A Study to Evaluate Pharyngeal Immunity to Poliovirus Type-2
A Phase IV Open-label, Randomized, Parallel-group Study to Evaluate Pharyngeal Immunity to Poliovirus Type-2 in Healthy bOPV- Versus IPV-vaccinated Infants
1 other identifier
interventional
501
1 country
1
Brief Summary
The study will compare the poliovirus type-2 pharyngeal mucosal excretion in the first week, and at 2 and 4 weeks following the administration of a challenge novel OPV2 (nOPV2) dose at 18 weeks of age in 2 parallel groups of infants
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Nov 2023
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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 9, 2022
CompletedFirst Posted
Study publicly available on registry
January 10, 2023
CompletedStudy Start
First participant enrolled
November 9, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 20, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 25, 2024
CompletedResults Posted
Study results publicly available
September 3, 2026
CompletedSeptember 3, 2026
September 1, 2026
3 months
December 9, 2022
August 16, 2025
September 1, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Participants Shedding Detectable Levels of Poliovirus Type-2 by RT PCR.
To compare the presence of poliovirus type-2 in pharyngeal samples detected by reverse-transcription polymerase chain reaction (RT PCR) in the first week, and at D14 and D28 in both groups.
1 month
Secondary Outcomes (4)
Pharyngeal Neutralizing Antibodies (NAbs) to Poliovirus Type-2.
1 month
Seroprotection Rate to Poliovirus Type-2 on D0, D28 and D56 in Both Groups.
2 months
Number of Participants That Experienced Serious Adverse Events (SAEs) and Important Medical Events (IMEs)
5 months
Pharyngeal Poliovirus Type-2-specific Immunoglobulin A (IgA) Concentrations
1 month
Study Arms (2)
IPV-primed Group
EXPERIMENTALApproximately 250 subjects to receive 3 doses of IPV administered at approx. 6, 10, 14 weeks of age and an nOPV2-002 challenge at approx. 18 weeks of age.
bOPV-primed Group
ACTIVE COMPARATORApproximately 250 subjects to receive 3 doses of bOPV administered at approx. 6, 10, 14 weeks of age and an nOPV2-002 challenge at approx. 18 weeks of age.
Interventions
Eligibility Criteria
You may qualify if:
- Infants aged 6 to 8 weeks with birth weight \>2,500 g.
- Healthy infants without obvious medical conditions like immunodeficiency diseases, severe congenital malformations, severe neurological diseases or any other disease that require high doses of corticosteroids or immunotherapies that preclude the subject from participating in the study as established by the medical history and physical examination.
- Written informed consent obtained from both parents or legal guardian(s) as per country regulations.
You may not qualify if:
- Infants who have received previous vaccination against poliomyelitis.
- Any confirmed or suspected immunosuppressive or known immunodeficient condition including human immunodeficiency virus infection in the potential participant or any member of the subject's household.
- Family history of congenital or hereditary immunodeficiency.
- Major congenital defects or serious uncontrolled chronic illness (neurologic, pulmonary, gastrointestinal, hepatic, renal, or endocrine).
- Known allergy to any component of the study vaccines or to any antibiotics that share molecular composition with a component of the study vaccines.
- Uncontrolled coagulopathy or blood disorder contraindicating intramuscular injections (of IPV)
- Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
- Subject who, in the opinion of the Investigator, is unlikely to comply with the protocol or is inappropriate to be included in the study for the safety or the benefit-risk ratio of the subject.
- Infants from multiple births or born prematurely (\< 37 weeks of gestation).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fidec Corporationlead
- Bill and Melinda Gates Foundationcollaborator
Study Sites (1)
International Centre for Diarrhoeal Diseases Research
Dhaka, 1212, Bangladesh
Related Publications (1)
Zaman K, Bandyopadhyay AS, Gast C, Goswami DR, Hoque M, Raqib R, Hossain L, Haque W, Islam A, Rashid HO, Rahman M, Aguirre G, Brickley EB, Godin A, Weiner JA, Burke RM, Ackerman ME, Sifontes G, Mainou BA, Wright PF, Ruttimann R. Effect of inactivated poliovirus vaccine on nasal mucosal immunity and pharyngeal shedding following novel oral poliovirus vaccine type 2 challenge: A randomized, open-label trial. J Infect Dis. 2026 Aug 18:jiag423. doi: 10.1093/infdis/jiag423. Online ahead of print.
PMID: 42610930DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Ricardo Rüttimann
- Organization
- FIDEC Corporation
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
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
December 9, 2022
First Posted
January 10, 2023
Study Start
November 9, 2023
Primary Completion
February 20, 2024
Study Completion
August 25, 2024
Last Updated
September 3, 2026
Results First Posted
September 3, 2026
Record last verified: 2026-09
Data Sharing
- IPD Sharing
- Will not share