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CTRI Number  CTRI/2024/11/076260 [Registered on: 04/11/2024] Trial Registered Prospectively
Last Modified On: 30/10/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Vaccine
Biological
Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to assess the safety and overall immune response of pneumococcal polysaccharide conjugate vaccine in 6-8 weeks old infants.  
Scientific Title of Study   An open label randomised Phase-II study to evaluate safety, reactogenicity and immunogenicity of Biological E’s 24-valent pneumococcal polysaccharide conjugate vaccine when administered to 6-8 weeks old healthy Indian infants in 6-10-14 weeks dosing schedule. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
BECT085/PCV-Phase-II/CTP-02Version :2.0 dated:02.04.24  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Subhash Thuluva 
Designation  Sr. Vice President- Clinical Development 
Affiliation  Biological E.Limited 
Address  Clinical Development Dept, 2nd floor, Room No:04,Road No.35,Jubilee Hills

Hyderabad
TELANGANA
500033
India 
Phone  04071216248  
Fax    
Email  subhash.thuluva@biologicale.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Subhash Thuluva 
Designation  Sr. Vice President- Clinical Development 
Affiliation  Biological E.Limited 
Address  Clinical Development Dept, 2nd floor, Room No:04,Road No.35,Jubilee Hills

Hyderabad
TELANGANA
500033
India 
Phone  04071216248  
Fax    
Email  subhash.thuluva@biologicale.com  
 
Details of Contact Person
Public Query
 
Name  Mr Subba Reddy GV 
Designation  General Manager- Clinical Development 
Affiliation  Biological E.Limited 
Address  Clinical Development Dept, 2nd floor, Room No:01,Road No.35,Jubilee Hills

Hyderabad
TELANGANA
500033
India 
Phone  04071216240  
Fax    
Email  subbareddy.gunneri@biologicale.com  
 
Source of Monetary or Material Support  
Biological E.Limited, 18/1&3, Azamabad, Hyderabad - 500020, Telangana, India 
 
Primary Sponsor  
Name  Biological E.Limited 
Address  18/1&3, Azamabad, Hyderabad - 500020, Telangana, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
None  None 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anil Kumar Pandey  ESIC Medical College & Hospital  Department of Physiology, ESIC Medical College & Hospital, Room No. 4007, 4th Floor, NH-3 behind BK Hospital New Industrial Town-121001
Faridabad
HARYANA 
07042918222

drpandeyak@yahoo.co.in 
Dr Jai Prakash Narayan  JLN Medical College  Department of Pediatrics, JLN Medical College ,2nd Floor, Kala Bagh,305001
Ajmer
RAJASTHAN 
09314294402

narayan_jaiprakash@yahoo.co.in 
Dr BS Chakravarthy  King George Hospital  Dept of Paediatrics, King George Hospital, Collectorate junction, 1st floor, Maharanipeta- 530002
Visakhapatnam
ANDHRA PRADESH 
09848253535

chakravarthy.kghamc@gmail.com 
Dr N S Mahantshetti  KLES Dr. Prabhakar Kore Hospital & Medical Research Centre  Department of Paediatrics, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, 2nd Floor, Department of Medicine, Nehru Nagar-590010
Belgaum
KARNATAKA 
09448157237

niranjanakle@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
IEC King George hospital  Approved 
Institutional Ethics Committee - Jawahar Lal Nehru Medical College  Approved 
Institutional Ethics Committee for ESIC   Approved 
Institutional Ethics Committee, KLE University Dr.PK Hospital and MRC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Preventive protection against Pneumococcal diseases.  
Patients  (1) ICD-10 Condition: Z23||Encounter for immunization,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  BE’s Pneumococcal Polysaccharide Conjugate Vaccine (Adsorbed) (14 Valent) (Pneubevax)  Each 0.5 mL will be administered intramuscularly in the anterolateral aspect of mid or upper thigh (vastus lateralis muscle) in three dose schedule at 6, 10, 14 weeks of age. 
Intervention  Pneumococcal Polysaccharide Conjugate Vaccine (Adsorbed) (24 Valent)  Each 0.5 mL will be administered intramuscularly in the anterolateral aspect of mid or upper thigh (vastus lateralis muscle) in three dose schedule at 6, 10, 14 weeks of age.  
 
Inclusion Criteria  
Age From  42.00 Day(s)
Age To  56.00 Day(s)
Gender  Both 
Details  1. Healthy pneumococcal conjugate vaccine-naïve (PCV-naive) infants as established by medical history and the clinical assessment before entering into the study. PCV-naïve infants are those who have not been previously vaccinated with any licensed or investigational pneumococcal vaccine.
2. Infants between 6-8 weeks of age (42-56 days, both days inclusive) of either gender, at the time of first dose of vaccination.
3. Healthy Infants with body weight ≥ 3300 gms at the time of screening.
4. Subjects’ 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 diary cards, return for follow-up visits, with access to a consistent means of telephone contact, either residential landline or mobile).
5. Subject’s parent(s)/LAR(s) willing to provide written or thumb printed informed consent (including audio visual recording of consent process) prior to performing any study specific procedure
6. Infants with a minimal vaccination status for their age at the time of enrolment (“minimal” defined as single birth dose of BCG, Hepatitis B and Polio vaccine at the time of enrolment).
 
 
ExclusionCriteria 
Details  1.Child in care
2. Evidence of previous Streptococcus pneumoniae infection or pneumococcal vaccination;
3. Use of any investigational or non-registered product (drug or vaccine) during the period starting 30 days before the administration of study vaccine (Day -29 to Day 0), or planned use during the study period other than the study vaccine;
4. Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe (eg., coagulation abnormalities).
5. Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs or any blood products during the period starting 30 days prior to the proposed first vaccine dose or planned administration of the same during the study period.
6. Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product (pharmaceutical product or device).
7. Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
8. Family history of congenital or hereditary immunodeficiency.
9. History of allergic disease or history of a serious reaction to any prior vaccination or known hypersensitivity likely to be exacerbated by any component of the study vaccines.
10. History of any neurological disorders, meningitis or seizures.
11. Infant who has had a family history of a sibling die of sudden infant death syndrome (SIDS) or die suddenly and without apparent other cause or preceding illness in the first year of life.
12. Infant is a direct descendant (child or grand-child) of any person employed by the Sponsor, the Contract Research Organization (CRO) or the Study Site (including the PI and study site personnel).
13. Acute disease and/or fever at the time of vaccination.
14. Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination and Principal investigator judgement.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Proportion of subjects with solicited local and systemic adverse reactions
2.Proportion of subjects with unsolicited local and systemic adverse events (AEs)
3.Serious adverse events (SAEs) and medically attended adverse events (MAAE) if any 
1. during first 60 minutes of post vaccination observation period and for subsequent 7 consecutive days (Day 0-6) thereafter
2.during the total post vaccination follow up period till day 84.
3.during the total 84 days of study period. 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of subjects achieving seroconversion   At day 84 post (28 days post third dose of the vaccination) 
Proportion of subjects achieving ≥2-fold and ≥4-fold increase in serotype specific anti-PnCPS IgG antibody titre   At day 84 post (28 days post third dose of the vaccination) 
Geometric mean titre (GMT) of serotype specific anti-PnCPS IgG antibodies   At day 84 post (28 days post third dose of the vaccination) 
Geometric Mean Fold Rise (GMFR) in serotype specific anti-PnCPS IgG titres  At day 84 post (28 days post third dose of the vaccination) 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   29/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

An open label randomised Phase-II comparative study to evaluate safety, reactogenicity and immunogenicity of intramuscular dose of Biological E’s 24-valent pneumococcal polysaccharide conjugate (test) vaccine in 6-8 weeks old healthy infants administered in 6-10-14 weeks dosing schedule in comparison to licensed comparator vaccine, BE’s PCV-14 (control).

A total of 120 subjects will be equally randomised to one of the two treatment arms (test and control groups) based on the screening and enrolment criteria set in the protocol. Each subject will be administered a 0.5 mL dose of the study vaccine intramuscularly i.e., BE’s 24-valent PCV (n=60) or BE’s PCV-14 vaccine (n=60) based on the treatment group to which they are assigned in 6-10-14 weeks dosing schedule.

The study will be conducted in compliance with GSR 227(E), ICH and Indian good clinical practice guidelines in force at the time of study conduct.

 
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