Safety and Immunogenicity in Adults of Revaccination With Adacel® Vaccine 10 Years After a Previous Dose
This study is enrolling participants by invitation only.
Sponsor:
Sanofi
Information provided by (Responsible Party):
Sanofi
ClinicalTrials.gov Identifier:
NCT01439165
First received: September 20, 2011
Last updated: January 31, 2013
Last verified: January 2013
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Purpose
The purpose of this study is to describe the safety and immunogenicity of repeat administration of Adacel vaccine approximately 10 years following initial administration of the vaccine. Antibody levels prior to revaccination will also be used to characterize antibody persistence following initial vaccination 10 years earlier.
Primary Objectives:
- To compare seroprotection rates against tetanus and diphtheria induced by Adacel vaccine to those induced by Td Adsorbed vaccine.
- To compare booster response rates against tetanus and diphtheria induced by Adacel vaccine to those induced by Td Adsorbed vaccine.
- To compare anti-pertussis geometric mean antibody concentrations (GMCs) induced by Adacel vaccine to the GMCs induced by Daptacel® vaccine given to infants.
Secondary Objectives:
- To describe the rates of immediate reactions, solicited reactions, unsolicited adverse events (AEs), and serious adverse events (SAEs) following vaccination with Adacel or Td Adsorbed vaccine.
- To describe booster response rates for pertussis antigens following revaccination with Adacel vaccine.
| Condition | Intervention | Phase |
|---|---|---|
|
Tetanus Diphtheria Pertussis Whooping Cough |
Biological: Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed Biological: Tetanus and Diphtheria Toxoids Adsorbed For Adult Use |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Safety and Immunogenicity in Adults of Revaccination With Adacel® Vaccine 10 Years After a Previous Dose |
Resource links provided by NLM:
Further study details as provided by Sanofi:
Primary Outcome Measures:
- Frequencies and proportions of study participants with tetanus and diphtheria antibody concentrations ≥ 0.1 IU/mL [ Time Frame: 28 days post-vaccination ] [ Designated as safety issue: No ]
- Information on the booster response against tetanus and diphtheria based on antibody rises between pre- and post-vaccination specimens. [ Time Frame: 28 days post-vaccination ] [ Designated as safety issue: No ]A booster response is defined as a 4 fold increase in pre- to post-vaccination antibody concentrations for participants with a pre-vaccination concentration ≤ 2.56 IU/mL for diphtheria and ≤ 2.7 IU/mL for tetanus, and defined as a 2-fold increase for participants with a pre-vaccination concentration > 2.56 IU/mL for diphtheria and > 2.7 IU/mL for tetanus.
Secondary Outcome Measures:
- Information concerning the safety in terms of solicited injection site and systemic reactions, unsolicited adverse events, and serious adverse events post vaccination with Adacel® vaccine. [ Time Frame: Day 0 to up to 6 months post-vaccination ] [ Designated as safety issue: No ]Solicited injection site reactions: Pain, Erythema, and Swelling; Solicited Systemic Reactions: Fever (Temperature), Headache, Malaise, and Myalgia.
| Estimated Enrollment: | 1333 |
| Study Start Date: | November 2011 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Adacel® Vaccine Group
Participants randomized to receive a repeat dose of Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed (Adacel®)
|
Biological: Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed
0.5 mL, Intramuscular
Other Name: Adacel®
|
|
Active Comparator: Td Adsorbed Vaccine Group
Participants randomized to receive Subjects randomized to receive a Tetanus and Diphtheria Toxoids Adsorbed For Adult Use (TENIVAC) vaccine.
|
Biological: Tetanus and Diphtheria Toxoids Adsorbed For Adult Use
0.5 mL, Intramuscular
Other Name: TENIVAC
|
Detailed Description:
Healthy adults < 65 years of age who received Adacel vaccine 10 years previously will be randomized to receive either Adacel or TENIVAC (Td Adsorbed) vaccine. They will be assessed for immunogenicity at baseline and post-vaccination. Safety data will be collected for 6 months following vaccination.
Eligibility| Ages Eligible for Study: | 18 Years to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion criteria:
- Subject is ≥ 18 to < 65 years of age at the time of vaccination.
- Received Adacel vaccine no less than 9 and no more than 11 years previously.
- Informed consent form has been signed and dated.
- Subject is able to attend all scheduled visits and to comply with all trial procedures.
Exclusion criteria:
- Subject is pregnant, or lactating, or of child bearing potential without using an effective method of contraception or not practicing abstinence for at least 4 weeks prior to vaccination and until at least 4 weeks after vaccination. Females who are pre-menarche or post-menopausal for at least one year, or surgically sterile will not be excluded.
- Any condition that, in the opinion of the Investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.
- Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with trial conduct or completion.
- Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
- Known or suspected receipt of tetanus toxoid (T), tetanus and diphtheria toxoids (Td), or tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine since receipt of the qualifying dose of Adacel vaccine described in Inclusion Criterion #2.
- A personal history of physician-diagnosed or laboratory-confirmed pertussis disease within the last 10 years.
- A previous severe reaction to pertussis, diphtheria or tetanus vaccine including immediate anaphylaxis, encephalopathy within 7 days or seizure within 3 days of receiving the vaccine.
- Receipt of immune globulins, blood or blood-derived products in the past 3 months.
- Suspected or known hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances.
- Receipt of any vaccine within 30 days before receiving study vaccine, or plans to receive another vaccine before the 2nd visit; except that influenza vaccine may have been received between 30 and 15 days (but no less than 15 days) before receiving study vaccine.
- Participation in another interventional clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 30 days preceding the first study vaccination or during the course of the study, at the discretion of the Sponsor.
- Seropositivity for Human Immunodeficiency Virus (HIV), Hepatitis B, or Hepatitis C, as reported by the subject.
- Laboratory-confirmed thrombocytopenia, which may be a contraindication for IM vaccination, at the discretion of the Investigator.
- Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion, which may be a contraindication for intramuscular (IM) vaccination, at the discretion of the Investigator.
- Personal history of Guillain-Barré syndrome.
- Moderate or severe acute illness/infection (according to Investigator judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of vaccination. A prospective subject should not be enrolled in the study until the condition has resolved or the febrile event has subsided.
- Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study.
- Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
- Current alcohol or drug use that, in the opinion of the Investigator, might interfere with the ability to comply with trial procedures.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01439165
Show 33 Study Locations
Show 33 Study LocationsSponsors and Collaborators
Sanofi
Investigators
| Study Director: | Medical Director | Sanofi Pasteur Inc. |
More Information
Additional Information:
Related Info 
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No publications provided
| Responsible Party: | Sanofi |
| ClinicalTrials.gov Identifier: | NCT01439165 History of Changes |
| Other Study ID Numbers: | Td537, U1111-1117-7012 |
| Study First Received: | September 20, 2011 |
| Last Updated: | January 31, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Sanofi:
|
Adacel vaccine Tetanus Diphtheria whooping cough |
Additional relevant MeSH terms:
|
Cough Diphtheria Whooping Cough Tetanus Tetany Respiration Disorders Respiratory Tract Diseases Signs and Symptoms, Respiratory Signs and Symptoms Corynebacterium Infections Actinomycetales Infections Gram-Positive Bacterial Infections |
Bacterial Infections Bordetella Infections Gram-Negative Bacterial Infections Respiratory Tract Infections Infection Clostridium Infections Neuromuscular Manifestations Neurologic Manifestations Nervous System Diseases Hypocalcemia Calcium Metabolism Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013