ISRCTN ISRCTN56766232
DOI https://doi.org/10.1186/ISRCTN56766232
Secondary identifying numbers 2009/04
Submission date
13/04/2010
Registration date
07/05/2010
Last edited
24/02/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Andrew Pollard
Scientific

University of Oxford
Rm 02-46-07
Childrens Hospital
John Radcliffe
Oxford
OX3 9DU
United Kingdom

Phone +44 (0)1865 234226
Email andrew.pollard@paediatrics.ox.ac.uk

Study information

Study designSingle-centre interventional unblinded randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised open-label immunogenicity study of the 10 Valent Pneumococcal vaccine (PCV10) given as part of the routine infant immunisation schedule to children in Kathmandu, Nepal
Study acronymPCV10
Study objectivesA 2+1 schedule of the 10 valent pneumococcal conjugate vaccine will provide a good serological response and that this will be non-inferior to a 3+0 schedule.
Ethics approval(s)1. Oxford Tropical Research Ethics Committee (OxTREC) approved on the 4th December 2009 (ref: 61/09)
2. Nepal Health Research Council Ethics Committee approved on the 21st January 2010 (ref: 807)
Health condition(s) or problem(s) studiedPneumococcus
Intervention1. The proportion of participants with vaccine pneumococcal serotype-specific IgG antibody concentrations greater than or equal to 0.2 micrograms/mL at 18 weeks of age, 1 month following primary immunisation with PCV10 at 6, 10 and 14 weeks (3 + 0 group) and the proportion of participants with vaccine pneumococcal serotype-specific IgG antibody concentrations greater than or equal to 0.2 micrograms/mL at 18 weeks of age, 1 month following primary immunisation with PCV10 at 6 and 14 weeks of age (2 + 1 group) and to demonstrate non-inferiority (within 10% levels) of the 2 + 1 group versus 3 + 0 group for this proportion for each of serotypes 1, 5 and 14.
2. The proportion of participants with vaccine pneumococcal serotype-specific IgG antibodies greater than or equal to 0.2 micrograms/mL at 18 weeks and 10 months of agefor each of the three study groups
3. The proportion of participants with vaccine pneumococcal serotype-specific opsonophagocytic activity greater than or equal to 8 at 18 weeks and 10 months of age for each of the three study groups
4. The vaccine pneumococcal serotype-specific geometric mean IgG antibody concentrations at 18 weeks and 10 months of age in infants in each of the three study groups
5. The vaccine pneumococcal serotype-specific geometric mean opsonophagocytic titres at 18 weeks and 10 months of age in infants in each of the three study groups
6. The proportion of participants in the 2+1 group with vaccine pneumococcal serotype-specific IgG antibody concentrations greater than or equal to 0.2 micrograms/mL prior to receiving a booster at 9 months of age
7. The proportion of participants in the 2+1 group with vaccine pneumococcal serotype opsonophagocytic activity titre greater than or equal to 8 prior to receiving a booster dose of PCV10 at 9 months of age
8. The vaccine pneumococcal serotype-specific geometric mean opsonophagocytic titres and geometric mean IgG antibody concentrations in infants in the 2+1 group prior to receiving a booster dose of PCV10 at 9 months of age
9. The nasopharyngeal pneumococcal serotype-specific carriage rates, at 9 months of age, following immunisation with a PCV10 i.e. post-dose 3 in 3+0 schedule, post-dose 2 in 2+1 schedule and those not receiving the pneumococcal vaccine
10. Protein D-specific IgG antibody geometric mean concentrations in infants in the control and 3+0 groups at the age of 18 weeks and 10 months and in the 2+1 group at the age of 18 weeks, 9 months and 10 months

Participants in the 3+0 and 2+1 groups will be followed until 10 months of age and those in the control group will be followed until 11 months of age.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)10 valent pneumococcal vaccine (PCV10)
Primary outcome measureThe proportion of participants with IgG antibodies against serotypes 1, 5 and 14 greater than or equal to 0.2 micrograms/mL 1 month post-dose 3 at age of 10 months after receiving PCV10 at 6 weeks, 14 weeks and 9 months (2 + 1 group).
Secondary outcome measures1. The proportion of participants with vaccine pneumococcal serotype-specific IgG antibody concentrations greater than or equal to 0.2 micrograms/mL at 18 weeks of age, 1 month following primary immunisation with PCV10 at 6, 10 and 14 weeks (3 + 0 group) and the proportion of participants with vaccine pneumococcal serotype-specific IgG antibody concentrations greater than or equal to 0.2 micrograms/mL at 18 weeks of age, 1 month following primary immunisation with PCV10 at 6 and 14 weeks of age (2 + 1 group) and to demonstrate non-inferiority (within 10% levels) of the 2 + 1 group versus 3 + 0 group for this proportion for each of serotypes 1, 5 and 14.
2. The proportion of participants with vaccine pneumococcal serotype-specific IgG antibodies greater than or equal to 0.2 micrograms/mL at 18 weeks and 10 months of agefor each of the three study groups
3. The proportion of participants with vaccine pneumococcal serotype-specific opsonophagocytic activity greater than or equal to 8 at 18 weeks and 10 months of age for each of the three study groups
4. The vaccine pneumococcal serotype-specific geometric mean IgG antibody concentrations at 18 weeks and 10 months of age in infants in each of the three study groups
5. The vaccine pneumococcal serotype-specific geometric mean opsonophagocytic titres at 18 weeks and 10 months of age in infants in each of the three study groups
6. The proportion of participants in the 2+1 group with vaccine pneumococcal serotype-specific IgG antibody concentrations greater than or equal to 0.2 micrograms/mL prior to receiving a booster at 9 months of age
7. The proportion of participants in the 2+1 group with vaccine pneumococcal serotype opsonophagocytic activity titre greater than or equal to 8 prior to receiving a booster dose of PCV10 at 9 months of age
8. The vaccine pneumococcal serotype-specific geometric mean opsonophagocytic titres and geometric mean IgG antibody concentrations in infants in the 2+1 group prior to receiving a booster dose of PCV10 at 9 months of age
9. The nasopharyngeal pneumococcal serotype-specific carriage rates, at 9 months of age, following immunisation with a PCV10 i.e. post-dose 3 in 3+0 schedule, post-dose 2 in 2+1 schedule and those not receiving the pneumococcal vaccine
10. Protein D-specific IgG antibody geometric mean concentrations in infants in the control and 3+0 groups at the age of 18 weeks and 10 months and in the 2+1 group at the age of 18 weeks, 9 months and 10 months
Overall study start date02/05/2010
Completion date31/10/2011

Eligibility

Participant type(s)Healthy volunteer
Age groupChild
Lower age limit40 Days
Upper age limit60 Days
SexBoth
Target number of participantsA total of 390 participants (3+0 group = 120; 2+1 group = 120; control group = 150)
Key inclusion criteria1. Parent/guardian of participant is willing and able to give informed consent for participation in the study
2. In good health as determined by:
2.1. Medical history
2.2. Physical examination
2.3. Clinical judgement of the investigator
3. Male or female, aged 40 - 60 days at time of first study vaccination
4. Participants residing in Kathmandu
5. Parents able (in the Investigators opinion) and willing to comply with all study requirements
Key exclusion criteria1. Parent/guardian unwilling or unable to give written informed consent to participate in the study
2. Previous immunisation (excluding BCG and hepatitis B) or planned vaccination during the study period with vaccine not foreseen by this study protocol except influenza vaccine when locally recommended
3. Premature birth (less than 37 weeks gestation)
4. Previous hospital admission
5. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study
6. Use of any investigational or non-registered product (drug or vaccine) within 30 days preceding the vaccination, or planned use during the study period
7. Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device)
Date of first enrolment02/05/2010
Date of final enrolment31/10/2011

Locations

Countries of recruitment

  • England
  • Nepal
  • United Kingdom

Study participating centre

University of Oxford
Oxford
OX3 9DU
United Kingdom

Sponsor information

University of Oxford (UK)
University/education

c/o Heather House
Clinical Trials & Research Governance
Manor House
John Radcliffe Hospital
Headington
Oxford
OX3 9DU
England
United Kingdom

Phone +44 (0)1865 222757
Email heather.house@admin.ox.ac.uk
Website http://www.ox.ac.uk/
ROR logo "ROR" https://ror.org/052gg0110

Funders

Funder type

Industry

University of Oxford (UK)

No information available

GlaxoSmithKline (GSK) (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2015 Yes No