Safety and Immunogenicity of Vi-DT Typhoid Conjugate Vaccine in Indonesian Adults, Adolescents, Children and Infants

NCT03460405 — Phase 2, Completed, 600 participants, PT Bio Farma

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

Safety and Immunogenicity of Vi-DT Typhoid Conjugate Vaccine (Bio Farma) in Indonesian Adults, Adolescents, Children and Infants (Phase II)

RegistryNCT03460405
StatusCompleted
PhasePhase 2
Study typeInterventional; randomized, parallel, masking: double, treatment
Enrollment600 (Actual)
SponsorPT Bio Farma (Industry)
ConditionsSafety Issues, Immunogenicity
InterventionsVi-DT Vaccine, Vi Polysaccharide Vaccine, IPV Vaccine (Biological)
Datesstart 2018-07-16, primary completion 2019-12-31, completion 2020-01-30, first posted 2018-03-09, last updated 2020-02-20
Locations2 sites in Indonesia

Related Papers Related Patents Related Grants Related Experts
All trials for Safety Issues All trials for Immunogenicity All trials of Vi-DT Vaccine All trials of Vi Polysaccharide Vaccine

-Summary

This study is to assess the safety and immunogenicity of Vi-DT vaccine in adults, adolescent, children and infants.

Expand all sections  ·  Collapse all

+Detailed description

To describe the safety of this vaccine following one dose immunization in adults, adolescent, children and infants.

To assess immunogenicity following one dose of Vi-DT vaccine immunization. To compare the safety and immunogenicity of Vi-DT to Vi polysaccharide vaccine in adults, adolescents, and children groups.

To compare the safety and immunogenicity of Vi-DT to IPV vaccine in infants groups.

Kinetics of Vi-specific IgG antibodies up to 6 months and 1 year after administration of 1 dose of vaccine.

To evaluate the safety and immunogenicity of Vi-DT co-administered with MR vaccine in infants (≥ 9months -23 months old).

To evaluate the safety and immunogenicity of MR vaccine co-administered with Vi-DT vaccine in infants (≥ 9months -23 months old).

+Arms and interventions

ArmTypeInterventionsDescription
VI-DT vaccine (adults,adolescent)ExperimentalBiological: Vi-DT Vaccine1 dose of 0.5 ml Vi-DT vaccine
Vi polysaccharide (adults,adolescent)Active comparatorBiological: Vi Polysaccharide Vaccine1 dose of 0.5 ml Vi polysaccharide vaccine
VI-DT vaccine (children)ExperimentalBiological: Vi-DT Vaccine1 dose of 0.5 ml Vi-DT vaccine
Vi polysaccharide vaccine (children)Active comparatorBiological: Vi Polysaccharide Vaccine1 dose of 0.5 ml Vi polysaccharide vaccine
VI-DT vaccine (infants)ExperimentalBiological: Vi-DT Vaccine1 dose of 0.5 ml Vi-DT vaccine
IPV Vaccine (infants)Active comparatorBiological: IPV Vaccine1 dose of 0.5 ml IPV vaccine
  • Vi-DT Vaccine (Biological), also known as Typhoid Conjugate Vaccine: 1 dose of Vi-DT Vaccine
  • Vi Polysaccharide Vaccine (Biological): 1 dose of Vi Polysaccharide Vaccine
  • IPV Vaccine (Biological): 1 dose of IPV Vaccine

+Outcome measures

Primary outcomes

  • Local reaction and systemic event after vaccination [28 days]: Percentage of subjects with at least one immediate reaction (local reaction or systemic event) after vaccination.

Secondary outcomes

  • Adverse events after vaccination [up to 28 days]: Percentage of subjects with at least one of these adverse events, solicited or not, within 24 h, 48h, 72h and 28 days after 1 dose vaccination.
  • Serious adverse events after vaccination [28 days]: Number and percentage of subjects with serious adverse event from inclusion until 28 day after vaccination
  • Geometric Mean Titers (GMT) [28 days]: Geometric Mean Titers (GMT) 28 days following immunization
  • Percentage of subjects with increasing antibody titer >= 4 times [28 days]: Percentage of subjects with increasing antibody titer >= 4 times in all subjects

+Eligibility

Sex: All, ages: 6 Months to 40 Years, accepts healthy volunteers

Inclusion Criteria:

1. Healthy
2. Subjects/Parents have been informed properly regarding the study and signed the informed consent form
3. Subject/parents/legal guardians will commit themselves to comply with the instructions of the investigator and the schedule of the trial.

Exclusion Criteria For adults-adolescent-children:

1. Subject concomitantly enrolled or scheduled to be enrolled in another trial
2. Evolving mild, moderate or severe illness, especially infectious diseases or fever (axillary temperature ³ 37.5°C)
3. Known history of allergy to any component of the vaccines
4. History of uncontrolled coagulopathy or blood disorders contraindicating intramuscular injection
5. Subject who has received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulins, blood-derived products, corticosteroid therapy and other immunosuppresant).
6. Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives
7. Pregnancy \& lactation (Adults)
8. Individuals who have previously received any vaccines against typhoid fever.
9. Subjects already immunized with any vaccine within 1 month prior and expect to receive other vaccines within 1 month following immunization.
10. Individuals who have a previously ascertained typhoid fever within 3 months prior to immunization.
11. History of substance abuse (Adults).
12. Subject planning to move from the study area before the end of study period.

Exclusion Criteria for infants:

1. Subject concomitantly enrolled or scheduled to be enrolled in another trial
2. Mother less than 18 years of age at the age of enrollment of the infant
3. Evolving mild, moderate or severe illness, especially infectious diseases or fever (axillary temperature ³ 37.5°C)
4. Known history of allergy to any component of the vaccines
5. History of uncontrolled coagulopathy or blood disorders contraindicating intramuscular injection
6. Subject who has received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulins, blood-derived products, corticosteroid therapy and other immunosuppresant).
7. Any abnormality or chronic disease which according to the investigator might be compromised by the vaccination and/or interfere with the assessment of the trial objectives.
8. Individuals who have previously received any vaccines against typhoid fever.
9. Subjects already immunized with any vaccine within 1 month prior and expect to receive other vaccines within 1 month following immunization, except MR vaccine.
10. Individuals who have a previously ascertained typhoid fever within 3 months prior to immunization.
11. Subject planning to move from the study area before the end of study period.

+Locations (2)

FacilityCityCountryStatus
Puskesmas JatinegaraJakartaIndonesia
Puskesmas SenenJakartaIndonesia

+Publications

  • Results publication: Koesnoe S, Medise BE, Rengganis I, Hadinegoro SR, Puspita M, Sari RM, Yang JS, Sahastrabuddhe S, Soedjatmiko, Gunardi H, Sekartini R, Wirahmadi A, Kekalih A, Mukhi S, Satari HI, Bachtiar NS. A phase II clinical trial of a Vi-DT typhoid conjugate vaccine in healthy Indonesian adolescents and adults: one-month evaluation of safety and immunogenicity. Trop Dis Travel Med Vaccines. 2024 Feb 1;10(1):3. doi: 10.1186/s40794-023-00210-z. PMID 38297337
  • Results publication: Medise BE, Soedjatmiko S, Gunardi H, Sekartini R, Satari HI, Hadinegoro SR, Wirahmadi A, Puspita M, Sari RM, Yang JS, Sil A, Sahastrabuddhe S, Bachtiar NS. A novel Vi-diphtheria toxoid typhoid conjugate vaccine is safe and can induce immunogenicity in healthy Indonesian children 2-11 years: a phase II preliminary report. BMC Pediatr. 2020 Oct 15;20(1):480. doi: 10.1186/s12887-020-02375-4. PMID 33059607
  • Results publication: Medise BE, Soedjatmiko S, Gunardi H, Sekartini R, Satari HI, Hadinegoro SR, Wirahmadi A, Puspita M, Sari RM, Yang JS, Sil A, Sahastrabuddhe S, Bachtiar NS. One-month follow up of a randomized clinical trial-phase II study in 6 to <24 months old Indonesian subjects: Safety and immunogenicity of Vi-DT Typhoid Conjugate Vaccine. Int J Infect Dis. 2020 Apr;93:102-107. doi: 10.1016/j.ijid.2020.01.045. Epub 2020 Jan 28. PMID 32004693

+Investigators