Systems Biology of Vaccination for EV71 Vaccine in Humans
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Purpose
Recently, an inactivated vaccine (vero cell) against EV71 has been investigated in Phase 1 and Phase 2 clinical trials. Data from these trials showed that the EV71 vaccine has good safety profile and was immunogenic. 320 U alum-adjuvant vaccine has been chosen as the candidate vaccine for the phase 3 clinical trial.
This clinical trial is a supplementary phase 2 trial, which is designed to study the gene expression patterns induced by EV71 vaccine in Chinese healthy children aged from 2 to 5 years old use a systems biology approach combined with microarray analysis,RT-PCR and neutralizing antibody testing for PBMC and serum collected form the studied children population, to predict immunogenicity, and explore mechanistic insights about the EV71 vaccine.
| Condition | Intervention | Phase |
|---|---|---|
|
Systems Biology Early Gene EV71 Vaccine |
Biological: 320U /0.5ml Biological: 0/0.5ml placebo |
Phase 2 |
| 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: | Systems Biology of Vaccination for EV71 Vaccine in Chinese Healthy Children Aged From 2 to 5 Years Old |
- Genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine [ Time Frame: Frame: 3 days after first dose ] [ Designated as safety issue: No ]Identifying genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine at day 3 in children aged 2-5 years
- Genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine [ Time Frame: 7 days after first dose ] [ Designated as safety issue: No ]Identifying genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine at day 7 in children aged 2-5 years
- Genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine [ Time Frame: 28 days after first dose ] [ Designated as safety issue: No ]Identifying genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine at day 28 in children aged 2-5 years
- Genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine [ Time Frame: 28 days after second dose ] [ Designated as safety issue: No ]Identifying genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine at day 56 in children aged 2-5 years
- Genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine [ Time Frame: 6 months after first dose ] [ Designated as safety issue: No ]Identifying genomic signatures that predicted immune responses in infants vaccinated with EV71 vaccine at month 6 in children aged 2-5 years
- GMT, seroconversion rate of anti-EV71 antibodies in serum after first vaccination [ Time Frame: 28 days after the first vaccination ] [ Designated as safety issue: No ]GMT, seroconversion rate of anti-EV71 antibodies in serum 28 days after first vaccination
- GMT, seroconversion rate of anti-EV71 antibodies in serum after second vaccination [ Time Frame: 28 days after second vaccination ] [ Designated as safety issue: No ]GMT, seroconversion rate of anti-EV71 antibodies in serum 28 days after second vaccination
- the safety of EV71 vaccine in healthy children aged 2-5 years [ Time Frame: 28 days after the first dose ] [ Designated as safety issue: Yes ]Frequency of systemic and local adverse reactions within 28 days after the first dose of EV71 vaccine in healthy children aged 2-5 years
- the safety of EV71 vaccine in healthy children aged 2-5 years [ Time Frame: 28 days after the second dose ] [ Designated as safety issue: Yes ]Frequency of systemic and local adverse reactions within 28 days after the second dose of EV71 vaccine in healthy children aged 2-5 years
| Enrollment: | 72 |
| Study Start Date: | August 2012 |
| Study Completion Date: | May 2013 |
| Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 320U /0.5ml in children (from 2 to 5 years old)
inactivated vaccine(vero cell) against EV71 of 320U /0.5ml in 48 children aged 2-5 years old on day 0,28
|
Biological: 320U /0.5ml
inactivated vaccine(vero cell) against EV71 of 320U /0.5ml, two doses, 4 weeks interval
|
|
Placebo Comparator: 0/0.5ml placebo in children (from 2 to 5 years old)
0/0.5ml placebo in 24 children aged 2-5 years old on day 0, 28
|
Biological: 0/0.5ml placebo
0/0.5ml placebo, two doses, 4 weeks interval
|
Eligibility| Ages Eligible for Study: | 2 Years to 5 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Healthy subjects aged from 2 to 5 years old as established by medical history and clinical examination
- The pre-vaccination neutralizing antibody against EV71 <1:8 which is determined by ELISA
- The subjects' guardians are able to understand and sign the informed consent
- Had never received the vaccine against EV71
- Subjects who can and will comply with the requirements of the protocol
- Subjects with temperature <37.1°C on axillary setting
Exclusion Criteria:
- Subject who has a medical history of HFMD
- <= 37 weeks gestation
- Subjects with a birth weight <2.5 kg
- Subject that has a medical history of any of the following: allergic history, or allergic to any ingredient of vaccine
- Family history of seizures or progressive neurological disease
- Family history of congenital or hereditary immunodeficiency
- Severe malnutrition or dysgenopathy
- Major congenital defects or serious chronic illness, including perinatal brain damage
- Autoimmune disease
- Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws
- Any acute infections in last 7 days
- Any prior administration of immunodepressant or corticosteroids in last 6month
- Any prior administration of blood products in last 3 month
- Any prior administration of other research medicines in last 1month
- Any prior administration of attenuated live vaccine in last 28 days
- Any prior administration of inactivated vaccines in last 14 days, such as pneumococcal vaccine
- Under the anti - TB prevention or therapy
- Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
Contacts and Locations| China, Jiangsu | |
| Jiangsu Provincial Center for Diseases Control and Prevention | |
| Nanjing, Jiangsu, China, 210009 | |
More Information
No publications provided
| Responsible Party: | Jiangsu Province Centers for Disease Control and Prevention |
| ClinicalTrials.gov Identifier: | NCT01679665 History of Changes |
| Other Study ID Numbers: | JSVCT012 |
| Study First Received: | September 1, 2012 |
| Last Updated: | May 7, 2013 |
| Health Authority: | China: Food and Drug Administration |
ClinicalTrials.gov processed this record on May 16, 2013