A Study on the Immune Response and Safety of an Investigational Combined Measles, Mumps, Rubella and Varicella Vaccine, When Given to Healthy Children 4 to 6 Years of Age

Официальное название

A Phase 3a, Observer-blind, Randomized, Controlled Study to Demonstrate Lot-to-lot Consistency and Evaluate the Immunogenicity and Safety of an Investigational Combined Measles, Mumps, Rubella and Varicella Vaccine Compared With ProQuad, Administered as a Second Dose in Healthy Children 4-6 Years of Age

Обзор

The purpose of this study is to evaluate how consistently 3 different manufacturing lots of the GSK's investigational measles, mumps, rubella, and varicella (MMRVNS) vaccine will produce an immune response. It will also compare the overall immune response to the MMRVNS vaccine with that of the Merck licensed measles, mumps, rubella, and varicella (MMRV) vaccine. The vaccines will be given as a second dose to children aged 4 to 6 years who have previously received a first dose of any combination of measles, mumps, rubella, and varicella-containing vaccine(s). The study will also assess the immune response and safety of the MMRVNS and MMRV vaccines when given at the same time as a diphtheria, tetanus, acellular pertussis, and inactivated poliovirus (DTaP-IPV) vaccine. The DTaP-IPV vaccine used is licensed as Kinrix in the United States.

Вмешательства

• Биопрепарат MMRVNS vaccine
  MMRVNS vaccine will be administered on Day 1.
• Биопрепарат MMRV vaccine
  MMRV vaccine will be administered on Day 1.
• Биопрепарат DTaP-IPV vaccine
  DTaP-IPV vaccine will be administered on Day 1.

Первичные конечные точки

• Geometric mean concentrations (GMCs) of immunoglobulin G (IgG) antibodies against measles, mumps, rubella, and varicella zoster virus (VZV) glycoprotein E (gE) after MMRVNS vaccine administration [Срок оценки: At Day 43]
• Number of participants with seroresponse against measles, mumps, rubella, and VZV gE after MMRVNS or MMRV administration [Срок оценки: At Day 43]
• GMCs of IgG concentrations against measles, mumps, rubella, and VZV gE after MMRVNS or MMRV administration [Срок оценки: At Day 43]

Вторичные конечные точки (8)

• GMCs of IgG antibodies against diphtheria, tetanus, and pertussis antigens (Bordetella pertussis toxin, filamentous hemagglutinin, and outer membrane protein pertactin) after MMRVNS or MMRV administration in a subset of participants [Срок оценки: At Day 43]
• Geometric mean titers (GMTs) of neutralizing antibodies against poliovirus 1, 2, and 3 after MMRVNS or MMRV administration in a subset of participants [Срок оценки: At Day 43]
• Booster response of IgG concentrations against pertussis antigens (Bordetella pertussis toxin, filamentous hemagglutinin, and outer membrane pertactin) after DTaP-IPV co-administration with MMRVNS or MMRV in a subset of participants [Срок оценки: At Day 43]
• Number of participants with any solicited administration site events following MMRVNS or MMRV administration [Срок оценки: From Day 1 to Day 4 for injection site redness, pain/tenderness, and swelling; and from Day 1 to Day 43 for injection site varicella-like rash]
• Number of participants with any solicited systemic events following MMRVNS or MMRV administration [Срок оценки: From Day 1 to Day 15 for somnolence and loss of appetite; Day 1 to Day 22 for fever; Day 1 to Day 43 for varicella-like rash (non-injection site), measles/rubella-like rash, and other rash]
• Number of participants with any unsolicited adverse events (AEs) following MMRVNS or MMRV administration [Срок оценки: From Day 1 to Day 43]
• Number of participants with any medically attended adverse events (MAAEs) following MMRVNS or MMRV administration [Срок оценки: From Day 1 to Day 181]
• Number of participants with serious adverse events (SAEs), fatal SAEs, and related SAEs following MMRVNS or MMRV administration [Срок оценки: From Day 1 to Day 181]

Критерии участия

Inclusion Criteria (INC):

• INC#1 Participant's parent(s)/LAR(s), who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., completion of the eDiaries, return for follow-up visits).
• INC#2 Written or witnessed/thumb printed or digital informed consent obtained from the participant's parent(s)/LAR(s) prior to performance of any study specific procedure.
• INC#3 Informed assent obtained from the participants in line with local rules and regulations.
• INC#4 Healthy participants as established by medical history and clinical examination at screening.
• INC#5 A male or female participant between and including 4 and 6 years of age (i.e., from fourth birthday until the day before the seventh birthday) at the time of the study interventions administration, and in accordance with local regulations.
• INC#6 Participant who previously received a first dose of varicella-containing vaccine in the second year of life (i.e., from first birthday at 12 months of age until the day before the second birthday at 24 months of age).
• INC#7 Participant who previously received a first dose of measles, mumps, rubella containing vaccine in the second year of life (i.e., from first birthday at 12 months of age until the day before the second birthday at 24 months of age).
• INC#8 Participant who previously received 3 or 4 doses of any combined DTP (DTaP/DTwP) vaccine (diphtheria and tetanus toxoids and pertussis antigens whether or not combined with hepatitis B, inactivated poliovirus or Haemophilus influenzae type b antigens) according to the local recommendations.

Exclusion Criteria (EXC):

• EXC#1 History of any reaction or hypersensitivity likely to be exacerbated by any component of the study interventions, including hypersensitivity to neomycin or gelatin.
• EXC#2 Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
• EXC#3 Hypersensitivity to latex.
• EXC#4 Unstable chronic conditions as determined by medical history and physical examination.
• EXC#5 Major congenital defects, as assessed by the investigator.
• EXC#6 History of measles, mumps, rubella or varicella/zoster disease as evaluated by the investigator.
• EXC#7 History of diphtheria, tetanus, pertussis, and/or poliomyelitis disease.
• EXC#8 Recurrent history or uncontrolled neurological disorders or any neuroinflammatory (including, but not limited to: demyelinating disorders, encephalitis or myelitis of any origin), congenital neurological conditions, encephalopathies, or seizures (including all subtypes, such as: absence seizures, generalized tonic-clonic seizures, partial complex seizures, partial simple seizures).
• EXC#9 Active untreated tuberculosis.
• EXC#10 Condition that, in the judgment of the investigator, would make intramuscular injection unsafe.
• EXC#11 Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the clinical study.
• EXC#12 Use of any investigational or non-registered product (drug, vaccine, or invasive medical device in the country of enrollment) other than the study interventions during the period beginning 30 days before the dose of study interventions (Day -29 to Day 1), or their planned use during the study period.
• EXC#13 Administration of immunoglobulins or other blood products or plasma derivatives during the period starting 90 days before the study intervention or planned administration during the study period.
• EXC#14 Chronic administration of immune-modifying drugs (defined as more than 14 consecutive days in total) and/or planned use of long-acting immune modifying treatments at any time up to the end of the study.

• Up to 90 days prior to the study interventions administration.

• For corticosteroids, this will mean prednisone equivalent ≥0.5 mg/kg/day with maximum of 20 mg/day for pediatric participants. Inhaled, intra-articular/intra-bursal and topical steroids are allowed.
• Up to 180 days prior to study interventions administration: long-acting immune-modifying drugs including among others immunotherapy (e.g., tumor necrosis factor-inhibitors), monoclonal antibodies (except the ones not interfering with the immune response to the study interventions, e.g., nirsevimab), antitumoral medication.
• EXC#15 Previous vaccination with a second dose of varicella-containing vaccine or measles, mumps, rubella containing vaccine.
• EXC#16 Vaccination against diphtheria, tetanus, pertussis, and/or poliomyelitis given after the second year of life (i.e., after the second birthday at 24 months of age).
• EXC#17 Occurrence of any of the following events after a previous administration of DTP vaccine:

• Encephalopathy of unknown etiology occurring during the period starting within 7 days of vaccination of a previous administration of DTP vaccine.
• A temperature (≥40.6°C \[≥105°F\]) during the period starting 48 hours after vaccination not due to another identifiable cause.
• EXC#18 Use of salicylates (aspirin) or salicylate-containing products or its planned use, during the period of 6 weeks following study interventions administration.
• EXC#19 Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the dose and ending 43 days after the dose of study interventions administration\* (Visit 2), with the exception of

Influenza vaccines:

• Inactivated influenza vaccine must not be administered in the period starting 28 days before the dose and ending 28 days after the dose of study intervention administration. If administered outside this prohibited period, it should be administered at a different location than the study intervention.
• Live attenuated influenza vaccine must not be administered during the period starting 30 days before the dose and ending 43 days after the dose of study intervention administration (Visit 2).

• If emergency mass vaccination for an unforeseen public health threat (e.g., a pandemic) is recommended and/or organized by public health authorities outside the routine immunization program, the time period described above can be reduced, provided it is used according to the local governmental recommendations and sponsor is notified.

• EXC#20 Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational intervention (drug/vaccine/invasive medical device).
• EXC#21 Any study personnel's immediate dependents, family, or household members.
• EXC#22 Child in care.
• EXC#23 Participants with the following high-risk individuals in their household:

• Immunocompromised individuals.
• Pregnant women without documented history of varicella.
• Newborn infants of mothers without documented history of varicella.
• Newborn infants born <28 weeks of gestation.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Четверное слепое

Основная цель

Профилактика

Центры проведения

США · 38 центров

• Children's Clinic of Jonesboro, AR — Jonesboro
• Applied Research Center of Arkansas — Little Rock
• Century Research Institute Inc — Huntington Park
• Matrix Clinical Research — Los Angeles
• Center for Clinical Trials of Sacramento, Inc. — Sacramento
• Center for Clinical Trials of San Gabriel — West Covina
• BioMD Clinical Research — Coral Gables
• D&H Pompano Research Center LLC — Margate
• … и ещё 30 центров

Финляндия · 8 центров

• Finnish Vaccine Research, Espoo Clinic — Espoo
• Finnish Vaccine Research, Helsinki South Clinic — Helsinki
• Finnish Vaccine Research, Järvenpää Clinic — Jarvenpaa
• Finnish Vaccine Research, Kokkola Clinic — Kokkola
• Finnish Vaccine Research, Oulu Clinic — Oulu
• Finnish Vaccine Research, Seinäjoki Clinic — Seinäjoki
• Finnish Vaccine Research, Tampere Clinic — Tampere
• Finnish Vaccine Research, Turku Clinic — Turku

Аргентина · 7 центров

• Equipo Ciencia — Buenos Aires
• Helios Salud — Ciudad Autonoma Buenos Aires
• Clinica Privada del Sol SA — Córdoba
• Clinica del Nino y la Familia de Mar del Plata — Mar del Plata
• Instituto Medico Rio Cuarto — Río Cuarto
• Clinica Mayo de Urgencias Medicas Cruz Blanca SRL — San Miguel de Tucumán
• Hospital del Nino Jesus — San Miguel de Tucumán

Тайвань · 5 центров

• China Medical University Hospital — Taichung
• Taichung Veterans General Hospital — Taichung
• MacKay Memorial Hospital Taipei Branch — Taipei
• National Taiwan University Hospital — Taipei
• Chang Gung Memorial Hospital, Linkou — Taoyuan City

Италия · 3 центра

• Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari — Bari
• Ospedale D'Avanzo — Foggia
• Fondazione Policlinico Universitario Agostino Gemelli IRCCS — Rome

Пуэрто-Рико · 1 центр

• Centro Clin-PR — Corozal

Идентификаторы

NCT: NCT07742644 · 217717 · 2025-523277-42-00

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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