Trial of Simplified Pneumococcal Vaccination in Vietnam II

NCT ID: NCT03098628

Last Updated: 2024-11-27

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

PHASE2/PHASE3

Total Enrollment

2501 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-08

Study Completion Date

2020-06-11

Brief Summary

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This is a single-blind, open-label, randomised controlled trial with five groups. There are four different Pneumococcal Conjugate Vaccine (PCV) schedules to be evaluated.

Detailed Description

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This is a single-blind, open-label, randomised controlled trial with five groups. There are four different PCV schedules to be evaluated: a 0+1 schedule of PCV10 at 12 months of age (Group V), a 0+1 schedule of PCV13 at 12 months of age (Group W), a 1+1 schedule of PCV10 at 2 and 12 months of age (Group X), and a 1+1 schedule of PCV13 at 2 and 12 months of age (Group Y); along with a control group that receives a dose of PCV10 at 24 months of age (Group Z). Additionally, all participants will receive four doses of Infanrix-hexa at 2, 3, 4 and 18 months of age.

Conditions

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Pneumococcal Vaccine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

single-blind, open-label, randomised controlled trial
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
This is a single-blind, open-label, randomised trial, with laboratory staff blinded to study group allocation as all the outcome measures that address the study objectives are laboratory based. Laboratory samples will be labelled with a unique trial identification number that does not identify the study group. Given the different timing of the vaccine schedules in the different study arms, the study nurses, vaccine administrators and participants will not be blinded to the study group allocation of each infant.

Study Groups

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V - PCV10 vaccine, 0+1

PCV10, 0+1 schedule. PCV vaccine at 12 months of age

Group Type ACTIVE_COMPARATOR

PCV Vaccine

Intervention Type BIOLOGICAL

PCV vaccination

W - PCV13 vaccine, 0+1

PCV13 in 0+1 schedule. PCV vaccine at 12 months of age

Group Type ACTIVE_COMPARATOR

PCV Vaccine

Intervention Type BIOLOGICAL

PCV vaccination

X - PCV10 vaccine, 1+1

PCV10, 1+1 schedule. PCV vaccine given at 2 and 12 months of age

Group Type ACTIVE_COMPARATOR

PCV Vaccine

Intervention Type BIOLOGICAL

PCV vaccination

Y - PCV13 vaccine, 1+1

PCV13, 1+1 schedule. PCV vaccine at 2 and 12 months of age

Group Type ACTIVE_COMPARATOR

PCV Vaccine

Intervention Type BIOLOGICAL

PCV vaccination

Z - Control

Control group. PCV vaccine given at end of study (24 months)

Group Type OTHER

PCV Vaccine

Intervention Type BIOLOGICAL

PCV vaccination

Interventions

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PCV Vaccine

PCV vaccination

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Aged between 2 months and 2 months plus 2 weeks;
* No significant maternal or perinatal history;
* Born at or after 36 weeks gestation;
* Written and signed informed consent from parent/legal guardian;
* Lives within approximately 30 minutes of the commune health centre;
* Family anticipates living in the study area for the next 22 months

Exclusion Criteria

* Known allergy to any component of the vaccine;
* Allergic reaction or anaphylactic reaction to any previous vaccine;
* Known immunodeficiency disorder;
* Known HIV-infected mother;
* Known thrombocytopenia or coagulation disorder;
* Administration or planned administration of any immunoglobulin or blood product since birth;
* Severe birth defect requiring ongoing medical care;
* Chronic or progressive disease;
* Seizure disorder;
* History of severe illness;
* Receipt of any 2 month vaccines through the Expanded Programme of Immunization (EPI) program;
* Family plans on giving the infant Quinvaxem (DTP-Hib-HBV).

Additionally, enrolment will be deferred and infants asked to return to the health centre one week later for reassessment if they have at least one of the following deferral criteria:

* Axillary temperature ≥37.5°C or ≤35.5°C;
* Acute infection, especially bacterial;
* Oral administration of corticoid therapy in past 14 days; or
* Any of the following symptoms that interfere with normal activities: crying more than usual, sleeping more than usual, or loss of appetite.
Minimum Eligible Age

8 Weeks

Maximum Eligible Age

10 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pasteur Institute, Ho Chi Minh City

OTHER_GOV

Sponsor Role collaborator

Murdoch Childrens Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kim Mulholland, MD

Role: PRINCIPAL_INVESTIGATOR

Murdoch Childrens Research Institute

Nguyen Vu Thuong, MD

Role: PRINCIPAL_INVESTIGATOR

Pasteur Institute

Locations

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Pasteur Institute

Ho Chi Minh City, , Vietnam

Site Status

Countries

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Vietnam

References

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Temple B, Tran HP, Dai VTT, Smith-Vaughan H; VPT-II Collaborator Group; Licciardi PV, Satzke C, Nguyen TV, Mulholland K. Efficacy against pneumococcal carriage and the immunogenicity of reduced-dose (0 + 1 and 1 + 1) PCV10 and PCV13 schedules in Ho Chi Minh City, Viet Nam: a parallel, single-blind, randomised controlled trial. Lancet Infect Dis. 2023 Aug;23(8):933-944. doi: 10.1016/S1473-3099(23)00061-0. Epub 2023 Apr 14.

Reference Type DERIVED
PMID: 37062304 (View on PubMed)

Temple B, Tran HP, Dai VTT, Bright K, Uyen DY, Balloch A, Licciardi P, Nguyen CD, Satzke C, Smith-Vaughan H, Nguyen TV, Mulholland K. Simplified 0+1 and 1+1 pneumococcal vaccine schedules in Ho Chi Minh City, Vietnam: protocol for a randomised controlled trial. BMJ Open. 2021 Nov 29;11(11):e056505. doi: 10.1136/bmjopen-2021-056505.

Reference Type DERIVED
PMID: 34845082 (View on PubMed)

Other Identifiers

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HREC36027

Identifier Type: -

Identifier Source: org_study_id

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