Trial Information

Summary: Safety of a fifth dose of Diphtheria Tetanus Acellular Pertussis Vaccine (DTaP) in children who had an extensive local reaction after the fourth DTaP dose (Revaccination Study)

Summary:
Diphtheria, tetanus, and pertussis are infections that still exist in the world and may cause outbreaks of disease if children are not vaccinated. A vaccine, DTaP, is a childhood immunization, given in a series of 5 injections, that protects children against all three of these infections. Approximately 2% of children have a large area of swelling at the vaccination site after the 4th and/or 5th dose of DTaP. There may also be redness and pain. The reactions go away in a few days. It is not known if a child who had a reaction after dose 4 is more likely to again react to the 5th dose. It is also not known if reactions are more common with some DTaP vaccines than other vaccines. Different DTaP vaccines contain different amounts of vaccine parts. There are currently three DTaP vaccines approved by the FDA for use in the U.S.

There are three main purposes for this study:

  • to determine rates and severity of swelling after a 5th dose of DTaP in children who were reported by their parents or health care providers to have had a bad local reaction after dose 4;
  • to compare rates of swelling among two different DTaP vaccines; and
  • to compare antibody levels (proteins that fight germs) in the blood of children who had reactions to those who did not have swelling reactions

Subjects will have two study visits, the first for a blood sample and to receive their 5th dose of DTaP which is required for entry into school. The second visit will be solely for a blood sample. This information will help doctors find out why children have these reactions, and also, if one vaccines is more likely to cause this severe swelling reactions. Subjects will receive reimbursement for their participation.

Eligibility:
Children of either sex and any race between the ages of 4 to 6 years will be eligible to enroll as cases if the parent or their medical practitioner were concerned that they had experienced an extensive local reaction after the 4th dose of a DTaP vaccine, and if they have not yet received their 5th DTaP booster dose.

Contact:

Nancy Bouvier, MSN, CPNP
Stanford University School of Medicine
Department of Pediatric Infectious Diseases
300 Pasteur Dr., Room G312
Stanford, CA 94305-5208
Telephone: 650-498-7284
Fax: 650-725-8040
Email:

Profile Page: Stanford University School of Medicine, Stanford, CA

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Trial listings updated: June 1, 2008 at 5:43:36 AM


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