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AzTrials

Diptheria ImmunizationPhase 3NCT06413121

Clinical Study to Assess the Immunogenicity and Safety of Hexavalent Vaccine Containing Reduced Dose IPV

A Phase 3 study testing Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV and Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV in people with Diptheria Immunization and Tetanus Immunization, run by Serum Institute of India Pvt. Ltd. at 11 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

In 2012, the World Health Assembly (WHA) endorsed the proposed Polio Endgame Strategy, which includes withdrawal of the Sabin-virus type 2 antigen-responsible for an estimated 95% of vaccine derived cases of polio by replacing the trivalent Oral Polio Vaccine (OPV) in the routine immunization schedule with a bivalent… Read more about this study

Who is it for?
Ages 6 to 8 weeksHealthy volunteers can take part
What is being tested?
Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV and Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,557 participants
Where
11 sitesin 2 countries
Study dates
9 May 2024to 20 Feb 2026
Phase
Phase 3
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 to 8 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Male or female infants aged 6-8 weeks at the time of first vaccination.
  • Infants with good health, as determined by the medical history, physical examination and clinical judgment of the Investigator.
  • Informed consent form signed by at least one parent.
  • Infants born at full term pregnancy (≥ 37 weeks).
  • Infants with weight-for-length z-score ≥ -2 standard deviation (SD) at the time of enrolment.
  • Willingness of subjects' parent to comply with the requirements of the protocol.

Who cannot join

  • History of diphtheria/ tetanus/ pertussis/ hepatitis B/ Haemophilus Influenzae type b/ poliomyelitis infection(s).
  • Presence of fever ≥ 38°C/ 100.4°F.
  • Acute illness of moderate to severe intensity according to the clinical judgment of the investigator .
  • Receipt of antibiotics in the past 3 days
  • Previous vaccination or planned receipt of any vaccine against diphtheria, tetanus, pertussis, hepatitis B (except birth dose), poliomyelitis (except OPV birth dose) or Haemophilus Influenzae type b infection apart from trial vaccines during the study period.
  • Administration of any vaccine (except OPV during government immunization campaign) in the 4 weeks preceding the first trial vaccination.
Show all 17Show fewer
  • History of major congenital defects or illness that require medical therapy, as determined by medical history or clinical assessment.
  • History of any clinically significant chronic disease that in the opinion of the Investigator, might interfere with the evaluation of the study objectives.
  • History of anaphylaxis, or any serious vaccine reaction, or hypersensitivity/allergy to any vaccine or components of study vaccine.
  • Infants with known or suspected impairment of the immune function, or those receiving immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy or received immunosuppressive therapy prior to study entry
  • Presence of evolving or changing neurological disorder or infant with a history of seizures and/or encephalopathy.
  • Known thrombocytopenia or a bleeding disorder.
  • Known personal or maternal history of HIV, Hepatitis B or Hepatitis C seropositivity.
  • Planned surgery during the study.
  • Receipt of blood or blood-derived products or immunoglobulins or planned administration during the trial which might interfere with the assessment of the immune response.
  • Participation in another clinical trial 4 weeks preceding the trial enrolment or planned participation during the present trial period in another clinical trial.
  • Infants whose families are planning to leave the area of the study site before the end of the study period.

Trial locations and contacts

11 sites in 2 countries.

11 sites in 2 countries

India8 sites
  • Post Graduate Institute of Medical Education and Research (PGIMER)

    Chandigarh, Chandigarh, 160012

  • Sri Ramachandra Medical Centre, Chennai

    Chennai, Tamil Nadu, 600116

  • Institute of Child Health, Kolkata

    Kolkata, West Bengal, 700017

  • Manipal Academy of Higher Education, Manipal

    Mangalore, Karnataka, 576104

  • JSS Medical College and Hospital

    Mysore, Karnataka, 570004

  • Hamdard Institute of Medical Sciences and Research (HIMSR) with Centre for health research & Development, Society for applied studies, Hakeem Abdul Hameed Centenary Hospital (HAHCH)

    New Delhi, National Capital Territory of Delhi, 110062

  • Bharati Vidyapeeth Medical College and Hospital, Pune

    Pune, Maharashtra, 411043

  • KEM Hospital and Research Centre, Vadu

    Pune, Maharashtra, 412216

Other trials in India

Bangladesh3 sites
  • International Centre for Diarrhoeal Disease Research, Bangladesh (Icddr,b), Matlab Field office, MHRC Internal Road, Matlab Bazar

    Chāndpur, 3640

  • International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Kamalapur Field office, Lichubagan Rd

    Dhaka, Dhaka Division, 1204

  • International Centre for Diarrhoeal Disease Research, Bangladesh (Icddr,b), Clinical Trial Unit (CTU), Adjacent to the main center, 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka

    Dhaka, Dhaka Division, 1212

Other trials in Bangladesh

About this study

Official title: An Observer-blind, Randomized, Active-controlled, Multi-centric Phase III Study to Assess Immunogenicity and Safety of Hexavalent (DTwP-Hepatitis B-IPV-Hib) Vaccine Containing Reduced Dose IPV in Comparison With HEXASIIL®

In 2012, the World Health Assembly (WHA) endorsed the proposed Polio Endgame Strategy, which includes withdrawal of the Sabin-virus type 2 antigen-responsible for an estimated 95% of vaccine derived cases of polio by replacing the trivalent Oral Polio Vaccine (OPV) in the routine immunization schedule with a bivalent OPV that lacks the type 2 Sabin virus. Since the WHA resolution, all countries that were solely using OPV have either introduced Inactivated Polio Vaccine (IPV) into their routine immunization schedule or decided to introduce IPV but have been unable to secure supply. The global demand for IPV has therefore substantially increased in just a few years. Many initiatives are ongoing to meet the increasing demand for IPV. One potential approach is the reduction of the amount of antigen per vaccine dose. Therefore, to enhance the affordability, effectiveness and accessibility of IPV.

SIIPL has manufactured hexavalent combination vaccine containing diphtheria, tetanus, pertussis, hepatitis B, Haemophilus influenzae type b and a reduced dose of three IPV antigens.

Based on available published data, reduction of the antigen content of each of the three poliovirus types in IPV is feasible, without substantially compromising the immunogenicity of the vaccine. Advantages of a reduction in antigen content are two-fold: increased availability of IPV and reduced cost, both of major importance for the global eradication programme.

Read the detailed description

This is an observer-blind, randomized, active-controlled, multi-centric study in healthy infants and toddlers to assess the immunogenicity and safety of SIIPL reduced IPV hexavalent vaccine in comparison with the licensed SIIPL HEXASIIL® vaccine.

One thousand five hundred and fifty-seven infants aged 6-8 weeks (42 to 56 days, both days inclusive) will be randomized in a 2:1 ratio (1038 infants in SIIPL reduced IPV hexavalent group and 519 in SIIPL HEXASIIL® group), to receive a 3-dose primary vaccination series followed by their booster doses, respectively. The safety and immunogenicity data collected up to 28 days following third vaccination i.e., Visit 7, shall be submitted to the regulatory authority. All subjects will be followed up further for booster dose. After Visit 7 (i.e., 28 days following completion of primary vaccination series) subjects will be followed up for safety every 3 months starting from the age of 6 months (i.e., at 6, 9, 12, 15, 18, and 21 months of age) until they receive the booster dose anytime between 12-24 months. There will be post booster follow up visit (EOS visit) 28 days after the booster immunization i.e., Visit 10 to assess the safety and post booster immunogenicity.

Being tested
Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV, Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV

What participants receive

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

  • Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPVBiological

    Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV for active immunization of infants as 3 dose regimen (6, 10 \& 14 weeks) for primary vaccination and booster dose at the age of 12-24 months.

  • Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPVBiological

    Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV for active immunization of infants as 3 dose regimen (6, 10 \& 14 weeks) for primary vaccination and booster dose at the age of 12-24 months.

Study groups in NCT06413121
Study groupRoleWhat they receive
Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPVExperimentalHexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV for active immunization of infants, as a 3 dose regimen (6, 10 \& 14 weeks) for primary vaccination and booster dose at the age of 12-24 months.
Receives: Biological: Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV
Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPVActive comparatorHexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV for active immunization of infants, as a 3 dose regimen (6, 10 \& 14 weeks) for primary vaccination and booster dose at the age of 12-24 months.
Receives: Biological: Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV

What is being measured

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

  1. Non-inferiority of SIIPL reduced IPV hexavalent vaccine in comparison with SIIPL HEXASIIL® vaccine.

    Percentage of infants achieving seroprotection for diphtheria, tetanus, hepatitis B, Haemophilus influenzae type b, poliovirus types 1, 2 \& 3, seroresponse for anti-B. pertussis and seroconversion for anti-pertussis toxin, 28 days post completion of a 3-dose primary vaccination series.

    Measured: 28 days post completion of 3-dose primary vaccination series in infants.

Secondary outcomes (2)
  1. Assessment of occurrence, severity, and relationship of adverse events (AEs)

    local and systemic solicited AEs, unsolicited AEs and serious adverse events (SAEs)

    Measured: Local and systemic solicited AEs occurring up to 7 days following each vaccination, unsolicited AEs and SAEs till 28 days post completion of a 3-dose primary vaccination series.

  2. Assessment of immunogenicity of SIIPL reduced IPV hexavalent vaccine with the comparator vaccine, SIIPL HEXASIIL® and to assess lot-to-lot consistency among 3 lots of SIIPL reduced IPV Hexavalent vaccine

    Geometric mean concentrations/ Geometric mean titres (GMCs/GMTs) for anti diphtheria, anti-tetanus, anti-B. pertussis, anti-pertussis toxin, anti-HBsAg, anti- polyribosylribitol phosphate (PRP) and anti-polio types 1, 2 \& 3 antibodies, 28 days post completion of the 3 dose primary vaccination series in infants.

    Measured: 28 days post completion of the 3-dose primary vaccination series in infants.

Timeline

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

  1. First posted14 May 2024
  2. Study start9 May 2024
  3. Primary completion4 Mar 2025
  4. Study completion20 Feb 2026

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,557 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06413121
Sponsor's protocol ID
SII-wHEXA/IN-03
Status last verified
Jun 2026
First submitted
3 May 2024
Last updated
1 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Summary results for primary and secondary objectives

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Reduced Dose IPV and Hexavalent (DTwP-HepB-IPV-Hib) Vaccine Containing Full Dose IPV in people with Diptheria Immunization and Tetanus Immunization, run by Serum Institute of India Pvt. Ltd. at 11 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 6 inclusion and 17 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 1 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in India, Bangladesh. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

Non-inferiority of SIIPL reduced IPV hexavalent vaccine in comparison with SIIPL HEXASIIL® vaccine. (time frame: 28 days post completion of 3-dose primary vaccination series in infants.). 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 1 Jul 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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