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MeaslesPhase 3NCT00566527

Comparative Study of Immunogenicity and Safety of a 2-dose Regimen of ProQuad® Manufactured With rHA (V221-038)

A Phase 3 study testing ProQuad® manufactured with recombinant Human Albumin (rHA) in people with Measles and Mumps, run by Merck Sharp & Dohme LLC.

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 primary study objectives are: To demonstrate that a 2-dose regimen of ProQuad® manufactured with recombinant Human Albumin (rHA) administered at a 3-month interval to healthy children of 11 months of age at the time of Dose 1 is as immunogenic as in healthy children of 12 months of age at the time of Dose 1. Read more about this study

Who is it for?
Ages 9 months and olderHealthy volunteers can take part
Conditions the study is for
Measles, Mumps, Rubella
What is being tested?
ProQuad® manufactured with recombinant Human Albumin (rHA)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,620 participants
Where
No sites listed yet
Study dates
29 Nov 2007to 29 Dec 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 9 months and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Healthy subject of either gender of 9 months of age
  • Negative clinical history of measles, mumps, rubella, varicella or zoster
  • Informed consent form signed by both parents or legal representative
  • Parent(s) or legal representative able to attend all the scheduled visits with the subject and to understand and comply with the study procedures
  • Both parent or legal representative are over 18 years of age
  • Subject is affiliated to a health social security system

Who cannot join

  • Febrile illness in the previous 3 days
  • Prior vaccination with a measles, mumps, rubella and/or varicella vaccine either alone or in any combination
  • Exposure to measles, mumps, rubella, varicella and/or zoster in the previous 30 days
  • Tuberculin test done in the previous 2 days
  • Severe chronic disease
  • Known active tuberculosis
Show all 18Show fewer
  • Known personal history of encephalopathy, seizure disorder or progressive, evolving or unstable neurological condition
  • Hereditary problems of fructose intolerance
  • Prior known sensitivity or allergy to any component of the vaccine
  • Known blood dyscrasias, leukemia, lymphomas of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems
  • Humoral or cellular immunodeficiency,
  • Immunosuppressive therapy [including systemic corticosteroids (a), given daily or on alternate days at high doses (>=2 mg/kg/day prednisone equivalent or >=20 mg/day if the subject's weight was >10 kg) during at least 14 days in the previous 30 days]
  • Family history of congenital or hereditary immunodeficiency
  • Receipt of immunoglobulins or blood-derived products in the previous 150 days or scheduled to be administered through Visit 5
  • Receipt of an inactivated vaccine in the previous 14 days
  • Receipt of a live non-study vaccine in the previous 28 days
  • Any medical condition which, in the opinion of the investigator, might have interfered with the evaluation of the study objectives
  • Current participation or scheduled participation in any other clinical study through Visit 5

About this study

Official title: An Open-label, Randomised, Comparative, Multi-centre Study of the Immunogenicity and Safety of a 2-dose Regimen of ProQuad® Manufactured With rHA Administered to Healthy Children From 9 Months of Age

The primary study objectives are:

  • To demonstrate that a 2-dose regimen of ProQuad® manufactured with recombinant Human Albumin (rHA) administered at a 3-month interval to healthy children of 11 months of age at the time of Dose 1 is as immunogenic as in healthy children of 12 months of age at the time of Dose 1.
  • To demonstrate that a 2-dose regimen of ProQuad® rHA administered at a 3-month interval to healthy children of 9 months of age at the time of Dose 1 is as immunogenic as in healthy children of 12 months of age at the time of Dose 1.
  • To demonstrate that a 2-dose regimen of ProQuad® rHA administered at a 3-month interval to healthy children of 11 months of age and 9 months of age at the time of Dose 1 is well-tolerated compared to children of 12 months of age at the time of Dose 1.
Read more

The first primary hypothesis was that a 2-dose regimen of ProQuad® rHA, administered at a 3-month interval to children of 11 months of age, would be non-inferior in terms of antibody response rates to measles, mumps, rubella, and varicella at Day 42 following Dose 2, to the same regimen in children of 12 months of age at the time of Dose 1.

If the first primary hypothesis was demonstrated, the second primary hypothesis was that a 2-dose regimen of ProQuad® rHA, administered at a 3-month interval to children of 9 months of age, would be non-inferior in terms of antibody response rates to measles, mumps, rubella, and varicella at Day 42 following Dose 2, to the same regimen in children of 12 months of age at the time of Dose 1.

The secondary study objectives are:

  • To describe the antibody titres to measles, mumps, rubella and varicella at Day 42 following Dose 1 and Dose 2 of ProQuad® rHA administered to healthy children from 9 months of age.
  • To evaluate the safety profile of Dose 1 and Dose 2 of ProQuad® rHA administered to healthy children from 9 months of age.
Being tested
ProQuad® manufactured with recombinant Human Albumin (rHA)
Medical subject headings
Measles, Mumps, Rubella, Chickenpox

What participants receive

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

  • ProQuad® manufactured with recombinant Human Albumin (rHA)Biological

    A 2-dose regimen of ProQuad® (0.5 mL per dose) given via subcutaneous injection into the deltoid muscle at a 3-month interval. Each dose contains measles virus Enders' Edmonston strain (live attenuated), mumps virus Jeryl Lynn™ (Level B) strain (live attenuated), rubella virus Wistar RA 27 or 3 strain (live attenuated), and varicella virus Oka or Merck strain (live attenuated).

Study groups in NCT00566527
Study groupRoleWhat they receive
Arm 1: ProQuad® at 9 and 12 monthsExperimentalPediatric participants received ProQuad® Dose 1 at 9 months of age and ProQuad® Dose 2 at 12 months of age.
Receives: Biological: ProQuad® manufactured with recombinant Human Albumin (rHA)
Arm 2: ProQuad® at 11 and 14 monthsExperimentalPediatric participants received ProQuad® Dose 1 at 11 months of age and ProQuad® Dose 2 at 14 months of age.
Receives: Biological: ProQuad® manufactured with recombinant Human Albumin (rHA)
Arm 3: ProQuad at 12 and 15 monthsActive comparatorPediatric participants received ProQuad® Dose 1 at 12 months of age and ProQuad® Dose 2 at 15 months of age.
Receives: Biological: ProQuad® manufactured with recombinant Human Albumin (rHA)

What is being measured

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

  1. Percentage of Participants in Arm 2 and Arm 3 Meeting Antibody Immunogenicity Response Criteria Following ProQuad® Dose 2

    Immunogenicity response rates were compared in participants with baseline seronegativity from Arm 2 (received ProQuad® Dose 1 at 11 months) and Arm 3 (received ProQuad® Dose 1 at 12 months). Measles, mumps and rubella antibody levels were determined using enzyme-linked immunosorbent assay (ELISA) and varicella antibody levels were determined with glycoprotein-based ELISA (gpELISA). Response and baseline seronegativity criteria were as follows: measles antibody titre ≥255 mIU/mL in participants with baseline titre <255 mIU/mL; mumps antibody titre ≥10 ELISA Ab units/mL in participants with baseline titre <10 ELISA Ab units mL; rubella antibody titre ≥10 IU/mL in participants with baseline titre <10 IU/mL; varicella antibody titre ≥5 gpELISA units/mL in participants with baseline titre <1.25 gpELISA units/mL.

    Measured: Day 132 (6 weeks after ProQuad® Dose 2)

  2. Percentage of Participants in Arm 1 and Arm 3 Meeting Antibody Immunogenicity Response Criteria Following ProQuad® Dose 2

    Immunogenicity response rates were compared in participants with baseline seronegativity from Arm 1 (received ProQuad® Dose 1 at 9 months) and Arm 3 (received ProQuad® Dose 1 at 12 months). Measles, mumps and rubella antibody levels were determined using ELISA and varicella antibody levels were determined with gpELISA. Response and baseline seronegativity criteria were as follows: measles antibody titre ≥255 mIU/mL in participants with baseline titre <255 mIU/mL; mumps antibody titre ≥10 ELISA Ab units/mL in participants with baseline titre <10 ELISA Ab units mL; rubella antibody titre ≥10 IU/mL in participants with baseline titre <10 IU/mL; varicella antibody titre ≥5 gpELISA units/mL in participants with baseline titre <1.25 gpELISA units/mL.

    Measured: Day 132 (6 weeks after ProQuad® Dose 2)

  3. Percentage of Participants With Solicited Injection-site Adverse Reactions

    The solicited injection-site AEs erythema, swelling, and pain were monitored for 4 days after administration of ProQuad® Dose 1.

    Measured: Day 1 to Day 4 (up to 4 days after ProQuad® Dose 1)

  4. Percentage of Participants Experiencing Unsolicited Injection-site Adverse Reactions

    The percentage of participants with unsolicited injection-site reactions after ProQuad® Dose 1 was determined.

    Measured: Up to Day 28 (up to 28 days after ProQuad® Dose 1)

  5. Percentage of Participants Experiencing a Systemic Adverse Event After ProQuad® Dose 1

    The percentage of participants with systemic adverse events after ProQuad® Dose 1 was determined.

    Measured: Up to Day 28 (up to 28 days after ProQuad® Dose 1)

  6. Percentage of Participants With Rectal (or Rectal Equivalent) Temperature ≥ 39.4°C

    The percentage of participants with a rectal (or rectal equivalent) temperature ≥ 39.4°C after ProQuad® Dose 1 was determined.

    Measured: Up to Day 28 (up to 28 days after ProQuad® Dose 1)

Secondary outcomes (6)
  1. Geometric Mean Titres (GMT) to Measles, Mumps, Rubella, and Varicella After ProQuad® Dose 1

    Antibody titres (GMT) to measles, mumps, rubella, and varicella were determined after the first ProQuad® dose in participants with seronegative baseline values. Baseline seronegativity criteria were as follows: measles antibody titre <255 mIU/mL; mumps antibody titre <10 ELISA Ab units mL; rubella antibody titre <10 IU/mL; and varicella antibody titre <1.25 gpELISA units/mL.

    Measured: Day 42 (6 weeks after ProQuad® Dose 1)

  2. GMT to Measles, Mumps, Rubella, and Varicella After ProQuad® Dose 2

    Antibody titres (GMT) to measles, mumps, rubella, and varicella were determined after the second ProQuad® dose in participants with seronegative baseline values. Baseline seronegativity criteria were as follows: measles antibody titre <255 mIU/mL; mumps antibody titre <10 ELISA Ab units mL; rubella antibody titre <10 IU/mL; and varicella antibody titre <1.25 gpELISA units/mL.

    Measured: Day 132 (6 weeks after ProQuad® Dose 2)

  3. Percentage of Participants With Varicella Antibody Titre ≥ 1.25 gpELISA Units/mL

    The percentage of participants with varicella antibody titre ≥ 1.25 gpELISA units/mL 6 weeks after each ProQuad® dose was determined.

    Measured: Day 132 (6 weeks after ProQuad® Dose 2)

  4. Percentage of Baseline Seronegative Participants Meeting Antibody Immunogenicity Response Criteria After ProQuad® Dose 1

    The percentage of baseline seronegative participants meeting measles, mumps, rubella, and varicella antibody response criteria after the first ProQuad® dose was determined. Measles, mumps and rubella antibody levels were determined using ELISA and varicella antibody levels were determined with gpELISA. Response and baseline seronegativity criteria were as follows: measles antibody titre ≥255 mIU/mL in participants with baseline titre <255 mIU/mL; mumps antibody titre ≥10 ELISA Ab units/mL in participants with baseline titre <10 ELISA Ab units mL; rubella antibody titre ≥10 IU/mL in participants with baseline titre <10 IU/mL; varicella antibody titre ≥5 gpELISA units/mL in participants with baseline titre <1.25 gpELISA units/mL.

    Measured: Day 42 (6 weeks after ProQuad® Dose 1)

  5. Percentage of Participants With Non-injection Site Rashes of Interest Following ProQuad® Dose 1

    The percentage of participants with rashes of interest after ProQuad® Dose 1 was determined. Rashes of interest consisted of measles-like rash, rubella-like rash, varicella-like rash, zoster-like rash, and mumps-like rash.

    Measured: Up to Day 28 (up to 4 weeks after ProQuad® Dose 1)

  6. Percentage of Participants With Non-injection Site Rashes of Interest Following ProQuad® Dose 2

    The percentage of participants with rashes of interest after receiving ProQuad® Dose 2 was determined. Rashes of interest consisted of measles-like rash, rubella-like rash, varicella-like rash, zoster-like rash, and mumps-like rash.

    Measured: Day 132 (6 weeks after ProQuad® Dose 2)

Timeline

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

  1. First posted3 Dec 2007 (estimated)
  2. Study start29 Nov 2007
  3. Primary completion29 Dec 2008
  4. Study completion29 Dec 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
None (open label)
Enrolment
1,620 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00566527
Sponsor's protocol ID
V221-038
Other IDs
MRV02C
Status last verified
Jan 2018
First submitted
29 Nov 2007
Last updated
30 Jan 2018
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Vesikari T, Becker T, Gajdos V, Fiquet A, Thomas S, Richard P, Baudin M. Immunogenicity and safety of a two-dose regimen of a combined measles, mumps, rubella and varicella live vaccine (ProQuad((R))) in infants from 9 months of age. Vaccine. 2012 Apr 26;30(20):3082-9. doi: 10.1016/j.vaccine.2012.02.062. Epub 2012 Mar 7.

    PubMed 22406278

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ProQuad® manufactured with recombinant Human Albumin (rHA) in people with Measles and Mumps, run by Merck Sharp & Dohme LLC.

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 18 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 30 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

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 30 Jan 2018). 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 in Arm 2 and Arm 3 Meeting Antibody Immunogenicity Response Criteria Following ProQuad® Dose 2 (time frame: Day 132 (6 weeks after ProQuad® Dose 2)). 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 NCT00566527, which also lists 1 linked publication.

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 30 Jan 2018.

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