A Phase Ⅲ Clinical Trial With Oral Recombinant Helicobacter Pylori Vaccine in Chinese Children

NCT ID: NCT02302170

Last Updated: 2014-11-26

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

4464 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-12-31

Study Completion Date

2008-09-30

Brief Summary

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Helicobacter pylori (H. pylori) is a Gram-negative, microaerophilic bacterium that persistently colonizes the human stomach; more than half the human population is infected worldwide. H. pylori infection is a risk factor for the development of gastritis, peptic ulcer, gastric mucosa-associated lymphoid tissue lymphoma, and gastric cancer.

The phaseⅠand Ⅱclinical trial of oral recombinant Helicobacter pylori vaccine had completed in Jiangsu Province in China. The data from phaseⅠand Ⅱclinical trial suggested that the oral recombinant Helicobacter pylori vaccine had a clinically acceptable safety and good immunogenicity for health adults and children. To further explore the safety and immunogenicity profile of this vaccine, a phase Ⅲ clinical trial was conducted.

Detailed Description

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Helicobacter pylori (H. pylori) is a Gram-negative, microaerophilic bacterium that persistently colonizes the human stomach; more than half the human population is infected worldwide. H. pylori infection is the major risk factor for the development of gastritis, peptic ulcer, gastric mucosa-associated lymphoid tissue lymphoma, and gastric cancer.

At present, the main clinical treatment for H. pylori infection is the application of antibiotics and bismuth agent or H+ antagonists. Due to the widespread drug resistance, toxic side effects, high medical costs as well as poor patient compliance, it is unworkable to practice antibiotics therapy for H. pylori eradication on every patient. Vaccination is the most effective way for prevention H. pylori infection.

Since H. pylori were found, great attention has been given to the H. pylori vaccine, scientists worldwide have made great efforts to develop both prophylactic and therapeutic H. pylori vaccine. Numerous H. pylori vaccine approaches have been studied, including inactivated whole cell H. pylori vaccine, genetic engineering subunit vaccine, live vector vaccines. Urease is considered to be an excellent candidate antigen for vaccine against H. pylori. However, no vaccine against H. pylori has been used in clinic.

The phaseⅠand Ⅱclinical trial of oral recombinant Helicobacter pylori vaccine had completed in Jiangsu Province in China. The data from phaseⅠand Ⅱclinical trial suggested that the oral recombinant Helicobacter pylori vaccine had a clinically acceptable safety and good immunogenicity for children. To further explore the safety and immunogenicity profile of this vaccine, a phase Ⅲ clinical trial was conducted.

Conditions

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H. Pylori Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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H. pylori vaccine in children

H. pylori vaccine (15mg/dose) in children between 6-15 years of age

Group Type EXPERIMENTAL

H. pylori vaccine

Intervention Type BIOLOGICAL

placebo in children

placebo (0mg/dose) in children between 6-15 years of age

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type BIOLOGICAL

Interventions

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H. pylori vaccine

Intervention Type BIOLOGICAL

placebo

Intervention Type BIOLOGICAL

Other Intervention Names

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Oral Recombinant Helicobacter Pylori Vaccine

Eligibility Criteria

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Inclusion Criteria

* Healthy children aged from 6-15 years old as established by medical history and clinical examination
* The subjects' guardians are able to understand and sign the informed consent
* Subjects who can and will comply with the requirements of the protocol
* Subjects with temperature \<=37.0°C on axillary setting before vaccination

Exclusion Criteria

* Subject who has a medical history of stomach illness
* Positive in either serology ELISA test for Helicobacter pylori diagnose kit or 13C urea breath test
* Subject who has suffered from heart, liver, and kidney disease
* Subject who has a medical history of any of the following: allergic history, or allergic to any ingredient of vaccine (for example: mannitol)
* Subject who is suffering from thrombocytopenia or other coagulation disorder
* Subject who has a diminished function of the immune system or autoimmune disease
* Subject who is suffering from congenital deformities, developmental disorders or serious chronic diseases
* Family history of seizures or progressive neurological disease
* Severe malnutrition or dysgenopathy, major congenital defects or serious chronic illness, including perinatal brain damage
* Any acute infections in last 7 days
* Any prior administration of immunodepressant or corticosteroids in last 6 month
* Any prior administration of other research medicines in last 1 month
* Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives


* Subject who had allergic reaction to the last dose
* Subject who had any serious adverse events related to the vaccination
* Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
Minimum Eligible Age

6 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institutes for Food and Drug Control, China

OTHER

Sponsor Role collaborator

Kangwei Biological Technology

OTHER

Sponsor Role collaborator

Third Military Medical University

OTHER

Sponsor Role collaborator

Jiangsu Province Centers for Disease Control and Prevention

NETWORK

Sponsor Role lead

Responsible Party

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Fengcai Zhu

Vice director of Jiangsu Province Centers for Disease Control and Prevention

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Jiangsu Provincial Center for Diseases Control and Prevention

Nanjing, Jiangsu, China

Site Status

Countries

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China

References

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Zeng M, Mao XH, Li JX, Tong WD, Wang B, Zhang YJ, Guo G, Zhao ZJ, Li L, Wu DL, Lu DS, Tan ZM, Liang HY, Wu C, Li DH, Luo P, Zeng H, Zhang WJ, Zhang JY, Guo BT, Zhu FC, Zou QM. Efficacy, safety, and immunogenicity of an oral recombinant Helicobacter pylori vaccine in children in China: a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2015 Oct 10;386(10002):1457-64. doi: 10.1016/S0140-6736(15)60310-5. Epub 2015 Jun 30.

Reference Type DERIVED
PMID: 26142048 (View on PubMed)

Other Identifiers

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TMMUHP03

Identifier Type: -

Identifier Source: org_study_id