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PoliomyelitisPhase 3NCT02434770

Immunogenicity and Safety of Liquid Bivalent Oral Poliomyelitis Vaccine

A Phase 3 study testing BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 1, BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 2 and BioFarma Bivalent Oral Poliomyelitis Vaccine in people with Poliomyelitis, run by PATH at 2 sites in Kenya.

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 purpose of this study will be to evaluate whether a bivalent oral polio vaccine (bOPV) manufactured by Beijing Bio-Institute Biological Products Co., Ltd (BBIBP) has a similar immunogenicity profile to a WHO prequalified bOPV. Read more about this study

Who is it for?
Ages 1 day to 14 daysHealthy volunteers can take part
Conditions the study is for
Poliomyelitis
What is being tested?
BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 1, BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 2 and BioFarma Bivalent Oral Poliomyelitis Vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
2 sitesKenya
Study dates
Aug 2015to 17 Jun 2016
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 1 day to 14 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy, full-term infants, as established by medical history and clinical examination before entering into the study.
  • Parents willing to provide written informed consent.
  • Age: infants less than 2 weeks of age at the time of enrollment (from the 1st through the 14th day of life, inclusive)

Who cannot join

  • Birth weight (as documented at first medical contact) less than 2.5 kg
  • Presence of diarrhea or vomiting in the previous 24 hours or on the day of enrollment (temporary exclusion)
  • Presence of fever (> 37.5°C) on the day of enrollment (temporary exclusion)
  • Acute disease at the time of enrollment (temporary exclusion)
  • Significant malnutrition as per Investigator's judgment
  • Concurrent participation in another clinical study at any time during the study period in which the infant will be exposed to an investigational or a non-investigational product
Show all 14Show fewer
  • Presence of any significant systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer or autoimmune disease) as determined by medical history and/or physical examination which would compromise the child's health or is likely to result in non-conformance to the protocol
  • Known or suspected impairment of immunological function (including human immunodeficiency virus [HIV] exposure) based on medical history and physical examination
  • Previous receipt of polio virus vaccine
  • Household contact with a known immunosuppressed individual
  • Unwillingness or inability of parents for active follow-up by the study staff
  • History of any neurological disorders or seizures
  • Any medical condition that, in the judgment of the investigator, would interfere with or serve as a contraindication to protocol adherence or a participant's ability to give informed consent
  • Maternal HIV infection

Trial locations and contacts

2 sites in 1 country.

Kenya2 sites
  • Kenya Medical Research Institute (KEMRI)/Walter Reed Project

    Kericho

  • Kenya Medical Research Institute/Walter Reed Project

    Kisumu, Nyanza, PO Box 54-40100

Other trials in Kenya

About this study

Official title: A Phase III Single-blind, Randomized, Controlled Study in Healthy Kenyan Infants to Assess the Immunogenicity and Safety of Beijing TiantanBio Liquid Bivalent Oral Poliomyelitis Vaccine (bOPV) in Comparison to a WHO Prequalified Comparator bOPV

The purpose of this study will be to evaluate whether a bivalent oral polio vaccine (bOPV) manufactured by Beijing Bio-Institute Biological Products Co., Ltd (BBIBP) has a similar immunogenicity profile to a WHO prequalified bOPV.

Read the detailed description

BBIBP has been one of the two suppliers of trivalent oral polio vaccine (tOPV) in China since 1985, with control of polio in China evidence of the effectiveness of its vaccine. The company plans to introduce a liquid formulation of bOPV (types 1 and 3) to meet increasing global demand with the phasing-out of tOPV. The proposed study is intended to provide data sufficient to obtain World Heath Organization (WHO) prequalification for the BBIBP bOPV, thus making the vaccine available to help meet global demand.

Infants were enrolled and randomized prior to the birth dose of bOPV. The first dose of study vaccine was administered during the first two weeks of life and then co-administered with the primary Expanded Programme on Immunization (EPI) series vaccines in Kenya at 6, 10 and 14 weeks of age. The Kenya EPI schedule includes the following additional vaccines:

  • Bacille Calmette-Guérin Vaccine (BCG) at birth
  • Diphtheria and Tetanus Toxoid with Whole Cell Pertussis, Haemophilus influenzae Type V vaccine (Hib), and Hepatitis B Vaccine (DTwPHibHep) at 6, 10, 14 weeks;
  • Pneumococcal Conjugate vaccine (PCV) at 6, 10, 14 weeks
  • Rotavirus vaccine (Rotarix) at 6, 10 weeks
Conditions
Poliomyelitis
Being tested
BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 1, BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 2, BioFarma Bivalent Oral Poliomyelitis Vaccine
Medical subject headings
Poliomyelitis

What participants receive

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

  • BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 1Biological

    Also called Poliomyelitis (Live) Vaccine Type I Type III (Human Diploid Cell), Oral

    Each dose of bOPV (2 drops, 0.1 ml) contains attenuated Sabin strains of poliovirus serotypes 1 and 3, with at least 10^6 cell culture infectious dose 50% (CCID50)/dose and 10^5.8 CCID50/dose, respectively.

  • BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 2Biological

    Also called Poliomyelitis (Live) Vaccine Type I Type III (Human Diploid Cell), Oral

    Each dose of bOPV (2 drops, 0.1 ml) contains types 1 and 3 attenuated polioviruses (Sabin), with at least 10^6 CCID50/dose and 10^5.8 CCID50/dose, respectively.

  • BioFarma Bivalent Oral Poliomyelitis VaccineBiological

    Each dose of the WHO prequalified Bio Farma bOPV (2 drops, 0.1 ml) contains attenuated Sabin strains of poliovirus serotypes 1 and 3, with at least 10^6 and 10^5.8 infective units per dose, respectively.

Study groups in NCT02434770
Study groupRoleWhat they receive
BBIBP bOPV Lot 1ExperimentalInfants received 2 drops of liquid bivalent oral polio vaccine (bOPV) manufactured by BBIBP, Lot 1, administered directly into the mouth in the first two weeks of life, and at 6, 10, and 14 weeks of age.
Receives: Biological: BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 1
BBIBP bOPV Lot 2ExperimentalInfants received 2 drops of liquid bivalent oral polio vaccine (bOPV) manufactured by BBIBP, Lot 2, administered directly into the mouth in the first two weeks of life, and at 6, 10, and 14 weeks of age.
Receives: Biological: BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 2
BioFarma bOPVActive comparatorInfants received 2 drops of WHO prequalified liquid bivalent oral polio vaccine manufactured by BioFarma, administered directly into the mouth in the first two weeks of life, and at 6, 10, and 14 weeks of age.
Receives: Biological: BioFarma Bivalent Oral Poliomyelitis Vaccine

What is being measured

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

  1. Number of Participants Experiencing Any Systemic Reactogenicity, by Maximum Severity

    Solicited systemic reactogenicity events evaluated during the week after each vaccination included fever, vomiting, diarrhea, decreased appetite/ poor feeding, irritability, and decreased activity. Reactions were recorded by participant's parents via memory aid. Each event was graded as:

    Mild (Grade 1): No or minimal interference with usual activities; no medical intervention/therapy required, Moderate (Grade 2): Greater than minimal interference with usual activities; no or minimal medical intervention/therapy required, Severe (Grade 3): Marked limitation in ability to perform usual activities; medical intervention/therapy required, or Potentially life-threatening (Grade 4): Inability to perform basic functions OR Medical or operative intervention indicated to prevent permanent impairment, persistent disability, or death.

    The overall number of participants who experienced any systemic reaction is reported. Grades are based on maximum severity per participant.

    Measured: 7 days after each vaccination (Weeks 0, 6, 10, and 14)

  2. Number of Participants Experiencing Adverse Events

    Adverse events were graded as mild (Grade 1 = No or minimal interference with usual activities; no medical intervention/therapy required), moderate (Grade 2 = Greater than minimal interference with usual activities; no or minimal medical intervention/therapy required), severe (Grade 3 = Marked limitation in ability to perform usual activities; medical intervention/therapy required), or potentially life-threatening (Grade 4 = Inability to perform basic functions OR Medical or operative intervention indicated to prevent permanent impairment, persistent disability, or death).

    The overall number of participants who experienced any adverse event is reported. Grades are based on maximum severity per participant.

    Measured: From the time of the first vaccination through 28 days after each vaccination (up to Day 126).

  3. Anti-polio Neutralizing Antibody Geometric Mean Titers (GMT): Serotype 1

    The assays for determination of anti-poliovirus neutralizing antibodies at the National Institutes for Food and Drug Control (NIFDC) were validated.

    Anti-polio antibody titer four weeks after the fourth vaccination was adjusted for the decrease in maternal antibodies based on a half-life of 28 days.

    Measured: Screening and 4 weeks post vaccination 4 (Week 18)

  4. Anti-polio Neutralizing Antibody Geometric Mean Titers: Serotype 3

    The assays for determination of anti-poliovirus neutralizing antibodies at the National Institutes for Food and Drug Control (NIFDC) were validated.

    Anti-polio antibody titer four weeks after the fourth vaccination was adjusted for the decrease in maternal antibodies based on a half-life of 28 days.

    Measured: Screening and 4 weeks post vaccination 4 (Week 18)

  5. Number of Infants With Serotype-specific Anti-polio Neutralizing Antibody Seroconversion 4 Weeks After Last Dose

    The assays for determination of anti-poliovirus neutralizing antibodies at the National Institutes for Food and Drug Control (NIFDC) were validated.

    Seroconversion was defined as a titer ≥ 1:8 if seronegative at screening, otherwise a ≥ 4-fold increase in adjusted titers (i.e., adjusted for the decay in maternal antibodies, based on a half life of 28 days).

    Measured: 4 weeks post vaccination 4 (Week 18)

Secondary outcomes (3)
  1. Anti-hepatitis B Surface Antigen (HBsAg) Geometric Mean Titers

    Anti-HBsAg titers were measured to assess the impact of concomitant administration of BBIBP liquid bOPV on immune responses to other Expanded Programme on Immunization (EPI) vaccines in comparison to that of the WHO pre-qualified bOPV, 4 weeks after the fourth vaccination.

    The enzyme-linked immunosorbent assay (ELISA) assays for serum antibodies to HBsAg were performed at the Children's Hospital Medical Center (CCHMC). The HBsAb assay was a qualified assay using a kit from BioRad.

    Measured: 4 weeks post vaccination 4 (Week 18)

  2. Number of Infants With Anti-hepatitis B Surface Antigen (HBsAg) Seroprotection

    Seroprotection was defined as a HBsAg titer ≥ 1:10 The ELISA assays for serum antibodies to HBsAg were performed at the Children's Hospital Medical Center (CCHMC). The HBsAb assay was a qualified assay using a kit from BioRad.

    Measured: 28 days after vaccination 4

  3. Anti-Rotavirus Immunoglobulin A (IgA) Geometric Mean Titers

    Anti-rotavirus immunoglobulin A titers were measured to assess the impact of concomitant administration of BBIBP liquid bOPV on immune responses to other Expanded Programme on Immunization (EPI) vaccines in comparison to that of the WHO pre-qualified bOPV, 4 weeks after the fourth vaccination.

    The ELISA assay for antibodies to rotavirus was performed at the Children's Hospital Medical Center (CCHMC) using a validated in-house assay.

    Measured: 4 weeks post vaccination 4 (Week 18)

Timeline

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

  1. First posted5 May 2015 (estimated)
  2. Study startAug 2015
  3. Primary completion17 Jun 2016
  4. Study completion17 Jun 2016

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
Single blind
Who is masked
Participant
Enrolment
750 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02434770
Sponsor's protocol ID
VAC-015
Status last verified
Feb 2020
First submitted
30 Apr 2015
Last updated
10 Mar 2020
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 1, BBIBP Bivalent Oral Poliomyelitis Vaccine Lot 2 and BioFarma Bivalent Oral Poliomyelitis Vaccine in people with Poliomyelitis, run by PATH at 2 sites in Kenya.

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 3 inclusion and 14 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 10 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Kenya. 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 10 Mar 2020). 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 Experiencing Any Systemic Reactogenicity, by Maximum Severity (time frame: 7 days after each vaccination (Weeks 0, 6, 10, and 14)). 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 10 Mar 2020.

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