E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Infants from 3 months up to 23 months of age who may benefit from active immunization against disease caused by Streptococcus pneumoniae serotypes 4, 6B, 9V, 14, 18C, 19F and 23F (including sepsis, meningitis, pneumonia, bacteraemia and acute otitis media) and who would be scheduled to receive Prevenar PCV-7. |
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E.1.1.1 | Medical condition in easily understood language |
Prevention of disease caused by a type of bacteria called Streptococcus pneumoniae (pneumococcal disease) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Bacterial Infections and Mycoses [C01] |
MedDRA Classification |
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 |
The primary objective is to estimate the incidence of febrile reactions of ≥38 to ≤39°C; >39 to ≤40°C; >40°C occurring within 2 days following vaccination with Prevenar (PCV-7) coadministered with other routine childhood vaccines under the conditions of routine daily use in the Russian Federation within the licensed indication |
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E.2.2 | Secondary objectives of the trial |
To observe the frequency and severity of other local and/or systemic reactions and undesirable effects for two days
after routine vaccination with PCV-7
a) Local reaction at the site of injection: Redness or induration ≥ 2cm in diameter, swelling including extent
of swelling, transient tenderness and tenderness that interfered with limb movement.
b) Systemic reaction:
- to monitor the rate of other systemic reactions such as restless sleep, decreased appetite, unusual
irritability/fussiness/crying, vomiting, diarrhea, drowsiness, other.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Infants from 3 months up to 23 months of age who may benefit from active immunization
against disease caused by Streptococcus pneumoniae serotypes 4, 6B, 9V, 14, 18C, 19F and 23F (including sepsis, meningitis, pneumonia, bacteraemia and acute otitis media) and who would be scheduled to receive Prevenar PCV-7.
2. Parents or legal guardians must be willing and able to complete the diary cards This is consistent with previous and ongoing studies, and is consistent with the anticipated Russian label.
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E.4 | Principal exclusion criteria |
1. Hypersensitivity to the active substances or to any of the excipients.
2. Hypersensitivity to diphtheria toxoid
3. Age less than 3 months or greater than or equal to 2 years at enrollment Contraindications
as listed in the Package Insert / Russian SmPC for either Prevenar or for any
concomitantly used other vaccines
4. Previously vaccinated with 23-valent pneumococcal polysaccharide vaccine
5. Current febrile illness (temperature greater than or equal to 38.0°C [100.4°F]) or other
acute illness within 48 to 72 hours before Prevenar administration.
6. Prophylactic use of non-steroidal anti-inflammatory medications and/or acetaminophen
(e.g., paracetamol). However, acetaminophen/paracetamol may be administered for
treatment of fever, pain, etc.
7. The vaccine should not be given to infants or children with thrombocytopenia or any
coagulation disorder that would contraindicate intramuscular injection.
8. Received any investigational drugs, live vaccines or devices within 4 weeks before
administration of the vaccine, other than on the day of study vaccination.
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E.5 End points |
E.5.1 | Primary end point(s) |
1)The incidence of febrile reactions more than 38.0 degrees Celsius,
2)To observe the frequency and severity of other local and/or systemic reactions and undesirable effects for two days after routine vaccination with PCV-7
3) Safety Analysis
The following adverse events will be evaluated:
Local reaction at the site of injection
Redness including extent or redness
Swelling including extent of swelling
Induration
Tenderness
Systemic reaction
Fever
Decreased/increased need for sleep (restless sleep)
Decreased Appetite
Unusual irritability/fussiness/crying
Vomiting
Diarrhea
Incidence of adverse events (as defined above) will be tabulated.
Incidence of adverse events will be tabulated by subject’s baseline characteristics (age and sex), existence of
co-morbid conditions, existence of concomitant medications, existence of concomitant vaccine and type, etc.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Subjects will be observed in the healthcare centre for 30 minutes following vaccination for immediate local or
systemic reactions. Safety evaluation will be based on frequency of adverse events occurring within the 2 -day
post-vaccination period for all subjects who received at least one dose of PCV-7.
During the interval from vaccination through 1 week, the parent or legal guardian will complete a diary card and
report their child’s temperature taken on a daily basis in the evening, measured by ear thermometry. All febrile
episodes experienced at home, interventions related to and management of the febrile episode, use of antipyretic
medication and all medically attended events during the interval will be recorded
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E.5.2 | Secondary end point(s) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 | Yes |
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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
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 | No |
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 | No |
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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 1 |