PoliomyelitisPhase 1/2NCT01709071
Safety and Immunogenicity of a New Inactivated Poliovirus Vaccine in Infants
A Phase 1/2 study testing IPV, Low dose Sabin-IPV and Low dose adjuvanted Sabin-IPV in people with Poliomyelitis, run by Pauline Verdijk at 7 sites in Poland.
Trial summary
A new inactivated polio vaccine based on attenuated poliovirus strains was developed to transfer the technology to manufacturers in low- and middle-income countries. This vaccine was produced in different dosages and in different formulations. Read more about this study
- Who is it for?
- Ages 56 to 63 daysHealthy volunteers can take part
- Conditions the study is for
- Poliomyelitis
- What is being tested?
- IPV, Low dose Sabin-IPV and Low dose adjuvanted Sabin-IPV
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 140 participants
- Where
- 7 sitesPoland
- Study dates
- Feb 2012to May 2013
- Phase
- Phase 1/2
- 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 56 to 63 days
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Age 8 weeks (56-63 days) at the time of first vaccination
- Infants in good general health, eligible to be vaccinated according to the Polish national vaccination program. The same health criteria apply as used in well-baby clinics when a child receives a vaccination, e.g. also children with a small increase in temperature (< 38.5° C) or with a common cold (runny nose etc) are seen as children with normal health.
- The parent(s)/legally representative(s) have to be willing and able to allow their child to participate in the trial according to the described procedures
- Presence of a signed informed consent in which the parent(s)/legally representative(s) have given written informed consent after receiving oral and written information (signature from one parent in case of single-parent family).
Who cannot join
- Any IPV or OPV dose
- Known or suspected allergy against any of the vaccine components
- History of unusual or severe reactions to any previous vaccination administration of plasma (including immunoglobulins) or blood products prior and during the study
- Any vaccination less than 14 days before or after each vaccination with the IMP
- History of any neurological disorder including epilepsy or febrile seizures
- Any infectious disease at the time of screening and/or inclusion that might interfere with the results of the study
Show all 12Show fewer
- Present evidence of serious disease(s) demanding immunosuppressive medical treatment, like cytostatics and prednisolones, that might interfere with the results of the study
- Any known or suspected primary or secondary immunodeficiency
- Communication problems interfering in the study realization according to the judgment of the investigator
- Bleeding disorders and use of anticoagulants
- Premature birth (<37 weeks)
- Participation in another clinical trial
Trial locations and contacts
7 sites in 1 country.
7 sites in 1 country
Poland7 sites
NZOZ Centrum Zdrowia "Błonie"
Bydgoszcz
Specjalistyczna Poradnia Medyczna "Przylądek Zdrowia"
Krakow
Szpital im. Jana Pawła II
Krakow
Samodzielny Publiczny ZOZ
Lubartów
NZOZ Praktyka Lekarza Rodzinnego "Eskulap"
Lublin
NZLA Michałkowice Jarosz i Partnerzy Spółka Lekarsk
Siemianowice Śląskie
Alergo-Med Specjalistyczna Przychodnia Lekarska Sp z o.o.
Tarnów
About this study
Official title: Double Blind Dose - Escalation, Randomized, Controlled, Phase I-II Trial to Evaluate Safety and Immunogenicity of Three Doses of Sabin-IPV and Adjuvanted Sabin-IPV in Healthy Infants
A new inactivated polio vaccine based on attenuated poliovirus strains was developed to transfer the technology to manufacturers in low- and middle-income countries. This vaccine was produced in different dosages and in different formulations. In healthy adults the safety of the highest dose was comparable to that of the existing inactivated polio vaccine. The purpose of this trial is to determine the safety of the different dosages and formulations of the vaccine in infants. The second goal of this study is to analyse the immune response after three doses in infants.
Read the detailed description
The goal of this study is to assess the safety and immunogenicity of Sabin-IPV and adjuvanted Sabin-IPV produced with the production process set up for technology transfer by the National Institute for Public Health and the Environment (RIVM, formerly the Netherlands Vaccine Institute (NVI).
- The primary objective is to evaluate safety (local and systemic reactions) of intramuscular injection with Sabin-IPV and adjuvanted Sabin-IPV in healthy infants.
- The secondary objective is to evaluate immunogenicity of three doses Sabin-IPV and adjuvanted Sabin-IPV in infants.
- Conditions
- Poliomyelitis
- Being tested
- IPV, Low dose Sabin-IPV, Low dose adjuvanted Sabin-IPV, Middle dose Sabin-IPV, Middle dose adjuvanted Sabin-IPV
- Keywords
- Vaccination, Inactivated poliomyelitis vaccine, poliomyelitis, Sabin strains
- Medical subject headings
- Poliomyelitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IPVDrug
Also called IPV (NVI), Inactivated poliomyelitis vaccine, Inactivated poliovirus vaccine, Inactivated polio vaccine
Low dose Sabin-IPVDrug
Low dose adjuvanted Sabin-IPVDrug
Middle dose Sabin-IPVDrug
Middle dose adjuvanted Sabin-IPVDrug
High dose Sabin-IPVDrug
High dose adjuvanted Sabin-IPVDrug
| Study group | Role | What they receive |
|---|---|---|
| Low dose Sabin-IPV | Experimental | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 5, 8, 16 D-antigen units respectively of Sabin-1,-2 and -3 per dose.
Infants receive three vaccinations with an interval of 8 weeks between doses. Receives: Drug: Low dose Sabin-IPV |
| Low dose adjuvanted Sabin-IPV | Experimental | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 2.5, 4, 8 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide.
Infants receive three vaccinations with an interval of 8 weeks between doses. Receives: Drug: Low dose adjuvanted Sabin-IPV |
| Middle dose Sabin-IPV | Experimental | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 10, 16, 32 D-antigen units respectively of Sabin-1,-2 and -3 per dose.
Infants receive three vaccinations with an interval of 8 weeks between doses. Receives: Drug: Middle dose Sabin-IPV |
| Middle dose adjuvanted Sabin-IPV | Experimental | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 5, 8, 16 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide.
Infants receive three vaccinations with an interval of 8 weeks between doses. Receives: Drug: Middle dose adjuvanted Sabin-IPV |
| High dose Sabin-IPV | Experimental | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 20, 32, 64 D-antigen units respectively of Sabin-1,-2 and -3 per dose.
Infants receive three vaccinations with an interval of 8 weeks between doses. Receives: Drug: High dose Sabin-IPV |
| High dose adjuvanted Sabin-IPV | Experimental | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 10, 16, 32 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide.
Infants receive three vaccinations with an interval of 8 weeks between doses. Receives: Drug: High dose adjuvanted Sabin-IPV |
| Conventional IPV | Active comparator | Intramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 40, 8, and 32 D-antigen units respectively of Mahoney, MEF-1 and Saukett poliovirus per dose.
Infants receive three injections with an interval of 8 weeks between doses. Receives: Drug: IPV |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of adverse reactions following vaccination
Measured: 5 days or until adverse reactions have resolved
Secondary outcomes (1)
Level of virus neutralizing titers in serum
Measured: 28 days after last vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2012 (estimated)
- Study startFeb 2012
- Primary completionNov 2012
- Study completionMay 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for PoliomyelitisStudies 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 1/2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 140 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pauline Verdijk
- Sponsor type
- Other government
- Collaborators
- World Health Organization
- Responsible party
- Sponsor-investigator, Pauline Verdijk, National Institute for Public Health and the Environment (RIVM)
- Investigators
- Pauline Verdijk, PhD, Study director, National Institute for Public Health and the Environment (RIVM)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01709071
- Sponsor's protocol ID
- NVI-256B
- Other IDs
- 2011-003792-11
- Status last verified
- Feb 2014
- First submitted
- 16 Oct 2012
- Last updated
- 21 Feb 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Bakker WA, Thomassen YE, van't Oever AG, Westdijk J, van Oijen MG, Sundermann LC, van't Veld P, Sleeman E, van Nimwegen FW, Hamidi A, Kersten GF, van den Heuvel N, Hendriks JT, van der Pol LA. Inactivated polio vaccine development for technology transfer using attenuated Sabin poliovirus strains to shift from Salk-IPV to Sabin-IPV. Vaccine. 2011 Sep 22;29(41):7188-96. doi: 10.1016/j.vaccine.2011.05.079. Epub 2011 Jun 7.
PubMed 21651934Verdijk P, Rots NY, Bakker WA. Clinical development of a novel inactivated poliomyelitis vaccine based on attenuated Sabin poliovirus strains. Expert Rev Vaccines. 2011 May;10(5):635-44. doi: 10.1586/erv.11.51.
PubMed 21604984Verdijk P, Rots NY, van Oijen MG, Oberste MS, Boog CJ, Okayasu H, Sutter RW, Bakker WA. Safety and immunogenicity of inactivated poliovirus vaccine based on Sabin strains with and without aluminum hydroxide: a phase I trial in healthy adults. Vaccine. 2013 Nov 12;31(47):5531-6. doi: 10.1016/j.vaccine.2013.09.021. Epub 2013 Sep 21.
PubMed 24063976Verdijk P, Rots NY, van Oijen MG, Weldon WC, Oberste MS, Okayasu H, Sutter RW, Bakker WA. Safety and immunogenicity of a primary series of Sabin-IPV with and without aluminum hydroxide in infants. Vaccine. 2014 Sep 3;32(39):4938-44. doi: 10.1016/j.vaccine.2014.07.029. Epub 2014 Jul 18.
PubMed 25043278
Study at a glance
From the registry record, last updated by the sponsor on 21 Feb 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Double Blind Dose - Escalation, Randomized, Controlled, Phase I-II Trial to Evaluate Safety and Immunogenicity of Three Doses of Sabin-IPV and Adjuvanted Sabin-IPV in Healthy Infants
- ClinicalTrials.gov ID
- NCT01709071
- Acronym / sponsor ID
- NVI-256B
- Conditions
- Poliomyelitis
- Keywords
- Vaccination, Inactivated poliomyelitis vaccine, poliomyelitis, Sabin strains
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 140 participants (actual)
- Lead sponsor
- Pauline VerdijkOther government
- Collaborators
- World Health Organization
- Study start
- Feb 2012
- Primary completion
- Nov 2012 (actual)
- Study completion
- May 2013 (actual)
- First posted
- 17 Oct 2012 (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.
A new inactivated polio vaccine based on attenuated poliovirus strains was developed to transfer the technology to manufacturers in low- and middle-income countries. This vaccine was produced in different dosages and in different formulations. In healthy adults the safety of the highest dose was comparable to that of the existing inactivated polio vaccine. The purpose of this trial is to determine the safety of the different dosages and formulations of the vaccine in infants. The second goal of this study is to analyse the immune response after three doses in infants.
Detailed description
The goal of this study is to assess the safety and immunogenicity of Sabin-IPV and adjuvanted Sabin-IPV produced with the production process set up for technology transfer by the National Institute for Public Health and the Environment (RIVM, formerly the Netherlands Vaccine Institute (NVI).
- The primary objective is to evaluate safety (local and systemic reactions) of intramuscular injection with Sabin-IPV and adjuvanted Sabin-IPV in healthy infants.
- The secondary objective is to evaluate immunogenicity of three doses Sabin-IPV and adjuvanted Sabin-IPV in infants.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Low dose Sabin-IPV | Experimental | Drug: Low dose Sabin-IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 5, 8, 16 D-antigen units respectively of Sabin-1,-2 and -3 per dose. Infants receive three vaccinations with an interval of 8 weeks between doses. |
| Low dose adjuvanted Sabin-IPV | Experimental | Drug: Low dose adjuvanted Sabin-IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 2.5, 4, 8 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide. Infants receive three vaccinations with an interval of 8 weeks between doses. |
| Middle dose Sabin-IPV | Experimental | Drug: Middle dose Sabin-IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 10, 16, 32 D-antigen units respectively of Sabin-1,-2 and -3 per dose. Infants receive three vaccinations with an interval of 8 weeks between doses. |
| Middle dose adjuvanted Sabin-IPV | Experimental | Drug: Middle dose adjuvanted Sabin-IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 5, 8, 16 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide. Infants receive three vaccinations with an interval of 8 weeks between doses. |
| High dose Sabin-IPV | Experimental | Drug: High dose Sabin-IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 20, 32, 64 D-antigen units respectively of Sabin-1,-2 and -3 per dose. Infants receive three vaccinations with an interval of 8 weeks between doses. |
| High dose adjuvanted Sabin-IPV | Experimental | Drug: High dose adjuvanted Sabin-IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 10, 16, 32 D-antigen units respectively of Sabin-1,-2 and -3 per dose adjuvanted with 0.5 mg aluminium hydroxide. Infants receive three vaccinations with an interval of 8 weeks between doses. |
| Conventional IPV | Active comparator | Drug: IPVIntramuscular injection of 0.5 ml of Inactivated Poliomyelitis Vaccine containing 40, 8, and 32 D-antigen units respectively of Mahoney, MEF-1 and Saukett poliovirus per dose. Infants receive three injections with an interval of 8 weeks between doses. |
Who may qualify
- Ages
- 56 to 63 days
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Age 8 weeks (56-63 days) at the time of first vaccination
- Infants in good general health, eligible to be vaccinated according to the Polish national vaccination program. The same health criteria apply as used in well-baby clinics when a child receives a vaccination, e.g. also children with a small increase in temperature (< 38.5° C) or with a common cold (runny nose etc) are seen as children with normal health.
- The parent(s)/legally representative(s) have to be willing and able to allow their child to participate in the trial according to the described procedures
- Presence of a signed informed consent in which the parent(s)/legally representative(s) have given written informed consent after receiving oral and written information (signature from one parent in case of single-parent family).
Key exclusion criteria (12 listed)
- Any IPV or OPV dose
- Known or suspected allergy against any of the vaccine components
- History of unusual or severe reactions to any previous vaccination administration of plasma (including immunoglobulins) or blood products prior and during the study
- Any vaccination less than 14 days before or after each vaccination with the IMP
- History of any neurological disorder including epilepsy or febrile seizures
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 |
|---|---|---|
| IPVAlso: IPV (NVI), Inactivated poliomyelitis vaccine, Inactivated poliovirus vaccine, Inactivated polio vaccine | Drug | Conventional IPV |
| Low dose Sabin-IPV | Drug | Low dose Sabin-IPV |
| Low dose adjuvanted Sabin-IPV | Drug | Low dose adjuvanted Sabin-IPV |
| Middle dose Sabin-IPV | Drug | Middle dose Sabin-IPV |
| Middle dose adjuvanted Sabin-IPV | Drug | Middle dose adjuvanted Sabin-IPV |
| High dose Sabin-IPV | Drug | High dose Sabin-IPV |
| High dose adjuvanted Sabin-IPV | Drug | High dose adjuvanted Sabin-IPV |
Primary outcome
Number of adverse reactions following vaccination
Time frame: 5 days or until adverse reactions have resolved
1 secondary outcome
Level of virus neutralizing titers in serum
Time frame: 28 days after last 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 21 Feb 2014.
- Background: PubMed 21651934Bakker WA, Thomassen YE, van't Oever AG, Westdijk J, van Oijen MG, Sundermann LC, van't Veld P, Sleeman E, van Nimwegen FW, Hamidi A, Kersten GF, van den Heuvel N, Hendriks JT, van der Pol LA. Inactivated polio vaccine development for technology transfer using attenuated Sabin poliovirus strains to shift from Salk-IPV to Sabin-IPV. Vaccine. 2011 Sep 22;29(41):7188-96. doi: 10.1016/j.vaccine.2011.05.079. Epub 2011 Jun 7.
- Background: PubMed 21604984Verdijk P, Rots NY, Bakker WA. Clinical development of a novel inactivated poliomyelitis vaccine based on attenuated Sabin poliovirus strains. Expert Rev Vaccines. 2011 May;10(5):635-44. doi: 10.1586/erv.11.51.
- Background: PubMed 24063976Verdijk P, Rots NY, van Oijen MG, Oberste MS, Boog CJ, Okayasu H, Sutter RW, Bakker WA. Safety and immunogenicity of inactivated poliovirus vaccine based on Sabin strains with and without aluminum hydroxide: a phase I trial in healthy adults. Vaccine. 2013 Nov 12;31(47):5531-6. doi: 10.1016/j.vaccine.2013.09.021. Epub 2013 Sep 21.
- Derived from this study: PubMed 25043278Verdijk P, Rots NY, van Oijen MG, Weldon WC, Oberste MS, Okayasu H, Sutter RW, Bakker WA. Safety and immunogenicity of a primary series of Sabin-IPV with and without aluminum hydroxide in infants. Vaccine. 2014 Sep 3;32(39):4938-44. doi: 10.1016/j.vaccine.2014.07.029. Epub 2014 Jul 18.
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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.
Pauline Verdijk, PhD study director
National Institute for Public Health and the Environment (RIVM)
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing IPV, Low dose Sabin-IPV and Low dose adjuvanted Sabin-IPV in people with Poliomyelitis, run by Pauline Verdijk at 7 sites in Poland.
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 12 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 21 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in Poland. 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 combined 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.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Number of adverse reactions following vaccination (time frame: 5 days or until adverse reactions have resolved). 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 NCT01709071, which also lists 4 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 21 Feb 2014.