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Encephalitis, JapanesePhase 4NCT02880865

Immunogenicity and Safety of Japanese Encephalitis Vaccine When Given With Measles-Mumps-Rubella (MMR) Vaccine

A Phase 4 study testing Live attenuated SA 14-14-2 Japanese Encephalitis vaccine and Measles, mumps, rubella vaccine in people with Encephalitis, Japanese and Measles, run by PATH at 1 site in Philippines.

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

This study aims to provide evidence that co-administration of measles-mumps-rubella vaccine (MMR) and live attenuated SA 14-14-2 Japanese encephalitis vaccine (CD-JEV) does not adversely affect immunogenicity or safety. Read more about this study

Who is it for?
Ages 9 to 9 monthsHealthy volunteers can take part
Conditions the study is for
Encephalitis, Japanese, Measles, Mumps
What is being tested?
Live attenuated SA 14-14-2 Japanese Encephalitis vaccine and Measles, mumps, rubella vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
628 participants
Where
1 sitePhilippines
Study dates
13 Oct 2016to 11 Jul 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 9 to 9 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Age 9 months to < 10 months at the time of enrollment.
  • Residence in the study area.
  • At least one parent or guardian willing to provide written informed consent.
  • Generally healthy and free of obvious health problems as established by medical history, physical examination, and clinical judgment.
  • A parent or guardian is willing to attend all planned study visits and allow home visits and phone contacts, as required by the protocol.

Who cannot join

  • Previous receipt of any measles-mumps-rubella containing vaccine.
  • Previous receipt of any Japanese encephalitis vaccine.
  • History of measles, mumps, rubella, or Japanese encephalitis infection.
  • Administration of any other vaccine within 28 days prior to administration of a study vaccine or planned vaccination of any vaccine other than catch-up doses of routine EPI vaccines or oral polio vaccine during the 28 days after study vaccination.
  • History of allergic disease or known hypersensitivity to any component of the study vaccines and/or following administration of vaccines included in the local program of immunization.
  • Use of any investigational or non-registered drug within 90 days prior to the administration of study vaccines or planned administration during the study period.
Show all 13Show fewer
  • Administration of immunoglobulins and/or any blood products within 90 days prior to the administration of study vaccines or planned administration during the study period.
  • Chronic administration (defined as > 7 days) of immunosuppressing or other immune-modifying agents within 14 days before or after vaccination (including systemic corticosteroids equivalent to prednisone ≥ 0.5 mg/kg/day; topical and inhaled steroids are allowed).
  • Primary or acquired immunodeficiency, including human immunodeficiency virus (HIV) infection, or a family history of congenital or hereditary immunodeficiency as reported by parent.
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by medical history or physical examination, which might interfere with the study objectives.
  • Severely malnourished infants as measured by World Health Organization weight-for-height tables (Z-score < -3).
  • Any condition or criterion that, in the opinion of the study physician, might compromise the well-being of the participant, compliance with study procedures, or interpretation of the outcomes of the study.
  • Acute illness at the time of enrollment defined as the presence of a moderate or severe illness with fever (axillary temperature ≥ 38.0°C) or without fever (severity determined at the discretion of the study physician). Acute illness is a temporary exclusion. Vaccination should be postponed at least 7 days after recovery. A visit for reassessment may be scheduled 7 days or more after temporary exclusion illness is resolved. Eligibility for study participation must be reassessed again at the next visit.

Trial locations and contacts

1 site in 1 country.

Philippines1 site
  • Research Institute for Tropical Medicine

    Manila

Other trials in Philippines

About this study

Official title: Immunogenicity and Safety of Concurrent Administration of Live, Attenuated SA 14-14-2 Japanese Encephalitis Vaccine and Measles-Mumps-Rubella Vaccine in Infants 9-12 Months of Age in the Philippines

This study aims to provide evidence that co-administration of measles-mumps-rubella vaccine (MMR) and live attenuated SA 14-14-2 Japanese encephalitis vaccine (CD-JEV) does not adversely affect immunogenicity or safety.

Read the detailed description

When incorporating a new vaccine in the Expanded Programme on Immunization (EPI), it is important to provide evidence that it can be introduced concurrently with other routine pediatric vaccines without significantly impairing the immune response to any vaccine while maximizing coverage and minimizing cost. This non-inferiority study aims to compare CD-JEV and MMR responses in a population of children in a country where MMR introduction is ongoing or planned. This information will help the ministries of health evaluate the addition of CD-JEV into routine EPI.

Being tested
Live attenuated SA 14-14-2 Japanese Encephalitis vaccine, Measles, mumps, rubella vaccine
Keywords
vaccine
Medical subject headings
Encephalitis, Japanese, Measles, Mumps, Rubella

What participants receive

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

  • Live attenuated SA 14-14-2 Japanese Encephalitis vaccineBiological

    Also called CD-JEV, CD.JEVAX®, RS.JEV®

    Single 0.5 mL dose of World Health Organization prequalified live, attenuated SA 14-14-2 JE vaccine manufactured by Chengdu Institute of Biological Products, Chengdu, China, administered by subcutaneous injection

  • Measles, mumps, rubella vaccineBiological

    Also called MMR, Priorix®

    Single 0.5 mL dose of live, attenuated measles-mumps-rubella vaccine (Schwarz measles virus, RIT 4385 mumps strain, and Wistar RA 27/3 rubella virus) manufactured by GlaxoSmithKline, Inc., administered by subcutaneous injection.

Study groups in NCT02880865
Study groupRoleWhat they receive
Group 1 - MMR and CD-JEVExperimentalParticipants receiving one dose of CD-JEV vaccine and one dose of MMR vaccine concurrently at Day 0; Group 1 will also receive a second dose of MMR per the routine immunization schedule at Day 84 (12 months of age).
Receives: Biological: Live attenuated SA 14-14-2 Japanese Encephalitis vaccine; Biological: Measles, mumps, rubella vaccine
Group 2 - MMR then CD-JEVExperimentalParticipants receiving one dose of MMR vaccine at Day 0 and one dose of CD-JEV 56 days later. Group 2 will receive a second dose of MMR per the routine immunization schedule at Day 84 (12 months of age).
Receives: Biological: Live attenuated SA 14-14-2 Japanese Encephalitis vaccine; Biological: Measles, mumps, rubella vaccine

What is being measured

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

  1. Percentage of Participants With Measles Seropositivity 56 Days Post-vaccination

    Measles immunogenicity was assessed by the percentage of participants with demonstrated seropositivity for measles at 56 days post-vaccination. Seropositivity was defined by a concentration of ≥ 120 mIU/mL of anti-measles neutralizing antibody titer, as measured by the plaque reduction neutralization test (PRNT) (dilution converted to concentration using the 3rd International Standard Reference serum).

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  2. Percentage of Participants With Rubella Seropositivity 56 Days Post-vaccination

    Rubella immunogenicity was assessed by the percentage of participants with demonstrated seropositivity for rubella at 56 days post-vaccination. Seropositivity was defined as antirubella immunoglobulin G (IgG) concentration of ≥ 10 IU/mL (corresponding to an optical density ratio ≥ 1.10) using a commercial IgG enzyme-linked immunosorbent assay (ELISA).

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

Secondary outcomes (14)
  1. Percentage of Participants With Mumps Seropositivity 56 Days Post-vaccination

    Mumps immunogenicity was assessed by the percentage of participants with demonstrated seropositivity for mumps at 56 days post-vaccination. Seropositivity was defined as an optical density ratio ≥ 1.10 using a commercial ELISA.

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  2. Geometric Mean Concentration (GMC) for Anti-measles Neutralizing Antibody Concentration at 56 Days Post-vaccination

    Anti-measles neutralizing antibody concentration was measured by the plaque reduction neutralization test (PRNT).

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  3. GMC for Anti-rubella IgG Antibody Concentration at 56 Days Post-vaccination

    Anti-rubella immunoglobulin G (IgG) concentration was measured using a commercial IgG enzyme-linked immunosorbent assay (ELISA).

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  4. Seroconversion Rate for Measles 56 Days Post-vaccination

    The seroconversion rate for measles at 56 days post-vaccination was defined as the percentage of participants with a change in serostatus from negative to positive 56 days after vaccination or a four-fold rise in concentration 56 days after vaccination if seropositive for measles at baseline. Seropositivity was defined by a concentration of ≥ 120 mIU/mL of anti-measles neutralizing antibody titer, as measured by the plaque reduction neutralization test (PRNT).

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  5. Seroconversion Rate for Mumps 56 Days Post-vaccination

    The seroconversion rate for mumps at 56 days post-vaccination was defined as the percentage of participants with a change in serostatus from negative to positive 56 days after vaccination. Seropositivity was defined as an optical density ratio ≥ 1.10, measured using a commercial ELISA. Participants with equivocal serostatus at baseline are counted as non-responders.

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  6. Seroconversion Rate for Rubella 56 Days Post-vaccination

    The seroconversion rate for rubella at 56 days post-vaccination was defined as the percentage of participants with a change in serostatus from negative to positive 56 days after vaccination or a four-fold rise in concentration 56 days after vaccination if seropositive for rubella at baseline. Seropositivity is defined as a post-vaccination concentration of ≥ 10 IU/mL measured using a commercial ELISA.

    Measured: 56 days after MMR dose 1 vaccination (Day 56)

  7. Percentage of Participants With Japanese Encephalitis Seropositivity 28 Days Post-vaccination

    Japanese encephalitis (JE) immunogenicity was assessed by the percentage of participants with demonstrated seropositivity 28 days after CD-JEV vaccination. Seropositivity was defined as an anti-JE serum neutralizing antibody titer of ≥ 1:10, as measured by JE PRNT-50.

    Measured: 28 days after CD-JEV vaccination (Day 28 for Group 1 and Day 84 for Group 2)

  8. Geometric Mean Titer (GMT) for Serum Neutralizing Antibody Titer to JE Virus at 28 Days Post-vaccination

    Anti-JE serum neutralizing antibody titer was measured using JE PRNT-50.

    Measured: 28 days after CD-JEV vaccination (Day 28 for Group 1 and Day 84 for Group 2)

  9. Number of Participants With Immediate Reactions Within 30 Minutes of Each Vaccination

    Participants were observed for 30 minutes after each vaccination for immediate reactions. Immediate reactions included both local (injection site) and systemic reactions. MMR vaccine was injected on left upper thigh and CD-JEV was injected on right upper thigh.

    Serious reactions were those meeting one of the following conditions:

    • Death.
    • Life threatening
    • Required inpatient hospitalization or prolongation of existing hospitalization.
    • Resulted in a persistent or significant disability or incapacity.
    • Important medical events that, based upon appropriate medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed above.

    Measured: 30 minutes following each study vaccination

  10. Number of Participants With Solicited Local and Systemic Reactions Within 14 Days of Each Vaccination

    Reactogenicity post-vaccination was assessed from 30 minutes through 14 days following vaccination.

    Parents used a structured reactogenicity diary card to record the following solicited (pre-listed) local and system reactions.

    Local reactions (at injection site):

    • Ecchymosis (bruising)
    • Erythema (redness)
    • Edema (swelling)
    • Induration (hardness)
    • Pain/tenderness

    Systemic reactions:

    • Fever
    • Rash
    • Cough
    • Runny nose
    • Change in eating habits
    • Diarrhea
    • Sleepiness
    • Irritability
    • Unusual crying
    • Vomiting

    Measured: 30 minutes through 14 days following each vaccination

  11. Number of Participants With Solicited Local Reactions Within 14 Days of Each Vaccination by Maximum Severity

    Parents recorded local reactions on a diary card.

    Local ecchymosis, erythema, edema, and induration were graded as follows:

    Grade 1: ≤2.5 cm in diameter.

    Grade 2: >2.5 cm in diameter with 50% of surface area of extremity segment involved.

    Grade 3: ≥50% surface area of extremity segment involved OR ulceration OR secondary infection OR phlebitis OR sterile abscess OR drainage.

    Grade 4: potentially life-threatening (e.g., abscess, exfoliative dermatitis, necrosis involving dermis or deeper tissue).

    Injection site pain/tenderness (pain without touching or tenderness when the area is touched) were graded as follows:

    Grade 1: pain/tenderness causing no or minimal limitation of use of limb. Grade 2: pain/tenderness causing greater than minimal limitation of use of limb.

    Grade 3: pain/tenderness causing inability to perform usual social and functional activities.

    Grade 4: pain/tenderness causing inability to perform basic self-care OR hospitalization indicated.

    Measured: 30 minutes through 14 days following each vaccination

  12. Number of Participants With Systemic Reactions Within 14 Days of Each Vaccination by Maximum Severity

    Parents recorded systemic reactions on a diary card.

    Fever was recorded and graded as follows (axillary temperature):

    Grade 1: 37.5°C to 37.9°C

    Grade 2: 38.0°C to 38.4°C

    Grade 3: 38.5°C to 40.0°C

    Grade 4: >40.0°C

    Rash, cough, runny nose, change in eating habits, diarrhea, sleepiness, irritability, unusual crying, vomiting, and any other unsolicited reaction occurring from 30 minutes through 14 days post vaccination were graded as follows:

    Grade 1: symptoms causing no or minimal interference with usual social and functional activities.

    Grade 2: symptoms causing greater than minimal interference with usual social and functional activities.

    Grade 3: symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated.

    Grade 4: symptoms causing inability to perform basic self-care functions OR medical or operative intervention indicated to prevent permanent impairment, persistent disability, or death.

    Measured: 30 minutes through 14 days following each vaccination

  13. Number of Participants With Unsolicited Adverse Events Within 28 Days of Each Vaccination

    Each adverse event (AE) was assessed for relationship to vaccine by the study clinician according to the following:

    Definitely Related: An adverse event or unanticipated problem clearly related to the research procedures.

    Possibly Related: There is a reasonable possibility that the adverse event or unanticipated problem, incident, experience, or outcome may have been caused by the procedures involved in the research.

    Not Related: Any adverse event or unanticipated problem clearly not related to study procedures.

    Related adverse events includes events that were assessed as definitely or possibly related.

    Measured: 28 days following each vaccination

  14. Number of Participants With Serious Adverse Events Throughout the Study

    A serious adverse event (SAE) was defined as an AE that met one of the following:

    • Death
    • Life threatening
    • Required inpatient hospitalization or prolongation of existing hospitalization
    • Resulted in persistent or significant disability or incapacity
    • Important medical events that, based upon appropriate medical judgment, jeopardized the participant and required medical or surgical intervention to prevent an outcomes listed above

    AEs were assessed for relationship to vaccine by the study clinician according to the following:

    Definitely Related: An AE or unanticipated problem clearly related to the research procedures.

    Possibly Related: There is a reasonable possibility that the AE or unanticipated problem, incident, experience, or outcome may have been caused by the procedures involved in the research.

    Not Related: Any AE or unanticipated problem clearly not related to study procedures.

    Related SAEs includes events that were assessed as definitely or possibly related.

    Measured: Up to 112 days

Timeline

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

  1. First posted26 Aug 2016 (estimated)
  2. Study start13 Oct 2016
  3. Primary completion19 May 2017
  4. Study completion11 Jul 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
None (open label)
Enrolment
628 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02880865
Sponsor's protocol ID
JEV06
Other IDs
PHRR160822-001339
Status last verified
Mar 2020
First submitted
17 Aug 2016
Last updated
14 Oct 2020
Data monitoring committee
Yes
Individual data sharing
No: The study team agrees that the practice of offering study results to participants in human research is fundamental to the ethical principle of respect for persons. However, the sponsor prefers to report at the aggregate level to maintain participant confidentiality and ensure results are community-based. Thus, the sponsor plans to report results at the aggregate level. The sponsor will produce a poster of the results to be placed at each health center. A community meeting may also be held to communicate the results. Aggregate results will also be posted on www.clinicaltrials.gov.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Live attenuated SA 14-14-2 Japanese Encephalitis vaccine and Measles, mumps, rubella vaccine in people with Encephalitis, Japanese and Measles, run by PATH at 1 site in Philippines.

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 5 inclusion and 13 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 14 Oct 2020. 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 Philippines. 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 18 Sep 2020). 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 Measles Seropositivity 56 Days Post-vaccination (time frame: 56 days after MMR dose 1 vaccination (Day 56)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 14 Oct 2020.

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