A Phase I Clinical Trial for Inactivated Enterovirus Type 71 Vaccine (Human Diploid Cell, KMB-17 Cell) in Chinese Adults, Children and Infants
160Eu/0.5ml in adults
+ 320Eu/0.5ml in adults
+ 640Eu/0.5ml in adults
Coxsackievirus Infections+4
+ Enterovirus Infections
+ Hand, Foot and Mouth Disease
Prevention Study
Summary
Study start date: February 1, 2011
Actual date on which the first participant was enrolled.Hand-foot-and-mouth disease (HFMD) is a significant cause of death, usually characterized by vesicular lesions on the skin and oral mucosa and high morbidity rates in children. Additionally, occasional fatal cases have been reported involving brainstem encephalitis and myelitis associated with cardiopulmonary collapse. Pulmonary edema/hemorrhage and respiratory failure are the major causes of death among children less than five years old. Enterovirus 71 (EV71), a major pathogen that is responsible for causing HFMD worldwide, is a member of the Human Enterovirus species A, family Picornaviridae. Since the late 1990s, a series of large HFMD epidemics caused by EV71 have been reported in the Asia-Pacific region. Notably, there is evidence that the most severe cases from these epidemic outbreaks are associated with neurological disorders with CNS involvement caused by EV71 infection. Because of these EV71 infection-related public health issues, the research and development of EV71 vaccine candidates have been heavily promoted. Recently, several EV71 vaccine candidates have been evaluated in animals but no final results of clinical trials, including heat-inactivated or formalin-inactivated vaccine, live-attenuated vaccine, recombinant viral protein 1 (VP1) vaccine, VP1 DNA vaccine, VP1 epitope peptide vaccine, EV71 virus-like particles (VLPs) and bacterial or viral vector expressing VP1. Overall, the inactivated whole-virus vaccines seem to be more immunogenic than recombinant VP1 and DNA vaccines. Basing on the previous studies of elicited protection in mice and rhesus monkeys (Ying Zhang, et al. Pathogenesis study of Enterovirus 71 Infection in Rhesus Monkeys. Lab Invest, 2011, doi:10.1038/labinest.2011.82; Longding Liu, et al. Neonatal Rhesus Monkey is a Potential Animal Model for Studying Pathogenesis of EV71 Infection. Virology, 2011, 412:91-100; Chenghong Dong, et al. Immunoprotection Elicited by an Enterovirus Type 71 Experimental Inactivated Vaccine in Mice and Rhesus Monkeys. Vaccine, 2011, doi: 10.1016/j.vaccine.2011.06.044.), a formalin-inactivated EV71 vaccine (Human Diploid cell, KMB-17 Cell) has been licensed by SFDA in China, Dec. 2010. The phase I clinical trial has been carried out, during four months, in Guangxi Province, China. The purpose of this study is to evaluate the safety, tolerability and immunogenicity of the formalin-inactivated EV71 vaccine in Chinese adults (from 18 to 49 years old), children (from 3 to 11 years old) and infants (from 6 to 35 months old).
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.288 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Prevention Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 6 Months to 49 Years
Range of ages for which participants are eligible to join.Healthy volunteers allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
For the subjects aged from 18-49 years old adults: Inclusion Criteria: * Healthy subjects (18-49 years old adults) as established by medical history and clinical examination * The subjects oneself or their legal guardian must be aware of this vaccines * Voluntarily participate in the study and signed Informed Consent Form * Subjects with temperature ≤ 37.0℃ * With the ability and objective to comply with the requirements of the protocol * Persist for a 2-month visit and receive blood tests according to program requirements Exclusion Criteria: * Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD) * Allergy or serious side-effects to a vaccine or any ingredient of vaccine * Epilepsy, seizures, convulsions, neurological illness * Congenital or hereditary immunodeficiency * Autoimmune disease * Severe malnutrition or dysgenopathy * Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer * Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy * Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder * Acute illness or acute exacerbation of chronic disease in last 7 days * Any prior administration of immunodepressant or corticosteroids in last 6 months * Any prior administration of blood products in last 3 months * Any prior administration of live-attenuated vaccine in last 28 days or 1 months * Any prior administration of subunit or inactivated vaccines in last 14 days * Under the anti-TB prevention or therapy * Fever before vaccination, axillary temperature ﹥37.0℃ * The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc. * Hypertension or hypotension. Systolic blood pressure ﹥140mmHg and/or diastolic blood pressure ﹥90mmHg; systolic blood pressure ﹤90mmHg and/or diastolic blood pressure ﹤60mmHg * Breast-feeding, pregnant, planning a pregnancy within 60 days or positive pregnancy test women * Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives For the subjects aged from 3-11 years old children: Inclusion Criteria: * Healthy subjects (3-11 years old children) as established by medical history and clinical examination * Full-term (37-42 weeks), weight ≥ 2500 g when it was born * The subjects' legal guardian must be aware of this vaccines * The subjects' legal guardian voluntarily participate in the study and signed Informed Consent Form * Subjects with temperature ≤ 37.0℃ * The subjects' legal guardian with the ability and objective to comply with the requirements of the protocol * Persist for a 2-month visit and receive blood tests according to program requirements Exclusion Criteria: * Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD) * ≤37 weeks gestation * weight ≤ 2500 g when it was born * Allergy or serious side-effects to a vaccine or any ingredient of vaccine * Epilepsy, seizures, convulsions, neurological illness * Congenital or hereditary immunodeficiency * Autoimmune disease * Severe malnutrition or dysgenopathy * Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer * Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy * Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder * Acute illness or acute exacerbation of chronic disease in last 7 days * Any prior administration of immunodepressant or corticosteroids in last 6 months * Any prior administration of blood products in last 3 months * Any prior administration of live-attenuated vaccine in last 28 days or 1 months * Any prior administration of subunit or inactivated vaccines in last 14 days * Under the anti-TB prevention or therapy * Fever before vaccination, axillary temperature ﹥37.0℃ * The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc. * Hypertension or hypotension. Systolic blood pressure ﹥140mmHg and/or diastolic blood pressure ﹥90mmHg; systolic blood pressure ﹤90mmHg and/or diastolic blood pressure ﹤60mmHg * Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives For the subjects aged from 6-35 months infants: Inclusion Criteria: * Healthy subjects (6-35 months infants) as established by medical history and clinical examination * Full-term (37-42 weeks), weight ≥ 2500 g when it was born * The subjects' legal guardian must be aware of this vaccines * The subjects' legal guardian voluntarily participate in the study and signed Informed Consent Form * Subjects with temperature ≤ 37.0℃ * The subjects' legal guardian with the ability and objective to comply with the requirements of the protocol * Persist for a 2-month visit and receive blood tests according to program requirements Exclusion Criteria: * Subject who has a clinical diagnosis history of Hand, Foot and Mouth Disease (HFMD) * ≤37 weeks gestation * weight ≤ 2500 g when it was born * Allergy or serious side-effects to a vaccine or any ingredient of vaccine * Epilepsy, seizures, convulsions, neurological illness * Congenital or hereditary immunodeficiency * Autoimmune disease * Severe malnutrition or dysgenopathy * Asthma, thyroidectomy, angioneurotic edema, diabetes or cancer * Asplenia, functional asplenia, and any circumstances leading to the asplenia or splenectomy * Clinical diagnosis of coagulopathy (such as clotting factor deficiency, coagulation disorders, platelet abnormalities), significant bruising or blood clotting disorder * Acute illness or acute exacerbation of chronic disease in last 7 days * Any prior administration of immunodepressant or corticosteroids in last 6 months * Any prior administration of blood products in last 3 months * Any prior administration of live-attenuated vaccine in last 28 days or 1 months * Any prior administration of subunit or inactivated vaccines in last 14 days * Under the anti-TB prevention or therapy * Fever before vaccination, axillary temperature ﹥37.0℃ * The laboratory test abnormalities before vaccination, including blood tests (hemoglobin, total white blood cells, WBC, platelets), blood biochemistry tests (ALT, total bilirubin, direct bilirubin, Cr, BUN) and urine tests (urine protein, urine sugar, blood cells), etc. * Hypertension or hypotension. Systolic blood pressure ﹥140mmHg and/or diastolic blood pressure ﹥90mmHg; systolic blood pressure ﹤90mmHg and/or diastolic blood pressure ﹤60mmHg * Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.15 intervention groups are designated in this study
20% chance of being blinded to the placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalGroup III
ExperimentalGroup IV
ExperimentalGroup 5
PlaceboGroup 6
ExperimentalGroup 7
ExperimentalGroup 8
ExperimentalGroup 9
ExperimentalGroup 10
PlaceboGroup 11
ExperimentalGroup 12
ExperimentalGroup 13
ExperimentalGroup 14
ExperimentalGroup 15
PlaceboStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 1 location
Guangxi Provincial Center for Diseases Control and Prevention
Nanning, ChinaOpen Guangxi Provincial Center for Diseases Control and Prevention in Google Maps