Pneumococcus/vaccines Infections and Infestations Vaccination
Conditions
Interventions
Group 1: Infants here will receive their only dose of a 7-valent pneumococcal conjugate vaccine at 6 weeks of life and a dose of polysaccharide vaccine at 9 months.
Group 2: A dose of conjugate vaccin
Sponsors
Medical Research Council Laboratories (The Gambia)
Eligibility
Inclusion criteria
Inclusion criteria: Babies will be recruited when they present for first dose of Diphtheria, Pertussis, Tetanus (DPT)-Haemophilus influenzae type b (Hib) vaccine and written informed consent obtained at that time
Exclusion criteria
Exclusion criteria: 1. Babies born to known human immunodeficiency virus (HIV) positive mothers 2. Those with neurological abnormality 3. No parental consent 4. Established pneumococcal disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Immunogenicity of 7-valent pneumococcal conjugate vaccine at ages 18 weeks and 11 months after one, two and three doses of conjugate vaccines, measuring for antibody concentrations greater than or equal to 0.35 ug/ml 2. Secondary immune response (antibody) to pnuemococcal polysaccharide vaccine at age 11 months after one, two or three doses of 7-valent conjugate vaccine (antibody concentrations greater than or equal to 0.35 ug/ml) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Persistence of antibody at age 15 months of age 2. Evidence of memory response following Conjugate vaccines using assays of antibody avidity and affinity 3. Naso-pharyngeal carriage of vaccine and non-vaccine serotypes at ages 18 weeks, 11 and 15 months of age 4. Monitoring for safety and local reaction up to 15 months of age. Two main aspects of the safety surveillance will be analysed: 4.1. Serious Adverse Events (SAE) 4.2. Local and Systemic reactions Antibody concentrations to serotypes covered by the 7-valent conjugate vaccine (4, 6B, 9V, 14, 18C, 19F, and 23F) as well as antibody concentration to selected serotypes covered by the polysaccharide vaccine (1, 3, 5 and 12) will be measured. | — |
Countries
Gambia
Outcome results
None listed