The Safety and Immunogenicity of Enterovirus Type 71 Inactivated Vaccine (Human Diploid Cell) With Two Measles Attenuated Live Vaccine and Live Attenuated Japanese Encephalitis Vaccine at the Same Time Point in Infants (8-month-old)
试验速览
- 阶段
- 4 期
- 入组人数
- 1,220
- 试验地点
- 1
- 主要终点
- Evaluate the seroconversion rate of anti-measles virus antibodies in serum of children at 56 days after first vaccination
研究概览
简要总结
Enterovirus 71 (EV71), a major pathogen causing hand-foot-and-mouth disease (HFMD) worldwide, is a member of the Human Enterovirus species A, family Picornaviridae. Its infection occasionally leads to severe diseases and death, with central nervous system (CNS) damage.
Recently, except of inactivated vaccine, several EV71 vaccine candidates have been evaluated in animals but no final results of clinical trials, such as attenuated vaccine, subunit vaccine. A formalin-inactivated EV71 vaccine (Human Diploid cell, KMB-17 Cell) has been finished phase I, II and III clinical trials and licensed by SFDA in China at Dec. 3, 2015. Based on the results of clinical trials, the protective efficacy of inactivated EV71 vaccine is 97% against HFMD caused by EV71. The phase IV clinical trial has been carried out from July 2016. The purpose of phase IVd is to evaluated the immunogenicity and safety of the inactive EV71 vaccine within two measles attenuated live vaccine and live attenuated Japanese encephalitis vaccine at the same time point in large scale population of Chinese children (8 months old) in Guangdong Province, China.
详细描述
There are two parts of phase IVd clinical trials have been performed. First, to evaluate the immunogenicity of the inactive EV71 vaccine within two measles attenuated live vaccine and live attenuated Japanese encephalitis vaccine at the same time point in large scale population of Chinese children (8 months old), within 56-day-post-immunized.
Second, to safety of the inactive EV71 vaccine within two measles attenuated live vaccine and live attenuated Japanese encephalitis vaccine at the same time point in large scale population of Chinese children (8 months old), within 56-day-post-immunized.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 8 Months 至 9 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy subjects (6-71 months old children) as established by medical history and clinical examination
- •The subjects' legal guardian must be aware of this vaccines
- •The subjects' legal guardian voluntarily participate in the study and signed Informed Consent Form
- •Subjects with temperature ≤ 37.0 ℃
- •The subjects' legal guardian with the ability and objective to comply with the requirements of the protocol
- •Persist for a 14-month visit (and receive blood, stool (or specimens by means of a swab) tests according to program requirements in immunogenicity observation group)
排除标准
- •Allergy or serious side-effects to a vaccine or any ingredient of vaccine
- •Epilepsy, seizures, convulsions, neurological illness
- •Congenital or hereditary immunodeficiency
- •Autoimmune disease
- •Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer
- •Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy
- •Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder
- •Acute illness or acute exacerbation of chronic disease in last 7 days
- •Any prior administration of immunodepressant or corticosteroids in last 6 months
- •Any prior administration of blood products in last 3 months
- •Any prior administration of live-attenuated vaccine in last 15 days
- •Any prior administration of subunit or inactivated vaccines in last 7 days
- •Fever before vaccination, axillary temperature ﹥37.0 ℃
- •The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc.
- •Hypertension or hypotension. Systolic blood pressure ﹥140 mmHg and/ or diastolic blood pressure ﹥90 mmHg; systolic blood pressure ﹤90 mmHg and/or diastolic blood pressure ﹤60 mmHg
- •Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
- •take part into other vaccine or drug clinical trials in last half year
结局指标
主要结局
Evaluate the seroconversion rate of anti-measles virus antibodies in serum of children at 56 days after first vaccination
时间窗: at 56 days after finishing 1st doses immunization
Bloods were obtained at 56 days after first vaccination. The antibody titers were tested in serum of children.
Evaluate the seropositive rate of anti-Rubella virus antibodies in serum of children before first vaccination
时间窗: at 0 day before finishing 1st doses immunization
Bloods were obtained before first vaccination. The antibody titers were tested in serum of children.
Evaluate the seropositive rate of anti-EBV antibodies in serum of children before first vaccination
时间窗: at 0 day before finishing 1st doses immunization
Bloods were obtained before first vaccination. The antibody titers were tested in serum of children.
Evaluate the seropositive rate of anti-measles virus antibodies in serum of children before first vaccination
时间窗: at 0 day before finishing 1st doses immunization
Bloods were obtained before first vaccination. The antibody titers were tested in serum of children.
Evaluate the seroconversion rate of anti-EV71 antibodies in serum of children at 56 days after first vaccination
时间窗: at 56 days after finishing 1st doses immunization
Bloods were obtained at 56 days after first vaccination. The antibody titers were tested in serum of children.
Evaluate the seroconversion rate of anti-EBV antibodies in serum of children at 56 days after first vaccination
时间窗: at 56 days after finishing 1st doses immunization
Bloods were obtained at 56 days after first vaccination. The antibody titers were tested in serum of children.
Evaluate the seropositive rate of anti-EV71 antibodies in serum of children before first vaccination
时间窗: at 0 day before finishing 1st doses immunization
Bloods were obtained before first vaccination. The antibody titers were tested in serum of children.
Evaluate the seroconversion rate of anti-Rubella virus antibodies in serum of children at 56 days after first vaccination
时间窗: at 56 days after finishing 1st doses immunization
Bloods were obtained at 56 days after first vaccination. The antibody titers were tested in serum of children.
次要结局
- Incidence of treatment adverse events finishing 1st doses immunization(within 28 days after finishing 1st doses immunization)
- Evaluate the antibody titers of anti-EBV antibodies in serum of children(at 56 days after finishing 1st doses immunization)
- Evaluate the antibody titers of anti-measles virus antibodies in serum of children(at 56 days after finishing 1st doses immunization)
- Incidence of treatment adverse events finishing 2nd doses immunization(within 28 days after finishing 2nd doses immunization)
- Evaluate the antibody titers of anti-EV71 antibodies in serum of children(at 56 days after finishing 1st doses immunization)
- Evaluate the antibody titers of anti-Rubella virus antibodies in serum of children(at 56 days after finishing 1st doses immunization)
研究者
Qihan Li
Professor
Chinese Academy of Medical Sciences