Hand, Foot and Mouth DiseasePhase 1NCT01391494
A Safety Study of Inactivated EV71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Adults, Children and Infants
A Phase 1 study testing 160Eu/0.5ml in adults, 320Eu/0.5ml in adults and 640Eu/0.5ml in adults in people with Hand, Foot and Mouth Disease, run by Institute of Medical Biology, Chinese Academy of Medical Sciences at 1 site in China.
Trial summary
Enterovirus 71 (EV71), a major pathogen that is responsible for causing hand-foot-and-mouth disease (HFMD) worldwide, is a member of the Human Enterovirus species A, family Picornaviridae. Since the late 1990s, a series of large HFMD epidemics caused by EV71 have been reported in the Asia-Pacific region. Read more about this study
- Who is it for?
- Ages 6 months to 49 yearsHealthy volunteers can take part
- Conditions the study is for
- Hand, Foot and Mouth Disease
- What is being tested?
- 160Eu/0.5ml in adults, 320Eu/0.5ml in adults and 640Eu/0.5ml in adults
- Type of treatment
- Vaccines
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 288 participants
- Where
- 1 siteChina
- Study dates
- Feb 2011to Jun 2011
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 months to 49 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- Healthy subjects (18-49 years old adults) as established by medical history and clinical examination
- The subjects oneself or their legal guardian must be aware of this vaccines
- Voluntarily participate in the study and signed Informed Consent Form
- Subjects with temperature ≤ 37.0℃
- With the ability and objective to comply with the requirements of the protocol
- Persist for a 2-month visit and receive blood tests according to program requirements
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- Healthy subjects (3-11 years old children) as established by medical history and clinical examination
- Full-term (37-42 weeks), weight ≥ 2500 g when it was born
- The subjects' legal guardian must be aware of this vaccines
- The subjects' legal guardian voluntarily participate in the study and signed Informed Consent Form
- Subjects with temperature ≤ 37.0℃
- The subjects' legal guardian with the ability and objective to comply with the requirements of the protocol
- Persist for a 2-month visit and receive blood tests according to program requirements
- Healthy subjects (6-35 months infants) as established by medical history and clinical examination
- Full-term (37-42 weeks), weight ≥ 2500 g when it was born
- The subjects' legal guardian must be aware of this vaccines
- The subjects' legal guardian voluntarily participate in the study and signed Informed Consent Form
- Subjects with temperature ≤ 37.0℃
- The subjects' legal guardian with the ability and objective to comply with the requirements of the protocol
- Persist for a 2-month visit and receive blood tests according to program requirements
Who cannot join
- Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD)
- Allergy or serious side-effects to a vaccine or any ingredient of vaccine
- Epilepsy, seizures, convulsions, neurological illness
- Congenital or hereditary immunodeficiency
- Autoimmune disease
- Severe malnutrition or dysgenopathy
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- Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer
- Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy
- Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder
- Acute illness or acute exacerbation of chronic disease in last 7 days
- Any prior administration of immunodepressant or corticosteroids in last 6 months
- Any prior administration of blood products in last 3 months
- Any prior administration of live-attenuated vaccine in last 28 days or 1 months
- Any prior administration of subunit or inactivated vaccines in last 14 days
- Under the anti-TB prevention or therapy
- Fever before vaccination, axillary temperature ﹥37.0℃
- The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc.
- Hypertension or hypotension. Systolic blood pressure ﹥140mmHg and/or diastolic blood pressure ﹥90mmHg; systolic blood pressure ﹤90mmHg and/or diastolic blood pressure ﹤60mmHg
- Breast-feeding, pregnant, planning a pregnancy within 60 days or positive pregnancy test women
- Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
- For the subjects aged from 3-11 years old children:
- Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD)
- ≤37 weeks gestation
- weight ≤ 2500 g when it was born
- Allergy or serious side-effects to a vaccine or any ingredient of vaccine
- Epilepsy, seizures, convulsions, neurological illness
- Congenital or hereditary immunodeficiency
- Autoimmune disease
- Severe malnutrition or dysgenopathy
- Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer
- Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy
- Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder
- Acute illness or acute exacerbation of chronic disease in last 7 days
- Any prior administration of immunodepressant or corticosteroids in last 6 months
- Any prior administration of blood products in last 3 months
- Any prior administration of live-attenuated vaccine in last 28 days or 1 months
- Any prior administration of subunit or inactivated vaccines in last 14 days
- Under the anti-TB prevention or therapy
- Fever before vaccination, axillary temperature ﹥37.0℃
- The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc.
- Hypertension or hypotension. Systolic blood pressure ﹥140mmHg and/or diastolic blood pressure ﹥90mmHg; systolic blood pressure ﹤90mmHg and/or diastolic blood pressure ﹤60mmHg
- Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
- For the subjects aged from 6-35 months infants:
- Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD)
- ≤37 weeks gestation
- weight ≤ 2500 g when it was born
- Allergy or serious side-effects to a vaccine or any ingredient of vaccine
- Epilepsy, seizures, convulsions, neurological illness
- Congenital or hereditary immunodeficiency
- Autoimmune disease
- Severe malnutrition or dysgenopathy
- Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer
- Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy
- Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder
- Acute illness or acute exacerbation of chronic disease in last 7 days
- Any prior administration of immunodepressant or corticosteroids in last 6 months
- Any prior administration of blood products in last 3 months
- Any prior administration of live-attenuated vaccine in last 28 days or 1 months
- Any prior administration of subunit or inactivated vaccines in last 14 days
- Under the anti-TB prevention or therapy
- Fever before vaccination, axillary temperature ﹥37.0℃
- The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc.
- Hypertension or hypotension. Systolic blood pressure ﹥140mmHg and/or diastolic blood pressure ﹥90mmHg; systolic blood pressure ﹤90mmHg and/or diastolic blood pressure ﹤60mmHg
- Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
Trial locations and contacts
1 site in 1 country.
China1 site
Guangxi Provincial Center for Diseases Control and Prevention
Nanning, Guangxi, 530028
About this study
Official title: A Phase I Clinical Trial for Inactivated Enterovirus Type 71 Vaccine (Human Diploid Cell, KMB-17 Cell) in Chinese Adults, Children and Infants
Enterovirus 71 (EV71), a major pathogen that is responsible for causing hand-foot-and-mouth disease (HFMD) worldwide, is a member of the Human Enterovirus species A, family Picornaviridae.
Since the late 1990s, a series of large HFMD epidemics caused by EV71 have been reported in the Asia-Pacific region. Notably, there is evidence that the most severe cases from these epidemic outbreaks are associated with neurological disorders with CNS involvement caused by EV71 infection. Because of these EV71 infection-related public health issues, the research and development of EV71 vaccine candidates have been heavily promoted.
Read more
Recently, several EV71 vaccine candidates have been evaluated in animals but no final results of clinical trials, including inactivated vaccine, attenuated vaccine, subunit vaccine, DNA vaccine, epitope peptide vaccine, virus-like particles (VLPs).
Basing on the previous studies of elicited protection in mice and rhesus monkeys, a formalin-inactivated EV71 vaccine (Human Diploid cell, KMB-17 Cell) has been licensed by SFDA in China, Dec. 2010. The phase I clinical trial has been carried out, during four months, in Guangxi Province, China. The purpose of this study is to evaluate the safety, tolerability and immunogenicity of the formalin-inactivated EV71 vaccine in Chinese adults (from 18 to 49 years old), children (from 3 to 11 years old) and infants (from 6 to 35 months old).
Read the detailed description
Hand-foot-and-mouth disease (HFMD) is a significant cause of death, usually characterized by vesicular lesions on the skin and oral mucosa and high morbidity rates in children. Additionally, occasional fatal cases have been reported involving brainstem encephalitis and myelitis associated with cardiopulmonary collapse. Pulmonary edema/hemorrhage and respiratory failure are the major causes of death among children less than five years old.
Enterovirus 71 (EV71), a major pathogen that is responsible for causing HFMD worldwide, is a member of the Human Enterovirus species A, family Picornaviridae. Since the late 1990s, a series of large HFMD epidemics caused by EV71 have been reported in the Asia-Pacific region. Notably, there is evidence that the most severe cases from these epidemic outbreaks are associated with neurological disorders with CNS involvement caused by EV71 infection. Because of these EV71 infection-related public health issues, the research and development of EV71 vaccine candidates have been heavily promoted.
Recently, several EV71 vaccine candidates have been evaluated in animals but no final results of clinical trials, including heat-inactivated or formalin-inactivated vaccine, live-attenuated vaccine, recombinant viral protein 1 (VP1) vaccine, VP1 DNA vaccine, VP1 epitope peptide vaccine, EV71 virus-like particles (VLPs) and bacterial or viral vector expressing VP1. Overall, the inactivated whole-virus vaccines seem to be more immunogenic than recombinant VP1 and DNA vaccines.
Basing on the previous studies of elicited protection in mice and rhesus monkeys (Ying Zhang, et al. Pathogenesis study of Enterovirus 71 Infection in Rhesus Monkeys. Lab Invest, 2011, doi:10.1038/labinest.2011.82; Longding Liu, et al. Neonatal Rhesus Monkey is a Potential Animal Model for Studying Pathogenesis of EV71 Infection. Virology, 2011, 412:91-100; Chenghong Dong, et al. Immunoprotection Elicited by an Enterovirus Type 71 Experimental Inactivated Vaccine in Mice and Rhesus Monkeys. Vaccine, 2011, doi: 10.1016/j.vaccine.2011.06.044.), a formalin-inactivated EV71 vaccine (Human Diploid cell, KMB-17 Cell) has been licensed by SFDA in China, Dec. 2010. The phase I clinical trial has been carried out, during four months, in Guangxi Province, China. The purpose of this study is to evaluate the safety, tolerability and immunogenicity of the formalin-inactivated EV71 vaccine in Chinese adults (from 18 to 49 years old), children (from 3 to 11 years old) and infants (from 6 to 35 months old).
- Conditions
- Hand, Foot and Mouth Disease
- Being tested
- 160Eu/0.5ml in adults, 320Eu/0.5ml in adults, 640Eu/0.5ml in adults, 1280Eu/0.5ml (without adjuvant) in 12 adults, 0Eu/0.5ml in adults
- Keywords
- Human Enterovirus 71 (EV71), Hand, Foot and Mouth Disease, Inactivated Vaccine, Human Diploid cell, Safety, Immunogenicity, Adverse reactions associated with vaccine
- Medical subject headings
- Hand, Foot and Mouth Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
160Eu/0.5ml in adultsBiological
inactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14.
320Eu/0.5ml in adultsBiological
inactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14.
640Eu/0.5ml in adultsBiological
inactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14.
1280Eu/0.5ml (without adjuvant) in 12 adultsBiological
inactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 adults aged 18-49 years old on day 0, 14.
0Eu/0.5ml in adultsBiological
0Eu/0.5ml placebo in 24 adults aged 18-49 years old on day 0, 14.
160Eu/0.5ml in childrenBiological
inactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14.
320Eu/0.5ml in childrenBiological
inactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14.
640Eu/0.5ml in childrenBiological
inactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14.
1280Eu/0.5ml (without adjuvant) in childrenBiological
inactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 children aged 3-11 years old on day 0, 14.
0Eu/0.5ml in childrenBiological
0Eu/0.5ml placebo in 24 children aged 3-11 years old on day 0, 14.
160Eu/0.5ml in infantsBiological
inactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28.
320Eu/0.5ml in infantsBiological
inactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28.
640Eu/0.5ml in infantsBiological
inactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28.
1280Eu/0.5ml (without adjuvant) in infantsBiological
inactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 24 infants aged 6-35 months old on day 0, 28.
0Eu/0.5ml in infantsBiological
0Eu/0.5ml placebo in 48 infants aged 6-35 months old on day 0, 28.
| Study group | Role | What they receive |
|---|---|---|
| 160Eu/0.5ml in adults | Experimental | inactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. Receives: Biological: 160Eu/0.5ml in adults |
| 320Eu/0.5ml in adults | Experimental | inactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. Receives: Biological: 320Eu/0.5ml in adults |
| 640Eu/0.5ml in adults | Experimental | inactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. Receives: Biological: 640Eu/0.5ml in adults |
| 1280Eu/0.5ml (without adjuvant) in adults | Experimental | inactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 adults aged 18-49 years old on day 0, 14. Receives: Biological: 1280Eu/0.5ml (without adjuvant) in 12 adults |
| 0Eu/0.5ml in adults | Placebo comparator | 0Eu/0.5ml placebo in 24 adults aged 18-49 years old on day 0, 14. Receives: Biological: 0Eu/0.5ml in adults |
| 160Eu/0.5ml in children | Experimental | inactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. Receives: Biological: 160Eu/0.5ml in children |
| 320Eu/0.5ml in children | Experimental | inactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. Receives: Biological: 320Eu/0.5ml in children |
| 640Eu/0.5ml in children | Experimental | inactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. Receives: Biological: 640Eu/0.5ml in children |
| 1280Eu/0.5ml (without adjuvant) in children | Experimental | inactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 children aged 3-11 years old on day 0, 14. Receives: Biological: 1280Eu/0.5ml (without adjuvant) in children |
| 0Eu/0.5ml in children | Placebo comparator | 0Eu/0.5ml placebo in 24 children aged 3-11 years old on day 0, 14. Receives: Biological: 0Eu/0.5ml in children |
| 160Eu/0.5ml in infants | Experimental | inactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. Receives: Biological: 160Eu/0.5ml in infants |
| 320Eu/0.5ml in infants | Experimental | inactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. Receives: Biological: 320Eu/0.5ml in infants |
| 640Eu/0.5ml in infants | Experimental | inactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. Receives: Biological: 640Eu/0.5ml in infants |
| 1280Eu/0.5ml (without adjuvant) in infants | Experimental | inactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 24 infants aged 6-35 months old on day 0, 28. Receives: Biological: 1280Eu/0.5ml (without adjuvant) in infants |
| 0Eu/0.5ml in infants | Placebo comparator | 0Eu/0.5ml placebo in 48 infants aged 6-35 months old on day 0, 28. Receives: Biological: 0Eu/0.5ml in infants |
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Adults.
Adverse reactions associated with vaccine were observed in Chinese Adults (from 18 to 49 years old) after the first vaccination.
Measured: within the first 14 days after the first vaccination
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Adults.
Adverse reactions associated with vaccine were observed in Chinese Adults (from 18 to 49 years old) after the second vaccination.
Measured: within the first 4 days after the second vaccination
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Children.
Adverse reactions associated with vaccine were observed in Chinese Children (from 3 to 11 years old) after the first vaccination.
Measured: within the first 14 days after the first vaccination
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Children.
Adverse reactions associated with vaccine were observed in Chinese Children (from 3 to 11 years old) after the second vaccination.
Measured: within the first 4 days after the second vaccination
Evaluate the safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Infants.
Adverse reactions associated with vaccine were observed in Chinese Infants (from 6 to 35 months old) after the first vaccination.
Measured: within the first 28 days after the first vaccination
Evaluate the safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Infants.
Adverse reactions associated with vaccine were observed in Chinese Infants (from 6 to 35 months old) after the second vaccination.
Measured: within the first 28 days after the second vaccination
Secondary outcomes (8)
Evaluate the seroconversion rate of anti-EV71 antibodies in serum of adults, children and infant, after first vaccination.
The seroconversion rate of anti-EV71 antibodies was evaluated in serum of adults within the first 14 days after first vaccination.
The seroconversion rate of anti-EV71 antibodies was evaluated in serum of children within the first 14 days after first vaccination.
The seroconversion rate of anti-EV71 antibodies was evaluated in serum of infant, within the first 28 days after first vaccination.
Measured: within the first 14 or 28 days after the first vaccination
Evaluate the seroconversion rate of anti-EV71 antibodies in serum of adults, children and infant, after second vaccination.
The seroconversion rate of anti-EV71 antibodies was evaluated in serum of adults within the first 4 days after second vaccination.
The seroconversion rate of anti-EV71 antibodies was evaluated in serum of children within the first 4 days after second vaccination.
The seroconversion rate of anti-EV71 antibodies was evaluated in serum of infant, within the first 28 days after second vaccination.
Measured: within the first 4 or 28 days after the second vaccination
Evaluate the seroconversion rate of antinuclear antibodies in serum of adults, children and infant, after first vaccination.
The seroconversion rate of antinuclear antibodies was evaluated in serum of adults within the first 14 days after first vaccination.
The seroconversion rate of antinuclear antibodies was evaluated in serum of children within the first 14 days after first vaccination.
The seroconversion rate of antinuclear antibodies was evaluated in serum of infant, within the first 28 days after first vaccination.
Measured: within the first 14 or 28 days after the first vaccination
Evaluate the seroconversion rate of antinuclear antibodies in serum of adults, children and infant, after second vaccination.
The seroconversion rate of antinuclear antibodies was evaluated in serum of adults within the first 4 days after the second vaccination.
The seroconversion rate of antinuclear antibodies was evaluated in serum of children within the first 4 days after the second vaccination.
The seroconversion rate of antinuclear antibodies was evaluated in serum of infant, within the first 28 days after the second vaccination.
Measured: within the first 4 or 28 days after the second vaccination
Evaluate the abnormity change of live and kidney function indexes in serum of adults, children and infant, after first vaccination.
The abnormity change of live and kidney function indexes were evaluated in serum of adults within the first 14 days after first vaccination.
The abnormity change of live and kidney function indexes were evaluated in serum of children within the first 14 days after first vaccination.
The abnormity change of live and kidney function indexes were evaluated in serum of infant, within the first 28 days after first vaccination.
Measured: within the first 14 or 28 days after the first vaccination
Evaluate the abnormity change of live and kidney function indexes in serum of adults, children and infant, after second vaccination.
The abnormity change of live and kidney function indexes were evaluated in serum of adults within the first 4 days after the second vaccination.
The abnormity change of live and kidney function indexes were evaluated in serum of children within the first 4 days after the second vaccination.
The abnormity change of live and kidney function indexes were evaluated in serum of infant, within the first 28 days after the second vaccination.
Measured: within the first 4 or 28 days after the second vaccination
Evaluate the vaccine-induced cellular immune responses in infant after first vaccination.
The vaccine-induced cellular immune responses were evaluated in serum of infant, within the first 28 days after the first vaccination.
Measured: within the first 28 days after the first vaccination
Evaluate the vaccine-induced cellular immune responses in infant after second vaccination.
The vaccine-induced cellular immune responses were evaluated in serum of infant, within the first 28 days after the second vaccination.
Measured: within the first 28 days after the second vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2011 (estimated)
- Study startFeb 2011
- Primary completionJun 2011
- Study completionJun 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hand, Foot and Mouth DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 288 participants (actual)
Sponsor and investigators
- Lead sponsor
- Institute of Medical Biology, Chinese Academy of Medical Sciences
- Sponsor type
- University, hospital or other
- Collaborators
- Guangxi Center for Disease Control and Prevention
- Responsible party
- Sponsor
- Investigators
- Zhaojun Mo, Master, Principal investigator, Guangxi Provincial Center for Diseases Control and Prevention
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01391494
- Sponsor's protocol ID
- EV71-KMB17-I-IMB-CAMS
- Status last verified
- Oct 2023
- First submitted
- 11 Jul 2011
- Last updated
- 11 Oct 2023
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Liu L, Zhang Y, Wang J, Zhao H, Jiang L, Che Y, Shi H, Li R, Mo Z, Huang T, Liang Z, Mao Q, Wang L, Dong C, Liao Y, Guo L, Yang E, Pu J, Yue L, Zhou Z, Li Q. Study of the integrated immune response induced by an inactivated EV71 vaccine. PLoS One. 2013;8(1):e54451. doi: 10.1371/journal.pone.0054451. Epub 2013 Jan 23.
PubMed 23372725
Study at a glance
From the registry record, last updated by the sponsor on 11 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Clinical Trial for Inactivated Enterovirus Type 71 Vaccine (Human Diploid Cell, KMB-17 Cell) in Chinese Adults, Children and Infants
- ClinicalTrials.gov ID
- NCT01391494
- Acronym / sponsor ID
- EV71-KMB17-I-IMB-CAMS
- Conditions
- Hand, Foot and Mouth Disease
- Keywords
- Human Enterovirus 71 (EV71), Hand, Foot and Mouth Disease, Inactivated Vaccine, Human Diploid cell, Safety, Immunogenicity, Adverse reactions associated with vaccine
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 288 participants (actual)
- Lead sponsor
- Institute of Medical Biology, Chinese Academy of Medical SciencesUniversity, hospital or other
- Collaborators
- Guangxi Center for Disease Control and Prevention
- Study start
- Feb 2011
- Primary completion
- Jun 2011 (actual)
- Study completion
- Jun 2011 (actual)
- First posted
- 12 Jul 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Enterovirus 71 (EV71), a major pathogen that is responsible for causing hand-foot-and-mouth disease (HFMD) worldwide, is a member of the Human Enterovirus species A, family Picornaviridae.
Since the late 1990s, a series of large HFMD epidemics caused by EV71 have been reported in the Asia-Pacific region. Notably, there is evidence that the most severe cases from these epidemic outbreaks are associated with neurological disorders with CNS involvement caused by EV71 infection. Because of these EV71 infection-related public health issues, the research and development of EV71 vaccine candidates have been heavily promoted.
Recently, several EV71 vaccine candidates have been evaluated in animals but no final results of clinical trials, including inactivated vaccine, attenuated vaccine, subunit vaccine, DNA vaccine, epitope peptide vaccine, virus-like particles (VLPs).
Basing on the previous studies of elicited protection in mice and rhesus monkeys, a formalin-inactivated EV71 vaccine (Human Diploid cell, KMB-17 Cell) has been licensed by SFDA in China, Dec. 2010. The phase I clinical trial has been carried out, during four months, in Guangxi Province, China. The purpose of this study is to evaluate the safety, tolerability and immunogenicity of the formalin-inactivated EV71 vaccine in Chinese adults (from 18 to 49 years old), children (from 3 to 11 years old) and infants (from 6 to 35 months old).
Detailed description
Hand-foot-and-mouth disease (HFMD) is a significant cause of death, usually characterized by vesicular lesions on the skin and oral mucosa and high morbidity rates in children. Additionally, occasional fatal cases have been reported involving brainstem encephalitis and myelitis associated with cardiopulmonary collapse. Pulmonary edema/hemorrhage and respiratory failure are the major causes of death among children less than five years old.
Enterovirus 71 (EV71), a major pathogen that is responsible for causing HFMD worldwide, is a member of the Human Enterovirus species A, family Picornaviridae. Since the late 1990s, a series of large HFMD epidemics caused by EV71 have been reported in the Asia-Pacific region. Notably, there is evidence that the most severe cases from these epidemic outbreaks are associated with neurological disorders with CNS involvement caused by EV71 infection. Because of these EV71 infection-related public health issues, the research and development of EV71 vaccine candidates have been heavily promoted.
Recently, several EV71 vaccine candidates have been evaluated in animals but no final results of clinical trials, including heat-inactivated or formalin-inactivated vaccine, live-attenuated vaccine, recombinant viral protein 1 (VP1) vaccine, VP1 DNA vaccine, VP1 epitope peptide vaccine, EV71 virus-like particles (VLPs) and bacterial or viral vector expressing VP1. Overall, the inactivated whole-virus vaccines seem to be more immunogenic than recombinant VP1 and DNA vaccines.
Basing on the previous studies of elicited protection in mice and rhesus monkeys (Ying Zhang, et al. Pathogenesis study of Enterovirus 71 Infection in Rhesus Monkeys. Lab Invest, 2011, doi:10.1038/labinest.2011.82; Longding Liu, et al. Neonatal Rhesus Monkey is a Potential Animal Model for Studying Pathogenesis of EV71 Infection. Virology, 2011, 412:91-100; Chenghong Dong, et al. Immunoprotection Elicited by an Enterovirus Type 71 Experimental Inactivated Vaccine in Mice and Rhesus Monkeys. Vaccine, 2011, doi: 10.1016/j.vaccine.2011.06.044.), a formalin-inactivated EV71 vaccine (Human Diploid cell, KMB-17 Cell) has been licensed by SFDA in China, Dec. 2010. The phase I clinical trial has been carried out, during four months, in Guangxi Province, China. The purpose of this study is to evaluate the safety, tolerability and immunogenicity of the formalin-inactivated EV71 vaccine in Chinese adults (from 18 to 49 years old), children (from 3 to 11 years old) and infants (from 6 to 35 months old).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 15
| Arm | Type | Receives |
|---|---|---|
| 160Eu/0.5ml in adults | Experimental | Biological: 160Eu/0.5ml in adultsinactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. |
| 320Eu/0.5ml in adults | Experimental | Biological: 320Eu/0.5ml in adultsinactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. |
| 640Eu/0.5ml in adults | Experimental | Biological: 640Eu/0.5ml in adultsinactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. |
| 1280Eu/0.5ml (without adjuvant) in adults | Experimental | Biological: 1280Eu/0.5ml (without adjuvant) in 12 adultsinactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 adults aged 18-49 years old on day 0, 14. |
| 0Eu/0.5ml in adults | Placebo comparator | Biological: 0Eu/0.5ml in adults0Eu/0.5ml placebo in 24 adults aged 18-49 years old on day 0, 14. |
| 160Eu/0.5ml in children | Experimental | Biological: 160Eu/0.5ml in childreninactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. |
| 320Eu/0.5ml in children | Experimental | Biological: 320Eu/0.5ml in childreninactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. |
| 640Eu/0.5ml in children | Experimental | Biological: 640Eu/0.5ml in childreninactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. |
| 1280Eu/0.5ml (without adjuvant) in children | Experimental | Biological: 1280Eu/0.5ml (without adjuvant) in childreninactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 children aged 3-11 years old on day 0, 14. |
| 0Eu/0.5ml in children | Placebo comparator | Biological: 0Eu/0.5ml in children0Eu/0.5ml placebo in 24 children aged 3-11 years old on day 0, 14. |
| 160Eu/0.5ml in infants | Experimental | Biological: 160Eu/0.5ml in infantsinactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. |
| 320Eu/0.5ml in infants | Experimental | Biological: 320Eu/0.5ml in infantsinactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. |
| 640Eu/0.5ml in infants | Experimental | Biological: 640Eu/0.5ml in infantsinactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. |
| 1280Eu/0.5ml (without adjuvant) in infants | Experimental | Biological: 1280Eu/0.5ml (without adjuvant) in infantsinactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 24 infants aged 6-35 months old on day 0, 28. |
| 0Eu/0.5ml in infants | Placebo comparator | Biological: 0Eu/0.5ml in infants0Eu/0.5ml placebo in 48 infants aged 6-35 months old on day 0, 28. |
Who may qualify
- Ages
- 6 months to 49 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (20 listed)
- Healthy subjects (18-49 years old adults) as established by medical history and clinical examination
- The subjects oneself or their legal guardian must be aware of this vaccines
- Voluntarily participate in the study and signed Informed Consent Form
- Subjects with temperature ≤ 37.0℃
- With the ability and objective to comply with the requirements of the protocol
Key exclusion criteria (64 listed)
- Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD)
- Allergy or serious side-effects to a vaccine or any ingredient of vaccine
- Epilepsy, seizures, convulsions, neurological illness
- Congenital or hereditary immunodeficiency
- Autoimmune disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 160Eu/0.5ml in adultsinactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. | Biological | 160Eu/0.5ml in adults |
| 320Eu/0.5ml in adultsinactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. | Biological | 320Eu/0.5ml in adults |
| 640Eu/0.5ml in adultsinactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 adults aged 18-49 years old on day 0, 14. | Biological | 640Eu/0.5ml in adults |
| 1280Eu/0.5ml (without adjuvant) in 12 adultsinactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 adults aged 18-49 years old on day 0, 14. | Biological | 1280Eu/0.5ml (without adjuvant) in adults |
| 0Eu/0.5ml in adults0Eu/0.5ml placebo in 24 adults aged 18-49 years old on day 0, 14. | Biological | 0Eu/0.5ml in adults |
| 160Eu/0.5ml in childreninactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. | Biological | 160Eu/0.5ml in children |
| 320Eu/0.5ml in childreninactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. | Biological | 320Eu/0.5ml in children |
| 640Eu/0.5ml in childreninactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 12 children aged 3-11 years old on day 0, 14. | Biological | 640Eu/0.5ml in children |
| 1280Eu/0.5ml (without adjuvant) in childreninactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 12 children aged 3-11 years old on day 0, 14. | Biological | 1280Eu/0.5ml (without adjuvant) in children |
| 0Eu/0.5ml in children0Eu/0.5ml placebo in 24 children aged 3-11 years old on day 0, 14. | Biological | 0Eu/0.5ml in children |
| 160Eu/0.5ml in infantsinactivated EV71 vaccine (KMB-17) of 160Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. | Biological | 160Eu/0.5ml in infants |
| 320Eu/0.5ml in infantsinactivated EV71 vaccine (KMB-17) of 320Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. | Biological | 320Eu/0.5ml in infants |
| 640Eu/0.5ml in infantsinactivated EV71 vaccine (KMB-17) of 640Eu/0.5ml in 24 infants aged 6-35 months old on day 0, 28. | Biological | 640Eu/0.5ml in infants |
| 1280Eu/0.5ml (without adjuvant) in infantsinactivated EV71 vaccine (KMB-17) of 1280Eu/0.5ml (without adjuvant) in 24 infants aged 6-35 months old on day 0, 28. | Biological | 1280Eu/0.5ml (without adjuvant) in infants |
| 0Eu/0.5ml in infants0Eu/0.5ml placebo in 48 infants aged 6-35 months old on day 0, 28. | Biological | 0Eu/0.5ml in infants |
Primary outcome
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Adults.
Time frame: within the first 14 days after the first vaccination
Adverse reactions associated with vaccine were observed in Chinese Adults (from 18 to 49 years old) after the first vaccination.
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Adults.
Time frame: within the first 4 days after the second vaccination
Adverse reactions associated with vaccine were observed in Chinese Adults (from 18 to 49 years old) after the second vaccination.
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Children.
Time frame: within the first 14 days after the first vaccination
Adverse reactions associated with vaccine were observed in Chinese Children (from 3 to 11 years old) after the first vaccination.
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Children.
Time frame: within the first 4 days after the second vaccination
Adverse reactions associated with vaccine were observed in Chinese Children (from 3 to 11 years old) after the second vaccination.
Evaluate the safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Infants.
Time frame: within the first 28 days after the first vaccination
Adverse reactions associated with vaccine were observed in Chinese Infants (from 6 to 35 months old) after the first vaccination.
Evaluate the safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Infants.
Time frame: within the first 28 days after the second vaccination
Adverse reactions associated with vaccine were observed in Chinese Infants (from 6 to 35 months old) after the second vaccination.
8 secondary outcomes
Evaluate the seroconversion rate of anti-EV71 antibodies in serum of adults, children and infant, after first vaccination.
Time frame: within the first 14 or 28 days after the first vaccination
Evaluate the seroconversion rate of anti-EV71 antibodies in serum of adults, children and infant, after second vaccination.
Time frame: within the first 4 or 28 days after the second vaccination
Evaluate the seroconversion rate of antinuclear antibodies in serum of adults, children and infant, after first vaccination.
Time frame: within the first 14 or 28 days after the first vaccination
Evaluate the seroconversion rate of antinuclear antibodies in serum of adults, children and infant, after second vaccination.
Time frame: within the first 4 or 28 days after the second vaccination
Evaluate the abnormity change of live and kidney function indexes in serum of adults, children and infant, after first vaccination.
Time frame: within the first 14 or 28 days after the first vaccination
Evaluate the abnormity change of live and kidney function indexes in serum of adults, children and infant, after second vaccination.
Time frame: within the first 4 or 28 days after the second vaccination
Evaluate the vaccine-induced cellular immune responses in infant after first vaccination.
Time frame: within the first 28 days after the first vaccination
Evaluate the vaccine-induced cellular immune responses in infant after second vaccination.
Time frame: within the first 28 days after the second vaccination
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Oct 2023.
- Derived from this study: PubMed 23372725Liu L, Zhang Y, Wang J, Zhao H, Jiang L, Che Y, Shi H, Li R, Mo Z, Huang T, Liang Z, Mao Q, Wang L, Dong C, Liao Y, Guo L, Yang E, Pu J, Yue L, Zhou Z, Li Q. Study of the integrated immune response induced by an inactivated EV71 vaccine. PLoS One. 2013;8(1):e54451. doi: 10.1371/journal.pone.0054451. Epub 2013 Jan 23.
- The rhesus monkey model may be used to study not only the basic pathogenesis of EV71 viral infections, but also to examine clinical features, such as neurological lesions, in the CNS and pathological changes in associated organs.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zhaojun Mo, Master principal investigator
Guangxi Provincial Center for Diseases Control and Prevention
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing 160Eu/0.5ml in adults, 320Eu/0.5ml in adults and 640Eu/0.5ml in adults in people with Hand, Foot and Mouth Disease, run by Institute of Medical Biology, Chinese Academy of Medical Sciences at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 20 inclusion and 64 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Evaluate the Safety of Inactivated EV 71 Vaccine (Human Diploid Cell, KMB-17) in Chinese Adults. (time frame: within the first 14 days after the first vaccination). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01391494, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Oct 2023; AzTrials last refreshed its copy on 7 Nov 2026.