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CompletedNCT05033561Updated Aug 23, 2024Results posted

Study to Evaluate Safety and Immunogenicity of nOPV2 at Different Intervals in Infants

A Phase 3 interventional study of nOPV2 in Poliomyelitis, sponsored by Fidec Corporation. Completed at 2 sites in Dominican Republic. Open to participants aged 6 Weeks to 8 Weeks, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-23.

Sponsored by Fidec Corporation · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
905
Allocation
Randomized
Ages
6 Weeks to 8 Weeks
Sex
All
01

Study summary

Study to determine immunogenicity and safety following administration of 2 doses of novel oral poliovirus vaccine type 2 (nOPV2) given at different intervals of 1 week or 2 weeks or the standard 4-week interval in infants

Read the detailed description

This will be a multicenter, randomized, controlled, open-label, parallel-group Phase III study in healthy infants aged 6 to 8 weeks who have never been vaccinated against poliomyelitis. Approximately 900 infants will be included in the study and randomized with a 1:1:1 ratio to the following treatment groups:

  • Group A: approximately 300 subjects to receive 2 doses of nOPV2 administered 1 week apart, at Day 0 and Day 7;
  • Group B: approximately 300 subjects to receive 2 doses of nOPV2 administered 2 weeks apart, at Day 0 and Day 14;
  • Group C (control group): approximately 300 subjects to receive 2 doses of nOPV2 administered 4 weeks apart, at Day 0 and Day 28. A total of 4 on-site visits are planned. Approximately 7 days after each administration of study vaccine, a phone call or on-site visit will be performed to monitor subjects' safety and review with the subject's parent(s)/guardian(s) any solicited AEs reported in the electronic diary card. All subjects will have a safety follow-up phone call 6 months after the last dose of study vaccine.
02

Conditions studied

  • Poliomyelitis

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03

In context

Poliomyelitis

274 studies on the registry are indexed under Poliomyelitis; 18 are open to participants now.

This study's enrollment of 905 is above the median of 476 across 249 interventional studies indexed under Poliomyelitis.

Browse Poliomyelitis studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
6 Weeks to 8 Weeks
Sexes eligible
All
Accepts healthy volunteers
Yes

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.

Inclusion criteria

  1. Infants aged 6 to 8 weeks with birth weight > 2,500 g.
  2. Healthy infants without obvious medical conditions like immunodeficiency diseases, severe congenital malformations, severe neurological diseases or any other disease that require high doses of or immunotherapies that preclude the subject from participating in the study as established by the medical history and physical examination.
  3. Written obtained from 1 or 2 parent(s) or legal guardian(s) as per country regulations.

Exclusion criteria

Exclusion Criteria:

  1. Infants who have received previous vaccination against poliomyelitis.
  2. Infants with anyone under 5 years of age in their household (living in the same house or apartment unit) who does not have the complete "age appropriate" vaccination status with respect to poliovirus vaccines at the time of study vaccine administration according to the Dominican Republic National Immunization Program (NIP).
  3. Infants having a member of their household (living in the same house or apartment unit) who is under 6 months of age at the moment of study vaccine administration.
  4. Infants having a member of their household (living in the same house or apartment unit) who has received oral poliomyelitis vaccine (OPV) in the previous 3 months before study vaccine administration.
  5. Any confirmed or suspected or known immunodeficient condition including infection in the potential participant or any member of the subject's household.
  6. Family history of congenital or hereditary immunodeficiency.
  7. Major congenital defects or serious uncontrolled chronic illness (neurologic, pulmonary, gastrointestinal, hepatic, renal, or endocrine).
  8. Known allergy to any component of the study vaccine or to any antibiotics that share molecular composition with the nOPV2 vaccine.
  9. Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
  10. Acute severe febrile illness on the day of vaccination deemed by the Investigator to be a for vaccination (the child can be included at a later time if within age window and all inclusion criteria are met.).
  11. Subject who, in the opinion of the Investigator, is unlikely to comply with the protocol or is inappropriate to be included in the study for the safety or the benefit-risk ratio of the subject.
  12. Infants from multiple births or born prematurely (\< 37 weeks of gestation)
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
905 participants (actual)

Study arms

  • Experimental
    2 doses, 1 week apart

    Administration of 2 doses of nOPV2, 1 week apart

    Biological: nOPV2

  • Experimental
    2 doses, 2 week apart

    Administration of 2 doses of nOPV2, 2 weeks apart

    Biological: nOPV2

  • Active comparator
    2 doses, 4 week apart

    Administration of 2 doses of nOPV2, 4 weeks apart

    Biological: nOPV2

Interventions

  • BiologicalnOPV2

    Novel Oral Poliomyelitis Type 2 Vaccine

06

What researchers measure

Primary outcomes

  1. Seroconversion Rate at 1, 2 & 4 Weeks Interval

    Cumulative seroconversion rate of type 2 polio neutralizing antibodies 28 days following administration of 2 doses of nOPV2 in 1-week, 2-week and 4-weeks interval to infants 6 to 8 weeks of age

    Time frame: Up to max 8 weeks

Secondary outcomes

  1. Neutralizing Antibodies at 1, 2 & 4 Week Interval

    Geometric mean titers of type 2 polio neutralizing antibodies at Day 0 and 28 days after the second dose of nOPV2 when administered 1, 2 \& 4 weeks apart.

    Time frame: Up to max 8 weeks

  2. Serious Adverse Events (SAEs) and Important Medical Events (IMEs)

    Number of participants experiencing SAEs and IMEs from the date of informed consent throughout the study period in all groups by severity and by causal association.

    Time frame: 6 months

  3. Solicited Adverse Events (AEs)

    Number of participants experiencing mild, moderate and severe solicited AEs (fever, vomiting, abnormal crying, drowsiness, loss of appetite, diarrhea and irritability) for 7 days after each dose of study vaccine in all groups.

    Time frame: Up to max 5 weeks

  4. Unsolicited Adverse Events (AEs)

    Number of participants experiencing mild, moderate, and severe solicited AEs (fever, vomiting, abnormal crying, drowsiness, loss of appetite, diarrhea, and irritability) for 28 days after each dose of study vaccine in all groups.

    Time frame: Up to max 8 weeks

07

Results

Posted Aug 23, 2024

Participant flow

Participant flow — Overall Study
MilestoneGroup AGroup BGroup C
Started302300303
Completed297297298
Not completed535

Outcome measures

PrimarySeroconversion Rate at 1, 2 & 4 Weeks Interval

Cumulative seroconversion rate of type 2 polio neutralizing antibodies 28 days following administration of 2 doses of nOPV2 in 1-week, 2-week and 4-weeks interval to infants 6 to 8 weeks of age

Time frame:
Up to max 8 weeks
Reported as:
Count of participants · Participants
Seroconversion Rate at 1, 2 & 4 Weeks Interval
ParticipantsGroup AGroup BGroup C
Seroconversion Rate at 1, 2 & 4 Weeks Interval253269277
Statistical analysis
  • Group A vs Group C · Miettinen-Nurminen · p = 0.05 (This is the nominal alpha level for the two-sided confidence interval comparison.)Pairwise comparisons with two-sided Miettinen-Nurminen confidence intervals.
  • Group B vs Group C · Miettinen-Nurminen · p = 0.05 (This is the nominal alpha level for the two-sided confidence interval comparison.)Pairwise comparisons with two-sided Miettinen-Nurminen confidence intervals.
SecondaryNeutralizing Antibodies at 1, 2 & 4 Week Interval

Geometric mean titers of type 2 polio neutralizing antibodies at Day 0 and 28 days after the second dose of nOPV2 when administered 1, 2 \& 4 weeks apart.

Time frame:
Up to max 8 weeks
Reported as:
Geometric mean · titers
Neutralizing Antibodies at 1, 2 & 4 Week Interval
titersGroup AGroup BGroup C
Day 010.7 (8.5 to 13.5)11.5 (9 to 14.7)10.2 (8.1 to 12.9)
28 days after 2nd dose1232.3 (909 to 1670.5)1726.3 (1252.1 to 2380.1)2327.6 (1654.3 to 3275.2)
Statistical analysis
  • Group A vs Group C · Miettinen-Nurminen · p = 0.05 (This is the nominal alpha level for the two-sided confidence interval comparison.)Pairwise comparisons with two-sided Miettinen-Nurminen confidence intervals.
  • Group B vs Group C · Miettinen-Nurminen · p = 0.05 (This is the nominal alpha level for the two-sided confidence interval comparison.)Pairwise comparisons with two-sided Miettinen-Nurminen confidence intervals.
SecondarySerious Adverse Events (SAEs) and Important Medical Events (IMEs)

Number of participants experiencing SAEs and IMEs from the date of informed consent throughout the study period in all groups by severity and by causal association.

Time frame:
6 months
Reported as:
Count of participants · Participants
Serious Adverse Events (SAEs) and Important Medical Events (IMEs)
ParticipantsGroup AGroup BGroup C
Death001
Hospitalization879
Birth defect110
SecondarySolicited Adverse Events (AEs)

Number of participants experiencing mild, moderate and severe solicited AEs (fever, vomiting, abnormal crying, drowsiness, loss of appetite, diarrhea and irritability) for 7 days after each dose of study vaccine in all groups.

Time frame:
Up to max 5 weeks
Reported as:
Count of participants · Participants
Solicited Adverse Events (AEs)
ParticipantsGroup AGroup BGroup C
Abnormal crying849083
Diarrhea445040
Drowsiness253836
Fever134147139
Irritability314541
Loss of Apetite364938
Vomiting457562
SecondaryUnsolicited Adverse Events (AEs)

Number of participants experiencing mild, moderate, and severe solicited AEs (fever, vomiting, abnormal crying, drowsiness, loss of appetite, diarrhea, and irritability) for 28 days after each dose of study vaccine in all groups.

Time frame:
Up to max 8 weeks
Reported as:
Count of participants · Participants
Unsolicited Adverse Events (AEs)
ParticipantsGroup AGroup BGroup C
Respiratory disorders131011
Infections91014
Gastrointestinal disorders3139
Musculoskeletal and connective tissue disorders003
Skin disorders021
Congenital disorders011
Nervous system disorders010
General disorders186

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group A0/298 (0%)8/298 (2.7%)217/298 (72.8%)
Group B0/304 (0%)7/304 (2.3%)247/304 (81.3%)
Group C1/303 (0.3%)9/303 (3%)238/303 (78.5%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventGroup AGroup BGroup C
PneumoniaInfections and infestations1/2982/3045/303
BronchiolitisInfections and infestations1/2983/3040/303
Dengue feverInfections and infestations2/2980/3040/303
Amoebic dysenteryInfections and infestations1/2980/3041/303
GastroenteritisInfections and infestations1/2980/3040/303
OsteomyelitisInfections and infestations1/2980/3040/303
Inguinal herniaGastrointestinal disorders1/2980/3040/303
Herpes virus infectionInfections and infestations0/2980/3041/303
SepsisInfections and infestations0/2980/3041/303
Septic shockInfections and infestations0/2980/3041/303
Most frequent other events
Showing 10 of 28
Most frequent other events
EventGroup AGroup BGroup C
FeverGeneral disorders135/298152/304144/303
Abnormal cryingGeneral disorders84/29892/30483/303
VomitingGastrointestinal disorders45/29881/30465/303
DiarrhoeaGastrointestinal disorders46/29856/30444/303
Loss of apetiteGastrointestinal disorders36/29849/30438/303
IrritabilityNervous system disorders31/29846/30441/303
DrowsinessNervous system disorders25/29838/30436/303
Nasal congestionInfections and infestations11/2982/3044/303
RhinorrhoeaInfections and infestations2/2985/3046/303
CoughInfections and infestations2/2985/3043/303

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Group AGroup BGroup CTotal
<=18 years302300303905
Between 18 and 65 years0000
>=65 years0000
Sex: Female, Male
Sex: Female, Male(Participants)Group AGroup BGroup CTotal
Female134138146418
Male168162157487
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Group AGroup BGroup CTotal
Hispanic1113
Mixed Race301299301901
Black or African American0011
Region of Enrollment
Region of Enrollment(participants)Group AGroup BGroup CTotal
Dominican Republic302300303905
08

Study locations

2 sites
  • Clinica Cruz Jiminián
    Santo Domingo, Dominican Republic
  • Hospital Universitario Maternidad Nuestra Señora de la Altagracia
    Santo Domingo, Dominican Republic
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05033561
Lead sponsor
Fidec Corporation
Collaborators
Bill and Melinda Gates Foundation
Responsible party
Sponsor
First posted
Sep 5, 2021
Start date
Dec 16, 2021
Primary completion
May 24, 2022
Completion
Oct 25, 2022
Results posted
Aug 23, 2024
Last update
Aug 23, 2024

Oversight

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

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