Denna sida har översatts automatiskt och översättningens korrekthet kan inte garanteras. Vänligen se engelsk version för en källtext.

A Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 in Children With Sickle Cell Disease (V114-023/PNEU-SICKLE)

21 maj 2021 uppdaterad av: Merck Sharp & Dohme LLC

A Phase 3, Multicenter, Randomized, Double-blind, Active Comparator Controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 in Children With Sickle Cell Disease (PNEU-SICKLE)

This study is designed to describe the safety, tolerability, and immunogenicity of V114 in children with sickle cell disease.

Studieöversikt

Status

Avslutad

Betingelser

Studietyp

Interventionell

Inskrivning (Faktisk)

104

Fas

  • Fas 3

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Salvador, Brasilien, 40420-000
        • Hospital Santo Antonio - Obras Sociais Irma Dulce ( Site 0205)
      • Sao Paulo, Brasilien, 01221-900
        • Santa Casa de Misericordia de Sao Paulo ( Site 0202)
    • MG
      • Belo Horizonte, MG, Brasilien, 30150-221
        • Santa Casa de Misericordia de Belo Horizonte ( Site 0200)
    • Atlantico
      • Barranquilla, Atlantico, Colombia, 080020
        • Clinica de la Costa Ltda. ( Site 0300)
    • Valle Del Cauca
      • Cali, Valle Del Cauca, Colombia, 760045
        • Centro de Estudios en Infectologia Pediatrica SAS ( Site 0301)
      • Santo Domingo, Dominikanska republiken, 10122
        • Clinical Research Republica Dominicana ( Site 0401)
      • Santo Domingo, Dominikanska republiken, 10205
        • Caimed Dominicana S.A.S ( Site 0400)
    • Santo Domingo
      • Distrito Nacional, Santo Domingo, Dominikanska republiken, 10204
        • Fundacion Dominicana de Perinatologia PRO BEBE INC ( Site 0402)
    • Delaware
      • Wilmington, Delaware, Förenta staterna, 19803
        • Nemours/Alfred I. duPont Hospital for Children ( Site 0113)
    • Georgia
      • Atlanta, Georgia, Förenta staterna, 30303
        • Children's Healthcare of Atlanta ( Site 0100)
    • Michigan
      • Detroit, Michigan, Förenta staterna, 48201
        • Children's Hospital of Michigan ( Site 0111)
    • New Jersey
      • Newark, New Jersey, Förenta staterna, 07112
        • Newark Beth Israel Medical Center ( Site 0115)
    • New York
      • Rochester, New York, Förenta staterna, 14642
        • University of Rochester Medical Center ( Site 0105)
    • Ohio
      • Cincinnati, Ohio, Förenta staterna, 45229
        • Cincinnati Children's Hospital Medical Center ( Site 0101)
      • Athens, Grekland, 115 27
        • Agia Sophia Children s Hospital ( Site 0700)
      • Thessaloniki, Grekland, 546 42
        • Hippokration General Hospital of Thessaloniki ( Site 0701)
      • Genova, Italien, 16132
        • Ospedale San Martino ( Site 0800)
      • Panama, Panama, 0816-00383
        • Cevaxin ( Site 0500)
      • Panama, Panama, 0816-00383
        • Cevaxin ( Site 0502)

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

5 år till 17 år (Barn)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Documented diagnosis of sickle cell disease in their medical record
  • Female participants: not pregnant or breastfeeding, and at least 1 of the following conditions apply:

    1) not a woman of childbearing potential (WOCBP) as defined in the protocol, or 2) a WOCBP who agrees to follow the contraceptive guidance in the protocol during the treatment period and for at least 6 weeks after the last dose of study vaccine

  • Has a legally acceptable representative who understands the study procedures, alternate treatments available, and risks involved with the study and voluntarily agrees to participate by giving written informed consent/assent.

Exclusion Criteria:

  • History of Invasive Pneumococcal Disease (positive blood culture, positive cerebrospinal fluid culture, or positive culture at another sterile site) or known history of other culture-positive pneumococcal disease within 3 years of Visit 1 (Day 1)
  • Known hypersensitivity to any component of pneumococcal conjugate vaccine (PCV), or any diphtheria toxoid-containing vaccine
  • Known or suspected impairment of immunological function
  • History of congenital or acquired immunodeficiency
  • Documented human immunodeficiency virus (HIV) infection
  • History of autoimmune disease (including but not limited to systemic lupus erythematosus, antiphospholipid syndrome, Behcet's disease, autoimmune thyroid disease, polymyositis and dermatomyositis, scleroderma, or type 1 diabetes mellitus)
  • Known coagulation disorder contraindicating intramuscular vaccination
  • History of malignancy ≤5 years prior to signing informed consent/assent, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
  • A WOCBP who has a positive urine or serum pregnancy test before the first vaccination at Visit 1 (Day 1)
  • Received any PCV or pneumococcal polysaccharide vaccine <3 years before Visit 1 (Day 1)
  • Five (5) years of age and has received <3 doses of PCV
  • Receiving immunosuppressive therapy, including chemotherapeutic agents used to treat cancer or other conditions, and interventions associated with organ or bone marrow transplantation, or autoimmune disease. Note: hydroxyurea is permitted
  • Received immunoglobulin within 6 months before receipt of study vaccine
  • Participated in another clinical study of an investigational product within 2 months before the beginning or anytime during the duration of the current clinical study. Participants enrolled in observational studies may be included
  • Recent history (within the last year) of more than 3 inpatient hospitalizations
  • At the time of signing informed consent/assent, is a user of recreational or illicit drugs or has had a recent history (within the last year) of drug or alcohol abuse or dependence as assessed by the study investigator
  • History or current evidence of any condition, therapy, lab abnormality or other circumstance that might expose the participant to risk by participating in the study, confound the results of the study, or interfere with the participant's participation for the full duration of the study in the opinion of the Investigator
  • Is or has an immediate family member (eg, spouse, parent/legal guardian, sibling, or child) who is investigational site or Sponsor staff directly involved with this study.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: V114
Participants will receive a single 0.5 mL intramuscular (IM) injection of V114 on Day 1.
V114 pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (2 mcg each), and serotype 6B (4 mcg) in each 0.5 mL dose
Aktiv komparator: Prevnar 13™
Participants will receive a single 0.5 mL IM injection of Prevnar 13™ on Day 1.
Prevnar 13™ pneumococcal capsular polysaccharide serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg) in each 0.5 ml dose

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Percentage of Participants With a Solicited Injection-site Adverse Event
Tidsram: Up to 14 days post-vaccination
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs included injection-site erythema (redness), injection-site induration (hard lump), injection-site pain (tenderness), and injection-site swelling.
Up to 14 days post-vaccination
Percentage of Participants With a Solicited Systemic Adverse Event
Tidsram: Up to 14 days post-vaccination
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited systemic AEs included arthralgia (joint pain), fatigue (tiredness), headache, myalgia (muscle pain), and urticaria (hives or welts).
Up to 14 days post-vaccination
Percentage of Participants With a Vaccine-related Serious Adverse Event
Tidsram: Up to 6 months post-vaccination
A serious adverse event (SAE) is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. SAEs that were reported by the investigator to be at least possibly related to the study vaccination were summarized.
Up to 6 months post-vaccination
Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG) at Day 30
Tidsram: Day 30
The GMC of IgG serotype-specific antibodies to the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 were quantitated from participants' sera by a multiplex electrochemiluminescence (ECL) assay.
Day 30

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) at Day 30
Tidsram: Day 30
Sera from participants was used to measure GMT of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 using the multiplexed opsonophagocytic assay (MOPA).
Day 30
Geometric Mean Fold Rise (GMFR) in Serotype-specific IgG From Day 1 (Baseline) to Day 30
Tidsram: Day 1 (Baseline) and Day 30
IgG for the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes unique to V114 (22F and 33F) was determined using an electrochemiluminescence assay. GMFR is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline (Day 1, pre-vaccination).
Day 1 (Baseline) and Day 30
GMFR in Serotype-specific OPA From Day 1 (Baseline) to Day 30
Tidsram: Day 1 (Baseline) and Day 30
Activity for the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes unique to V114 (22F and 33F) was determined using a MOPA. GMFR is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline (Day 1, pre-vaccination).
Day 1 (Baseline) and Day 30

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

23 januari 2019

Primärt slutförande (Faktisk)

8 juni 2020

Avslutad studie (Faktisk)

8 juni 2020

Studieregistreringsdatum

Först inskickad

2 november 2018

Först inskickad som uppfyllde QC-kriterierna

2 november 2018

Första postat (Faktisk)

6 november 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

16 juni 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

21 maj 2021

Senast verifierad

1 maj 2021

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

Ja

IPD-planbeskrivning

http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

Kliniska prövningar på Pneumokockinfektioner

Kliniska prövningar på V114

3
Prenumerera