Trial Outcomes & Findings for Determining Long-Term Safety and Efficacy of Japanese Encephalitis Vaccine When Given With Measles Vaccine (NCT NCT00412516)

NCT ID: NCT00412516

Last Updated: 2014-10-13

Results Overview

Seropositivity defined as an anti-MV IgG concentration of 120 mIU/mL determined with the Siemens ELISA

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

519 participants

Primary outcome timeframe

24, 36 months post vaccination

Results posted on

2014-10-13

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1
SA 14-14-2 followed by measles vaccine one month later
Group 2
Measles and SA 14-14-2 given concurrently Live attenuated SA 14-14-2 vaccine: Live attenuated SA 14-14-2 vaccine coadministered with live measles vaccine (experimental Group)
Group 3
Measles vaccine followed by SA 14-14-2 one month later
Overall Study
STARTED
93
212
214
Overall Study
COMPLETED
93
212
214
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Determining Long-Term Safety and Efficacy of Japanese Encephalitis Vaccine When Given With Measles Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=93 Participants
SA 14-14-2 followed by measles vaccine one month later
Group 2
n=212 Participants
Measles and SA 14-14-2 given concurrently
Group 3
n=214 Participants
Measles vaccine followed by SA 14-14-2 one month later
Total
n=519 Participants
Total of all reporting groups
Age, Continuous
20.6 months
STANDARD_DEVIATION .4 • n=5 Participants
20.6 months
STANDARD_DEVIATION .4 • n=7 Participants
20.6 months
STANDARD_DEVIATION .4 • n=5 Participants
20.6 months
STANDARD_DEVIATION .4 • n=4 Participants
Sex: Female, Male
Female
46 Participants
n=5 Participants
114 Participants
n=7 Participants
117 Participants
n=5 Participants
277 Participants
n=4 Participants
Sex: Female, Male
Male
47 Participants
n=5 Participants
98 Participants
n=7 Participants
97 Participants
n=5 Participants
242 Participants
n=4 Participants
Weight (kg)
10.2 units on a scale
STANDARD_DEVIATION 1.3 • n=5 Participants
10.2 units on a scale
STANDARD_DEVIATION 1.6 • n=7 Participants
10.2 units on a scale
STANDARD_DEVIATION 1.4 • n=5 Participants
10.2 units on a scale
STANDARD_DEVIATION 1.4 • n=4 Participants
Height (cm)
78.7 cm
STANDARD_DEVIATION 3.1 • n=5 Participants
77.8 cm
STANDARD_DEVIATION 3.8 • n=7 Participants
78.1 cm
STANDARD_DEVIATION 3.5 • n=5 Participants
78.0 cm
STANDARD_DEVIATION 3.5 • n=4 Participants

PRIMARY outcome

Timeframe: 24, 36 months post vaccination

Seropositivity defined as an anti-MV IgG concentration of 120 mIU/mL determined with the Siemens ELISA

Outcome measures

Outcome measures
Measure
Group 1
n=93 Participants
SA 14-14-2 followed by measles vaccine one month later
Group 2
n=212 Participants
Measles and SA 14-14-2 given concurrently Live attenuated SA 14-14-2 vaccine: Live attenuated SA 14-14-2 vaccine coadministered with live measles vaccine (experimental Group)
Group 3
n=213 Participants
Measles vaccine followed by SA 14-14-2 one month later
Measles Seropositivity at 24 and 36 Months
24 months post vaccination
98.92 percentage of participants seropositive
Interval 94.15 to 99.97
95.75 percentage of participants seropositive
Interval 92.09 to 98.04
94.37 percentage of participants seropositive
Interval 90.37 to 97.06
Measles Seropositivity at 24 and 36 Months
36 months post vaccination
94.62 percentage of participants seropositive
Interval 87.9 to 98.23
91.39 percentage of participants seropositive
Interval 86.73 to 94.82
91.04 percentage of participants seropositive
Interval 86.36 to 94.52

SECONDARY outcome

Timeframe: 12 months post vaccination

Seropositivity defined as an anti-MV IgG concentration of 120 mIU/mL determined with the Siemens ELISA

Outcome measures

Outcome measures
Measure
Group 1
n=89 Participants
SA 14-14-2 followed by measles vaccine one month later
Group 2
n=205 Participants
Measles and SA 14-14-2 given concurrently Live attenuated SA 14-14-2 vaccine: Live attenuated SA 14-14-2 vaccine coadministered with live measles vaccine (experimental Group)
Group 3
n=211 Participants
Measles vaccine followed by SA 14-14-2 one month later
Measles Seropositivity at 12 Months
87.64 percentage of subjects seropositive
Interval 78.96 to 93.67
87.32 percentage of subjects seropositive
Interval 81.97 to 91.55
87.2 percentage of subjects seropositive
Interval 81.93 to 91.4

SECONDARY outcome

Timeframe: 12 months, 24 months, and 36 months post vaccination

"Seropositive" defined as a person with neutralizing antibody against JE virus at a titer ≥ 1:10 in a 50% plaque-reduction neutralizing assay (PRNT-50)

Outcome measures

Outcome measures
Measure
Group 1
n=93 Participants
SA 14-14-2 followed by measles vaccine one month later
Group 2
n=212 Participants
Measles and SA 14-14-2 given concurrently Live attenuated SA 14-14-2 vaccine: Live attenuated SA 14-14-2 vaccine coadministered with live measles vaccine (experimental Group)
Group 3
n=214 Participants
Measles vaccine followed by SA 14-14-2 one month later
Seropositive Rate for Japanese Encephalitis (JE) Antibody in Infants in the Philippines Who Received Measles Vaccine (MV) Before, With, or After SA 14-14-2 JE Vaccination by Month After JE Vaccination.
12 months post-JE vaccination
90.4 percentage of subjects seropositive
Interval 81.9 to 95.8
83.5 percentage of subjects seropositive
Interval 77.6 to 88.4
86.1 percentage of subjects seropositive
Interval 80.6 to 90.6
Seropositive Rate for Japanese Encephalitis (JE) Antibody in Infants in the Philippines Who Received Measles Vaccine (MV) Before, With, or After SA 14-14-2 JE Vaccination by Month After JE Vaccination.
24 months post-JE vaccination
81.1 percentage of subjects seropositive
Interval 71.5 to 88.6
83.8 percentage of subjects seropositive
Interval 77.8 to 88.6
80.7 percentage of subjects seropositive
Interval 74.6 to 85.9
Seropositive Rate for Japanese Encephalitis (JE) Antibody in Infants in the Philippines Who Received Measles Vaccine (MV) Before, With, or After SA 14-14-2 JE Vaccination by Month After JE Vaccination.
36 months post-JE vaccination
79.3 percentage of subjects seropositive
Interval 69.3 to 87.2
82.7 percentage of subjects seropositive
Interval 76.7 to 87.6
81.9 percentage of subjects seropositive
Interval 75.8 to 87.0

SECONDARY outcome

Timeframe: 12, 24, 36 months post-JE vaccination

Neutralizing antibody titer determined using a 50% plaque-reduction neutralizing assay (PRNT-50) for JE virus

Outcome measures

Outcome measures
Measure
Group 1
n=93 Participants
SA 14-14-2 followed by measles vaccine one month later
Group 2
n=212 Participants
Measles and SA 14-14-2 given concurrently Live attenuated SA 14-14-2 vaccine: Live attenuated SA 14-14-2 vaccine coadministered with live measles vaccine (experimental Group)
Group 3
n=214 Participants
Measles vaccine followed by SA 14-14-2 one month later
Geometric Mean Neutralizing Antibody Titer to Japanese Encephalitis (JE) Virus in Infants in the Philippines Who Received Measles Vaccine (MV) Before, With, or After SA 14-14-2 JE Vaccination by Month After JE Vaccination.
12 months post-JE vaccination
108 GMT
Interval 70.0 to 167.0
83 GMT
Interval 61.0 to 108.0
77 GMT
Interval 60.0 to 98.0
Geometric Mean Neutralizing Antibody Titer to Japanese Encephalitis (JE) Virus in Infants in the Philippines Who Received Measles Vaccine (MV) Before, With, or After SA 14-14-2 JE Vaccination by Month After JE Vaccination.
24 months post-JE vaccination
67 GMT
Interval 46.0 to 99.0
64 GMT
Interval 50.0 to 80.0
70 GMT
Interval 54.0 to 92.0
Geometric Mean Neutralizing Antibody Titer to Japanese Encephalitis (JE) Virus in Infants in the Philippines Who Received Measles Vaccine (MV) Before, With, or After SA 14-14-2 JE Vaccination by Month After JE Vaccination.
36 months post-JE vaccination
51 GMT
Interval 37.0 to 71.0
47 GMT
Interval 38.0 to 58.0
58 GMT
Interval 45.0 to 73.0

Adverse Events

Group 1

Serious events: 4 serious events
Other events: 0 other events
Deaths: 0 deaths

Group 2

Serious events: 14 serious events
Other events: 0 other events
Deaths: 0 deaths

Group 3

Serious events: 13 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1
n=93 participants at risk
SA 14-14-2 followed by measles vaccine one month later
Group 2
n=212 participants at risk
Measles and SA 14-14-2 given concurrently Live attenuated SA 14-14-2 vaccine: Live attenuated SA 14-14-2 vaccine coadministered with live measles vaccine (experimental Group)
Group 3
n=214 participants at risk
Measles vaccine followed by SA 14-14-2 one month later
Gastrointestinal disorders
Gastritis
1.1%
1/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Amoebiasis
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Ascariasis
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Bronchopneumonia
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
1.4%
3/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
1.4%
3/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Cholera
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Dengue Fever
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Gastroenteritis
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.94%
2/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
1.4%
3/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Lobar pneumonia
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Meningitis tuberculous
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Pneumonia
1.1%
1/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Upper respiratory tract infection
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
1.4%
3/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Urinary tract infection
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.93%
2/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Infections and infestations
Viral rash
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Injury, poisoning and procedural complications
Skull fracture
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
General disorders
Developmental delay
0.00%
0/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.47%
1/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Metabolism and nutrition disorders
Food intolerance
1.1%
1/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
Nervous system disorders
Febrile convulsion
1.1%
1/93 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/212 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).
0.00%
0/214 • Three years post vaccination
Since no investigational products were administered to subjects during the course of this study, subjects were not actively monitored to detect adverse events (AEs). However, passive surveillance was maintained to note reports of events meeting the definition of a serious AE (SAE).

Other adverse events

Adverse event data not reported

Additional Information

Anthony A Marfin, Director Japanese Encephalitis Vaccine Introduction and Sustainability Project

PATH

Phone: 2062853500

Results disclosure agreements

  • Principal investigator is a sponsor employee All results communication must be reviewed and approved by the sponsor. The sponsor has 60 days to review results communications and provide comments.
  • Publication restrictions are in place

Restriction type: OTHER