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Pneumococcal Conjugate Vaccine With Pneumococcal Polysaccharide Vaccine and Tetanus/Diphtheria Vaccine

Phase 1
Completed
Conditions
Pneumococcal Infections
Registration Number
NCT00164411
Lead Sponsor
Centers for Disease Control and Prevention
Brief Summary

The purpose of this study is to learn whether or not giving a tetanus/diphtheria vaccination ("tetanus shot") before giving pneumococcal vaccine makes the pneumococcal vaccine more effective without causing too many side effects.

Detailed Description

The only vaccine licensed in the United States for protecting adults against pneumococcal disease (PPV23) protects against invasive disease in observational studies but has generally been poorly effective against pneumonia or all-cause mortality in randomized clinical trials. Another vaccine containing seven polysaccharide antigens conjugated to diphtheria toxoid (PCV7) is licensed for children and under investigation in adults.

In this pilot study, we are comparing the safety and immunogenicity of three immunization schedules in adults:

* Td vaccine, 2-week interval, PCV7, 4-month interval, PPV23

* PCV7, 4-month interval, PPV23

* PPV23

We aim to:

* compare the safety profiles of pneumococcal vaccines given on each of the three schedules

* compare serotype-specific ELISA antibody response to pneumococcal antigens given on each of the three schedules

* compare functional serotype-specific antibody responses to pneumococcal antigens given on each of the three schedules

* study the influence of diphtheria antibody levels at the time of pneumococcal conjugate vaccine administration on the magnitude of the immune response to pneumococcal antigens

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria

Not provided

Exclusion Criteria
  • Participation in any other investigational clinical trials except purely observational studies within 4 weeks prior to study start
  • Any vaccination within 2 weeks prior to first study vaccine
  • Evidence of systemic or local infection within one week prior to first study vaccine
  • HIV infection
  • Renal failure
  • Receipt of a pneumococcal or Td vaccine within 5 years
  • Current receipt of therapy for neoplastic disease
  • Current receipt of immunosuppressive therapy
  • Terminal illness withlife expectancy less than 3 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Primary Outcome Measures
NameTimeMethod
ELISA for S. pneumoniae antibody 2 months after receiving PPV23
Functional S. pneumoniae antibody 2 months after receiving PPV23
Secondary Outcome Measures
NameTimeMethod
Incidence of adverse events following vaccination from entry to 2 months after receiving last vaccination

Trial Locations

Locations (1)

Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

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