Impact of a Fourth Hexavalent Vaccine After Hematopoietic Stem Cell Transplantation

NCT ID: NCT03402776

Last Updated: 2018-06-06

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-01

Study Completion Date

2021-05-01

Brief Summary

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It is recommended for patients who underwent an hematopoietic stem cell transplantation to receive 6 months after the graft 3 injections of hexavalent vaccine (diphteria-tetanus- poliomyelitis-pertussis-Hib-HBV) within 2 months followed by a booster dose one month after. The patients included in the study will have a measure of their antibody level against 5 pathogens (diphteria toxin, tetanus toxin, Haemophilus influenza b, hepatitis B virus, poliomyelitis virus) one month after the 3rd injection of hexavalent vaccine. If the antibody response is not sufficient, they will be randomized for a 4th dose in the following month. The antibody response will be again measured one month after the 1 year booster dose.

Detailed Description

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It is recommended for patients who underwent an hematopoietic stem cell transplantation to receive, 6 months after the graft, 3 injections of hexavalent vaccine (diphteria-tetanus- poliomyelitis-pertussis-Hib-HBV) within 2 months, followed by a booster dose one yrar after. However, this strategy do not constantly lead to efficient antibody levels.

the investigators aim to determine whether a 4th dose in the initial vaccine schedule (month 0, 1, 2, and 3) allows to obtain a better response.

After informed consent, the investigators will recruit 6 months after the graft 200 patients who had received an hematopoietic stem cell transplantation . The participants will have a measure of their antibody level against 5 pathogens (diphteria toxin, tetanus toxin, Haemophilus influenza b, hepatitis B virus, poliomyelitis virus) at month 0 (before the 1st hexavalent vaccine injection), and one month after the 3rd injection of this vaccine. If the antibody response is not sufficient, they will be randomized for a 4th dose in the following month.

The one year booster dose will be then injected to all participants, and the antibody response will be again measured one month after this dose. The primary endpoint is to compare the antibody levels at this date in patients who had an unsufficient immune response after the 3rd dose and who received or not a 4rth dose in the initial vaccine schedule.

Conditions

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Haemopoietic Stem Cell Transplantation Allograft

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized, open-label, prospective, multicenter study
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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good resp. after 3 vacc. inject.

no randomization for a 4th dose.

Group Type NO_INTERVENTION

No interventions assigned to this group

bad resp. after 3 vacc. inj., 4th inj

After randomization, these patients will receive a 4th dose one month after the 3rd dose.

Group Type EXPERIMENTAL

4th dose of hexavalent vaccine 1 month after the 3rd dose

Intervention Type DRUG

4th dose of hexavalent vaccine 1 month after the 3rd dose

bad resp. after 3 vacc. inj., no 4th inj

After randomization, these patients will not receive a 4th dose one month after the 3rd dose.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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4th dose of hexavalent vaccine 1 month after the 3rd dose

4th dose of hexavalent vaccine 1 month after the 3rd dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* having received an HSTC 6 months before (not more than 2 years)
* not receiving immunosuppressive therapy at inclusion

Exclusion Criteria

* having received an HSTC 6 months more than 2 years before
* receiving immunosuppressive therapy at inclusion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nice

OTHER

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role collaborator

University Hospital of Saint-Etienne

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Olivier EPAULARD, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Grenoble

Locations

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University Hospital

Grenoble, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Olivier EPAULARD, MD, PhD

Role: CONTACT

04 76 76 68 13

Saber TOUATI

Role: CONTACT

04 76 76 58 05

Facility Contacts

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olivier epaulard, MD, PhD

Role: primary

+33476765291

References

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Epaulard O, Carre M, Hermet E, Corbin V, Tavernier E, Botelho-Nevers E, Daguindau E, Brunel AS, Rohrlich PS, Risso K, Gallet S, Gonnet N, Touati S, Manceau M, Thiebault A. Antibody response to tetanus, diphtheria, poliomyelitis, hepatitis B, and H. influenzae b vaccines in allogeneic hematopoietic stem cell transplant adult recipients: A multicenter trial. PLoS One. 2025 Oct 27;20(10):e0335224. doi: 10.1371/journal.pone.0335224. eCollection 2025.

Reference Type DERIVED
PMID: 41144397 (View on PubMed)

Other Identifiers

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38RC17.191

Identifier Type: -

Identifier Source: org_study_id

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