Phase 3 Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine

Sponsor
Jiangsu Province Centers for Disease Control and Prevention (Other)
Overall Status
Completed
CT.gov ID
NCT01580033
Collaborator
Royal (Wuxi) Biological Co., LTD (Other)
900
1
2
7
128

Study Details

Study Description

Brief Summary

Haemophilus influenzae is an important pathogen which can cause primary infection and respiratory viral infection in infants and leaded to secondary infections. The infection of haemophilus is a major cause of morbidity and mortality in infants and children. At present, the developed conjugant Hib vaccine is proved to be safe and effective. Because Hib vaccine can prevent meningitis, pneumonia, epiglottis inflammation and other serious infection caused by Hib bacteria, the WHO suggested that Hib vaccine should be included in the infant's normal immune programming.

Since the use of meningitis aureus polysaccharide vaccine, incidence of a disease in recent years is declined and maintain to the level of 0.5 per 1/100 thousand. But meningitis aureus polysaccharide vaccine with a relatively poor immune response in the infants under the age of two, and the remaining 60% with a low antibody level and a short duration.

The immunogenicity and safety of this vaccine has been proved in older children aged 6-23 months and 2-5 years. And in the phase I study which was conducted in February, 2012, the safety profile of this vaccine is proved to be acceptable in infants aged 3-5 months. The phase III study is aimed to further evaluate the safety and the immunization of the vaccine. The objective of this study is to evaluate the safety of the group A, C polysaccharide meningococcal and type b haemophilus influenzal conjugate vaccine.

Condition or Disease Intervention/Treatment Phase
  • Biological: A+C+hib Conjugate Vaccine
  • Biological: Placebo
  • Biological: A+C Vaccine
  • Biological: Hib vaccine
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
900 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Prevention
Official Title:
Immunogenicity and Safety Study of A Group A, C Polysaccharide Meningococcal and Type b Haemophilus Influenzal Conjugate Vaccine in Aged 3-5 Months: A Phase 3 Clinical Trial
Study Start Date :
Apr 1, 2012
Actual Primary Completion Date :
Sep 1, 2012
Actual Study Completion Date :
Nov 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: A+C+hib Conjugate Vaccine

600 infants aged 3-5 months, will be vaccinated on day0, 28, 56

Biological: A+C+hib Conjugate Vaccine
The group A, C polysaccharide meningococcal and type b haemophilus influenzal conjugate vaccine (Wuxi Royal Biological Co., LTD, 20110101) will be administered on one arm, intramuscularly, per 0.5ml dose

Biological: Placebo
Placebo will be administered intramuscularly on the other arm, intramuscularly, per 0.5ml dose

Active Comparator: Walvax AC vaccine, Pasteur Hib vaccine

300 infants aged 3-5 months, will be vaccinated on day0, 28, 56

Biological: A+C Vaccine
The group A, C polysaccharide meningococcal vaccine (Yunnan Walvax Biotechnology Co., LTD, 20101202) will be administered intramuscularly on one arm, per 0.5ml dose

Biological: Hib vaccine
The type b haemophilus influenzal vaccine (Sanofi Pasteur Limited) will be administered intramuscularly on the other arm, per 0.5ml dose

Outcome Measures

Primary Outcome Measures

  1. The seroconversion rate of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months [4 weeks (28±3 days) after the infant series]

    the seroconversion rate of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months when measured 4 weeks (28±3 days) after the infant series (three doses, 28 day apart).

  2. The seroconversion rate of antibody against type b haemophilus influenza in infants aged 3-5 months [4 weeks (28±3 days) after the infant series]

    the seroconversion rate of antibody against type b haemophilus Influenza in infants aged 3-5 months when measured 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)

Secondary Outcome Measures

  1. adverse reactions after the first vaccination in infants aged 3-5 months [7 days after the first vaccination]

    adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the first vaccination

  2. adverse reactions after the second vaccination in infants aged 3-5 months [7 days after the second vaccination]

    adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the second vaccination

  3. adverse reactions after the third vaccination in infants aged 3-5 months [7 days after the third vaccination]

    adverse reactions of the investigational vaccines in healthy infants aged 3-5 months for 7 days after the third vaccination

  4. GMT of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months [4 weeks (28±3 days) after the infant series]

    GMT of antibody against group A, C polysaccharide meningitis in infants aged 3-5 months 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)

  5. GMT of antibody against type b haemophilus Influenza in serum in infants aged 3-5 months [4 weeks (28±3 days) after the infant series]

    GMT of antibody against type b haemophilus Influenza in infants aged 3-5 months 4 weeks (28±3 days) after the infant series (three doses, 28 day apart)

Eligibility Criteria

Criteria

Ages Eligible for Study:
3 Months to 5 Months
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Healthy subjects aged 3 to 5 months, normal intelligence.

  • The subjects' guardians are able to understand and sign the informed consent.

  • Healthy subjects confirmed by medical history questioning, physical examination and clinical decision and in accordance with vaccination requirements of the investigational vaccine.

  • Subjects who can comply with the requirements of the clinical trial program according to the researcher's views.

  • Subjects who have never received group A, C polysaccharide meningococcal vaccine and type b haemophilus Influenzal vaccine.

  • Subjects with temperature<=37°C on axillary setting.

Exclusion Criteria for the first vaccination:
  • Subject who has a medical history of Meningitis;

  • Subject who has a medical history of any of the following: allergies, seizures, epilepsy, encephalopathy history and so on;

  • Subject who is allergic with tetanus toxoid components;

  • Subject suffering from thrombocytopenia or other coagulation disorder may lead to contraindication to intramuscular injection;

  • Subject who has a history of allergic reactions;

  • Any known immunological dysfunction;

  • Had received gamma globulin or immune globulin, in the past two weeks

  • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws

  • Any acute infections in last 7 days

  • Any prior administration of immunodepressant or corticosteroids in last 6month

  • Any prior administration of other research medicines in last 1 month

  • Any prior administration of attenuated live vaccine in last 28 days

  • Any prior administration of subunit or inactivated vaccines in last 14 days, such as pneumococcal vaccine

  • Subject suffering from congenital malformations, developmental delay or serious chronic disease;

  • Any acute infections

  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Exclusion Criteria for the second or third vaccination:
  • Had any Grade 3 or Grade 4 adverse reactions or events associated with investigational vaccine occurred since the vaccination

  • Any situation meets the exclusion criteria for first dose;

  • Any condition the investigator believed may affect the evaluation of the vaccine.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Funing county Center for Disease Control and Prevention Yancheng Jiangsu China

Sponsors and Collaborators

  • Jiangsu Province Centers for Disease Control and Prevention
  • Royal (Wuxi) Biological Co., LTD

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Fengcai Zhu, Director of Vaccine Clinical Evaluation Center in Jiangsu Province Centers for Disease Control and Prevention, Jiangsu Province Centers for Disease Control and Prevention
ClinicalTrials.gov Identifier:
NCT01580033
Other Study ID Numbers:
  • JSVCT009
First Posted:
Apr 18, 2012
Last Update Posted:
May 8, 2013
Last Verified:
May 1, 2013
Keywords provided by Fengcai Zhu, Director of Vaccine Clinical Evaluation Center in Jiangsu Province Centers for Disease Control and Prevention, Jiangsu Province Centers for Disease Control and Prevention
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 8, 2013