Clinical Study to Assess the Immunogenicity and Safety of Hexavalent Vaccine Containing Reduced Dose IPV

Last updated: September 13, 2024
Sponsor: Serum Institute of India Pvt. Ltd.
Overall Status: Active - Recruiting

Phase

3

Condition

Hepatitis

Throat And Tonsil Infections

Hepatitis B

Treatment

Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV

Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV

Clinical Study ID

NCT06413121
SII-wHEXA/IN-03
  • Ages 6-8
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

In 2012, the World Health Assembly (WHA) endorsed the proposed Polio Endgame Strategy, which includes withdrawal of the Sabin-virus type 2 antigen-responsible for an estimated 95% of vaccine derived cases of polio by replacing the trivalent Oral Polio Vaccine (OPV) in the routine immunization schedule with a bivalent OPV that lacks the type 2 Sabin virus. Since the WHA resolution, all countries that were solely using OPV have either introduced Inactivated Polio Vaccine (IPV) into their routine immunization schedule or decided to introduce IPV but have been unable to secure supply. The global demand for IPV has therefore substantially increased in just a few years. Many initiatives are ongoing to meet the increasing demand for IPV. One potential approach is the reduction of the amount of antigen per vaccine dose. Therefore, to enhance the affordability, effectiveness and accessibility of IPV.

SIIPL has manufactured hexavalent combination vaccine containing diphtheria, tetanus, pertussis, hepatitis B, Haemophilus influenzae type b and a reduced dose of three IPV antigens.

Based on available published data, reduction of the antigen content of each of the three poliovirus types in IPV is feasible, without substantially compromising the immunogenicity of the vaccine. Advantages of a reduction in antigen content are two-fold: increased availability of IPV and reduced cost, both of major importance for the global eradication programme.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or female infants aged 6-8 weeks at the time of first vaccination.

  • Infants with good health, as determined by the medical history, physical examinationand clinical judgment of the Investigator.

  • Informed consent form signed by at least one parent.

  • Infants born at full term pregnancy (≥ 37 weeks).

  • Infants with weight-for-length z-score ≥ -2 standard deviation (SD) at the time ofenrolment.

  • Willingness of subjects' parent to comply with the requirements of the protocol.

Exclusion

Exclusion Criteria:

  • History of diphtheria/ tetanus/ pertussis/ hepatitis B/ Haemophilus Influenzae typeb/ poliomyelitis infection(s).

  • Presence of fever ≥ 38°C/ 100.4°F.

  • Acute illness of moderate to severe intensity according to the clinical judgment ofthe investigator .

  • Receipt of antibiotics in the past 3 days

  • Previous vaccination or planned receipt of any vaccine against diphtheria, tetanus,pertussis, hepatitis B (except birth dose), poliomyelitis (except OPV birth dose) orHaemophilus Influenzae type b infection apart from trial vaccines during the studyperiod.

  • Administration of any vaccine (except OPV during government immunization campaign)in the 4 weeks preceding the first trial vaccination.

  • History of major congenital defects or illness that require medical therapy, asdetermined by medical history or clinical assessment.

  • History of any clinically significant chronic disease that in the opinion of theInvestigator, might interfere with the evaluation of the study objectives.

  • History of anaphylaxis, or any serious vaccine reaction, or hypersensitivity/allergyto any vaccine or components of study vaccine.

  • Infants with known or suspected impairment of the immune function, or thosereceiving immunosuppressive therapy such as anti-cancer chemotherapy or radiationtherapy or received immunosuppressive therapy prior to study entry

  • Presence of evolving or changing neurological disorder or infant with a history ofseizures and/or encephalopathy.

  • Known thrombocytopenia or a bleeding disorder.

  • Known personal or maternal history of HIV, Hepatitis B or Hepatitis Cseropositivity.

  • Planned surgery during the study.

  • Receipt of blood or blood-derived products or immunoglobulins or plannedadministration during the trial which might interfere with the assessment of theimmune response.

  • Participation in another clinical trial 4 weeks preceding the trial enrolment orplanned participation during the present trial period in another clinical trial.

  • Infants whose families are planning to leave the area of the study site before theend of the study period.

Study Design

Total Participants: 1557
Treatment Group(s): 2
Primary Treatment: Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV
Phase: 3
Study Start date:
May 06, 2024
Estimated Completion Date:
May 31, 2026

Study Description

This is an observer-blind, randomized, active-controlled, multi-centric study in healthy infants and toddlers to assess the immunogenicity and safety of SIIPL reduced IPV hexavalent vaccine in comparison with the licensed SIIPL HEXASIIL® vaccine.

One thousand five hundred and fifty-seven infants aged 6-8 weeks (42 to 56 days, both days inclusive) will be randomized in a 2:1 ratio (1038 infants in SIIPL reduced IPV hexavalent group and 519 in SIIPL HEXASIIL® group), to receive a 3-dose primary vaccination series followed by their booster doses, respectively. The safety and immunogenicity data collected up to 28 days following third vaccination i.e., Visit 7, shall be submitted to the regulatory authority. All subjects will be followed up further for booster dose. After Visit 7 (i.e., 28 days following completion of primary vaccination series) subjects will be followed up for safety every 3 months starting from the age of 6 months (i.e., at 6, 9, 12, 15, 18, and 21 months of age) until they receive the booster dose anytime between 12-24 months. There will be post booster follow up visit (EOS visit) 28 days after the booster immunization i.e., Visit 10 to assess the safety and post booster immunogenicity.

Connect with a study center

  • International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)

    Dhaka, 128
    Bangladesh

    Active - Recruiting

  • Hamdard Institute of Medical Sciences and Research (HIMSR) with Centre for health research & Development, Society for applied studies, Hakeem Abdul Hameed Centenary Hospital (HAHCH)

    New Delhi, Delhi 110062
    India

    Active - Recruiting

  • Manipal Academy of Higher Education, Manipal

    Mangalore, Karnataka 576104
    India

    Active - Recruiting

  • JSS Medical College and Hospital

    Mysore, Karnataka 570004
    India

    Active - Recruiting

  • Bharati Vidyapeeth Medical College and Hospital, Pune

    Pune, Maharashtra 411043
    India

    Active - Recruiting

  • KEM Hospital and Research Centre, Vadu

    Pune, Maharashtra 412216
    India

    Active - Recruiting

  • Sri Ramachandra Medical Centre, Chennai

    Chennai, Tamil Nadu 600116
    India

    Active - Recruiting

  • Institute of Child Health, Kolkata

    Kolkata, West Bengal 700017
    India

    Active - Recruiting

  • Post Graduate Institute of Medical Education and Research (PGIMER)

    Chandigarh, 160012
    India

    Active - Recruiting

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