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Prems Under New Schedule (PUNS)

A phase IV study to evaluate the primary and booster immune responses of UK preterm infants receiving licensed DTaP/Hib/IPV and meningococcal C conjugate vaccine and incorporating a randomisation study of a 3 dose accelerated versus a 2 dose and a 3 dose extended schedule of pneumococcal conjugate vaccine for primary immunisation. - PUNS

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2007-007535-23-GB
Enrollment
200
Registered
2008-03-28
Start date
2008-10-01
Completion date
Unknown
Last updated
2019-11-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

These are vaccines routinely given to infants in the UK and are not administered with respect to existing medical condition(s), rather in the prevention of diseases. MedDRA version: 15.0 Level: LLT Classification code 10027276 Term: Meningococcal meningitis System Organ Class: 10021881 - Infections and infestations

Interventions

Trade Name: Pediacel Product Name: PEDIACEL Pharmaceutical Form: Suspension for injection INN or Proposed INN: Purified diphtheria toxoid

Sponsors

St George's University of London
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Infants born at =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Contraindications to vaccination as specified in the “Green Book” – Immunisation Against Infectious Disease, 2006 HMSO17.

Design outcomes

Primary

MeasureTime frame
Main Objective: 1. To compare the immunological responses of infants born prematurely to Prevenar after 2 doses at 2 and 4 months of age with 3 doses at 2, 3 and 4 months of age (“early protection”). 2. To evaluate the immunological responses of infants born prematurely to Prevenar when vaccinated under a 3-dose accelerated schedule (2, 3 and 4 months of age) compared with a 3-dose extended schedule (2, 4 and 6 months of age). 3. To evaluate the immunological responses of infants born prematurely when vaccinated under the new national schedule to: · Hib · Meningococcal C · Diphtheria · Tetanus ; Secondary Objective: 1. To evaluate the immunological responses of infants born prematurely when vaccinated under the current national immunisation schedule to: Hib Meningococcal C Diphtheria Tetanus Pertussis 2. To describe the lymphocyte profile of preterm infants at different gestations and ages ; Primary end point(s): (i) Immunoglobulin G (IgG) geometric mean concentrations (GMCs) for the 13 pneumococcal serotypes included in Prevenar13® at one month after completion of primary immunisations (Prevenar13® administered at 2+4, 2+3+4 or 2+4+6 months); (ii) Proportion of infants with IgG concentrations =0.35 ?g/ml for the 13 serotypes in Prevenar13® at one month after completion of primary immunisations. ;Timepoint(s) of evaluation of this end point: This study aims to determine the immunogenicity and reactogenicity of the recently licensed 13-valent pneumococcal conjugate vaccine (PCV13, Prevenar13®) at 3 different immunisation schedules when give concomitantly with routine vaccinations to premature infants born before 35 weeks gestation. 200 premature infants will be recruited by study personnel at 9 different hospitals and randomised to one of th

Secondary

MeasureTime frame
Secondary end point(s): (i) IgG GMCs for the 13 pneumococcal serotypes in Prevenar13® immediately prior to administering the 13-month Prevenar13® booster dose (ii) Proportion of infants with IgG concentrations =0.35 ?g/ml for the 13 serotypes in Prevenar13® immediately prior to administering the 13-month Prevenar13® booster dose (iii) IgG GMCs for the 13 pneumococcal serotypes in Prevenar13® at 1 month after administering the 13-month Prevenar13® booster dose (iv) Proportion of infants with IgG concentrations =0.35 ?g/ml for the 13 serotypes in Prevenar13® at 1 month after administering the 13-month Prevenar13® booster dose (v) Antibody concentrations/titres for Hib, MCC, pertussis, diphtheria and tetanus at one month after completion of primary immunisation (vi) Proportion of infants with protective/threshold concentrations/titres for Hib, MCC, pertussis, diphtheria and tetanus at one month after completion of primary immunisation (vii) ) Antibody concentrations/titres for Hib, MCC, pertussis, diphtheria and tetanus at 12 months of age (viii) Proportion of infants with protective/threshold concentrations/titres for Hib, MCC, pertussis, diphtheria and tetanus at 12 months of age (ix) Antibody concentrations/titres for Hib and MCC at 14 months of age (2 months after Hib/MCC booster dose) (x) Proportion of infants with protective concentrations/titres for Hib and MCC at 14 months of age (2 months after Hib/MCC booster dose) (xi) The percentage of children experiencing fever, local reactions and non-febrile systemic reactions within the 7 days following each vaccine dose. ;Timepoint(s) of evaluation of this end point: This study aims to determine the immunogenicity and reactogenicity of the recently licensed 13-valent pneumococcal conjugate vaccine (PCV13, Prevenar13®) at 3 different immun

Countries

United Kingdom

Contacts

Public ContactJoint Research Office

St George's University of London

trials@sgul.ac.uk+44(0)208725 1012

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Mar 2, 2026