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Completed

NCT Number: NCT04300192

Study to Evaluate the Immune Response After Booster Vaccination With Tdap-IPV Vaccine (Against Tetanus, Diphtheria, Pertussis and Poliomyelitis) in Children Who Received Different Pertussis Primary Vaccine Regimens in Republic of South Africa

Primary Objectives :

* To describe the long-term humoral immune responses to pertussis, diphtheria, and tetanus after homologous and heterologous pertussis vaccine priming regimens * To determine the effects of the priming regimen on humoral responses to booster vaccination with Tdap-IPV vaccine * To describe the long-term cell-mediated immune responses to pertussis after homologous and heterologous pertussis vaccine priming regimens * To determine the effects of the priming regimen on cell-mediated immune response to booster vaccination with Tdap-IPV vaccine

Secondary Objective:

To describe the safety profile of Tdap-IPV vaccine in each group

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Key information

Age range

8 year–14 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Investigational Site Number : 7100001, Cape Town, South Africa

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About this study

Study duration per participant will be approximately 30 days including: 1 day of screening and vaccination, a phone call and a safety follow-up/end of study visit, at Day 8 and Day 30 after vaccine administration, respectively.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Born in 2007 to 2011 in the RSA
  • Received primary pertussis vaccination and the toddler booster in the RSA
  • Assent form has been signed and dated by the participant, and informed consent form (ICF) has been signed and dated by the parent(s) or another legal guardian and by an independent witness, if required by local regulations
  • Participants and parent/legal guardian are able to attend all scheduled visits and to comply with all trial procedures
  • Valid clinical record of primary vaccination with DTaP/DTwP vaccines immunization history from 2007 through 2011, either by hand-held (Road-to-Health Card) or immunization clinical records
  • For Groups 6 and 7: children infected with perinatally acquired HIV infection currently under care who received either an all wP or all aP priming regimen
  • For Groups 6 and 7: be on highly active antiretroviral therapy (HAART) therapy and have known CD4 cell counts > 200 cells/µL

Exclusion criteria

  • Participation in the 4 weeks preceding the vaccination or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks preceding the trial vaccination or planned receipt of any vaccine in the 4 weeks following the trial vaccination except for influenza
  • Receipt of additional pertussis vaccination doses inconsistent with pertussis vaccination schedule in the RSA
  • Previous confirmed diagnosis of pertussis disease
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances
  • For Groups 1 to 5: 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)
  • Known thrombocytopenia, as reported by the parent/ legal guardian or suspected thrombocytopenia contraindicating intramuscular vaccination in the Investigator's opinion
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination
  • Participants with progressive neurological disorder, uncontrolled epilepsy, or progressive encephalopathy except if a treatment regimen has been established and the condition has stabilized
  • Encephalopathy within 7 days of a previous dose of pertussis-containing vaccine
  • Had contraindication to receipt of Adacel Quadra vaccine at the time of vaccination as defined in the Adacel Quadra vaccine Republic of South Africa (RSA) label
  • 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 participants should not be included in the study until the condition has resolved or the febrile event has subsided (temporary contraindication)
  • Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw Note: Potential participants receiving standard HIV treatments such as antiretrovirals and/or antibiotic prophylaxis can be enrolled in the study. Their routine medications should be documented in the CRB.
  • Identified as a natural or adopted child of the Investigator or employee with direct involvement in the proposed study

Treatment and study plan

Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed Combined with Inactivated Poliomyelitis Vaccine

Biological

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular

Other names: Adacel®-Polio, Adacel Quadra®

Primary outcomes

  1. Geometric Mean Concentrations (GMCs) of anti-pertussis total immunoglobulin G (IgG)

    Time frame: Day 0 (pre-vaccination) and Day 30 (post-vaccination)

    Total IgG anti-pertussis antibody concentrations against the following pertussis antigens: pertussis toxin (PT), filamentous hemagglutinin (FHA), pertactin (PRN), and fimbriae types 2 and 3 (FIM)

  2. GMCs of anti-diphtheria IgG

    Time frame: Day 0 (pre-vaccination) and Day 30 (post-vaccination)

    Total IgG anti-diphtheria antibody concentrations

  3. GMCs of anti-tetanus toxoid IgG

    Time frame: Day 0 (pre-vaccination) and Day 30 (post-vaccination

    Total IgG anti-tetanus antibody concentrations

  4. GMCs of anti-pertussis total immunoglubulin A (IgA) and of anti-heat-killed B pertussis (HK Bp) IgA in cell-mediated immunity (CMI) subset only

    Time frame: Day 0 (pre-vaccination) and Day 30 (post-vaccination)

    Total IgA anti-pertussis antibody concentrations against the following pertussis antigens: PT, FHA, PRN, FIM types 2 and 3, and heat-killed B. pertussis (HK Bp)

  5. Geometric Mean (GM) of anti-pertussis IgG subclasses and of anti-HK Bp IgG subclasses.

    Time frame: Day 0 (pre-vaccination) and Day 30 (post-vaccination)

    Anti-pertussis IgG subclasses (ie, IgG1, IgG2, IgG3, and IgG4) distribution against PT, FHA, PRN, FIM types 2 and 3, and HK Bp

  6. GM of pertussis antigen-specific T cells

    Time frame: Day 0 (pre-vaccination) and Day 30 (post-vaccination)

    Absolute numbers (spot forming cells [SFC]/10e6 PBMCs) of pertussis antigen-specific (antigen pool and HK Bp) interferon (IFN)-ɣ, interleukin (IL)-17, IL-4 secreting cells

Secondary outcomes

  1. Number of participants reporting immediate adverse events (AEs)

    Time frame: Within 30 minutes post-vaccination

    Medically relevant unsolicited systemic AEs, including those related to the product administered

  2. Number of participants reporting solicited injection site reactions and systemic reactions

    Time frame: Within 7 days post-vaccination

    Adverse reactions prelisted in the (electronic) case report book (CRB) Injection site reactions: pain, erythema, swelling Systemic reactions: fever, headache, malaise, myalgia

  3. Number of participants reporting unsolicited AEs

    Time frame: Within 30 days post-vaccination

    AEs other than solicited reactions

  4. Number of participants reporting serious adverse events (SAEs)

    Time frame: Up to 37 days post-vaccination

    SAEs, including adverse event of special interest (AESIs)

Sponsors and collaborators

Lead sponsor

Sanofi Pasteur, a Sanofi Company

Industry

Registry information

Official study title

Immune Response to Pertussis After Vaccination With a Tdap-IPV Booster Vaccine in Children in the Republic of South Africa: Effect of Homologous and Heterologous Pertussis Vaccination Priming Background

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Mar 9, 2020
Registry last updated
Sep 12, 2025

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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