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TetanusPhase 3NCT01346293

Study of DTap-IPV Compared to DAPTACEL® and IPOL® as the 5th Dose in Children 4 to 6 Years of Age

A Phase 3 study testing Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella Virus and Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella Virus in people with Tetanus and Diphtheria, run by Sanofi Pasteur, a Sanofi Company at 72 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

The study was designed to compare the safety and immunogenicity of DTap-IPV with DAPTACEL® + IPOL® as the 5th dose booster in children ≥ 4 to < 7 years of age in the US and Puerto Rico who were previously vaccinated with DAPTACEL® and/or Pentacel® vaccines only. 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?
Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella Virus and Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella Virus
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,372 participants
Where
72 sitesin 2 countries
Study dates
Apr 2011to Sep 2013
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

  • Aged ≥ 4 to < 7 years on the day of inclusion
  • Informed consent form has been signed and dated by the parent/guardian before the first study-related procedure
  • Subject and parent/guardian are able to attend all scheduled visits and to comply with all trial procedures
  • Subject has documented completion of primary infant series and booster with DAPTACEL® and/or Pentacel® vaccine(s) only.

Who cannot join

  • Participation in another clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 4 weeks preceding the trial vaccination
  • Planned participation in another clinical trial during the present trial period
  • Receipt of any vaccine in the 4 weeks preceding the trial vaccination, except for any influenza vaccine, which may be received at least 2 weeks before study vaccines
  • Planned receipt of any vaccine in the 4 weeks following the trial vaccination except for any influenza vaccine, which may be received at least 2 weeks after study vaccines
  • Receipt of blood or blood-derived products in the past 3 months
  • 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)
Show all 13Show fewer
  • History of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
  • History of diphtheria, tetanus, or pertussis infection, confirmed either clinically, serologically, or microbiologically
  • Known systemic hypersensitivity to any of the vaccines' components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances
  • Laboratory-confirmed thrombocytopenia, contraindicating intramuscular vaccination
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with trial conduct or completion
  • Identified as employees of the Investigator or study center, with direct involvement in the proposed study or other studies under the direction of that Investigator or study center, as well as family members (i.e., immediate, husband, wife and their children, adopted or natural) of the employees or the investigator.

Trial locations and contacts

72 sites in 2 countries.

72 sites in 2 countries

United States71 sites
  • Study site

    Annapolis, Maryland, 21401

  • Study site

    Austin, Texas, 78745

  • Study site

    Bellevue, Nebraska, 68005

  • Study site

    Birmingham, Alabama, 35205

  • Study site

    Birmingham, Alabama, 35235

  • Study site

    Birmingham, Alabama, 35244

  • Study site

    Bossier City, Louisiana, 71111

  • Study site

    Boys Town, Nebraska, 68010

  • Study site

    Bridgeton, Missouri, 63044

  • Study site

    Bristol, Tennessee, 37620

  • Study site

    Brooklyn, New York, 11201

  • Study site

    Burke, Virginia, 22015

  • Study site

    Chandler, Arizona, 85224

  • Study site

    Charlottesville, Virginia, 22902

  • Study site

    Charlottesville, Virginia, 22903

  • Study site

    Charlottesville, Virginia, 22911

  • Study site

    Cincinnati, Ohio, 45245

  • Study site

    Clinton, Utah, 84015

  • Study site

    Collegeville, Pennsylvania, 19426

  • Study site

    Crestview Hills, Kentucky, 41017

  • Study site

    Dallas, Texas, 75230

  • Study site

    Fairfield, Ohio, 45014

  • Study site

    Fargo, North Dakota, 58104

  • Study site

    Frederick, Massachusetts, 21702

  • Study site

    Gresham, Oregon, 97030

  • Study site

    Haughton, Louisiana, 71037

  • Study site

    Houston, Texas, 77025

  • Study site

    Huntington, West Virginia, 25701

  • Study site

    Indianapolis, Indiana, 46256

  • Study site

    Jonesboro, Arkansas, 72401

  • Study site

    La Puente, California, 91744

  • Study site

    Layton, Utah, 84041

  • Study site

    Lincoln, Nebraska, 68504

  • Study site

    Lincoln, Nebraska, 68516

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Longmont, Colorado, 80501

  • Study site

    Louisville, Kentucky, 40202

  • Study site

    Louisville, Kentucky, 40207

  • Study site

    Marietta, Georgia, 30062

  • Study site

    Midlothian, Virginia, 23113

  • Study site

    Midwest City, Oklahoma, 73110

  • Study site

    Murray, Utah, 84107

  • Study site

    New Albany, Indiana, 47150

  • Study site

    Nicholasville, Kentucky, 40356

  • Study site

    Omaha, Nebraska, 68198

  • Study site

    Orem, Utah, 84057

  • Study site

    Overland Park, Kansas, 66213

  • Study site

    Owensboro, Kentucky, 42303

  • Study site

    Paramount, California, 90723

  • Study site

    Pinson, Alabama, 35126

  • Study site

    Pittsburgh, Pennsylvania, 15241

  • Study site

    Roseville, California, 95661

  • Study site

    Roy, Utah, 84067

  • Study site

    San Antonio, Texas, 78229

  • Study site

    Santa Clara, California, 95051

  • Study site

    Scottsdale, Arizona, 85255

  • Study site

    Scottsdale, Arizona, 85258

  • Study site

    Scranton, Pennsylvania, 18510

  • Study site

    Spokane, Washington, 99202

  • Study site

    Spokane, Washington, 99218

  • Study site

    Springville, Utah, 84663

  • Study site

    St. Petersburg, Florida, 33713

  • Study site

    Syracuse, Utah, 84075

  • Study site

    Thornton, Colorado, 80233

  • Study site

    Topeka, Kansas, 66604

  • Study site

    Trussville, Alabama, 35173

  • Study site

    Vienna, Virginia, 22180

  • Study site

    West Covina, California, 91790

  • Study site

    Woburn, Massachusetts, 01801

  • Study site

    Woodstock, Georgia, 30189

  • Study site

    Youngstown, Ohio, 44505

Other trials in United States

Puerto Rico1 site
  • Study site

    San Juan, PR, 00918

Other trials in Puerto Rico

About this study

Official title: Safety and Immunogenicity of DTap-IPV (Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed Combined With Inactivated Poliovirus Vaccine) Compared to DAPTACEL® (Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed) + IPOL® (Poliovirus Vaccine Inactivated) as the 5th Dose in Children 4 to 6 Years of Age

The study was designed to compare the safety and immunogenicity of DTap-IPV with DAPTACEL® + IPOL® as the 5th dose booster in children ≥ 4 to < 7 years of age in the US and Puerto Rico who were previously vaccinated with DAPTACEL® and/or Pentacel® vaccines only.

Primary Objectives:

Read more
  • To compare the pertussis [Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA), Pertactin (PRN), and Fimbriae Types 2 and 3 (FIM)] booster responses and geometric mean concentrations (GMCs) (as measured by enzyme-linked immunosorbent assay [ELISA]) following DTap-IPV vaccination to those elicited following DAPTACEL® + IPOL® vaccination when administered as a 5th dose.
  • To compare the diphtheria and tetanus booster responses and GMCs (as measured by ELISA) following DTap-IPV vaccination with those elicited following DAPTACEL® + IPOL® vaccinations when administered as a 5th dose .
  • To compare the Inactivated Poliovirus Vaccine booster responses (as measured by neutralizing assay) following DTap-IPV vaccination with those elicited following DAPTACEL® + IPOL® vaccinations.

Observational Objectives:

  • To compare the polio (types 1, 2, and 3) geometric mean titers (GMTs) following DTap-IPV vaccination with those elicited following DAPTACEL® + IPOL® vaccinations.
  • To assess the safety of DTap-IPV vaccine or DAPTACEL® + IPOL® vaccine when administered as the fifth dose booster vaccine in participants previously vaccinated with DAPTACEL and/or Pentacel vaccines.
Read the detailed description

All participants will be randomized to receive either one dose each of DTap-IPV + Measles, Mumps, and Rubella Virus Vaccine Live (M-M-R®II) + VARIVAX® or one dose each of DAPTACEL® + IPOL® + M-M-R®II + VARIVAX® on Day 0.

Being tested
Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella Virus, Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella Virus
Keywords
Tetanus, Diphtheria, Pertussis, DTap-IPV, DAPTACEL®, VARIVAX®
Medical subject headings
Tetanus, Diphtheria, Whooping Cough, Measles, Poliomyelitis

What participants receive

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

  • Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella VirusBiological

    Also called DTap-IPV, M-M-R®II, VARIVAX®

    0.5 mL, Intramuscular (DTap-IPV); Subcutaneous (M-M-R®II and VARIVAX®)

  • Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella VirusBiological

    Also called DAPTACEL®, IPOL®, M-M-M R®II, VARIVAX®

    0.5 mL, Intramuscular (IM) DAPTACEL®; Subcutaneous (SC) MMR®II and VARIVAX®; IM or SC IPOL®

  • Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella VirusBiological

    Also called DTap-IPV, M-M-R®II, VARIVAX®

    0.5 mL, Intramuscular (DTap-IPV); Subcutaneous (M-M-R®II and VARIVAX®)

  • Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella VirusBiological

    Also called DAPTACEL®, IPOL®, M-M-R®II, VARIVAX®

    0.5 mL, Intramuscular (IM) DAPTACEL®; Subcutaneous (SC) MMR®II and VARIVAX®; IM or SC IPOL®

Study groups in NCT01346293
Study groupRoleWhat they receive
Study Group 1ExperimentalParticipants will receive concomitantly a dose of DTap-IPV, a dose of M-M-R®II, and a dose of VARIVAX® vaccine on Day 0
Receives: Biological: Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella Virus
Study Group 2ExperimentalParticipants will receive concomitantly a dose of DAPTACEL®, a dose of IPOL®, a dose of M-M-R®II, and a dose of VARIVAX® vaccines on Day 0
Receives: Biological: Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella Virus
Study Group 3ExperimentalParticipants will receive concomitantly a dose of DTap-IPV with or without a dose of M-M-R®II and a dose of VARIVAX® on Day 0
Receives: Biological: Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella Virus
Study Group 4ExperimentalParticipants will receive concomitantly a dose of DAPTACEL® vaccine, a dose of IPOL® vaccine with or without a dose of M-M-R®II and a dose of VARIVAX® vaccines on Day 0
Receives: Biological: Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella Virus

What is being measured

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

  1. Number of Participants With Booster Response to the Pertussis Antigens Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine

    Booster responses to pertussis antigens [pertussis toxoid (PT), filamentous hemagglutinin (FHA), pertactin (PRN), and fimbriae types 2 and 3 (FIM)] were measured by enzyme-linked immunosorbent assay (ELISA). Booster responses were defined as participants with either a pre-vaccination antibody concentration less than lower limit of quantitation (<LLOQ), achieving a post-vaccination level ≥4X LLOQ, or pre-vaccination antibody concentrations ≥LLOQ but <4X LLOQ, achieving a 4-fold rise rate of post-vaccination, or a pre-vaccination antibody concentration ≥4X LLOQ, achieving a 2-fold response.

    Measured: Day 0 (pre-vaccination) and Day 28 post-vaccination

  2. Geometric Mean Concentrations of the Pertussis Antibodies Before and Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine

    Geometric mean concentrations to pertussis antigens (pertussis toxoid [PT], filamentous hemagglutinin [FHA], pertactin [PRN], and fimbriae types 2 and 3 [FIM]) were measured by enzyme-linked immunosorbent assay (ELISA).

    Measured: Day 0 (pre-vaccination) and Day 28 post-vaccination

  3. Number of Participants With Booster Response to Tetanus and Diphtheria Antigens Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine

    Anti-Tetanus antibodies were measured by enzyme-linked immunosorbent assay (ELISA). Anti-Diphtheria antibodies were measured by a toxin neutralization test. Booster responses were defined as participants with a pre-vaccination antibody concentration <0.1 IU/ml, achieving a post-vaccination level ≥0.4 IU/ml, or a pre-vaccination antibody concentration ≥0.1 IU/ml but <2.0 IU/ml, achieving a 4-fold rise rate post-vaccination, or a pre-vaccination antibody concentration ≥2.0 IU/ml, achieving a 2-fold response.

    Measured: Day 0 (pre-vaccination) and Day 28 post-vaccination

  4. Geometric Mean Concentrations of the Tetanus and Diphtheria Antibodies Before and Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine

    Geometric mean concentrations to anti-tetanus and anti-diphtheria were measured by enzyme-linked immunosorbent assay (ELISA).

    Measured: Day 0 (pre-vaccination) and Day 28 post-vaccination

  5. Number of Participants With Booster Response to Polio Antigens Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine

    Anti-poliovirus types 1, 2, and 3 titers were measured by neutralization assay. Booster responses were defined as participants with a pre-vaccination antibody concentration <1:8 dil, achieving a post-vaccination level ≥1:8 dil, or a pre-vaccination antibody concentration ≥1:8 dil, achieving a 4-fold response.

    Measured: Day 0 (pre-vaccination) and Day 28 post-vaccination

  6. Geometric Mean Concentrations of Polio Antibodies Before and Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine

    Geometric mean concentrations to anti-polio were measured by enzyme-linked immunosorbent assay (ELISA).

    Measured: Day 0 (pre-vaccination) and Day 28 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 posted2 May 2011 (estimated)
  2. Study startApr 2011
  3. Primary completionMay 2013
  4. Study completionSep 2013

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
3,372 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01346293
Sponsor's protocol ID
M5I02
Other IDs
U1111-1116-4842
Status last verified
May 2015
First submitted
29 Apr 2011
Last updated
3 Jun 2015
Data monitoring committee
No

Publications

  • Smith MJ, Jordanov E, Sheng X, Tsang PH. Safety and Immunogenicity of DTaP5-IPV Compared With DTaP5 Plus IPV as the Fifth Dose in Children 4-6 Years of Age. Pediatr Infect Dis J. 2017 Mar;36(3):319-325. doi: 10.1097/INF.0000000000001427.

    PubMed 27879555

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Diphtheria and Tetanus Toxoids and Acellular Pertussis + Measles, Mumps, Rubella + Varicella Virus and Diphtheria and Tetanus Toxoids and Acellular Pertussis + Poliovirus + MMR + Varicella Virus in people with Tetanus and Diphtheria, run by Sanofi Pasteur, a Sanofi Company at 72 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 4 inclusion and 13 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 3 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in United States, Puerto Rico. 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 29 May 2015). 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?

Number of Participants With Booster Response to the Pertussis Antigens Following Vaccination With Either DTaP-IPV or DAPTACEL® + IPOL® Vaccine (time frame: Day 0 (pre-vaccination) and Day 28 post-vaccination). 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 NCT01346293, 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 3 Jun 2015.

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