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NCT03239496

A Study to Evaluate Immunogenicity of Intramuscular Full-Dose and Intradermal Fractional Dose of IPV

Completed Phase 3 Results posted Last updated 21 July 2023
What this trial tests

Phase 3 trial testing IPV in Poliomyelitis in 773 participants. Completed in 13 November 2018.

Timeline
23 October 2017
Primary endpoint
13 November 2018
13 November 2018

Quick facts

Lead sponsorFidec Corporation
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment773
Start date23 October 2017
Primary completion13 November 2018
Estimated completion13 November 2018
Sites4 locations across Panama, Dominican Republic

Drugs / interventions tested

Conditions studied

Sponsor

Fidec Corporation — full company profile →

Who can join

Adults 5 Weeks to 7 Weeks, any sex, with Poliomyelitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Seroconversion Non-inferiority of 2 Doses f-IPV ID vs 2 Doses IPV IM Primary · To be assessed 4 weeks after the last dose

To determine if the seroconversion rate of a 2-dose intradermally administered fractional-dose inactivated poliovirus vaccine (f-IPV) regimen administered at 14 and 36 weeks of age is non-inferior to that of a 2-dose intramuscularly administered inactivated poliovirus vaccine (IPV) regimen administered at 14 and 36 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group B98.194.6 – 99.6
Group D95.992.1 – 98.2
Serotype 2
GroupValue95% CI
Group B98.795.5 – 99.8
Group D97.994.8 – 99.4
Seroconversion Non-inferiority of 2 Doses IPV IM vs 3 Doses IPV IM Primary · To be assessed 4 weeks after the last dose

To determine if the seroconversion rate of a 2-dose IPV regimen administered at 14 and 36 weeks of age is non-inferior to that of a 3-dose IPV regimen administered at 10, 14, and 36 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group A10097.9 – 100
Group B98.194.6 – 99.6
Serotype 2
GroupValue95% CI
Group A10097.9 – 100
Group B98.795.5 – 99.8
Seroconversion Non-inferiority of 2 Doses f-IPV ID vs 3 Doses f-IPV ID Primary · To be assessed 4 weeks after the last dose

To determine if the seroconversion rate of a 2-dose f-IPV regimen administered at 14 and 36 weeks of age is non-inferior to that of a 3-dose f-IPV regimen administered at 10, 14, and 36 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group C98.895.6 – 98.8
Group D95.992.1 – 98.2
Serotype 2
GroupValue95% CI
Group C10097.7 – 100
Group D97.994.8 – 99.4
Seroconversion Superiority of 2 Doses IPV IM at Different Schedules Secondary · To be assessed 4 weeks after the second dose

To determine if the seroconversion rate of a 2-dose IPV regimen administered at 14 and 36 weeks of age is superior to that of a 2-dose IPV regimen administered at 10 and 14 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group A95.694.6 – 99.6
Group B98.194.6 – 99.6
Serotype 2
GroupValue95% CI
Group A88.983.4 – 93.1
Group B98.795.5 – 99.8
Seroconversion Superiority of 2 Dose f-IPV ID at Different Schedules Secondary · To be assessed 4 weeks after the second dose

To determine if the seroconversion rate of a 2-dose f-IPV regimen administered at 14 and 36 weeks of age is superior to that of a 2-dose f-IPV regimen administered at 10 and 14 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group C83.276.5 – 88.6
Group D95.992.1 – 98.2
Serotype 2
GroupValue95% CI
Group C83.977.2 – 89.2
Group D97.994.8 – 99.4
Seroconversion Non-inferiority of 2 Dose f-IPV ID vs 3 Dose IPV IM Secondary · To be assessed 4 weeks after the last dose

To determine if the seroconversion rate of a 2-dose f-IPV regimen administered at 14 and 36 weeks of age is non-inferior to that of a 3-dose IPV regimen administered at 10, 14, and 36 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group A10097.9 – 100
Group D95.992.1 – 98.2
Serotype 2
GroupValue95% CI
Group A10097.9 – 100
Group D97.994.8 – 99.4
Seroconversion Non Inferiority of 3 Doses f-IPV ID vs 3 Doses IPV IM Secondary · To be assessed 4 weeks after the last dose

To determine if the seroconversion rate of a 3-dose f-IPV regimen administered at 10, 14, and 36 weeks of age is non-inferior to that of a 3-dose IPV regimen also administered at 10, 14, and 36 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group A10097.9 – 100
Group C98.895.6 – 99.8
Serotype 2
GroupValue95% CI
Group A10097.9 – 100
Group C10097.7 – 100
Seroconversion Non Inferiority of 3 Doses f-IPV ID vs 2 Doses IPV IM Secondary · To be assessed 4 weeks after the last dose

To determine if the seroconversion rate to a 3-dose regimen of f-IPV administered at 10, 14, and 36 weeks of age is non-inferior to that of a 2-dose IPV regimen administered at 14 and 36 weeks of age for poliovirus serotypes 1 and 2.

Serotype 1
GroupValue95% CI
Group B98.194.6 – 99.6
Group C98.895.6 – 99.8
Serotype 2
GroupValue95% CI
Group B98.795.5 – 99.8
Group C10097.7 – 100
Number of Participants Experiencing SAEs, IMEs and/or Severe Local Reactions Secondary · 9 months

To assess the safety of each vaccine (IPV and f-IPV) as measured by the number of subjects experiencing serious adverse events (SAEs), important medical events (IMEs) and/or severe local reactions. This assessments is done in the Total Vaccinated Population (744 subjects).

SAE
GroupValue95% CI
Group A10
Group B6
Group C7
Group D9
IME
GroupValue95% CI
Group A4
Group B0
Group C2
Group D2
SLR
GroupValue95% CI
Group A0
Group B0
Group C0
Group D0

Adverse events — posted to ClinicalTrials.gov

Time frame: 9 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group A
Serious: 12/195 (6%)
Deaths: 1/195
Group B
Serious: 7/172 (4%)
Deaths: 0/172
Group C
Serious: 9/170 (5%)
Deaths: 0/170
Group D
Serious: 9/207 (4%)
Deaths: 0/207

Serious adverse events (21 terms)

ReactionSystemGroup AGroup BGroup CGroup D
PneumoniaInfections and infestations
BronchiolitisInfections and infestations
Amoebic dysenteryInfections and infestations
Urinary Tract InfectionInfections and infestations
GastroenteritisInfections and infestations
Abscess limbInfections and infestations
Otitis mediaInfections and infestations
PertussisInfections and infestations
SepsisInfections and infestations
Adrenogenital syndromeCongenital, familial and genetic disorders
Glucose-6-Phosphate Dehydrogenase DeficiencyCongenital, familial and genetic disorders
EpilepsyNervous system disorders
HydrocephalusNervous system disorders
Intracranial pressure increasedNervous system disorders
IntussusceptionGastrointestinal disorders
Thermal burnInjury, poisoning and procedural complications
HypoglycemiaMetabolism and nutrition disorders
Cow milk intoleranceMetabolism and nutrition disorders
MalnutritionMetabolism and nutrition disorders
AsthmaRespiratory, thoracic and mediastinal disorders
UrticariaSkin and subcutaneous tissue disorders
Other adverse events (6 terms — click to expand)

ReactionSystemGroup AGroup BGroup CGroup D
BronchiolitisInfections and infestations
Febrile convulsionInfections and infestations
PharyngotonsillitisInfections and infestations
Cow milk intoleranceMetabolism and nutrition disorders
CryptorchismCongenital, familial and genetic disorders
DiarrheaGastrointestinal disorders

Most-reported serious reactions: Pneumonia, Bronchiolitis, Amoebic dysentery, Urinary Tract Infection, Gastroenteritis, Abscess limb, Otitis media, Pertussis.

Data from ClinicalTrials.gov NCT03239496 adverse events section.

Sponsor's own description

The study will assess and compare the immune response to full-dose inactivated polio vaccines (IPV) via intramuscular (IM) administration and of the fractional dose of inactivated poliovirus vaccine (f-IPV) via intradermal (ID) administration, in different schedule combinations in the Expanded Program on Immunization (EPI) primary series.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Alternative Methods of Vaccine Delivery: An Overview of Edible and Intradermal Vaccines.
    Criscuolo E, Caputo V, Diotti RA, Sautto GA, et al · · 2019 · cited 66× · PMID 30949518 · DOI 10.1155/2019/8303648
  2. Safety and immunogenicity of inactivated poliovirus vaccine schedules for the post-eradication era: a randomised open-label, multicentre, phase 3, non-inferiority trial.
    Bandyopadhyay AS, Gast C, Rivera L, Sáez-Llorens X, et al · · 2021 · cited 22× · PMID 33284114 · DOI 10.1016/s1473-3099(20)30555-7
  3. Impact of Maternal Antibody on the Immunogenicity of Inactivated Polio Vaccine in Infants Immunized With Bivalent Oral Polio Vaccine: Implications for the Polio Eradication Endgame.
    Gaensbauer JT, Gast C, Bandyopadhyay AS, O'Ryan M, et al · · 2018 · cited 15× · PMID 30376095 · DOI 10.1093/cid/ciy649

Verify or expand the search:

Other trials of IPV

Trials testing the same drug.

Other recruiting trials for Poliomyelitis

Currently open trials in the same condition.

Other Fidec Corporation trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing