Immunogenicity and Safety of Japanese Encephalitis Vaccine When Given With Measles-Mumps-Rubella (MMR) Vaccine
Immunogenicity and Safety of Concurrent Administration of Live, Attenuated SA 14-14-2 Japanese Encephalitis Vaccine and Measles-Mumps-Rubella Vaccine in Infants 9-12 Months of Age in the Philippines
2 other identifiers
interventional
628
1 country
1
Brief Summary
This study aims to provide evidence that co-administration of measles-mumps-rubella vaccine (MMR) and live attenuated SA 14-14-2 Japanese encephalitis vaccine (CD-JEV) does not adversely affect immunogenicity or safety.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Oct 2016
Shorter than P25 for phase_4
1 active site
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
First Submitted
Initial submission to the registry
August 17, 2016
CompletedFirst Posted
Study publicly available on registry
August 26, 2016
CompletedStudy Start
First participant enrolled
October 13, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 19, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 11, 2017
CompletedResults Posted
Study results publicly available
September 18, 2020
CompletedOctober 14, 2020
March 1, 2020
7 months
August 17, 2016
August 27, 2020
September 18, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Percentage of Participants With Measles Seropositivity 56 Days Post-vaccination
Measles immunogenicity was assessed by the percentage of participants with demonstrated seropositivity for measles at 56 days post-vaccination. Seropositivity was defined by a concentration of ≥ 120 mIU/mL of anti-measles neutralizing antibody titer, as measured by the plaque reduction neutralization test (PRNT) (dilution converted to concentration using the 3rd International Standard Reference serum).
56 days after MMR dose 1 vaccination (Day 56)
Percentage of Participants With Rubella Seropositivity 56 Days Post-vaccination
Rubella immunogenicity was assessed by the percentage of participants with demonstrated seropositivity for rubella at 56 days post-vaccination. Seropositivity was defined as antirubella immunoglobulin G (IgG) concentration of ≥ 10 IU/mL (corresponding to an optical density ratio ≥ 1.10) using a commercial IgG enzyme-linked immunosorbent assay (ELISA).
56 days after MMR dose 1 vaccination (Day 56)
Secondary Outcomes (14)
Percentage of Participants With Mumps Seropositivity 56 Days Post-vaccination
56 days after MMR dose 1 vaccination (Day 56)
Geometric Mean Concentration (GMC) for Anti-measles Neutralizing Antibody Concentration at 56 Days Post-vaccination
56 days after MMR dose 1 vaccination (Day 56)
GMC for Anti-rubella IgG Antibody Concentration at 56 Days Post-vaccination
56 days after MMR dose 1 vaccination (Day 56)
Seroconversion Rate for Measles 56 Days Post-vaccination
56 days after MMR dose 1 vaccination (Day 56)
Seroconversion Rate for Mumps 56 Days Post-vaccination
56 days after MMR dose 1 vaccination (Day 56)
- +9 more secondary outcomes
Study Arms (2)
Group 1 - MMR and CD-JEV
EXPERIMENTALParticipants receiving one dose of CD-JEV vaccine and one dose of MMR vaccine concurrently at Day 0; Group 1 will also receive a second dose of MMR per the routine immunization schedule at Day 84 (12 months of age).
Group 2 - MMR then CD-JEV
EXPERIMENTALParticipants receiving one dose of MMR vaccine at Day 0 and one dose of CD-JEV 56 days later. Group 2 will receive a second dose of MMR per the routine immunization schedule at Day 84 (12 months of age).
Interventions
Single 0.5 mL dose of World Health Organization prequalified live, attenuated SA 14-14-2 JE vaccine manufactured by Chengdu Institute of Biological Products, Chengdu, China, administered by subcutaneous injection
Single 0.5 mL dose of live, attenuated measles-mumps-rubella vaccine (Schwarz measles virus, RIT 4385 mumps strain, and Wistar RA 27/3 rubella virus) manufactured by GlaxoSmithKline, Inc., administered by subcutaneous injection.
Eligibility Criteria
You may qualify if:
- Age 9 months to \< 10 months at the time of enrollment.
- Residence in the study area.
- At least one parent or guardian willing to provide written informed consent.
- Generally healthy and free of obvious health problems as established by medical history, physical examination, and clinical judgment.
- A parent or guardian is willing to attend all planned study visits and allow home visits and phone contacts, as required by the protocol.
You may not qualify if:
- Previous receipt of any measles-mumps-rubella containing vaccine.
- Previous receipt of any Japanese encephalitis vaccine.
- History of measles, mumps, rubella, or Japanese encephalitis infection.
- Administration of any other vaccine within 28 days prior to administration of a study vaccine or planned vaccination of any vaccine other than catch-up doses of routine EPI vaccines or oral polio vaccine during the 28 days after study vaccination.
- History of allergic disease or known hypersensitivity to any component of the study vaccines and/or following administration of vaccines included in the local program of immunization.
- Use of any investigational or non-registered drug within 90 days prior to the administration of study vaccines or planned administration during the study period.
- Administration of immunoglobulins and/or any blood products within 90 days prior to the administration of study vaccines or planned administration during the study period.
- Chronic administration (defined as \> 7 days) of immunosuppressing or other immune-modifying agents within 14 days before or after vaccination (including systemic corticosteroids equivalent to prednisone ≥ 0.5 mg/kg/day; topical and inhaled steroids are allowed).
- Primary or acquired immunodeficiency, including human immunodeficiency virus (HIV) infection, or a family history of congenital or hereditary immunodeficiency as reported by parent.
- Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by medical history or physical examination, which might interfere with the study objectives.
- Severely malnourished infants as measured by World Health Organization weight-for-height tables (Z-score \< -3).
- Any condition or criterion that, in the opinion of the study physician, might compromise the well-being of the participant, compliance with study procedures, or interpretation of the outcomes of the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- PATHlead
- Research Institute for Tropical Medicinecollaborator
- Syneos Healthcollaborator
- DFNet Research Inc.collaborator
Study Sites (1)
Research Institute for Tropical Medicine
Manila, Philippines
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Jorge Flores, MD
- Organization
- PATH
Study Officials
- PRINCIPAL INVESTIGATOR
Maria Rosario Capeding, MD
Research Institute for Tropical Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 17, 2016
First Posted
August 26, 2016
Study Start
October 13, 2016
Primary Completion
May 19, 2017
Study Completion
July 11, 2017
Last Updated
October 14, 2020
Results First Posted
September 18, 2020
Record last verified: 2020-03
Data Sharing
- IPD Sharing
- Will not share
The study team agrees that the practice of offering study results to participants in human research is fundamental to the ethical principle of respect for persons. However, the sponsor prefers to report at the aggregate level to maintain participant confidentiality and ensure results are community-based. Thus, the sponsor plans to report results at the aggregate level. The sponsor will produce a poster of the results to be placed at each health center. A community meeting may also be held to communicate the results. Aggregate results will also be posted on www.clinicaltrials.gov.