Post-marketing Safety Evaluation of Pneumococcal Vaccines Among Children and Elderly Adults.

NCT04551248 — Unknown, 1000000 participants, Sungkyunkwan University

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Post-marketing Safety Evaluation of 10 or 13-valent Pneumococcal Conjugate Vaccine in Children and 23-valent Pneumococcal Polysaccharide Vaccine in Elderly Adults.

RegistryNCT04551248
StatusUnknown
Study typeObservational
Enrollment1000000 (Estimated)
SponsorSungkyunkwan University (Other); collaborators: Government-wide R&D Fund project for infectious disease research
ConditionsPneumococcal Vaccine Adverse Reaction
Interventions10 or 13-valent pneumococcal conjugate vaccine, 23-valent pneumococcal polysaccharide vaccine, Influenza vaccine (Biological)
Datesstart 2021-08-01 (estimated), primary completion 2022-03-31 (estimated), completion 2022-03-31 (estimated), first posted 2020-09-16, last updated 2020-09-16
Locations1 site in South Korea

Related Papers Related Patents Related Grants Related Experts
All trials for Pneumococcal Vaccine Adverse Reaction All trials of 10 or 13-valent pneumococcal conjugate vaccine All trials of 23-valent pneumococcal polysaccharide vaccine

-Summary

The purpose of this observational study is to examine the risk of adverse events following vaccination with 10 or 13-valent pneumococcal conjugate vaccine (PCV10 or PCV13) among infants or children age <59 months and 23-valent pneumococcal polysaccharide vaccine (PPSV23) among adults age 65 years and older.

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+Detailed description

The purpose of this observational study is to examine 1) the risk of adverse events (AEs) following vaccination with 10 or 13-valent pneumococcal conjugate vaccine (PCV10 or PCV13) among infants or children age <59 months using a self-controlled risk interval design and 2) the risk of AEs following vaccination with 23-valent pneumococcal polysaccharide vaccine (PPSV23) among adults age 65 years and older compared with influenza vaccine recipients using a cohort design. We will use the national health insurance database from the National Health Insurance Service (NHIS) linked with the national immunization program registry data from the Korea Centers for Diseases Control \& Prevention (KCDC).

+Arms and interventions

ArmTypeInterventionsDescription
PCV13 recipients (children)Biological: 10 or 13-valent pneumococcal conjugate vaccineChildren < 5 years who had received PCV10 or PCV13 from May, 2014 to December, 2018 under the national childhood immunization program in South Korea.
PPSV23 recipients (elderly adults)Biological: 23-valent pneumococcal polysaccharide vaccinePersons 65 years or older who had received at least one dose of PPSV23 between January, 2014 and December, 2018 under the national immunization program in South Korea.
Influenza vaccine recipients (elderly adults)Biological: Influenza vaccinePersons 65 years or older who had received at least one dose of influenza vaccine (as comparator) between January, 2014 and December, 2018 under the national immunization program in South Korea.
  • 10 or 13-valent pneumococcal conjugate vaccine (Biological), also known as Prevnar 13, Synflorix: a four-dose series that is indicated for use at 2, 4, 6, and 12 to 15 months of age.
  • 23-valent pneumococcal polysaccharide vaccine (Biological), also known as Prodiax-23: Single 0.5-mL dose administered intramuscularly or subcutaneously only.
  • Influenza vaccine (Biological): One dose of trivalent influenza vaccine in flu seasons.

+Outcome measures

Primary outcomes

  • Relative risk of adverse events [2014-2018]: 1. the ratio of probability of adverse events occuring in the risk periods after vaccination with PCV10 or PCV13 versus the control periods in the self-controlled risk interval study design. 2. the ratio of probability of adverse events occuring in the PPSV23 group versus the influenza vaccine (a comparator) group in the cohort study design.

+Eligibility

Sex: All, accepts healthy volunteers

Inclusion Criteria:

* Children < 5 years who had received PCV10 or PCV13 from May, 2014 to December, 2018.
* Persons 65 years or older who had received at least one dose of PPSV23 or influenza vaccine (as a comparator) between January, 2014 and December, 2018.

Exclusion Criteria:

* Persons who experienced outcomes of interest within 1 year before the date of vaccination.

+Locations (1)

FacilityCityCountryStatus
Sungkyunkwan UniversitySuwon, Gyeonggi-doSouth Korea

+Publications

  • Tseng HF, Sy LS, Qian L, Liu IA, Mercado C, Lewin B, Tartof SY, Nelson J, Jackson LA, Daley MF, Weintraub E, Klein NP, Belongia E, Liles EG, Jacobsen SJ. Pneumococcal Conjugate Vaccine Safety in Elderly Adults. Open Forum Infect Dis. 2018 May 2;5(6):ofy100. doi: 10.1093/ofid/ofy100. eCollection 2018 Jun. PMID 29977960
  • Tseng HF, Sy LS, Liu IL, Qian L, Marcy SM, Weintraub E, Yih K, Baxter R, Glanz JM, Donahue J, Naleway A, Nordin J, Jacobsen SJ. Postlicensure surveillance for pre-specified adverse events following the 13-valent pneumococcal conjugate vaccine in children. Vaccine. 2013 May 24;31(22):2578-83. doi: 10.1016/j.vaccine.2013.03.040. Epub 2013 Apr 8. PMID 23579258
  • Baker MA, Baer B, Kulldorff M, Zichittella L, Reindel R, DeLuccia S, Lipowicz H, Freitas K, Jin R, Yih WK. Kawasaki disease and 13-valent pneumococcal conjugate vaccination among young children: A self-controlled risk interval and cohort study with null results. PLoS Med. 2019 Jul 2;16(7):e1002844. doi: 10.1371/journal.pmed.1002844. eCollection 2019 Jul. PMID 31265459
  • Miller ER, Moro PL, Cano M, Lewis P, Bryant-Genevier M, Shimabukuro TT. Post-licensure safety surveillance of 23-valent pneumococcal polysaccharide vaccine in the Vaccine Adverse Event Reporting System (VAERS), 1990-2013. Vaccine. 2016 May 27;34(25):2841-6. doi: 10.1016/j.vaccine.2016.04.021. Epub 2016 Apr 15. PMID 27087150
  • Haber P, Arana J, Pilishvili T, Lewis P, Moro PL, Cano M. Post-licensure surveillance of 13-valent pneumococcal conjugate vaccine (PCV13) in adults aged ⩾19years old in the United States, Vaccine Adverse Event Reporting System (VAERS), June 1, 2012-December 31, 2015. Vaccine. 2016 Dec 7;34(50):6330-6334. doi: 10.1016/j.vaccine.2016.10.052. Epub 2016 Nov 9. PMID 27836437
  • Trinh L, Macartney K, McIntyre P, Chiu C, Dey A, Menzies R. Investigating adverse events following immunisation with pneumococcal polysaccharide vaccine using electronic General Practice data. Vaccine. 2017 Mar 13;35(11):1524-1529. doi: 10.1016/j.vaccine.2017.01.063. Epub 2017 Feb 13. PMID 28202210

+Investigators