A clinical phase IV trial to examine cellular and humoral immunity against measles and chickenpox in children and adolescents 0-18 years in childhood cancer.

2024-511182-10-01 Protocol immvzmpr1 Therapeutic use (Phase IV) Ongoing, recruiting

Start 22 May 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 7 sites · Protocol immvzmpr1

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 160
Countries 1
Sites 7

Pediatric cancer

Primary aim 1) Immunity after revaccination with vaccine aganist varicella, after treatment against childhood cancer. Measured by IgG antibodies to VZV before and after vaccination. (Proportion (%) of patients with protective level of VZ-IgG after vaccination – proportion (%) of patients with protective level of VZ-IgG…

Key facts

Sponsor
Vaestra Goetalandsregionen
Participant type
Pediatric, Patients, Healthy volunteers
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
22 May 2025 → ongoing
Decision date (initial)
2024-09-27
Transition trial
No
Low-intervention
Yes
Rare-disease indication
Yes
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

Primary aim
1) Immunity after revaccination with vaccine aganist varicella, after treatment against childhood cancer. Measured by IgG antibodies to VZV before and after vaccination. (Proportion (%) of patients with protective level of VZ-IgG after vaccination – proportion (%) of patients with protective level of VZ-IgG before vaccination).

2) Immunity after revaccination with vaccine against measles, after treatment against childhood cancer. Measured by IgG antibodies to morbilli before and after vaccination. (Proportion (%) of patients with protective morbilli-IgG level after vaccination – proportion (%) of patients with protective morbilli-IgG level prior to vaccination).

Secondary objectives 3

  1. Percentage of patients losing immunity to chickenpox and measles after cancer treatment (Percentage (%) of immune patients before treatment - Percentage (%) of immune patients after treatment).
  2. Changes in cellmediated immunity against varicella and measles during treatment and after revaccination. Comparisons will be made with a healthy control group
  3. Subgroup analyses: Differences in antibody levels and cellmediated immunity between various diagnostic groups (leukemia/solid tumor), different age groups, low- vs. high-intensity treatment, and pre-immune versus non-immune groups at specific time points.

Conditions and MedDRA coding

Pediatric cancer

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-511182-10-00 A clinical phase IV trial to examine cellular and humoral immunity against measles and chickenpox in children and adolescents 0-18 years in childhood cancer. Vaestra Goetalandsregionen

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Children and adolescents (0-18.0 years) initiating cancer treatment through the childrens cancer centre in Gothenburg.
  2. Vaccination status for measles and chickenpox before cancer treatment is known.
  3. Oral and written information about the trial along with signed consent
  4. Female participants of reproductive age with menarche who are sexually active must consent to using effective contraception and have a negative pregnancy test at the times of all vaccinations. (Effective contraception refers to combined preparations with estrogen and progesterone taken orally, intravaginal ring, known as the p-ring, or preparations used transdermally, such as the contraceptive patch. Contraception with progesterone taken orally, via injections, or implants such as the contraceptive implant. Intrauterine hormone-releasing coil or copper coil. Completed sterilization with blockage of both fallopian tubes. Sexual abstinence)

Exclusion criteria 6

  1. Known primary immunodeficiency.
  2. Ongoing treatment with immunomodulatory or immunosuppressive agents
  3. Patients planned for relapse therapy or stem cell transplantation (SCT)
  4. Known contraindication to any of the proposed vaccines.
  5. Female participants with an ongoing pregnancy at diagnosis or during the study
  6. Ongoing breastfeeding.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Difference in VZ IgG antibody levels before and after revaccination against chickenpox
  2. Difference in measles IgG antibody level before and after revaccination against measles

Secondary endpoints 3

  1. Percentage of patients with immunity against chickenpox and measles before and after treatment measured in IgG
  2. Changes in cellmediated immunity (CMI) against chickenpox and measles before and after revaccination. Comparisons with a healthy control group.
  3. Differences in antibody levels and CMI between various diagnostic groups (leukemias, solid tumors), different age groups, low- vs. high-intensity treatment, and pre-immune versus non-immune groups

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Varicella Virus Oka Strain (Live, Attenuated)

SCP26852943 · ATC

Active substance
Varicella Virus Oka Strain (Live, Attenuated)
Substance synonyms
VARICELLA VIRUS, STRAIN OKA, LIVE ATTENUATED, ATTENUATED LIVE VARICELLA - ZOSTER VIRUS (OKA STRAIN)
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.0 ml millilitre(s)
Max treatment duration
2 Month(s)
Authorisation status
Authorised
ATC code
J07BK01 — VARICELLA, LIVE ATTENUATED
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Measles Virus Edmonston-Schwarz Strain (Live, Attenuated) Produced in Chick Embryo Cells

SCP26553389 · ATC

Active substance
Measles Virus Edmonston-Schwarz Strain (Live, Attenuated) Produced in Chick Embryo Cells
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.0 ml millilitre(s)
Max treatment duration
1 Month(s)
Authorisation status
Authorised
ATC code
J07BD52 — MEASLES, COMBINATIONS WITH MUMPS AND RUBELLA, LIVE ATTENUATED
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Vaestra Goetalandsregionen

Sponsor organisation
Vaestra Goetalandsregionen
Address
Regionens Hus
City
Vänersborg
Postcode
462 80
Country
Sweden

Scientific contact point

Organisation
Vaestra Goetalandsregionen
Contact name
Torben Ek

Public contact point

Organisation
Vaestra Goetalandsregionen
Contact name
Torben Ek

Locations

1 EU/EEA country · 7 investigational sites

By country

CountryMS statusPlanned subjectsSites
Sweden Ongoing, recruiting 160 7
Rest of world 0

Investigational sites

Sweden

7 sites · Ongoing, recruiting
Sodra Alvsborg Hospital-Vastra Gotalandsregionen
Barnkliniken SÄS, Bramhultsvagen 53, Boras Gustav Adolf, Boras
Skaraborg Hospital-Vastra Gotalandsregionen
Barn och ungdomsmedicin, Lovangsvagen 1, 541 42, Skovde
Queen Silvia Childrens Hospital - Sahlgrenska University Hospital - Vastra Gotalandsregionen
Children´s cancer centre, Behandlingsvagen 7, Harlanda, Gothenburg
Region Vaermland
Barndagvården, Centralsjukhuset, Rosenborgsgatan 50, 652 33, Karlstad
Region Halland
Barnmottagningen Halmstad, Lasarettsvagen 1, 302 33, Halmstad
NU Hospital Group-Vastra Gotalandsregionen
Barnmottagningen NÄL, Larketorpsvagen, 461 85, Trollhattan
Region Joenkoepings Laen
Barn- och ungdomsmedicinska kliniken, Lanssjukhuset Ryhov, Sjukhusgatan, Jonkoping

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Sweden 2025-05-22 2025-06-02

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-511182-10-00 1.1
Recruitment arrangements (for publication) K1_rekryteringsforfarande_2024-511182-10-00 1
Subject information and informed consent form (for publication) L1_Forsokpersonsinformation_2024-511182_10-00_12-14ar 1.1
Subject information and informed consent form (for publication) L1_Forsokpersonsinformation_samtycken_2024-511182-10-00_15-18ar 1.1
Subject information and informed consent form (for publication) L1_Forsokpersonsinformation_samtycken_2024-511182-10-00_vardnadshavare 1.1
Subject information and informed consent form (for publication) L1_Forsokpersonsinformaton_2024-511182-10-00_6-11ar 1.1
Subject information and informed consent form (for publication) L1_Forsokspersonsinformation_2024-511182-10-00_12-14ar_friska 1.1
Subject information and informed consent form (for publication) L1_Forsokspersonsinformation_2024-511182-10-00_6-11ar_friska 1.1
Subject information and informed consent form (for publication) L1_Forsokspersonsinformation_samtycke_2024-511182-10-00_15-18ar_friska 1.1
Subject information and informed consent form (for publication) L1_Forsokspersonsinformation_samtycke_2024-511182-10-00_vard_friska 1.1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_M-M-RVAXPRO 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_varivax 1
Synopsis of the protocol (for publication) D2_Protocol_synopsis_SE_2024-511182-10-00 1.1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-18 Sweden Acceptable
2024-09-26
2024-09-27