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TetanusPhase 3NCT00467519

Safety and Immunogenicity of Tdap Vaccine Compared to DTaP Vaccine in Children 4 to 6 Years of Age

A Phase 3 study testing Tdap (Tetanus Toxoid Reduced Diphtheria Toxoid/Acellular Pertussis) and DTaP (Diphtheria & Tetanus Toxoids & Acellular Pertussis Adsorbed) in people with Tetanus and Diphtheria, run by Sanofi Pasteur, a Sanofi Company at 43 sites in 2 countries.

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

Currently, there is no 5-component acellular pertussis vaccine licensed for the 5th dose in US children aged 4 to 6 years.This study is aimed at providing evidence of sero-protection, booster response and safety of this formulation as a 5th dose. Read more about this study

Who is it for?
Ages 4 to 6 yearsHealthy volunteers can take part
Conditions the study is for
Tetanus, Diphtheria, Pertussis
What is being tested?
Tdap (Tetanus Toxoid Reduced Diphtheria Toxoid/Acellular Pertussis) and DTaP (Diphtheria & Tetanus Toxoids & Acellular Pertussis Adsorbed)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,045 participants
Where
43 sitesin 2 countries
Study dates
Apr 2007to Dec 2009
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 4 to 6 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy, as determined by medical history and physical examination.
  • Aged 4 to 6 (< 7) years at the time of study vaccination on Day 0.
  • Signed and dated informed consent form that has been approved by the Institutional Review Board (IRB) by the parent or legally authorized representative.
  • Signed and dated informed assent form from the subject if required by the IRB.
  • Able to attend scheduled visits at Visit 1 and Visit 2 and able to comply with all trial procedures. Subjects will be invited to participate in the long-term immunogenicity follow-up study but a commitment to participate in the long-term is not required as an inclusion criterion.
  • Documented vaccination history of 4 previous doses of DAPTACEL according to the recommended national immunization schedule for Diphtheria, tetanus and acellular pertussis (DTaP).

Who cannot join

  • Participation in another clinical trial in the 4 weeks preceding the trial vaccination.
  • Planned participation in another clinical trial during the original trial period.
  • Congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy.
  • Systemic hypersensitivity to any of the vaccine components or history of life-threatening reaction to the trial vaccine or a vaccine containing the same substances.
  • Chronic illness at a stage that could interfere with trial conduct or completion.
  • Blood or blood-derived products received in the past 3 months.
Show all 9Show fewer
  • Receipt of any other vaccine within 30 days prior to study vaccination, or planning to receive another vaccine within 30 days before the Visit 2 blood draw (with the exception of the annual influenza vaccine).
  • History of diphtheria, tetanus or pertussis infection (confirmed either serologically or microbiologically).
  • Thrombocytopenia or bleeding disorder contraindicating intra muscular vaccination.

Trial locations and contacts

43 sites in 2 countries.

43 sites in 2 countries

United States42 sites
  • Study site

    Bardstown, Kentucky, 40004

  • Study site

    Bellevue, Nebraska, 68123

  • Study site

    Birmingham, Alabama, 35205

  • Study site

    Birmingham, Alabama, 35244

  • Study site

    Bossier City, Louisiana, 71111

  • Study site

    Chesapeake, Virginia, 23321

  • Study site

    Cleveland, Ohio, 44121

  • Study site

    Crestview Hills, Kentucky, 41017

  • Study site

    Erie, Pennsylvania, 16505

  • Study site

    Fargo, North Dakota, 58103

  • Study site

    Fayetteville, Arkansas, 72703

  • Study site

    Fountain Valley, California, 92708

  • Study site

    Frederick, Maryland, 21702

  • Study site

    Gresham, Oregon, 97030

  • Study site

    Huntington Beach, California, 92647

  • Study site

    Jonesboro, Arkansas, 72401

  • Study site

    Kingsport, Tennessee, 37660

  • Study site

    La Crosse, Wisconsin, 54601

  • Study site

    Layton, Utah, 84041

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Louisville, Kentucky, 40291

  • Study site

    Marietta, Georgia, 30062

  • Study site

    Midlothian, Virginia, 23113

  • Study site

    Norristown, Pennsylvania, 19401

  • Study site

    Norwich, Connecticut, 06360

  • Study site

    Oakland, California, 94611

  • Study site

    Omaha, Nebraska, 68124

  • Study site

    Omaha, Nebraska, 68131

  • Study site

    Omaha, Nebraska, 68132

  • Study site

    Pittsburgh, Pennsylvania, 15236

  • Study site

    Pittsburgh, Pennsylvania, 15241

  • Study site

    Rochester, New York, 14618

  • Study site

    Roseville, California, 95661

  • Study site

    Rydal, Pennsylvania, 19046

  • Study site

    Sacramento, California, 95815

  • Study site

    San Antonio, Texas, 78229

  • Study site

    Spokane, Washington, 99202

  • Study site

    Spokane, Washington, 99218

  • Study site

    Springville, Utah, 84663

  • Study site

    Tullahoma, Tennessee, 37388

  • Study site

    Uniontown, Pennsylvania, 15401

  • Study site

    Woodstock, Georgia, 30189

Other trials in United States

Canada1 site
  • Study site

    Edmonton, Alberta, T6G 2C8

Other trials in Canada

About this study

Official title: Safety and Immunogenicity of Tdap Vaccine Compared to DTaP Vaccine as Fifth Dose Booster in Children 4 to 6 Years of Age

Currently, there is no 5-component acellular pertussis vaccine licensed for the 5th dose in US children aged 4 to 6 years.This study is aimed at providing evidence of sero-protection, booster response and safety of this formulation as a 5th dose.

Primary Objective:

Read more
  • To compare the immune responses of Tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) Vaccine to Diphtheria, tetanus and acellular pertussis (DTaP) vaccine (all antigens) when each is administered as a 5th dose and given concurrently, to children aged 4 to 6 years.

Secondary/Observational Objectives:

  • To compare the immune responses for pertussis antigens of Tdap Vaccine to DTaP vaccine (for pertussis antigens) when each is administered as a 5th dose and given concurrently, to children aged 4 to 6 years.
  • To present the long-term immunogenicity at 1-, 3-, and 5-years post-vaccination after each long-term follow-up.
  • To describe the safety profile following vaccine administration.
Being tested
Tdap (Tetanus Toxoid Reduced Diphtheria Toxoid/Acellular Pertussis), DTaP (Diphtheria & Tetanus Toxoids & Acellular Pertussis Adsorbed)
Keywords
Tetanus; Diphtheria; Pertussis; ADACEL; DAPTACEL
Medical subject headings
Tetanus, Diphtheria, Whooping Cough

What participants receive

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

  • Tdap (Tetanus Toxoid Reduced Diphtheria Toxoid/Acellular Pertussis)Biological

    Also called Adacel

    0.5 mL, IM

  • DTaP (Diphtheria & Tetanus Toxoids & Acellular Pertussis Adsorbed)Biological

    Also called DAPTACEL in the US, TRIPACEL in Canada

    0.5 mL, IM

Study groups in NCT00467519
Study groupRoleWhat they receive
Group 1ExperimentalDAPTACEL primed participants
Receives: Biological: Tdap (Tetanus Toxoid Reduced Diphtheria Toxoid/Acellular Pertussis)
Group 2ExperimentalPentacel primed participants
Receives: Biological: DTaP (Diphtheria & Tetanus Toxoids & Acellular Pertussis Adsorbed)

What is being measured

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

  1. Percentage of Participants Who Achieved Seroprotection at Baseline and 30 Days Post-vaccination for Diphtheria and Tetanus at ≥ 0.1 IU/mL Level

    Seroprotection rate at level ≥ 0.1 IU/mL was defined as antibody concentrations ≥ 0.1 IU/mL.

    Diphtheria titers were determined by toxin neutralization assay; tetanus titers were determined by enzyme-linked immunosorbent assay (ELISA).

    Measured: Pre-dose and 30 days post-vaccination

  2. Percentage of Participants Who Achieved Serothreshold at Baseline and 30 Days Post-vaccination for Diphtheria and Tetanus at Level ≥ 1.0 IU/mL

    Serothreshold rate at level ≥ 1.0 IU/mL was defined as antibody concentrations ≥ 1.0 IU/mL.

    Diphtheria titers were determined by toxin neutralization assay; tetanus titers were determined by enzyme-linked immunosorbent assay (ELISA).

    Measured: Pre-dose and 30 days post-vaccination

  3. Percentage of Participants Who Demonstrated Booster Response at 30 Days Post-Vaccination for Pertussis

    Booster response was defined as post titer ≥ 0.4 IU/mL and pre-titer < 0.1 IU/mL, or Post/Pre titer ≥ 4 increase and pre titer ≥ 0.1 IU/mL but < 2 IU/mL, or Post/Pre titer ≥ 2 increase and pre-titer ≥ 2 IU/mL

    Post-vaccination titers for pertussis toxoid (PT), pertussis filamentous hemagglutinin (FHA), pertussis pertactin (PRN), and pertussis Fimbriae types 2 and 3 (FIM), were determined by enzyme-linked immunosorbent assay (ELISA).

    Measured: 30 Days post-vaccination

  4. Percentage of Participants Who Demonstrated Booster Response at 30 Days Post-Vaccination for Diphtheria and Tetanus

    Booster response was defined as post titer ≥ 0.4 IU/mL and pre titer < 0.1 IU/mL, or Post/Pre titer ≥ 4 increase and pre-titer ≥ 0.1 IU/mL but < 2 IU/mL, or Post/Pre titer ≥ 2 increase and pre-titer ≥ 2 IU/mL.

    Post-vaccination titers for Diphtheria was determined by neutralization assay; tetanus titers was determined by an enzyme-linked immunosorbent assay (ELISA).

    Measured: 30 Days post-vaccination

  5. Geometric Mean Titers (GMTs) at Baseline and 30 Days Post Vaccination for Pertussis

    Pre- and post-vaccination GMTs and their 95% confidence intervals for pertussis toxoid (PT), pertussis filamentous hemagglutinin (FHA), pertussis pertactin (PRN), and pertussis Fimbriae types 2 and 3 (FIM), were determined by enzyme-linked immunosorbent assay (ELISA).

    Measured: Pre-dose and 30 Days Post-vaccination

Timeline

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

  1. First posted30 Apr 2007 (estimated)
  2. Study startApr 2007
  3. Primary completionNov 2009
  4. Study completionDec 2009

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
1,045 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00467519
Sponsor's protocol ID
TD517
Status last verified
Jan 2014
First submitted
27 Apr 2007
Last updated
7 Feb 2014
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tdap (Tetanus Toxoid Reduced Diphtheria Toxoid/Acellular Pertussis) and DTaP (Diphtheria & Tetanus Toxoids & Acellular Pertussis Adsorbed) in people with Tetanus and Diphtheria, run by Sanofi Pasteur, a Sanofi Company at 43 sites in 2 countries.

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 6 inclusion and 9 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 7 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, Canada. 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 3 Dec 2010). 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 Who Achieved Seroprotection at Baseline and 30 Days Post-vaccination for Diphtheria and Tetanus at ≥ 0.1 IU/mL Level (time frame: Pre-dose and 30 days post-vaccination). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Feb 2014.

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