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Clinical Trial to Evaluate the Recombinant Norovirus Bivalent (GI. 1 / GII. 4) Vaccine (Hansenula Polymorpha)

Phase 2
Conditions
Norovirus Infections
Norwalk Gastroenteritis
Interventions
Biological: middle-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine
Biological: placebo
Biological: high-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine
Registration Number
NCT04941261
Lead Sponsor
National Vaccine and Serum Institute, China
Brief Summary

Phase II clinical study will explore dose and safety, immunogenicity in 4 age groups, including 18-59 years old group, 6-17 years old group, 3-5 years old group, 6-35 months old group, with a total of 1716 subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1716
Inclusion Criteria
  • Age range: healthy people aged 6 months -59 years and and older who can provide legal identification;
  • Inquired about medical history and physical examination, the investigator judged that the health condition is good;
  • The subject and/or his legal guardian and/or his entrusted person can understand the study procedures and informed consent, voluntarily sign informed consent form, and be able to comply with the requirements of the clinical study protocol;
  • Females of childbearing age (menarche to menopause) are not pregnant at the time of enrollment (negative urine pregnancy test), not breastfeeding, and have no birth plan within 12 months after enrollment; effective contraception will be taken within 2 weeks before enrollment;
Exclusion Criteria

First Dose Exclusion Criteria:

  • Axillary body temperature is not less than 37.3℃ (older than 14 years) before vaccination, and axillary body temperature is not less than 37.5℃ (14 years or younger) before vaccination;
  • Congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc;
  • Have received immune enhancement or inhibitor therapy within 3 months (continuous oral or instillation for more than 14 days);
  • Have been diagnosed with congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia or other autoimmune diseases;
  • Having serious congenital malformations or chronic diseases (including but not limited to:Down syndrome, thalassemia, heart disease, kidney disease, diabetes, autoimmune disease, genetic allergies, Guillain Barre syndrome, etc.);
  • Asthenia or splenectomy, functional asthenia caused by any situation;
  • Severe liver and kidney disease, severe cardiovascular disease, drug-uncontrollable hypertension (systolic blood pressure is not less than 140mmHg, diastolic blood pressure is not less than 90mmHg), high blood glucose, diabetic complications , Malignant tumors, various acute diseases or acute attacks of chronic diseases;
  • Have a history of chronic gastrointestinal disease, current diarrhea or other digestive system diseases, gastroenteritis requiring treatment in the past 7 days;
  • Have a history of abnormal coagulation function (such as coagulation factor deficiency, coagulopathy);
  • Have a history of severe allergic reactions to vaccination; allergic to any component of the experimental vaccine
  • Have received a live attenuated vaccine within 28 days before vaccination, or received other vaccines(Recombinant vaccine, subunit vaccine, inactivated vaccine) within 14 days before vaccination;
  • Received within 6 months before vaccination or plan to receive other study drugs in the near future
  • Plan to move before the end of the study or leave the local area for a long time during the scheduled study visit; Other conditions considered by the investigator to be inappropriate for participation in the study.

In addition to the general exclusion criteria, specific populations should also follow the following exclusion criteria:

-Children aged 24 months and under are born prematurely (delivered before the 37th week of pregnancy), low-weight (birth weight for girls <2300g, boys <2500g) infants; Children 24 months of age and younger have a history of dystocia, birth asphyxia or other reasons, a history of neurological damage, severe chronic diseases (such as Down syndrome, sickle cell anemia, or neurological disorders).

Subsequent doses of vaccination Exclusion criteria:

  • Have a high fever (axillary temperature is not less than 39.0℃) for three days and severe allergic reaction after the previous dose of vaccination;
  • Severe adverse reactions that are causally related to the previous dose of vaccination;
  • For those newly discovered or newly identified after the previous dose of vaccine that does not meet the first dose selection criteria or meets the first dose exclusion criteria, the investigator will determine whether to continue participating in the study;
  • Other exclusion reasons considered by the investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
6-17 years old group Amiddle-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-35 months old group Amiddle-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-17 years old group Cplacebo-
3-5 years old group Amiddle-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-17 years old group Bhigh-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-35 months old group Dmiddle-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
3-5 years old group Cplacebo-
6-35 months old group Ehigh-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-35 months old group Fplacebo-
18-59 years old group Amiddle-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
18-59 years old group Bhigh-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
18-59 years old group Cplacebo-
3-5 years old group Bhigh-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-35 months old group Bhigh-dose Norovirus Bivalent (GI.1 / GII.4) Vaccine-
6-35 months old group Cplacebo-
Primary Outcome Measures
NameTimeMethod
the incidence and severity of any adverse reactions/events within 30 minutes after each dose of vaccinationthrough 30 minutes after each dose
the incidence and severity of non-collective adverse reactions/events within 30 days after each dose of vaccinationthrough 30 days after each dose

If there is still next vaccination ,collect the incidence and severity of non-collective adverse reactions/events within vaccination interval(28 days) after vaccination

Antibody titer of HBGA-blocking antibody on the 14th day after the full course of vaccination14th day after the full course of vaccination
Antibody titer of(NoV GI.1 and GII.4 HBGA-blocking antibody)on the 14th day after the full course of vaccination14th day after the full course of vaccination
the incidence and severity of adverse reactions/events within 0-7 days after each dose of vaccinationthrough 7 days after each dose
the incidence of SAE from the first dose of vaccination to 6 months after the full course of vaccinationup to 6 months after the full course of vaccination
4-fold Seroconversion rate on the 14th day after the full course of vaccination14th day after the full course of vaccination
Secondary Outcome Measures
NameTimeMethod
Immune response(compared with before vaccination, the antibody increased by 4 times or more) rate of(NoV GI.1 and GII.4 HBGA-blocking antibody)on the 14th day after the full course of vaccination14th day after the full course of vaccination
Antibody titer of(NoV GI.1 and GII.4 HBGA-blocking antibody)on 90th,180th,270th,360th,540th,720th day after the full course of vaccination90th,180th,270th,360th,540th,720th day after the full course of vaccination
Binding Antibody (IgG) on 90th,180th,270th,360th,540th,720th day after the full course of vaccination90th,180th,270th,360th,540th,720th day after the full course of vaccination
Geometric mean Titer of(NoV GI.1 and GII.4 HBGA-blocking antibody)on the 14th day after the full course of vaccination14th day after the full course of vaccination

Trial Locations

Locations (1)

qixian Center for Disease Control and Prevention

🇨🇳

Hebi, Henan, China

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