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临床试验/NCT02785705
NCT02785705已完成3 期

Immunogenicity and Safety Evaluation of Bivalent Types 1 and 3 Oral Poliovirus Vaccine by Comparing Different Poliomyelitis Vaccination Schedules in Chinese Infant: a Randomized Controlled Non-Inferiority Clinical Trial

Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control0 个研究点目标入组 600 人开始时间: 2015年4月1日最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
600
主要终点
Proportion of infants with seroconversion

研究概览

简要总结

Type 2 component of oral poliovirus vaccine is slated for global withdrawal through a switch from trivalent oral poliovirus vaccine (tOPV) to bivalent oral poliovirus vaccine (bOPV) for preventing paralytic polio caused by circulating vaccine-derived poliovirus type 2. We aimed to assess immunogenicity and safety profile of six vaccination schedules with different sequential doses of inactivated poliovirus vaccine (IPV), tOPV, or bOPV.

详细描述

A randomized controlled trial was conducted in China in 2015. After informed consent was obtained from a parent or legally acceptable representative, healthy newborn babies were randomly allocated to one of six groups: cIPV-bOPV-bOPV, cIPV-tOPV-tOPV, cIPV-cIPV-bOPV, cIPV-cIPV-tOPV, cIPV-cIPV-cIPV, and tOPV-tOPV-tOPV. The key eligibility criteria were: full-term birth (37-42 weeks of gestation), birthweight ≥2·5 kg, no obvious medical disorders and no polio vaccination. Infants received following three doses sequentially with 4- 6 weeks interval after collecting blood sample: cIPV-bOPV-bOPV, cIPV-tOPV-tOPV, cIPV-cIPV-bOPV, cIPV-cIPV-tOPV, cIPV-cIPV-cIPV, and tOPV-tOPV-tOPV; and will be proactively followed up for observing adverse events after the first dose and 30 days after all doses. Antibodies of type 1, 2, and 3 poliovirus were tested 30 days after the third dose. The primary study objective was to investigate immunogenicity and safety profile of different vaccine schedules, evaluated by seroconversion, seroprotection and antibody titre against poliovirus types 1, 2, and 3 in the per-protocol population.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
60 Days 至 90 Days(Child)
性别
All
接受健康志愿者
是

入选标准

  • •Eligible participants were healthy full-term (37-42 weeks) infants aged 60-90 days who weighed more than 2·5 kg at birth with no obvious medical disorders, no polio vaccination, no immunoglobulin vaccinated, no other attenuated vaccine immured in the past 14 days and no other inactivated vaccine immured.

排除标准

  • •Participants were excluded if meet one or more of following criteria: were or were at risk of immunodeficiency, severe allergic reaction, acute fever and infectious diseases, severe chronic diseases, family history of allergies, convulsions, seizures, encephalopathy and psychiatric diseases, oral steroids at least 14 consecutive days in the past month, axillary temperature equal or greater than 38·0°C in the past three days, diarrhea (defection frequency equal or greater than three times per day) in the past seven days, and participated in other drug clinical trials.

研究组 & 干预措施

tOPV-tOPV-tOPV poliovirus vaccine

Experimental

Participants would be vaccine with three times of trivalent types 1, 2 and 3 oral poliovirus vaccine .

干预措施: poliovirus vaccine (Biological)

cIPV-cIPV-cIPV poliovirus vaccine

Experimental

Participants would be vaccine with three shots of trivalent conventional inactivated poliovirus vaccine.

干预措施: poliovirus vaccine (Biological)

cIPV-cIPV-tOPV poliovirus vaccine

Experimental

Participants would be vaccine with two shots of trivalent conventional inactivated poliovirus vaccine, and one trivalent types 1, 2 and 3 oral poliovirus vaccine sequentially.

干预措施: poliovirus vaccine (Biological)

cIPV-cIPV-bOPV poliovirus vaccine

Experimental

Participants would be vaccine with two shots of trivalent conventional inactivated poliovirus vaccine, and one bivalent types 1 and 3 oral poliovirus vaccine sequentially.

干预措施: poliovirus vaccine (Biological)

cIPV-tOPV-tOPV poliovirus vaccine

Experimental

Participants would be vaccine with trivalent conventional inactivated poliovirus vaccine, and two trivalent types 1, 2 and 3 oral poliovirus vaccine sequentially.

干预措施: poliovirus vaccine (Biological)

cIPV-bOPV-bOPV poliovirus vaccine

Experimental

Participants would be vaccine with trivalent conventional inactivated poliovirus vaccine, and two bivalent types 1 and 3 oral poliovirus vaccine sequentially.

干预措施: poliovirus vaccine (Biological)

结局指标

主要结局

Proportion of infants with seroconversion

时间窗: 30 days after vaccination

Primary immunogenicity outcome was the proportion of infants with seroconversion, which was defined as the 30 days post-vaccination titer equal or greater than eight for susceptible infants and the post-vaccination titer is four times higher than pre-vaccination titer for unsusceptible infants. Here, susceptible infants are the ones whose pre-vaccination titer less than eight. Otherwise, the subjects are categories as unsusceptible ones.

次要结局

  • Overall seroprotection rate(30 days after vaccination)
  • Geometric mean of antibody titres (GMT)(30 days after vaccination)
  • Increase of geometric mean of antibody titres (GMI)(30 days after vaccination)
  • Proportion of infants with serious adverse events(Six months after vaccination)
  • Solicited adverse events(30 days after vaccination)

研究者

发起方
Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control
申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

Zhaojun Mo

Director

Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control

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