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Completed

NCT Number: NCT01399853

A Phase II Clinical Trial for Inactivated Vaccine (Vero Cell) Against EV71 in Chinese Children and Infants

Hand, foot, and mouth disease (HFMD) is a common viral illness in infants and children caused by viruses that belong to the enterovirus genus of the picornavirus family. Although most HFMD cases do not result in serious complications, outbreaks of HFMD caused by enterovirus 71 (EV71) can present with a high rate of neurological complications, including meningoencephalitis, pulmonary complications, and can even cause infant death. HFMD caused by EV71 has become a major emerging infectious disease in Asia and the highly pathogenic potential of EV71 clearly requires the attention of world medical community.

The phase I study of inactivated vaccine (vero cell) against EV71 has completed last month in Jiangsu Province in China. The data from the phase I study suggested that the inactivated EV71 vaccine had a clinically acceptable safety and good immunogenicity for healthy Chinese children and infants. In order to provide more evidence for the immunogenicity of the vaccine, to further explore the probable immunizing dose and the safety profile of this vaccine, a phase II clinical trial is planed to conduct.

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Key information

Conditions

Age range

6 month–36 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Jiangsu Provincial Center for Diseases Control and Prevention

Nanjing, Jiangsu, 210009, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

For children group (aged from 12-36 months):

  • Healthy children aged from 12 to 36 months old as established by medical history and clinical examination
  • The subjects' guardians are able to understand and sign the informed consent
  • Had never received the vaccine against EV71
  • Subjects who can and will comply with the requirements of the protocol
  • Subjects with temperature <=37.0°C on axillary setting

For infants group (aged from 6-11 months):

  • Healthy infants aged from 6 to 11 months old as established by medical history and clinical examination
  • The subjects' guardians are able to understand and sign the informed consent
  • Had never received the vaccine against EV71
  • Subjects who can and will comply with the requirements of the protocol
  • Subjects with temperature <=37.0°C on axillary setting

Exclusion criteria

For children group (aged from 12-36 months):

  • Subject who has a medical history of HFMD
  • <= 37 weeks gestation
  • Subjects with a birth weight <2.5 kg
  • 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 dysgenopathy
  • 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
  • Any acute infections in last 7 days
  • Any prior administration of immunodepressant or corticosteroids in last 6month
  • Any prior administration of blood products in last 3 month
  • Any prior administration of other research medicines in last 1 month
  • Any prior administration of attenuated live vaccine in last 28 days
  • Any prior administration of subunit or inactivated vaccines in last 14 days, such as pneumococcal vaccine
  • Under the anti-TB prevention or therapy
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

For infants group (aged from 6-11 months):

  • Subject who has a medical history of HFMD
  • <= 37 weeks gestation
  • Subjects with a birth weight <2.5 kg
  • 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 dysgenopathy
  • 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
  • Any acute infections in last 7 days
  • Any prior administration of immunodepressant or corticosteroids in last 6month
  • Any prior administration of blood products in last 3 month
  • Any prior administration of other research medicines in last 1 month
  • Any prior administration of attenuated live vaccine in last 28 days
  • Any prior administration of subunit or inactivated vaccines in last 14 days, such as pneumococcal vaccine
  • Under the anti-TB prevention or therapy
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Exclusion criteria

for the second dose:

  • Had any Grade 3 or Grade 4 adverse reaction within 7 days after first dose
  • Any situation meet the exclusion criteria stated in the exclusion criteria for first dose
  • Had any SAE related to first dose during the following-up of first dose
  • Any condition that in the opinion of the investigator, or IRB

Treatment and study plan

160U /0.5ml EV71 Vaccine

Biological

inactivated vaccine (vero cell) against EV71 of 160U /0.5ml, two doses, 28 days interval

320U /0.5ml EV71 vaccine

Biological

inactivated vaccine(vero cell) against EV71 of 320U /0.5ml, two doses, 28 days interval

640U /0.5ml EV71 vaccine

Biological

inactivated vaccine (vero cell) against EV71 of 640U /0.5ml, two doses, 28 days interval

(without adjuvant) 640U /0.5ml

Biological

inactivated vaccine (vero cell) against EV71 of (without adjuvant) 640U /0.5ml, two doses, 28 days interval

0/0.5ml placebo

Biological

0/0.5ml placebo, two doses, 28 days interval

Primary outcomes

  1. The GMT of anti-EV71 antibodies in serum after first vaccination

    Time frame: 28 days after first vaccination

    to evaluate the GMT of anti-EV71 antibodies in serum 28 days after first vaccination

  2. The GMT of anti-EV71 antibodies in serum after second vaccination

    Time frame: 28 days after second vaccination

    to evaluate the GMT of anti-EV71 antibodies in serum 28 days after second vaccination

  3. Frequency of systemic and local adverse reactions after the first vaccination

    Time frame: 28 days after the first vaccination

    Frequency of systemic and local adverse reactions in healthy Children and infants following first doses of EV71 vaccine

  4. Frequency of systemic and local adverse reactions after the second vaccination

    Time frame: 28 days after the second vaccination

    Frequency of systemic and local adverse reactions in healthy Children and infants following second doses of EV71 vaccine

Secondary outcomes

  1. The seroconversion rate of anti-EV71 antibodies in serum after first vaccination

    Time frame: 28 days after first vaccination

    to evaluate the seroconversion rate of anti-EV71 antibodies in serum 28 days after first vaccination

  2. The seroconversion rate of anti-EV71 antibodies in serum after second vaccination

    Time frame: 28 days after second vaccination

    to evaluate the seroconversion rate of anti-EV71 antibodies in serum 28 days after second vaccination

  3. Frequency of adverse events and any SAE after the first vaccination

    Time frame: 28 days after the first vaccination

    Frequency of adverse events and any SAE in healthy Children and infants following first doses of EV71 vaccine

  4. Frequency of adverse events and any SAE after the second vaccination

    Time frame: 28 days after the second vaccination

    Frequency of adverse events and any SAE in healthy Children and infants following second doses of EV71 vaccine

  5. The clinical abnormality of hematological examination, blood biochemical test and urinalysis after first vaccination in children

    Time frame: 3 days after first vaccination

    to evaluate the clinical abnormality of hematological examination, blood biochemical test and urinalysis 3 days after first vaccination in children

  6. The clinical abnormality of hematological examination, blood biochemical test and urinalysis after second vaccination in children

    Time frame: 3 days after second vaccination

    to evaluate the clinical abnormality of hematological examination, blood biochemical test and urinalysis 3 days after second vaccination in children

  7. The persistence of immunogenicity of the EV71vaccine after two doses in children and infants

    Time frame: 6 months after blood collection at day 56

    to evaluate the persistence of immunogenicity of the EV71vaccine after two doses in children and infants 6 months after blood collection at day 56

Sponsors and collaborators

Lead sponsor

Jiangsu Province Centers for Disease Control and Prevention

Network

Collaborators

  • Bejing Vigoo Biological Co., LTD

Registry information

Important dates

Study start
2011
Primary completion
2011
Study completion
2012
First posted
Jul 22, 2011
Registry last updated
May 31, 2012

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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