PCV10 Reactogenicity and Immunogenicity Study - Malindi (PRISM)
Recruitment status was Active, not recruiting
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Purpose
The World Health Organization has recommended that developing countries should incorporate pneumococcal conjugate vaccine (PCV) into their routine immunization schedules. The Kenya Ministry of Health anticipates introducing a new formulation of PCV, PCV10, into the routine childhood immunization schedule in 2010. In the areas of Kenya that have been designated to monitor the impact of vaccine, a catch-up campaign will be implemented to vaccinate children aged 12-59 months. PCV10 has been found to be safe and effective in infants. It is licensed for use in children up to 2 years of age, but its use as a primary series in children over age 12 months has not been evaluated. This study will assess the immunogenicity and reactogenicity of PCV10 first administered at an age of 12-59 months.
| Condition | Intervention | Phase |
|---|---|---|
|
Pneumococcal Pneumonia |
Biological: PCV10 and DTaP Biological: hepatitis A vaccine, DTaP, PCV10 |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Prevention |
| Official Title: | Immunogenicity and Reactogenicity of 10-valent Pneumococcal Conjugate Vaccine (PCV10) in Children Aged 12-59 Months |
- Serotype-specific anti-pneumococcal antibody responses to vaccination [ Time Frame: Day 0, 30, 90, 210 ] [ Designated as safety issue: No ]
- Serotype-specific NP carriage of pneumococci [ Time Frame: Day 0, 30, 60, 90, 180 ] [ Designated as safety issue: No ]
- Vaccine reactogenicity [ Time Frame: Day 0, 3 ] [ Designated as safety issue: Yes ]
- Immunological memory responses [ Time Frame: Day 0, 30, 90, 210 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 600 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | March 2011 |
| Estimated Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group A
Group A of children will receive 2 doses of PCV10 vaccine, one at the time of enrolment and one 2 months later, followed by a dose of DTaP vaccine 4 months later
|
Biological: PCV10 and DTaP
A nurse will administer a 0.5mL intramuscular dose of PCV10 on day 0 and day 60 and a 0.5 mL intramuscular dose of DTaP on day 180.
Other Name: Synflorix
|
|
Experimental: Group B
Group B of children will receive PCV10 vaccine, followed by a dose of DTaP vaccine after 2 months, and another dose of PCV10 4 months later.
|
Biological: PCV10 and DTaP
A nurse will administer a 0.5mL intramuscular dose of PCV10 on day 0 and day 180 and a 0.5 mL dose of DTaP on day 60.
Other Name: Synflorix
|
|
Active Comparator: Group C
Group C of children will receive a dose of hepatitis A vaccine, followed by a dose of DTaP vaccine after 2 months, and another dose of hepatitis A 4 months later, along with a dose of PCV10.
|
Biological: hepatitis A vaccine, DTaP, PCV10
A nurse will administer a 0.5mL intramuscular dose of hepatitis A vaccine on day 0 and day 180; a 0.5 mL intramuscular dose of DTaP on day 60; and a 0.5 mL dose of PCV10 on day 180.
Other Name: Synflorix
|
Eligibility| Ages Eligible for Study: | 12 Months to 59 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age 12-59 months
- Written informed consent
Exclusion Criteria:
- Current febrile illness (temperature >38.5°C)
- Previous receipt of any pneumococcal vaccine
- Previous receipt of a DTP-containing vaccine after the 1st year of life
- Previous receipt of hepatitis A vaccine
- Severe malnutrition (mid upper arm circumference <11.5 cm) or other serious medical condition (e.g., malignancy, AIDS, tuberculosis)
- Seizures within the previous 6 months or progressive neurological illness
- Known allergies to vaccines or vaccine components
- Resident in the Kilifi Demographic Surveillance area
- Intention to leave the study area in the next 6 months
Contacts and Locations| Kenya | |
| Malindi District Hospital | |
| Malindi, Coast, Kenya | |
| Principal Investigator: | Laura Hammitt, MD | Oxford University, KEMRI-Wellcome Trust |
More Information
No publications provided
| Responsible Party: | Dr. Laura Hammitt, University of Oxford, KEMRI-Wellcome Trust Research Programme |
| ClinicalTrials.gov Identifier: | NCT01028326 History of Changes |
| Other Study ID Numbers: | SSC 1635 |
| Study First Received: | December 7, 2009 |
| Last Updated: | August 23, 2010 |
| Health Authority: | Kenya: Ethical Review Committee Kenya: Pharmacy and Poisons Board United Kingdom: Oxford Tropical Research Ethics Committee |
Keywords provided by KEMRI-Wellcome Trust Collaborative Research Program:
|
Pneumococcal pneumonia vaccine |
Additional relevant MeSH terms:
|
Pneumonia Pneumonia, Pneumococcal Lung Diseases Respiratory Tract Diseases Respiratory Tract Infections |
Pneumococcal Infections Streptococcal Infections Gram-Positive Bacterial Infections Bacterial Infections Pneumonia, Bacterial |
ClinicalTrials.gov processed this record on May 23, 2013