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Vaccines, PneumococcalPhase 3NCT00384059

Study to Evaluate a 13-valent Pneumococcal Conjugate Vaccine in Infants

A Phase 3 study testing 13-valent Pneumococcal Conjugate Vaccine, 7vPnC and Pediacel in people with Vaccines, Pneumococcal, run by Wyeth is now a wholly owned subsidiary of Pfizer at 11 sites in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the safety, tolerability and immunogenicity of a 13-valent pneumococcal conjugate (13vPnC) vaccine compared to Prevenar (7vPnC), when given concomitantly with routine paediatric vaccines in the United Kingdom. Read more about this study

Who is it for?
Ages 42 to 98 daysHealthy volunteers can take part
Conditions the study is for
Vaccines, Pneumococcal
What is being tested?
13-valent Pneumococcal Conjugate Vaccine, 7vPnC and Pediacel
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
286 participants
Where
11 sitesUnited Kingdom
Study dates
Oct 2006to Oct 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 42 to 98 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Aged 2 months (42 to 98 days) at the time of enrollment.
  • Available for entire study period and whose parent(s)/legal guardian(s) could be reached by telephone.
  • Healthy infant, as determined by medical history, physical examination, and judgment of the investigator.
  • Parent(s)/legal guardian(s) had to be able to complete all relevant study procedures during study participation.

Who cannot join

  • Previous vaccination with licensed or investigational pneumococcal vaccine.
  • Previous vaccination with Hib conjugate, diphtheria, tetanus, pertussis, polio, or meningococcal vaccines.
  • A previous anaphylactic reaction to any vaccine or vaccine-related component.
  • Contraindication to vaccination with Hib conjugate, diphtheria, tetanus, pertussis, polio, pneumococcal conjugate, or meningococcal conjugate vaccines.
  • Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection.
  • Known or suspected immune deficiency or suppression.
Show all 12Show fewer
  • History of culture-proven invasive disease caused by S pneumoniae, Neisseria meningitidis, or Hib.
  • Major known congenital malformation or serious chronic disorder.
  • Significant neurological disorder or history of seizure, including febrile seizure, or significant stable or evolving disorders, such as cerebral palsy, encephalopathy, hydrocephalus, or other significant disorders. This did not include resolving syndromes due to birth trauma such as Erb palsy.
  • Receipt of blood products or gamma-globulin (including hepatitis B immunoglobulin and monoclonal antibodies; eg, Synagis®).
  • Participation in another investigational trial. Participation in purely observational studies was acceptable.
  • Infant who was a direct descendant (eg, child or grandchild) of the study site personnel.

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

United Kingdom11 sites
  • Study site

    Atherstone, CV9 1EU

  • Study site

    Bangor, BT19 1NB

  • Study site

    Bristol, BS2 8AE

  • Study site

    Co Antrim, BT41 3AE

  • Study site

    Coventry, CV6 4DD

  • Study site

    Ely, CB7 4HF

  • Study site

    London, SW17 ORE

  • Study site

    Oxford, OX3 9DU

  • Study site

    Plymouth, PL5 3JB

  • Study site

    Southampton, SO16 6YD

  • Study site

    Weston-super-Mare, BS22 6AJ

Other trials in United Kingdom

About this study

Official title: A Phase 3, Randomized, Active-Controlled, Double-Blind Trial Evaluating the Safety, Tolerability, and Immunogenicity of a 13-valent Pneumococcal Conjugate Vaccine in Healthy Infants Given With Routine Pediatric Vaccinations in the United Kingdom

The purpose of this study is to assess the safety, tolerability and immunogenicity of a 13-valent pneumococcal conjugate (13vPnC) vaccine compared to Prevenar (7vPnC), when given concomitantly with routine paediatric vaccines in the United Kingdom.

Being tested
13-valent Pneumococcal Conjugate Vaccine, 7vPnC, Pediacel, NeisVac-C, Menitorix

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 13-valent Pneumococcal Conjugate VaccineBiological

    Single 0.5 mL dose given at 2, 3, 4, and 12 months of age

  • 7vPnCBiological

    Single 0.5 mL dose given at 2, 3, 4 and 12 months of age

  • PediacelBiological

    concommitant vaccine, both at arm 1 and at arm 2, at 2 months, 3 months and 4 months of age

  • NeisVac-CBiological

    concomittant vaccine, both at arm 1 and at arm 2, at 2 months and 4 months of age

  • MenitorixBiological

    concomitant vaccine, both at arm 1 and at arm 2, at 12 months of age

Study groups in NCT00384059
Study groupRoleWhat they receive
1Experimental13-valent pneumococcal vaccine
Receives: Biological: 13-valent Pneumococcal Conjugate Vaccine; Biological: Pediacel; Biological: NeisVac-C; Biological: Menitorix
2Active comparator7-valent pneumococcal vaccine
Receives: Biological: 7vPnC; Biological: Pediacel; Biological: NeisVac-C; Biological: Menitorix

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving a Meningococcal C Serum Bactericidal Assay (SBA) Titer ≥1:8 and Predefined Antibody Levels for Pertussis and Haemophilus Influenzae Type b in 13vPnC Group Relative to 7vPnC Group After the 2-dose Infant Series.

    Percentage of participants achieving a meningococcal C SBA serum antibody titer ≥1:8 and predefined antibody threshold levels with the corresponding 95% CI for concomitant antigens polyribosylribitol phosphate (PRP) in haemophilus influenzae type b [Hib](≥0.15 μg/mL or ≥ 1.0 μg/mL), pertussis toxoid [PT], filamentous haemagglutinin, pertactin [FHA], and pertactin (PRN) (≥5 Elisa Units EU/mL) and fimbrial agglutinogens [FIM] (≥2.2 EU/mL) are presented.

    Measured: One month after infant series dose 2 (5 months of age)

  2. Geometric Mean Titer (GMT) of Meningococcal C Antigen as Measured by SBA in 13vPnC Group Relative to 7vPnC Group After the 2-dose Infant Series

    Measured: one month after infant series dose 2 (5 months of age)

  3. Geometric Mean Antibody Concentration of Haemophilus Influenzae Type b (Hib) Polyribosylribitol Phosphate (PRP) as Measured by Enzyme-linked Immunosorbent Assay (ELISA) in 13vPnC Group Relative to 7vPnC Group After the 2-dose Infant Series

    Measured: one month after infant series dose 2 (5 months of age)

  4. Geometric Mean Antibody Concentration of Pertusis Filamentous Haemagglutinin (FHA), Pertussis Toxoid (PT), Pertactin (PRN), and Fimbrial Agglutinogens (FIM) as Measured by ELISA in 13vPnC Group Relative to 7vPnC Group After the 2-dose Infant Series

    Measured: one month after infant series dose 2 (5 months of age)

  5. Percentage of Participants in the 13vPnC Group Achieving a Serotype-specific IgG Antibody Concentration ≥0.35 µg/mL Measured 1 Month After the 2-dose Infant Series, Before and After the Toddler Dose

    Percentages of participants achieving WHO predefined antibody threshold ≥0.35μg/mL along with the corresponding 95% CI for the 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (serotypes 1, 3, 5, 6A, 7F, and 19A) are presented.

    Measured: one month after infant series dose 2 (5 months of age), before and after toddler dose (12 months of age)

  6. Geometric Mean Antibody Concentration in 13vPnC Group After the 2-dose Infant Series, Before and After the Toddler Dose.

    Antibody concentration/geometric mean concentration (GMC) as measured by ELISA for 7 common pneumococcal serotypes (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and 6 additional pneumococcal serotypes specific to 13vPnC (Serotypes 1, 3, 5, 6A, 7F, and 19A) are presented with corresponding 2-sided 95% CI.

    Measured: one month after infant series dose 2 (5 months of age) and before and after toddler dose (12 months of age)

Secondary outcomes (4)
  1. Percentage of Participants Achieving an SBA Titer ≥1:8 for Meningococcal C in 13vPnC Group Relative to 7vPnC Group Before and After the Toddler Dose.

    Measured: one month after the toddler dose (13 months of age)

  2. Percentage of Participants Achieving a Predefined Antibody Level for Haemophilus Influenzae Type b in the 13vPnC Group Relative to the 7vPnC Group After the Toddler Dose.

    Measured: one month after toddler dose (13 months of age)

  3. Geometric Mean Antibody Concentration for Haemophilus Influenzae Type b PRP in 13vPnC Group Relative to 7vPnC Group After the Toddler Dose.

    Measured: one month after toddler dose (13 months of age)

  4. Geometric Mean Titer (GMT) of Meningococcal C Antigen as Measured by SBA in 13vPnC Group Relative to 7vPnC Group After the Toddler Dose

    Measured: one month after toddler dose (13 months of age)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2006 (estimated)
  2. Study startOct 2006
  3. Primary completionOct 2008
  4. Study completionOct 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
286 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00384059
Sponsor's protocol ID
6096A1-007
Status last verified
Jan 2013
First submitted
2 Oct 2006
Last updated
24 Jan 2013

Publications

  • Rodgers GL, Esposito S, Principi N, Gutierrez-Brito M, Diez-Domingo J, Pollard AJ, Snape MD, Martinon-Torres F, Gruber WC, Patterson S, Thompson A, Gurtman A, Paradiso P, Scott DA. Immune response to 13-valent pneumococcal conjugate vaccine with a reduced dosing schedule. Vaccine. 2013 Oct 1;31(42):4765-74. doi: 10.1016/j.vaccine.2013.08.009. Epub 2013 Aug 16.

    PubMed 23965217
  • Snape MD, Klinger CL, Daniels ED, John TM, Layton H, Rollinson L, Pestridge S, Dymond S, Galiza E, Tansey S, Scott DA, Baker SA, Jones TR, Yu LM, Gruber WC, Emini EA, Faust SN, Finn A, Heath PT, Pollard AJ. Immunogenicity and reactogenicity of a 13-valent-pneumococcal conjugate vaccine administered at 2, 4, and 12 months of age: a double-blind randomized active-controlled trial. Pediatr Infect Dis J. 2010 Dec;29(12):e80-90. doi: 10.1097/inf.0b013e3181faa6be.

    PubMed 21155091

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 13-valent Pneumococcal Conjugate Vaccine, 7vPnC and Pediacel in people with Vaccines, Pneumococcal, run by Wyeth is now a wholly owned subsidiary of Pfizer at 11 sites in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Achieving a Meningococcal C Serum Bactericidal Assay (SBA) Titer ≥1:8 and Predefined Antibody Levels for Pertussis and Haemophilus Influenzae Type b in 13vPnC Group Relative to 7vPnC Group After the 2-dose Infant Series. (time frame: One month after infant series dose 2 (5 months of age)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00384059, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jan 2013.

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