The Immunogenicity of Simultaneous Administration of Quadrivalent Influenza Vaccine and 23-valent Pneumococcal Vaccine

NCT ID: NCT02592486

Last Updated: 2019-01-31

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2016-08-31

Brief Summary

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The immunogenicity of simultaneous administration of quadrivalent influenza vaccine and pneumococcal vaccine was unknown. The purpose of present study is to compare the immunogenicity of simultaneous administration of influenza vaccine and pneumococcal vaccine with that of separate administration.

Detailed Description

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The immunogenicity of simultaneous administration of quadrivalent influenza vaccine and pneumococcal vaccine was unknown. We compare the immunogenicity of simultaneous administration of quadrivalent influenza vaccine and pneumococcal vaccine with that of separate administration.

162 Participants are randomly assigned to one of the two study groups; Simultaneous administration group: receive injections of pneumococcal vaccine and influenza vaccine simultaneously.

Sequential administration group: receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.

We compare the immunogenicity of the two groups.

Conditions

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Pneumococcal Pneumonia Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Simultaneous administration group

The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season.

Group Type ACTIVE_COMPARATOR

Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®

Intervention Type BIOLOGICAL

Injections of pneumococcal vaccine and influenza vaccine simultaneously.

Sequential administration group

The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016.

Group Type ACTIVE_COMPARATOR

Sequential administration of Pneumovax NP® and Fluvic HA syringe®

Intervention Type BIOLOGICAL

Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.

Interventions

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Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®

Injections of pneumococcal vaccine and influenza vaccine simultaneously.

Intervention Type BIOLOGICAL

Sequential administration of Pneumovax NP® and Fluvic HA syringe®

Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.

Intervention Type BIOLOGICAL

Other Intervention Names

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Pneumovax NP® and Fluvic HA syringe® Pneumovax NP® and Fluvic HA syringe®

Eligibility Criteria

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Inclusion Criteria

* adults aged ≧65 years who had never received pneumococcal vaccine and quadrivalent influenza vaccine of 2015/2016 season

Exclusion Criteria

* a sensitivity to pneumococcal and influenza vaccine
* received other inactivated vaccine within 14 days
* received other live vaccine within 28 days
* the presence of conditions known to impair pneumococcal vaccine response
* having malignant disease
* taking oral corticosteroids or immunosuppressive agent
* history of splenectomy
* history of an acute febrile illness or signs of severe acute illness at the time of vaccination
* other inappropriate condition to receive vaccination
* suffering an acute illness requiring antibiotics or steroids within the past month
* not expected to survive 12 months were also excluded
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PPD Development, LP

INDUSTRY

Sponsor Role collaborator

Osaka University

OTHER

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Kameda Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Kei Nakashima

Assistant Chief, Department of Pulmonary Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kei Nakashima, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Pulmonary Medicine, Kameda Medical Center

Locations

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Department of Pulmonary Medicine, Kameda Medical Center

Kamogawa, Chiba, Japan

Site Status

Countries

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Japan

References

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Walter ND, Taylor TH, Shay DK, Thompson WW, Brammer L, Dowell SF, Moore MR; Active Bacterial Core Surveillance Team. Influenza circulation and the burden of invasive pneumococcal pneumonia during a non-pandemic period in the United States. Clin Infect Dis. 2010 Jan 15;50(2):175-83. doi: 10.1086/649208.

Reference Type BACKGROUND
PMID: 20014948 (View on PubMed)

Oishi K, Yoshimine H, Watanabe H, Watanabe K, Tanimura S, Kawakami K, Iwagaki A, Nagai H, Goto H, Kudoh S, Kuriyama T, Fukuchi Y, Matsushima T, Shimada K, Matsumoto K, Nagatake T. Drug-resistant genes and serotypes of pneumococcal strains of community-acquired pneumonia among adults in Japan. Respirology. 2006 Jul;11(4):429-36. doi: 10.1111/j.1440-1843.2006.00867.x.

Reference Type BACKGROUND
PMID: 16771912 (View on PubMed)

Hirst GK. THE QUANTITATIVE DETERMINATION OF INFLUENZA VIRUS AND ANTIBODIES BY MEANS OF RED CELL AGGLUTINATION. J Exp Med. 1942 Jan 1;75(1):49-64. doi: 10.1084/jem.75.1.49.

Reference Type BACKGROUND
PMID: 19871167 (View on PubMed)

Dransfield MT, Nahm MH, Han MK, Harnden S, Criner GJ, Martinez FJ, Scanlon PD, Woodruff PG, Washko GR, Connett JE, Anthonisen NR, Bailey WC; COPD Clinical Research Network. Superior immune response to protein-conjugate versus free pneumococcal polysaccharide vaccine in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009 Sep 15;180(6):499-505. doi: 10.1164/rccm.200903-0488OC. Epub 2009 Jun 25.

Reference Type BACKGROUND
PMID: 19556517 (View on PubMed)

Grabowska K, Hogberg L, Penttinen P, Svensson A, Ekdahl K. Occurrence of invasive pneumococcal disease and number of excess cases due to influenza. BMC Infect Dis. 2006 Mar 20;6:58. doi: 10.1186/1471-2334-6-58.

Reference Type BACKGROUND
PMID: 16549029 (View on PubMed)

Nakashima K, Aoshima M, Ohfuji S, Yamawaki S, Nemoto M, Hasegawa S, Noma S, Misawa M, Hosokawa N, Yaegashi M, Otsuka Y. Immunogenicity of simultaneous versus sequential administration of a 23-valent pneumococcal polysaccharide vaccine and a quadrivalent influenza vaccine in older individuals: A randomized, open-label, non-inferiority trial. Hum Vaccin Immunother. 2018;14(8):1923-1930. doi: 10.1080/21645515.2018.1455476. Epub 2018 May 14.

Reference Type DERIVED
PMID: 29561248 (View on PubMed)

Other Identifiers

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15-041-160127

Identifier Type: -

Identifier Source: org_study_id

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