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    Clinical Trial Results:
    Long term immunity and safety following vaccination with the Japanese Encephalitis vaccine IC51 (IXIARO®, JESPECT®) in a pediatric population in non-endemic countries. Uncontrolled, Phase 3 Follow-up study.  

    Summary
    EudraCT number
    2010-022266-27
    Trial protocol
    DE  
    Global end of trial date
    15 Sep 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Feb 2016
    First version publication date
    03 Jul 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IC51-324
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01246479
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Valneva Austria GmbH
    Sponsor organisation address
    Campus Vienna Biocenter 3, Vienna, Austria, 1030
    Public contact
    Clinical Operations, Valneva Austria GmbH, 0043 1206200, info@valneva.com
    Scientific contact
    Clinical Operations, Valneva Austria GmbH, 0043 1206200, info@valneva.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-000559-PIP01-09
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    09 Feb 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Sep 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess long-term immunity following vaccination with purified inactivated Japanese Encephalitis (JE) vaccine IC51 in terms of Geometric Mean Titers (GMTs) and rate of subjects with a PRNT50 ≥ 1:10 in a pediatric population from regions where JE is not endemic.
    Protection of trial subjects
    To avoid unreasonable visits and blood samplings, subjects were to be withdrawn from the study as soon as the result of the PRNT analysis of Visit 1, 2 or 3 was known to be negative (PRNT50 titer < 1:10).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    20 Oct 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
    Germany: 7
    Country: Number of subjects enrolled
    Australia: 6
    Country: Number of subjects enrolled
    United States: 10
    Worldwide total number of subjects
    23
    EEA total number of subjects
    7
    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)
    4
    Adolescents (12-17 years)
    19
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects were recruited in 6 study centers located in Australia, Germany and the United States. Recruitment started on 20-Oct-2010 and was completed on 20-Aug-2012. Study visits occurred 7, 12, 24 and 36 months after the first IC51 vaccination in parent study IC51-322.

    Pre-assignment
    Screening details
    Uncontrolled, open-label Phase 3 follow-up study in subjects who received 2 injections of IC51 and participated in the immunogenicity subgroup of the parent study IC51-322.

    Period 1
    Period 1 title
    Overall study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Safety and Immunogenicity follow-up M7 - M36
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    IC51
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    IC51 was only administered in parent study IC51-322 where subjects received 2 vaccinations of either 0.25 ml or 0.5 ml IC51 (depending on their age) at an interval of 4 weeks. IC51-324 is a follow-up study to examine long-term immunity.

    Number of subjects in period 1
    Safety and Immunogenicity follow-up M7 - M36
    Started
    23
    Completed
    18
    Not completed
    5
         Subjects abroad
    3
         Negative PRNT
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall study
    Reporting group description
    -

    Reporting group values
    Overall study Total
    Number of subjects
    23 23
    Age categorical
    Units: Subjects
        Children (2-11 years)
    4 4
        Children (12-17 years)
    19 19
    Age continuous
    Age in years as given by the investigator at Visit 1 (Month 7)
    Units: years
        arithmetic mean (full range (min-max))
    14.3 (3 to 18) -
    Gender categorical
    Units: Subjects
        Female
    11 11
        Male
    12 12

    End points

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    End points reporting groups
    Reporting group title
    Safety and Immunogenicity follow-up M7 - M36
    Reporting group description
    -

    Primary: Rate of subjects with PRNT50 titers of ≥ 1:10 at Month 12 after the first IC51 vaccination (in study IC51-322).

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    End point title
    Rate of subjects with PRNT50 titers of ≥ 1:10 at Month 12 after the first IC51 vaccination (in study IC51-322). [1]
    End point description
    End point type
    Primary
    End point timeframe
    12 Months after the first IC51 vaccination.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed.
    End point values
    Safety and Immunogenicity follow-up M7 - M36
    Number of subjects analysed
    19
    Units: % of subjects
        number (confidence interval 95%)
    89.5 (68.6 to 97.1)
    No statistical analyses for this end point

    Secondary: GMT for JEV neutralizing antibodies measured using the PRNT at Month 12 after the first IC51 vaccination (in study IC51-322).

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    End point title
    GMT for JEV neutralizing antibodies measured using the PRNT at Month 12 after the first IC51 vaccination (in study IC51-322).
    End point description
    End point type
    Secondary
    End point timeframe
    12 Months after the first IC51 vaccination.
    End point values
    Safety and Immunogenicity follow-up M7 - M36
    Number of subjects analysed
    19
    Units: GMT
        geometric mean (confidence interval 95%)
    47.8 (28.7 to 79.8)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    AEs were recorded at Visits 1-4. Any AE reported as “not recovered/not resolved” at Visit 4 in study IC51-322 and all new abnormalities occurring after Visit 4 in IC51-322 were documented as AEs in study IC51-324.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    Safety Population
    Reporting group description
    All subjects who were enrolled in the study.

    Serious adverse events
    Safety Population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 23 (8.70%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Infections and infestations
    Tonsillitis
         subjects affected / exposed
    1 / 23 (4.35%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Staphylococcal infection
    Additional description: Methicillin resistant infection
         subjects affected / exposed
    1 / 23 (4.35%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Safety Population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    8 / 23 (34.78%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma
         subjects affected / exposed
    2 / 23 (8.70%)
         occurrences all number
    4
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    2 / 23 (8.70%)
         occurrences all number
    2
    Infections and infestations
    Otitis media acute
         subjects affected / exposed
    2 / 23 (8.70%)
         occurrences all number
    2
    Pharyngitis streptococcal
         subjects affected / exposed
    2 / 23 (8.70%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    31 Jan 2012
    Due to change of primary objective in parent study IC51-322 from immunogenicity to safety (Clinical Study Protocol V10.0), limitation of follow-up on long-term immunogenicity in IC51-324 to those subjects that participated in the immunogenicity subgroup in IC51-322. Revision of incl./excl. criteria, estimated sample size and planned analyses. Updates on background information, number of participating study centers and immunogenicity assay.
    11 Jun 2013
    Name change of Sponsor. Interim Analysis after Month 12 was removed (only Interim Analysis after M24 was performed).

    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.
    As the number of subjects in individual age groups was low a meaningful comparison between age/dose groups is not possible.
    For support, Contact us.
    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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