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Alternative vaccination schedules with pneumococcal polysaccharide/protein conjugate vaccine: immunogenicity of the prime-booster approach among Gambian infants

Completed
Conditions
Pneumococcus/vaccines
Infections and Infestations
Vaccination
Registration Number
ISRCTN50377687
Lead Sponsor
Medical Research Council Laboratories (The Gambia)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
675
Inclusion Criteria

Babies will be recruited when they present for first dose of Diphtheria, Pertussis, Tetanus (DPT)-Haemophilus influenzae type b (Hib) vaccine and written informed consent obtained at that time

Exclusion Criteria

1. Babies born to known human immunodeficiency virus (HIV) positive mothers
2. Those with neurological abnormality
3. No parental consent
4. Established pneumococcal disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Immunogenicity of 7-valent pneumococcal conjugate vaccine at ages 18 weeks and 11 months after one, two and three doses of conjugate vaccines, measuring for antibody concentrations greater than or equal to 0.35 ug/ml<br>2. Secondary immune response (antibody) to pnuemococcal polysaccharide vaccine at age 11 months after one, two or three doses of 7-valent conjugate vaccine (antibody concentrations greater than or equal to 0.35 ug/ml)
Secondary Outcome Measures
NameTimeMethod
1. Persistence of antibody at age 15 months of age<br>2. Evidence of memory response following Conjugate vaccines using assays of antibody avidity and affinity <br>3. Naso-pharyngeal carriage of vaccine and non-vaccine serotypes at ages 18 weeks, 11 and 15 months of age<br>4. Monitoring for safety and local reaction up to 15 months of age. Two main aspects of the safety surveillance will be analysed:<br>4.1. Serious Adverse Events (SAE) <br>4.2. Local and Systemic reactions<br><br>Antibody concentrations to serotypes covered by the 7-valent conjugate vaccine (4, 6B, 9V, 14, 18C, 19F, and 23F) as well as antibody concentration to selected serotypes covered by the polysaccharide vaccine (1, 3, 5 and 12) will be measured.
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