Respiratory Tract Infection Clinical Trial
Official title:
A PHASE 2B, RANDOMIZED, PLACEBO-CONTROLLED, OBSERVER-BLINDED TRIAL TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A RESPIRATORY SYNCYTIAL VIRUS (RSV) VACCINE IN PREGNANT WOMEN 18 THROUGH 49 YEARS OF AGE AND THEIR INFANTS
Verified date | September 2022 |
Source | Pfizer |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This Phase 2b study will evaluate the safety, tolerability, and immunogenicity of an RSV vaccine in pregnant participants who receive either one of 2 dose levels of the vaccine, formulated with or without aluminum hydroxide, or placebo, and investigate safety and characteristics of antibodies in their infants.
Status | Completed |
Enrollment | 1153 |
Est. completion date | September 30, 2021 |
Est. primary completion date | September 30, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 49 Years |
Eligibility | Inclusion Criteria - Maternal participants: - Healthy women 18 to 49 years of age between 24 and 36 weeks of gestation on the day of planned vaccination, with an uncomplicated pregnancy, who are at no known increased risk for complications, and whose fetus has no significant abnormalities observed on ultrasound. - Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. - Receiving prenatal standard of care. - Had an ultrasound performed at >=18 weeks of pregnancy. - Had a negative urinalysis for protein and glucose at the screening visit. Trace protein in the urine is acceptable if the blood pressure is also normal. - Determined by medical history, physical examination, screening laboratory assessment, and clinical judgment to be appropriate for inclusion in the study. - Documented negative human immunodeficiency virus antibody, hepatitis B virus surface antigen, hepatitis C virus antibody, and syphilis tests at the screening visit. - Body mass index of </=40 kg/m2 at the time of the screening visit. - Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document and in this protocol. - Expected to be available for the duration of the study and willing to give informed consent for her infant to participate in the study. Inclusion Criteria - Infant Participants: - Evidence of a signed and dated ICD signed by the parent(s). - Parent(s) willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Exclusion Criteria - Maternal Participants: - Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection. - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction to any component of the investigational product or any related vaccine. - History of latex allergy. - History of any severe allergic reaction. - Participants with known or suspected immunodeficiency. - Current pregnancy resulting from in vitro fertilization or other assisted reproductive technology. - A prior history of or known current pregnancy complications or abnormalities that will increase the risk associated with the participant's participation in and completion of the study. - Major illness of the mother or conditions of the fetus that, in the investigator's judgment, will substantially increase the risk associated with the participant's participation in, and completion of, the study or could preclude the evaluation of the participant's response. - Participant with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention including but not limited to systemic or cutaneous lupus erythematosus, autoimmune arthritis/rheumatoid arthritis, Guillain-Barré syndrome, multiple sclerosis, Sjögren's syndrome, idiopathic thrombocytopenia purpura, glomerulonephritis, autoimmune thyroiditis, giant cell arteritis (temporal arteritis), psoriasis, and insulin-dependent diabetes mellitus (type 1). - Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study. - Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation. - Participants who receive treatment with immunosuppressive therapy including cytotoxic agents or systemic corticosteroids (such as for cancer or an autoimmune disease), or planned receipt of such treatment or agents during study participation. If systemic corticosteroids have been administered short term (<14 days) for treatment of an acute illness, participants should not be enrolled into the study until corticosteroid therapy has been discontinued for at least 30 days before investigational product administration. Inhaled/nebulized, intra articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted. - Current alcohol abuse or illicit drug use. - Receipt of blood or plasma products or immunoglobulin, from 60 days before investigational product administration, or planned receipt through delivery, with 1 exception, Rho(D) immune globulin (eg, RhoGAM), which can be given at any time. - Previous vaccination with any licensed or investigational RSV vaccine or planned receipt during study participation. - Laboratory test results at the screening visit outside the normal reference value for pregnant women according to their trimester in pregnancy. - Participants who are breastfeeding at the time of the screening visit. Exclusion Criteria - Infant Participants: • Infant who is a direct descendant (eg, child or grandchild) of the study personnel. |
Country | Name | City | State |
---|---|---|---|
Argentina | Clinica Mayo De U.M.C.B. S.R.L. | San Miguel de Tucuman | Tucuman |
Argentina | Instituto de Maternidad y Ginecologia, Nuestra Senora de Las Mercedes | San Miguel de Tucuman | Tucuman |
Chile | Hospital Base San Jose de Osorno | Osorno | Región DE LOS Lagos |
Chile | Centro Internacional de Estudios Clinicos - CIEC | Santiago | Región Metropolitana |
Chile | Clinica Universidad de los Andes | Santiago | Región Metropolitana |
Chile | Grupo Estudios Clinicos Infectologia Respiratoria, Facultad de Medicina Universidad de Chile | Santiago | Región Metropolitana |
Chile | Hospital Clinico Universidad de Chile | Santiago | Region Metropolitana |
Chile | Hospital Padre Hurtado | Santiago | Region Metropolitana |
Chile | Hospital San Borja Arriaran | Santiago | RM |
Chile | Hospital San Jose | Santiago | Región Metropolitana |
Chile | Instituto de Investigaciones Materno Infantil (IDIMI) | Santiago | Región Metropolitana |
New Zealand | Christchurch Clinical Studies Trust Ltd | Christchurch | |
New Zealand | Christchurch Hospital (Canterbury District Health Board) | Christchurch | |
South Africa | Respiratory and Meningeal Pathogens Research Unit (RMPRU) | Soweto | Gauteng |
United States | MedPharmics | Albuquerque | New Mexico |
United States | Cambridge Medical Trials | Alexandria | Louisiana |
United States | The Iowa Clinic | Ankeny | Iowa |
United States | Emory Children's Center | Atlanta | Georgia |
United States | Children's Hospital Colorado | Aurora | Colorado |
United States | University of Colorado Anschutz Inpatient Pavilion 2 | Aurora | Colorado |
United States | University of Colorado AO1 | Aurora | Colorado |
United States | University of Colorado Hospital Inpatient Pavilion | Aurora | Colorado |
United States | University of Colorado Hospital Outpatient Pavilion | Aurora | Colorado |
United States | University of Colorado Leprino Building | Aurora | Colorado |
United States | University of Colorado Research II Building | Aurora | Colorado |
United States | Oshsner Medical Center - Hancock | Bay Saint Louis | Mississippi |
United States | Center for Women''s Health and Birthcare | Beaumont | Texas |
United States | CHRISTUS St. Elizabeth Hospital | Beaumont | Texas |
United States | Gadolin Research, LLC | Beaumont | Texas |
United States | Pediatric Clinic of Dr. Alvin H. Prause | Beaumont | Texas |
United States | Texas Health Harris Methodist Hurst-Euless-Bedford Hospital | Bedford | Texas |
United States | Join Clinical Trials | Bellflower | California |
United States | Merit Health Biloxi | Biloxi | Mississippi |
United States | Children's of Alabama | Birmingham | Alabama |
United States | UAB Women & Infants Center - UAB Medicine | Birmingham | Alabama |
United States | University of Alabama at Birmingham | Birmingham | Alabama |
United States | Bingham Memorial Hospital | Blackfoot | Idaho |
United States | Elite Clinical Trials LLLP | Blackfoot | Idaho |
United States | Grove Creek Medical Center | Blackfoot | Idaho |
United States | Allina Health Blaine Clinic | Blaine | Minnesota |
United States | Texas Health Huguley Hospital South | Burleson | Texas |
United States | St Lukes Hospital | Chesterfield | Missouri |
United States | Chowchilla Hospital Clinic | Chowchilla | California |
United States | Allina Health Coon Rapids Clinic | Coon Rapids | Minnesota |
United States | Allina Health Mercy Women's Clinic | Coon Rapids | Minnesota |
United States | Mercy Hospital (Allina Health) | Coon Rapids | Minnesota |
United States | The Mother Baby Center at Mercy with Children's (Allina Health) | Coon Rapids | Minnesota |
United States | Cullman Clinical Research, Inc | Cullman | Alabama |
United States | Cullman Primary Care, PC | Cullman | Alabama |
United States | Cullman Regional | Cullman | Alabama |
United States | Kettering Medical Center | Dayton | Ohio |
United States | Needmore Medical Center | Dayton | Ohio |
United States | Sugarcamp Family Practice | Dayton | Ohio |
United States | Duke Children's Primary Care - Roxboro Street | Durham | North Carolina |
United States | Duke Regional Hospital | Durham | North Carolina |
United States | Duke University Hospital | Durham | North Carolina |
United States | Duke University Medical Center | Durham | North Carolina |
United States | Alliance for Multispecialty Research, LLC | El Dorado | Kansas |
United States | HWC Women's Center Research | Englewood | Ohio |
United States | 8th Avenue Obstetrics and Gynecology | Fort Worth | Texas |
United States | Baylor Scott & White of Fort Worth | Fort Worth | Texas |
United States | Texas Health Harris Methodist Hospital FTW | Fort Worth | Texas |
United States | Texas Health Harris Methodist Hospital Southwest | Fort Worth | Texas |
United States | Ventavia Research Group, LLC | Fort Worth | Texas |
United States | Allina Health Fridley Clinic | Fridley | Minnesota |
United States | University of Texas Medical Branch | Galveston | Texas |
United States | Chisholm Trail Pediatrics | Georgetown | Texas |
United States | FMC Science, LLC | Georgetown | Texas |
United States | Georgetown OBGYN | Georgetown | Texas |
United States | St. David's Georgetown Hospital | Georgetown | Texas |
United States | Arrowhead Hospital | Glendale | Arizona |
United States | Abrazo West Campus Hospital | Goodyear | Arizona |
United States | Baylor Scott & White of Grapevine (Hospital) | Grapevine | Texas |
United States | Boeson Research | Great Falls | Montana |
United States | Gulfport Memorial Hospital | Gulfport | Mississippi |
United States | Gulfport OB-GYN | Gulfport | Mississippi |
United States | MedPharmics, LLC | Gulfport | Mississippi |
United States | Singing River Health System | Gulfport | Mississippi |
United States | Winthrop Women's Wellness | Hempstead | New York |
United States | Biopharma Informatic, LLC | Houston | Texas |
United States | Dr Van Tran Family Practice | Houston | Texas |
United States | HG Pediatrics | Houston | Texas |
United States | Memorial Herman Greater Heights Hospital | Houston | Texas |
United States | Texas Center for Drug Development, Inc. | Houston | Texas |
United States | Ventavia Research Group, LLC | Houston | Texas |
United States | Cabell Huntington Hospital | Huntington | West Virginia |
United States | Marshall Health dba University Pediatrics | Huntington | West Virginia |
United States | Marshall Health Department of Obstetrics and Gynecology | Huntington | West Virginia |
United States | Translational Genomic Research Institute | Huntington | West Virginia |
United States | Join Clinical Trials | Huntington Park | California |
United States | Matrix Clinical Research | Huntington Park | California |
United States | Hutchinson Clinic, P.A. | Hutchinson | Kansas |
United States | Hutchinson Regional Medical Center | Hutchinson | Kansas |
United States | Clinical Research Prime | Idaho Falls | Idaho |
United States | Eastern Idaho Regional Medical Center | Idaho Falls | Idaho |
United States | Family First Medical Center | Idaho Falls | Idaho |
United States | Mountain View Hospital | Idaho Falls | Idaho |
United States | Snake River Research, PLLC | Idaho Falls | Idaho |
United States | The Pediatric Center | Idaho Falls | Idaho |
United States | Sante Comprehensive Women's Healthcare | Johnson City | New York |
United States | AdventHealth Family Medicine Rural Health Clinic, Inc. | Lampasas | Texas |
United States | FMC Science | Lampasas | Texas |
United States | Bryan Health | Lincoln | Nebraska |
United States | Bryan Women's Care Physicians | Lincoln | Nebraska |
United States | Midwest Childrens Health Research Institute | Lincoln | Nebraska |
United States | DCOL Center For Clinical Research | Longview | Texas |
United States | Diagnostic Clinic of Longview | Longview | Texas |
United States | Longview Regional Medical Center | Longview | Texas |
United States | East Los Angeles Doctors Hospital | Los Angeles | California |
United States | Join Clinical Trials | Los Angeles | California |
United States | Join Clinical Trials | Los Angeles | California |
United States | Matrix Clinical Research | Los Angeles | California |
United States | White Memorial Medical Center | Los Angeles | California |
United States | Affiliated Physician Practice | Madera | California |
United States | Charles E. Ugwu-Oju, MD, FACOG | Madera | California |
United States | Madera Community Hospital | Madera | California |
United States | Madera Family Medical Group | Madera | California |
United States | Dr. Ruben Aleman and Associates | McAllen | Texas |
United States | MedPharmics, LLC | Metairie | Louisiana |
United States | NYU Winthrop Hospital | Mineola | New York |
United States | NYU Winthrop Hospital, Research Pharmacy | Mineola | New York |
United States | NYU Winthrop Pediatric Infectious Diseases | Mineola | New York |
United States | Women's Contemporary Care Associates | Mineola | New York |
United States | Abbott Northwestern Hospital (Allina Health) | Minneapolis | Minnesota |
United States | Infectious Disease Research | Minneapolis | Minnesota |
United States | Boeson Research | Missoula | Montana |
United States | Monterey Park Hospital | Monterey Park | California |
United States | Intermountain Medical Center | Murray | Utah |
United States | ASR, LLC | Nampa | Idaho |
United States | Saltzer Medical Group | Nampa | Idaho |
United States | Saltzer Medical Group | Nampa | Idaho |
United States | Meridian Clinical Research, LLC | Norfolk | Nebraska |
United States | Exygon Clinical Research | Pharr | Texas |
United States | MedPharmics, LLC | Phoenix | Arizona |
United States | St. Joseph Hospital | Phoenix | Arizona |
United States | Texas Health Presbyterian Hospital | Plano | Texas |
United States | Ventavia Research Group LLC | Plano | Texas |
United States | Pocatello Women's Health Clinic | Pocatello | Idaho |
United States | Portneuf Medical Center | Pocatello | Idaho |
United States | Clinical Research Partners, LLC | Richmond | Virginia |
United States | Johnston Willis Hospital | Richmond | Virginia |
United States | The Pediatric Center | Rigby | Idaho |
United States | University of Rochester Medical Center | Rochester | New York |
United States | University of Rochester Obstetrics and Gynecology | Rochester | New York |
United States | Ascension Seton Williamson | Round Rock | Texas |
United States | Baer Pediatrics | Saint Louis | Missouri |
United States | KDB Enterprises | Saint Louis | Missouri |
United States | Mercy Hospital St. Louis | Saint Louis | Missouri |
United States | Sundance Clinical Research, LLC | Saint Louis | Missouri |
United States | JBR Clinical Research | Salt Lake City | Utah |
United States | Old Farm Obstetrics & Gynecology, LLC | Salt Lake City | Utah |
United States | St. Marks Hospital | Salt Lake City | Utah |
United States | Coastal Pediatric Research | Summerville | South Carolina |
United States | Lowcountry Womens Specialists | Summerville | South Carolina |
United States | Summerville Medical Center | Summerville | South Carolina |
United States | Mesquite Pediatrics | Tucson | Arizona |
United States | Watching Over Mothers and Babies | Tucson | Arizona |
United States | Methodist West Hospital | West Des Moines | Iowa |
United States | The Iowa Clinic | West Des Moines | Iowa |
Lead Sponsor | Collaborator |
---|---|
Pfizer |
United States, Argentina, Chile, New Zealand, South Africa,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After Vaccination | Local reactions included pain at injection site, redness and swelling and were recorded by participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm) and graded as mild: greater than (>) 2.0 to 5.0 cm, moderate: >5.0 to 10.0 cm and severe: >10.0 cm. Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity and severe: prevented daily activity. The maximum severity was defined as highest grading of each local reaction within 7 days of vaccination. | Within 7 days after vaccination | |
Primary | Percentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After Vaccination | Systemic events included fever, fatigue, headache, nausea, muscle pain, joint pain, vomiting, diarrhea and were recorded by participants in an e-diary. Fever was categorized as: grade 1: mild (>=38.0 to 38.4 degrees [deg] Celsius [C]), grade 2: moderate (>38.4 to 38.9 deg C), grade 3: severe (>38.9 to 40.0 deg C) and grade 4 (>40.0 deg C). Fatigue, headache, nausea, muscle pain and joint pain were graded as mild: did not interfere with activity, moderate: some interference with activity and severe: prevented daily routine activity. Vomiting was graded as mild: 1 to 2 times in 24 hours(h), moderate: >2 times in 24h and severe: required intravenous hydration. Diarrhea was graded as mild: 2 to 3 loose stools in 24h, moderate: 4 to 5 loose stools in 24h and severe: 6 or more loose stools in 24h. The maximum severity was defined as highest grading of each systemic event within 7 days of vaccination. | Within 7 days after vaccination | |
Primary | Percentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination | An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. | Within 1 month after vaccination | |
Primary | Percentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric Complications | MAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Obstetric complications were determined as per the study clinician's judgement. | From day of vaccination (Day 1) up to 12 months post-delivery | |
Primary | Percentage of Infant Participants With Specific Birth Complications | Specific birth complications included clavicle fracture, torticollis, cephalhematoma, premature baby, acute respiratory failure, meconium aspiration syndrome, neonatal pneumothorax, neonatal respiratory depression, neonatal respiratory distress, neonatal respiratory distress syndrome, neonatal respiratory failure, pneumothorax, respiratory distress, transient tachypnea of the newborn and subgaleal hemorrhage. Percentage of participants with any specific birth complications were reported in this outcome measure. | At birth | |
Primary | Percentage of Infant Participants With Any AE Within 1 Month of Age | An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. | Within 1 month after birth | |
Primary | Percentage of Infant Participants With MAEs and SAEs Within 12 Months of Age | MAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. | Within 12 months after birth | |
Primary | Percentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental Delay | AEs of special interest for infant participants included congenital anomalies and developmental delays. Congenital anomalies were defined as structural or functional anomalies that occurred during intrauterine life and could be identified prenatally, at birth or later in life. Severity was assessed based on the study investigator's judgement and graded as grade 1= mild (does not interfere with participant's usual function); grade 2= moderate (interferes to some extent with participant's usual function); grade 3= severe (interferes significantly with participant's usual function) and grade 4= life-threatening (life-threatening consequences; urgent intervention indicated). Percentage of infant participants with AEs of special interest of at least moderate severity were presented. | Within 12 months after birth | |
Secondary | Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal Participants | GMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% confidence interval (CI) was based on the Student t distribution. Geometric mean ratios (GMRs) of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis. | Before vaccination, 2 weeks and 1 month after vaccination and at delivery | |
Secondary | Geometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal Participants | GMFRs for RSV A and RSV B neutralizing antibody titers from before vaccination to each available time point after vaccination were calculated by exponentiating the mean logarithm of the fold rises. Corresponding 95% CI was based on the Student t distribution. Data for this outcome measure was planned to be analyzed for maternal participants only. | 2 weeks and 1 month after vaccination, at delivery | |
Secondary | Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant Participants | GMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% CI was based on the Student t distribution. GMRs of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis. | At birth and at 1, 2, 4, 6 months after birth |
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