Clinical Trial of the 24-valent Pneumococcal Polysaccharide Conjugate Vaccine (CRM197/Tetanus Toxoid)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age6+
SponsorCanSino Biologics Inc.

About this trial

This clinical trial consists of Phase I and Phase II. The objective is to evaluate the safety and immunogenicity of the 24-valent pneumococcal polysaccharide conjugate vaccine (CRM197/tetanus toxoid) in individuals aged 2 months (minimum 6 weeks) and older.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Individuals aged 2 months (minimum 6 weeks), 7 months to 5 years, and 18 years and older who are willing to provide identification

The trial participant and/or guardian (legal representative) has voluntarily signed the informed consent form after providing informed consent

Children aged 5 and under who have not previously received a pneumococcal vaccine

People aged 18 and older who have not received a pneumonia vaccine in the past five years

Disqualifiers

Preterm birth (delivery before 37 weeks of gestation), low birth weight (<2500 g at birth), history of labor abnormalities or resuscitation due to asphyxia; (Applicable to individuals in Phase I and Phase II who are 2 months of age or older (minimum 6 weeks))

Patients with abnormal results in pre-vaccination blood tests (including complete blood count, blood chemistry, and coagulation function) or urinalysis, which the investigator determines to be clinically significant; (Applicable only to Phase I participants aged 2 years (or 7 months) and older)

Individuals who are allergic to the active ingredient of the vaccine, any of its inactive ingredients, or substances used in the manufacturing process; or those who have previously experienced an allergic reaction after receiving a similar vaccine; Individuals with a history of severe allergic reactions to vaccines (such as acute allergic reactions, angioedema, or difficulty breathing), or a history of severe allergic reactions to any vaccine, food, or medication, including urticaria, anaphylactic shock, eczema, allergic respiratory distress, angioedema, or a history of asthma

Individuals with uncontrolled hypertension (as measured on-site: systolic blood pressure ≥160 mmHg and diastolic blood pressure ≥100 mmHg); (Applicable to Stage II participants aged 50 and older and Stage I participants aged 18 and older)

Trial design

Design model

Parallel

Treatments tested in this trial

  • 24-valent pneumococcal polysaccharide conjugate vaccine (CRM197/tetanus toxoid) (referred to as PCV24) (dose M)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose M)

  • PCV24 vaccine (dose H)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose H)

  • PCV24 vaccine (dose M)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose M)

  • 23-valent pneumococcal polysaccharide vaccine (referred to as PPV23)

    Biological/Vaccine

    1 dose ( 0.5ml) of PPV23 vaccine

  • PCV24 vaccine (dose M)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose M)

  • 13-valent pneumococcal polysaccharide conjugate vaccine (referred to as PCV13)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV13 vaccine

  • PCV24 vaccine (dose H)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose H)

  • PPV23 vaccine

    Biological/Vaccine

    1 dose ( 0.5ml) of PPV23 vaccine

  • PCV24 vaccine (dose H)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose H)

  • PCV13 vaccine

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV13 vaccine

  • PCV24 vaccine (dose M)

    Biological/Vaccine

    If trial participants are 12-23 months of age, they should receive 2 doses (0.5ml) of PCV24 ( dose M) , administered two months apart. If trial participants are 7-11 months of age, they should receive 2 doses ( 0.5ml) of PCV24 ( dose M) as a primary series, administered two months apart; a booster dose should be administered at 12-15 months of age, at least two months after the second dose.

  • PCV13 vaccine

    Biological/Vaccine

    If trial participants are 12-23 months of age, they should receive 2 doses (0.5ml) of PCV13, administered two months apart. If trial participants are 7-11 months of age, they should receive 2 doses ( 0.5ml) of PCV13 as a primary series, administered two months apart; a booster dose should be administered at 12-15 months of age, at least two months after the second dose.

  • PCV24 vaccine (dose H)

    Biological/Vaccine

    If trial participants are 12-23 months of age, they should receive 2 doses ( 0.5ml) of PCV24 (dose H) , administered two months apart. If trial participants are 7-11 months of age, they should receive 2 doses ( 0.5ml) of PCV24 ( dose H) as a primary series, administered two months apart; a booster dose should be administered at 12-15 months of age, at least two months after the second dose.

  • PCV13 vaccine

    Biological/Vaccine

    If trial participants are 12-23 months of age, they should receive 2 doses ( 0.5ml) of PCV13 , administered two months apart. If trial participants are 7-11 months of age, they should receive 2 doses ( 0.5ml) of PCV13 as a primary series, administered two months apart; a booster dose should be administered at 12-15 months of age, at least two months after the second dose.

  • PCV24 vaccine (dose L)

    Biological/Vaccine

    The primary vaccination series consists of 3 doses ( 0.5ml) of the PCV24 vaccine ( dose L) , administered 2 months apart; a single booster dose is administered at 12 to 15 months of age.

  • PCV13 vaccine

    Biological/Vaccine

    The primary vaccination series consists of 3 doses ( 0.5ml) of the PCV13 vaccine, administered 2 months apart; a single booster dose is administered at 12 to 15 months of age.

  • PCV24 vaccine (dose M)

    Biological/Vaccine

    The primary vaccination series consists of 3 doses of the PCV24 vaccine ( 0.5ml) , administered 2 months apart; a single booster dose is administered at 12 to 15 months of age.

  • PCV13 vaccine

    Biological/Vaccine

    The primary vaccination series consists of 3 doses of the PCV13 vaccine ( 0.5ml) , administered 2 months apart; a single booster dose is administered at 12 to 15 months of age.

  • PCV24 vaccine (dose H)

    Biological/Vaccine

    The primary vaccination series consists of 3 doses of the PCV24 vaccine ( 0.5ml) , administered 2 months apart; a single booster dose is administered at 12 to 15 months of age.

  • PCV13 vaccine

    Biological/Vaccine

    The primary vaccination series consists of 3 doses of the PCV13 vaccine ( 0.5ml) , administered 2 months apart; a single booster dose is administered at 12 to 15 months of age.

  • PCV24 vaccine (dose L or M or H)

    Biological/Vaccine

    1 dose ( 0.5ml) of PCV24 vaccine (dose L or M or H)

  • PPV23 vaccine

    Biological/Vaccine

    1 dose ( 0.5ml) of PPV23 vaccine

  • PCV24 vaccine (dose L or M or H)

    Biological/Vaccine

    A primary vaccination series consisting of 3 doses of the PCV24 vaccine ( 0.5ml) , with a 2-month interval between each dose; a single booster dose should be administered at 12 to 15 months of age.

  • PCV13 vaccine

    Biological/Vaccine

    A primary vaccination series consisting of 3 doses of the PCV13 vaccine ( 0.5ml) , with a 2-month interval between each dose; a single booster dose should be administered at 12 to 15 months of age.

Treatment groups

854 Participants
are divided into 24 treatment groups

24

Treatment groups

See each treatment group below.

Group A: Phase I, Phase 1, Medium dose, 18~49 year-oldExperimental treatment 1 intervention
Group B: Phase I, Phase 2, High dose, 18~49 year-oldExperimental treatment 1 intervention
Group C: Phase I, Phase 2, Medium dose, 50 years of age or olderExperimental treatment 1 intervention
Group D: Phase I, Phase 2, 50 years of age or olderActive comparator 1 intervention
Group E: Phase I, Phase 2, Medium dose, 2~5 year-oldExperimental treatment 1 intervention
Group F: Phase I, Phase 2, 2~5 year-oldActive comparator 1 intervention
Group G: Phase I, Phase 3, High dose, 50 years of age or olderExperimental treatment 1 intervention
Group H: Phase I, Phase 3, 50 years of age or olderActive comparator 1 intervention
Group I: Phase I, Phase 3, High dose, 2~5 year-oldExperimental treatment 1 intervention
Group J: Phase I, Phase 3, 2~5 year-oldActive comparator 1 intervention
Group K: Phase I, Phase 4, Medium dose, 7~23 month-oldExperimental treatment 1 intervention
Group L: Phase I, Phase 4, 7~23 month-oldActive comparator 1 intervention
Group M: Phase I, Phase 5, High dose, 7~23 month-oldExperimental treatment 1 intervention
Group N: Phase I, Phase 5, 7~23 month-oldActive comparator 1 intervention
Group O: Phase I, Phase 5, low dose, 2 months old (minimum 6 weeks)Experimental treatment 1 intervention
Group P: Phase I, Phase 5, 2 months old (minimum 6 weeks)Active comparator 1 intervention
Group Q: Phase I, Phase 6, Medium dose, 2 months old (minimum 6 weeks)Experimental treatment 1 intervention
Group R: Phase I, Phase 6, 2 months old (minimum 6 weeks)Active comparator 1 intervention
Group S: Phase I, Phase 7, High dose, 2 months old (minimum 6 weeks)Experimental treatment 1 intervention
Group T: Phase I, Phase 7, 2 months old (minimum 6 weeks)Active comparator 1 intervention
Group U: Phase II, Low or medium or High dose, 50 years of age or olderExperimental treatment 1 intervention
Group V: Phase II, 50 years of age or olderActive comparator 1 intervention
Group W: Phase II, Low or medium or High dose, 2 months old (minimum 6 weeks)Experimental treatment 1 intervention
Group X: Phase II, 2 months old (minimum 6 weeks)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Phase I: Incidence of adverse reactions

Time frame
Within 7 days of receiving each dose of the vaccine
2

Phase I: Incidence of adverse reactions

Time frame
Within 30 days of receiving each dose of the vaccine
3

Phase I: Incidence of serious adverse event (SAE)

Time frame
Within 180 days of receiving the first dose of the vaccine through completion of the full vaccination series for each group
4

Phase I: Incidence of abnormalities in urinalysis

Time frame
4 days after vaccination

Secondary outcomes

1

Phase I: Incidence of adverse reactions

Time frame
Within 30 days of receiving each dose of the vaccine
2

Phase I (2-month-old group [minimum 6 weeks]): Positive rate of vaccine-serotype-specific pneumococcal IgG antibodies (antibody concentration ≥ 0.35 μg/ml)

Time frame
30 days after the primary series, 30 and 180 days after the booster dose
3

Phase I (2-month-old group [minimum 6 weeks]): Proportion with vaccine-serotype-specific pneumococcal IgG antibody concentrations ≥ 1.0 μg/ml

Time frame
30 days after the primary series, 30 and 180 days after the booster dose
4

Phase I (2-month-old group [minimum 6 weeks]): GMC of serotype-specific pneumococcal IgG antibodies

Time frame
30 days after the primary series, 30 and 180 days after the booster dose

Other outcomes

Sponsors and contacts

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