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AzTrials

Immune Response to DTP-HB-Hib VaccinePhase 4NCT02409095

Study Comparing DTP-HB-Hib by Disposable-Syringe Jet Injector To Vaccination By Needle And Syringe In Infants

A Phase 4 study testing DTP-HB-Hib vaccine, Disposable Syringe Jet Injector (DSJI) and Needle & Syringe in people with Immune Response to DTP-HB-Hib Vaccine, run by Serum Institute of India Pvt. Ltd. at 3 sites in India.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a study planned to determine and compare immunogenicity and reactogenicity of DTP-HB-Hib vaccine of SIIL delivered either with disposable-Syringe Jet Injector (DSJI) or disposable-syringe needle in total 340 Indian infants aged 6 to 8 weeks at the time of enrollment. Read more about this study

Who is it for?
Ages 6 to 8 weeksHealthy volunteers can take part
Conditions the study is for
Immune Response to DTP-HB-Hib Vaccine
What is being tested?
DTP-HB-Hib vaccine, Disposable Syringe Jet Injector (DSJI) and Needle & Syringe
Could I receive a placebo?
No, everyone receives an active treatment
How many people
211 participants
Where
3 sitesIndia
Study dates
Jan 2015to Mar 2016
Phase
Phase 4
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 8 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Normal healthy infants of age 6-8 weeks at the time of the first vaccination.
  • Born after a normal gestation period (36-42 weeks).
  • Parents of subjects willing to give written informed consent.
  • Parents willing to comply with study protocol.
  • Free of obvious health problems as established by medical history and screening evaluation including clinical examination.
  • The participant should be the resident of study area

Who cannot join

  • Infant subject participating in other clinical trial or planned participation in another clinical trial during the present trial period.
  • Infant with congenital or acquired immunodeficiency, malignancy or receiving immunosuppressive therapy such as systemic corticosteroids therapy for a period of ≥ 1 week.
  • Infant with history of allergy or systemic hypersensitivity to any of the vaccine component or history of a life-threatening reaction to the trial vaccine or a vaccine containing the same substances.
  • Infant with any chronic illness including hepatic, renal, respiratory, CVS, endocrine and neurological illness.
  • Infants who have received blood or blood-derived products in the past.
  • History of diphtheria, tetanus, pertussis, and hepatitis B or Haemophilus influenzae type b (confirmed either clinically, serologically or microbiologically).
Show all 12Show fewer
  • Previous history of vaccination against the diphtheria, tetanus, pertussis or Hib.
  • Known history of a bleeding disorder contraindicating intramuscular vaccination.
  • History of any neurological disorder or history of seizure (febrile or afebrile), or encephalopathy, encephalitis, hypotonic-hyporesponsive episode.
  • History of febrile illness at the time of inclusion is a temporary exclusion criterion.
  • Acute or chronic, clinically significant pulmonary, endocrine, autoimmune, cardiovascular, metabolic, hepatic or renal functional abnormality, as determined by medical history, and physical examination tests, which in the opinion of the investigator, might interfere with the study objectives
  • Infant with any other condition, which, in the opinion of the investigator would jeopardize the safety or rights of the infant participating in the study or making it unlikely the subject could complete the protocol

Trial locations and contacts

3 sites in 1 country.

India3 sites
  • Dept of Pediatrics, Sri Ramachandra Medical Centre, No. 1, Ramachandra nagar, Porur,

    Chennai, Tamil Nadu, 600116

  • Department of Pediatrics, KEM Hospital Research Centre, Sardar Moodliar Road, Rasta Peth,

    Pune, Maharashtr, 411011

  • Department of Pediatrics, Bharati Vidyapeeth Deemed University Medical College and Hospital, Satara Road, Katraj, Dhankawadi

    Pune, Maharasthra, 411043

Other trials in India

About this study

Official title: A Phase IV, Non-Inferiority, Observer Blind, Randomized Clinical Study Comparing Safety And Immunogenicity Of DTP-HB-Hib Vaccination by Disposable-Syringe Jet Injector To Vaccination By Needle And Syringe In Healthy Infants In India

This is a study planned to determine and compare immunogenicity and reactogenicity of DTP-HB-Hib vaccine of SIIL delivered either with disposable-Syringe Jet Injector (DSJI) or disposable-syringe needle in total 340 Indian infants aged 6 to 8 weeks at the time of enrollment.

It will provide information to aid managers, device regulatory control officials, immunization programs, and clinicians who make decisions on safe clinical practice standards.

Read the detailed description

This is a randomized, observer blind, non-inferior, parallel group, multi-centre clinical study to determine and compare immunogenicity and reactogenicity of DTP-HB-Hib vaccine of Serum Institute of India Ltd. delivered either with disposable-Syringe Jet Injector (DSJI) or disposable-syringe needle in total 340 Indian infants. Sera samples will be analyzed by ELISA for seroconversion / seropositivity for each individual component of vaccine i.e. Diphtheria, Tetanus, Pertussis, Hepatitis B (HBsAg) and Hemophilus Influenza B at 28 days after administration of a third dose of the vaccine.

Being tested
DTP-HB-Hib vaccine, Disposable Syringe Jet Injector (DSJI), Needle & Syringe

What participants receive

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

  • DTP-HB-Hib vaccineBiological

    Also called Pentavac

    Diphtheria, Tetanus, Pertussis, Hepatitis-B and Haemophilus influenzae type-B conjugate vaccine (DTP-HB-Hib) has been developed and manufactured by SIIL. The vaccine is pre-qualified by WHO and licensed by the Indian regulatory authority for immunization in children to protect them against above five diseases.

  • Disposable Syringe Jet Injector (DSJI)Device

    Also called Stratis

    Stratis is a needle free injection device manufactured by Pharamjet Inc. and licensed in USA.

  • Needle & SyringeOther

    The conventional needle syringe that is routinely used for vaccination.

Study groups in NCT02409095
Study groupRoleWhat they receive
DISPOSABLE-SYRINGE JET INJECTOR (DSJI)ExperimentalSubjects in this arm will be given three deep intramuscular doses, 0.5 mL each dose 4 weeks apart, of Serum Institute of India Ltd.'s DTP-HB-Hib vaccine (Brand name: Pentavac) via Disposable Syringe Jet Injector (Brand Name:Stratis) of Pharmajet Inc
Receives: Biological: DTP-HB-Hib vaccine; Device: Disposable Syringe Jet Injector (DSJI)
NEEDLE & SYRINGE (N-S)Active comparatorSubjects in this arm will be given three deep intramuscular doses, 0.5 mL each dose 4 weeks apart, of Serum Institute of India Ltd.'s DTP-HB-Hib vaccine (Brand name: Pentavac) via conventional needle and Syringe
Receives: Biological: DTP-HB-Hib vaccine; Other: Needle & Syringe

What is being measured

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

  1. Percentage of seroprotection and geometric mean titers (GMT) for diphtheria, tetanus, hepatitis-B, H. Influenzae and percentage sero-positivity and GMT for B. Pertussis

    Measured: one month after administration of third dose of the vaccine

Secondary outcomes (3)
  1. Occurrence of solicited reactions

    Measured: within 4 days following the administration of each of the three vaccine dose

  2. Occurrence of adverse event

    Measured: 84 days after first vccine dose

  3. Occurrence of serious adverse event

    Measured: 84 days after first vccine dose

Timeline

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

  1. First posted6 Apr 2015 (estimated)
  2. Study startJan 2015
  3. Primary completionFeb 2016
  4. Study completionMar 2016

Why it stopped: Due to increased rate of local injection site reactions in the DSJI group.

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
211 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02409095
Sponsor's protocol ID
Penta-01/12
Status last verified
Sep 2018
First submitted
12 Jan 2015
Last updated
11 Sep 2018
Results posted
No
Data monitoring committee
No

Publications

  • Bavdekar A, Malshe N, Ravichandran L, Sapru A, Kawade A, Lalwani S, Palkar S, Hanumante N, Gunale B, Kapse D, Chaudhari A, Miller T, Saganic L, Jarrahian C, McGray S, Zehrung D, Kulkarni PS. Clinical study of safety and immunogenicity of pentavalent DTP-HB-Hib vaccine administered by disposable-syringe jet injector in India. Contemp Clin Trials Commun. 2019 Jan 9;14:100321. doi: 10.1016/j.conctc.2019.100321. eCollection 2019 Jun.

    PubMed 30899835

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing DTP-HB-Hib vaccine, Disposable Syringe Jet Injector (DSJI) and Needle & Syringe in people with Immune Response to DTP-HB-Hib Vaccine, run by Serum Institute of India Pvt. Ltd. at 3 sites in India.

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 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: stopped early, as of the sponsor's last update on 11 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in India. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 was stopped early (reason given: Due to increased rate of local injection site reactions in the DSJI group.). Results are not available in the source record.

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 seroprotection and geometric mean titers (GMT) for diphtheria, tetanus, hepatitis-B, H. Influenzae and percentage sero-positivity and GMT for B. Pertussis (time frame: one month after administration of third dose of the vaccine). 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 NCT02409095, 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 11 Sep 2018.

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