MedPath

Trial of Simplified Pneumococcal Vaccination in Vietnam II

Phase 2
Completed
Conditions
Pneumococcal Vaccine
Interventions
Registration Number
NCT03098628
Lead Sponsor
Murdoch Childrens Research Institute
Brief Summary

This is a single-blind, open-label, randomised controlled trial with five groups. There are four different Pneumococcal Conjugate Vaccine (PCV) schedules to be evaluated.

Detailed Description

This is a single-blind, open-label, randomised controlled trial with five groups. There are four different PCV schedules to be evaluated: a 0+1 schedule of PCV10 at 12 months of age (Group V), a 0+1 schedule of PCV13 at 12 months of age (Group W), a 1+1 schedule of PCV10 at 2 and 12 months of age (Group X), and a 1+1 schedule of PCV13 at 2 and 12 months of age (Group Y); along with a control group that receives a dose of PCV10 at 24 months of age (Group Z). Additionally, all participants will receive four doses of Infanrix-hexa at 2, 3, 4 and 18 months of age.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2501
Inclusion Criteria
  • Aged between 2 months and 2 months plus 2 weeks;
  • No significant maternal or perinatal history;
  • Born at or after 36 weeks gestation;
  • Written and signed informed consent from parent/legal guardian;
  • Lives within approximately 30 minutes of the commune health centre;
  • Family anticipates living in the study area for the next 22 months
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Exclusion Criteria
  • Known allergy to any component of the vaccine;
  • Allergic reaction or anaphylactic reaction to any previous vaccine;
  • Known immunodeficiency disorder;
  • Known HIV-infected mother;
  • Known thrombocytopenia or coagulation disorder;
  • Administration or planned administration of any immunoglobulin or blood product since birth;
  • Severe birth defect requiring ongoing medical care;
  • Chronic or progressive disease;
  • Seizure disorder;
  • History of severe illness;
  • Receipt of any 2 month vaccines through the Expanded Programme of Immunization (EPI) program;
  • Family plans on giving the infant Quinvaxem (DTP-Hib-HBV).

Additionally, enrolment will be deferred and infants asked to return to the health centre one week later for reassessment if they have at least one of the following deferral criteria:

  • Axillary temperature ≥37.5°C or ≤35.5°C;
  • Acute infection, especially bacterial;
  • Oral administration of corticoid therapy in past 14 days; or
  • Any of the following symptoms that interfere with normal activities: crying more than usual, sleeping more than usual, or loss of appetite.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
W - PCV13 vaccine, 0+1PCV VaccinePCV13 in 0+1 schedule. PCV vaccine at 12 months of age
Y - PCV13 vaccine, 1+1PCV VaccinePCV13, 1+1 schedule. PCV vaccine at 2 and 12 months of age
V - PCV10 vaccine, 0+1PCV VaccinePCV10, 0+1 schedule. PCV vaccine at 12 months of age
X - PCV10 vaccine, 1+1PCV VaccinePCV10, 1+1 schedule. PCV vaccine given at 2 and 12 months of age
Z - ControlPCV VaccineControl group. PCV vaccine given at end of study (24 months)
Primary Outcome Measures
NameTimeMethod
Carriage of Vaccine Type pneumococci12 months post last vaccination, i.e. 24 months of age

Evaluate the effect of a 1+1 PCV schedule administered at 2 and 12 months of age on NP carriage during the first two years of life, comparing a) PCV10-vaccinated and b) PCV13-vaccinated participants with unvaccinated controls.

Secondary Outcome Measures
NameTimeMethod
Immunology sub-study12 months post last vaccination, i.e. 24 months of age

ii) To evaluate the immune responses to a 1+1 PCV schedule at 2 and 12 months of age, comparing a) PCV10-vaccinated and b) PCV13-vaccinated participants with unvaccinated controls;

Trial Locations

Locations (1)

Pasteur Institute

🇻🇳

Ho Chi Minh City, Vietnam

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