Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0835 or +27 21 938 0967
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202006580901172 Date of Registration: 17/06/2020
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title Safety and Immunogenicity Study of Full Schedule (3-Dose SHAN6™) or SHAN6™- SHAN 5®- SHAN6™ Versus the Licensed Vaccine SHAN 5® With bOPV and IPV When Administered Per National Immunization Schedule in Healthy Kenyan Infants
Official scientific title Phase III, multi-center, randomized, active-controlled, open-label, three-arm, study in 690 infants who will receive a 3-dose primary series at 6, 10 and 14 weeks of age, of either 3-dose SHAN6™ or SHAN6™ – SHAN 5® + bOPV – SHAN6™ or SHAN 5® + bOPV – SHAN 5® + bOPV – SHAN 5® + bOPV + IPV, and a booster dose of either SHAN6™ or SHAN 5® + bOPV at 18 months of age
Brief summary describing the background and objectives of the trial Vaccines are cost-effective public health tools for the prevention and control of infectious diseases. Their routine use has enormous impact on tetanus , diphtheria , pertussis (whooping cough), poliomyelitis , hepatitis B and invasive Haemophilus influenzae type b (Hib) diseases. However, there are still global disparities with regard to vaccine use and coverage, associated mainly with inequalities in the access to health care services. To improve the delivery of vaccines to infant populations, combination vaccines are regarded as an important tool allowing the concomitant administration of several antigens in a single injection. Combination vaccines can also reduce the cost of the delivery of immunization programs and increase compliance with vaccination. This will be a Phase III, randomized, open-label, multi-center, study in 690 Kenyan infants aged 6-8 weeks.The infants will be randomly allocated, at 1:1:1 ratio, to receive 3 doses of SHAN6™vaccine, or mixed administration of SHAN6™ and SHAN 5® (with bivalent oral polio vaccine [bOPV]), or the licensed control vaccine SHAN 5® (with bOPV and inactivated polio vaccine [IPV]). Additionally, infants in all three groups would be randomly allocated to receive a booster dose of either SHAN6™ or SHAN 5® with bOPV at 18 months. Accordingly, there will be 3 study groups (A, B, and C) for primary series and 2 for booster. The first primary objective is to demonstrate the non-inferiority of SHAN6™ compared to the licensed control vaccines SHAN 5® (+ bOPV + IPV) for all other antigens 28 days after a three-dose primary series (6, 10 and 14 weeks). The second primary objective is to demonstrate the non-inferiority of mixed schedule administration of SHAN6™ and SHAN 5® (+ bOPV) compared to SHAN 5® (+ bOPV + IPV) as a three dose primary series for all other antigens 28 days after a three-dose primary series.
Type of trial RCT
Acronym (If the trial has an acronym then please provide) SHAN6
Disease(s) or condition(s) being studied Infections and Infestations,Paediatrics
Sub-Disease(s) or condition(s) being studied Bacterial infections and mycoses
Purpose of the trial Prevention: Vaccines
Anticipated trial start date 24/08/2020
Actual trial start date
Anticipated date of last follow up 30/09/2022
Actual Last follow-up date
Anticipated target sample size (number of participants) 690
Actual target sample size (number of participants)
Recruitment status Not yet recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Randomised Simple randomization using by using procedures such as coin-tossing or dice-rolling Central randomisation by phone/fax Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group Group A1 - SHAN6™ at age of 6, 10 and 14 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks - SHAN6™ at age of 6, 10 and 14 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks - SHAN6™ at age of 6, 10 and 14 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks 115
Experimental Group Group A2 SHAN6™ at age of 6, 10 and 14 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks SHAN6™ at age of 6, 10 and 14 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks SHAN6™ at age of 6, 10 and 14 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks 115
Experimental Group Group B1 SHAN6™ at age of 6 and 14 weeks - SHAN5®+bOPV at 10 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks SHAN6™ at age of 6 and 14 weeks - SHAN5®+bOPV at 10 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks SHAN6™ at age of 6 and 14 weeks - SHAN5®+bOPV at 10 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks 115
Experimental Group Group B2 - SHAN6™ at age of 6 and 14 weeks - SHAN5®+bOPV at 10 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks - SHAN6™ at age of 6 and 14 weeks - SHAN5®+bOPV at 10 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks - SHAN6™ at age of 6 and 14 weeks - SHAN5®+bOPV at 10 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks 115
Experimental Group Group C1 - SHAN5®+bOPV at age of 6 and 10 weeks - SHAN5®+bOPV+IPV at 14 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks - SHAN5®+bOPV at age of 6 and 10 weeks - SHAN5®+bOPV+IPV at 14 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks - SHAN5®+bOPV at age of 6 and 10 weeks - SHAN5®+bOPV+IPV at 14 weeks - SHAN6™ at 18 months - PCV + ORV at 6, 10 and 14 weeks 115
Control Group Group C2 SHAN5®+bOPV at age of 6 and 10 weeks - SHAN5®+bOPV+IPV at 14 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks SHAN5®+bOPV at age of 6 and 10 weeks - SHAN5®+bOPV+IPV at 14 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks SHAN5®+bOPV at age of 6 and 10 weeks - SHAN5®+bOPV+IPV at 14 weeks - SHAN5®+bOPV at 18 months - PCV + ORV at 6, 10 and 14 weeks 115 Active-Treatment of Control Group
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
- Aged 42 to 56 days on the day of the first study visit. - Born at full term of pregnancy (≥ 37 weeks) and/or with a birth weight ≥ 2.5 kg OR medically stable prematurely born infants (born after a gestation period of 27-36 weeks). - Infants who have received the birth dose of OPV and Bacille Calmette-Guérin vaccine (BCG) vaccine per Kenya NIS recommendations. - Participants and parent(s)/LAR are able to attend all scheduled visits and to comply with all study procedures. - Participation at the time of study enrollment (or in the 4 weeks preceding the first trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure. - Receipt of any vaccine in the 4 weeks preceding the first trial vaccination or planned receipt of any vaccine in the 4 weeks following the last trial vaccination except for routine vaccinations included in the Kenyan NIS (eg., BCG) which may be received less than 4 weeks before study vaccine. - Previous vaccination against diphtheria, tetanus, pertussis, hepatitis B (except the dose of Hep B vaccine given at birth) diseases or Haemophilus influenzae type b infection, poliomyelitis (except the OPV) or rotavirus infection apart from trial vaccines in the four weeks following trial vaccination. - Receipt of immune globulins, blood or blood-derived products since birth. - Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy since birth; or long-term systemic corticosteroid therapy (prednisone or equivalent at >=0.5 mg/kg/day for more than 2 consecutive weeks since birth). - Known personal or maternal history of Human Immunodeficiency Virus (HIV), hepatitis B (HBsAg positive) or hepatitis C (HCV RNA positive). - Individuals with blood dyscrasias, leukemia, lymphoma of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems. - History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, Haemophilus influenzae type b, or rotavirus infection(s), confirmed either clinically, serologically, or microbiologically. - History of seizures, encephalopathy, or any evolving or suspected neurological condition. - History of intussusception. - Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances. - Known thrombocytopenia, as reported by the parent/legally acceptable representative contraindicating IM vaccination. - Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination. - Chronic illness that, is at a stage where it might interfere with trial conduct or completion. - Moderate or severe acute illness/infection on the day of vaccination or febrile illness (axillary temperature ≥ 38.0°C). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided). - Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw. - Identified as a natural or adopted child of the Investigator, relatives or employee with direct involvement in the proposed study. - Any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives. Infant: 13 Month(s)-24 Month(s) 42 Day(s) 56 Day(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 31/01/2020 KEMRI Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
P. O. Box 54840-00200, Off Mbagathi Road, Nairobi. Nairobi 00200 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 02/03/2020 KEMRI Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
P. O. Box 54840-00200, of Mbagathi Road, Nairobi Nairobi 00200 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 02/03/2020 KEMRI Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
P. O. Box 54840-00200, off Mbagathi Road, Nairobi Nairobi 00200 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 02/03/2020 KEMRI Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
P. O. Box 54840-00200, Off Mbagathi Road, Nairobi Nairobi 00200 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 02/03/2020 KEMRI Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
P. O. Box 54840-00200, Off Mbagathi Road Nairobi 00200 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 02/03/2020 KEMRI Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
P. O. Box 54840-00200, off Mbagathi Road Nairobi 00200 Kenya
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome The first primary objective is to demonstrate the non-inferiority of SHAN6™ compared to the licensed control vaccines SHAN 5® (+ bOPV + IPV) with respect tothe adjusted Geometric Mean Concentration (aGMC) ratio for anti-pertussis toxoid (PT) and anti-fimbriae (FIM) for pertussis and seroprotection rates for all other antigens 28 days after a three-dose primary series (6, 10 and 14 weeks). 28 days
Primary Outcome If the first objective is reached, the second primary objective is to demonstrate the non-inferiority of mixed schedule administration of SHAN6™ and SHAN 5® (+ bOPV) compared to SHAN 5® (+ bOPV + IPV) as a three dose primary series with respect to the aGMC ratio for anti-PT and anti-FIM for pertussis and seroprotection rates for all other antigens 28 days after a three-dose primary series. 28 days
Secondary Outcome Immunogenicity • To describe the immunogenicity profile of SHAN6™ vaccine three dose series and that of the control vaccines SHAN 5® (+ bOPV + IPV). • To describe the immunogenicity profile of mixed schedule administration of SHAN6™ and SHAN 5® (+ bOPV). • To describe the immune response to co-administered ORV in terms of seroresponse (serum immunoglobulin [Ig]A anti-rotavirus antibody levels) in a randomized subset of subjects in each study group. • To describe the immune response to co-administered PCV in terms of serum antipneumococcal IgG for the 10 vaccine serotypes in a randomized subset of subjects in each study group. • To describe the immunogenicity profile, 28 days after the single booster dose of SHAN6™ or SHAN 5® (+ bOPV) in each study group. 28 days
Secondary Outcome Safety To describe the safety profile, 28 days after each and any dose of SHAN6™ vaccine and that of the control vaccines SHAN 5® (+ bOPV + IPV), following the primaryseries and booster vaccination. 28 days
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
KEMRI Ahero Clinical Trials Unit. Ahero County Hospital, Kisumu-Nairobi Road, PO Box 54-40100, KISUMU, Kenya Kisumu 40100 Kenya
KEMRI Kondele Children Hospital Along Kakamega road, P.O. Box 54 Kisumu 40100 Kenya
KEMRI Centre for Respiratory Disease Research Kenyatta National Hospital COMPLEX, BEHIND GOVERNMENT CHEMIST, P.O. BOX 47855-00200 Nairobi 00200 Kenya
Kericho Kenya Medical Research Institute United States of Army Medical Research Directorate P.O Box 1357-20200, Kericho Kericho 20200 Kenya
KEMRI Centre for Global Health Research Along Kakamega Road, Off Busia Road, 1578 Code 40100, Kisian. Kisumu 40100 Kenya
KEMRI Centre for Clinical Research Butere County Hospital, PO Box 54-40100 Butere Butere 40100 Kenya
FUNDING SOURCES
Name of source Street address City Postal code Country
Sanofi Pasteur 14 Lyon 69007 France
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Sanofi Pasteur Europe 14 Lyon 69007 France Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
IQVIA KENYA OFFICE Landmark Plaza, 13th Floor, P.O. Box 856-00606, Sarit Centre, Nairobi, Kenya Nairobi 00606 Kenya
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Bernhards Ogutu ogutu6@gmail.com +254733812613 Ahero Clinical Trials Unit, PO Box 54 -40100
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya Coordinating PI
Role Name Email Phone Street address
Principal Investigator Godfrey Allan Otieno gaotieno@gmail.com +254733893481 KEMRI Kondele Children Hospital P.O. Box 54
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya KEMRI Kondele Children Hospital Site Principal Investigator
Role Name Email Phone Street address
Principal Investigator Videlis Nduba vnduba@gmail.com +254724522474 KEMRI/CRDR,Kenyatta National Hospital, Off Hospital Road.P.O BOX 47855-00100
City Postal code Country Position/Affiliation
Nairobi 00100 Kenya KEMRI CRDR Principal Investigator
Role Name Email Phone Street address
Principal Investigator Lucy Chepkurui Koech Lucy.Koech@usamru-k.org +254721544588 Kericho Kenya Medical Research Institute United States of Army Medical Research Directorate P.O Box 1357
City Postal code Country Position/Affiliation
Kericho 20200 Kenya Site Principal Investigator
Role Name Email Phone Street address
Principal Investigator Samuel Gurrion Ouma souma@kemricdc.org +254722957050 KEMRI CGHR, Kisian , Off Busia Road, 1578 Code 40100 Kisian.
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya Site Principal Investigator
Role Name Email Phone Street address
Principal Investigator Janet Oyieko janet.oyieko@gmail.com +254721996988 Butere County Hospital, P.0.BOX 40, Code 50101
City Postal code Country Position/Affiliation
Butere 50101 Kenya Site Principal Investigator
Role Name Email Phone Street address
Scientific Enquiries Sanie Sesay sanie.sesay@sanofi.com +33437656204 1541
City Postal code Country Position/Affiliation
Marcy LEtoile 69280 France Sponsor Responsible Medical Officer Global Clinical Sciences Sanofi Pasteur Limited
Role Name Email Phone Street address
Public Enquiries Tirhani Maluleke Tirhani.maluleke@sanofi.com +27118475113 sanofi-aventis south Africa ltd, sanofi house, 2 Bond Street, Grand Central Ext 1, Midrand, South Africa, 1685
City Postal code Country Position/Affiliation
Midrand 1685 South Africa Sponsor Clinical Trial Application Regulatory Manager
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes Trial Result Summaries are a short and easy to understand summary of the study results of this study. These will be added to www.trialssummaries.com within 6 months following data base lock. The participants can visit www.trialssummaries.com website to sign up to be notified via email when the trail result summary of the study is available. Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol 6 months following database lock. The participants can visit www.trialssummaries.com website to sign up to be notified via email when the trail result summary of the study is available.
URL Results Available Results Summary Result Posting Date First Journal Publication Date
www.trialssummaries.com No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information