PCV24 Clinical Trial in Infants and Young Children Aged 2 Months (Minimum 6 Weeks) to 71 Months

Phase
Recruitment status
Participants
Lead sponsor
Reinovax Biologics Co., LTD
Start date
Number of sites

Summary
The Phase II clinical trial of the 24-valent pneumococcal polysaccharide conjugate vaccine (RZ700) will be carried out in infants and young children aged 2 months (minimum 6 weeks) to 71 months. The purpose of this study is to evaluate the immunogenicity and safety of the 24-valent pneumococcal polysaccharide conjugate vaccine.
Short title
PCV24 Clinical Trial in Infants and Young Children Aged 2 Months (Minimum 6 Weeks) to 71 Months
Official title
Phase II Clinical Trial to Evaluate the Immunogenicity and Safety of A 24-Valent Pneumococcal Polysaccharide Conjugate Vaccine (RZ700) in Infants and Young Children Aged 2 Months (Minimum 6 Weeks) to 71 Months

Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Reinovax Biologics Co., LTD
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Prevention
Masking
Triple masking
Masked roles
Care providers, Investigators, Outcome assessors
Sources for study design

  1. Proportion of subjects with the pneumococcal serotype-specific IgG antibody concentration ≥0.35 μg/ml.

    Timeframe: 30 days post the primary and booster immunization.

    Proportion of subjects with the pneumococcal serotype-specific IgG antibody concentration ≥0.35 μg/ml.

  1. The proportion of subjects with serum IgG antibody concentration ≥1.0 μg/ml against 24 serotypes of Streptococcus pneumoniae.

    Timeframe: 30 days after completion of the primary immunization schedule

    The proportion of subjects aged 2 months (minimum 6 weeks old) and 7\~71 months old with serum IgG antibody concentration ≥1.0 μg/ml against 24 serotypes of Streptococcus pneumoniae.

  2. Pneumococcal serotype-specific IgG antibody geometric mean fold rise (GMFR) against 24 serotypes post immunization compared with pre-immunization.

    Timeframe: 30 days after completion of the primary immunization schedule.

    Pneumococcal serotype-specific IgG antibody geometric mean fold rise (GMFR) against 24 serotypes in subjects aged 2 months (minimum 6 weeks old) and 7\~71 months old compared with pre-immunization.

  3. Pneumococcal serotype-specific IgG antibody geometric mean concentration (GMC) .

    Timeframe: 30 days after completion of the primary immunization schedule

    Pneumococcal serotype-specific IgG antibody geometric mean concentration (GMC) for each serotype (1, 2, 3, 4, 5, 6A, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, and 33F) in subjects aged 2 months (minimum 6 weeks old) and 7\~71 months old at 30 days after completion of the primary immunization.

  4. The proportion of subjects with serum IgG antibody concentration ≥1.0 μg/ml against 24 serotypes of Streptococcus pneumoniae.

    Timeframe: 30 days after completion of the booster immunization schedule

    The proportion of subjects aged 2 months (minimum 6 weeks old) and 7\~11 months old with serum IgG antibody concentration ≥1.0 μg/ml against 24 serotypes of Streptococcus pneumoniae.

  5. The proportion of subjects with serum MOPA titer ≥1:8 against Streptococcus pneumoniae.

    Timeframe: 30 days after vaccination

    The proportion of subjects in the MOPA testing subgroup aged 24\~71 months with serum MOPA titer ≥1:8 against Streptococcus pneumoniae.

  6. Geometric Mean Titer (GMT) of pneumococcal serotype-specific MOPA antibodies in serum.

    Timeframe: 30 days after vaccination

    Pneumococcal serotype-specific MOPA geometric mean titer (GMT) in serum of subjects aged 24\~71 months in the MOPA testing subgroup.

  7. Pneumococcal serotype-specific MOPA geometric mean titer fold rise (GMFR) in serum.

    Timeframe: 30 days after vaccination

    Pneumococcal serotype-specific MOPA geometric mean titer fold rise (GMFR) in serum of subjects aged 24\~71 months in the MOPA testing subgroup.

  8. Incidence rate of all adverse events (AEs).

    Timeframe: Within 30 days after each dose of vaccination

    Incidence rate of all adverse events (AEs) within 30 minutes, 7 days, and 30 days after each dose of vaccination in each age group.

  9. Occurrence of serious adverse events (SAEs) and adverse events of special interest (AESIs).

    Timeframe: From the first dose of vaccination to 6 months after completion of the full vaccination course

    12\~71 months old: Occurrence of serious adverse events (SAEs) and adverse events of special interest (AESIs).

  10. Occurrence of serious adverse events (SAEs) and adverse events of special interest (AESIs).

    Timeframe: From the first dose of the primary immunization course to 6 months after completion of the booster immunization

    2 months old (minimum 6 weeks old)and 7 to 11 months old: Occurrence of serious adverse events (SAEs) and adverse events of special interest (AESIs).

Sources for outcomes

Sex
All
Age groups
Children
Minimum age
6 Weeks
Maximum age
71 Months
Healthy volunteers
Yes

  • Healthy subjects aged 2 months (minimum 6 weeks) and 7-71 months, whose guardians can provide valid identification documents for both the subjects and themselves, as well as proof of their guardianship relationship.
  • The guardians of the subjects voluntarily agree to their participation in this trial, sign the Informed Consent Form (ICF), and are willing to comply with all requirements of this clinical trial protocol.
  • The guardians of the subjects have the ability to understand the trial procedures (non-illiterate).

  • Subjects who have received any type of pneumococcal vaccine prior to enrollment, plan to receive a pneumococcal vaccine during the trial, or have a history of invasive diseases caused by Streptococcus pneumoniae (confirmed by any clinical, serological, or microbiological method).
  • Subjects with abnormal physical examination results that are deemed clinically significant by a clinician.
  • Subjects with suspected or confirmed fever (axillary temperature ≥ 37.5℃) within 3 days prior to enrollment; or those with an axillary temperature ≥ 37.5℃ on the day before the first dose of vaccination.
  • Subjects with a history of acute illness, acute exacerbation of chronic illness, systemic use of antibiotics or antiviral drugs within 3 days prior to the first dose of vaccination; or those who have taken antipyretic, analgesic, or antiallergic drugs (e.g., acetaminophen, ibuprofen, loratadine, cetirizine, etc.) within 3 days prior to the first dose of vaccination.
  • Subjects with a history of allergy to any component of the study vaccine, any vaccine containing tetanus toxoid, or a previous history of severe allergy to any vaccine or drug (including but not limited to anaphylactic shock, allergic laryngeal edema, allergic purpura, immune thrombocytopenic purpura, local allergic necrotizing reaction, dyspnea, angioedema, etc.); or a previous history of the aforementioned severe adverse reactions following the use of any vaccine or drug.
  • Subjects who have received inactivated vaccines, subunit vaccines, or recombinant vaccines within 7 days prior to enrollment; or live attenuated vaccines, adenovirus vector vaccines, etc., within 14 days prior to enrollment.
  • Subjects who have received any other investigational drugs within 3 months prior to enrollment or plan to use them during the trial; those who have received whole blood, plasma, or blood products (e.g., immunoglobulin therapy) within 3 months prior to enrollment or plan to receive such treatments during the trial.
  • Subjects with a history of thrombocytopenia, idiopathic thrombocytopenic purpura, or other coagulation disorders diagnosed by a hospital; or a history of receiving anticoagulant therapy.
  • Subjects with a known current or past history of infectious diseases diagnosed by a hospital, such as active tuberculosis, hepatitis B, hepatitis C, HIV infection, etc.
  • Subjects with known or suspected severe chronic diseases (e.g., liver and kidney diseases, malignant tumors, infectious or allergic skin diseases, hemolytic uremic syndrome); or those whose condition is in the progressive stage and cannot be stably controlled.
  • Infants aged 2 months (minimum 6 weeks) and 7-11 months with abnormal birth weight (<2500g), abnormal gestational age (<37 weeks or >42 weeks), abnormal delivery (dystocia, instrumental delivery), or a history of asphyxia or neuroorganic damage.
  • Infants aged 2 months (minimum 6 weeks) and 7-11 months with severe eczema or severe jaundice (grade 3 or above).
  • Subjects with severe congenital malformations, developmental disorders, genetic defects, severe malnutrition, or severe chronic diseases (e.g., tetralogy of Fallot, tricuspid atresia, Down syndrome, sickle cell anemia, etc.).
  • Subjects with neurological diseases or neurodevelopmental disorders (e.g., febrile convulsions, epilepsy, encephalopathy, focal neurological deficits, encephalomyelitis or transverse myelitis, Guillain-Barré syndrome); or a history of mental illness in the subjects themselves or their biological parents.
  • Subjects with a history of congenital or acquired immunodeficiency, immunosuppression, or autoimmune diseases; or those who have received immunomodulatory therapy within 6 months (e.g., immunosuppressive doses of glucocorticoids [dosage reference: equivalent to prednisone ≥0.5mg/kg/day for more than 2 weeks], monoclonal antibodies, thymopeptides, interferons, etc.); or plan to receive such treatments from enrollment to 30 days after the last dose of vaccination. Topical medications (e.g., ointments, eye drops, inhalants, or nasal sprays) are permitted.
  • Subjects with asplenia, functional asplenia, or asplenia/resplenectomy caused by any condition.
  • Subjects whose guardians may be unable to comply with trial procedures, adhere to agreements, plan to permanently relocate from the region before the trial is completed, or be away from the local area for a long time during scheduled visits.
  • Researchers believe that the subject has any other factors that make them unsuitable for participating in the clinical trial, such that continued participation cannot ensure the subject's maximum benefit.
Sources for eligibility

  • Luzhou District Center for Disease Control and PreventionChangzhi, China
  • Qinxian County Center for Disease Control and PreventionChangzhi, China
  • Kuangqu District Center for Disease Control and Prevention of Yangquan CityYangquan, China
  • Xinjiang County Center for Disease Control and PreventionYuncheng, China
  • Jishan County Center for Disease Control and PreventionYuncheng, China
  • Yongji City Center for Disease Control and PreventionYuncheng, China
  • Shangdang District Center for Disease Control and Prevention of Changzhi CityYuncheng, China
Sources for sites

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