A Phase 2 interventional study of nOPV2 (monovalent oral polio vaccine) in Poliomyelitis, sponsored by Fidec Corporation. Completed at 2 sites in Panama. Open to participants aged 6 Weeks to 5 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-19.
Sponsored by Fidec Corporation · Phase 2, Interventional, and Prevention
This will be a single center, age de-escalation, partly-blinded, randomized study.
The trial will be performed with the participation of 100 healthy children age 1-5 years who have been vaccinated with inactivated polio vaccine (IPV) and/or oral polio vaccine (OPV) in their first year of life and of 648 healthy 6 week-old infants, who will be pre-vaccinated with bOPV-IPV before being randomized to study groups. The allocation of 18-22 week-old infants to groups will be performed in a randomized manner. Following completion and Data Safety Monitoring Board (DSMB) review of follow-up for general safety data (Serioius Adverse Events -SAEs-, Important Medical Events -IMEs- and severe adverse events -AEs), a DSMB recommendation to proceed will result in randomization of the final cohort of infants. Allocation of 1 to 5 year-old children to groups will be performed in a randomized manner.
The DSMB will establish and continuously assess stopping rules for safety.
274 studies on the registry are indexed under Poliomyelitis; 18 are open to participants now.
This study's enrollment of 1,025 is above the median of 476 across 249 interventional studies indexed under Poliomyelitis.
Browse Poliomyelitis studies →Fidec Corporation is the lead sponsor of 11 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.
Read whether the line is about a condition or about medicines, and which medicines and doses it means.
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Corticosteroids (steroids)
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Immunosuppression
A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.
Read whether the line is about a condition or about medicines, and which medicines and doses it means.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
HIV
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Cohort A: IPV and/or OPV vaccinated participants aged 1 to 5 years vaccinated with candidate 1. Cohort B: 6 weeks Infants vaccinated with 3 doses of bOPV and 1 dose of IPV, followed with 1 dose of candidate 1.
Biological: nOPV2 (monovalent oral polio vaccine)
Cohort A: IPV and/or OPV vaccinated participants aged 1 to 5 years vaccinated with candidate 2. Cohort B: Infants vaccinated with 3 doses of bOPV and 1 dose of IPV, followed with 1 dose of candidate 2.
Biological: nOPV2 (monovalent oral polio vaccine)
Cohort A: 150 IPV and/or OPV vaccinated participants aged 1 to 5 years vaccinated with candidate 1 or 2; two 10‸6 CCID50 (50% cell culture infective dose) doses separated by 28 days. Cohort B: 972 infants enrolled at 6 weeks of age (-7 to +14 days) vaccinated with 3 doses of bOPV at 6, 10 and 14 weeks of age and 1 dose of IPV at 14 weeks of age, followed at 18-22 weeks of age with one 10‸5 CCID50 dose of candidate 1 or 2.
Serious Adverse Reactions (SARs), Severe AEs and Important Medical Reactions (IMRs) Incidence
Number of subjects experiencing Serious Adverse Reactions (SAR), severe AR and IMR, i.e. SAEs, severe AEs (grade 3), or IMEs considered consistent with a causal association with study vaccines as of the informed consent signature date and throughout the study period in all groups.
Time frame: 6 months
Single Dose Seroprotection Rate
Seroprotection rate of type 2 polio neutralizing antibodies at Day 28 following a single 105 or 106 CCID50 dose of nOPV2 candidates in all groups. Seroprotection rate is defined as the percentage of subjects with type 2-specific antibody titers ≥ 1:8 per group.
Time frame: 2 months
Any Other SAEs, AEs and IMEs Incidence
Number of participants experiencing any other SAE, any solicited AE, any unsolicited AEs and any IME as well as any clinical laboratory deviation considered consistent with causal association to study vaccine (primary objective) following one or two doses of either nOPV2 candidates.
Time frame: 6 months
Seroconversion Rates Comparison
Seroconversion rates against type 2 of one or two 106 CCID50 doses of both nOPV2 vaccine candidates in healthy children aged 1 to 5 years and of two doses of both nOPV2 vaccine candidates at both 105 and 106 CCID50 dose levels at approximately 22 weeks of age in infants previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and compare this immunogenicity with a control sample of participants receiving the same vaccination schedule followed by one or two doses of Sabin mOPV2 in a prior study (M2) designed and performed to serve as a control for the current study. Seroconversion is defined as a change from seronegative to seropositive, and in seropositive subjects, as an antibody titer increase of ≥ 4 fold over baseline (Day 0) titers corrected for maternal antibodies titers where applicable/age-appropriate.
Time frame: 2 months
Seroprotection Rates Comparison
Seroprotection rates against type 2 of one or two 106 CCID50 doses of both nOPV2 vaccine candidates in healthy children aged 1 to 5 years and of two doses of both nOPV2 vaccine candidates at both 105 and 106 CCID50 dose levels at approximately 22 weeks of age in infants previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and compare this immunogenicity with a control sample of participants receiving the same vaccination schedule followed by one or two doses of Sabin mOPV2 in a prior study (M2) designed and performed to serve as a control for the current study. Seroprotection rate is defined as the percentage of subjects with type 2-specific neutralizing antibody titers ≥ 1:8 per group.
Time frame: 2 months
Viral Shedding
Level of viral shedding in stool at fixed time points following administration of one or two doses of both nOPV2 candidates at both 105 and 106 CCID50 dose levels in infants at approximately 18-22 weeks of age after having been previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and compare this shedding to a control sample of participants receiving the same vaccination schedule followed by one or two doses of Sabin mOPV2 in a prior study designed to serve as a control for the current study. This is determined by measuring the median number of days taken to get stool cultures negative for poliovirus presence (TTCN stands for median time to culture negative). Kaplan-Meier methods were used to describe the time to cessation of shedding for any shedding (PCR detection).
Time frame: 2 months
Neurovirulence
Potential for neurovirulence of virus isolated from a subset of stool samples of infants at approximately 18-22 weeks of age after having been previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and following a single dose of both nOPV2 candidates at the 106 CCID50 dose level, as measured in an animal model, and compare this with a control sample (M2 study). For each of the children / infants receiving a 106 CCID50 dose of the 2018 cohorts as well as all participants in study M2, an exploratory endpoint sample (EES) of poliovirus shed in stools following the first dose was identified, if possible, with which to perform a modified neurovirulence test in a transgenic mouse model. Data from each sample tested was summarized by group per vaccine candidate. The proportion of mice paralyzed and the odds ratio of paralysis from the single-dose assay were the primary means of comparison of neurovirulence of shed virus between each candidate and the Sabin mOPV2 control samples.
Time frame: 2 months
| Milestone | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] |
|---|---|---|---|---|---|---|---|---|---|
| Started | 50 | 50 | 51 | 156 | 144 | 138 | 150 | 135 | 151 |
| Completed | 45 | 47 | 48 | 154 | 141 | 137 | 149 | 133 | 149 |
| Not completed | 5 | 3 | 3 | 2 | 3 | 1 | 1 | 2 | 2 |
Number of subjects experiencing Serious Adverse Reactions (SAR), severe AR and IMR, i.e. SAEs, severe AEs (grade 3), or IMEs considered consistent with a causal association with study vaccines as of the informed consent signature date and throughout the study period in all groups.
| participants | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1 +L2[2018] | Stage II - Group B2H1+H2[2018] |
|---|---|---|---|---|---|---|---|---|---|
| Serious Adverse Reactions (SARs), Severe AEs and Important Medical Reactions (IMRs) Incidence | 0 | 1 | 0 | 5 | 6 | 1 | 1 | 1 | 1 |
Seroprotection rate of type 2 polio neutralizing antibodies at Day 28 following a single 105 or 106 CCID50 dose of nOPV2 candidates in all groups. Seroprotection rate is defined as the percentage of subjects with type 2-specific antibody titers ≥ 1:8 per group.
| Participants | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] |
|---|---|---|---|---|---|---|---|---|---|
| Single Dose Seroprotection Rate | 45 | 37 | 47 | 125 | 132 | 122 | 134 | 115 | 138 |
Number of participants experiencing any other SAE, any solicited AE, any unsolicited AEs and any IME as well as any clinical laboratory deviation considered consistent with causal association to study vaccine (primary objective) following one or two doses of either nOPV2 candidates.
| participants | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] | M2 Group 2+3 | M2 Children |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SAEs | 0 | 1 | 2 | 2 | 0 | 9 | 1 | 3 | 5 | 0 | 1 |
| IMEs | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| AEs | 32 | 36 | 44 | 30 | 29 | 34 | 37 | 36 | 33 | 36 | 28 |
Seroconversion rates against type 2 of one or two 106 CCID50 doses of both nOPV2 vaccine candidates in healthy children aged 1 to 5 years and of two doses of both nOPV2 vaccine candidates at both 105 and 106 CCID50 dose levels at approximately 22 weeks of age in infants previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and compare this immunogenicity with a control sample of participants receiving the same vaccination schedule followed by one or two doses of Sabin mOPV2 in a prior study (M2) designed and performed to serve as a control for the current study. Seroconversion is defined as a change from seronegative to seropositive, and in seropositive subjects, as an antibody titer increase of ≥ 4 fold over baseline (Day 0) titers corrected for maternal antibodies titers where applicable/age-appropriate.
| Participants | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] | M2 Group 2+3 | M2 Children |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Seroconversion Rates Comparison | 18 | 17 | 22 | 40 | 43 | 44 | 47 | 38 | 48 | 38 | 6 |
Seroprotection rates against type 2 of one or two 106 CCID50 doses of both nOPV2 vaccine candidates in healthy children aged 1 to 5 years and of two doses of both nOPV2 vaccine candidates at both 105 and 106 CCID50 dose levels at approximately 22 weeks of age in infants previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and compare this immunogenicity with a control sample of participants receiving the same vaccination schedule followed by one or two doses of Sabin mOPV2 in a prior study (M2) designed and performed to serve as a control for the current study. Seroprotection rate is defined as the percentage of subjects with type 2-specific neutralizing antibody titers ≥ 1:8 per group.
| Participants | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] | M2 Group 2+3 | M2 Children |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Seroprotection Rates Comparison | 44 | 39 | 46 | 44 | 46 | 45 | 48 | 43 | 48 | 39 | 46 |
Level of viral shedding in stool at fixed time points following administration of one or two doses of both nOPV2 candidates at both 105 and 106 CCID50 dose levels in infants at approximately 18-22 weeks of age after having been previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and compare this shedding to a control sample of participants receiving the same vaccination schedule followed by one or two doses of Sabin mOPV2 in a prior study designed to serve as a control for the current study. This is determined by measuring the median number of days taken to get stool cultures negative for poliovirus presence (TTCN stands for median time to culture negative). Kaplan-Meier methods were used to describe the time to cessation of shedding for any shedding (PCR detection).
| days | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] | M2 Group 2+3 | M2 Children |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Viral Shedding | — | 5 (4 to 5) | 3 (2.5 to 5) | — | — | 6 (5 to 7) | 6 (5 to 7) | 6 (5 to 7) | 5 (4 to 6) | 6 (5 to 7) | 6.5 (5 to 9) |
Potential for neurovirulence of virus isolated from a subset of stool samples of infants at approximately 18-22 weeks of age after having been previously vaccinated with 3 doses of bOPV and 1 dose of IPV, and following a single dose of both nOPV2 candidates at the 106 CCID50 dose level, as measured in an animal model, and compare this with a control sample (M2 study). For each of the children / infants receiving a 106 CCID50 dose of the 2018 cohorts as well as all participants in study M2, an exploratory endpoint sample (EES) of poliovirus shed in stools following the first dose was identified, if possible, with which to perform a modified neurovirulence test in a transgenic mouse model. Data from each sample tested was summarized by group per vaccine candidate. The proportion of mice paralyzed and the odds ratio of paralysis from the single-dose assay were the primary means of comparison of neurovirulence of shed virus between each candidate and the Sabin mOPV2 control samples.
| percentage of neurovirulence | mOPV2 | nOPV2 C1 2018 | nOPV2 C2 2018 |
|---|---|---|---|
| Neurovirulence | 90 | 0 | 30 |
Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Stage I - Group A2H2 | 0/50 (0%) | 0/50 (0%) | 40/50 (80%) |
| Stage II - A1H2 [2018] | 0/49 (0%) | 1/49 (2%) | 36/49 (73.5%) |
| Stage II - A2H2 [2018] | 0/51 (0%) | 3/51 (5.9%) | 44/51 (86.3%) |
| Stage I -- Group B2L1+L2[2016] | 0/155 (0%) | 7/155 (4.5%) | 82/155 (52.9%) |
| Stage I - B2H1+H2[2016] | 0/144 (0%) | 1/144 (0.7%) | 93/144 (64.6%) |
| Stage II - Group B1L1+L2[2018] | 0/138 (0%) | 14/138 (10.1%) | 129/138 (93.5%) |
| Stage II - Group B1H1+H2[2018] | 0/150 (0%) | 14/150 (9.3%) | 127/150 (84.7%) |
| Stage II - Group B2L1+L2 [2018] | 0/135 (0%) | 9/135 (6.7%) | 118/135 (87.4%) |
| Stage II - Group B2H1+H2[2018] | 1/151 (0.7%) | 15/151 (9.9%) | 126/151 (83.4%) |
| Event | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] |
|---|---|---|---|---|---|---|---|---|---|
| BronchiolitisRespiratory, thoracic and mediastinal disorders | 0/50 | 1/49 | 1/51 | 2/155 | 0/144 | 9/138 | 8/150 | 2/135 | 10/151 |
| PneumoniaRespiratory, thoracic and mediastinal disorders | 0/50 | 0/49 | 0/51 | 4/155 | 1/144 | 4/138 | 6/150 | 4/135 | 3/151 |
| Soft Tissue Abscess (preauricular)Ear and labyrinth disorders | 0/50 | 0/49 | 1/51 | 0/155 | 0/144 | 0/138 | 0/150 | 0/135 | 0/151 |
| UrticariaGeneral disorders | 0/50 | 0/49 | 1/51 | 0/155 | 0/144 | 0/138 | 0/150 | 0/135 | 0/151 |
| Acute GastroenteritisGastrointestinal disorders | 0/50 | 0/49 | 0/51 | 0/155 | 0/144 | 0/138 | 1/150 | 2/135 | 0/151 |
| Urinary Tract InfectionRenal and urinary disorders | 0/50 | 0/49 | 0/51 | 0/155 | 0/144 | 0/138 | 0/150 | 1/135 | 1/151 |
| Congeniital Cortical BlindnessCongenital, familial and genetic disorders | 0/50 | 0/49 | 0/51 | 0/155 | 0/144 | 0/138 | 0/150 | 1/135 | 0/151 |
| Tonic clonic seizureNervous system disorders | 0/50 | 0/49 | 0/51 | 0/155 | 0/144 | 1/138 | 0/150 | 0/135 | 0/151 |
| Acute Diarrheal DiseaseGastrointestinal disorders | 0/50 | 0/49 | 0/51 | 0/155 | 0/144 | 1/138 | 0/150 | 0/135 | 0/151 |
| Ventricular Septal DefectCardiac disorders | 0/50 | 0/49 | 0/51 | 0/155 | 0/144 | 1/138 | 0/150 | 0/135 | 0/151 |
| Event | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1+L2 [2018] | Stage II - Group B2H1+H2[2018] |
|---|---|---|---|---|---|---|---|---|---|
| NasopharyngitisInfections and infestations | 18/50 | 2/49 | 4/51 | 52/155 | 65/144 | 62/138 | 71/150 | 69/135 | 78/151 |
| InfluenzaInfections and infestations | 9/50 | 23/49 | 25/51 | 1/155 | 1/144 | 0/138 | 0/150 | 0/135 | 0/151 |
| Loss of AppetiteGeneral disorders | 16/50 | 13/49 | 13/51 | 22/155 | 13/144 | 11/138 | 15/150 | 14/135 | 19/151 |
| FeverGeneral disorders | 6/50 | 12/49 | 15/51 | 14/155 | 12/144 | 15/138 | 12/150 | 20/135 | 18/151 |
| Abnormal cryingGeneral disorders | 2/50 | 7/49 | 5/51 | 35/155 | 24/144 | 26/138 | 24/150 | 21/135 | 25/151 |
| DiarrhoeaGastrointestinal disorders | 11/50 | 9/49 | 4/51 | 9/155 | 7/144 | 2/138 | 9/150 | 1/135 | 4/151 |
| IrritabilityGeneral disorders | 2/50 | 3/49 | 5/51 | 30/155 | 18/144 | 23/138 | 27/150 | 25/135 | 25/151 |
| DrowsinessGeneral disorders | 2/50 | 9/49 | 5/51 | 8/155 | 9/144 | 6/138 | 11/150 | 10/135 | 15/151 |
| PharyngotonsillitisInfections and infestations | 4/50 | 7/49 | 8/51 | 1/155 | 1/144 | 0/138 | 1/150 | 0/135 | 1/151 |
| VomitingGastrointestinal disorders | 6/50 | 5/49 | 6/51 | 20/155 | 21/144 | 19/138 | 22/150 | 20/135 | 19/151 |
| Age, Categorical(Participants) | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1 +L2[2018] | Stage II - Group B2H1+H2[2018] | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| <=18 years | 50 | 49 | 51 | 156 | 144 | 138 | 150 | 135 | 151 | 1024 |
| Between 18 and 65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1 +L2[2018] | Stage II - Group B2H1+H2[2018] | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Female | 17 | 24 | 29 | 66 | 65 | 69 | 71 | 74 | 73 | 488 |
| Male | 33 | 25 | 22 | 90 | 79 | 69 | 79 | 61 | 78 | 536 |
| Race/Ethnicity, Customized(Participants) | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1 +L2[2018] | Stage II - Group B2H1+H2[2018] | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Mixed race | 24 | 49 | 51 | 151 | 141 | 135 | 147 | 132 | 151 | 981 |
| Other | 26 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 26 |
| Black or African American | 0 | 0 | 0 | 3 | 0 | 0 | 1 | 1 | 0 | 5 |
| Central American Indian | 0 | 0 | 0 | 1 | 2 | 3 | 2 | 1 | 0 | 9 |
| Hispanic | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| White | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 2 |
| Region of Enrollment(participants) | Stage I - Group A2H2 | Stage II - A1H2 [2018] | Stage II - A2H2 [2018] | Stage I -- Group B2L1+L2[2016] | Stage I - B2H1+H2[2016] | Stage II - Group B1L1+L2[2018] | Stage II - Group B1H1+H2[2018] | Stage II - Group B2L1 +L2[2018] | Stage II - Group B2H1+H2[2018] | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Panama | 50 | 49 | 51 | 156 | 144 | 138 | 150 | 135 | 151 | 1024 |
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