Safety and Immunogenicity of Concomitant Administration of EV71 Vaccine With EPI Vaccines

Hand, Foot and Mouth Disease Clinical Trial

Official title:

A Randomized, Controlled Clinical Trial to Evaluate the Safety and Immunogenicity of Concomitant Administration of EV71 Vaccine With Recombinant Hepatitis B Vaccine/Group A Meningococcal Polysaccharide Vaccine

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03274102
• Other study ID #: PRO-EV71-4003
• Status: Completed
• Phase: Phase 4
• Start date: April 22, 2017
• Est. completion date: November 1, 2017

Study information

• Verified date: December 2018
• Source: Sinovac Biotech Co., Ltd
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the safety and immunogenicity of concomitant administration of EV71 vaccine with recombinant hepatitis B vaccine/Group A meningococcal polysaccharide vaccine.

Description:

This study is an open-label, single-center, randomized, comparative phase IV clinical trial. The purpose of this study is to evaluate the safety and immunogenicity of concomitant administration of EV71 vaccine manufactured by Sinovac (Beijing) Vaccine Technology Co., Ltd. with recombinant hepatitis B vaccine/Group A meningococcal polysaccharide vaccine. 780 healthy infants of 6 months old as participants are randomly assigned into three experimental groups in the ratio 1:1:1. The group I receive EV71 Vaccine (first dose)& recombinant hepatitis B vaccine on day 0 and EV71 vaccine (second dose)& Group A meningococcal polysaccharide vaccine on day 30. The group II receive recombinant hepatitis B vaccine on day 0 and Group A meningococcal polysaccharide vaccine on day 30. The group III receive the first and second dose of EV71 Vaccine on day 0 and day 30 respectively.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 780
• Est. completion date: November 1, 2017
• Est. primary completion date: November 1, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 6 Months to 6 Months

Eligibility

Inclusion Criteria:

• Healthy volunteers aged 6 months
• Finished two doses of vaccination (0,1 month) of hepatitis B vaccine prior to study entry
• Proven legal identity
• Guardian(s) of the volunteer should be capable of understanding the written consent form, and such form should be signed before the infant being included into this study

Exclusion Criteria:

• Finished all the three doses vaccination (0,1,6 month) of hepatitis B vaccine prior to study entry
• Prior vaccination of meningococcal polysaccharide vaccine
• Prior vaccination of EV71 vaccine
• Unable to receive vaccination on both arms
• History of hand foot and mouth disease
• Previously tested HBsAg positive
• Mother of the subject had been previously tested HBsAg positive
• History of asthma; history of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc
• Congenital malformation, developmental disorders, genetic defects
• Autoimmune disease or immunodeficiency/immunosuppressive
• Severe nervous system disease or mental illness
• Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders
• Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry
• Receipt of blood product (e.g., immunoglobulin) within 3 months prior to study entry
• Receipt of any other investigational medicine(s) within 30 days prior to study entry
• Receipt of any live attenuated vaccine within 14 days prior to study entry
• Receipt of any subunit vaccine or inactivated vaccine within 7 days prior to study entry
• Acute disease or acute stage of chronic disease within 7 days prior to study entry
• Axillary temperature > 37.0 ?
• Any other factor that suggesting the volunteer is unsuitable for this study based on the judgement of investigators

Exclusion Criteria of the Second Injection:

• Subjects with one of the following 1 to 3 conditions are forbidden to continue vaccination, while the other study steps could be carried out based on the judgement of investigator; for subjects with one of the following 4 to 5 conditions, whether to continue vaccination are determined by the investigator; for subjects with one of the following 6 to 7 conditions, vaccination may be delayed in the time window specified

in the study:

1. Any serious adverse event that has a causal relationship with the investigated vaccine (except the group II)

2. Severe allergic reactions or hypersensitivity after vaccination (including urticaria / rash appear within 30 minutes after vaccination, except the group II )

3. Any confirmed or suspected autoimmune disease or immunodeficiency disease (e.g., HIV infection)

4. New chronic diseases or acute stage of chronic diseases

5. Other reactions (including severe pain, severe swelling, severe activity limitation, persistent hyperthermia, severe headache or other systemic or local reactions) determined by the investigators

6. Acute diseases (moderate or severe diseases with or without fever)

7. Axillary temperature> 37.0 ?

Related Conditions & MeSH terms

• Hand, Foot and Mouth Disease
• Mouth Diseases

Intervention

Biological:
• Concomitant administration of EV71 vaccine with EPI vaccines
The investigated EV17 vaccine was manufactured by Sinovac Biotech Co., Ltd.; the recombinant hepatitis B vaccine was manufactured by Shenzhen Kangtai Biological Products Co., Ltd; the Group A meningococcal polysaccharide vaccine was manufactured by Wuhan Institute of Biological Products Co., Ltd. The primary vaccination schedule of hepatitis B vaccine includes 3 doses with a schedule of 0,1,6 month, and subjects only receive 3rd vaccination in this study; the primary vaccination schedule of Group A meningococcal polysaccharide vaccine includes 2 doses with 3 months interval between doses, and subjects only receive 1st vaccination in this study
• Single injection of EPI vaccine
The recombinant hepatitis B vaccine was manufactured by Shenzhen Kangtai Biological Products Co., Ltd; the Group A meningococcal polysaccharide vaccine was manufactured by Wuhan Institute of Biological Products Co., Ltd. The primary vaccination schedule of hepatitis B vaccine includes 3 doses with a schedule of 0,1,6 month, and subjects only receive 3rd vaccination in this study; the primary vaccination schedule of Group A meningococcal polysaccharide vaccine includes 2 doses with 3 months interval between doses, and subjects only receive 1st vaccination in this study
• EV71 Vaccine only
The investigated EV17 vaccine was manufactured by Sinovac Biotech Co., Ltd.

Locations

Country	Name	City	State
China	Dongguan Municipal Center for Disease Control and Prevention	Dongguan	Guangdong

Sponsors (2)

Lead Sponsor	Collaborator
Sinovac Biotech Co., Ltd	Guangdong Center for Disease Prevention and Control

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The seropositive rate of EV71 neutralizing antibody, anti-HBs and serum bactericidal antibody 1 month after 2 doses of vaccination	Immunogenicity indicator	30 days after 2 doses of injection
Secondary	Incidence of solicited local or systemic adverse events within 7 days after each dose	Safety indicator	7 days after each dose of injection
Secondary	Incidence of unsolicited local or systemic adverse events within 30 days after each dose	Safety indicator	30 days after each dose of injection
Secondary	Incidence of serious adverse events during the period of safety monitoring	Safety indicator	60 days after the first dose injection
Secondary	The seroconversion rate of EV71 neutralizing antibody, anti-HBs and serum bactericidal antibody(SBA) 1 month after 2 doses of vaccination	Immunogenicity indicator	30 days after 2 doses of injection
Secondary	EV71 neutralizing antibody GMT, anti-HBs GMC and SBA antibody GMT 1 month after 2 doses of vaccination	Immunogenicity indicator	30 days after 2 doses of injection