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TetanusPhase 4NCT01439165

Safety and Immunogenicity in Adults of Revaccination With Adacel® Vaccine 10 Years After a Previous Dose

A Phase 4 study testing Tetanus Toxoid, Diphtheria Toxoid and Pertussis Vaccine and Tetanus and Diphtheria Toxoids Adsorbed For Adult Use in people with Tetanus and Diphtheria, run by Sanofi Pasteur, a Sanofi Company at 33 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to describe the safety and immunogenicity of repeat administration of Adacel vaccine approximately 10 years following initial administration of the vaccine. Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Tetanus, Diphtheria, Pertussis
What is being tested?
Tetanus Toxoid, Diphtheria Toxoid and Pertussis Vaccine and Tetanus and Diphtheria Toxoids Adsorbed For Adult Use
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,330 participants
Where
33 sitesin 2 countries
Study dates
Nov 2011to Feb 2017
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Subject is ≥ 18 to < 65 years of age at the time of vaccination.
  • Received Adacel vaccine no less than 9 and no more than 11 years previously.
  • Informed consent form has been signed and dated.
  • Subject is able to attend all scheduled visits and to comply with all trial procedures.

Who cannot join

  • Subject is pregnant, or lactating, or of child bearing potential without using an effective method of contraception or not practicing abstinence for at least 4 weeks prior to vaccination and until at least 4 weeks after vaccination. Females who are pre-menarche or post-menopausal for at least one year, or surgically sterile will not be excluded.
  • Any condition that, in the opinion of the Investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with trial conduct or completion.
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
  • Known or suspected receipt of tetanus toxoid (T), tetanus and diphtheria toxoids (Td), or tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine since receipt of the qualifying dose of Adacel vaccine described in Inclusion Criterion #2.
  • A personal history of physician-diagnosed or laboratory-confirmed pertussis disease within the last 10 years.
Show all 19Show fewer
  • A previous severe reaction to pertussis, diphtheria or tetanus vaccine including immediate anaphylaxis, encephalopathy within 7 days or seizure within 3 days of receiving the vaccine.
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months.
  • Suspected or known hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances.
  • Receipt of any vaccine within 30 days before receiving study vaccine, or plans to receive another vaccine before the 2nd visit; except that influenza vaccine may have been received between 30 and 15 days (but no less than 15 days) before receiving study vaccine.
  • Participation in another interventional clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 30 days preceding the first study vaccination or during the course of the study, at the discretion of the Sponsor.
  • Seropositivity for Human Immunodeficiency Virus (HIV), Hepatitis B, or Hepatitis C, as reported by the subject.
  • Laboratory-confirmed thrombocytopenia, which may be a contraindication for IM vaccination, at the discretion of the Investigator.
  • Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion, which may be a contraindication for intramuscular (IM) vaccination, at the discretion of the Investigator.
  • Personal history of Guillain-Barré syndrome.
  • Moderate or severe acute illness/infection (according to Investigator judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of vaccination. A prospective subject should not be enrolled in the study until the condition has resolved or the febrile event has subsided.
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study.
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
  • Current alcohol or drug use that, in the opinion of the Investigator, might interfere with the ability to comply with trial procedures.

Trial locations and contacts

33 sites in 2 countries.

33 sites in 2 countries

United States31 sites
  • Study site

    Albuquerque, New Mexico, 87108

  • Study site

    Boulder, Colorado, 80304

  • Study site

    Brooklyn, New York, 11201

  • Study site

    Chippewa Falls, Wisconsin, 54729

  • Study site

    Cincinnati, Ohio, 45229

  • Study site

    Clairton, Pennsylvania, 15025

  • Study site

    Cleveland, Ohio, 44121

  • Study site

    Columbia, Missouri, 65212

  • Study site

    Hershey, Pennsylvania, 17033

  • Study site

    Huntsville, Alabama, 35802

  • Study site

    Ithaca, New York, 14850

  • Study site

    Jonesboro, Arkansas, 72401

  • Study site

    Latrobe, Pennsylvania, 15650

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Louisville, Kentucky, 40202

  • Study site

    Marietta, Georgia, 30062

  • Study site

    Marshfield, Wisconsin, 54449

  • Study site

    Mishawaka, Indiana, 46545

  • Study site

    Peoria, Illinois, 61602

  • Study site

    Pittsburgh, Pennsylvania, 15224

  • Study site

    Raleigh, North Carolina, 27612

  • Study site

    Rochester, New York, 14618

  • Study site

    Rockville, Maryland, 20850

  • Study site

    San Diego, California, 92108

  • Study site

    St Louis, Missouri, 63104

  • Study site

    Syracuse, Utah, 84075

  • Study site

    Vancouver, Washington, 98686

  • Study site

    Virginia Beach, Virginia, 23456

  • Study site

    Winston-Salem, North Carolina, 27103

  • Study site

    Woburn, Massachusetts, 01801

  • Study site

    Woodstock, Georgia, 30189

Other trials in United States

Canada2 sites
  • Study site

    Harbour Grace, Newfoundland and Labrador, A0A2M0

  • Study site

    St. John's, Newfoundland and Labrador, A1B3V6

Other trials in Canada

About this study

The purpose of this study is to describe the safety and immunogenicity of repeat administration of Adacel vaccine approximately 10 years following initial administration of the vaccine. Antibody levels prior to revaccination will also be used to characterize antibody persistence following initial vaccination 10 years earlier.

Primary Objectives:

Read more
  • To compare seroprotection rates against tetanus and diphtheria induced by Adacel vaccine to those induced by Td Adsorbed vaccine.
  • To compare booster response rates against tetanus and diphtheria induced by Adacel vaccine to those induced by Td Adsorbed vaccine.
  • To compare anti-pertussis geometric mean antibody concentrations (GMCs) induced by Adacel vaccine to the GMCs induced by Daptacel® vaccine given to infants.

Secondary Objectives:

  • To describe the rates of immediate reactions, solicited reactions, unsolicited adverse events (AEs), and serious adverse events (SAEs) following vaccination with Adacel or Td Adsorbed vaccine.
  • To describe booster response rates for pertussis antigens following revaccination with Adacel vaccine.
Read the detailed description

Healthy adults < 65 years of age who received Adacel vaccine 10 years previously will be randomized to receive either Adacel or TENIVAC (Td Adsorbed) vaccine. They will be assessed for immunogenicity at baseline and post-vaccination. Safety data will be collected for 6 months following vaccination.

Being tested
Tetanus Toxoid, Diphtheria Toxoid and Pertussis Vaccine, Tetanus and Diphtheria Toxoids Adsorbed For Adult Use
Keywords
Adacel vaccine, Tetanus, Diphtheria, whooping cough
Medical subject headings
Tetanus, Diphtheria, Whooping Cough

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tetanus Toxoid, Diphtheria Toxoid and Pertussis VaccineBiological

    Also called Adacel®

    0.5 mL, Intramuscular

  • Tetanus and Diphtheria Toxoids Adsorbed For Adult UseBiological

    Also called TENIVAC

    0.5 mL, Intramuscular

Study groups in NCT01439165
Study groupRoleWhat they receive
Adacel® Vaccine GroupExperimentalParticipants randomized to receive a repeat dose of Tetanus Toxoid, Diphtheria Toxoid and Pertussis Vaccine (Adacel®)
Receives: Biological: Tetanus Toxoid, Diphtheria Toxoid and Pertussis Vaccine
Td Adsorbed Vaccine GroupActive comparatorParticipants randomized to receive Subjects randomized to receive a Tetanus and Diphtheria Toxoids Adsorbed For Adult Use (TENIVAC) vaccine.
Receives: Biological: Tetanus and Diphtheria Toxoids Adsorbed For Adult Use

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Diphtheria and Tetanus Seroprotection

    Anti-Diphtheria antibodies were assessed by a toxin neutralization test. Anti-Tetanus antibodies were assessed using an enzyme-linked immunosorbent assay. Seroprotection was defined as the following: Anti-Diphtheria and Anti-Tetanus ≥ 0.1 IU/mL.

    Measured: 1 month post-booster vaccination

  2. Percentage of Participants With Diphtheria and Tetanus Booster Response

    Anti-Diphtheria antibodies were assessed by a toxin neutralization test. Anti-Tetanus antibodies were assessed using an enzyme-linked immunosorbent assay. A booster response was defined as a 4-fold increase in pre- to post-vaccination antibody concentrations for subjects with pre-vaccination antibody concentrations ≤2.56 IU/mL for diphtheria and ≤ 2.7 IU/mL for tetanus. If the pre vaccination antibody concentrations were > 2.56 IU/mL for diphtheria and > 2.7 IU/mL for tetanus, then a 2-fold increase in response rate was defined as a booster response.

    Measured: 1 month post-booster vaccination

  3. Geometric Mean Concentrations (GMC) of Anti Pertussis Antibodies

    Anti-Pertussis antibodies (Pertussis toxoid, Filamentous Hemagglutinin (FHA), Pertactin, Fimbriae types 2 and 3) were assessed using an enzyme-linked immunosorbent assay. Anti-pertussis GMCs further to Adacel vaccination was compared to an historical control group with Daptacel (NCT00255047 for pertussis toxoid and PMID 8538705 for FHA, Pertactin and Fimbriae) since Td Adsorbed Vaccine does not contain any pertussis antigens.

    Measured: 1 month post-booster vaccination

  4. Percentage of Subjects With Pertussis Antigen Booster Response

    Anti-Pertussis antibodies (Pertussis toxoid, Filamentous Hemagglutinin [FHA], Pertactin, Fimbriae (types 2 and 3) were assessed using an enzyme-linked immunosorbent assay. Booster response is defined as a minimum rise in antibody concentration from pre- to post-vaccination. The minimum rise is at least 2 times if the pre-vaccination concentration is above the cutoff value, or at least 4 times if it is at or below the cutoff value.

    Anti-pertussis toxoid booster response rates further to Adacel vaccination was compared to an expected booster rates based on study Td506 (PMID 15933223) since Td Adsorbed Vaccine does not contain any pertussis antigens.

    Measured: 1 month post-booster vaccination

Secondary outcomes (1)
  1. Percentage of Participants Reporting a Solicited Injection Site or Systemic Reactions

    Injection site reactions: Pain, Erythema, and Swelling. Systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia. Grade 3 Injection site reactions: Pain, Significant, prevents daily activity. Erythema and Swelling, >100 mm. Grade 3 Systemic reactions: Fever, ≥39°C or ≥102.1 F; Headache, Malaise, and Myalgia, Significant; prevents daily activity.

    Measured: Day 0 up to Day 7 post-vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2011 (estimated)
  2. Study startNov 2011
  3. Primary completionDec 2015
  4. Study completionFeb 2017

Resources

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,330 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01439165
Sponsor's protocol ID
Td537
Other IDs
U1111-1117-7012
Status last verified
Mar 2022
First submitted
20 Sep 2011
Last updated
28 Apr 2022
Data monitoring committee
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Halperin SA, Donovan C, Marshall GS, Pool V, Decker MD, Johnson DR, Greenberg DP; Tdap Booster Investigators. Randomized Controlled Trial of the Safety and Immunogenicity of Revaccination With Tetanus-Diphtheria-Acellular Pertussis Vaccine (Tdap) in Adults 10 Years After a Previous Dose. J Pediatric Infect Dis Soc. 2019 May 11;8(2):105-114. doi: 10.1093/jpids/pix113.

    PubMed 29438562
  • Pool V, Tomovici A, Johnson DR, Greenberg DP, Decker MD. Humoral immunity 10 years after booster immunization with an adolescent and adult formulation combined tetanus, diphtheria, and 5-component acellular pertussis vaccine in the USA. Vaccine. 2018 Apr 19;36(17):2282-2287. doi: 10.1016/j.vaccine.2018.03.029. Epub 2018 Mar 21.

    PubMed 29573876

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Tetanus Toxoid, Diphtheria Toxoid and Pertussis Vaccine and Tetanus and Diphtheria Toxoids Adsorbed For Adult Use in people with Tetanus and Diphtheria, run by Sanofi Pasteur, a Sanofi Company at 33 sites in 2 countries.

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 4 inclusion and 19 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 28 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, Canada. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Oct 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants With Diphtheria and Tetanus Seroprotection (time frame: 1 month post-booster vaccination). The study lists 4 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 NCT01439165, which also lists 2 linked publications.

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 28 Apr 2022.

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