Protocol summary
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Study aim
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The evaluation of non-inferiority of the 13-valent pneumococcal vaccine (PneumoConj®) in comparison to the Prevnar® in terms of immunogenicity in healthy infants aged 8 ± 2 weeks.
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Design
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A phase 3, Randomized, Two-arm, Double-blind, Parallel-group, Active-controlled clinical trial with sample size of 324
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Settings and conduct
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A Phase III, Double-blind (Investigator and Participant), Two-arm, Active-controlled, with a 1:1 allocation and sample size of 324, non-inferiority clinical trial evaluating the immunogenicity and safety of the 13-valent pneumococcal vaccine, In the health center of Tehran, Iran.
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Participants/Inclusion and exclusion criteria
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Inclusion Criteria:
Infants aged 8±2 weeks who are in good general health
Exclusion criteria:
History of previous vaccination against pneumococcus
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Intervention groups
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The 13-valent pneumococcal vaccine (PneumoConj®) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
The 13-valent pneumococcal vaccine (Prevnar®) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
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Main outcome variables
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1. IgG seroresponse rate
2. IgG GMC ratio
General information
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Reason for update
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The ethics code was incorrectly entered in the initial submission and has been corrected.
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT20240626062259N1
Registration date:
2024-07-30, 1403/05/09
Registration timing:
prospective
Last update:
2025-12-24, 1404/10/03
Update count:
1
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Registration date
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2024-07-30, 1403/05/09
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2024-07-31, 1403/05/10
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Expected recruitment end date
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2024-08-31, 1403/06/10
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Actual recruitment start date
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empty
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Actual recruitment end date
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empty
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Trial completion date
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empty
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Scientific title
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The phase 3, randomized, two-arm, parallel group, double-blind, active controlled non-inferiority clinical trial evaluating the immunogenicity and safety of the 13-valent pneumococcal vaccine (PneumoConj®- manufactured by Nivad Pharmed Salamat), compared to the 13-valent pneumococcal vaccine (Prevnar®- manufactured by Pfizer) as the reference product, in infants aged 8 ± 2 weeks
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Public title
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Evaluation of immunogenicity and safety of the 13-valent pneumococcal vaccine (PneumoConj®- manufactured by Nivad Pharmed Salamat), compared to the 13-valent pneumococcal vaccine (Prevnar®- manufactured by Pfizer) as the reference product, in infants aged 8 ± 2 weeks
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Purpose
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Prevention
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Inclusion/Exclusion criteria
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Inclusion criteria:
Infants aged 8±2 weeks.
Good general health (confirmed through clinical examinations and medical records, e.g., normal growth curve, normal head circumference).
Parents willing to provide informed and voluntary written consent for their infant's participation in the study.
Ability to accompany their infant for study visits and follow-up sessions.
Exclusion criteria:
History of previous vaccination against pneumococcal strains.
History of severe hypersensitivity reactions following vaccine injection.
Infants with congenital abnormalities, growth disorders, genetic defects, or severe malnutrition.
Infants with pathological jaundice lasting 2 to 4 weeks and recurring.
History of confirmed respiratory infection at clinic or serology, especially due to Streptococcus pneumoniae.
History of HIV infection in mother or infant.
Presence of thrombocytopenia (platelets less than 150,000) or other coagulation disorders.
Axillary temperature above 37.8 degrees Celsius within 72 hours prior to the study.
Family history of seizures, epilepsy, or encephalopathy in first-degree relatives of the infant.
Preterm and low birth weight infants (born before 37 weeks of gestation with birth weight less than 2.5 kilograms).
Family history of congenital or hereditary immunodeficiency in first-degree relatives.
Receipt of vaccines outside of the national immunization schedule or medications prohibited simultaneously.
Conditions deemed by the principal investigator to prevent participation.
Participation in other clinical vaccine studies.
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Age
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From 42 days old to 70 days old
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Gender
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Both
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Phase
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3
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Groups that have been masked
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Sample size
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Target sample size:
324
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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Allocation of infants to intervention groups is done by stratified randomization by www.sealedenvelope.com. The strata in this study are the centers and, in each stratum, random numerical sequences will be created in the form of permuted blocks. For this purpose, random blocks with block size 2 and 4 (equal number of each group are present in each block) and with a ratio of 1:1 will be done for a total of 324 infants. When randomization is done, each infant will receive a unique code by which he will be identified throughout the study.
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Blinding (investigator's opinion)
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Double blinded
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Blinding description
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Given that the control and test drug packages are completely identical and are identified using random codes, the parents of the participants will not be aware of the type of vaccine their child has received. Additionally, study data will be anonymized based on the unique identification codes assigned to each participant at the start of the study. This ensures that the study remains blinded for both the doctor and the evaluator. Similarly, the samples and laboratory results will be identified and reported only with the codes corresponding to each participant, without any names.
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Placebo
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Not used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2024-04-16, 1403/01/28
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Ethics committee reference number
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IR.NREC.1403.002
Health conditions studied
1
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Description of health condition studied
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Otitis media prevention / Pneumonia prevention
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ICD-10 code
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J13
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ICD-10 code description
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Pneumonia due to Streptococcus pneumoniae
Primary outcomes
1
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Description
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IgG seroresponse rate against different serotypes after 5 months: IgG seroresponse rate against different serotypes after 5 months (one month after the third dose injection) compared to the control group.
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Timepoint
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One month after the third dose injection
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Method of measurement
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ELISA. Percentage of individuals with IgG antibody concentration above 0.35 micrograms per milliliter.
2
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Description
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IgG GMC ratio against different serotypes after 5 months: IgG GMC ratio against different serotypes after 5 months (one month after the third dose injection) in the candidate group compared to the control group.
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Timepoint
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One month after the third dose injection.
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Method of measurement
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ELISA.
Secondary outcomes
1
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Description
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IgG seroresponse rate against different serotypes after the booster dose: IgG seroresponse rate against different serotypes after the booster dose compared to the control group.
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Timepoint
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One month after the booster dose injection.
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Method of measurement
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ELISA. Percentage of individuals with IgG antibody concentration above 0.35 micrograms per milliliter.
2
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Description
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IgG GMC ratio against different serotypes after the booster dose: IgG GMC ratio against different serotypes after the booster dose in the candidate group compared to the control group.
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Timepoint
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One month after the booster dose injection.
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Method of measurement
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ELISA
3
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Description
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OPA seroresponse rate against different serotypes after 5 months and after the booster dose: OPA seroresponse rate against different serotypes after 5 months (one month after the third dose injection) and after the booster dose in the candidate group compared to the control group (in a subset of subjects).
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Timepoint
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One month after the third dose injection and one month after the booster dose injection.
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Method of measurement
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OPA. Percentage of individuals with functional antibody titer above 1:8
4
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Description
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OPA GMC ratio against different serotypes after 5 months and after the booster dose: OPA GMC ratio against different serotypes after 5 months (one month after the third dose injection) and after the booster dose in the candidate group compared to the control group (in a subset of subjects).
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Timepoint
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One month after the third dose injection and one month after the booster dose injection.
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Method of measurement
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OPA.
5
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Description
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Incidence of otitis media and pneumonia: Incidence of otitis media and pneumonia (specifying severity and pneumococcal strain type).
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Timepoint
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Throughout the study.
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Method of measurement
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Clinical examination and PCR.
6
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Description
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Number of individuals experiencing Immediate Adverse Drug Reactions within the first half-hour after each injection (Day 0).
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Timepoint
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In the first half-hour following each injection. (Day 0)
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Method of measurement
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Clinical assessment
7
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Description
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Number of individuals experiencing Solicited Adverse Drug Reactions in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Timepoint
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First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Method of measurement
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Clinical assessment
8
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Description
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Number of individuals experiencing Systematic Adverse Drug Reactions in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Timepoint
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First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Method of measurement
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Clinical assessment
9
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Description
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Number of individuals experiencing Unsolicited Adverse Drug Reactions in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Timepoint
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First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Method of measurement
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Clinical assessment
10
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Description
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Number of individuals experiencing Adverse Events of Special Interest (AESIs) in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection. AESIs include shoulder injury related to vaccine administration and vasovagal syncope.
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Timepoint
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First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Method of measurement
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Clinical assessment
11
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Description
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Number of individuals experiencing Medically Attended Adverse Events (MAEs) in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection. MAEs include undesirable events demanding medical attendance that are not part of routine medical examination or vaccination visits, such as hospitalizations, emergency department visit, or any unscheduled medical visits for any reason.
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Timepoint
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First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Method of measurement
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Clinical assessment
12
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Description
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Number of individuals experiencing Severe Adverse Events (SAEs) in the first 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection. SAEs refer to any adverse event resulting in death, life-threatening situations, need for hospitalization or prolongation of hospitalization, disability or congenital anomaly, and significant impairment of the participant under investigation.
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Timepoint
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First 7 days following each injection (Day 0-7), and then weekly until 1 month after the third dose injection and 1 month after the booster dose injection.
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Method of measurement
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Clinical assessment
Intervention groups
1
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Description
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Intervention group: PneumoConj®- manufactured by Nivad Pharmed Salamat The pre-filled syringe of 13-valent pneumococcal vaccine (PneumoConj®- manufactured by Nivad Pharmed Salamat), administered intramuscularly (right thigh muscle) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
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Category
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Prevention
2
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Description
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Control group: Prevnar®- manufactured by Pfizer The pre-filled syringe of 13-valent pneumococcal vaccine (Prevnar®- manufactured by Pfizer), administered intramuscularly (right thigh muscle) at a dose of 0.5 milliliters at 2, 4, and 6 months of age in infants, with a booster dose administered at 12 to 15 months of age
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Category
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Prevention
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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NivadPharmed Salamat company
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Proportion provided by this source
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100
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Public or private sector
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Private
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Industry
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Undecided - It is not yet known if there will be a plan to make this available
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Study Protocol
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Undecided - It is not yet known if there will be a plan to make this available
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Statistical Analysis Plan
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Undecided - It is not yet known if there will be a plan to make this available
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Informed Consent Form
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Undecided - It is not yet known if there will be a plan to make this available
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Clinical Study Report
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Undecided - It is not yet known if there will be a plan to make this available
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Analytic Code
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Undecided - It is not yet known if there will be a plan to make this available
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Data Dictionary
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Undecided - It is not yet known if there will be a plan to make this available