A Study To Investigate Two 3-dose Schedules Of A Clostridium Difficile Vaccine In Healthy Adults Aged 65 to 85 Years

NCT ID: NCT02561195

Last Updated: 2021-03-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-16

Study Completion Date

2020-02-13

Brief Summary

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This study will investigate a Clostridium difficile vaccine in healthy adults aged 65-85 years. Each subject will initially receive 3 doses of vaccine on 1 of 2 vaccination schedules. The study will assess the safety and tolerability of the vaccine as well as the subjects' immune response to the vaccine. One year after the third dose subjects that did not receive placebo will be randomized to receive a fourth dose. Subjects will be followed for up to 4 years after their third vaccination.

Detailed Description

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Conditions

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Clostridium Difficile Associated Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Low-dose C. difficile Vaccine (accelerated schedule)

Group Type EXPERIMENTAL

Clostridium difficile Vaccine

Intervention Type BIOLOGICAL

0.5 mL intramuscular injection.

High-dose C. difficile Vaccine (accelerated schedule)

Group Type EXPERIMENTAL

Clostridium difficile Vaccine

Intervention Type BIOLOGICAL

0.5 mL intramuscular injection.

Placebo (accelerated schedule)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

0.5 mL intramuscular injection

Low-dose C. difficile Vaccine (non-accelerated schedule)

Group Type EXPERIMENTAL

Clostridium difficile Vaccine

Intervention Type BIOLOGICAL

0.5 mL intramuscular injection.

High-Dose C. difficile Vaccine (non-accelerated schedule)

Group Type EXPERIMENTAL

Clostridium difficile Vaccine

Intervention Type BIOLOGICAL

0.5 mL intramuscular injection.

Placebo (non-accelerated schedule)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

0.5 mL intramuscular injection

Interventions

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Clostridium difficile Vaccine

0.5 mL intramuscular injection.

Intervention Type BIOLOGICAL

Placebo

0.5 mL intramuscular injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Healthy male and female subjects
* Aged 65 to 85 years


* Receipt of all 3 doses of C difficile vaccine (100 µg or 200 µg antigen dose level) in the original portion of the study.

Exclusion Criteria

* Proven or suspected prior episode of Clostridium difficile associated diarrhea
* Unstable chronic medical condition
* Disease requiring significant change in therapy or hospitalization for worsening disease within 8 weeks before receipt of study vaccine
* Serious chronic disorders
* Congenital or acquired immunodeficiency disorders
* Rheumatologic disorders or other illnesses requiring chronic treatment with known immunosuppressant medications.
* Active or treated leukemia or lymphoma or bone marrow disorder
* Any contraindication to vaccination or vaccine components including previous anaphylactic reaction to any vaccine or vaccine-related components


* Subjects originally randomized to placebo during the original portion of the study.
* Subjects who have already completed Visit 9 prior to study unblinding.
Minimum Eligible Age

65 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Avail Clinical Research, LLC

DeLand, Florida, United States

Site Status

QPS-MRA, LLC (Broward Research Group)

Hollywood, Florida, United States

Site Status

QPS-MRA, LLC (Miami Research Associates)

South Miami, Florida, United States

Site Status

East-West Medical Research Institute

Honolulu, Hawaii, United States

Site Status

Vince & Associates Clinical Research, Inc.

Overland Park, Kansas, United States

Site Status

Vince & Associates Clinical Research, Inc

Overland Park, Kansas, United States

Site Status

Meridian Clinical Research, LLC

Omaha, Nebraska, United States

Site Status

Clinical Research Center of Nevada LLC

Las Vegas, Nevada, United States

Site Status

Wake Research Associates, LLC

Raleigh, North Carolina, United States

Site Status

PMG Research of Wilmington, LLC

Wilmington, North Carolina, United States

Site Status

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Benchmark Research

Austin, Texas, United States

Site Status

Texas Center For Drug Development, Inc.

Houston, Texas, United States

Site Status

Clinical Trials of Texas, Inc.

San Antonio, Texas, United States

Site Status

J. Lewis Research, Inc. / Foothill Family Clinic

Salt Lake City, Utah, United States

Site Status

J. Lewis Research, Inc. / Foothill Family Clinic South

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Remich S, Kitchin N, Peterson J, Li P, Pride MW, Brock L, Anderson AS, Gruber WC, Jansen KU, Lockhart SP, Webber C. A Phase 2 Extension Study Evaluating the Immunogenicity, Safety, and Tolerability of 3 or 4 Doses of a Clostridioides difficile Vaccine in Healthy US Adults Aged 65 to 85 Years. J Infect Dis. 2024 Feb 14;229(2):367-375. doi: 10.1093/infdis/jiad307.

Reference Type DERIVED
PMID: 37531657 (View on PubMed)

Kitchin N, Remich SA, Peterson J, Peng Y, Gruber WC, Jansen KU, Pride MW, Anderson AS, Knirsch C, Webber C. A Phase 2 Study Evaluating the Safety, Tolerability, and Immunogenicity of Two 3-Dose Regimens of a Clostridium difficile Vaccine in Healthy US Adults Aged 65 to 85 Years. Clin Infect Dis. 2020 Jan 1;70(1):1-10. doi: 10.1093/cid/ciz153.

Reference Type DERIVED
PMID: 31125055 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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B5091009

Identifier Type: -

Identifier Source: org_study_id

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