Efficacy Trial of Two Pneumococcal Conjugate Vaccines (PncCRM and PncOMPC) for Prevention of Acute Otitis Media Due to Vaccine Serotypes

NCT ID: NCT00378417

Last Updated: 2006-09-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

3075 participants

Study Classification

INTERVENTIONAL

Study Start Date

1995-03-31

Study Completion Date

1999-03-31

Brief Summary

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This was a randomized, double-blinded multicenter cohort study of Finnish children aged 2 to 24 months. The study was designed to evaluate the efficacy of two 7-valent pneumococcal conjugate vaccines (PncCRM and PncOMPC) parallelly, both vaccines compared with the same control vaccine (hepatitis B vaccine).

The primary endpoint was culture-confirmed pneumococcal acute otitis media (AOM) episodes due to all serotypes included in the pneumococcal conjugate vaccine and the primary hypothesis was that, compared to the control vaccine group, the pneumococcal conjugate vaccine would protect infants from culture confirmed AOM caused by pneumococcal serotypes in the vaccine. The efficacy of the two vaccines against any pneumococcal AOM and any AOM was also evaluated.

The children were vaccinated with the pneumococcal conjugate vaccine or the control vaccine at the age of 2, 4, 6 and 12 months and followed at study clinics established specifically for the purpose from 2 to 24 months of age. Whenever AOM was diagnosed during the follow-up, middle ear fluid was aspirated for bacterial culture.

Detailed Description

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Conditions

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Otitis Media Pneumococcal Infections

Keywords

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Otitis Media Pneumococcal Infections Pneumococcal Vaccines Proportional Hazards Models Prospective Studies Streptococcus pneumoniae Vaccines, Conjugate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Interventions

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7-valent pneumococcal-CRM197 conjugate vaccine

Intervention Type BIOLOGICAL

7-valent pneumococcal-OMPC conjugate vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* infants coming to their own child health center before the age of 13 weeks, and judged to be in good health on the basis of medical history and physical examination
* family living permanently in Tampere, Kangasala or Nokia
* at least one of the parents/guardians is able to communicate fluently in Finnish
* written informed consent obtained from a parent/guardian prior to enrollment in the study

Exclusion Criteria

* hypersensitivity to any of the components of the vaccines used in the study,
* known or suspected impairment of immunologic function,
* history of invasive pneumococcal disease,
* prior vaccination with any pneumococcal vaccine,
* prior vaccination with hepatitis B vaccine,
* contraindications to routine childhood immunizations
* any medical condition in which, in the opinion of the investigator, the study procedures or vaccinations might cause risk to the health or endanger the well-being of the child
Minimum Eligible Age

6 Weeks

Maximum Eligible Age

12 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Wyeth-Lederle Vaccines

INDUSTRY

Sponsor Role collaborator

Pasteur Merieux Connaught

INDUSTRY

Sponsor Role collaborator

Finnish Institute for Health and Welfare

OTHER_GOV

Sponsor Role lead

Principal Investigators

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Juhani Eskola, MD

Role: PRINCIPAL_INVESTIGATOR

Finnish Institute for Health and Welfare

Terhi Kilpi, MD

Role: STUDY_DIRECTOR

Finnish Institute for Health and Welfare

Locations

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Kangasala Study Clinic

Kangasala, , Finland

Site Status

Nokia Study Clinic

Nokia, , Finland

Site Status

Eteläinen, Keskinen, and Läntinen Study Clinic

Tampere, , Finland

Site Status

Itäinen and Pohjoinen Study Clinic

Tampere, , Finland

Site Status

Kaakkoinen Study Clinic

Tampere, , Finland

Site Status

Countries

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Finland

References

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Eskola J, Kilpi T, Palmu A, Jokinen J, Haapakoski J, Herva E, Takala A, Kayhty H, Karma P, Kohberger R, Siber G, Makela PH; Finnish Otitis Media Study Group. Efficacy of a pneumococcal conjugate vaccine against acute otitis media. N Engl J Med. 2001 Feb 8;344(6):403-9. doi: 10.1056/NEJM200102083440602.

Reference Type RESULT
PMID: 11172176 (View on PubMed)

Kilpi T, Ahman H, Jokinen J, Lankinen KS, Palmu A, Savolainen H, Gronholm M, Leinonen M, Hovi T, Eskola J, Kayhty H, Bohidar N, Sadoff JC, Makela PH; Finnish Otitis Media Study Group. Protective efficacy of a second pneumococcal conjugate vaccine against pneumococcal acute otitis media in infants and children: randomized, controlled trial of a 7-valent pneumococcal polysaccharide-meningococcal outer membrane protein complex conjugate vaccine in 1666 children. Clin Infect Dis. 2003 Nov 1;37(9):1155-64. doi: 10.1086/378744. Epub 2003 Oct 7.

Reference Type RESULT
PMID: 14557958 (View on PubMed)

Ekstrom N, Ahman H, Palmu A, Gronholm S, Kilpi T, Kayhty H; FinOM Study Group. Concentration and high avidity of pneumococcal antibodies persist at least 4 years after immunization with pneumococcal conjugate vaccine in infancy. Clin Vaccine Immunol. 2013 Jul;20(7):1034-40. doi: 10.1128/CVI.00039-13. Epub 2013 May 8.

Reference Type DERIVED
PMID: 23658394 (View on PubMed)

Other Identifiers

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PNC95KTL

Identifier Type: -

Identifier Source: secondary_id

KTL69-0

Identifier Type: -

Identifier Source: org_study_id