E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
|
E.1.1.1 | Medical condition in easily understood language |
|
E.1.1.2 | Therapeutic area | Not possible to specify |
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 |
To assess the immune responses to the 13
pneumococcal serotypes induced by 13vPnC in
infants and children 7 months to <6 years of age
(Cohorts 2, 3, and 4) compared to immune
responses in infants 6 weeks to 2 months of age
(Cohort 1).
To evaluate the safety profile of 13vPnC in infants
and children 7 months to <6 years of age (Cohorts
2, 3, and 4) as measured by the incidence rates of
local reactions, systemic events (including the use
of antipyretic medication, and adverse events
(AEs) |
|
E.2.2 | Secondary objectives of the trial |
To describe the functional antibody responses as
measured by opsonophagocytic activity (OPA) to
the 13 pneumococcal serotypes induced by
13vPnC in infants and children 7 months to <6
years of age (Cohorts 2, 3, and 4) compared to
responses in infants 6 weeks to 2 months of age
(Cohort 1).
To describe the immune responses to 13vPnC
compared to Hib vaccinated controls in Cohorts 2,
3, and 4.
To describe the circulating antibody levels to the
13 pneumococcal serotypes from before
vaccination through 5 years of age (4 years after
the last study vaccination) in Cohort 1
To evaluate the safety profile of 13vPnC as
measured by the incidence rates of adverse events
(AEs) in Cohort 1.
|
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Evidence of a personally signed and dated ICD indicating that the parent(s)/legal guardian has been informed of all pertinent aspects of the study.
-Aged 6 weeks (42 days) to <6 years at the time of consent.
-Healthy infants and children as determined by medical history, physical examination, and judgment of the investigator |
|
E.4 | Principal exclusion criteria |
-Participation in other studies involving investigational drug(s)/vaccine(s) since birth (Cohort 1 only) or in the 6 months prior to study entry (Cohorts 2, 3, and 4) and/or during study participation.
-Other acute or chronic medical or psychiatric condition, including recent laboratory abnormality, that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
-Vaccination with licensed or investigational pneumococcal vaccine.
-Previous vaccination with licensed or investigational Hib vaccine. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Serotype-specific IgG geometric mean concentrations(GMCs) for each of the pneumococcal serotypes compared to IgG GMCs
1 month after the last dose of 13vPnC in cohorts 2, 3 and 4 and 1 month after the infant series in cohort 1
Number of local reactions and systemic events in Cohorts 2, 3 and 4
7 days after each vaccination
Number of Adverse Events (AE) from the signing of the informed consent document (ICD) to 1 month after the last vaccination (13vPnC or Hib) in Cohort 2, 3 and 4
1 month after the last vaccination (13vPnC or Hib) in Cohort 2, 3 and 4
Number of newly diagnosed chronic medical conditions in Cohort 2, 3 and 4
1 month after the last study vaccination to 6 months after the last study vaccination
Number of serious adverse events (SAEs) from the signing of the informed consent document (ICD) to 6 months after the last study vaccination (13vPnC or Hib) in Cohort 2, 3 and 4
Up to 6 months after the last study vaccination (13vPnC or Hib) in Cohort 2, 3 and 4
|
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
1 month after the last dose of 13vPnC in cohorts 2, 3 and 4 and 1 month after the infant series in cohort 1
7 days after each vaccination
1 month after the last vaccination (13vPnC or Hib) in Cohort 2, 3 and 4
1 month after the last study vaccination to 6 months after the last study vaccination
Up to 6 months after the last study vaccination (13vPnC or Hib) in Cohort 2, 3 and 4
|
|
E.5.2 | Secondary end point(s) |
Opsonophagocytic activity (OPA) to the vaccine specific serotypes compared to vaccine specific responses OPA
1 month after the last dose of 13vPnC in cohorts 2,3, 4 and 1 month after infant series in cohort 1
Serotype specific IgG GMC and OPA GMTs for each of the pneumococcal serotypes compared to IgG and OPA
1 month after the last vaccination in Cohort 2, 3, 4, whichever comes last, up to 9 months
Serotype specific IgG GMC for each of the pneumococcal serotypes
Before vaccination through 5 years of age
Number of AEs from the signing of the informed consent document (ICD) to 1 month after vaccination 3 in Cohort 1
Up to 1 month after vaccination 3 in Cohort 1
Number of newly diagnosed chronic medical conditions from 1 month after vaccination 3 to vaccination 4 in Cohort 1
1 month after vaccination 3 to vaccination 4 in Cohort 1
Number of AEs from vaccination 4 to 1 month after vaccination 4 in Cohort 1
Vaccination 4 to 1 month after vaccination 4 in Cohort 1
Number of newly diagnosed chronic medical conditions from 1 month after vaccination 4 to 6 months after vaccination 4 in Cohort 1
1 month after vaccination 4 to 6 months after vaccination 4 in Cohort 1
Number of serious adverse events (SAEs) from the signing of the informed consent document (ICD) to 6 months after vaccination 4 in Cohort 1
Up to 6 months after vaccination 4 in Cohort 1
|
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
1 month after the last dose of 13vPnC in cohorts 2,3, 4 and 1 month after infant series in cohort 1
1 month after the last vaccination in Cohort 2, 3, 4, whichever comes last, up to 9 months
Before vaccination through 5 years of age
Up to 1 month after vaccination 3 in Cohort 1
1 month after vaccination 3 to vaccination 4 in Cohort 1
Vaccination 4 to 1 month after vaccination 4 in Cohort 1
1 month after vaccination 4 to 6 months after vaccination 4 in Cohort 1
Up to 6 months after vaccination 4 in Cohort 1
|
|
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 |
|
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) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
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?
| Yes |
E.8.4 | Will this trial be conducted at multiple sites globally? | No |
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 |
|
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
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 5 |