NL-OMON56258招募中3 期
Randomized, Double-blind, Placebo-controlled, Multicenter Phase 3 Study to Assess the Efficacy, Safety And Immunogenicity of Vaccination With ExPEC9V in the Prevention of Invasive Extraintestinal Pathogenic Escherichia coli Disease in Adults Aged 60 Years And Older with a History of Urinary Tract Infection in the Past 2 Years - E.mbrace (ICON #2786/0197)
适应症
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 入组人数
- 1,600
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99(—)
入选标准
- •-Participant must be >=60 years of age on the day of signing the ICF and is
- •expected to be available for the duration of the study, with no current
- •intention of moving away from a study site area or travelling for periods
- •longer than 30 consecutive days during the course of the study. -Participant
- •must have a history of UTI in the past 2 years for which evidence of diagnosis
- •was verified by the investigator. In case of a recent history of UTI or ABP
- •(acute bacterial prostatitis), the condition must have resolved >14 days prior
- •to randomization. -Participant must be medically stable at the time of
- •vaccination such that, according to the judgment of the investigator,
- •hospitalization within the study period is not anticipated and the participant
- •appears likely to be able to remain on study through the end of
- •protocol-specified follow-up. A stable medical condition is defined as disease
- •not requiring significant change in therapy during the 6 weeks before
- •enrollment and when hospitalization for worsening of the disease is not
- •anticipated. Participants will be included on the basis of physical
- •examination, medical history, and vital signs performed between ICF signature
- •and vaccination. -Before randomization, participants who were born female must
- •be either (as defined in Section 10.5, Appendix 5, Contraceptive Guidance and
- •Collection of Pregnancy Information): a. postmenopausal or permanently sterile,
- •and b. not intending to conceive by any methods. -Participant must be willing
- •to provide verifiable identification, has means to be contacted and to contact
- •the investigator during the study. -Participant and his/her designated
- •caregiver (if applicable) must be able to read, understand, and complete
- •questionnaires in the electronic clinical outcome assessment system (eCOA, ie,
- •the electronic patient-reported outcomes [ePROs] and the eDiary). If the
- •participant and caregiver are unable/unwilling to work with the eCOA system to
- •complete the ePROs, participant or caregiver must agree to be available to be
- •contacted by the site to complete all eCOA activities (ePROs) via site-assisted
- •interview at the timepoints specified in the protocol. Participants in the
- •Safety Subset must be willing and able to work with the eCOA system to complete
- •the eDiary.
- •-Participant must have at least one additional risk factor for invasive
- •extraintestinal pathogenic Escherichia coli disease (IED), beyond a history of
- •urinary tract infection (UTI) in the past 2 years. Additional risk factors for
- •IED are defined as one or more of the following:
- •a. a history of urosepsis and/or E. coli bacteremia at any time prior to
- •randomization, and/or
- •b. a history of inpatient hospitalization (for a medical/surgical cause) in the
- •two years prior to randomization, and/or
- •c. presence at baseline of at least one risk factor for complicated UTI of any
- •toxicity grade.
排除标准
- •-Participant has a serious chronic disorder or significant cognitive impairment
- •for which, in the opinion of the investigator, participation would not be in
- •the best interest of the participant (eg, compromise well-being) or that could
- •prevent, limit, or confound the protocolspecified assessments. - Participant
- •has end-stage renal disease for which dialysis is required.
- •- Participant has a history of malignancy within 5 years before screening that
- •does not include the following categories: (a) Participants with curatively
- •treated squamous and basal cell carcinomas of the skin and carcinoma in situ of
- •the cervix may be enrolled at the discretion of the investigator; (b)
- •Participants with a diagnosis of localized prostate cancer may be enrolled at
- •the discretion of the investigator if they completed treatment, or, if they
- •remain under observation or active surveillance; Participants who underwent
- •radical prostatectomy or radiotherapy may be enrolled at the discretion of the
- •investigator if treatment has been completed 6 months prior to the planned
- •administration of the study vaccine (c) Participants with a history of other
- •malignancy within 5 years, which is considered adequately treated with minimal
- •risk of recurrence per the investigator's judgment, may be enrolled. -
- •Participant has a known history of severe allergic reaction, anaphylaxis or
- •other serious adverse reactions to vaccines or vaccine excipients (including
- •specifically the excipients of the study vaccine; refer to IB).
- •- Abnormal function of the immune system resulting from: a. Clinical conditions
- •or their treatments expected to have an impact on the immune response elicited
- •by the study vaccine. b. Chronic or recurrent use of systemic corticosteroids
- •within 3 months before administration of study vaccine and during the study. A
- •substantially immunosuppressive steroid dose is considered to be >=2 weeks of
- •daily receipt of 20 mg or more of prednisone or equivalent. c. Administration
- •of antineoplastic and immunomodulating agents or radiotherapy expected to have
- •an impact on the immune response elicited by the study vaccine within 6 months
- •before administration of study vaccine and during the study. - Participant has
- •a history of acute polyneuropathy (eg, Guillain-Barre* syndrome) or chronic
- •inflammatory demyelinating polyneuropathy - Participant has received any E.
- •coli or ExPEC vaccine. - Participant has received a hematopoietic stem cell
- •transplant based on medical history, treatment with immunoglobulins within 2
- •months, apheresis therapies within 4 months, or blood products within 3 months
- •prior to the planned administration of the study vaccine or has any plans to
- •receive such treatment during the study. - Participant has received or plans to
- •receive: (a) licensed live attenuated vaccines - within 28 days before or after
- •planned administration of the study vaccination; (b) other licensed (not live)
- •vaccines - within 14 days before or after planned administration of the study
- •vaccination; (c) vaccination with a vaccine authorized for Emergency Use
- •Authorization, conditional Marketing Authorisation or a similar program is
- •permitted when given at least 28 days before or after planned administration of
- •the study vaccination. - Participant has had major surgery (per the
- •investigator's judgment) wit
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