Title
Trial of Simplified Pneumococcal Vaccination in Vietnam II
Trial of Simplified Pneumococcal Vaccination in Vietnam II: The Herd Immunity Approach
Phase
Phase 2/Phase 3Lead Sponsor
Murdoch Childrens Research InstituteStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Pneumococcal VaccineIntervention/Treatment
pneumococcal 13-valent conjugate vaccine ...Study Participants
2501This is a single-blind, open-label, randomised controlled trial with five groups. There are four different Pneumococcal Conjugate Vaccine (PCV) schedules to be evaluated.
This is a single-blind, open-label, randomised controlled trial with five groups. There are four different PCV schedules to be evaluated: a 0+1 schedule of PCV10 at 12 months of age (Group V), a 0+1 schedule of PCV13 at 12 months of age (Group W), a 1+1 schedule of PCV10 at 2 and 12 months of age (Group X), and a 1+1 schedule of PCV13 at 2 and 12 months of age (Group Y); along with a control group that receives a dose of PCV10 at 24 months of age (Group Z). Additionally, all participants will receive four doses of Infanrix-hexa at 2, 3, 4 and 18 months of age.
PCV vaccination
PCV10, 0+1 schedule. PCV vaccine at 12 months of age
PCV13 in 0+1 schedule. PCV vaccine at 12 months of age
PCV10, 1+1 schedule. PCV vaccine given at 2 and 12 months of age
PCV13, 1+1 schedule. PCV vaccine at 2 and 12 months of age
Control group. PCV vaccine given at end of study (24 months)
Inclusion Criteria: Aged between 2 months and 2 months plus 2 weeks; No significant maternal or perinatal history; Born at or after 36 weeks gestation; Written and signed informed consent from parent/legal guardian; Lives within approximately 30 minutes of the commune health centre; Family anticipates living in the study area for the next 22 months Exclusion Criteria: Known allergy to any component of the vaccine; Allergic reaction or anaphylactic reaction to any previous vaccine; Known immunodeficiency disorder; Known HIV-infected mother; Known thrombocytopenia or coagulation disorder; Administration or planned administration of any immunoglobulin or blood product since birth; Severe birth defect requiring ongoing medical care; Chronic or progressive disease; Seizure disorder; History of severe illness; Receipt of any 2 month vaccines through the Expanded Programme of Immunization (EPI) program; Family plans on giving the infant Quinvaxem (DTP-Hib-HBV). Additionally, enrolment will be deferred and infants asked to return to the health centre one week later for reassessment if they have at least one of the following deferral criteria: Axillary temperature ≥37.5°C or ≤35.5°C; Acute infection, especially bacterial; Oral administration of corticoid therapy in past 14 days; or Any of the following symptoms that interfere with normal activities: crying more than usual, sleeping more than usual, or loss of appetite.