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Pneumococcal Vaccination for Splenectomised Thalassemia Major Patients in Indonesia

U

University of Indonesia (UI)

Status and phase

Completed
Phase 4

Conditions

Thalassemia
Pneumococcal Infection

Treatments

Biological: PCV Vaccine
Drug: Sucrose
Dietary Supplement: Zinc
Biological: PPV Vaccine

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Splenectomized thalassemia major subjects were provided with PCV pneumococcal vaccine (Prevenar 13®) at the start of the trial, following which they were randomly assigned to 2 groups (zinc and placebo group). After 8 weeks, the subjects received PPV pneumococcal vaccine (Pneumovax®). Zinc syrup was provided to the zinc group at a dose of 1.5 mg/kg/day (maximum of 50 mg/day). Pneumococcal IgG examinations were conducted at the start of the trial and after 12 weeks.

Full description

This study is a single blinded randomised-control trial. Splenectomized thalassemia major patient samples were provided with PCV pneumococcal vaccine (Prevenar 13®) at the start of the trial, following which they were randomly assigned to 2 groups (zinc and placebo group). After 8 weeks, the subjects received PPV pneumococcal vaccine (Pneumovax®). Zinc syrup was provided to the zinc group at a dose of 1.5 mg/kg/day (maximum of 50 mg/day). Placebo containing sucrose syrup of the same form, taste, consistency and color was given to the other group. Everyone except the primary researcher are blinded to which of the treatment is placebo and which is actual zinc syrup. Pneumococcal IgG examinations were conducted at the start of the trial and after 12 weeks.

Sample size was measured using:

n1=n2=n= {((Zα+Zβ) Sd)/d}^2 where N = number of subject Za = degree of significance (5%), a = 5% Zb = strength of study (80%). b = 20% Sd = standard deviation d = meaningful difference between the two groups The measured sample size is 816, but due to limited patient total population sampling was used instead.

Enrollment

56 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Splenectomised thalassemia patient

Exclusion criteria

  • non-splenectomised thalassemia patient

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

56 participants in 2 patient groups, including a placebo group

Zinc Syrup 1.5 mg/kgbw/day
Experimental group
Description:
Patient were given zinc formula in the form of syrup with dosage of 1.5 mg/kg body weight/day with a maximum dose of 50 mg/day. The amount of syrup given is estimated to be enough for 4 weeks.
Treatment:
Biological: PPV Vaccine
Dietary Supplement: Zinc
Biological: PCV Vaccine
Sucrose syrup
Placebo Comparator group
Description:
Patient were given sucrose syrup as placebo. The syrup was made in the same flavor and consistency as the zinc syrup.
Treatment:
Biological: PPV Vaccine
Biological: PCV Vaccine
Drug: Sucrose

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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