Study of a Pneumococcal Conjugate Vaccine When Administered Concomitantly With Routine Pediatric Vaccines in Healthy Toddlers and Infants

NCT ID: NCT04398706

Last Updated: 2025-09-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

852 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-22

Study Completion Date

2023-08-10

Brief Summary

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Primary objectives:

* To assess the safety profile of each SP0202 formulation and Prevnar 13 in toddlers and infants (after each and any injection).
* To assess the immune response (serotype specific IgG concentration) of the SP0202 formulations and Prevnar 13 1 month after the administration of one dose in toddlers (Groups 1-4)
* To assess the immune response (serotype specific IgG concentration) of the SP0202 formulations and Prevnar 13 1 month after the administration of 3 doses in infants (Groups 5-8)
* To assess the immune response (serotype specific IgG concentration) of the SP0202 formulations and Prevnar 13 1 month after administration of a 4-dose schedule in infants (Groups 5-8)

Secondary objectives:

* To assess the immune response (serotype specific OPA titer) of the SP0202 formulations and Prevnar 13 1 month after the administration of one dose in toddlers (Groups 1-4)
* To assess the immune response (serotype specific OPA titer) of the SP0202 formulations and Prevnar 13 1 month after the administration of 3 doses in a subset of infants (Groups 5-8)
* To assess the immune response (serotype specific OPA titer) of the SP0202 formulations and Prevnar 13 1 month after administration of a 4-dose schedule in a subset of infants (Groups 5-8)
* In toddlers: to describe the Ab responses against Pentacel antigens before and 1 month following injection of Pentacel
* In infants: to describe the Ab responses against antigens of the routine pediatric vaccines (Pentacel, RotaTeq, ENGERIX-B, M-M-RII, and VARIVAX) when administered concomitantly with either SP0202 or Prevnar 13 (at pre-Dose 1 (as applicable) for RotaTeq, Diphteria, Tetanus and Pertussis antigens; at PD3 for ENGERIX-B, RotaTeq, and Pentacel; at PD4 for M-M-RII and VARIVAX\])

Detailed Description

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For toddlers, the duration of each participant's participation in the study will be approximately 6 months for subjects enrolled in Groups 1, 2, 3, and 4.

For infants, the duration of each participant's participation in the study will be approximately 16 to 19 months for subjects enrolled in Groups 5, 6, 7, and 8.

Conditions

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Pneumococcal Immunisation Diphtheria Immunisation Tetanus Immunisation Pertussis Immunisation Hepatitis B Immunisation Haemophilus Influenzae Type b Immunisation Polio Immunisation Measles Immunisation Rubella Immunisation Varicella Immunisation Mumps Immunisation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The study will be performed in a modified double-blind fashion:

* Investigators and study staff who conduct the safety assessment and the participant will not know which vaccine is administered
* Only the study staff who prepare and administer the vaccine and are not involved with the safety evaluation will know which vaccine is administered This study will be observer-blinded between any SP0202 formulation and Prevnar 13 and double-blind across the 3 SP0202 formulations

Study Groups

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Group 1

One dose of SP0202-IIb and one dose of DTaP-IPV// Hib vaccine in toddlers aged 12-15 months who have previously received the 3-dose primary series of Prevnar13

Group Type EXPERIMENTAL

Pneumococcal Conjugate Vaccine formulation 1

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 2

One dose of SP0202-VI and one dose of DTaP-IPV// Hib vaccine in toddlers aged 12-15 months who have previously received the 3-dose primary series of Prevnar13

Group Type EXPERIMENTAL

Pneumococcal Conjugate Vaccine formulation 2

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 3

One dose of SP0202-VII and one dose of DTaP-IPV// Hib vaccine in toddlers aged 12-15 months who have previously received the 3-dose primary series of Prevnar13

Group Type EXPERIMENTAL

Pneumococcal Conjugate Vaccine formulation 3

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 4

One dose of Prevnar 13 and one dose of DTaP-IPV// Hib vaccine in toddlers aged 12-15 months who have previously received the 3-dose primary series of Prevnar13

Group Type ACTIVE_COMPARATOR

Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein]

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 5

Four doses of SP0202-IIb at 2, 4, 6 and 12-15 months Routine pediatric vaccines: DTaP-IPV// Hib vaccine, rotavirus vaccine at 2, 4, 6 months; MMR vaccine and varicella vaccine at 12-15 months Hepatitis B vaccine at 2, 4, 6 months, as applicable

Group Type EXPERIMENTAL

Pneumococcal Conjugate Vaccine formulation 1

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Rotavirus Vaccine, Live, Oral, Pentavalent

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: oral

Hepatitis B Vaccine* [Recombinant] *as applicable

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 6

Four doses of SP0202-VI at 2, 4, 6 and 12-15 months Routine pediatric vaccines: DTaP-IPV// Hib vaccine, rotavirus vaccine at 2, 4, 6 months; MMR vaccine and varicella vaccine at 12-15 months Hepatitis B vaccine at 2, 4, 6 months, as applicable

Group Type EXPERIMENTAL

Pneumococcal Conjugate Vaccine formulation 2

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Rotavirus Vaccine, Live, Oral, Pentavalent

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: oral

Hepatitis B Vaccine* [Recombinant] *as applicable

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 7

Four doses of SP0202-VII at 2, 4, 6 and 12-15 months Routine pediatric vaccines: DTaP-IPV// Hib vaccine, rotavirus vaccine at 2, 4, 6 months; MMR vaccine and varicella vaccine at 12-15 months Hepatitis B vaccine at 2, 4, 6 months, as applicable

Group Type EXPERIMENTAL

Pneumococcal Conjugate Vaccine formulation 3

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Rotavirus Vaccine, Live, Oral, Pentavalent

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: oral

Hepatitis B Vaccine* [Recombinant] *as applicable

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Group 8

Four doses of Prevnar 13 at 2, 4, 6 and 12-15 months Routine pediatric vaccines: DTaP-IPV// Hib vaccine, rotavirus vaccine at 2, 4, 6 months; MMR vaccine and varicella vaccine at 12-15 months Hepatitis B vaccine at 2, 4, 6 months, as applicable

Group Type ACTIVE_COMPARATOR

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: subcutaneous

Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein]

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Rotavirus Vaccine, Live, Oral, Pentavalent

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: oral

Hepatitis B Vaccine* [Recombinant] *as applicable

Intervention Type BIOLOGICAL

Pharmaceutical form:liquid Route of administration: intramuscular

Interventions

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Pneumococcal Conjugate Vaccine formulation 1

Pharmaceutical form:liquid Route of administration: intramuscular

Intervention Type BIOLOGICAL

Pneumococcal Conjugate Vaccine formulation 2

Pharmaceutical form:liquid Route of administration: intramuscular

Intervention Type BIOLOGICAL

Pneumococcal Conjugate Vaccine formulation 3

Pharmaceutical form:liquid Route of administration: intramuscular

Intervention Type BIOLOGICAL

Varicella Virus Vaccine Live

Pharmaceutical form:liquid Route of administration: subcutaneous

Intervention Type BIOLOGICAL

Measles, Mumps, and Rubella Virus Vaccine Live

Pharmaceutical form:liquid Route of administration: subcutaneous

Intervention Type BIOLOGICAL

Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein]

Pharmaceutical form:liquid Route of administration: intramuscular

Intervention Type BIOLOGICAL

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Tetanus Toxoid Conjugate)

Pharmaceutical form:liquid Route of administration: intramuscular

Intervention Type BIOLOGICAL

Rotavirus Vaccine, Live, Oral, Pentavalent

Pharmaceutical form:liquid Route of administration: oral

Intervention Type BIOLOGICAL

Hepatitis B Vaccine* [Recombinant] *as applicable

Pharmaceutical form:liquid Route of administration: intramuscular

Intervention Type BIOLOGICAL

Other Intervention Names

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SP0202-IIb SP0202-VI SP0202-VII Varicella vaccine, VARIVAX® MMR vaccine, M-M-R ®II Prevnar 13® DTaP-IPV// Hib vaccine, Pentacel® Rotavirus vaccine, RotaTeq Hepatitis B vaccine, ENGERIX-B®

Eligibility Criteria

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Inclusion Criteria

Toddlers and infants:

* Participant and parent/guardian are able to attend all scheduled visits and to comply with all study procedures
* Born at full term of pregnancy (≥ 37 weeks) and/or with a birth weight ≥ 5.5 lbs or 2.5 kg

Specifically for toddlers:

* Aged 12 to 15 months on the day of the first study visit
* Participant has received 3 doses of Prevnar 13 and 3 doses of diphteria, tetanus, acellular pertussis, poliovirus and Haemophilus influenzae type b antigens in infancy

Specifically for infants:

\- Aged 42 to 89 days on the day of the first study visit

Exclusion Criteria

Toddlers and infants

* Participation at the time of study enrollment (or in the 4 weeks preceding the first study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
* Family history of congenital or hereditary immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated
* Blood dyscrasias, leukemia, lymphoma of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems
* Active tuberculosis
* History of S. pneumoniae infection or disease, confirmed either serologically or microbiologically
* History of any neurologic disorder, including any seizures and progressive neurologic disorders
* History of Guillain-Barré syndrome
* Known systemic hypersensitivity to any of the vaccine components or to latex, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
* Verbal report of thrombocytopenia contraindicating intramuscular vaccination in the Investigator's opinion
* Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination in the Investigator's opinion
* Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
* Chronic illness (including, but not limited to, cardiac disorders, congenital heart disease, chronic lung disease, renal disorders, auto-immune disorders, diabetes, psychomotor diseases, and know congenital or genetic diseases) that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
* Any condition which, in the opinion of the Investigator, might interfere with the evaluation of the study objectives
* In an emergency setting, or hospitalized involuntarily
* Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C / ≥ 100.4 F). A prospective participant should not be included in the study until the condition has resolved or until 3 days after the febrile event has resolved
* Identified as a natural or adopted child of the Investigator or employee with direct involvement in the proposed study Specifically for toddlers
* Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine from enrollment through the last blood sampling Visit (Visit 2), except for influenza vaccination, which may be received at least 2 weeks before or 2 weeks after any study vaccination. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines
* Receipt of immune globulins, blood or blood-derived products in the past 3 months
* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
* History of diphtheria, tetanus, pertussis, poliomyelitis, and/or H. influenzae type b infection or disease Specifically for infants
* Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine from enrollment through the last blood sampling Visit (Visit 6), except for influenza vaccination or COVID-19 vaccination, which may be received at least 2 weeks before or 2 weeks after any study vaccination. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines, and COVID-19 vaccines as applicable per local recommendations
* Receipt of immune globulins, blood or blood-derived products since birth.
* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks) since birth
* Previous vaccination against S. pneumoniae
* Previous vaccination against the following antigens: diphteria, tetanus, pertussis, H. influenzae type b, poliovirus, rotavirus, measles, mumps, rubella, and varicella
* Receipt of more than 1 previous dose of hepatitis B vaccine
* History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, measles, mumps, rubella, varicella, H. influenzae type b, and/or rotavirus infection or disease
* History of intussusception

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

42 Days

Maximum Eligible Age

15 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi Pasteur, a Sanofi Company

Locations

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The Children's Clinic Of Jonesboro PA Site Number : 8400143

Jonesboro, Arkansas, United States

Site Status

Southland Clinical Research Center Site Number : 8400040

Bellflower, California, United States

Site Status

Joint Clinical Trials Huntington Park Site Number : 8400030

Huntington Park, California, United States

Site Status

Matrix Clinical Research Huntington Park Site Number : 8400058

Huntington Park, California, United States

Site Status

Matrix Clinical Research Site Number : 8400059

Los Angeles, California, United States

Site Status

Orange County Research Institute Site Number : 8400060

Ontario, California, United States

Site Status

California Research Foundation Site Number : 8400052

San Diego, California, United States

Site Status

Meridian Clinical Research Washington DC Site Number : 8400119

Washington D.C., District of Columbia, United States

Site Status

International Research Partners, LLC Site Number : 8400077

Doral, Florida, United States

Site Status

Homestead Medical Clinic, P.A. Site Number : 8400032

Homestead, Florida, United States

Site Status

Dade Research Center Site Number : 8400122

Miami, Florida, United States

Site Status

Miami Clinical Research Site Number : 8400020

Miami, Florida, United States

Site Status

Amber Clinical Research, LLC Site Number : 8400019

Miami, Florida, United States

Site Status

Jedidiah Clinical Research Site Number : 8400049

Tampa, Florida, United States

Site Status

Javara Albany Site Number : 8400140

Albany, Georgia, United States

Site Status

Centricity Research Talbotton - DBA IACT Health Research at Talbotton Site Number : 8400062

Columbus, Georgia, United States

Site Status

Javara Fayetteville Site Number : 8400139

Fayetteville, Georgia, United States

Site Status

Dumog Research Site Number : 8400134

Smyrna, Georgia, United States

Site Status

Bingham Memorial Hospital Site Number : 8400067

Blackfoot, Idaho, United States

Site Status

Leavitt Clinical Research Site Number : 8400127

Idaho Falls, Idaho, United States

Site Status

Hutchinson Clinic Site Number : 8400074

Hutchinson, Kansas, United States

Site Status

Qualmedica Research, LLC Site Number : 8400084

Bowling Green, Kentucky, United States

Site Status

Michael W. Simon, MD, PSC Site Number : 8400002

Lexington, Kentucky, United States

Site Status

Meridian Clinical Research, LLC Site Number : 8400112

Baton Rouge, Louisiana, United States

Site Status

Benchmark Research Site Number : 8400012

Covington, Louisiana, United States

Site Status

Velocity Clinical Research Lafayette Site Number : 8400132

Lafayette, Louisiana, United States

Site Status

Javara Annapolis Site Number : 8400137

Annapolis, Maryland, United States

Site Status

Javara Chevy Chase Site Number : 8400138

Chevy Chase, Maryland, United States

Site Status

Children's Mercy Hospital Site Number : 8400008

Kansas City, Missouri, United States

Site Status

Boeson Research Site Number : 8400004

Missoula, Montana, United States

Site Status

Meridian Clinical Research Site Number : 8400102

Grand Island, Nebraska, United States

Site Status

Lincoln Pediatric Group Site Number : 8400125

Lincoln, Nebraska, United States

Site Status

Pediatric Infectious Diseases Research Site Number : 8400104

Omaha, Nebraska, United States

Site Status

Atrium Health Site Number : 8400124

Charlotte, North Carolina, United States

Site Status

Ardmore Medical Research Site Number : 8400043

Winston-Salem, North Carolina, United States

Site Status

Pediatric Associates of Mt. Carmel Site Number : 8400005

Cincinnati, Ohio, United States

Site Status

Cheraw Pediatrics Site Number : 8400017

Cheraw, South Carolina, United States

Site Status

Tribe Clinical Research Site Number : 8400025

Greenville, South Carolina, United States

Site Status

Javara Dallas Site Number : 8400135

Dallas, Texas, United States

Site Status

Pininos Pediatric Services Site Number : 8400121

El Paso, Texas, United States

Site Status

North Texas Clinical Trials Site Number : 8400015

Fort Worth, Texas, United States

Site Status

Houston Clinical Research Associates Site Number : 8400023

Houston, Texas, United States

Site Status

FMC Science, LLC Site Number : 8400086

Lampasas, Texas, United States

Site Status

DCOL Center for Clinical Research Site Number : 8400107

Longview, Texas, United States

Site Status

Biopharma Informatic Site Number : 8400066

McAllen, Texas, United States

Site Status

Benchmark Research San Antonio Site Number : 8400129

San Antonio, Texas, United States

Site Status

Sun Research Institute Site Number : 8400011

San Antonio, Texas, United States

Site Status

Tekton Research Site Number : 8400076

San Antonio, Texas, United States

Site Status

MultiCare Institute for Research & Innovation Site Number : 8400024

Spokane, Washington, United States

Site Status

Investigational Site Number : 1240002

Vancouver, British Columbia, Canada

Site Status

Investigational Site Number : 1240001

Halifax, Nova Scotia, Canada

Site Status

Investigational Site Number : 1240006

Hamilton, Ontario, Canada

Site Status

Investigational Site Number : 3400002

Municipio Del Distrito Central, , Honduras

Site Status

Investigational Site Number : 3400001

San Pedro Sula, , Honduras

Site Status

Investigational Site Number : 6300002

Bayamón, , Puerto Rico

Site Status

Investigational Site Number : 6300004

Guayama, , Puerto Rico

Site Status

Investigational Site Number : 6300001

San Juan, , Puerto Rico

Site Status

Countries

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United States Canada Honduras Puerto Rico

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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U1111-1238-1638

Identifier Type: REGISTRY

Identifier Source: secondary_id

PSK00008

Identifier Type: OTHER

Identifier Source: secondary_id

PSK00008

Identifier Type: -

Identifier Source: org_study_id

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