- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00870350
An Immunogenicity and Safety Study of Tetanus, Diphtheria and Acellular Pertussis Vaccine Booster (Tdap Booster)
An Immunogenicity and Safety Study of Combined Adsorbed Tetanus, Low Dose Diphtheria and Acellular Pertussis Vaccine (Td5ap and Td1aP) Given as a School-leaving Booster to 14-15-year-old Children Primed With a Five Component Acellular Pertussis Vaccine at 3, 5 and 12 Months of Age, and a Booster Dose at 5½ Years of Age
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The vaccines in the study are COVAXIS (Td5ap), Sanofi Pasteur Canada, and diTekiBooster (Td1aP), Statens Serum Institut, Denmark.
The primary objective of the study is to describe the immune response to diphtheria toxin, tetanus toxoid, pertussis toxin, filamentous haemagglutinin (FHA), fimbriae 2/3 and pertactin four weeks after immunization with Td1aP and Td5ap.
The secondary objectives include:
- describing the safety of a fith dose of DTP vaccines in 14-15 year-old children by observing systemic and local adverse reactions
- describing pre-booster antibody levels
- describing pre-booster and post-booster IgG and IgA levels in saliva
- describing in a subpopulation the pre-booster and post-booster T cell immune responses as determined by the production of cytokines
- describing in a subpopulation the pre-booster and post-booster B cell immune responses as determined by the number of effector and memory B-cells
The sample size is 400 subjects (200 in group 1 and 200 in group 2). It will be an open-label, randomized, multi-centre study in which group 1 will receive Td5ap as a single injection and group 2 will receive Td1aP as a single injection. DTP antibodies will be measured before and 28 days (+ 14 days) after Td5ap and Td1aP vaccination. The proportion of children with positive IgG antibody response will be measured in each study arm. Sera will be tested blindly by established ELISA methods and saliva samples will be analyzed by exploratory assays. In a subpopulation cellmediated immunity will be analyzed. The safety evaluation criteria will be the percentage of subjects with adverse events describing injection-site adverse reactions, systemic adverse events, daily temperatures and serious adverse events.
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Locations
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Lund, Sweden, 221 85
- Swedish Institute for Infectious Disease Control
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- healthy subject
- 14-15 years old
- eligible for their school-leaving booster for DTP
- received a complete primary vaccination with a 5-component acellular pertussis vaccine (DT5aP-IPV-Hib) at 3, 5 and 12 months of age and vaccinated with a 5-component acellular pertussis vaccine (Td5aP-IPV or Td5aP + IPV) as a booster at 5½ years of age
- informed consent form signed by the subject and parent(s)/legal representative
- subject understand and comply with the study procedures (i.e. able to read and write Swedish)
- female must provide an agreement that they are either sexually continent or practice adequate contraceptive methods (intra-uterine contraceptive device (IUCD), hormonal contraceptives, condoms or other adequate barrier contraception).
Exclusion Criteria:
- acute febrile illness or axillary temperature ≥38.0°C at the time of vaccination
- receipt of immunoglobulin within the previous 3 months, immunosuppression (e g evidence of impaired cell mediated immunity, receipt of immunosuppressant drugs within the previous 3 months or receipt of systemic corticosteroids given daily or on alternate days at ≥20 mg/day prednisone equivalent during >14 days within the past 30 days)
- receipt of a non-study vaccine in the past 30 days
- evolving encephalopathy not attributable to another identifiable cause within 7 days of administration of a previous dose of any vaccine
- booster vaccination with tetanus, low dose diphtheria and acellular pertussis vaccine since the booster vaccination at 5½ years of age
- previous clinical or bacteriological diagnosis of diphtheria, tetanus or pertussis
- hypersensitivity to any component of any of the study vaccines
- current participation in any other clinical trial or participation in any clinical trial in the previous month
- inability to adhere to the protocol, including plans to move from the area
- severe chronic disease
- family history of congenital or hereditary immunodeficiency
- any sever thrombocytopenia or any other coagulation disorder that would contraindicate intramuscular injection
- any medical condition, which in the opinion of the investigator, might interfere with the evaluation of the study objectives.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Active Comparator: Td5ap
Group 1 receiving Td5ap as a single intramuscular injection.
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Intramuscular injection of 0.5 mL Td5ap (COVAXiS) on day 1.
Other Names:
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Active Comparator: Td1aP
Group 2 receiving Td1aP as a single intramuscular injection
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Intramuscular injection of 0.5 mL Td1aP (diTekiBooster) on day 1.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
to describe in each arm the immune response to diptheria toxin, tetanus toxoid, pertussis toxin, FHA, fimbriae 2/3 and pertactin four weeks after immunization with Td1aP and Td5ap
Time Frame: 42 days
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42 days
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
safety of a fith dose of DTP vaccines
Time Frame: 42 days
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42 days
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pre-booster antibody levels
Time Frame: 42 days
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42 days
|
pre-booster and post-booster IgG and IgA levels
Time Frame: 42 days
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42 days
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pre-booster and post-booster T cell immune responses
Time Frame: 42 days
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42 days
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pre-booster and post-booster B cell immune responses
Time Frame: 42 days
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42 days
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Collaborators and Investigators
Investigators
- Principal Investigator: Leif Gothefors, Prof. em., Swedish Institute for Infectious Disease Control
- Study Director: Eva Netterlid, Swedish Institute for Infectious Disease Control
Publications and helpful links
General Publications
- Lin A, Apostolovic D, Jahnmatz M, Liang F, Ols S, Tecleab T, Wu C, van Hage M, Solovay K, Rubin K, Locht C, Thorstensson R, Thalen M, Lore K. Live attenuated pertussis vaccine BPZE1 induces a broad antibody response in humans. J Clin Invest. 2020 May 1;130(5):2332-2346. doi: 10.1172/JCI135020.
- Carlsson RM, Gustafsson L, Hallander HO, Ljungman M, Olin P, Gothefors L, Nilsson L, Netterlid E. Two consecutive randomized controlled pertussis booster trials in children initially vaccinated in infancy with an acellular vaccine: The first with a five-component Tdap vaccine to 5-year olds and the second with five- or monocomponent Tdap vaccines at age 14-15 years. Vaccine. 2015 Jul 17;33(31):3717-25. doi: 10.1016/j.vaccine.2015.05.079. Epub 2015 Jun 7.
- Jahnmatz M, Ljungman M, Netterlid E, Jenmalm MC, Nilsson L, Thorstensson R. Pertussis-specific memory B-cell and humoral IgG responses in adolescents after a fifth consecutive dose of acellular pertussis vaccine. Clin Vaccine Immunol. 2014 Sep;21(9):1301-8. doi: 10.1128/CVI.00280-14. Epub 2014 Jul 9.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Metabolic Diseases
- Nervous System Diseases
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Neurologic Manifestations
- Bordetella Infections
- Gram-Negative Bacterial Infections
- Bacterial Infections
- Bacterial Infections and Mycoses
- Gram-Positive Bacterial Infections
- Neuromuscular Manifestations
- Actinomycetales Infections
- Clostridium Infections
- Hypocalcemia
- Calcium Metabolism Disorders
- Corynebacterium Infections
- Whooping Cough
- Tetanus
- Diphtheria
- Tetany
Other Study ID Numbers
- 2008-008195-13
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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