Clinical trial

A Co-administration Study of Oral Cholera Vaccine (OCV), Typhoid Conjugate Vaccine (TCV), Measles and Rubella (MR) Vaccines in Bangladesh

Name
PR-23003
Description
An open-label, randomized controlled, non-inferiority study of co-administration of OCV, TCV and MR vaccines among children 12 to 59 months of age in Dhaka, Bangladesh will be conducted. Children who did not receive any of the aforementioned vaccines will be included in the study. This study will be conducted among 2117 children of 12-59 months of age residing in Mirpur area (wards 4, and 6-16) of Dhaka north and Kamrangirchar, Hazaribag and Rayerbazar areas (wards 14, 22, 56, 57, and 58) of Dhaka south to enroll the required number of participants. Only children who have not previously received the vaccines will be enrolled. The findings of this study are likely to have a significant impact on vaccine co-administration strategies for campaign and routine immunization programs. The participants will be randomly assigned to one of the six arms. The numbers are defined for each arm based on the sample size calculation. A list of children who did not receive MR, OCV and TCV will be prepared before enrollment by trained study staff (TSS). The TSSs will visit households in the defined study area and ask if the parents/guardians of children aged 12-59 months are willing to participate in the study. If they show willingness to participate, the TSSs will check their vaccination cards (if available) and prepare the list of potentially eligible children who have not received OCV, TCV and MR based on their vaccination card status and verbal statement (if vaccination card is not available). The investigators will enroll the participants after obtaining informed written consent and collect around 2-3 ml blood from each participant at different time points.
Trial arms
Trial start
2023-10-14
Estimated PCD
2025-05-01
Trial end
2025-05-01
Status
Not yet recruiting
Phase
Early phase I
Treatment
Oral Cholera Vaccine (OCV)
Bivalent, Killed, Whole Cell Oral Cholera Vaccine
Arms:
Arm A: Oral Cholera Vaccine (OCV) only, Arm E: Co-administration of Measles and Rubella (MR) and Oral Cholera Vaccine (OCV), Arm F: Co-administration of Typhoid Conjugate Vaccine (TCV) and Oral Cholera Vaccine (OCV)
Typhoid Conjugate Vaccine (TCV)
Vi-polysaccharide conjugated to tetanus toxoid, Vi-TT
Arms:
Arm B: Typhoid Conjugate Vaccine (TCV) only, Arm D: Co-administration of Measles and Rubella (MR) and Typhoid Conjugate Vaccine (TCV), Arm F: Co-administration of Typhoid Conjugate Vaccine (TCV) and Oral Cholera Vaccine (OCV)
Measles and Rubella (MR)
Live attenuated vaccine
Arms:
Arm A: Oral Cholera Vaccine (OCV) only, Arm B: Typhoid Conjugate Vaccine (TCV) only, Arm C: Measles and Rubella (MR) only, Arm D: Co-administration of Measles and Rubella (MR) and Typhoid Conjugate Vaccine (TCV), Arm E: Co-administration of Measles and Rubella (MR) and Oral Cholera Vaccine (OCV), Arm F: Co-administration of Typhoid Conjugate Vaccine (TCV) and Oral Cholera Vaccine (OCV)
Size
2117
Primary endpoint
Vibriocidal antibody response for OCV
Two months
Seroconversion for TCV
One Year
Seroconversion for MR vaccine
One year
Safety: number of adverse events and serious adverse events
One year
Eligibility criteria
Inclusion Criteria: 1. Provide informed written consent from participants parent/legal guardian 2. Participants aged 12 months to 59 months 3. Family does not have any plan to move from the study area during study period 4. No history of receipt of MR (Measles and Rubella) or TCV or OCV Exclusion Criteria: 1. Child live outside of the study area 2. Participant with confirmed or suspected immunosuppressive or immunodeficiency disorder; or participant on any immunosuppressive or immunostimulant therapy 3. Known case of thrombocytopenia or any coagulation disorder, or participant on anticoagulation therapy 4. History of hypersensitivity reaction to any component of the study vaccines 5. Participant with febrile illness (temperature \>37.9oC) at the time of enrollment 6. Participant with acute diarrhea and/or vomiting at the time of enrollment 7. Participant with acute infection or illness at the time of enrollment 8. Participant is severely malnourished
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'An open-label, randomized controlled, non-inferiority study of co-administration of OCV, TCV and MR vaccines among children 12 to 59 months of age in Dhaka, Bangladesh will be conducted. Children who did not receive any of the aforementioned vaccines will be included in the study.', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'NONE', 'maskingDescription': 'This is a open-label, randomized controlled, non-inferiority study. Study investigators along with study staff involved in safety evaluation and laboratory analysis will be blinded regarding the assigned treatment of the participant. The vaccine administration team will be un-blinded to the treatment assignment list. The vaccine administrator team members will not be involved in the evaluation of vaccine safety and laboratory analysis. The DSMB will be responsible for un-blinding the randomization number codes in the event of severe putative vaccine reactions. Otherwise, the codes will not be revealed until the end of the trial and until the computerized dataset has been frozen. If the intervention assignment is un-blinded, all study collaborators will be notified immediately. If deemed necessary, the DSMBs will recommend unblinding to the IRB and contact the study statistician responsible for providing information on the vaccine received by the individual in question.'}}, 'enrollmentInfo': {'count': 2117, 'type': 'ESTIMATED'}}
Updated at
2023-10-13

1 organization

3 products

4 indications

Indication
Typhoid
Indication
Cholera
Indication
Measles
Indication
Rubella