Safety and Immunogenicity of a New Inactivated Poliovirus Vaccine in Infants
Double Blind Dose - Escalation, Randomized, Controlled, Phase I-II Trial to Evaluate Safety and Immunogenicity of Three Doses of Sabin-IPV and Adjuvanted Sabin-IPV in Healthy Infants
2 other identifiers
interventional
140
1 country
7
Brief Summary
A new inactivated polio vaccine based on attenuated poliovirus strains was developed to transfer the technology to manufacturers in low- and middle-income countries. This vaccine was produced in different dosages and in different formulations. In healthy adults the safety of the highest dose was comparable to that of the existing inactivated polio vaccine. The purpose of this trial is to determine the safety of the different dosages and formulations of the vaccine in infants. The second goal of this study is to analyse the immune response after three doses in infants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Feb 2012
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2012
CompletedFirst Submitted
Initial submission to the registry
October 16, 2012
CompletedFirst Posted
Study publicly available on registry
October 17, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedFebruary 21, 2014
February 1, 2014
9 months
October 16, 2012
February 20, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of adverse reactions following vaccination
5 days or until adverse reactions have resolved
Secondary Outcomes (1)
Level of virus neutralizing titers in serum
28 days after last vaccination
Study Arms (7)
Low dose Sabin-IPV
EXPERIMENTALIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 5, 8, 16 D-antigen units respectively of Sabin-1,-2 and -3 per dose. Infants receive three vaccinations with an interval of 8 weeks between doses.
Low dose adjuvanted Sabin-IPV
EXPERIMENTALIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 2.5, 4, 8 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide. Infants receive three vaccinations with an interval of 8 weeks between doses.
Middle dose Sabin-IPV
EXPERIMENTALIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 10, 16, 32 D-antigen units respectively of Sabin-1,-2 and -3 per dose. Infants receive three vaccinations with an interval of 8 weeks between doses.
Middle dose adjuvanted Sabin-IPV
EXPERIMENTALIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 5, 8, 16 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide. Infants receive three vaccinations with an interval of 8 weeks between doses.
High dose Sabin-IPV
EXPERIMENTALIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 20, 32, 64 D-antigen units respectively of Sabin-1,-2 and -3 per dose. Infants receive three vaccinations with an interval of 8 weeks between doses.
High dose adjuvanted Sabin-IPV
EXPERIMENTALIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 10, 16, 32 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide. Infants receive three vaccinations with an interval of 8 weeks between doses.
Conventional IPV
ACTIVE COMPARATORIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 40, 8, and 32 D-antigen units respectively of Mahoney, MEF-1 and Saukett poliovirus per dose. Infants receive three injections with an interval of 8 weeks between doses.
Interventions
Eligibility Criteria
You may qualify if:
- Age 8 weeks (56-63 days) at the time of first vaccination
- Infants in good general health, eligible to be vaccinated according to the Polish national vaccination program. The same health criteria apply as used in well-baby clinics when a child receives a vaccination, e.g. also children with a small increase in temperature (\< 38.5° C) or with a common cold (runny nose etc) are seen as children with normal health.
- The parent(s)/legally representative(s) have to be willing and able to allow their child to participate in the trial according to the described procedures
- Presence of a signed informed consent in which the parent(s)/legally representative(s) have given written informed consent after receiving oral and written information (signature from one parent in case of single-parent family).
You may not qualify if:
- Any IPV or OPV dose
- Known or suspected allergy against any of the vaccine components
- History of unusual or severe reactions to any previous vaccination administration of plasma (including immunoglobulins) or blood products prior and during the study
- Any vaccination less than 14 days before or after each vaccination with the IMP
- History of any neurological disorder including epilepsy or febrile seizures
- Present evidence of serious disease(s) demanding immunosuppressive medical treatment, like cytostatics and prednisolones, that might interfere with the results of the study
- Any known or suspected primary or secondary immunodeficiency
- Communication problems interfering in the study realization according to the judgment of the investigator
- Bleeding disorders and use of anticoagulants
- Premature birth (\<37 weeks)
- Participation in another clinical trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Pauline Verdijklead
- World Health Organizationcollaborator
Study Sites (7)
NZOZ Centrum Zdrowia "Błonie"
Bydgoszcz, Poland
Specjalistyczna Poradnia Medyczna "Przylądek Zdrowia"
Krakow, Poland
Szpital im. Jana Pawła II
Krakow, Poland
Samodzielny Publiczny ZOZ
Lubartów, Poland
NZOZ Praktyka Lekarza Rodzinnego "Eskulap"
Lublin, Poland
NZLA Michałkowice Jarosz i Partnerzy Spółka Lekarsk
Siemianowice Śląskie, Poland
Alergo-Med Specjalistyczna Przychodnia Lekarska Sp z o.o.
Tarnów, Poland
Related Publications (4)
Bakker WA, Thomassen YE, van't Oever AG, Westdijk J, van Oijen MG, Sundermann LC, van't Veld P, Sleeman E, van Nimwegen FW, Hamidi A, Kersten GF, van den Heuvel N, Hendriks JT, van der Pol LA. Inactivated polio vaccine development for technology transfer using attenuated Sabin poliovirus strains to shift from Salk-IPV to Sabin-IPV. Vaccine. 2011 Sep 22;29(41):7188-96. doi: 10.1016/j.vaccine.2011.05.079. Epub 2011 Jun 7.
PMID: 21651934BACKGROUNDVerdijk P, Rots NY, Bakker WA. Clinical development of a novel inactivated poliomyelitis vaccine based on attenuated Sabin poliovirus strains. Expert Rev Vaccines. 2011 May;10(5):635-44. doi: 10.1586/erv.11.51.
PMID: 21604984BACKGROUNDVerdijk P, Rots NY, van Oijen MG, Oberste MS, Boog CJ, Okayasu H, Sutter RW, Bakker WA. Safety and immunogenicity of inactivated poliovirus vaccine based on Sabin strains with and without aluminum hydroxide: a phase I trial in healthy adults. Vaccine. 2013 Nov 12;31(47):5531-6. doi: 10.1016/j.vaccine.2013.09.021. Epub 2013 Sep 21.
PMID: 24063976BACKGROUNDVerdijk P, Rots NY, van Oijen MG, Weldon WC, Oberste MS, Okayasu H, Sutter RW, Bakker WA. Safety and immunogenicity of a primary series of Sabin-IPV with and without aluminum hydroxide in infants. Vaccine. 2014 Sep 3;32(39):4938-44. doi: 10.1016/j.vaccine.2014.07.029. Epub 2014 Jul 18.
PMID: 25043278DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Pauline Verdijk, PhD
National Institute for Public Health and the Environment (RIVM)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Clinical Research Scientist
Study Record Dates
First Submitted
October 16, 2012
First Posted
October 17, 2012
Study Start
February 1, 2012
Primary Completion
November 1, 2012
Study Completion
May 1, 2013
Last Updated
February 21, 2014
Record last verified: 2014-02