Study of ChimeriVax™-Japanese Encephalitis Vaccine in Toddlers in Thailand and the Philippines

Sponsor
Sanofi Pasteur, a Sanofi Company (Industry)
Overall Status
Completed
CT.gov ID
NCT00735644
Collaborator
(none)
1,200
8
5
12
150
12.5

Study Details

Study Description

Brief Summary

This study is to assess the safety and immunogenicity of three consecutive lots of JE-CV in toddlers aged 12-18 months.

Primary objective:

To demonstrate the bio-equivalence of three lots of JE-CV vaccine manufactured by sanofi pasteur.

Secondary objective:

To describe the safety of vaccination in all subjects

Condition or Disease Intervention/Treatment Phase
  • Biological: Japanese encephalitis vaccine
  • Biological: Japanese encephalitis vaccine
  • Biological: Japanese encephalitis vaccine
  • Biological: Japanese encephalitis vaccine (Acambis)
  • Biological: Hepatitis A vaccine
Phase 3

Detailed Description

This is a Phase III trial in toddlers in Thailand and the Philippines.

Study Design

Study Type:
Interventional
Actual Enrollment :
1200 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Lot-to-lot Consistency, Bridging, and Safety Trial of ChimeriVax™-Japanese Encephalitis Vaccine in Toddlers in Thailand and the Philippines
Study Start Date :
Aug 1, 2008
Actual Primary Completion Date :
May 1, 2009
Actual Study Completion Date :
Aug 1, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: JE-CV GPO MBP (Lot 1)

Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE-CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO-MBP) Lot 1.

Biological: Japanese encephalitis vaccine
0.5 mL, Subcutaneous
Other Names:
  • ChimeriVax™-JE
  • Experimental: JE-CV GPO MBP (Lot 2)

    Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE-CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO-MBP) Lot 2.

    Biological: Japanese encephalitis vaccine
    0.5 mL, Subcutaneous
    Other Names:
  • ChimeriVax™-JE
  • Experimental: JE-CV GPO MBP (Lot 3)

    Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE-CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO-MBP) Lot 3.

    Biological: Japanese encephalitis vaccine
    0.5 mL, Subcutaneous
    Other Names:
  • ChimeriVax™-JE
  • Active Comparator: JE-CV WRAIR (Group 4)

    Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR)

    Biological: Japanese encephalitis vaccine (Acambis)
    0.5 mL, Subcutaneous

    Sham Comparator: Hepatitis A (Group 5)

    Participants 12 to 18 months of age randomized to receive Hepatitis A vaccine

    Biological: Hepatitis A vaccine
    0.5 mL, Intramuscular
    Other Names:
  • Avaxim® 80U Pediatric
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Seroconversion to Vaccine Antigens Following Vaccination With JE-CV by GPO MBP Lots [Day 0 (pre-vaccination) and Day 28 post-vaccination]

      Anti-Japanese encephalitis chimeric virus vaccine antibodies were measured using the 50% plaque reduction neutralization test (PRNT50). Seroconversion was defined as participants with a pre-vaccination titer <10 1/dil and post-vaccination titer ≥ 10 1/dil, or participants with pre-vaccination titer ≥ 10 1/dil and 4-fold increase from pre- to post-vaccination.

    Secondary Outcome Measures

    1. Geometric Mean Titers Against the Japanese Encephalitis Chimeric Virus Vaccine (JE-CV) Antigens Before and Following Vaccination With a JE-CV by GPO MBP Lot or Walter Reed Army Institute of Research (WRAIR) JE-CV [Day 0 (pre-vaccination) and Day 28 post-vaccination]

      Anti-Japanese Encephalitis Chimeric Virus antibodies were measured using the 50% plaque reduction neutralization test (PRNT50) assay.

    2. Number of Participants With Seroprotection to Japanese Encephalitis Chimeric Virus Antigens Before and Following Vaccination With a JE-CV by GPO MBP Lot or WRAIR JE-CV [Day 0 (pre-vaccination) and Day 28 post-vaccination]

      Anti-Japanese encephalitis chimeric virus vaccine antibodies were measured using the PRNT50 assay. Seroprotection was defined as the proportion of subjects with a JE CV virus PRNT50 neutralizing antibody titer ≥10 1/dilution (dil).

    3. Geometric Mean Titers Ratios Against the Japanese Encephalitis Chimeric Virus (JE-CV) Antigen Following Vaccination With One of the JE-CV by GPO MBP Lots or WRAIR JE-CV Vaccine [Day 0 (pre-vaccination) and Day 28 post-vaccination]

      Anti Japanese encephalitis chimeric virus antibodies were measured using the PRNT50 assay.

    4. Number of Participants Reporting Solicited Injection Site and Systemic Reactions Following Vaccination With a Japanese Encephalitis Chimeric Virus Vaccine (JE- CV) by GPO MBP Lot or WRAIR JE-CV, or Hepatitis A Vaccine. [Day 0 up to Day 14 post-vaccination]

      Solicited injection site: Tenderness, Erythema, and Swelling; Solicited systemic reactions: Fever (Temperature), Vomiting, Crying Abnormal, Drowsiness, Appetite Lost, and Irritability. Grade 3 injection site: Tenderness, cries when injected limb is moved or the movement of injected limb is reduced; Erythema and Swelling ≥5 cm. Grade 3 systemic reactions: Fever, temperature >39.5˚C; Vomiting, ≥6 episodes per 24 hours or requiring parenteral hydration; Crying Abnormal, >3 hours; Drowsiness, sleeping most of the time or difficult to wake up; Appetite Lost, refuses ≥3 or most feeds/meals; and Irritability, inconsolable.

    Other Outcome Measures

    1. Serological Status of Flavivirus Infection at Baseline (Before) Vaccination With a Japanese Encephalitis Chimeric Virus Vaccine (JE-CV) or Hepatitis A Vaccine. [Day 0 (pre-vaccination)]

      Flavivirus (FV) positive was defined as anti-JE against homologous virus strain ≥10 l/dil or anti dengue against at least one serotype ≥10 l/dil. FV negative was defined as anti-JE against homologous virus strain <10 l/dil and anti-dengue against the 4 serotypes <10 l/dilution.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Months to 18 Months
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria :
    • Aged 12 to 18 months on the day of inclusion.

    • In good general health, without significant medical history.

    • Provision of informed consent form signed by at least one parent or other legally acceptable representative, and by at least one independent witness if required by local regulations.

    • Subject and parent/legally acceptable representative able to attend all scheduled visits and comply with all trial procedures.

    • Completion of vaccinations according to the national immunization schedule.

    Exclusion Criteria :
    • Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding the trial vaccination.

    • Planned participation in another clinical trial during the present trial period.

    • Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy.

    • Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to a vaccine containing any of the same substances.

    • Chronic illness at a stage that could interfere with trial conduct or completion, in the opinion of the Investigator.

    • Receipt of blood or blood-derived products in the past 3 months, that might interfere with the assessment of the immune response.

    • Administration of any anti-viral within 2 months preceding V01.

    • History of central nervous system disorder or disease, including seizures.

    • Personal or family history of thymic pathology (thymoma), thymectomy, or myasthenia.

    • Receipt of any vaccine in the 4 weeks preceding the first trial vaccination.

    • Planned receipt of any vaccine in the 4 weeks following any trial vaccination.

    • Personal human immunodeficiency virus seropositivity in the blood sample taken at screening.

    • Receipt of any JE vaccine or hepatitis A vaccine.

    • Previous vaccination against flavivirus disease.

    • History of flavivirus infection (confirmed either clinically, serologically or microbiologically)

    • Thrombocytopenia, bleeding disorder or anticoagulants in the 3 weeks preceding inclusion contraindicating intramuscular vaccination.

    • Febrile illness (temperature ≥38°C) or moderate or severe acute illness/infection on the day of vaccination, according to Investigator judgment.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Alabang Philippines
    2 Bayanan Philippines
    3 Buli Philippines
    4 Cupang Philippines
    5 Sucat Philippines
    6 Bangkok Thailand 10330
    7 Bangkok Thailand 10400
    8 Khon Kaen Thailand 40002

    Sponsors and Collaborators

    • Sanofi Pasteur, a Sanofi Company

    Investigators

    • Study Director: Medical Monitor, Sanofi Pasteur Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT00735644
    Other Study ID Numbers:
    • JEC02
    First Posted:
    Aug 15, 2008
    Last Update Posted:
    Apr 21, 2015
    Last Verified:
    Apr 1, 2015
    Keywords provided by Sanofi Pasteur, a Sanofi Company
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details The study participants were enrolled from 02 August 2008 through 27 March 2009 at 3 clinic sites in Thailand and 5 clinic sites in the Philippines.
    Pre-assignment Detail A total of 1200 participants who met all of the inclusion and none of the exclusion criteria were randomized, 1199 were vaccinated in this study.
    Arm/Group Title JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE-CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO-MBP) Lot 1. Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE- CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received the Hepatitis A vaccine
    Period Title: Overall Study
    STARTED 303 300 296 199 102
    COMPLETED 303 298 295 198 102
    NOT COMPLETED 0 2 1 1 0

    Baseline Characteristics

    Arm/Group Title JE CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A Total
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 subcutaneously Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine Total of all reporting groups
    Overall Participants 303 299 296 199 102 1199
    Age (Count of Participants)
    <=18 years
    303
    100%
    299
    100%
    296
    100%
    199
    100%
    102
    100%
    1199
    100%
    Between 18 and 65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Age (Months) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Months]
    14.3
    (1.91)
    14.5
    (1.84)
    14.4
    (1.88)
    14.3
    (1.81)
    14.3
    (1.93)
    14.4
    (1.87)
    Sex: Female, Male (Count of Participants)
    Female
    155
    51.2%
    138
    46.2%
    143
    48.3%
    94
    47.2%
    45
    44.1%
    575
    48%
    Male
    148
    48.8%
    161
    53.8%
    153
    51.7%
    105
    52.8%
    57
    55.9%
    624
    52%
    Region of Enrollment (Number) [Number]
    Thailand
    123
    40.6%
    122
    40.8%
    121
    40.9%
    82
    41.2%
    42
    41.2%
    490
    40.9%
    Philippines
    180
    59.4%
    177
    59.2%
    175
    59.1%
    117
    58.8%
    60
    58.8%
    709
    59.1%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Seroconversion to Vaccine Antigens Following Vaccination With JE-CV by GPO MBP Lots
    Description Anti-Japanese encephalitis chimeric virus vaccine antibodies were measured using the 50% plaque reduction neutralization test (PRNT50). Seroconversion was defined as participants with a pre-vaccination titer <10 1/dil and post-vaccination titer ≥ 10 1/dil, or participants with pre-vaccination titer ≥ 10 1/dil and 4-fold increase from pre- to post-vaccination.
    Time Frame Day 0 (pre-vaccination) and Day 28 post-vaccination

    Outcome Measure Data

    Analysis Population Description
    Seroconversion to the JE CV vaccine antigens was assessed in the participants who were vaccinated and completed all study defined activities, Per-Protocol Analysis Set.
    Arm/Group Title JE CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 subcutaneously Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine
    Measure Participants 288 292 286 193 97
    JE CV Day 0 (≥10 1/dil; N=288, 290, 285, 192, 0)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    NA
    NaN
    JE CV Day 28 (≥10 1/dil; N=288, 284, 283, 192, 0)
    282
    93.1%
    262
    87.6%
    267
    90.2%
    185
    93%
    NA
    NaN
    2. Secondary Outcome
    Title Geometric Mean Titers Against the Japanese Encephalitis Chimeric Virus Vaccine (JE-CV) Antigens Before and Following Vaccination With a JE-CV by GPO MBP Lot or Walter Reed Army Institute of Research (WRAIR) JE-CV
    Description Anti-Japanese Encephalitis Chimeric Virus antibodies were measured using the 50% plaque reduction neutralization test (PRNT50) assay.
    Time Frame Day 0 (pre-vaccination) and Day 28 post-vaccination

    Outcome Measure Data

    Analysis Population Description
    Geometric mean titers against the JE CV antigens were assessed in the participants who were vaccinated and completed all study defined activities, Per-Protocol Analysis Set.
    Arm/Group Title JE CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 subcutaneously Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine
    Measure Participants 288 292 286 193 0
    Anti JE-CV Day 0 (N=288, 290, 285, 192, 0)
    5.17
    5.08
    5.19
    5.09
    Anti JE CV Day 28 (N=288, 284, 283, 192, 0)
    212
    167
    188
    212
    3. Secondary Outcome
    Title Number of Participants With Seroprotection to Japanese Encephalitis Chimeric Virus Antigens Before and Following Vaccination With a JE-CV by GPO MBP Lot or WRAIR JE-CV
    Description Anti-Japanese encephalitis chimeric virus vaccine antibodies were measured using the PRNT50 assay. Seroprotection was defined as the proportion of subjects with a JE CV virus PRNT50 neutralizing antibody titer ≥10 1/dilution (dil).
    Time Frame Day 0 (pre-vaccination) and Day 28 post-vaccination

    Outcome Measure Data

    Analysis Population Description
    Seroprotection against JE CV antigens was assessed in the participants who were vaccinated and completed all study defined activities, Per-Protocol Analysis Set.
    Arm/Group Title JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE-CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine
    Measure Participants 288 292 286 193 97
    JE CV Day 0 (N=288, 290, 285, 192, 0)
    10
    3.3%
    4
    1.3%
    8
    2.7%
    2
    1%
    NA
    NaN
    JE CV Day 28 (N=288, 284, 283, 192, 0)
    297
    98%
    269
    90%
    276
    93.2%
    190
    95.5%
    NA
    NaN
    4. Secondary Outcome
    Title Geometric Mean Titers Ratios Against the Japanese Encephalitis Chimeric Virus (JE-CV) Antigen Following Vaccination With One of the JE-CV by GPO MBP Lots or WRAIR JE-CV Vaccine
    Description Anti Japanese encephalitis chimeric virus antibodies were measured using the PRNT50 assay.
    Time Frame Day 0 (pre-vaccination) and Day 28 post-vaccination

    Outcome Measure Data

    Analysis Population Description
    Geometric mean titers against the JE CV antigens were assessed in the Per Protocol Analysis Set.
    Arm/Group Title JE-CV GPO MBP (Lot 1) JE-CV MBP (Lot 2) JE-CV MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 subcutaneously Participants 12 to 18 months of age received one dose of JE CV from GPO MBP Lot 2 subcutaneously Participants 12 to 18 months of age received one dose of JE CV from GPO MBP Lot 3 subcutaneously Participants 12 to 18 months of age received one dose of JE CV from Acambis at WRAIR subcutaneously Participants 12 to 18 months of age received the Hepatitis vaccine intramuscularly
    Measure Participants 288 292 286 193 97
    Geometric Mean (95% Confidence Interval) [Titer ratio]
    41.1
    32.9
    36.6
    42.2
    NA
    5. Secondary Outcome
    Title Number of Participants Reporting Solicited Injection Site and Systemic Reactions Following Vaccination With a Japanese Encephalitis Chimeric Virus Vaccine (JE- CV) by GPO MBP Lot or WRAIR JE-CV, or Hepatitis A Vaccine.
    Description Solicited injection site: Tenderness, Erythema, and Swelling; Solicited systemic reactions: Fever (Temperature), Vomiting, Crying Abnormal, Drowsiness, Appetite Lost, and Irritability. Grade 3 injection site: Tenderness, cries when injected limb is moved or the movement of injected limb is reduced; Erythema and Swelling ≥5 cm. Grade 3 systemic reactions: Fever, temperature >39.5˚C; Vomiting, ≥6 episodes per 24 hours or requiring parenteral hydration; Crying Abnormal, >3 hours; Drowsiness, sleeping most of the time or difficult to wake up; Appetite Lost, refuses ≥3 or most feeds/meals; and Irritability, inconsolable.
    Time Frame Day 0 up to Day 14 post-vaccination

    Outcome Measure Data

    Analysis Population Description
    Solicited injection site and systemic reactions were assessed in the Safety Analysis Set. A participant randomized to receive JE CV GPO MBP Lot 1 vaccine, received JE CV GPO MBP Lot 3. For safety analysis, the participant was analyzed according to the actual vaccine received.
    Arm/Group Title JE CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 subcutaneously Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine
    Measure Participants 302 299 297 199 102
    Injection site Tenderness
    58
    19.1%
    59
    19.7%
    67
    22.6%
    59
    29.6%
    18
    17.6%
    Grade 3 Injection site Tenderness
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Injection site Erythema
    64
    21.1%
    63
    21.1%
    87
    29.4%
    54
    27.1%
    26
    25.5%
    Grade 3 Injection site Erythema
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Injection site Swelling
    22
    7.3%
    20
    6.7%
    21
    7.1%
    13
    6.5%
    4
    3.9%
    Grade 3 Injection site Swelling
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Fever
    51
    16.8%
    62
    20.7%
    64
    21.6%
    48
    24.1%
    21
    20.6%
    Grade 3 Fever
    3
    1%
    5
    1.7%
    3
    1%
    1
    0.5%
    0
    0%
    Vomiting
    60
    19.8%
    57
    19.1%
    53
    17.9%
    39
    19.6%
    16
    15.7%
    Grade 3 Vomiting
    3
    1%
    1
    0.3%
    1
    0.3%
    1
    0.5%
    1
    1%
    Crying Abnormal
    58
    19.1%
    54
    18.1%
    50
    16.9%
    41
    20.6%
    21
    20.6%
    Grade 3 Crying Abnormal
    1
    0.3%
    0
    0%
    1
    0.3%
    0
    0%
    0
    0%
    Drowsiness
    58
    19.1%
    53
    17.7%
    53
    17.9%
    38
    19.1%
    20
    19.6%
    Grade 3 Drowsiness
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Appetite Lost
    82
    27.1%
    71
    23.7%
    74
    25%
    57
    28.6%
    27
    26.5%
    Grade 3 Appetite Lost
    3
    1%
    1
    0.3%
    1
    0.3%
    2
    1%
    0
    0%
    Irritability
    91
    30%
    79
    26.4%
    79
    26.7%
    65
    32.7%
    28
    27.5%
    Grade 3 Irritability
    2
    0.7%
    0
    0%
    1
    0.3%
    1
    0.5%
    1
    1%
    6. Other Pre-specified Outcome
    Title Serological Status of Flavivirus Infection at Baseline (Before) Vaccination With a Japanese Encephalitis Chimeric Virus Vaccine (JE-CV) or Hepatitis A Vaccine.
    Description Flavivirus (FV) positive was defined as anti-JE against homologous virus strain ≥10 l/dil or anti dengue against at least one serotype ≥10 l/dil. FV negative was defined as anti-JE against homologous virus strain <10 l/dil and anti-dengue against the 4 serotypes <10 l/dilution.
    Time Frame Day 0 (pre-vaccination)

    Outcome Measure Data

    Analysis Population Description
    Serological status of Flavivirus infection was assessed in the Per-protocol Analysis Set.
    Arm/Group Title JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine
    Measure Participants 288 292 285 192 97
    JE CV/dengue FV positive (N=288,290,285,192,97)
    19
    6.3%
    23
    7.7%
    32
    10.8%
    15
    7.5%
    13
    12.7%
    JE CV/dengue FV negative (N=288,290,285,192,97)
    265
    87.5%
    266
    89%
    249
    84.1%
    176
    88.4%
    84
    82.4%
    JE CV (N=288, 290, 285, 192, 97)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Dengue serotype 1 (N=284, 289, 282, 192, 97)
    17
    5.6%
    19
    6.4%
    28
    9.5%
    14
    7%
    13
    12.7%
    Dengue serotype 2 (N=284, 289, 282, 192, 97)
    15
    5%
    18
    6%
    26
    8.8%
    11
    5.5%
    12
    11.8%
    Dengue serotype 3 (N=284, 289, 282, 192, 97)
    16
    5.3%
    18
    6%
    27
    9.1%
    12
    6%
    11
    10.8%
    Dengue serotype 4 (N=284, 289, 282, 192, 97)
    10
    3.3%
    6
    2%
    13
    4.4%
    7
    3.5%
    8
    7.8%

    Adverse Events

    Time Frame Adverse events (AE) data were collected from Day 0 (post-vaccination) up to Day 180 post-vaccination.
    Adverse Event Reporting Description The total (N) for solicited AEs in the table reflects participants for which diary cards were returned and with available data for the event during the period. A participant randomized to receive JE CV GPO MBP Lot 1 vaccine, received JE CV GPO MBP Lot 3. For safety analysis, the participant was analyzed according to the actual vaccine received.
    Arm/Group Title JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Arm/Group Description Participants 12 to 18 months of age received one dose of Japanese encephalitis chimeric virus vaccine (JE CV) from Government Pharmaceutical Organization Mérieux Biological Products (GPO MBP) Lot 1 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 2 Participants 12 to 18 months of age received one dose of JE-CV from GPO MBP Lot 3 Participants 12 to 18 months of age received one dose of JE-CV from Acambis at Walter Reed Army Institute of Research (WRAIR) Participants 12 to 18 months of age received Hepatitis A vaccine
    All Cause Mortality
    JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 10/302 (3.3%) 17/299 (5.7%) 13/297 (4.4%) 7/199 (3.5%) 7/102 (6.9%)
    Infections and infestations
    Bronchiolitis 2/302 (0.7%) 2 0/299 (0%) 0 0/297 (0%) 0 0/199 (0%) 0 0/102 (0%) 0
    Cellulitis 0/302 (0%) 0 0/299 (0%) 0 2/297 (0.7%) 2 0/199 (0%) 0 0/102 (0%) 0
    Gastroenteritis 3/302 (1%) 3 4/299 (1.3%) 4 4/297 (1.3%) 4 1/199 (0.5%) 1 0/102 (0%) 0
    Pneumonia 3/302 (1%) 3 3/299 (1%) 3 3/297 (1%) 3 2/199 (1%) 2 1/102 (1%) 1
    Pneumonia bacterial 0/302 (0%) 0 0/299 (0%) 0 0/297 (0%) 0 0/199 (0%) 0 2/102 (2%) 2
    Urinary tract infection 0/302 (0%) 0 3/299 (1%) 3 0/297 (0%) 0 0/199 (0%) 0 0/102 (0%) 0
    Amoebiasis 0/302 (0%) 0 0/299 (0%) 0 0/297 (0%) 0 1/199 (0.5%) 1 0/102 (0%) 0
    Bronchitis 0/302 (0%) 0 2/299 (0.7%) 2 0/297 (0%) 0 0/199 (0%) 0 0/102 (0%) 0
    Gastroenteritis viral 1/302 (0.3%) 1 0/299 (0%) 0 0/297 (0%) 0 0/199 (0%) 0 0/102 (0%) 0
    Influenza 1/302 (0.3%) 1 0/299 (0%) 0 0/297 (0%) 0 0/199 (0%) 0 0/102 (0%) 0
    Pneumonia viral 0/302 (0%) 0 0/299 (0%) 0 0/297 (0%) 0 1/199 (0.5%) 1 0/102 (0%) 0
    Varicella 0/302 (0%) 0 0/299 (0%) 0 0/297 (0%) 0 1/199 (0.5%) 1 0/102 (0%) 0
    Viral infection 0/302 (0%) 0 2/299 (0.7%) 2 0/297 (0%) 0 0/199 (0%) 0 1/102 (1%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Testicular yolk sac tumour stage III 0/302 (0%) 0 0/299 (0%) 0 0/297 (0%) 0 1/199 (0.5%) 1 0/102 (0%) 0
    Nervous system disorders
    Febrile convulsion 2/302 (0.7%) 2 6/299 (2%) 6 4/297 (1.3%) 4 1/199 (0.5%) 1 3/102 (2.9%) 4
    Respiratory, thoracic and mediastinal disorders
    Asthma 1/302 (0.3%) 1 0/299 (0%) 0 0/297 (0%) 0 0/199 (0%) 0 0/102 (0%) 0
    Other (Not Including Serious) Adverse Events
    JE-CV GPO MBP (Lot 1) JE-CV GPO MBP (Lot 2) JE-CV GPO MBP (Lot 3) JE-CV WRAIR Hepatitis A
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 91/302 (30.1%) 99/299 (33.1%) 87/297 (29.3%) 65/199 (32.7%) 36/102 (35.3%)
    Gastrointestinal disorders
    Vomiting 60/302 (19.9%) 60 57/299 (19.1%) 57 53/297 (17.8%) 53 39/199 (19.6%) 39 16/102 (15.7%) 16
    General disorders
    Pyrexia 2/302 (0.7%) 2 6/299 (2%) 6 6/297 (2%) 6 10/199 (5%) 10 1/102 (1%) 1
    Injection site tenderness 58/302 (19.2%) 58 59/299 (19.7%) 59 67/297 (22.6%) 67 59/199 (29.6%) 59 18/102 (17.6%) 18
    Injection site erythema 64/302 (21.2%) 64 63/299 (21.1%) 63 87/297 (29.3%) 87 54/199 (27.1%) 54 26/102 (25.5%) 26
    Injection site swelling 22/302 (7.3%) 22 20/299 (6.7%) 20 21/297 (7.1%) 21 13/199 (6.5%) 13 4/102 (3.9%) 4
    Fever 51/302 (16.9%) 51 62/299 (20.7%) 62 64/297 (21.5%) 64 48/199 (24.1%) 48 21/102 (20.6%) 21
    Infections and infestations
    Gastroenteritis 19/302 (6.3%) 21 18/299 (6%) 19 11/297 (3.7%) 11 10/199 (5%) 11 5/102 (4.9%) 5
    Nasopharyngitis 24/302 (7.9%) 25 18/299 (6%) 18 22/297 (7.4%) 22 21/199 (10.6%) 26 5/102 (4.9%) 5
    Upper respiratory tract infection 84/302 (27.8%) 99 78/299 (26.1%) 88 72/297 (24.2%) 79 52/199 (26.1%) 58 36/102 (35.3%) 42
    Metabolism and nutrition disorders
    Appetite Lost 82/302 (27.2%) 82 71/299 (23.7%) 71 74/297 (24.9%) 74 57/199 (28.6%) 57 27/102 (26.5%) 27
    Nervous system disorders
    Drowsiness 58/302 (19.2%) 58 53/299 (17.7%) 53 53/297 (17.8%) 53 38/199 (19.1%) 38 20/102 (19.6%) 20
    Psychiatric disorders
    Crying Abnormal 58/302 (19.2%) 58 54/299 (18.1%) 54 50/297 (16.8%) 50 41/199 (20.6%) 41 21/102 (20.6%) 21
    Irritability 91/302 (30.1%) 91 79/299 (26.4%) 79 79/297 (26.6%) 79 65/199 (32.7%) 65 28/102 (27.5%) 28

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications.

    Results Point of Contact

    Name/Title Medical Director
    Organization Sanofi Pasteur Inc.
    Phone
    Email RegistryContactUs@sanofipasteur.com
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT00735644
    Other Study ID Numbers:
    • JEC02
    First Posted:
    Aug 15, 2008
    Last Update Posted:
    Apr 21, 2015
    Last Verified:
    Apr 1, 2015