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Safety and Immunogenicity of a Sabin Inactivated Poliovirus Vaccine.

Phase 2
Completed
Conditions
Polio and Post-Polio Syndrome
Interventions
Biological: Three-dose regimen of high dosage investigational sIPV
Biological: Three-dose regimen of medium dosage investigational sIPV
Biological: Three-dose regimen of low dosage investigational sIPV
Biological: Three-dose regimen of commercialized sIPV
Biological: Three-dose regimen of commercialized IPV
Registration Number
NCT03902054
Lead Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Brief Summary

This study is a randomized, blinded and controlled phase II study to evaluate the safety and immunogenicity of a Sabin Inactivated Poliovirus Vaccine (sIPV) in Infants. A total of 600 infants aged 2 months (60\~90 days) were randomized to receive five different vaccination regimens: three experimental groups (1, 2, and 3) received three doses of sIPV with high, medium, and low D antigen content, respectively, on the month 0,1,2 schedule; two control groups (4 and 5) received three doses of conventional IPV (cIPV, manufactured by Sanofi Pasteur) or sIPV (manufactured by the Institute of Medical Biology, the Chinese Academy of Medical Biology), respectively, on the same schedule. Serum samples were collected before the 1st dose and 30 days after the 3rd dose vaccination to assess the immunogenicity. Adverse events occurring within 30 days after each dose were collected to assess the safety.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
600
Inclusion Criteria
  • Healthy volunteer aged 2 months (60~90 days) old without prior vaccination of poliovirus and any contraindication for vaccination;
  • Guardians of the participants should be capable of understanding the written consent form, and such form should be signed prior to enrolment;
  • Complying with the requirement of the study protocol;
  • Axillary temperature ≤ 37.0 °C;
Exclusion Criteria
  • Preterm or low birth weight infants;
  • Congenital malformation, developmental disorders, genetic defects, or severe malnutrition;
  • History of polio;
  • Severe nervous system disease (epilepsy, seizures or convulsions) or mental illness;
  • History of allergy to any vaccine, or any ingredient of the vaccine, or serious adverse reaction(s) to vaccination, such as urticaria, dyspnea, angioneurotic edema, abdominal pain, etc;
  • Autoimmune disease or immunodeficiency/immunosuppressive;
  • Bleeding disorder diagnosed by a doctor (e.g., coagulation factor deficiency, coagulation disorder, or platelet disorder) , or significant bruising or coagulopathy;
  • Serious chronic diseases, respiratory diseases, cardiovascular diseases, liver or kidney diseases or skin diseases;
  • Mother of the participant has HIV infection;
  • Acute illness or acute exacerbation of chronic disease within the past 7 days;
  • Had a high fever within the past 3 days (axillary temperature ≥ 38.0°C);
  • Receipt of any subunit or inactivated vaccine within the past 7 day;
  • Receipt of any live attenuated vaccine within the past 14 days;
  • Receipt of any blood product within the past 3 months;
  • Any other factor that, in the judgment of the investigator, suggesting the volunteer is unsuitable for this study;

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental Group - High dosageThree-dose regimen of high dosage investigational sIPVThree intramuscular injections of the investigational vaccine(0.5 ml) on Day 0, Day 30 and Day 60 respectively; Intervention: Three-dose regimen of high dosage investigational sIPV
Experimental Group - Medium dosageThree-dose regimen of medium dosage investigational sIPVThree intramuscular injections of the investigational vaccine(0.5 ml) on Day 0, Day 30 and Day 60 respectively; Intervention: Three-dose regimen of medium dosage investigational sIPV
Experimental Group - Low dosageThree-dose regimen of low dosage investigational sIPVThree intramuscular injections of the investigational vaccine(0.5 ml) on Day 0, Day 30 and Day 60 respectively; Intervention: Three-dose regimen of low dosage investigational sIPV
Control Group -commercialized sIPVThree-dose regimen of commercialized sIPVThree intramuscular injections of the investigational vaccine(0.5 ml) on Day 0, Day 30 and Day 60 respectively; Intervention: Three-dose regimen of commercialized sIPV
Control Group -commercialized IPVThree-dose regimen of commercialized IPVThree intramuscular injections of the investigational vaccine(0.5 ml) on Day 0, Day 30 and Day 60 respectively; Intervention: Three-dose regimen of commercialized IPV
Primary Outcome Measures
NameTimeMethod
The seroconversion rates (SCRs) of each group after three-dose regimen28~42 days

Subjects whose pre-immune antibody level \< 1:8 and post-immune antibody level ≥ 1:8, or those whose pre-immune antibody level ≥ 1:8 and the increase of post-immune antibody level ≥ 4 folds are considered seroconverted.

The post-immune geometric mean titer (GMT) of each group after three-dose regimen28~42 days

GMT of each group 28\~42 days after three-dose regimen.

The geometric mean fold increase (GMI) of each group after three-dose regimen28~42 days

The GMI is the increase of post-immune GMT from pre-immune GMT.

Secondary Outcome Measures
NameTimeMethod
The incidences of solicited adverse events (AEs) of each group7 days

Solicited AEs occurred within 7 days after each injection will be collected.

The incidences of unsolicited adverse events (AEs) of each group30 days

Unsolicited AEs occurred within 30 days after each injection will be collected.

The incidences of serious adverse events (SAEs) of each group30 days

SAEs occurred within 30 days after each injection will be collected.

Trial Locations

Locations (1)

Jiangsu Provincial Center for Diseases Control and Prevention

🇨🇳

Nanjing, Jiangsu, China

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