E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Japanese Encephalitis (JE) |
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E.1.1.1 | Medical condition in easily understood language |
healthy volunteers "Japanese encephalitis virus" |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10014596 |
E.1.2 | Term | Encephalitis Japanese B |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10023120 |
E.1.2 | Term | Japanese B viral encephalitis |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10023123 |
E.1.2 | Term | Japanese encephalitis |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10023122 |
E.1.2 | Term | Japanese B virus encephalitis |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10023119 |
E.1.2 | Term | Japanese B encephalitis |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1. To assess the immune response (geometric mean titers [GMTs] and seroconversion rates [SCRs]) 28 days after one single booster vaccination with the purified inactivated Japanese Encephalitis (JE) vaccine IXIARO administered at 12 months after primary immunization in a pediatric population from JEV endemic regions |
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E.2.2 | Secondary objectives of the trial |
1. To assess persistence of immunity (GMTs and rate of subjects with PRNT50 titers of ≥ 1:10) following primary vaccination with IXIARO in a pediatric population from JEV endemic regions (without booster)
2. To assess persistence of immunity (GMTs and rate of subjects with PRNT50 titers of ≥ 1:10) following a booster vaccination with IXIARO in a pediatric population from JEV endemic regions
3. To assess the long term safety profile of IXIARO and the safety profile of a booster dose in a pediatric population from JEV endemic regions
4. To assess age-dependent differences in the persistence of the immunity, immune response to a booster dose and the safety profile of IXIARO
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Children and adolescents who have completed study IC51-323 and received both IXIARO vaccinations according to protocol.
2. Children who have received the dose confirmed for their age group.
3. Male or female healthy children and adolescents aged ≥9 months to <17 years and 7 months at the time of enrolment into this study.
4. Written informed consent by the subject’s legal representative(s), according to local requirements, and written informed assent of the subject, if applicable.
5. Female subjects: either no childbearing potential or negative pregnancy test (pregnancy test to be performed in female subjects after onset of menarche) at Visits 1, 2 and 2a as stipulated by the protocol. For females after menarche willingness to practice a reliable method of contraception as specified in Section 6.4.
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E.4 | Principal exclusion criteria |
1. Vaccination against JE virus (JEV) (except within study IC51-323 and IC51 325), Yellow fever, West Nile virus and Dengue fever at any time prior to or planned during the study.
2. History of or clinical manifestation of any Flavivirus disease during IC51-323 or IC51 325.
3. Participation in another study with an investigational drug during IC51 323 or IC51 325.
4. Planned active or passive immunization within 2 weeks before and 1 week after the IXIARO booster.
5. History of or development of any immunodeficiency including post-organ-transplantation after inclusion into IC51-323 or IC51 325.
6. History of or development of an autoimmune disease during study IC51-323 or IC51 325.
7. Administration of chronic (defined as more than 14 days) immunosuppressants or other immune-modifying medications started during IC51-323 or IC51 325. (For corticosteroids, this would mean prednisone or equivalent at >=0.05 mg/kg/day; topical and inhaled steroids are allowed).
8. Acute febrile infection at Visit 2 (only for the Booster Group).
9. Pregnancy (positive pregnancy test at Visit 1 and Visit 2), lactation or unreliable contraception in female subjects after onset of menarche.
10. Hypersensitivity reactions to IXIARO or adverse events in study IC51-323 requiring withdrawal from further vaccination or anaphylaxis or severe cases of atopy requiring emergency treatment or hospital admission during IC51-323 or IC51 325.
11. History of urticaria after hymenoptera envenomation, drugs, physical or other provocations or of idiopathic cause during IC51-323 or IC51 325.
12. Known infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) (measurement of Hepatitis B surface antigen [HBsAg] titers) or hepatitis C virus (HCV).
13. Illicit drug use and/or current drug or alcohol addiction.
14. Inability or unwillingness by the legal representative(s) and/or the subject (where applicable) to provide informed consent/assent and to abide by the requirements of the study.
15. Persons who have been committed to an institution (by a court or by an authority).
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E.5 End points |
E.5.1 | Primary end point(s) |
1-SCRs as defined by percentage of subjects with plaque reduction neutralization test (PRNT50) titers of ≥1:10 at 1 month after the booster dose. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
after Month 13 (including data up to 1 month after the booster in the Booster Group) |
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E.5.2 | Secondary end point(s) |
1-Rate of subjects achieving a ≥ 4-fold increase in JEV neutralizing antibody titers at 1 month after the booster dose
2-GMTs for JEV neutralizing antibodies measured using a validated PRNT at 1 month after the booster dose
3-GMTs and rate of subjects with a PRNT50 titer of ≥1:10 at Months 12, 24 and 36 after first IXIARO vaccination in IC51-323 with and without booster vaccination
4-Rate of subjects with serious adverse events (SAEs) following immunization and medically attended adverse events (AEs) up to Months 12, 24 and 36 after the first IXIARO vaccination in IC51 323 with and without booster vaccination. Severity, duration and relationship to vaccinations.
5-Rate of subjects with unsolicited AEs up to Months 12, 24 and 36 after the first IXIARO vaccination in IC51 323 with and without booster vaccination. Severity, duration and relationship to vaccinations.
6-Rate of subjects with SAEs and medically attended AEs within 1 month following the booster dose. Severity, duration and relationship to vaccinations.
7-Rate of subjects with unsolicited AEs within 1 month following the booster dose. Severity, duration and relationship to vaccinations.
8-Rate of subjects with solicited AEs for up to 7 days following the booster dose. Severity and duration.
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
after Month 13 (including data up to 1 month after the booster in the Booster Group) and after Month 24 and Month 36 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
lack of booster vaccination |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Study duration per subject from first visit to last visit is estimated to be about 30 months for both arms. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |