Protocol summary

Study aim
The evaluation of non-inferiority of the 13-valent pneumococcal vaccine (PneumoConj®) in comparison to the Prevnar® in terms of immunogenicity in healthy infants aged 8 ± 2 weeks.
Design
A phase 3, Randomized, Two-arm, Double-blind, Parallel-group, Active-controlled clinical trial with sample size of 324
Settings and conduct
A Phase III, Double-blind (Investigator and Participant), Two-arm, Active-controlled, with a 1:1 allocation and sample size of 324, non-inferiority clinical trial evaluating the immunogenicity and safety of the 13-valent pneumococcal vaccine, In the health center of Tehran, Iran.
Participants/Inclusion and exclusion criteria
Inclusion Criteria: Infants aged 8±2 weeks who are in good general health Exclusion criteria: History of previous vaccination against pneumococcus
Intervention groups
The 13-valent pneumococcal vaccine (PneumoConj®) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age The 13-valent pneumococcal vaccine (Prevnar®) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
Main outcome variables
1. IgG seroresponse rate 2. IgG GMC ratio

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20240626062259N1
Registration date: 2024-07-30, 1403/05/09
Registration timing: prospective

Last update: 2024-07-30, 1403/05/09
Update count: 0
Registration date
2024-07-30, 1403/05/09
Registrant information
Name
Seyyedeh Maryam Afshani
Name of organization / entity
Nivad Pharmed Salamat
Country
Iran (Islamic Republic of)
Phone
+98 21 9120 0238
Email address
info@nivadpharmed.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-07-31, 1403/05/10
Expected recruitment end date
2024-08-31, 1403/06/10
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The phase 3, randomized, two-arm, parallel group, double-blind, active controlled non-inferiority clinical trial evaluating the immunogenicity and safety of the 13-valent pneumococcal vaccine (PneumoConj®- manufactured by Nivad Pharmed Salamat), compared to the 13-valent pneumococcal vaccine (Prevnar®- manufactured by Pfizer) as the reference product, in infants aged 8 ± 2 weeks
Public title
Evaluation of immunogenicity and safety of the 13-valent pneumococcal vaccine (PneumoConj®- manufactured by Nivad Pharmed Salamat), compared to the 13-valent pneumococcal vaccine (Prevnar®- manufactured by Pfizer) as the reference product, in infants aged 8 ± 2 weeks
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Infants aged 8±2 weeks. Good general health (confirmed through clinical examinations and medical records, e.g., normal growth curve, normal head circumference). Parents willing to provide informed and voluntary written consent for their infant's participation in the study. Ability to accompany their infant for study visits and follow-up sessions.
Exclusion criteria:
History of previous vaccination against pneumococcal strains. History of severe hypersensitivity reactions following vaccine injection. Infants with congenital abnormalities, growth disorders, genetic defects, or severe malnutrition. Infants with pathological jaundice lasting 2 to 4 weeks and recurring. History of confirmed respiratory infection at clinic or serology, especially due to Streptococcus pneumoniae. History of HIV infection in mother or infant. Presence of thrombocytopenia (platelets less than 150,000) or other coagulation disorders. Axillary temperature above 37.8 degrees Celsius within 72 hours prior to the study. Family history of seizures, epilepsy, or encephalopathy in first-degree relatives of the infant. Preterm and low birth weight infants (born before 37 weeks of gestation with birth weight less than 2.5 kilograms). Family history of congenital or hereditary immunodeficiency in first-degree relatives. Receipt of vaccines outside of the national immunization schedule or medications prohibited simultaneously. Conditions deemed by the principal investigator to prevent participation. Participation in other clinical vaccine studies.
Age
From 42 days old to 70 days old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Investigator
Sample size
Target sample size: 324
Randomization (investigator's opinion)
Randomized
Randomization description
Allocation of infants to intervention groups is done by stratified randomization by www.sealedenvelope.com. The strata in this study are the centers and, in each stratum, random numerical sequences will be created in the form of permuted blocks. For this purpose, random blocks with block size 2 and 4 (equal number of each group are present in each block) and with a ratio of 1:1 will be done for a total of 324 infants. When randomization is done, each infant will receive a unique code by which he will be identified throughout the study.
Blinding (investigator's opinion)
Double blinded
Blinding description
Given that the control and test drug packages are completely identical and are identified using random codes, the parents of the participants will not be aware of the type of vaccine their child has received. Additionally, study data will be anonymized based on the unique identification codes assigned to each participant at the start of the study. This ensures that the study remains blinded for both the doctor and the evaluator. Similarly, the samples and laboratory results will be identified and reported only with the codes corresponding to each participant, without any names.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethics Committee of Tehran University of medical sciences
Street address
Sixth floor, Research Deputy of Tehran University of Medical Sciences, Ghods Street, Keshavarz Boulvard
City
Tehran
Province
Tehran
Postal code
1417653761
Approval date
2023-11-26, 1402/09/05
Ethics committee reference number
IR.TUMS.AEC.1402.113

Health conditions studied

1

Description of health condition studied
Otitis media prevention / Pneumonia prevention
ICD-10 code
J13
ICD-10 code description
Pneumonia due to Streptococcus pneumoniae

Primary outcomes

1

Description
IgG seroresponse rate against different serotypes after 5 months: IgG seroresponse rate against different serotypes after 5 months (one month after the third dose injection) compared to the control group.
Timepoint
One month after the third dose injection
Method of measurement
ELISA. Percentage of individuals with IgG antibody concentration above 0.35 micrograms per milliliter.

2

Description
IgG GMC ratio against different serotypes after 5 months: IgG GMC ratio against different serotypes after 5 months (one month after the third dose injection) in the candidate group compared to the control group.
Timepoint
One month after the third dose injection.
Method of measurement
ELISA.

Secondary outcomes

1

Description
IgG seroresponse rate against different serotypes after the booster dose: IgG seroresponse rate against different serotypes after the booster dose compared to the control group.
Timepoint
One month after the booster dose injection.
Method of measurement
ELISA. Percentage of individuals with IgG antibody concentration above 0.35 micrograms per milliliter.

2

Description
IgG GMC ratio against different serotypes after the booster dose: IgG GMC ratio against different serotypes after the booster dose in the candidate group compared to the control group.
Timepoint
One month after the booster dose injection.
Method of measurement
ELISA

3

Description
OPA seroresponse rate against different serotypes after 5 months and after the booster dose: OPA seroresponse rate against different serotypes after 5 months (one month after the third dose injection) and after the booster dose in the candidate group compared to the control group (in a subset of subjects).
Timepoint
One month after the third dose injection and one month after the booster dose injection.
Method of measurement
OPA. Percentage of individuals with functional antibody titer above 1:8

4

Description
OPA GMC ratio against different serotypes after 5 months and after the booster dose: OPA GMC ratio against different serotypes after 5 months (one month after the third dose injection) and after the booster dose in the candidate group compared to the control group (in a subset of subjects).
Timepoint
One month after the third dose injection and one month after the booster dose injection.
Method of measurement
OPA.

5

Description
Incidence of otitis media and pneumonia: Incidence of otitis media and pneumonia (specifying severity and pneumococcal strain type).
Timepoint
Throughout the study.
Method of measurement
Clinical examination and PCR.

6

Description
Number of individuals experiencing Immediate Adverse Drug Reactions within the first half-hour after each injection (Day 0).
Timepoint
In the first half-hour following each injection. (Day 0)
Method of measurement
Clinical assessment

7

Description
Number of individuals experiencing Solicited Adverse Drug Reactions in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Timepoint
First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Method of measurement
Clinical assessment

8

Description
Number of individuals experiencing Systematic Adverse Drug Reactions in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Timepoint
First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Method of measurement
Clinical assessment

9

Description
Number of individuals experiencing Unsolicited Adverse Drug Reactions in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Timepoint
First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Method of measurement
Clinical assessment

10

Description
Number of individuals experiencing Adverse Events of Special Interest (AESIs) in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection. AESIs include shoulder injury related to vaccine administration and vasovagal syncope.
Timepoint
First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Method of measurement
Clinical assessment

11

Description
Number of individuals experiencing Medically Attended Adverse Events (MAEs) in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection. MAEs include undesirable events demanding medical attendance that are not part of routine medical examination or vaccination visits, such as hospitalizations, emergency department visit, or any unscheduled medical visits for any reason.
Timepoint
First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Method of measurement
Clinical assessment

12

Description
Number of individuals experiencing Severe Adverse Events (SAEs) in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection. SAEs refer to any adverse event resulting in death, life-threatening situations, need for hospitalization or prolongation of hospitalization, disability or congenital anomaly, and significant impairment of the participant under investigation.
Timepoint
First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
Method of measurement
Clinical assessment

Intervention groups

1

Description
Intervention group: PneumoConj®- manufactured by Nivad Pharmed Salamat The pre-filled syringe of 13-valent pneumococcal vaccine (PneumoConj®- manufactured by Nivad Pharmed Salamat), administered intramuscularly (right thigh muscle) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
Category
Prevention

2

Description
Control group: Prevnar®- manufactured by Pfizer The pre-filled syringe of 13-valent pneumococcal vaccine (Prevnar®- manufactured by Pfizer), administered intramuscularly (right thigh muscle) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
Category
Prevention

Recruitment centers

1

Recruitment center
Name of recruitment center
Hakim Etemad Health Vaccination Center
Full name of responsible person
Dr.Eshaghi
Street address
Customs, Khosravi Kh., Majidzadeh Kh., Taimur Ebrahimi Kh., 71, Hakim Etemad Health Vaccination Center, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1814154165
Phone
+98 21 5564 6050
Email
Behdasht-Jonoob-Tehran@sina.tums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
NivadPharmed Salamat company
Full name of responsible person
Dr. Mohammad Amin Ghobadi
Street address
NO.125. 22nd km of Tehran-karaj Makhsous Road, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
3164949682
Phone
+98 912 233 4773
Email
a.ghobadi@nivadpharmed.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
NivadPharmed Salamat company
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Industry

Person responsible for general inquiries

Contact
Name of organization / entity
Orchid Pharmed Co.
Full name of responsible person
Dr. Hamidreza Kafi
Position
Medical Department Manager
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No 42. Attar sq, Attar st, Valiasr st, Vanak sq, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
kafi.h@orchidpharmed.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Orchid Pharmed Co.
Full name of responsible person
Dr. Hamidreza Kafi
Position
Medical Department Manager
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No 42. Attar sq, Attar st, Valiasr st, Vanak sq, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
kafi.h@orchidpharmed.com

Person responsible for updating data

Contact
Name of organization / entity
Orchid Pharmed Co.
Full name of responsible person
Dr. Hamidreza Kafi
Position
Medical Department Manager
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No 42. Attar sq, Attar st, Valiasr st, Vanak sq, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
kafi.h@orchidpharmed.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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