at 15-18 months of age

Outcomes

Primary Outcome Measures

Number of participants with antibodies (Ab) above predefined threshold against diphtheria (D), tetanus (T), hepatitis B (Hep B), Haemophilus influenzae type b (Hib) and poliovirus (Polio) antigens
Ab titers against D, T, Hep B, Hib and Polio antigens will be measured Threshold values will be considered
Adjusted Geometric Mean Concentrations (aGMCs) of Ab against pertussis antigens
Ab against pertussis antigens will be measured

Secondary Outcome Measures

Number of participants with Ab titers above predefined thresholds against each antigen diphtheria, tetanus, hepatitis B, Haemophilus influenzae type b and poliovirus antigens
Ab titers against D, T, Hep B, Hib and polio antigens will be measured Threshold values will be considered
Number of participants with a vaccine response for pertussis antigens
Pertussis antigens vaccine response Threshold values will be considered
Pertussis antigens vaccine seroconversion
Ab against pertussis antigens will be measured
Geometric Mean Concentrations Ratios (GMCRs) of Ab against all the antigens, including anti-rotavirus and anti-S. pneumoniae in a subset of participants
Ab concentrations against all the antigens, including anti-rotavirus and anti-S. pneumoniae for a subset of participants, will be measured The ratio calculated will be: (post dose 3/pre-primary)
GMCs of Ab against each antigen, including anti-rotavirus and anti-pneumococcal serotypes, in a subset of participants
Ab concentrations against each antigen, including anti rotavirus and anti pneumococcal serotypes for a subset of participants, will be measured
Number of participants with anti-rotavirus Ab titers above predefined thresholds in a subset of participants
Ab against rotavirus will be measured in a subset of participants Threshold values will be considered
Number of participants with anti-pneumococcal Ab titers above predefined thresholds in a subset of participants
Anti-pneumococcal Ab will be measured in a subset of participants Threshold values will be considered
Number of participants with Ab titers above predefined threshold against diphtheria, tetanus, hepatitis B, Haemophilus influenzae type b and poliovirus antigens
Ab against D, T, Hep B, Hib and polio antigens will be measured Threshold values will be considered
Number of participants with a booster response for pertussis antigens
Pertussis antigens booster response Threshold values will be considered
Pertussis antigens vaccine seroconversion
Ab against pertussis antigens will be measured
GMCRs of Ab against all the antigens
Ab concentrations against all the antigens will be measured The ratio calculated will be: (post booster/pre-booster)
GMCs of Ab against each antigen
Ab concentrations against each antigen will be measured
aGMCs of Ab against pertussis antigens
Ab against pertussis antigens will be measured, adjusted for baseline value
Number of participants reporting immediate systemic adverse events (AEs)
Unsolicited (spontaneously reported) systemic AEs
Number of participants reporting solicited injection site and systemic reactions
Solicited injection site reactions: - tenderness, erythema and site swelling Solicited systemic reactions: - fever, vomiting, crying abnormal, drowsiness, appetite lost and irritability
Number of participants reporting unsolicited non-serious AEs
Unsolicited non-serious AEs
Number of participants reporting serious adverse events (SAEs)
SAEs

Full Information

First Posted
June 10, 2020
Last Updated
May 3, 2022
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT04429295
Brief Title
Study of DTwP-HepB-Hib-IPV (SHAN6™) Vaccine Administered Concomitantly With Routine Pediatric Vaccines to Healthy Infants and Toddlers in Thailand
Official Title
Immunogenicity and Safety of a DTwP-HepB-Hib-IPV (Shan6™) Vaccine When Administered Concomitantly With Routine Pediatric Vaccines in Healthy Infants and Toddlers in Thailand
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
June 28, 2020 (Actual)
Primary Completion Date
February 26, 2021 (Actual)
Study Completion Date
November 20, 2021 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: To demonstrate the non-inferiority of the SHAN6™ vaccine to the licensed SHAN5™ given with bOPV and IPV vaccines when coadministered with PCV and ORV Secondary Objective: To describe the immunogenicity profile of the SHAN6™ vaccine 3-dose primary infant vaccination and that of the control vaccines (SHAN5™ given with bOPV and IPV) To describe the immune response to co-administered ORV-1 (Rotarix™) in a subset of participants from each group To describe the immune response to co-administered PCV-13 (Prevnar 13®) in a subset of participants from each group To describe the persistence of the antibodies against SHAN6™ antigens following a 3-dose primary series of SHAN6™ or SHAN5™ given with bOPV and IPV To describe the immunogenicity profile of SHAN6™ 28 days after the single booster dose of SHAN6™ To describe the safety profile of the SHAN6™ vaccine and the control vaccines (SHAN5™ given with bOPV and IPV), when administered concomitantly with routine pediatric vaccines
Detailed Description
The duration of each participant's active participation in the study will be approximately 14-17 months (416-506 days) in addition to the 2 MedDRA terms: Polio immunisation 10054175 Hepatitis B immunisation 10054181 Haemophilus influenzae type B immunisation 10069533 Tetanus immunisation 10054131 Rotavirus immunisation 10076886 Pneumococcal immunisation 10069578

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pertussis Immunisation, Diphtheria Immunisation, Polio Immunisation, Hepatitis B Immunisation, Haemophilus Influenzae Type B Immunisation, Tetanus Immunisation, Rotavirus Immunisation, Pneumococcal Immunisation

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group A - Intervention regimen
Arm Type
Experimental
Arm Description
SHAN6™ + routine pediatric vaccines pneumococcal 13-valent conjugate vaccine [PCV] [Prevnar 13®] and oral rotavirus vaccine [ORV-1] [Rotarix™] at age of 2, 4 months; SHAN6™ + Prevnar 13® at age of 6 months; SHAN6™ administered alone as a booster dose at age of 15-18 months
Arm Title
Group B - Control regimen
Arm Type
Active Comparator
Arm Description
SHAN5™ + bivalent oral polio vaccine (bOPV), co-administered with Prevnar 13® and Rotarix™ at 2, 4 months of age and with inactivated polio vaccine [IPV] at 4 months of age; SHAN5™ + bOPV, co-administered with Prevnar 13® at 6 months of age SHAN6™ administered alone as a booster dose at 15-18 months of age
Intervention Type
Biological
Intervention Name(s)
DTwP-HepB-Hib-IPV hexavalent vaccine (Diphtheria toxoid, Tetanus toxoid, whole cell pertussis, Hepatitis B surface antigen (HBsAg), Haemophilus influenzae type b, inactivated poliovirus)
Other Intervention Name(s)
SHAN6™
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
DTwP-HepB-Hib pentavalent vaccine (Diphtheria toxoid, Tetanus toxoid, whole cell pertussis, Hepatitis B surface antigen (HBsAg), Haemophilus influenzae type b)
Other Intervention Name(s)
SHAN5™
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Inactivated Poliomyelitis Vaccine
Other Intervention Name(s)
IMOVAX Polio
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Poliomyelitis Vaccine bivalent types 1 and 3
Intervention Description
Pharmaceutical form:Oral suspension Route of administration: Oral
Intervention Type
Biological
Intervention Name(s)
Human Rotavirus, live attenuated
Other Intervention Name(s)
Rotarix™
Intervention Description
Pharmaceutical form:Oral suspension Route of administration: Oral
Intervention Type
Biological
Intervention Name(s)
Pneumococcal polysaccharide conjugate vaccine (13-valent, adsorbed)
Other Intervention Name(s)
Prevnar 13®, PCV-13
Intervention Description
Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
Primary Outcome Measure Information:
Title
Number of participants with antibodies (Ab) above predefined threshold against diphtheria (D), tetanus (T), hepatitis B (Hep B), Haemophilus influenzae type b (Hib) and poliovirus (Polio) antigens
Description
Ab titers against D, T, Hep B, Hib and Polio antigens will be measured Threshold values will be considered
Time Frame
28 days after the third dose (Day 148)
Title
Adjusted Geometric Mean Concentrations (aGMCs) of Ab against pertussis antigens
Description
Ab against pertussis antigens will be measured
Time Frame
28 days after the third dose (Day 148)
Secondary Outcome Measure Information:
Title
Number of participants with Ab titers above predefined thresholds against each antigen diphtheria, tetanus, hepatitis B, Haemophilus influenzae type b and poliovirus antigens
Description
Ab titers against D, T, Hep B, Hib and polio antigens will be measured Threshold values will be considered
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
Number of participants with a vaccine response for pertussis antigens
Description
Pertussis antigens vaccine response Threshold values will be considered
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
Pertussis antigens vaccine seroconversion
Description
Ab against pertussis antigens will be measured
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
Geometric Mean Concentrations Ratios (GMCRs) of Ab against all the antigens, including anti-rotavirus and anti-S. pneumoniae in a subset of participants
Description
Ab concentrations against all the antigens, including anti-rotavirus and anti-S. pneumoniae for a subset of participants, will be measured The ratio calculated will be: (post dose 3/pre-primary)
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
GMCs of Ab against each antigen, including anti-rotavirus and anti-pneumococcal serotypes, in a subset of participants
Description
Ab concentrations against each antigen, including anti rotavirus and anti pneumococcal serotypes for a subset of participants, will be measured
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
Number of participants with anti-rotavirus Ab titers above predefined thresholds in a subset of participants
Description
Ab against rotavirus will be measured in a subset of participants Threshold values will be considered
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
Number of participants with anti-pneumococcal Ab titers above predefined thresholds in a subset of participants
Description
Anti-pneumococcal Ab will be measured in a subset of participants Threshold values will be considered
Time Frame
At baseline (Day 0) and 28 days after the third dose (Day 148)
Title
Number of participants with Ab titers above predefined threshold against diphtheria, tetanus, hepatitis B, Haemophilus influenzae type b and poliovirus antigens
Description
Ab against D, T, Hep B, Hib and polio antigens will be measured Threshold values will be considered
Time Frame
Before and 28 days after the booster dose (at Day 388-478 and Day 416-506)
Title
Number of participants with a booster response for pertussis antigens
Description
Pertussis antigens booster response Threshold values will be considered
Time Frame
Before and 28 days after the booster dose (at Day 388-478 and Day 416-506)
Title
Pertussis antigens vaccine seroconversion
Description
Ab against pertussis antigens will be measured
Time Frame
Before and 28 days after the booster dose (at Day 388-478 and Day 416-506)
Title
GMCRs of Ab against all the antigens
Description
Ab concentrations against all the antigens will be measured The ratio calculated will be: (post booster/pre-booster)
Time Frame
Before and 28 days after the booster dose (at Day 388-478 and Day 416-506)
Title
GMCs of Ab against each antigen
Description
Ab concentrations against each antigen will be measured
Time Frame
Before and 28 days after the booster dose (at Day 388-478 and Day 416-506)
Title
aGMCs of Ab against pertussis antigens
Description
Ab against pertussis antigens will be measured, adjusted for baseline value
Time Frame
Before and 28 days after the booster dose (at Day 388-478 and Day 416-506)
Title
Number of participants reporting immediate systemic adverse events (AEs)
Description
Unsolicited (spontaneously reported) systemic AEs
Time Frame
Within 30 minutes post-vaccination
Title
Number of participants reporting solicited injection site and systemic reactions
Description
Solicited injection site reactions: - tenderness, erythema and site swelling Solicited systemic reactions: - fever, vomiting, crying abnormal, drowsiness, appetite lost and irritability
Time Frame
Up to 7 days post-vaccination
Title
Number of participants reporting unsolicited non-serious AEs
Description
Unsolicited non-serious AEs
Time Frame
Up to 28 days post-vaccination
Title
Number of participants reporting serious adverse events (SAEs)
Description
SAEs
Time Frame
Up to Day 416-506

10. Eligibility

Sex
All
Minimum Age & Unit of Time
8 Weeks
Maximum Age & Unit of Time
11 Weeks
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria : Aged ≥ 2 months (age range of 8 weeks <12 weeks) on the day of the first vaccination Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg or medically stable prematurely born infants (born after a gestational period of 27-36 weeks) Infants who have received the birth dose of Bacille Calmette-Guérin vaccine (BCG) at least 4 weeks before the first trial vaccination Participant and parent(s)/legally acceptable representative(s) are able to attend all scheduled visits and comply with all study procedures Exclusion criteria: Participation at the time of study enrollment (or in the 4 weeks preceding the first trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure Receipt of any vaccine in the 4 weeks preceding the first trial vaccination or planned receipt of any vaccine within the period of 4 weeks before to 4 weeks after each trial vaccination, except for oral polio vaccine (OPV) and influenza vaccination. OPV may be received any time during the study while influenza vaccination may be received at a gap of at least 2 weeks before or 2 weeks after any study vaccination. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines Previous vaccination against diphtheria, tetanus, pertussis, hepatitis B (except the dose of Hep B vaccine given at birth or at least 4 weeks before the first trial vaccination), Haemophilus influenzae type b, poliomyelitis (except OPV), rotavirus, and Streptococcus pneumoniae with either the trial vaccines or another vaccine Receipt of immune globulins, blood or blood-derived products since birth Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy since birth; or long-term systemic corticosteroid therapy (prednisone or equivalent at ≥ 0.5 mg/kg/day for more than 2 consecutive weeks since birth) Known personal or maternal history of Human Immunodeficiency Virus (HIV), hepatitis B (HBsAg positive), or hepatitis C (hepatitis C virus [HCV] ribonucleic acid [RNA] positive) Individuals with blood dyscrasias, leukemia, lymphoma of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, Haemophilus influenzae type b, rotavirus, or pneumococcal infection(s) confirmed either clinically, serologically, or microbiologically History of any neurologic disorders, including encephalopathy, seizures (febrile and non-febrile) and progressive neurologic disorders History of intussusception In an emergency setting, or hospitalized Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances Thrombocytopenia, as reported by the parent/legally acceptable representative, contraindicating intramuscular vaccination in the Investigator's opinion Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination in the Investigator's opinion Chronic illness that, in the Investigator's opinion, is at a stage where it might interfere with trial conduct or completion Any condition which, in the Investigator's opinion, might interfere with the evaluation of the study objectives Moderate or severe acute illness/infection (according to the Investigator's judgment) on the day of vaccination or febrile illness (axillary temperature ≥ 38.0 C). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw Identified as a natural or adopted child of the Investigator, relatives or employee with direct involvement in the proposed study The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi Pasteur, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 7640003
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Facility Name
Investigational Site Number 7640001
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Investigational Site Number 7640002
City
Khon Kaen
ZIP/Postal Code
4002
Country
Thailand

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Study of DTwP-HepB-Hib-IPV (SHAN6™) Vaccine Administered Concomitantly With Routine Pediatric Vaccines to Healthy Infants and Toddlers in Thailand

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