NCT00457249

Brief Summary

It is well recognized that older adults can contract pertussis, suffer its complications, and unwittingly transmit it to close contacts, which may well include infants too young to have received their primary series of DTaP vaccinations. ADACEL® vaccine is currently licensed in the US for persons 11 - 64 years of age, but no pertussis vaccine is yet approved for administration to older adults. The most widely used Td vaccine in the US, DECAVAC®, has no upper limit on its age indication. The purpose of this trial is to describe the safety and immunogenicity of ADACEL® vaccine among individuals ≥ 65 years of age.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,564

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Mar 2007

Geographic Reach
1 country

19 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2007

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

April 5, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 6, 2007

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2008

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2008

Completed
4 years until next milestone

Results Posted

Study results publicly available

October 19, 2012

Completed
Last Updated

October 19, 2012

Status Verified

September 1, 2012

Enrollment Period

1.5 years

First QC Date

April 5, 2007

Results QC Date

September 17, 2012

Last Update Submit

September 17, 2012

Conditions

Keywords

PertussisTetanusDiphtheriaTdap

Outcome Measures

Primary Outcomes (3)

  • Geometric Mean Titers (GMTs) of Tetanus, Diphtheria, and Pertussis Antibodies Pre- and Post-Vaccination With ADACEL® or DECAVAC® Vaccine

    Day 35 post-vaccination

  • Percentage of Participants With Post-vaccination Tetanus and Diphtheria Concentrations ≥0.10 IU/mL (Seroprotection) ADACEL® or DECAVAC®.

    Seroprotection was defined as a post-vaccination Concentrations of ≥0.10 IU/mL.

    Day 35 post-vaccination

  • Percentage of Participants With Booster Response to Tetanus and Diphtheria Post-vaccination With ADACEL® or DECAVAC® Vaccine.

    Booster response was defined as a minimum rise in antibody concentration from pre- to post-vaccination. The minimum rise is at least 2 times, if pre-vaccination concentration is above the the cutoff value (Tetanus 5.47 IU/mL; Diphtheria 1.28 IU/mL) or at least 4 times it it is at or below the cutoff value.

    Day 35 post-vaccination

Other Outcomes (1)

  • Number of Participants With At Least One Solicited Injection Site or Systemic Reaction Post-vaccination With Either ADACEL® or DECAVAC® Vaccine.

    Day 0 up to 14 days post-vaccination

Study Arms (2)

Adacel Vaccine Group

EXPERIMENTAL
Biological: ADACEL®: Tetanus, Reduced Diphtheria and Acellular Pertussis Adsorbed

DECAVAC Vaccine Group

ACTIVE COMPARATOR
Biological: DECAVAC®: Tetanus and Diphtheria Toxoids Adsorbed

Interventions

0.5 mL, IM

Also known as: ADACEL®
Adacel Vaccine Group

0.5 mL, IM

Also known as: DECAVAC®
DECAVAC Vaccine Group

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersYes
Age GroupsOlder Adult (65+)

You may qualify if:

  • Ambulatory and not institutionalized.
  • At least 65 years of age at the time of vaccination.
  • Signed Institutional Review Board (IRB)-approved informed consent form.
  • Able to attend all scheduled visits and to comply with all trial procedures.

You may not qualify if:

  • Any condition which, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.
  • Serious chronic disease (eg, cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric) that is unstable or that, in the opinion of the investigator, might:
  • interfere with the ability to participate fully in the study; or
  • interfere with evaluation of the vaccine.
  • Known or suspected impairment of immunologic function, including use of immune suppressive medications (eg, rheumatoid arthritis drugs such as methotrexate; cancer chemotherapy agents such as vincristine).
  • Any history of documented tetanus, diphtheria or pertussis disease.
  • Known or suspected receipt of a tetanus, diphtheria or acellular pertussis containing vaccine within the preceding 5 years.
  • Administration of immune globulin or other blood products within the last three months, or systemic corticosteroid therapy (prednisone or equivalent) for more than 2 consecutive weeks within the past 6 months.
  • Systemic antibiotic therapy within the 72 hours prior to enrollment.
  • Received any vaccine, other than influenza vaccine, in the 30-day period prior to enrollment or scheduled to receive any vaccine, other than influenza vaccine, in the 35-day period after enrollment. For influenza vaccine only, defer if received in the 14-day period prior to enrollment or scheduled to receive in the 14-day period after enrollment.
  • Suspected or known hypersensitivity to any of the vaccine components.
  • Participation in another interventional clinical trial in the 4 weeks preceding enrollment or planning to participate in another interventional clinical trial during the planned period of this study.
  • Use of alcohol or drugs in a manner that may, in the opinion of the investigator, interfere with the subject's ability to comply with trial visits or procedures.
  • Thrombocytopenia or bleeding disorder contraindicating intramuscular vaccination.
  • Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent, or requires a legally authorized representative.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Unknown Facility

Chandler, Arizona, 85224, United States

Location

Unknown Facility

Phoenix, Arizona, 85014, United States

Location

Unknown Facility

Cypress, California, 90630, United States

Location

Unknown Facility

San Luis Obispo, California, 93405, United States

Location

Unknown Facility

Atlanta, Georgia, 30322, United States

Location

Unknown Facility

Chicago, Illinois, 60610, United States

Location

Unknown Facility

New Orleans, Louisiana, 70119, United States

Location

Unknown Facility

Rockville, Maryland, 20854, United States

Location

Unknown Facility

Minneapolis, Minnesota, 55417, United States

Location

Unknown Facility

St Louis, Missouri, 63141, United States

Location

Unknown Facility

Akron, Ohio, 44308, United States

Location

Unknown Facility

Cincinnati, Ohio, 45249, United States

Location

Unknown Facility

Mogadore, Ohio, 44260, United States

Location

Unknown Facility

Knoxville, Tennessee, 37920, United States

Location

Unknown Facility

Salt Lake City, Utah, 84109, United States

Location

Unknown Facility

Salt Lake City, Utah, 84121, United States

Location

Unknown Facility

West Jordan, Utah, 84084, United States

Location

Unknown Facility

Annandale, Virginia, 22003, United States

Location

Unknown Facility

Williamsburg, Virginia, 23187, United States

Location

Related Links

MeSH Terms

Conditions

Whooping CoughTetanusDiphtheria

Interventions

adacelDiphtheria-Tetanus Vaccine

Condition Hierarchy (Ancestors)

Bordetella InfectionsGram-Negative Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsRespiratory Tract InfectionsRespiratory Tract DiseasesClostridium InfectionsGram-Positive Bacterial InfectionsCorynebacterium InfectionsActinomycetales Infections

Intervention Hierarchy (Ancestors)

Bacterial VaccinesVaccinesBiological ProductsComplex MixturesDiphtheria ToxoidToxoidsTetanus ToxoidVaccines, Combined

Results Point of Contact

Title
Medical Director
Organization
Sanofi Pasteur Inc.

Study Officials

  • Medical Director

    Sanofi Pasteur Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 5, 2007

First Posted

April 6, 2007

Study Start

March 1, 2007

Primary Completion

September 1, 2008

Study Completion

November 1, 2008

Last Updated

October 19, 2012

Results First Posted

October 19, 2012

Record last verified: 2012-09

Locations