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CompletedNCT03697798BERTUpdated Jan 8, 2021

A Study Exploring Whooping Cough Protection in Children and Adults

A Phase 4 interventional study of Boostrix®-IPV combination vaccine in Pertussis, sponsored by University of Oxford. Completed at 3 sites in 3 countries. Open to participants aged 7 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-01-08.

Sponsored by University of Oxford · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
122
Allocation
Non-randomized
Ages
7 Years to 70 Years
Sex
All
01

Study summary

This study aims to investigate the effects of aP booster vaccination in children, young adults and elderly on the (long-term) immune response to B. pertussis in three European countries with a different epidemiological background and primary vaccination schedule for pertussis.

Read the detailed description

The study will be performed in three European countries (UK, Finland and the Netherlands) with a different epidemiological background for pertussis incidence and different age groups will have had different primary schedules with whole cell pertussis (wP) or aP vaccines in their first year of life. Long-term memory responses will be analysed following aP booster vaccination including a detailed assessment of antigen-specific B and T cell responses, serology assays for pertussis antigens and the effect of booster vaccination on dynamic changes in immune cell subsets and gene transcription.

There will be four cohorts of healthy volunteers:

Cohort A - children aged between 7-10 years

Cohort B - children aged between 11-15 years

Cohort C - adults aged between 20 to 34 years

Cohort D - adults aged between 60-70 years

Participants will receive one injection of reduced diphtheria toxoid, tetanus toxoid and reduced acellular pertussis vaccine (dTap)-IPV, (Boostrix® IPV, GlaxoSmithKline (GSK)) combination vaccine intramuscularly in the upper arm. Children (cohorts A and B) will be asked to donate blood four times at different time points, and young and older adults (cohorts C and D) will be asked to donate blood at set time points five times in total over the 12 months duration of the study. The time points will be:

  • Timepoint 0 - day of vaccination
  • Timepoint 1 - 1 day after T0 +/- 4 hours
  • Timepoint 2 - 7 days after T0 +/- 1 day
  • Timepoint 3 - 14 days after T0 +/- 4 days
  • Timepoint 4 - 28 days after T0 +/- 4 days
  • Timepoint 5 - 1 year after T0 +/- 4 weeks
02

Conditions studied

  • Pertussis

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03

In context

Whooping Cough

238 studies on the registry are indexed under Whooping Cough; 15 are open to participants now.

This study's enrollment of 122 is below the median of 375 across 180 interventional studies indexed under Whooping Cough.

Browse Whooping Cough studies →

Lead sponsor

University of Oxford is the lead sponsor of 794 studies on the registry; 117 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Normal general health
  • Within the right age group for the cohort
  • Received all regular vaccines for their age group according to the Dutch NIP, UK NIP or Finnish NIP; a copy of the vaccination booklet will be included in the participant's documents. If booklet is not available for cohorts A, B and C, vaccination status will be checked although, for cohort C and D this booklet might not be available due to their age;
  • Provision of written informed consent
  • Willing to adhere to the protocol and be available during the study period.

Exclusion criteria

Exclusion Criteria:

  • Present evidence of serious disease(s) within the last 3 months before inclusion requiring immunosuppressive or immune modulating medical treatment, such as systemic corticosteroids, that might interfere with the results of the study;
  • Chronic infection
  • Known or suspected immune deficiency;
  • History of any neurologic disorder, including epilepsy;
  • Previous administration of serum products (including immunoglobulins) within 6 months before vaccination and blood sampling;
  • Known and/or suspected allergy to any of the vaccine components (by medical history);
  • Occurrence of a serious adverse events (SAEs) after primary DTwP-IPV vaccination, DTaP-IPV vaccination or any other vaccination (by medical history);
  • Vaccination with any other pertussis vaccine other than those described in the inclusion criteria (i.e. only according to NIP)
  • Vaccination with any other DT-IPV vaccine in the last 5 years, a DT-IPV vaccination according to NIP in cohort B is not an exclusion criterion;
  • Children between 8 and 10 years of age eligible for cohort A in the Netherlands who have already received the diphtheria and tetanus toxoid vaccine (DT)-IPV booster vaccination according to Dutch NIP around 9 years of age;
  • Mixed wP and aP priming within a participant, cohort B;
  • Pregnancy. Detailed considerations for this exclusion criteria in section 4.6.

Temporary exclusion criteria

  • If a participant has a severe acute (infectious) illness or fever (>38°C) within 14 days prior to T0, participation will be postponed or cancelled. In case the participant has fever within 2 days before sampling at T4 or T5, the appointment will be postponed for 4 days, if possible.
  • Antibiotic use within 14 days of enrolment.
  • Any vaccination within a month before enrolment.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
122 participants (actual)

Study arms

  • Active comparator
    Children aged between 7-10 years of age

    Healthy children from 7 up to 10 years of age, determined by date of birth (dd/mm/yyyy), at the time of the first visit. Male + female, approximately equally distributed, n = 36 in each country. They will receive Boostrix®-IPV combination vaccine.

    Biological: Boostrix®-IPV combination vaccine

  • Active comparator
    Children aged between 11-15 years of age

    Healthy children from 11 up to 15 years of age, determined by date of birth (dd/mm/yyyy), at the time of the first visit. Male + female, approximately equally distributed, n = 36 in each country aiming for comparable numbers of participants with aP vs wP vaccination background. They will receive Boostrix®-IPV combination vaccine.

    Biological: Boostrix®-IPV combination vaccine

  • Active comparator
    Adults aged between 20-34 years of age

    Healthy young adults from 20 up to 34 years of age, determined by date of birth (dd/mm/yyyy), at the time of the first visit. Male + female, approximately equally distributed, n = 25 in each country. They will receive Boostrix®-IPV combination vaccine.

    Biological: Boostrix®-IPV combination vaccine

  • Active comparator
    Adults aged between 60-70 years of age

    Older adults from 60 up to 70 years of age determined by date of birth (dd/mm/yyyy), at the time of the first visit. Male + female, approximately equally distributed, n = 25 in each country. They will receive Boostrix®-IPV combination vaccine.

    Biological: Boostrix®-IPV combination vaccine

Interventions

  • BiologicalBoostrix®-IPV combination vaccine

    A licensed aP (acellular) booster vaccine developed by GlaxoSmithKline.

06

What researchers measure

Primary outcomes

  1. Change from baseline of pertussis toxin-specific IgG antibody levels to 28 days after vaccination

    Time frame: 28 days

Secondary outcomes

  1. Amount of pertussis toxin (PT) specific IgG antibody one year after vaccination with Boostrix-IPV

    Time frame: 1 year

  2. Change from baseline in pertussis toxin (PT) specific IgG-subclasses and avidity levels to 28 days and 1 year after vaccination with Boostrix-IPV

    Time frame: 28 days and 1 year

  3. Change from baseline of antigen-specific IgG antibody levels against other pertussis vaccine antigens (such as FHA) and non-pertussis vaccine antigens (such as diptheria and tetanus toxoid) to 28 days and 1 year after vaccination with Boostrix-IPV

    Time frame: 28 days and 1 year

  4. Change from baseline of functional pertussis-specific antibody levels to 28 days and 1 year after vaccination with Boostrix-IPV

    Time frame: 28 days and 1 year

  5. Change from baseline of B cell responses against Bordetella pertussis vaccine proteins after vaccination with Boostrix-IPV

    Antigen-specific memory B cell responses against B-pertussis vaccine proteins

    Time frame: 7 days, 28 days and 1 year

  6. Change from baseline of pertussis antigen-specific T helper responses to 14 days, 28 days and 1 year after vaccination with Boostrix-IPV

    To describe the effect on an aP booster on the specific T cell immune response in different age groups that have been initially vaccinated with either a whole cell or acellular vaccine

    Time frame: 14 days, 28 days and 1 year

  7. Identify markers in biological samples collected in the Biobank (library of samples) that show changes in immunity to pertussis

    Use of novel exploratory immunoassays on stored samples to identify biomarkers or lasting memory or waning immunity to pertussis.

    Time frame: 1 year although samples will be stored up to 10 years

07

Study locations

3 sites
  • University of Turku
    Turku, FI-20014, Finland
  • Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)
    Bilthoven, 3721 MA, Netherlands
  • Centre for Clinical Vaccinology & Tropical Medicine (CCVTM)
    Oxford, Oxfordshire OX3 7LE, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03697798
Lead sponsor
University of Oxford
Collaborators
National Institute for Public Health and the Environment (RIVM), University of Turku
Responsible party
Sponsor
First posted
Oct 5, 2018
Start date
Apr 18, 2018
Primary completion
Jan 14, 2020
Completion
Jan 14, 2020
Last update
Jan 8, 2021

Study contacts

Dr Marlies van Houten
principal investigator · Spaarne Hospital, Hoofddorp
Prof. dr. Jussi Mertsola
principal investigator · Turku University Hospital
Dr Dominic Kelly
principal investigator · University of Oxford

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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