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CTRI Number  CTRI/2011/04/001681 [Registered on: 18/04/2011] Trial Registered Prospectively
Last Modified On: 25/11/2019
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 post licensure clinical trial to evaluate the immunogenicity & safety of BE’s combined liquid pentavalent DTwP-rHepB-HIB vaccine (Combe Five) administered to healthy Indian infants in comparison with a licensed Pentavac SD™ vaccine available in Indian market 
Scientific Title of Study   A multicentric, single blind, parallel, randomized, phase-IV non-inferiority study to evaluate the immunogenicity & safety of BE’s combined liquid pentavalent DTwP-rHepB-HIB vaccine administered to 6-8 week old healthy Indian infants at 6-10-14 weeks schedule in comparison with a marketed SIIL’s Pentavac SD™ vaccine 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
BECT011/DTwP-rHepB-HIB-PIV/CTP-01  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrTSA Kishore 
Designation  Overall Trial Coordinator 
Affiliation  Biological E Limited 
Address  Biological E.Limited, 18/1&3, Azamabad

Hyderabad
ANDHRA PRADESH
500020
India 
Phone  04030214046  
Fax  04027675003  
Email  kishore.tsa@biologicale.co.in  
 
Details of Contact Person
Scientific Query
 
Name  DrTSA Kishore 
Designation  Overall Trial Coordinator 
Affiliation  Biological E Limited 
Address  Biological E.Limited, 18/1&3, Azamabad


ANDHRA PRADESH
500020
India 
Phone  04030214046  
Fax  04027675003  
Email  kishore.tsa@biologicale.co.in  
 
Details of Contact Person
Public Query
 
Name  MrShekhar Gupta 
Designation  Chief Operating Officer 
Affiliation  D2L Pharma Research Solutions 
Address  D2L Pharma Research Solutions 1615, 5th Main, E Block, AECS Layout, Kundalahalli, Bangalore

Bangalore
KARNATAKA
560037
India 
Phone  09741111101  
Fax  08041534831  
Email  shekhar.gupta@d2lpharma.com  
 
Source of Monetary or Material Support  
Biological E.Limited (self) 
 
Primary Sponsor  
Name  Biological ELimited 
Address  Biological E.Limited 18/1&3, Azamabad, Hyderabad-500020 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
None   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 8  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrBKrishna Murthy  Cheluvamba Hospital  Dept of Paediatrics, Cheluvamba Hospital, Irwin Road, Mysore - 570001, Karnataka, India
Mysore
KARNATAKA 
0944805007

bkm6@rediffmail.com 
DrJampana Venkateswara Rao  Gandhi Hospital  Dept of Paediatrics, Gandhi Hospital, Musheerabad, Secunderabad - 500003, Andhra Pradesh, India
Hyderabad
ANDHRA PRADESH 
09848027709

dr_jvrao@yahoo.co.in 
DrDNarayanappa  JSS Medical college  Department of Paediatrics, Jagadguru Sri Shivarathreeshwara Medical College & Hospital, Mahatma Gandhi Road, Mysore - 570004, Karnataka, India
Mysore
KARNATAKA 
09845112560

sinchabhi@yahoo.com 
Dr Mallikarjunaiah  K.C General Hospital  Dept of Paediatrics, K.C General Hospital, 5th Cross,Malleshwaram, Nr Malleswaram Police Station, Bangalore - 560003, Karnataka, India
Bangalore
KARNATAKA 
09008999330

lakshmipathysr@gmail.com 
Dr Pandit Anand Nilkanth  KEM Hospital Research Centre  Dept of Paediatrics, KEM Hospital Research Centre, Sardar Moodliar Road, Rasta Peth, Pune - 411011, Maharashtra, India
Pune
MAHARASHTRA 
09822002327

kemhrc@vsnl.com 
DrPVenugopal   King George Hospital   Dept of Paediatrics, King George Hospital (KGH), Near Collectorate Maharanipeta, Visakhapatnam - 530002, Andhra Pradesh, India
Visakhapatnam
ANDHRA PRADESH 
09848027203

venugopal_kgh@yahoo.com 
Dr Jain Manish Ajeet  Mahatma Gandhi institute of Medical Sciences  Dept of Paediatrics, Mahatma Gandhi institute of Medical Sciences, PO Sewagram - 442102, Wardha District, Maharashtra, India
Wardha
MAHARASHTRA 
09822695195

dr_manishjain@rediffmail.com 
Dr Deokule Amita Shrikrishna  Oyster and Pearl Hospital  Dept of Paediatrics, Oyster and Pearl Hospital, 1671-75 Ganesh Khind Road, Near Hotel Pride, Pune-411005, Maharashtra, India
Pune
MAHARASHTRA 
09822068480

aap.phadnis@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 8  
Name of Committee  Approval Status 
Ethics Committee MGIMS, Sewagram  Approved 
Ethics Committee of Mysore Medical College, Research Institute and Associated Hospital(Cheluvamba Hospital)  Approved 
Human Ethics Committee, Gandhi Hospital  Approved 
Independent Ethics Committee Consultants (K.C General Hospital)  Approved 
Institute Ethics Committee,Padmashree Dr.D.Y.Patil Medical College, Pimpri, Pune.  Approved 
Institutional Ethics Committee King George Hopital, Visakhapatnam  Approved 
JSS Institutional Ethical Committee  Approved 
O & P Institutional Ethics Committee(Oyster and Pearl Hospital)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Preventive protection against Diphtheria, Tetanus, Petussis, Hepatitis-B and Haemophilus Influenzae type B diseases  
Patients  (1) ICD-10 Condition: Z23||Encounter for immunization,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BEs combined Liquid pentavalent DTwP-rHepB-HIB vaccine (Combe Five)  0.5 mL per dose administered intramuscularly 3 dose schedule in the anterolateral aspect of thigh. The duration is 56 days (6-10-14 schedule) with 28 day interval between doses. 
Comparator Agent  SIIL’s Pentavac SD™ vaccine (DTwP-rHepB-Hib vaccine)  0.5 mL per dose administered intramuscularly 3 dose schedule in the anterolateral aspect of thigh. The duration of treatment is 56 days (6-10-14 schedule) with 28 day interval between doses. 
 
Inclusion Criteria  
Age From  42.00 Day(s)
Age To  56.00 Day(s)
Gender  Both 
Details  Healthy infants between 6-8 weeks of age (i.e. 42 to 56 days of age, both days inclusive) of either gender at the time of 1st vaccination.
Written informed consent obtained from the subjects parent(s) or legally acceptable representative / guardian.
Healthy infants with weight equal to or more than 3300 gms at the time of screening.
Good clinical condition established by medical history and physical examination (with no acute disease, infection or high temperature).
Healthy infants born to mothers seronegative to HBV and HIV as confirmed by laboratory tests on the mother or based on maternity discharge summary.
Infants or their mothers not participating in any other clinical trials.
Infants without contraindications or precautionary circumstances for participating in the trial
Ability of the infants parent or legally acceptable representative/guardian to understand and comply with the requirements of the protocol.
 
 
ExclusionCriteria 
Details  Prior immunization with DTP, Hepatitis-B or HIB vaccine with the exception of BCG &/or oral &/or Inactivated polio vaccine.
Current illness (especially fever) or any acute or congenital illness or disability.
Subjects receiving immunosuppressive therapy.
Known or suspected allergy to any of the vaccine components.
Any sign or symptom or systemic dysfunction, especially of the central nervous system (CNS).
Known family history of SIDS (Sudden Infant Death Syndrome).
Planned or elective surgery during the course of the study.
Infants who have received any blood products, any dose of corticosteroids, cytotoxic agents or radiotherapy.
Subjects and their mothers who have participated in another clinical trial of an investigational agent within last 30 days or likely to participate during the study course.
Inability or unwillingness to abide by the requirements of the protocol.
Any criteria, which in the opinion of the Investigator, suggests that the subject would not be compliant with the study protocol.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Seroprotection rates (SPR) as defined by percentage of subjects with anti-Diphtheria, anti-Pertussis, anti-Tetanus, anti-HBsAg and anti-PRP antibody titres above their seroprotective cut off values.   1.At Day 84.  
 
Secondary Outcome  
Outcome  TimePoints 
1.Proportion of subjects achieving 4-fold rise in antibody titres.
2.Geometric mean titres(GMTs)estimation.
3.Solicited local and systemic AEs.
4.Solicited and unsolicited AEs.
5.Rate of SAEs and medically attended AEs.
6.Vital signs.
 
1.At day 84
2.At screening & day 84
3.60 minutes post vaccination till day 7.
4.During the subsequent Followup period up to 28th day
5.Until 84th day after 1st vaccination
6.At each visit 
 
Target Sample Size   Total Sample Size="408"
Sample Size from India="408" 
Final Enrollment numbers achieved (Total)= "408"
Final Enrollment numbers achieved (India)="408" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   19/04/2011 
Date of Study Completion (India) 13/09/2011 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

A multicentric, single blind, parallel, randomized, phase-IV non-inferiority study to evaluate the immunogenicity & safety of BE’s combined liquid pentavalent DTwP-rHepB-HIB vaccine administered to 6-8 week old healthy Indian infants at 6-10-14 weeks  schedule in comparison with a marketed SIIL’s Pentavac SDvaccine. This study to be conducted at 08 study sites.All the study sites will be located in India. There will be a total of 408 healthy subjects of either sex randomised into two groups in 2:1 ratio.

The primary outcome measure is to evaluate non-inferiority of BE’s combined pentavalent DTwP-rHepB-HIB liquid vaccine with SIIL’s Pentavac SD™  in terms of difference in proportion of subjects achieving seroprotection with anti-Diphtheria, anti-Pertussis, anti-Tetanus, anti-HBsAg and anti-PRP antibody titres at day 84.

The secondary outcome measures are to a) compare proportion of subjects achieving fold rise in anti-Diphtheria, anti-Pertussis, anti-Tetanus, anti-HBsAg and anti-PRP antibody titres, above the seroprotection cut off value, between BE’s combined pentavalent DTwP-rHepB-HIB liquid vaccine and Pentavac SD™  at  Day 84; b) To compare immunogenicity in terms of GMTs for anti-Diphtheria, anti-Pertussis, anti-Tetanus, anti-HBsAg and anti-PRP antibody titres of BE’s combined pentavalent DTwP-rHepB-HIB vaccine  with that of Pentavac SD™ at 84; c) To assess the safety and tolerability of BE’s combined pentavalent DTwP-rHepB-HIB liquid vaccine in comparison with Pentavac SD™ for the entire study period of 84 days after the first vaccination.

 

 

 
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