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Phase I/II Clinical Trial of 26-valent Pneumococcal Conjugate Vaccine

B

Beijing Zhifei Lvzhu Biopharmaceutical

Status and phase

Invitation-only
Phase 2
Phase 1

Conditions

Pneumococcal Vaccines

Treatments

Biological: 13-Valent pneumococcal conjugate vaccine
Biological: 23-Valent pneumococcal polysaccharide vaccine
Biological: 26-Valent pneumococcal conjugate vaccine

Study type

Interventional

Funder types

Industry

Identifiers

NCT06703203
202417AB

Details and patient eligibility

About

The purpose of this experiment is to evaluate the safety and immunogenicity of the 26 valent pneumococcal conjugate vaccine in the population aged 2 months and above.

Full description

A single-center, randomized, double-blind, active-controlled trial design (Phase I/II) was used. In addition, according to the requirements in the approval letter of this product (2024LP01053), serum standards need to be established for the newly added types (24F, 35B). Therefore, a calibration group is set and an open study design is adopted.

Enrollment

450 estimated patients

Sex

All

Ages

2+ months old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • The subject is 2-3 months old (minimum 6 weeks old), 7 months old and above at the time of enrollment, and the legal guardian and/or the subject can provide legal identification certificate;
  • The subjects themselves and/or their legal guardians understand the vaccination and trial procedures, voluntarily participate in the trial and sign the informed consent form;
  • The subject and/or legal guardian can comply with the clinical trial protocol, have the ability to use thermometer, scale and fill in diary card and contact card as required;
  • Female subjects of childbearing potential agree to take effective contraceptive measures from enrollment to 6 months after vaccination.
  • For calibration group subjects: 18 to 55 years of age, ≥ 50 kg for males or ≥ 45 kg for females.

Exclusion criteria

  • Axillary body temperature ≥ 37.3 ℃ on the day of enrollment;

  • History of infectious diseases caused by Streptococcus pneumoniae confirmed by bacterial culture within 3 years;

  • Have received or plan to receive a Streptococcus pneumoniae vaccine outside the trial protocol, including marketed or other investigational Streptococcus pneumoniae vaccines;

  • Pregnant or lactating women; Previous history of severe allergy to any vaccine or drug, such as urticaria, dyspnea, angioneurotic edema, anaphylactic shock, Henoch-Schonlein purpura, thrombocytopenic purpura;

  • Allergic to any component of the investigational vaccine;

  • Suffering from severe respiratory diseases (such as severe asthma), heart diseases, liver diseases, kidney diseases, congenital malformations, developmental disorders and genetic defects (including but not limited to: down syndrome, thalassemia major, etc.) that may interfere with the conduct or completion of the trial;

  • Diagnosed with congenital or acquired immunodeficiency, or suspected to have serious chronic disease or systemic disease that may interfere with the conduct or completion of the trial, such as: active tuberculosis, human immunodeficiency virus (HIV) infection, etc.;

  • Encephalopathy, uncontrolled epilepsy, convulsion and other progressive neurological diseases, or a history or family history of mental illness;

  • Contraindications for intramuscular injection such as thrombocytopenia, any coagulation disorder or receiving anticoagulant therapy;

  • Asplenia or splenectomy, functional asplenia due to any condition;

  • Immunosuppressant therapy, cytotoxic therapy or corticosteroid therapy within 3 months prior to vaccination, such as systemic glucocorticoid therapy for more than 2 consecutive weeks, such as prednisone or similar drugs > 5 mg/day (excluding corticosteroid spray therapy for allergic rhinitis, surface corticosteroid therapy for acute non-complicated dermatitis);

  • Received blood products or immunoglobulins within 3 months prior to enrollment (hepatitis B immunoglobulin is acceptable), or planned to be used during the trial (before the last immunogenicity blood sample collection);

  • Within 3 days before the first dose of vaccine, the patient has acute illness or is in acute attack of chronic disease, or has used antipyretic, analgesic or anti-allergic drugs (such as: acetaminophen, ibuprofen, aspirin, etc.);

  • Received non-live vaccine within 7 days (≤ 7 days) or live attenuated vaccine within 14 days (≤ 14 days) prior to enrollment;

  • Hypertension (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, applicable to adults);

  • Abnormal and clinically significant laboratory test results, which are not suitable for enrollment as determined by the investigator (applicable to subjects aged 2 years and older in Phase I);

  • Birth weight < 2.5 kg, premature delivery (gestational age < 37 weeks), history of abnormal labor process, history of asphyxia rescue, history of nerve organ damage, history of pathological jaundice confirmed by diagnosis;

  • For Standardised Subjects:

    ① Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 50 U/L; Or hemoglobin ≤ 115 g/L (female)/120g/L (male); Any positive serology for hepatitis B, hepatitis C, HIV, or syphilis.

  • Plans to move before the end of the trial or leave the area for an extended period of time during scheduled trial visits;

  • Ongoing participation or planning to participate in other clinical trials (vaccines, drugs, medical devices, etc.) in the near future;

  • Subject has any condition that, in the opinion of the investigator, may interfere with the evaluation of the objectives of the trial.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

450 participants in 8 patient groups

≥60 years old age group (for phase Ⅰ)
Other group
Description:
There are 30 subjects in ≥60 years old age group, randomly assigned to the experimental group and the control group in a 2:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 23-Valent pneumococcal polysaccharide vaccine
18-59 years old age group (for phase Ⅰ)
Other group
Description:
There are total 40 subjects in 18-59 age group. Among them, 30 subjects were randomly assigned to the experimental group and the control group in a 2:1 ratio. In addition, other 10 subjects aged 18-55 to receive the experimental vaccine as the serum calibration test population.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 23-Valent pneumococcal polysaccharide vaccine
6-17 years old age group (for phase Ⅰ)
Other group
Description:
There are 30 subjects in 6-17 years old age group, randomly assigned to the experimental group and the control group in a 2:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 23-Valent pneumococcal polysaccharide vaccine
2-5 years old age group (for phase Ⅰ/Ⅱ)
Other group
Description:
There are total 230 people in 2-5 years old age group. Among them, there were 30 subjects included in the phase Ⅰ clinical trial and were randomly assigned to the experimental group and the control group in a 2:1 ratio. And the other 200 people were included for phase Ⅱ and were randomly assigned to the experimental group and the control group in a 1:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 13-Valent pneumococcal conjugate vaccine
13-23 months old age group (for phase Ⅰ)
Other group
Description:
There are 30 subjects in 13-23 months old age group, randomly assigned to the experimental group and the control group in a 2:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 13-Valent pneumococcal conjugate vaccine
7-11 months old age group (for phase Ⅰ)
Other group
Description:
There are 30 subjects in 7-11 months old age group, randomly assigned to the experimental group and the control group in a 2:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 13-Valent pneumococcal conjugate vaccine
3 months old age group (for phase Ⅰ)
Other group
Description:
There are 30 subjects in 3 months old age group, randomly assigned to the experimental group and the control group in a 2:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 13-Valent pneumococcal conjugate vaccine
2 months old age group (for phase Ⅰ)
Other group
Description:
There are 30 subjects in 2 months old age group, randomly assigned to the experimental group and the control group in a 2:1 ratio.
Treatment:
Biological: 26-Valent pneumococcal conjugate vaccine
Biological: 13-Valent pneumococcal conjugate vaccine

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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