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Prevention of Infections With Bordetella PertussisPhase 4NCT02555540

Placebo Controlled Study to Generate Data Characterising Safety Parameters and Immune Responses

A Phase 4 study testing Boostrix in people with Prevention of Infections With Bordetella Pertussis, run by University Hospital, Ghent at 1 site in Belgium.

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 protocol is to generate a set of data that will be analysed by integrated systems biology approach, for validation in subsequent clinical trials or in animal models. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
Boostrix
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
240 participants
Where
1 siteBelgium
Study dates
24 Aug 2015to 15 Dec 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 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male or female subjects aged 18-45 years (inclusive).
  • Male: Female ratio - 1:1.
  • Half of the subjects (n=120) will have received a previous Dt(pa) dose less than 5 years before, the other half (n=120) will have received a previous Dt(pa) dose 5 or more years before participating at this study.
  • The subject is, in the opinion of the investigator healthy based on medical history and clinical exam, with no active disease process that could interfere with the study endpoints.
  • Has a body Mass Index ≥18.0 and ≤30.0
  • Is able to read and understand the Informed Consent Form (ICF), and understand study procedures.
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  • The subject has signed the ICF.
  • The subject is available for follow-up for the duration of the study.
  • The subject agrees to abstain from donating blood during their participation in the study, or longer if necessary.
  • If the subject is a heterosexually active female, she is willing to use an effective method of contraception with partner (oral contraceptive pill; intrauterine device; injectable or implanted contraceptive; condoms incorporating spermicide if using these; physiological or anatomical sterility) from 30 days prior to, and 3 months after, vaccination. Willing to undergo urine pregnancy tests prior to vaccination at screening.
  • The subject has venous access sufficient to allow blood sampling as per the protocol.

Who cannot join

  • Pregnant or lactating at any point during the study from screening to final follow up.
  • Hypersensitivity to any component of the vaccine or subjects having shown signs of hypersensitivity after previous administration of diphtheria, tetanus, or pertussis vaccines.
  • Presence of primary or acquired immunodeficiency states with a total lymphocyte count less than 1,200 per mm3 or presenting other evidence of lack of cellular immune competence e.g. leukaemias, lymphomas, blood dyscrasias, or patients receiving immunosuppressive therapy (including regular use of oral or parenteral corticosteroids).
  • Use of any immune suppressing or immunomodulating drugs within 6 months of Visit 1.
  • Regular and prolonged use of non-steroidal anti-inflammatory drugs (oral or parenteral route) within 6 months of Visit 1 considered by the study physician as likely to interfere with immune responses.
  • Current intake of excessive amounts of alcohol and/or caffeine (as evaluated by the investigator) and not willing to adapt this use during the study period.
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  • Currently performing extreme physical activities (as evaluated by the investigator) and not willing to adapt this use during the study period.
  • Receipt of a vaccine within 30 days prior to visit 1, or requirement to receive a vaccine within the 28 days following study vaccination, vaccination with a tetanus, diphtheria, pertussis combined vaccine within the last 6 months before the first study visit.
  • Presence of an acute severe febrile illness at time of immunisation.
  • History of alcohol, narcotic, benzodiazepine, rilatine, or other substance abuse or dependence within the 12 months preceding Visit 1.
  • Currently participating in another clinical study with an investigational or non-investigational drug or device, or has participated in a clinical trial within the 3 months preceding Visit 1.
  • Any condition that, in the investigator's opinion, compromises the subject's ability to meet protocol requirements or to complete the study.
  • Receipt of blood products or immunoglobulins, or blood donation within 3 months prior to visit 1.
  • Unable to read and speak Dutch or English to a fluency level adequate for the full comprehension of procedures required in participation and consent.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Center for Vaccinology

    Ghent, East-Flanders, 9000

Other trials in Belgium

About this study

Official title: Clinical Study to Generate a Set of Data Characterising Clinical Events, Physiological Responses, and Innate and Adaptive Immune Responses Following a Single IM Immunisation With Boostrix® or Placebo in Healthy Adults

The purpose of this protocol is to generate a set of data that will be analysed by integrated systems biology approach, for validation in subsequent clinical trials or in animal models.

240 healthy participants (18-45y) will be enrolled, 200 will be administered a dose of Boostrix on Day 0, 20 will receive a placebo on Day 0.

Read the detailed description

This study is part of the BIOVACSAFE project, a 5-year project funded by the Innovative Medicine Initiative, which will undertake a series of correlated clinical studies that will apply and develop technologies to generate clinical data on inflammation with licensed vaccines as benchmarks, and identify biomarkers to predict acceptable reactogenicity, for correlation with standardized clinical readouts and inflammatory markers assessed in natural infections.

The purpose of this protocol is to generate data to undergo integrated systems biology analysis to validate biomarkers identified in the exploratory studies conducted previously or to identify new biomarkers of responses to immunisation

The data set will include data characterising:

  1. Physiological responses at various time points after immunisation by measuring:
  • Local and systemic vaccine-related clinical events.
  • Haematology (blood counts and ESR) and biochemistry parameters.
  1. Innate and adaptive immune responses including:
  • Innate immune activation detected by global gene expression in whole blood
  • Adaptive humoral immunity determined by the quantification antibodies directed against Tetanus toxoid (TT), Diphteria toxoid (DT), Pertussis toxin (PT), Fimbrial haemagglutinin (FHA) and Pertactin (PTN).
  • Adaptive immune activation detected by gene pathway activation in whole blood
  • Metabolic responses as detected by metabolic gene expression and pathway activation in whole blood
  • Innate and adaptive immune activation detected by measuring the concentration of selected soluble mediators in serum including: chemokines and cytokines and acute phase proteins
  • As an exploratory endpoint, the adaptive cellular immune response will be evaluated via counting vaccine antigen-specific Cluster of Differentiation 4 (CD4)+ T cells expressing activation markers and/or cytokines following in vitro stimulation and analysis by flow cytometry (and or CyTOF).
  1. Genetic testing of subjects when deemed necessary (genetic testing analysis may be SNP (single nucleotide polymorphism) analysis or full genome analysis).
  2. Correlations in changes in innate immune activation and metabolism with adverse events, haematology and biochemistry panels, genotype and physiological assessments

The investigators will biobank all samples for the duration of the BIOVACSAFE programme so that they can selectively analyse different samples and different time points depending on the results generated, principally from the gene expression analysis of whole blood.

Being tested
Boostrix, Placebo (Saline)

What participants receive

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

  • BoostrixBiological

    Randomised assignment

  • Placebo (Saline)Biological

    Randomised assignment

Study groups in NCT02555540
Study groupRoleWhat they receive
Boostrix, Male, >/= 5 years, D2 visitActive comparator25 male subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Boostrix, Male, >/= 5 years, D3 visitActive comparator25 male subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Boostrix, Female, >/= 5 years, D2 visitActive comparator25 female subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Boostrix, Female, >/= 5 years, D3 visitActive comparator25 female subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Placebo, Male, >/= 5 years, D2 visitPlacebo comparator5 male subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Placebo, Male, >/= 5 years, D3 visitPlacebo comparator5 male subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Placebo, Female, >/= 5 years, D2 visitPlacebo comparator5 female subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Placebo, Female, >/= 5 years, D3 visitPlacebo comparator5 female subjects who have received their last dT(Pa) vaccine at least 5 years ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Boostrix, Male, <5 years, D2 visitActive comparator25 male subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Boostrix, Male, <5 years, D3 visitActive comparator25 male subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Boostrix, Female, <5 years, D2 visitActive comparator25 female subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Boostrix, Female, <5 years, D3 visitActive comparator25 female subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Boostrix
Placebo, Male, <5 years, D2 visitPlacebo comparator5 male subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Placebo, Male, <5 years, D3 visitPlacebo comparator5 male subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Placebo, Female, <5 years, D2 visitPlacebo comparator5 female subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 2'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 2 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)
Placebo, Female, <5 years, D3 visitPlacebo comparator5 female subjects who have received their last dT(Pa) vaccine between 5 years and 6 months ago, and who have the Visit 2 on 'Day 3'. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 28 (blood sampling)
Receives: Biological: Placebo (Saline)

What is being measured

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

  1. Frequency of local vaccine-related clinical events

    Participants will report these events on a diary, measuring local events or scoring them from 0 (absent) to 3 (severe)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  2. Frequency of systemic vaccine-related clinical events.

    Participants will report these events on a diary, scoring them from 0 (absent) to 3 (severe)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  3. Physiological assessments: Change from pre-immunisation baseline values in body temperature.

    Measured: Up to 7 days after vaccination

  4. Change from pre-immunisation baseline values in 'Erythrocyte Sedimentation Rate' (ESR)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  5. Change from pre-immunisation baseline values in creatinin

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  6. Change from pre-immunisation baseline values in C Reactive Protein (CRP)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  7. Change from pre-immunisation baseline values in aspartate transaminase (AST)/ alanine transaminase (ALT)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  8. Change from pre-immunisation baseline values in albumin

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  9. Change from pre-immunisation baseline values in estimated glomerular filtration rate (eGFR)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  10. Change from pre-immunisation baseline values in gamma glutamyl transpeptidase (GGT)

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  11. Change from pre-immunisation baseline values in total protein

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  12. Change from pre-immunisation baseline values in prothrombin/fibrinogen

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  13. Change from pre-immunisation baseline values in global gene expression measured on whole blood samples.

    Measured: At selected timepoints from vaccination up to 28 days after vaccination

  14. Change from pre-immunisation baseline values in metabolic gene expression measured on whole blood samples.

    Measured: At selected timepoints from vaccination up to 28 days after vaccination

  15. Change from pre-immunisation baseline values in serum levels of antibodies to vaccine antigens (anti-T, anti-D, anti-PT, anti-FHA and anti-PRN) in serum samples.

    Measured: At selected timepoints from vaccination up to 28 days after vaccination

  16. Change from pre-immunisation values of adaptive cellular immune response via enumeration of TT-, DT-, PT-, FHA- and PTN-specific CD3/CD4+ or CD3/CD8+ T cells expressing activation markers/cytokines following IV stimulation and analysis by flow cytometry.

    Measured: At 7 days after vaccination

  17. Change from pre-immunisation baseline values in concentration of selected cytokines and acute phase proteins in serum samples

    Measured: At selected timepoints from vaccination up to 28 days after vaccination

  18. Change from pre-immunisation baseline values in pathway activation measured on whole blood samples.

    Measured: At selected timepoints from vaccination up to 28 days after vaccination

  19. Change from pre-immunisation baseline values in haemoglobin

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  20. Change from pre-immunisation baseline values in red blood cell count

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  21. Change from pre-immunisation baseline values in haematocrit

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  22. Change from pre-immunisation baseline values in white blood cell count

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  23. Change from pre-immunisation baseline values in platelet count

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  24. Change from pre-immunisation baseline values in white blood cells

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  25. Change from pre-immunisation baseline values in 'mean corpuscular volume'

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  26. Change from pre-immunisation baseline values in 'mean corpuscular heamoglobin'

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  27. Change from pre-immunisation baseline values in 'mean corpuscular heamoglobin concentration'

    Measured: At all timepoints from vaccination up to 28 days after vaccination

  28. Change from pre-immunisation baseline values in Cell Mediated Immunity status in response to in vitro antigen stimulation

    Measured: At all timepoints from vaccination up to 28 days after vaccination

Timeline

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

  1. First posted21 Sep 2015 (estimated)
  2. Study start24 Aug 2015
  3. Primary completion15 Dec 2015
  4. Study completion15 Dec 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 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02555540
Sponsor's protocol ID
BioVacSafe - Boostrix
Status last verified
Dec 2022
First submitted
24 Aug 2015
Last updated
20 Dec 2022
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Boostrix in people with Prevention of Infections With Bordetella Pertussis, run by University Hospital, Ghent at 1 site in Belgium.

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 11 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 20 Dec 2022. 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 Belgium. 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 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 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?

Frequency of local vaccine-related clinical events (time frame: At all timepoints from vaccination up to 28 days after vaccination). The study lists 28 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 20 Dec 2022.

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