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ImmunogenicityPhase 2NCT01399853

A Phase II Clinical Trial for Inactivated Vaccine (Vero Cell) Against EV71 in Chinese Children and Infants

A Phase 2 study testing 160U /0.5ml EV71 Vaccine, 320U /0.5ml EV71 vaccine and 640U /0.5ml EV71 vaccine in people with Immunogenicity and Safety, run by Jiangsu Province Centers for Disease Control and Prevention at 1 site in China.

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

Hand, foot, and mouth disease (HFMD) is a common viral illness in infants and children caused by viruses that belong to the enterovirus genus of the picornavirus family. Although most HFMD cases do not result in serious complications, outbreaks of HFMD caused by enterovirus 71 (EV71) can present with a high rate of… Read more about this study

Who is it for?
Ages 6 to 36 months
Conditions the study is for
Immunogenicity, Safety
What is being tested?
160U /0.5ml EV71 Vaccine, 320U /0.5ml EV71 vaccine and 640U /0.5ml EV71 vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,200 participants
Where
1 siteChina
Study dates
Jul 2011to May 2012
Phase
Phase 2
Are there results?
None posted in the registry

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 6 to 36 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • For children group (aged from 12-36 months):
  • Healthy children aged from 12 to 36 months old as established by medical history and clinical examination
  • 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 <=37.0°C on axillary setting
Show all 12Show fewer
  • For infants group (aged from 6-11 months):
  • Healthy infants aged from 6 to 11 months old as established by medical history and clinical examination
  • 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 <=37.0°C on axillary setting

Who cannot join

  • For children group (aged from 12-36 months):
  • 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
Show all 42Show fewer
  • 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 1 month
  • Any prior administration of attenuated live vaccine in last 28 days
  • Any prior administration of subunit or 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
  • For infants group (aged from 6-11 months):
  • 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 1 month
  • Any prior administration of attenuated live vaccine in last 28 days
  • Any prior administration of subunit or 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
  • Had any Grade 3 or Grade 4 adverse reaction within 7 days after first dose
  • Any situation meet the exclusion criteria stated in the exclusion criteria for first dose
  • Had any SAE related to first dose during the following-up of first dose
  • Any condition that in the opinion of the investigator, or IRB

Trial locations and contacts

1 site in 1 country.

China1 site
  • Jiangsu Provincial Center for Diseases Control and Prevention

    Nanjing, Jiangsu, 210009

Other trials in China

About this study

Hand, foot, and mouth disease (HFMD) is a common viral illness in infants and children caused by viruses that belong to the enterovirus genus of the picornavirus family. Although most HFMD cases do not result in serious complications, outbreaks of HFMD caused by enterovirus 71 (EV71) can present with a high rate of neurological complications, including meningoencephalitis, pulmonary complications, and can even cause infant death. HFMD caused by EV71 has become a major emerging infectious disease in Asia and the highly pathogenic potential of EV71 clearly requires the attention of world medical community.

The phase I study of inactivated vaccine (vero cell) against EV71 has completed last month in Jiangsu Province in China. The data from the phase I study suggested that the inactivated EV71 vaccine had a clinically acceptable safety and good immunogenicity for healthy Chinese children and infants. In order to provide more evidence for the immunogenicity of the vaccine, to further explore the probable immunizing dose and the safety profile of this vaccine, a phase II clinical trial is planed to conduct.

Being tested
160U /0.5ml EV71 Vaccine, 320U /0.5ml EV71 vaccine, 640U /0.5ml EV71 vaccine, (without adjuvant) 640U /0.5ml, 0/0.5ml placebo
Keywords
immunogenicity, safety, inactivated EV71 vaccine

What participants receive

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

  • 160U /0.5ml EV71 VaccineBiological

    inactivated vaccine (vero cell) against EV71 of 160U /0.5ml, two doses, 28 days interval

  • 320U /0.5ml EV71 vaccineBiological

    inactivated vaccine(vero cell) against EV71 of 320U /0.5ml, two doses, 28 days interval

  • 640U /0.5ml EV71 vaccineBiological

    inactivated vaccine (vero cell) against EV71 of 640U /0.5ml, two doses, 28 days interval

  • (without adjuvant) 640U /0.5mlBiological

    inactivated vaccine (vero cell) against EV71 of (without adjuvant) 640U /0.5ml, two doses, 28 days interval

  • 0/0.5ml placeboBiological

    0/0.5ml placebo, two doses, 28 days interval

Study groups in NCT01399853
Study groupRoleWhat they receive
160U /0.5ml in children (from 12 to 36 months old)Experimentalinactivated vaccine(vero cell) against EV71 of 160U /0.5ml in 120 children aged 12-36 months old on day0,28
Receives: Biological: 160U /0.5ml EV71 Vaccine
320U /0.5ml in children (from 12 to 36 months old)Experimentalinactivated vaccine(vero cell) against EV71 of 320U /0.5ml in 120 children aged 12-36 months old on day0,28
Receives: Biological: 320U /0.5ml EV71 vaccine
640U /0.5ml in children (from 12 to 36 months old)Experimentalinactivated vaccine(vero cell) against EV71 of 640U /0.5ml in 120 children aged 12-36 months old on day0,28
Receives: Biological: 640U /0.5ml EV71 vaccine
(without adjuvant) 640U /0.5ml in children (12-36months)Experimentalinactivated vaccine(vero cell) against EV71 of (without adjuvant) 640U /0.5ml in 120 children aged 12-36 months old on day0,28
Receives: Biological: (without adjuvant) 640U /0.5ml
160U /0.5ml in infants (from 6 to 11 months old)Experimentalinactivated vaccine(vero cell) against EV71 of 160U /0.5ml in 120 infants aged 6-11 months old on day0,28
Receives: Biological: 160U /0.5ml EV71 Vaccine
320U /0.5ml in infants (from 6 to 11 months old)Experimentalinactivated vaccine(vero cell) against EV71 of 320U /0.5ml in 120 infants aged 6-11 months old on day0,28
Receives: Biological: 320U /0.5ml EV71 vaccine
640U /0.5ml in infants (from 6 to 11 months old)Experimentalinactivated vaccine(vero cell) against EV71 of 640U /0.5ml in 120 infants aged 6-11 months old on day0,28
Receives: Biological: 640U /0.5ml EV71 vaccine
(without adjuvant) 640U /0.5ml in infants (from 6 to 11 monthsExperimentalinactivated vaccine(vero cell) against EV71 of (without adjuvant) 640U /0.5ml in 120 infants aged 6-11 months old on day0,28
Receives: Biological: (without adjuvant) 640U /0.5ml
0/0.5ml placebo in children (from 12 to 36 months old)Placebo comparator0/0.5ml placebo in 120 children aged 12-36 months old on day0,28
Receives: Biological: 0/0.5ml placebo
0/0.5ml placebo in infants (from 6 to 11 months old)Placebo comparator0/0.5ml placebo in 120 infants aged 6-11 months old on day0,28
Receives: Biological: 0/0.5ml placebo

What is being measured

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

  1. The GMT of anti-EV71 antibodies in serum after first vaccination

    to evaluate the GMT of anti-EV71 antibodies in serum 28 days after first vaccination

    Measured: 28 days after first vaccination

  2. The GMT of anti-EV71 antibodies in serum after second vaccination

    to evaluate the GMT of anti-EV71 antibodies in serum 28 days after second vaccination

    Measured: 28 days after second vaccination

  3. Frequency of systemic and local adverse reactions after the first vaccination

    Frequency of systemic and local adverse reactions in healthy Children and infants following first doses of EV71 vaccine

    Measured: 28 days after the first vaccination

  4. Frequency of systemic and local adverse reactions after the second vaccination

    Frequency of systemic and local adverse reactions in healthy Children and infants following second doses of EV71 vaccine

    Measured: 28 days after the second vaccination

Secondary outcomes (7)
  1. The seroconversion rate of anti-EV71 antibodies in serum after first vaccination

    to evaluate the seroconversion rate of anti-EV71 antibodies in serum 28 days after first vaccination

    Measured: 28 days after first vaccination

  2. The seroconversion rate of anti-EV71 antibodies in serum after second vaccination

    to evaluate the seroconversion rate of anti-EV71 antibodies in serum 28 days after second vaccination

    Measured: 28 days after second vaccination

  3. Frequency of adverse events and any SAE after the first vaccination

    Frequency of adverse events and any SAE in healthy Children and infants following first doses of EV71 vaccine

    Measured: 28 days after the first vaccination

  4. Frequency of adverse events and any SAE after the second vaccination

    Frequency of adverse events and any SAE in healthy Children and infants following second doses of EV71 vaccine

    Measured: 28 days after the second vaccination

  5. The clinical abnormality of hematological examination, blood biochemical test and urinalysis after first vaccination in children

    to evaluate the clinical abnormality of hematological examination, blood biochemical test and urinalysis 3 days after first vaccination in children

    Measured: 3 days after first vaccination

  6. The clinical abnormality of hematological examination, blood biochemical test and urinalysis after second vaccination in children

    to evaluate the clinical abnormality of hematological examination, blood biochemical test and urinalysis 3 days after second vaccination in children

    Measured: 3 days after second vaccination

  7. The persistence of immunogenicity of the EV71vaccine after two doses in children and infants

    to evaluate the persistence of immunogenicity of the EV71vaccine after two doses in children and infants 6 months after blood collection at day 56

    Measured: 6 months after blood collection at day 56

Timeline

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

  1. First posted22 Jul 2011 (estimated)
  2. Study startJul 2011
  3. Primary completionNov 2011
  4. Study completionMay 2012

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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
1,200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01399853
Sponsor's protocol ID
JSVCT005
Status last verified
May 2012
First submitted
19 Jul 2011
Last updated
31 May 2012
Results posted
No
Data monitoring committee
Yes

Publications

  • Zhu FC, Liang ZL, Li XL, Ge HM, Meng FY, Mao QY, Zhang YT, Hu YM, Zhang ZY, Li JX, Gao F, Chen QH, Zhu QY, Chu K, Wu X, Yao X, Guo HJ, Chen XQ, Liu P, Dong YY, Li FX, Shen XL, Wang JZ. Immunogenicity and safety of an enterovirus 71 vaccine in healthy Chinese children and infants: a randomised, double-blind, placebo-controlled phase 2 clinical trial. Lancet. 2013 Mar 23;381(9871):1037-45. doi: 10.1016/S0140-6736(12)61764-4.

    PubMed 23352749

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 160U /0.5ml EV71 Vaccine, 320U /0.5ml EV71 vaccine and 640U /0.5ml EV71 vaccine in people with Immunogenicity and Safety, run by Jiangsu Province Centers for Disease Control and Prevention at 1 site in China.

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 12 inclusion and 42 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 31 May 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

The GMT of anti-EV71 antibodies in serum after first vaccination (time frame: 28 days after first vaccination). The study lists 4 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 NCT01399853, 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 31 May 2012.

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