Safety, Reactogenicity and Immunogenicity of Vi-CRM197 Vaccine Against S. Typhi in Children, Older Infants and Infants

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Novartis Vaccines Institute for Global Health
ClinicalTrials.gov Identifier:
NCT01437267
First received: September 19, 2011
Last updated: September 19, 2012
Last verified: September 2012
  Purpose

This phase 2 trial is aimed to obtain information on the safety and immunogenicity of the Vi-CRM197 in children and infants from various age groups in the Philippines where Typhoid Fever is highly endemic and an efficacious vaccine against this disease is very much needed.


Condition Intervention Phase
Typhoid Fever
Biological: NVGH Vi-CRM197 vaccine
Biological: Pneumococcal conjugate vaccine
Biological: Vi Polysaccharide (PS) vaccine
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: A Phase 2, Randomized, Controlled, Observer Blind, Single Center Study of the Safety, Reactogenicity and Immunogenicity of the NVGH Glycoconjugate Vaccine Against S. Typhi in Children, Older Infants and Infants

Resource links provided by NLM:


Further study details as provided by Novartis Vaccines Institute for Global Health:

Primary Outcome Measures:
  • Percentage of subjects with at least 4-fold increase in anti-Vi enzyme-linked immunosorbent assay (ELISA) titer [ Time Frame: 28 days after vaccination ] [ Designated as safety issue: No ]
    Evaluated in children, older infants and infants groups

  • Percentage of subjects with at least 4-fold increase in anti-Vi enzyme-linked immunosorbent assay (ELISA) titer [ Time Frame: At 6 months after last vaccination ] [ Designated as safety issue: No ]
    Evaluated in children, older infants and infants groups

  • Anti-Vi ELISA Geometric Mean Concentration (GMC) [ Time Frame: At 28 days after vaccination ] [ Designated as safety issue: No ]
    Evaluated in children, older infants and infants groups

  • Anti-Vi ELISA GMC [ Time Frame: At 6 months after last vaccination ] [ Designated as safety issue: No ]
    Evaluated in children, older infants and infants groups


Secondary Outcome Measures:
  • Number of subjects reporting any post immunization reactions [ Time Frame: During the 7-day period after vaccination ] [ Designated as safety issue: Yes ]

    Solicited reactions collected during the 7-day period after vaccination are:

    Local Reactions Children: Pain, Erythema, Induration Infant groups: Tenderness, Erythema, Induration Systemic reactions Children: Lethargy, Irritability, Vomiting, Diarrhea, Loss of Appetite, Rash Infant groups: Lethargy, Irritability, Vomiting, Diarrhea, Loss of Appetite, Rash, Persistent Crying


  • Number of subjects reporting Adverse Events [ Time Frame: During the 28-day period after vaccination ] [ Designated as safety issue: Yes ]
  • Number of subjects reporting Serious Adverse Events (SAEs) [ Time Frame: During the 6-month period after last vaccination ] [ Designated as safety issue: Yes ]

Enrollment: 120
Study Start Date: October 2011
Study Completion Date: August 2012
Primary Completion Date: August 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Group 1
Older Infants (9 to 12 months) receiving 2 doses of Vi-CRM vaccine
Biological: NVGH Vi-CRM197 vaccine
2 doses in older infants and children, 3 doses in infants (0.5 mL dose containing 5.0 mcg Vi-CRM)
Active Comparator: Group 2
Older Infants (9 to 12 months) receiving 2 doses of Pneumococcal conjugate vaccine
Biological: Pneumococcal conjugate vaccine
1 dose in children (2nd dose), 2 doses in older infants and 3 doses in infants
Other Name: Prevenar 13
Experimental: Group 3
Infants (6 weeks of age) receiving 3 doses of Vi-CRM vaccine
Biological: NVGH Vi-CRM197 vaccine
2 doses in older infants and children, 3 doses in infants (0.5 mL dose containing 5.0 mcg Vi-CRM)
Active Comparator: Group 4
Infants (6 weeks of age) receiving 3 doses of Pneumococcal conjugate vaccine
Biological: Pneumococcal conjugate vaccine
1 dose in children (2nd dose), 2 doses in older infants and 3 doses in infants
Other Name: Prevenar 13
Experimental: Group 5
Children (24 to 59 months) receiving 2 doses of Vi-CRM vaccine
Biological: NVGH Vi-CRM197 vaccine
2 doses in older infants and children, 3 doses in infants (0.5 mL dose containing 5.0 mcg Vi-CRM)
Active Comparator: Group 6
Children (24 to 59 months) receiving 1 dose of typhoid polysaccharide vaccine and one dose of Pneumococcal conjugate vaccine
Biological: Pneumococcal conjugate vaccine
1 dose in children (2nd dose), 2 doses in older infants and 3 doses in infants
Other Name: Prevenar 13
Biological: Vi Polysaccharide (PS) vaccine
1 dose in children (1st dose)
Other Name: Typherix

  Eligibility

Ages Eligible for Study:   6 Weeks to 59 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion criteria:

  • Subjects belonging to 3 age groups will be enrolled into the trial: children (24 to 59 months of age at enrollment), older infants (9 to 12 months of age at enrollment) and infants (6 weeks of age at enrolment).
  • Written informed consent will be obtained by the parents/ guardians before enrollment into the trial.
  • Infants who have been vaccinated with BCG and HBV at birth and OPV at any time since birth can be enrolled into the trial, while infants who have received DTwP+HBV+Hib due at 6 weeks of age as per local EPI schedule cannot be enrolled into the trial.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01437267

Locations
Philippines
Research Institute for Tropical Medicine (RITM)
Alabang, Muntinlupa City, Philippines, 1781
Sponsors and Collaborators
Novartis Vaccines Institute for Global Health
Investigators
Principal Investigator: Maria Rosario Z Capeding, MD Research Institute for Tropical Medicine (RITM)
  More Information

No publications provided

Responsible Party: Novartis Vaccines Institute for Global Health
ClinicalTrials.gov Identifier: NCT01437267     History of Changes
Other Study ID Numbers: H01_05TP
Study First Received: September 19, 2011
Last Updated: September 19, 2012
Health Authority: Philippines: Bureau of Food and Drugs

Additional relevant MeSH terms:
Typhoid Fever
Salmonella Infections
Enterobacteriaceae Infections
Gram-Negative Bacterial Infections
Bacterial Infections

ClinicalTrials.gov processed this record on May 21, 2013