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Vaccines, CombinedPhase 4NCT05289271

Safety, Tolerability, and Immunogenicity of Vaxelis™ in Children Previously Vaccinated With Vaxelis™ or Hexyon™ (V419-016)

A Phase 4 study testing Vaxelis™ in people with Vaccines, Combined and Hexavalent Vaccine, run by Merck Sharp & Dohme LLC at 13 sites in 3 countries.

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 primary objectives of this study are to evaluate the safety, tolerability, and immunogenicity of a booster dose of Vaxelis™ (V419) given at ~11 to 13 months of age in healthy participants who were previously vaccinated with a 2-dose primary infant series of either Vaxelis™ or Hexyon™. Read more about this study

Who is it for?
Ages 11 to 13 monthsHealthy volunteers can take part
Conditions the study is for
Vaccines, Combined, Hexavalent Vaccine
What is being tested?
Vaxelis™
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
168 participants
Where
13 sitesin 3 countries
Study dates
25 Mar 2022to 30 Aug 2022
Phase
Phase 4
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 11 to 13 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Has received a 2-dose infant primary series of either Vaxelis™ or Hexyon™ at approximately 2 and 4 months of age

Who cannot join

  • Has known or suspected impaired immunological function
  • Has known or history of functional or anatomic asplenia.
  • Has a known hypersensitivity to any component of the study vaccine.
  • Has a known or suspected blood dyscrasia, leukemia, lymphoma of any type or other malignant neoplasm affecting the hematopoietic and lymphatic system
  • Has a bleeding disorder contraindicating intramuscular vaccination
  • Has a history of Hib, hepatitis B, diphtheria, tetanus, pertussis, or poliovirus infection
Show all 16Show fewer
  • Was born to a mother with a known history of hepatitis B infection
  • Had a recent febrile illness (defined as rectal temperature ≥38.1°C [≥100.5°F] or axillary temperature ≥37.8°C [≥100.0°F]) occurring at or within 72 hours prior to receipt of study vaccine
  • Has encephalopathy of unknown etiology, occurring within 7 days following prior vaccination with a pertussis containing vaccine
  • Has an uncontrolled neurologic disorder or uncontrolled epilepsy.
  • Has a health or developmental disorder that, based on the clinical judgment of the investigator, could affect evaluation of the vaccine
  • Has received or is expected to receive an immunosuppressive agent
  • Meets corticosteroid use criteria
  • Has received any licensed, non-live vaccine within 14 days of study vaccine
  • Has received any license live vaccine within 30 days of study vaccine
  • Has received a blood transfusion or blood product within 6 months of study vaccine

Trial locations and contacts

13 sites in 3 countries.

13 sites in 3 countries

Germany6 sites
  • Gemeinschaftspraxis Dres. Adelt, Mettlich-Lambrecht und Denneberg ( Site 0053)

    Bramsche, Lower Saxony, 49565

  • Kinder- und Jugendärzte Hürth-Park ( Site 0054)

    Hürth, North Rhine-Westphalia, 50354

  • Private Practice - Dr. Petri, Kinderarztpraxis ( Site 0056)

    Hürth, North Rhine-Westphalia, 50354

  • Gemeinschaftspraxis Matthias Donner & Dr. Martin Lüchtrath ( Site 0052)

    Mönchengladbach, North Rhine-Westphalia, 41236

  • Kinderärztliche Gemeinschaftspraxis ( Site 0057)

    Wolfsburg, Lower Saxony, 38448

  • Kinderärzte im Recker Park ( Site 0058)

    Würselen, North Rhine-Westphalia, 52146

Other trials in Germany

Spain5 sites
  • Hospital Antequera-Pediatrics Unit ( Site 0004)

    Antequera, Malaga, 29200

  • Hospital Universitario La Paz-Pediatria y Enfermedades Infecciosas ( Site 0011)

    Madrid, Madrid, Comunidad de, 28046

  • Hospital Universitario HM Puerta del Sur-Pediatrics ( Site 0005)

    Madrid, Madrid, Comunidad de, 28938

  • CHUS - Hospital Clinico Universitario-Servicio de Pediatría ( Site 0001)

    Santiago de Compostela, La Coruna, 15706

  • Instituto Hispalense de Pediatria- IHP1 ( Site 0006)

    Seville, Sevilla, 41014

Other trials in Spain

Italy2 sites
  • A.O.U.C. Policlinico di Bari-Hygiene ( Site 0105)

    Bari, Apulia, 70124

  • A.O.U. Policlinico Paolo Giaccone ( Site 0102)

    Palermo, Sicily, 90127

Other trials in Italy

About this study

Official title: A Phase 4, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, and Immunogenicity of Vaxelis™ in Healthy Children Previously Vaccinated With a 2-Dose Primary Infant Series of Either Vaxelis™ or Hexyon™

The primary objectives of this study are to evaluate the safety, tolerability, and immunogenicity of a booster dose of Vaxelis™ (V419) given at ~11 to 13 months of age in healthy participants who were previously vaccinated with a 2-dose primary infant series of either Vaxelis™ or Hexyon™.

Being tested
Vaxelis™

What participants receive

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

  • Vaxelis™Biological

    Also called V419

    Vaxelis™ 0.5 mL sterile suspension in prefilled syringe for intramuscular administration.

Study groups in NCT05289271
Study groupRoleWhat they receive
Group 1: V, V, VExperimentalParticipants who received a 2-dose regimen of Vaxelis™ as infants prior to enrollment will receive a Vaxelis™ booster at ~11 months of age.
Receives: Biological: Vaxelis™
Group 2: H, H, VExperimentalParticipants who received a 2-dose regimen of Hexyon™ as infants prior to enrollment will receive a Vaxelis™ booster at ~11 months of age.
Receives: Biological: Vaxelis™

What is being measured

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

  1. Percentage of Participants With a Solicited Injection-site Adverse Event (AE)

    Solicited injection-site AEs are predefined local (at the injection/administration site) events for which the participant's legally authorized representative was specifically questioned. Participant's legally acceptable representative used a Vaccination Report Card (VRC) to report the following solicited injection-site AEs : swelling, redness (erythema), and pain/tenderness. 95% confidence intervals (CIs) were calculated based on the exact binomial method proposed by Clopper and Pearson.

    Measured: Up to 5 days postvaccination

  2. Percentage of Participants With a Solicited Systemic AE

    Solicited systemic AE are predefined systemic events for which the participant's legally authorized representative was specifically questioned. Participant's legally acceptable representative used a VRC to report the following solicited systemic AEs: vomiting, drowsiness (somnolence), loss of appetite, and irritability. 95% CIs were calculated based on the exact binomial method proposed by Clopper and Pearson.

    Measured: Up to 5 days postvaccination

  3. Percentage of Participants With Unsolicited AEs

    An unsolicited AE is an AE that was not solicited using a VRC and that is communicated by a participant's legally authorized representative who has signed the informed consent. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 95% CIs were calculated based on the exact binomial method proposed by Clopper and Pearson.

    Measured: Up to 15 days postvaccination

  4. Percentage of Participants With a Serious AE (SAE)

    An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is another important medical event. 95% CIs were calculated based on the exact binomial method proposed by Clopper and Pearson.

    Measured: Up to 40 days postvaccination

  5. Percentage of Participants With Diphtheria Toxoid Antibodies ≥0.1 IU/mL

    Human antibodies to diphtheria toxoid were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with the lower limit of quantitation (LLOQ) for diphtheria antibody of 0.005 IU/mL. The percentage of participants with diphtheria toxoid antibodies ≥0.1 international units per milliliter (IU/mL) one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  6. Percentage of Participants With Tetanus Toxoid Antibodies ≥0.1 IU/mL

    Human antibodies to tetanus toxoid were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for tetanus antibody of 0.01 IU/mL. The percentage of participants with tetanus toxoid antibodies ≥0.1 IU/mL one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  7. Percentage of Participants With Pertussis Toxoid (PT) Vaccine Response

    Human antibodies to pertussis toxoid were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for pertussis antibody of 2.00 EU/mL. The percentage of participants meeting response criteria for PT is based on pre-vaccination level of PT is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  8. Percentage of Participants With Filamentous Hemagglutinin (FHA) Vaccine Response

    Human antibodies to FHA were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for FHA antibody of 2.00 EU/mL. The percentage of participants meeting response criteria for FHA response will be based on pre-vaccination level of FHA. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  9. Percentage of Participants With Haemophilus Influenzae Type b Polyribosylribitol Phosphate (Hib-PRP) Antibodies ≥1.0 µg/mL

    Human antibodies to Hib-PRP were quantified using the Vacczyme™ Human Anti-Haemophilus influenzae Type b Enzyme Immunoassay Kit. Levels of anti-Hib IgG were quantified by interpolation from a standard curve that has been calibrated to the FDA lot 1983 reference serum. The percentage of participants with Hib-PRP antibodies ≥0.1 IU/mL one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  10. Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Antibodies ≥10 mIU/mL

    Human antibodies to HBsAg were quantified using an Enhanced Chemiluminescence (ECi) assay, with the hepatitis B WHO International reference standard at 10 mIU/mL as a control in every assay, and the LLOQ of the assay is 5 mIU/mL. The percentage of participants with HBsAg antibodies ≥10 milli-international per liter (mIU/mL) one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  11. Percentage of Participants With Poliovirus Serotype 1 Neutralizing Antibodies (Nab) ≥1:8 Dilution

    Human antibodies to poliovirus serotype 1 were quantified with a neutralization assay by utilizing Vero cells and wild type poliovirus strain 1 as the challenge virus. The Karber method was used to determine the serum dilution that neutralized 50% of the challenge virus, with results expressed as titers (1:dilution), and the LLOQ was 1:4. dilution. The percentage of participants with poliovirus serotype 1 Nab ≥1:8 dilution one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  12. Percentage of Participants With Poliovirus Serotype 2 Neutralizing Antibodies (Nab) ≥1:8 Dilution

    Human antibodies to poliovirus serotype 2 were quantified with a neutralization assay by utilizing Vero cells and wild type poliovirus strain 2 as the challenge virus. The Karber method was used to determine the serum dilution that neutralized 50% of the challenge virus, with results expressed as titers (1:dilution), and the LLOQ was 1:4. dilution. The percentage of participants with poliovirus serotype 2 Nab ≥1:8 dilution one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  13. Percentage of Participants With Poliovirus Serotype 3 Neutralizing Antibodies (Nab) ≥1:8 Dilution

    Human antibodies to poliovirus serotype 3 were quantified with a neutralization assay by utilizing Vero cells and wild type poliovirus strain 3 as the challenge virus. The Karber method was used to determine the serum dilution that neutralized 50% of the challenge virus, with results expressed as titers (1:dilution), and the LLOQ was 1:4. dilution. The percentage of participants with poliovirus serotype 3 Nab ≥1:8 dilution one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

Secondary outcomes (2)
  1. Percentage of Participants With Pertactin (PRN) Vaccine Response

    Human antibodies to PRN were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for PRN of 2.00 EU/mL.The percentage of participants meeting response criteria for PRN was based on pre-vaccination level of PRN. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

  2. Percentage of Participants With Fimbriae 2/3 (FIM 2/3) Vaccine Response

    Human antibodies to FIM 2/3 were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for pertussis antibody of 2.00 EU/mL.

    The percentage of participants meeting response criteria for FIM 2/3 was based on pre-vaccination level of FIM 2/3. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson.

    Measured: 30 days postvaccination (at ~12 months of age)

Timeline

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

  1. First posted21 Mar 2022
  2. Study start25 Mar 2022
  3. Primary completion30 Aug 2022
  4. Study completion30 Aug 2022

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
168 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05289271
Sponsor's protocol ID
V419-016
Other IDs
V419-016, 2021-004053-23
Status last verified
Jul 2024
First submitted
11 Mar 2022
Last updated
29 Jul 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Publications

  • Guerra A, Costantino C, Martinon-Torres F, Westerholt S, Lambeth C, Chen Z, Lumley J, Marcek T, Johnson D, Wilck M. A phase 4, open-label study to evaluate the safety and immunogenicity of DTaP5-HBV-IPV-Hib in children previously vaccinated with DTaP2-HBV-IPV-Hib or DTaP5-HBV-IPV-Hib (V419-016). Hum Vaccin Immunother. 2024 Dec 31;20(1):2310900. doi: 10.1080/21645515.2024.2310900. Epub 2024 Feb 8.

    PubMed 38327239

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Vaxelis™ in people with Vaccines, Combined and Hexavalent Vaccine, run by Merck Sharp & Dohme LLC at 13 sites in 3 countries.

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 1 inclusion and 16 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 29 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Germany, Spain, Italy. 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?

Yes. Results are posted in the registry (first posted 6 Sep 2023). 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?

Percentage of Participants With a Solicited Injection-site Adverse Event (AE) (time frame: Up to 5 days postvaccination). The study lists 13 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 NCT05289271, 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 29 Jul 2024.

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