EarLy extra Measles immunisation during a measles Outbreak (ELMO)

2024-513395-18-00 Protocol IIV-671 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol IIV-671

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 155
Countries 1
Sites 1

Healthy infants receiving a profylactic vaccine to prevent measles infection

The main objective is to assess the immune response to MMR-0 immunisation given to infants younger than 12 months of age in a measles outbreak setting.

Key facts

Sponsor
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Participant type
Pediatric, Healthy volunteers
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Health Care [N] - Environment and Public Health [N06], Phenomena and Processes [G] - Immune system processes [G12], Diseases [C] - Virus Diseases [C02]
Decision date (initial)
2024-07-22
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Dutch Ministry of Health, Welfare and Sport

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

The main objective is to assess the immune response to MMR-0 immunisation given to infants younger than 12 months of age in a measles outbreak setting.

Secondary objectives 4

  1. Determine the presence of maternal antibodies before MMR-0 immunisation and the effect of maternal antibodies on the immune response to MMR-0 immunisation.
  2. Determine the measles virus specific immune response to MMR-1 immunisation and the effect of MMR-0 immunisation on this response.
  3. Assess MMR vaccination induced reactogenicity after MMR‐0 and MMR‐1 as an indication for vaccine responsiveness.
  4. Determine the immunogenicity of MMR‐0 immunisation against measles, mumps and rubella.

Conditions and MedDRA coding

Healthy infants receiving a profylactic vaccine to prevent measles infection

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 MMR-0 immunisation
Early extra MMR immunisation of infants between 6 and 12 months of age
Not Applicable None MMR-0 immunised infants: Infants who are immunised with an early extra MMR immunisation between 6 and 12 monhts of age
2 MMR-1 immunisation
Regular MMR-1 immunisation of infants at 14 months of age as part of the Dutch National Immunisation Programme
Not Applicable None MMR-0 immunised children: Children who are immunised with an early extra MMR immunisation between 6 and 12 months of age
Control: Children who have not received an early extra MMR immunisation and will receive the regular MMR immunisation at 14 months of age within the Dutch National Immunisation Programme.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Infants eligible for an MMR-0 immunisation and willing to receive the MMR-0 immunisation or having received the MMR-0 immunisation less than 4 weeks ago (MMR-0 group only)
  2. Infants willing to receive the MMR-1 immunisation at 14 months of age (control group)
  3. Infants have to be healthy according to the same health criteria applied in the well baby clinic when a child is immunised, e.g. also children with small increases in body temperature or a cold are seen as children with normal health
  4. The parents/legally representatives accept participation in the study according to the described procedures
  5. Presence of a signed informed consent (the parents/legally representatives have given written informed consent after receiving oral and written information)

Exclusion criteria 6

  1. Having received a previous MMR immunisation (control group only)
  2. Confirmed measles infection before study entry
  3. Contra-indications as mentioned in the SmPC of the vaccine, such as expected allergy or hypersensitivity against one of the vaccine ingredients.
  4. Receiving immunosuppressive medication
  5. Known or suspected immunological disorder
  6. Known or suspected bleeding disorder

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Measles specific virus neutralising antibody concentrations 4 weeks post MMR-0 immunisation

Secondary endpoints 4

  1. Measles specific maternal antibody concentrations prior to MMR-0 immunisation.
  2. Measles specific virus neutralising antibody concentrations prior to, 4 weeks post and 1 year post MMR-1 immunisation in MMR-0 immunised children and a control group.
  3. Assess MMR vaccination induced reactogenicity after MMR‐0 and MMR‐1 as an indication for vaccine responsiveness.
  4. Serum binding IgG antibody concentrations against measles, mumps and rubella prior to and 4 weeks post MMR-0 and prior to, 4 weeks post and 1 year post MMR-1 in MMR-0 immunised children and a control group.

Investigational products

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

Test 1

M-M-RvaxPro powder and solvent for suspension for injection in pre-filled syringe Measles, mumps and rubella vaccine (live)

PRD4577962 · Product

Active substance
Rubella Virus Wistar Ra 27/3 Strain (Live, Attenuated) Produced in WI-38 Human Diploid Lung Fibroblasts
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BD52 — MORBILLI, COMBINATIONS WITH PAROTITIS AND RUBELLA, LIVE ATTENUATED
Marketing authorisation
EU/1/06/337/006
MA holder
MERCK SHARP & DOHME B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

Nimenrix powder and solvent for solution for injection in pre-filled syringe Meningococcal groups A, C, W-135 and Y conjugate vaccine

PRD6527260 · Product

Active substance
N. Meningitidis Group C (Strain C11) Polysaccharide (De-O-Acetylated) Conjugated to Tetanus Toxoid
Substance synonyms
MENINGOCOCCAL GROUP C CONJUGATE VACCINE (TETANUS TOXOID CONJUGATE), NEISSERIA MENINGITIDIS GROUP C POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AH08 — -
Marketing authorisation
EU/1/12/767/002
MA holder
PFIZER EUROPE MA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rijksinstituut voor Volksgezondheid en Milieu (RIVM)

5 Total trials 4 Ended
Academic / Non-commercial
Sponsor organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Address
Antonie Van Leeuwenhoeklaan 9
City
Bilthoven
Postcode
3721 MA
Country
Netherlands

Scientific contact point

Organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Contact name
INFO RIVM

Public contact point

Organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Contact name
INFO RIVM

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Authorised, recruitment pending 155 1
Rest of world 0

Investigational sites

Netherlands

1 site · Authorised, recruitment pending
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
IIV/KIM, Antonie Van Leeuwenhoeklaan 9, 3721 MA, Bilthoven

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-14 Netherlands Acceptable with conditions
2024-07-18
2024-07-22