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NCT Number: NCT01508247

A Clinical Trial to Assess the Efficacy and Safety of an Inactivated Vaccine (Vero Cell) Against EV71 in Chinese Children Aged 6-35 Months

Since its discovery in 1969, enterovirus 71 (EV71) has been recognised as a frequent cause of epidemics of hand-foot-mouth disease (HFMD) associated with severe neurological sequelae in a small proportion of cases. There has been a significant increase in EV71 epidemic activity throughout the Asia-Pacific region since 1997. Recent HFMD epidemics in this region have heen associated with a severe from of brainstem encephalitis associated with pulmonary oedema and high case-fatality rates.

The data from the phase 1 and 2 trials suggested that the inactivated EV71 vaccine had a clinically acceptable safety and good immunogenicity for healthy Chinese children and infants. According to the immunogenicity and safety results, the 320U with adjuvant with immunizing schedule of two doses (per 28 day) will be applied in phase 3 clinical trial.

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Key information

Age range

6 month–35 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Donghai County Center for Disease Control and Prevention, Lianyungang, Jiangsu, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Only subjects fulfilling all of the following criteria will be eligible for the study:

  • Healthy children aged from 6 to 35 months old
  • General good health as established by medical history and physical examination
  • The subjects' guardians are able to understand and sign the informed consent
  • Had never received the vaccine against EV71
  • The subjects' guardians allow to comply with the requirements of the protocol
  • Available for all visits scheduled in this study
  • Subjects with temperature <=37.0°C on axillary setting

Exclusion criteria

Subjects will not be eligible for the study if any of the following criteria is met:

  • Subject who has a medical history of HFMD
  • Subject that has a medical history of any of the following: allergic history, or allergic to any ingredient of vaccine
  • Family history of seizures or progressive neurological disease
  • Family history of congenital or hereditary immunodeficiency
  • Severe malnutrition or hypogenesis
  • Major congenital defects or serious chronic illness, including perinatal brain damage
  • Autoimmune disease
  • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws
  • Asplenia, functional asplenia, or splenic excision
  • History of asthma, angioneurotic edema, diabetes or malignant tumour
  • History of thyroidectomy, or thyroid disease in last 12 months
  • Any acute infections in last 7 days
  • Any prior administration of immunodepressant or corticosteroids in last 6 months
  • Any prior administration of blood products in last 3 months
  • Any prior administration of other research vaccines or medicines in last 1 month
  • Any prior administration of attenuated live vaccine in last 15 days
  • Any prior administration of subunit or inactivated vaccines in last 7 days
  • Under the anti-TB prevention or therapy
  • Subjects with temperature >37.0°C on axillary setting
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Exclusion criteria

for the second dose:

Subjects will not be eligible for the second dose if any of following adverse events happened after the first dose. They can continue other process of the study without the second dose vaccination according to the opinion of the investigator.

  • Had any serious adverse events related to the first dose of inactivated vaccine (vero cell) against EV71 within 7 days
  • Hypersensitivity reactions after vaccination (including urticaria/rashes that occur within 30 minutes after inoculation)
  • Anaphylaxis after vaccination
  • Any confirmed or suspected autoimmune disease or immune deficiency diseases, including human immunodeficiency virus (HIV) infection
  • Any condition that in the opinion of the investigator, or IRB

Treatment and study plan

inactivated vaccine (Vero Cell) against EV71

Biological

inactivated vaccine (vero cell) against EV71, 320U /0.5ml, two doses, on day0, 28

0/0.5ml placebo

Biological

0/0.5ml placebo, two doses, on day0, 28

Primary outcomes

  1. the incidence density of the EV71-associated diseases in the vaccine group and placebo group.

    Time frame: begin at day 56 up to 14 months

    compare the incidence density of the EV71-associated diseases between the vaccine group and placebo group in Chinese children aged 6-35 months.

Secondary outcomes

  1. the frequency of all the adverse events in vaccine group and placebo group.

    Time frame: up to 14 months

    compare frequency of all the solicited events, unsolicited adverse events and serious adverse events between vaccine group and placebo group.

  2. Seropositive rate of the vaccine group

    Time frame: 8 months after first vaccination

    calculate the seropositive rate of the vaccine group in Chinese children aged 6-35 months at month 8 after first vaccination.

  3. Seroconversion rate of the vaccine group

    Time frame: 8 months after first vaccination

    calculate the seroconversion rate of the vaccine group in Chinese children aged 6-35 months at month 8 after first vaccination.

  4. GMT of the vaccine group

    Time frame: 8 months after first vaccination

    calculate the geometric mean titre (GMT) of the vaccine group in Chinese children aged 6-35 months at month 8 after first vaccination.

  5. Seropositive rate of the vaccine group

    Time frame: 14 months after first vaccination

    calculate the seropositive rate of the vaccine group in Chinese children aged 6-35 months at month 14 after first vaccination.

  6. Seroconversion rate of the vaccine group

    Time frame: 14 months after first vaccination

    calculate the seroconversion rate of the vaccine group in Chinese children aged 6-35 months at month 14 after first vaccination.

  7. GMT of the vaccine group

    Time frame: 14 months after first vaccination

    calculate the geometric mean titre (GMT) of the vaccine group in Chinese children aged 6-35 months at month 14 after first vaccination.

  8. Seropositive rate of the vaccine group and placebo group

    Time frame: 28 days after the second vaccination

    compare the seropositive rate of the vaccine group and placebo group in healthy children aged 6-35 months.

  9. Seroconversion rate of the vaccine group and placebo group

    Time frame: 28 days after the second vaccination

    compare the Seroconversion rate of the vaccine group and placebo group in healthy children aged 6-35 months.

  10. GMT of the vaccine group and placebo group

    Time frame: 28 days after the second vaccination

    compare the geometric mean titre (GMT) of the vaccine group and placebo group in healthy children aged 6-35 months.

  11. GMI of the vaccine group and placebo group

    Time frame: 28 days after the second vaccination

    compare the geometric mean fold increase (GMFI) of the vaccine group and placebo group in healthy children aged 6-35 months.

Sponsors and collaborators

Lead sponsor

Jiangsu Province Centers for Disease Control and Prevention

Network

Collaborators

  • Bejing Vigoo Biological Co., LTD

Registry information

Official study title

A Multiple-center Randomized Double-blind Placebo-controlled Phase 3 Clinical Trial to Assess the Efficacy and Safety of an Inactivated Vaccine (Vero Cell) Against EV71 in Chinese Children Aged 6-35 Months

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Jan 11, 2012
Registry last updated
Mar 29, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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