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Safety IssuesPhase 2NCT03460405

Safety and Immunogenicity of Vi-DT Typhoid Conjugate Vaccine in Indonesian Adults, Adolescents, Children and Infants

A Phase 2 study testing Vi-DT Vaccine, Vi Polysaccharide Vaccine and IPV Vaccine in people with Safety Issues and Immunogenicity, run by PT Bio Farma at 2 sites in Indonesia.

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

This study is to assess the safety and immunogenicity of Vi-DT vaccine in adults, adolescent, children and infants. Read more about this study

Who is it for?
Ages 6 months to 40 yearsHealthy volunteers can take part
Conditions the study is for
Safety Issues, Immunogenicity
What is being tested?
Vi-DT Vaccine, Vi Polysaccharide Vaccine and IPV Vaccine
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
600 participants
Where
2 sitesIndonesia
Study dates
16 Jul 2018to 30 Jan 2020
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 months to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Healthy
  • Subjects/Parents have been informed properly regarding the study and signed the informed consent form
  • Subject/parents/legal guardians will commit themselves to comply with the instructions of the investigator and the schedule of the trial.

Who cannot join

  • Subject concomitantly enrolled or scheduled to be enrolled in another trial
  • Evolving mild, moderate or severe illness, especially infectious diseases or fever (axillary temperature ³ 37.5°C)
  • Known history of allergy to any component of the vaccines
  • History of uncontrolled coagulopathy or blood disorders contraindicating intramuscular injection
  • Subject who has received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulins, blood-derived products, corticosteroid therapy and other immunosuppresant).
  • Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives
Show all 23Show fewer
  • Pregnancy \& lactation (Adults)
  • Individuals who have previously received any vaccines against typhoid fever.
  • Subjects already immunized with any vaccine within 1 month prior and expect to receive other vaccines within 1 month following immunization.
  • Individuals who have a previously ascertained typhoid fever within 3 months prior to immunization.
  • History of substance abuse (Adults).
  • Subject planning to move from the study area before the end of study period.
  • Subject concomitantly enrolled or scheduled to be enrolled in another trial
  • Mother less than 18 years of age at the age of enrollment of the infant
  • Evolving mild, moderate or severe illness, especially infectious diseases or fever (axillary temperature ³ 37.5°C)
  • Known history of allergy to any component of the vaccines
  • History of uncontrolled coagulopathy or blood disorders contraindicating intramuscular injection
  • Subject who has received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulins, blood-derived products, corticosteroid therapy and other immunosuppresant).
  • Any abnormality or chronic disease which according to the investigator might be compromised by the vaccination and/or interfere with the assessment of the trial objectives.
  • Individuals who have previously received any vaccines against typhoid fever.
  • Subjects already immunized with any vaccine within 1 month prior and expect to receive other vaccines within 1 month following immunization, except MR vaccine.
  • Individuals who have a previously ascertained typhoid fever within 3 months prior to immunization.
  • Subject planning to move from the study area before the end of study period.

Trial locations and contacts

2 sites in 1 country.

Indonesia2 sites
  • Puskesmas Jatinegara

    Jakarta

  • Puskesmas Senen

    Jakarta

Other trials in Indonesia

About this study

Official title: Safety and Immunogenicity of Vi-DT Typhoid Conjugate Vaccine (Bio Farma) in Indonesian Adults, Adolescents, Children and Infants (Phase II)

This study is to assess the safety and immunogenicity of Vi-DT vaccine in adults, adolescent, children and infants.

Read the detailed description

To describe the safety of this vaccine following one dose immunization in adults, adolescent, children and infants.

To assess immunogenicity following one dose of Vi-DT vaccine immunization. To compare the safety and immunogenicity of Vi-DT to Vi polysaccharide vaccine in adults, adolescents, and children groups.

To compare the safety and immunogenicity of Vi-DT to IPV vaccine in infants groups.

Kinetics of Vi-specific IgG antibodies up to 6 months and 1 year after administration of 1 dose of vaccine.

To evaluate the safety and immunogenicity of Vi-DT co-administered with MR vaccine in infants (≥ 9months -23 months old).

To evaluate the safety and immunogenicity of MR vaccine co-administered with Vi-DT vaccine in infants (≥ 9months -23 months old).

Being tested
Vi-DT Vaccine, Vi Polysaccharide Vaccine, IPV Vaccine

What participants receive

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

  • Vi-DT VaccineBiological

    Also called Typhoid Conjugate Vaccine

    1 dose of Vi-DT Vaccine

  • Vi Polysaccharide VaccineBiological

    1 dose of Vi Polysaccharide Vaccine

  • IPV VaccineBiological

    1 dose of IPV Vaccine

Study groups in NCT03460405
Study groupRoleWhat they receive
VI-DT vaccine (adults,adolescent)Experimental1 dose of 0.5 ml Vi-DT vaccine
Receives: Biological: Vi-DT Vaccine
Vi polysaccharide (adults,adolescent)Active comparator1 dose of 0.5 ml Vi polysaccharide vaccine
Receives: Biological: Vi Polysaccharide Vaccine
VI-DT vaccine (children)Experimental1 dose of 0.5 ml Vi-DT vaccine
Receives: Biological: Vi-DT Vaccine
Vi polysaccharide vaccine (children)Active comparator1 dose of 0.5 ml Vi polysaccharide vaccine
Receives: Biological: Vi Polysaccharide Vaccine
VI-DT vaccine (infants)Experimental1 dose of 0.5 ml Vi-DT vaccine
Receives: Biological: Vi-DT Vaccine
IPV Vaccine (infants)Active comparator1 dose of 0.5 ml IPV vaccine
Receives: Biological: IPV Vaccine

What is being measured

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

  1. Local reaction and systemic event after vaccination

    Percentage of subjects with at least one immediate reaction (local reaction or systemic event) after vaccination.

    Measured: 28 days

Secondary outcomes (4)
  1. Adverse events after vaccination

    Percentage of subjects with at least one of these adverse events, solicited or not, within 24 h, 48h, 72h and 28 days after 1 dose vaccination.

    Measured: up to 28 days

  2. Serious adverse events after vaccination

    Number and percentage of subjects with serious adverse event from inclusion until 28 day after vaccination

    Measured: 28 days

  3. Geometric Mean Titers (GMT)

    Geometric Mean Titers (GMT) 28 days following immunization

    Measured: 28 days

  4. Percentage of subjects with increasing antibody titer >= 4 times

    Percentage of subjects with increasing antibody titer >= 4 times in all subjects

    Measured: 28 days

Timeline

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

  1. First posted9 Mar 2018
  2. Study start16 Jul 2018
  3. Primary completion31 Dec 2019
  4. Study completion30 Jan 2020

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subject aged 2 - 40 years old: Randomized, observer-blind, superiority design compared to Vi polysaccharide vaccine. Subject aged 6-23 months old: Randomized, observer-blind, superiority design compared to Inactivated Poliomyelitis Vaccine (IPV).
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03460405
Sponsor's protocol ID
Typhoid 0218
Status last verified
Feb 2020
First submitted
4 Mar 2018
Last updated
20 Feb 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Koesnoe S, Medise BE, Rengganis I, Hadinegoro SR, Puspita M, Sari RM, Yang JS, Sahastrabuddhe S, Soedjatmiko, Gunardi H, Sekartini R, Wirahmadi A, Kekalih A, Mukhi S, Satari HI, Bachtiar NS. A phase II clinical trial of a Vi-DT typhoid conjugate vaccine in healthy Indonesian adolescents and adults: one-month evaluation of safety and immunogenicity. Trop Dis Travel Med Vaccines. 2024 Feb 1;10(1):3. doi: 10.1186/s40794-023-00210-z.

    PubMed 38297337
  • Medise BE, Soedjatmiko S, Gunardi H, Sekartini R, Satari HI, Hadinegoro SR, Wirahmadi A, Puspita M, Sari RM, Yang JS, Sil A, Sahastrabuddhe S, Bachtiar NS. A novel Vi-diphtheria toxoid typhoid conjugate vaccine is safe and can induce immunogenicity in healthy Indonesian children 2-11 years: a phase II preliminary report. BMC Pediatr. 2020 Oct 15;20(1):480. doi: 10.1186/s12887-020-02375-4.

    PubMed 33059607
  • Medise BE, Soedjatmiko S, Gunardi H, Sekartini R, Satari HI, Hadinegoro SR, Wirahmadi A, Puspita M, Sari RM, Yang JS, Sil A, Sahastrabuddhe S, Bachtiar NS. One-month follow up of a randomized clinical trial-phase II study in 6 to <24 months old Indonesian subjects: Safety and immunogenicity of Vi-DT Typhoid Conjugate Vaccine. Int J Infect Dis. 2020 Apr;93:102-107. doi: 10.1016/j.ijid.2020.01.045. Epub 2020 Jan 28.

    PubMed 32004693

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Vi-DT Vaccine, Vi Polysaccharide Vaccine and IPV Vaccine in people with Safety Issues and Immunogenicity, run by PT Bio Farma at 2 sites in Indonesia.

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 23 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 Feb 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 Indonesia. 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 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?

Local reaction and systemic event after vaccination (time frame: 28 days). 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 NCT03460405, which also lists 3 linked publications.

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 Feb 2020.

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