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    Clinical Trial Results:
    A phase I, single-arm, single-center study to investigate safety and reactogenicity of Vaxem HibTM in healthy children aged 16-20 months and infants aged 2-4 months.

    Summary
    EudraCT number
    2014-005036-33
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    20 Oct 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    11 May 2016
    First version publication date
    14 May 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    M37P1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00734565
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Vaccines and Diagnostics
    Sponsor organisation address
    KG, Postfach 1630, Marburg, Germany, 35006
    Public contact
    Novartis Vaccines, Posting Director, RegistryContactVaccinesUS@novartis.com
    Scientific contact
    Novartis Vaccines, Posting Director, RegistryContactVaccinesUS@novartis.com
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    15 Jul 2009
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Oct 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine safety and tolerability of Vaxem Hib (Novartis Vaccines) when given to 20 healthy children aged 16-20 months and subsequently to 20 healthy infants aged 2-4 months.
    Protection of trial subjects
    This clinical trial was carried out in accordance with relative requirements of Provisions for Drug Registration and Good Clinical Practice (GCP) and Guidelines on Clinical Evaluation of Vaccines issued by State Food and Drug Administration and under the principle of Helsinki Declaration. The study protocol and relevant documents was reviewed and approved by ethics committees in Heibei Provincial Center for Disease Prevention and Control on 25 Jun 2008.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    03 Jul 2008
    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
    China: 40
    Worldwide total number of subjects
    40
    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)
    40
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    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 enrolled at 1 study center in China.

    Pre-assignment
    Screening details
    All enrolled subjects were included in the trial.

    Period 1
    Period 1 title
    Overall Study (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
    Vaxem Hib_16 to 20 months
    Arm description
    one single dose of 0.5 mL administered by IM;
    Arm type
    Experimental

    Investigational medicinal product name
    Vaxem Hib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    one single dose of 0.5 mL adminstered by IM;

    Arm title
    Vaxem Hib_2 to 4 months
    Arm description
    3 doses of 0.5 mL with a time interval of one month between each dose.
    Arm type
    Experimental

    Investigational medicinal product name
    Vaxem Hib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    3 doses of 0.5 mL with a time interval of one month between each dose.

    Number of subjects in period 1
    Vaxem Hib_16 to 20 months Vaxem Hib_2 to 4 months
    Started
    20
    20
    Completed
    20
    20

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Vaxem Hib_16 to 20 months
    Reporting group description
    one single dose of 0.5 mL administered by IM;

    Reporting group title
    Vaxem Hib_2 to 4 months
    Reporting group description
    3 doses of 0.5 mL with a time interval of one month between each dose.

    Reporting group values
    Vaxem Hib_16 to 20 months Vaxem Hib_2 to 4 months Total
    Number of subjects
    20 20 40
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    20 20 40
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    0 0 0
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age continuous
    In stage 2 (Vaxem HIb 2-4 months), one subject aged 5-months, who did not meet the inclusion criteria was included.
    Units: days
        arithmetic mean (standard deviation)
    17.2 ± 1.4 3.3 ± 1 -
    Gender categorical
    Units: Subjects
        Female
    9 10 19
        Male
    11 10 21

    End points

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    End points reporting groups
    Reporting group title
    Vaxem Hib_16 to 20 months
    Reporting group description
    one single dose of 0.5 mL administered by IM;

    Reporting group title
    Vaxem Hib_2 to 4 months
    Reporting group description
    3 doses of 0.5 mL with a time interval of one month between each dose.

    Subject analysis set title
    Enrolled Population
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All subjects who have been enrolled.

    Subject analysis set title
    Exposed Population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    All enrolled subjects who actually received a study vaccination.

    Subject analysis set title
    Safety Population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    All subjects enrolled who have received study vaccination and provided any post-baseline safety data.

    Primary: Number of subjects reporting local and systemic reactions during 0-6 days after each vaccination.

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    End point title
    Number of subjects reporting local and systemic reactions during 0-6 days after each vaccination. [1]
    End point description
    Safety was evaluated as the number of subjects reporting local and systemic reactions occurring between 0-6 days after each vaccination.
    End point type
    Primary
    End point timeframe
    0-6 days after each 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: no statistical analyses required for this endpoint.
    End point values
    Vaxem Hib_16 to 20 months Vaxem Hib_2 to 4 months
    Number of subjects analysed
    20
    20
    Units: Subjects
        Tenderness
    1
    1
        Erythema
    1
    1
        Induration
    1
    0
        General Reaction
    4
    5
        Fever
    2
    1
        Rash
    1
    2
        Urticaria
    1
    1
        Other Erythra
    0
    1
        Change in Eating Habits
    1
    2
        Sleepiness
    0
    2
        Unusual Crying
    1
    3
        Irritability
    1
    0
        analgesics/antipyretics used
    2
    1
    No statistical analyses for this end point

    Primary: Number of unsolicited adverse events occurring throughout the study period.

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    End point title
    Number of unsolicited adverse events occurring throughout the study period. [2]
    End point description
    Safety was evaluated as the number of subjects reported unsolicited adverse events throughout the study. Category 1* (Title) : Withdrawl of study due to drug related adverse events. Category 2* (Title) : Reduced dose of vaccine for vaccination or disruption and delay of vaccination time due to adverse events. Category 3* (Title) : Reduced dose of vaccine for vaccination or disruption and delay of vaccination time due to drug-related adverse events.
    End point type
    Primary
    End point timeframe
    Day 1 to Day 90.
    Notes
    [2] - 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: no statistical analyses required for this endpoint.
    End point values
    Vaxem Hib_16 to 20 months Vaxem Hib_2 to 4 months
    Number of subjects analysed
    20
    20
    Units: Subjects
        All Adverse events
    6
    8
        Study related adverse events
    0
    1
        Serious adverse events
    0
    0
        Deaths
    0
    0
        Withdrawal from study due to adverse events
    0
    0
        Category 1* (see description for title)
    0
    0
        Category 2* (see description for title)
    0
    0
        Category 3* (see description for title)
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Solicited adverse events were collected from Day 0-6 after vaccination; Unsolicited adverse events were collected from day 1 to 90.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    Vaxem Hib_16 to 20 months
    Reporting group description
    one single dose of 0.5 mL administered by IM;

    Reporting group title
    Vaxem Hib_2 to 4 months
    Reporting group description
    3 doses of 0.5 mL with a time interval of one month between each dose.

    Serious adverse events
    Vaxem Hib_16 to 20 months Vaxem Hib_2 to 4 months
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 20 (0.00%)
    0 / 20 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Vaxem Hib_16 to 20 months Vaxem Hib_2 to 4 months
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    6 / 20 (30.00%)
    7 / 20 (35.00%)
    Nervous system disorders
    Somnolence
         subjects affected / exposed
    0 / 20 (0.00%)
    2 / 20 (10.00%)
         occurrences all number
    0
    4
    General disorders and administration site conditions
    Crying
         subjects affected / exposed
    1 / 20 (5.00%)
    3 / 20 (15.00%)
         occurrences all number
    1
    3
    Pyrexia
         subjects affected / exposed
    3 / 20 (15.00%)
    1 / 20 (5.00%)
         occurrences all number
    3
    2
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    0 / 20 (0.00%)
    3 / 20 (15.00%)
         occurrences all number
    0
    3
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    1 / 20 (5.00%)
    2 / 20 (10.00%)
         occurrences all number
    2
    2
    Psychiatric disorders
    Eating disorder
         subjects affected / exposed
    1 / 20 (5.00%)
    2 / 20 (10.00%)
         occurrences all number
    1
    3
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    4 / 20 (20.00%)
    5 / 20 (25.00%)
         occurrences all number
    4
    5

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    14 Jul 2008
    Change in route of administration.

    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.
    N/A
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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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