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    Clinical Trial Results:
    An open label single-arm study of the immunogenicity and reactogenicity of a 13-valent pneumococcal conjugate vaccine (Prevenar13®) given to children with type 1 diabetes mellitus who have not previously received a primary schedule of immunisation with pneumococcal conjugate vaccines in infancy.

    Summary
    EudraCT number
    2013-001024-19
    Trial protocol
    GB  
    Global end of trial date
    31 Dec 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    23 Jun 2022
    First version publication date
    23 Jun 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    OVG 2013/03
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01939522
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    University of Oxford, Research Governance, Ethics and Assurance
    Sponsor organisation address
    Boundary Brook House, Churchill Drive, Oxford, United Kingdom, OX3 7LA
    Public contact
    Dominic F Kelly Oxford Vaccine Group University of Oxford Department of Paediatrics, University of Oxford, 0044 (01865) 611400, dominic.kelly@paediatrics.ox.ac.uk
    Scientific contact
    Dominic F Kelly Oxford Vaccine Group University of Oxford Department of Paediatrics, University of Oxford, 0044 (01865) 611400, dominic.kelly@paediatrics.ox.ac.uk
    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
    07 Feb 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Dec 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Dec 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The principal objective of the study is to measure pneumococcal antibody concentrations in children with T1DM (6-17 years of age) at 3 months following a single dose of PCV13. As a key secondary objective we will compare the antibody concentrations in chidlren who have previously had PPS23 versus those who have not.
    Protection of trial subjects
    Subjects were offered local anaesthetic cream to reduce discomfort for blood sampling where relevant as per standard clinical procedures for this group of children in clinic
    Background therapy
    All children in this study were on injected insulin for treatment of type 1 diabetes mellitus
    Evidence for comparator
    -
    Actual start date of recruitment
    03 Jun 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 50
    Worldwide total number of subjects
    50
    EEA total number of subjects
    0
    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)
    11
    Adolescents (12-17 years)
    39
    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
    Children aged 6-17 years of age with T1DM who are under regular out-patient review by the diabetes team of the Oxford University Hospital NHS Trust, UK and the Royal Berkshire NHS Foundation Trust, UK were approached and given information during routine clinic visits. Enrollment was undertaken between FPFV and LPLV.

    Pre-assignment
    Screening details
    All children of eligible age under regular out-patient review approached during clinic visits

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

    Arms
    Arm title
    PCV13
    Arm description
    Participants who were given a single dose of PCV13
    Arm type
    Experimental

    Investigational medicinal product name
    Prevenar13
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Single dose (0.5ml) of Prevenar13 given intramuscularly into deltoid muscle of non-dominant arm

    Number of subjects in period 1
    PCV13
    Started
    50
    Completed
    49
    Not completed
    1
         Consent withdrawn by subject
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Enrollment period
    Reporting group description
    Children aged 6-17 years of age with T1DM who are under regular out-patient review by the diabetes team of the Oxford University Hospital NHS Trust and the Royal Berkshire NHS Foundation Trust. Eligible children will have not previously received any doses of PCV (pneumococcal conjugate vaccine) but may have been immunized with PPS23 pneumococcal polysaccharide vaccine)

    Reporting group values
    Enrollment period Total
    Number of subjects
    50 50
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
        Children (6-17 years)
    50 50
    Gender categorical
    Children aged 6-17 years of age with T1DM who are under regular out-patient review by the diabetes team of the Oxford University Hospital NHS Trust and the Royal Berkshire NHS Foundation Trust. Eligible children will have not previously received any doses of PCV (pneumococcal conjugate vaccine) but may have been immunised with PPS23 (pneumococcal polysaccahride vaccine)
    Units: Subjects
        Female
    26 26
        Male
    24 24
    Subject analysis sets

    Subject analysis set title
    Children 6-17 years with T1DM
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Children aged 6-17 years of age with T1DM who are under regular out-patient review by the diabetes team of the Oxford University Hospital NHS Trust and the Royal Berkshire NHS Foundation Trust and who have not previously received any doses of PCV but may have been immunised with PPS23.

    Subject analysis sets values
    Children 6-17 years with T1DM
    Number of subjects
    49
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    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)
    0
        From 65-84 years
    0
        85 years and over
    0
        Children (6-17 years)
    49
    Age continuous
    Units:
        
    ( )
    Gender categorical
    Children aged 6-17 years of age with T1DM who are under regular out-patient review by the diabetes team of the Oxford University Hospital NHS Trust and the Royal Berkshire NHS Foundation Trust. Eligible children will have not previously received any doses of PCV (pneumococcal conjugate vaccine) but may have been immunised with PPS23 (pneumococcal polysaccahride vaccine)
    Units: Subjects
        Female
    25
        Male
    24

    End points

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    End points reporting groups
    Reporting group title
    PCV13
    Reporting group description
    Participants who were given a single dose of PCV13

    Subject analysis set title
    Children 6-17 years with T1DM
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Children aged 6-17 years of age with T1DM who are under regular out-patient review by the diabetes team of the Oxford University Hospital NHS Trust and the Royal Berkshire NHS Foundation Trust and who have not previously received any doses of PCV but may have been immunised with PPS23.

    Primary: Proportion of children with vaccine pneumococcal serotype-specific (SpVS) antibody concentrations >0.35mcg/ml at 3 months following a single dose of 13-valent pneumococcal conjugate vaccine (PCV13)

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    End point title
    Proportion of children with vaccine pneumococcal serotype-specific (SpVS) antibody concentrations >0.35mcg/ml at 3 months following a single dose of 13-valent pneumococcal conjugate vaccine (PCV13) [1]
    End point description
    Proportion of children with vaccine pneumococcal serotype-specific (SpVS) antibody concentrations >0.35mcg/ml at 3 months following a single dose of 13-valent pneumococcal conjugate vaccine (PCV13)
    End point type
    Primary
    End point timeframe
    Time-point for primary outcome 3-months post-immunisation (V2)
    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: As specified in the protocol: The primary outcome of the proportion of children with vaccine pneumococcal serotype-specific (SpVS) antibody concentrations >0.35mcg/ml at 3 months will be descriptive data
    End point values
    Children 6-17 years with T1DM
    Number of subjects analysed
    43 [2]
    Units: Number of participants
        Serotype 1
    43
        Serotype 3
    43
        Serotype 4
    41
        Serotype 5
    42
        Serotype 6A
    42
        Serotype 6B
    42
        Serotype 7F
    43
        Serotype 9V
    43
        Serotype 14
    43
        Serotype 18C
    43
        Serotype 19A
    43
        Serotype 19F
    43
        Serotype 23F
    43
    Notes
    [2] - 43 participants provided blood samples at 3-months post-immunisation
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    7 days after V1 dose of PCV13
    Adverse event reporting additional description
    Diary card to record solicited and unsolicited events - posted back or collected at V2 (3-months post vaccine dose)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    non-specified
    Dictionary version
    1.0
    Reporting groups
    Reporting group title
    Total study population
    Reporting group description
    -

    Serious adverse events
    Total study population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 49 (4.08%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Investigations
    Endoscopy
    Additional description: Single participant underwent endoscopy for symptoms which preceded entry into clinical trial – this was normal. Recorded as SAE given hospital admission for procedure.
         subjects affected / exposed
    1 / 49 (2.04%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Overdose
    Additional description: Mental health disorder resulting in multiple attendance to hospital with overdoses and drug ingestion
         subjects affected / exposed
    1 / 49 (2.04%)
         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
    Total study population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    16 / 49 (32.65%)
    General disorders and administration site conditions
    Pain
    Additional description: Injection site pain
         subjects affected / exposed
    13 / 49 (26.53%)
         occurrences all number
    13
    Redness
    Additional description: Redness around injection site
         subjects affected / exposed
    6 / 49 (12.24%)
         occurrences all number
    6
    Swelling
    Additional description: Injection site swelling
         subjects affected / exposed
    4 / 49 (8.16%)
         occurrences all number
    4
    Lethargy
    Additional description: Lethargy post-immunisation
         subjects affected / exposed
    5 / 49 (10.20%)
         occurrences all number
    5
    Headache
    Additional description: Headache post-immunisation
         subjects affected / exposed
    4 / 49 (8.16%)
         occurrences all number
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    10 Apr 2014
    Addition of reminder letter and approval for contact to be made with parent(s) by telephone prior to their next appointment. Submitted 26/2/14 - unfavourable opinion 14/3/14 Resubmitted 4/4/14 with following changes ‘Opt-in’ form changed to ‘reply form’ with the added option not to be contacted. Amendment to invitation letter to make it clear that those approached can use the telephone number on the reply slip if interested, want more information, OR if they want to decline. Amendment to protocol to emphasise that the reply form include the option to opt-out of participation. Favourable opinion 10/4/14
    26 Jun 2015
    Submitted 15/6/15 Addition of Royal Berkshire Hospital as a recruiting site. Amendment to the protocol to reflect addition of Royal Berkshire hospital as a recruiting site. The patient and parent information sheets were changed to be generic for use at both sites. Changes to how participant can return the diary card.

    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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