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Clinical Trials/NCT01839175
NCT01839175CompletedPhase 3

A Phase III Open-label Randomised Study to Evaluate the Immunogenicity and Safety of the Concomitant Administration of a New Hexavalent DTaP-IPV-HepB-PRP-T Combined Vaccine (Hexavalent Vaccine) Given at 2, 3, and 4 Months of Age With a Meningococcal Serogroup C Conjugate (MenC) Vaccine Given at 2 and 4 Months of Age

Sanofi Pasteur, a Sanofi Company11 sites in 1 country350 target enrollmentStarted: April 1, 2013Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Phase 3
Status
Completed
Enrollment
350
Locations
11
Primary Endpoint
Proportion of subjects with an anti-MenC titre ≥1:8 dil

Study Overview

Brief Summary

Primary Series Primary objectives

  • To demonstrate that the concomitant administration of the hexavalent vaccine with a meningococcal serogroup C conjugate vaccine is non inferior to the administration of the hexavalent vaccine without a MenC vaccine concomitantly in term of seroprotection rate for hepatitis B one month after the third dose of the hexavalent vaccine
  • To demonstrate that the concomitant administration of a MenC vaccine with the hexavalent vaccine induces an acceptable response for MenC in term of seroprotection rate (SPR) one month after the second dose of MenC

Booster Primary objectives

- To describe the immunogenicity of a booster dose of the hexavalent vaccine and of a meningococcal group ACWY conjugate (MenACWY) vaccine either co-administered at 12 months of age or given separately.

Detailed Description

Primary Series Secondary objectives

  • To describe the antibody response to all the hexavalent vaccine antigens one month after the third dose of the hexavalent vaccine when given concomitantly or not to MenC
  • To describe the antibody response to MenC vaccine when a MenC vaccine is given concomitantly with the hexavalent vaccine, one month after the first and the second dose of MenC vaccine
  • To describe the safety profile of the hexavalent vaccine after each and any injection when given concomitantly or not with a MenC vaccine

Booster Secondary objectives

  • To describe the antibody (Ab) persistence at 12 months of age for the hexavalent valences following a 3-dose primary vaccination at 2, 3 and 4 months of age (prior to administration of a booster dose)
  • To describe the safety of a booster dose of the hexavalent vaccine and of a meningococcal group ACWY conjugate (MenACWY) vaccine either co-administered at 12 months of age or given separately.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Prevention
Masking
None

Eligibility Criteria

Ages
46 Days to 76 Days (Child)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Healthy infant 46 to 74 days of age (both inclusive)
  • •Born at full term of pregnancy (≥37 weeks) and/or with a birth weight≥2.5 kg
  • •Subject's parent(s) or legal representative able to comply with the study procedures

Exclusion Criteria

  • •Participation in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • •Receipt of any vaccine in the 4 weeks preceding each study vaccination
  • •Previous vaccination against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis, Haemophilus influenzae type b, meningococcal, pneumococcal, rotavirus infection
  • •Know or suspected congenital, hereditary or acquired immunodeficiency
  • •History of seizures or encephalopathy
  • •Known thrombocytopenia
  • •Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular injection
  • •Chronic illness that could interfere with trial conduct or completion
  • •Known or suspected hypersensitivity to any of the study vaccines' active substance or excipients or history of a life-threatening reaction to a vaccine(s) containing the same substances as the study vaccines
  • •Contraindication to any of the study vaccines
  • •Known personal or maternal history of hepatitis B or hepatitis C seropositivity
  • •History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, Haemophilus influenzae type b or meningococcal serogroup C infection
  • •Receipt of immune globulin, blood or blood-derived products, immunosuppressive drugs, systemic corticosteroid since birth
  • •Identified as a natural or adopted child of the investigator or employee with direct involvement in the current study.

Arms & Interventions

Group 2

Active Comparator

Intervention: Hexavalent vaccine (Biological)

Group 1

Experimental

Intervention: Hexavalent vaccine (Biological)

Group 1

Experimental

Intervention: RotaTeq (Biological)

Group 1

Experimental

Intervention: M-M-RVAXPRO (Biological)

Group 1

Experimental

Intervention: Nimenrix (Biological)

Group 1

Experimental

Intervention: Prevenar 13 (Biological)

Group 1

Experimental

Intervention: NeisVac-C (Biological)

Group 2

Active Comparator

Intervention: M-M-RVAXPRO (Biological)

Group 2

Active Comparator

Intervention: Nimenrix (Biological)

Group 2

Active Comparator

Intervention: RotaTeq (Biological)

Group 2

Active Comparator

Intervention: Prevenar 13 (Biological)

Outcomes

Primary Outcomes

Proportion of subjects with an anti-MenC titre ≥1:8 dil

Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)

Proportion of subjects with an anti-hepatitis B concentration ≥10 IU/mL

Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)

Secondary Outcomes

  • Proportion of subjects with an anti-diphtheria concentration ≥0.01 IU/mL(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster))
  • Proportion of subjects with an anti-MenC titre ≥1:8 dil(Month 3 (One month after dose 1 of MenC vaccine))
  • Proportion of subjects with an anti-polyribosylribitol phosphate concentration ≥1 µg/mL(Month 12 (Pre-booster) and Month 13 (One month post-booster))
  • Proportion of subjects with an anti-tetanus concentration ≥0.01 IU/mL(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster))
  • Proportion of subjects with an anti-polyribosylribitol phosphate concentration ≥0.15 µg/mL(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster))
  • Proportion of subjects with an anti-inactivated poliovirus 1, 2, 3 titre ≥1:8 dil(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster))
  • Proportion of subjects with pertussis vaccine response(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine))
  • Solicited injection-site and systemic reactions(Day 1 to Day 7 following vaccination)
  • Unsolicited adverse events(Day 1 to Day 30 following vaccination)
  • Serious adverse events(From signature of the informed consent to the last visit of the subject, an expected average of 11 months)
  • Proportion of subjects with an anti-diphtheria concentration ≥0.1 IU/mL(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster))
  • Proportion of subjects with an anti-tetanus concentration ≥0.1 IU/mL(Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster))
  • Proportion of subjects with pertussis booster response(Month 13 (One month post-booster))
  • Proportion of subjects with an anti-MenA, anti-MenC, anti-MenW-135, anti-MenY titre ≥1:8 dil(Month 13 (One month after MenAWCY vaccine))
  • Proportion of subjects with an anti-hepatitis B concentration ≥10 IU/mL(Month 12 (Pre-booster) and Month 13 (One month post-booster))

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (11)

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