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Trial registered on ANZCTR
Registration number
ACTRN12617001525370
Ethics application status
Approved
Date submitted
24/08/2017
Date registered
3/11/2017
Date last updated
3/11/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Trial to assess whether it is safe and efficient to vaccinate children with lower dose of Inactivated Poliovirus Vaccine (IPV) , Cuba 2017
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Scientific title
Comparison of Immunogenicity of full dose Inactivated Poliovirus Vaccine (IPV) and fractional dose IPV administered to infants intramuscularly or intradermally, Cuba 2017
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Secondary ID [1]
292726
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none
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Universal Trial Number (UTN)
U1111-1201-2378
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
polio
304490
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Condition category
Condition code
Infection
303828
303828
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm A: intramuscular (i.m.) administration of fractional dose of Inactivated Poliovirus Vaccine (fIPV) - 0.1ml [one dose at 4 months of age and one dose at 8 months of age]
Arm B: im fIPV - 0.2ml [one dose at 4 months of age and one dose at 8 months of age]
Arm C:: intradermal (i.d.) fIPV - 0.1ml [one dose at 4 months of age and one dose at 8 months of age]
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Intervention code [1]
298969
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Prevention
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Comparator / control treatment
Arm D: One Full dose of intramuscular Inactivated Poliovirus Vaccine - 0.5ml
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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% difference in immune response between study arms as assessed by difference in anti-polio neutralizing antibodies in sera collected on first and last visit
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Assessment method [1]
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Timepoint [1]
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28 days post vaccination
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Secondary outcome [1]
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% difference in anamnestic response between study arms as assessed by difference in anti-polio neutralizing antibodies in sera collected on day of second vaccination and one week post second vaccination
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Assessment method [1]
338187
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Timepoint [1]
338187
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1 week post immunization
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Eligibility
Key inclusion criteria
Healthy infants born between April 15 and May 31, 2017 (>3rd percentile for height and weight) at enrollment living within the catchment’s area of the participating health centers in Camaguey, Cuba
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Minimum age
4
Months
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Maximum age
4
Months
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Infants <3 percentile for height and weight, residence outside the catchment’s area, or families expecting to move away during the study period, will be excluded. A diagnosis, suspicion or treatment of immunodeficiency disorder (either in the participant or in a member of the immediate family) will render the child ineligible for the study. Infants of mother age below legal age (<18 years) or with mentally incapacity will not be eligible to participate.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
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Actual
28/08/2017
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Date of last participant enrolment
Anticipated
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Actual
28/09/2017
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Date of last data collection
Anticipated
28/01/2018
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Actual
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Sample size
Target
400
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Accrual to date
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Final
400
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Recruitment outside Australia
Country [1]
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Cuba
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State/province [1]
9169
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Camaguey
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Funding & Sponsors
Funding source category [1]
297365
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Other Collaborative groups
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Name [1]
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WHO
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Address [1]
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Polio Department
World Health Organization
Avenue Appia 20
CH-1211 Genève 27 Suisse
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Country [1]
297365
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Switzerland
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Primary sponsor type
Other Collaborative groups
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Name
WHO
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Address
Polio Department
World Health Organization
Avenue Appia 20
CH-1211 Genève 27 Suisse
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Country
Switzerland
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Secondary sponsor category [1]
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None
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Name [1]
296342
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Address [1]
296342
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Country [1]
296342
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298467
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WHO ERC
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Ethics committee address [1]
298467
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Polio Department World Health Organization Avenue Appia 20 CH-1211 Genève 27 Suisse
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Ethics committee country [1]
298467
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Switzerland
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Date submitted for ethics approval [1]
298467
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Approval date [1]
298467
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01/08/2017
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Ethics approval number [1]
298467
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Summary
Brief summary
Inactivated poliovirus vaccine (IPV) has been introduced globally, however, in 2016 shortages of IPV supply caused stock-outs and put strain on IPV use for routine immunizations as well as for poliovirus outbreak response; this shortage is going to last until 2018 if not longer. Administration of 1/5th IPV dose intradermally (fractional IPV or fIPV) has been proved to be safe and provides similar immune response as full dose IPV administered intramuscular, however, fIPV administered with BCG needle and syringe (BCG NS) intradermally is technically difficult and many countries are hesitant to adopt fIPV in their routine immunization schedules because of the additional needs for training of health staff. fIPV administered intramuscularly has been less examined; the few documented uses of intramuscular fIPV suggest no safety concerns, however, it is unclear whether desired immunogenicity could be achieved. In this study we will compare immunogenicity achieved after two doses of full dose IPV or fIPV administered at the age of 4 and 8 months to poliovirus naive children in Cuba. We will assess two volumes of fIPV doses: 1/5th and 2/5th of full dose (0.1 ml and 0.2 ml).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Sonia Resik
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Address
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Instituto de Medicina Tropical Pedro Kouri
Apdo. Postal 601, Marianao 13, La Habana, Cuba
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Country
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Cuba
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Phone
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+537 202-0633
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ondrej Mach
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Address
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Polio Department
World Health Organization
Avenue Appia 20
CH-1211 Genève 27 Suisse
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Country
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Switzerland
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Phone
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+41227911863
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ondrej Mach
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Address
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Polio Department
World Health Organization
Avenue Appia 20
CH-1211 Genève 27 Suisse
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Country
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Switzerland
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Phone
77176
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+41227911863
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Fax
77176
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Email
77176
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Immunogenicity of Intramuscular Fractional Dose of Inactivated Poliovirus Vaccine.
2020
https://dx.doi.org/10.1093/infdis/jiz323
N.B. These documents automatically identified may not have been verified by the study sponsor.
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