Boosterability of Live Attenuated Japanese Encephalitis (JE) Vaccine in Children Who Have Previously Received Inactivated JE Vaccine
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Purpose
Japanese encephalitis virus is the leading cause of viral neurological disease and disability in Asia. The severity of sequelae, together with the volume of cases, make JE the most important cause of viral encephalitis in the world. Approximately 3 billion people—including 700 million children—live in areas at risk in Asia for JE. JE most commonly infects children between the ages of 1 and 15 years, and can also infect adults in areas where the virus is newly introduced. More than 50,000 cases are reported annually and cause an estimated 10,000 to 15,000 deaths. This figure is believed to represent only a small proportion of the disease burden that actually exists.
An inactivated JE vaccine is currently being used in Sri Lanka. It is given to children in 3 doses, at 12 months of age, 13 months of age, and 2 years of age. A booster dose must also be given to children at 5 years of age. If Sri Lanka decides to replace the inactivated JE vaccine with the live attenuated JE vaccine, there will be many children who still need a 3rd or booster dose of the inactivated JE vaccine. This research study is being done to see if the live attenuated vaccine will work well to replace the inactivated JE vaccine and if it is safe in Sri Lankan children.
| Condition | Intervention | Phase |
|---|---|---|
|
Japanese Encephalitis |
Biological: Japanese encephalitis live attenuated SA 14-14-2 vaccine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Assessment of the Immunogenicity and Safety of Japanese Encephalitis Live Attenuated SA 14-14-2 Vaccine in Children in Sri Lanka |
- The proportion of subjects with demonstrated seropositivity for JE at 28 days postimmunization with live attenuated JE vaccine
- Geometric mean titer (GMT) of serum antibody to JE among subjects at 28 days postimmunization with live attenuated JE vaccine
- proportion of subjects with immediate reactions (within 30 minutes after injection, with emphasis on allergic reactions)
- proportion of subjects with local and systemic reactions (including unsolicited events) measured during the first 7 days following vaccination
- proportion of subjects with adverse events (AEs) (related or unrelated to vaccination) occurring from Day 8 to Day 28
- serious adverse events (SAEs) (related or unrelated to vaccination) occurring from Day 0 to Day 365
- the proportion of subjects with demonstrated seropositivity for JE at 365 days postimmunization with live attenuated JE vaccine
- geometric mean titer (GMT) of serum antibody to JE among subjects at 365 days postimmunization with live attenuated JE vaccine
| Estimated Enrollment: | 306 |
| Study Start Date: | July 2007 |
| Study Completion Date: | April 2009 |
| Primary Completion Date: | October 2008 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 2 Years to 5 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy child 2 years (±3 months) or 5 years (±3 months) of age at the enrollment visit.
- Subject was a full-term infant.
- Subject's parent or legal guardian is literate and willing to provide written informed consent.
- Subject is up-to-date for all vaccinations recommended in the Sri Lankan childhood immunization schedule.
Exclusion Criteria:
- Enrolled in another clinical trial involving any therapy.
- Subject and/or parent(s) or guardian(s) are unable to attend the scheduled visits or comply with the study procedures.
- Received any non-study vaccine within 2 weeks prior to enrolment or refusal to postpone receipt of such vaccines until 28 days after study entry.
- Prior or anticipated receipt of immune globulin or other blood products, or injected or oral corticosteroids or other immune modulator therapy except routine vaccines within 6 weeks of administration of study vaccine. Individuals on a tapering dose schedule of oral steroids lasting <7 days may be included in the trial as long as they have not received more than one course within the last 2 weeks prior to enrolment.
- History of documented or suspected encephalitis, encephalopathy, or meningitis.
- History of measles.
- History of Japanese encephalitis.
- Serious adverse event related (i.e., possible, probably, definite) to previous receipt of any JE vaccine, if applicable.
- Persistent inconsolable crying (>3 hours) observed after previous receipt of any JE vaccine, if applicable.
- Hypotonic - hyporesponsiveness after past receipt of any JE vaccine, if applicable.
- Suspected or known hypersensitivity to any of the investigational or marketed vaccine components.
- History of serious chronic disease (cardiac, renal, neurologic, metabolic, or rheumatologic).
- Underlying medical condition such as inborn errors of metabolism, failure to thrive, bronchopulmonary dysplasia, or any major congenital abnormalities requiring surgery or chronic treatment.
- History of thrombocytopenic purpura.
- History of seizures, including history of febrile seizures, or any other neurologic disorder.
- Known or suspected immunologic function impairment of any kind and/or known HIV infection.
- Parent with known or suspected immunologic function impairment of any kind and/or known HIV infection.
- Any condition that, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the study objectives.
Contacts and Locations| Sri Lanka | |
| Homagama MOH Division Medical Office | |
| Homagama, District of Colombo, Sri Lanka | |
| Kolonnawa MOH Division Medical Office | |
| Kolonnawa, District of Colombo, Sri Lanka | |
| Moratuwa MOH Division Medical Office | |
| Moratuwa, District of Colombo, Sri Lanka | |
| Principal Investigator: | Nihal Abeysinghe, MD, MSc | Epidemiological Unit, Sri Lanka Ministry of Healthcare and Nutrition |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00463476 History of Changes |
| Other Study ID Numbers: | JEV04, HS382, EC/06/111 |
| Study First Received: | April 18, 2007 |
| Last Updated: | May 4, 2009 |
| Health Authority: | Sri Lanka: University of Colombo Faculty of Medicine Ethics Review Committee Sri Lanka: Ministry of Healthcare & Nutrition |
Additional relevant MeSH terms:
|
Encephalitis Encephalitis, Japanese Central Nervous System Viral Diseases Virus Diseases Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Central Nervous System Infections Encephalitis, Arbovirus Arbovirus Infections Encephalitis, Viral RNA Virus Infections Flavivirus Infections Flaviviridae Infections |
ClinicalTrials.gov processed this record on May 21, 2013