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    Clinical Trial Results:
    Characterization of cellular and humoral immunity in the elderly upon vaccination with the purified inactivated Japanese Encephalitis Vaccine IXIARO®

    Summary
    EudraCT number
    2010-020450-33
    Trial protocol
    AT  
    Global end of trial date
    12 Aug 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    17 Jun 2022
    First version publication date
    17 Jun 2022
    Other versions
    Summary report(s)
    Publication of study results

    Trial information

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    Trial identification
    Sponsor protocol code
    IX-senesc2.0
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01398540
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Medical University of Vienna
    Sponsor organisation address
    Spitalgasse 23, Vienna, Austria,
    Public contact
    Institute of Specific Prophylaxis and Tropical Medicine, Institute of Specific Prophylaxis and Tropical Medicine, 0043 140160-38290,
    Scientific contact
    Institute of Specific Prophylaxis and Tropical Medicine, Institute of Specific Prophylaxis and Tropical Medicine, 0043 140160-38290,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    29 Jun 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    12 Aug 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Antibody titres 10 weeks after the first vaccination (=6 weeks after the 2. vaccination)
    Protection of trial subjects
    Communication always aimed to keep the subjects informed on the upcoming steps (such as blood draw or vaccination) and thereby reduce stress. Furthermore guidelines to reduce pain at vaccination were followed (adequate communication, distraction and instruction for breathing teqniques offered if required).
    Background therapy
    -
    Evidence for comparator
    not applicable
    Actual start date of recruitment
    15 Nov 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 60
    Worldwide total number of subjects
    60
    EEA total number of subjects
    60
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    36
    From 65 to 84 years
    24
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Eligibility was checked according to inclusion and exclusion criteria (Vaccination cards were reviewed for prior vaccinations, medical diagnoses and medication and were requested)

    Period 1
    Period 1 title
    baseline (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    young
    Arm description
    Participants aged between 18 and 40 years
    Arm type
    Experimental

    Investigational medicinal product name
    IXIARO (R)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    in total 2 vaccination doses (0.5ml) per subject (4 weeks apart +/- 3 days) applied intramuscularly (M. deltoideus)

    Arm title
    elderly
    Arm description
    aged above 60 years
    Arm type
    Experimental

    Investigational medicinal product name
    IXIARO (R)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    in total 2 vaccination doses (0.5ml) per subject (4 weeks apart +/- 3 days) applied intramuscularly (M. deltoideus)

    Number of subjects in period 1
    young elderly
    Started
    30
    30
    Completed
    30
    30

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    baseline
    Reporting group description
    -

    Reporting group values
    baseline Total
    Number of subjects
    60 60
    Age categorical
    group 1: 18-40 years old group2: 60 years and older
    Units: Subjects
        young (18 - 40 years)
    30 30
        elderly (> 60 years)
    30 30
    Gender categorical
    Units: Subjects
        Female
    30 30
        Male
    30 30

    End points

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    End points reporting groups
    Reporting group title
    young
    Reporting group description
    Participants aged between 18 and 40 years

    Reporting group title
    elderly
    Reporting group description
    aged above 60 years

    Primary: JEV-PRNT50 6 weeks after the 2nd dose

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    End point title
    JEV-PRNT50 6 weeks after the 2nd dose
    End point description
    End point type
    Primary
    End point timeframe
    6 weeks after the 2nd vaccine dose
    End point values
    young elderly
    Number of subjects analysed
    30
    30
    Units: titer 1:x
        geometric mean (confidence interval 95%)
    50.0 (18.07 to 81.89)
    26.5 (0 to 84.88)
    Statistical analysis title
    Differences in antibody titers at 6 weeks
    Statistical analysis description
    Based on prior investigations the standard deviation of loge titres was assumed to be 0.5. With respect to previous study results, a difference of 1:3 in titres of the elderly compared to the young study participants was deemed relevant. Based on these data the standardized effect size is 1. Due to the multiple endpoints sample size calculation was performed on the basis of a corrected alpha error of 0.01.
    Comparison groups
    young v elderly
    Number of subjects included in analysis
    60
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority [1]
    P-value
    < 0.05
    Method
    General linear model
    Confidence interval
    Notes
    [1] - A difference of 1:3 in titres of the elderly compared to the young study participants was deemed relevant

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    until last patient visit
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    1
    Reporting groups
    Reporting group title
    young
    Reporting group description
    Participants aged between 18 and 40 years

    Reporting group title
    elderly
    Reporting group description
    aged above 60 years

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: Non-serious events were non-systemically recorded and included expected local and systemic reactions after vaccination (as listed in the product information) such as transient pain, swelling, redness at injection site or headache.
    Serious adverse events
    young elderly
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 30 (6.67%)
    2 / 30 (6.67%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Testicle adenoma
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 30 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Palpitations
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 30 (3.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Syncope
    Additional description: collapsed after blood draw
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 30 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    cartaract surgery
    Additional description: 1 surgery was already planned before study entry
         subjects affected / exposed
    0 / 30 (0.00%)
    2 / 30 (6.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Herpes simplex
    Additional description: a lesion at the lip
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 30 (3.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    young elderly
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 30 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Apr 2012
    elderly study group inclusion criteria was chanded from: 65 year and above to 60 years and above

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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