Japanese Encephalitis
Conditions
Brief summary
To facilitate introduction of live attenuated SA 14-14-2 Japanese encephalitis vaccine (LJEV) into the National Immunization Programme of Sri Lanka, we evaluated the safety and immunogenicity of co-administration of LJEV and measles vaccine at 9 months of age. The primary hypothesis was that the seropositivity rate at 28 days post vaccination in Japanese Encephalitis (JE) and measles concomitantly vaccinated subjects 9 months of age is greater than 80% for JE and greater than 90% for measles.
Detailed description
JE virus is an arbovirus that causes a devastating neurological disease resulting in high rates of mortality orneurologic sequelae. The severity of sequelae, together with the volume of cases, makes JE an important cause of encephalitis. The disease is endemic across temperate and tropical zones of Asia,and because of its zoonotic cycle, eradicating JE from the environment is unrealistic. Universal childhood vaccination is essential for disease control. In Sri Lanka, immunization against JE began in 1988. By 2006, two types of JE vaccines were available for use in Sri Lanka-inactivated mouse brain-derived vaccine and live attenuated SA-14-14-2 JE vaccine (LJEV). Only the inactivated vaccine was being used in the country's public-sector immunization program. Concern in Japan over a rare but potentially dangerous adverse event associated with a mouse brain-derived vaccine led the manufacturer in Japan to discontinue production in 2005, thus limiting global supply of inactivated JE vaccines and raising costs for remaining inactivated vaccines. In August of 2006, the World Health Organization stated in its position paper on Japanese encephalitis vaccines that the mouse brain-derived vaccine should be replaced by a new generation of JE vaccines. For Sri Lanka, switching to the less expensive LJEV was estimated in 2006 to save the National Immunization Programme (NIP) between US$8.6 and $8.9 million annually in direct vaccine costs alone. To generate local immunogenicity and safety data to guide policy for potential use of LJEV in Sri Lanka's NIP, the Ministry of Healthcare and Nutrition, in cooperation with PATH, initiated the study. The study was conducted in three peri-urban health divisions of low JE endemicity in the District of Colombo.
Interventions
BIOLOGICALLive, Attenuated Japanese Encephalitis SA 14-14-2 Vaccine
Manufactured by Chengdu Institute of Biological Products (CDIBP), Chengdu, China; batch 200611A078-1. Administered subcutaneously in the right brachium.
BIOLOGICALLive, attenuated measles vaccine
Manufactured by Serum Institute of India, Ltd, Pune, India; batch EU3244. Administered subcutaneously in the left brachium.
Sponsors
Ministry of Health of Sri Lanka
Mahidol University
Quintiles Singapore
PATH
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Months to 9 Months
Healthy volunteers
Yes
Inclusion criteria
* Healthy child 9 months (±2 weeks) of age at the enrollment visit. * Subject was a full-term infant. * Subject's parent or legal guardian is literate and willing to provide written informed consent. * Subject is up-to-date for all vaccinations recommended in the Sri Lankan childhood immunization schedule.
Exclusion criteria
* Enrolled in another clinical trial involving any therapy. * Subject and/or parent(s) or guardian(s) are unable to attend the scheduled visits or comply with the study procedures. * Received any non-study vaccine within 2 weeks prior to enrolment or refusal to postpone receipt of such vaccines until 28 days after study entry. * Prior or anticipated receipt of immune globulin or other blood products, or injected or oral corticosteroids or other immune modulator therapy except routine vaccines within 6 weeks of administration of study vaccine. Individuals on a tapering dose schedule of oral steroids lasting \<7 days may be included in the trial as long as they have not received more than one course within the last 2 weeks prior to enrolment. * History of documented or suspected encephalitis, encephalopathy, or meningitis. * History of measles. * History of Japanese encephalitis. * Serious adverse event related (i.e., possible, probably, definite) to previous receipt of any JE vaccine, if applicable. * Persistent inconsolable crying (\>3 hours) observed after previous receipt of any JE vaccine, if applicable. * Hypotonic - hyporesponsiveness after past receipt of any JE vaccine, if applicable. * Suspected or known hypersensitivity to any of the investigational or marketed vaccine components. * History of serious chronic disease (cardiac, renal, neurologic, metabolic, or rheumatologic). * Underlying medical condition such as inborn errors of metabolism, failure to thrive, bronchopulmonary dysplasia, or any major congenital abnormalities requiring surgery or chronic treatment. * History of thrombocytopenic purpura. * History of seizures, including history of febrile seizures, or any other neurologic disorder. * Known or suspected immunologic function impairment of any kind and/or known HIV infection. * Parent with known or suspected immunologic function impairment of any kind and/or known HIV infection. * Any condition that, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the study objectives.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | 1 year | Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum neutralizing antibodies to the Beijing-1 JE strain were measured by plaque reduction neutralization test (PRNT) where the neutralizing titer was measured as the inverse dilution at which plaque counts were reduced by 50%. Seropositivity was defined as a titer of ≥1:10. |
| Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | 1 year | Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum anti-measles immunoglobulin class G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA) (Serion ELISA classic Measles Virus IgG, Serion GmbH, Würzburg,Germany). For anti-measles IgG, two definitions of seropositivity were used: per manufacturer's instruction (concentration of\>200 mIU/mL, this table) and when including those with borderline results (≥150 mIU/mL). |
| Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | 1 year | Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum anti-measles immunoglobulin class G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA) (Serion ELISA classic Measles Virus IgG, Serion GmbH, Würzburg,Germany). For anti-measles IgG, two definitions of seropositivity were used: per manufacturer's instruction (concentration of\>200 mIU/mL) and when including those with borderline results (≥150 mIU/mL, this table). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Solicited Local Reactions to LJEV: Days 0-3 | 3 days | Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. |
| Number of Solicited Local Reactions to LJEV: Days 4-7 | 4 days | Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. |
| Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | 3 days | Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. |
| Geometric Mean Titer (GMT) of Japanese Encephalitis (JE) Neutralizing Antibodies | 1 year | Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum neutralizing antibodies to the Beijing-1 JE strain were measured by plaque reduction neutralization test (PRNT) where the neutralizing titer was measured as the inverse dilution at which plaque counts were reduced by 50%. |
| Number of Solicited Systemic Reactions: Days 0-3 | 3 days | Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. |
| Number of Solicited Systemic Reactions: Days 4-7 | 4 days | Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. |
| Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | 4 days | Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. |
| Geometric Mean Titer (GMT) of Anti-measles Immunoglobulin G (IgG) | 1 year | Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum anti-measles immunoglobulin class G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA) (Serion ELISA classic Measles Virus IgG, Serion GmbH, Würzburg,Germany). For anti-measles IgG, two definitions of seropositivity were used: per manufacturer's instruction (concentration of\>200 mIU/mL, this table) and when including those with borderline results (≥150 mIU/mL). |
| Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | 1 year | Subjects were monitored for immediate AEs and local reactions for 30 minutes after each injection by a study physician. Thereafter, parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days afterwards. Study staff called the subjects' parents 2 days after vaccination and monthly through 1 year to inquire about the child's well being and review the diary card. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. The subject returned to the vaccination clinic on Day 28, 6 months, and 1 year to be examined, have a blood draw, and review any AEs or serious adverse events (SAE) with parents. |
Countries
Sri Lanka
Participant flow
Recruitment details
Potential subject children were identified through Ministry of Health (MOH) birth and immunization registries of selected vaccination clinics.
Participants by arm
| Arm | Count |
|---|---|
| All Subjects Healthy infants 9 months of age (plus or minus 2 weeks) that met the eligibility criteria. Subjects received one dose of Live, Attenuated Japanese Encephalitis SA 14-14-2 Vaccine (LJEV) and one dose of live, attenuated measles vaccine.
Live, Attenuated Japanese Encephalitis SA 14-14-2 Vaccine: Manufactured by Chengdu Institute of Biological Products (CDIBP), Chengdu, China; batch 200611A078-1. Administered subcutaneously in the right brachium.
Live, attenuated measles vaccine: Manufactured by Serum Institute of India, Ltd, Pune, India; batch EU3244. Administered subcutaneously in the left brachium. | 278 |
| Total | 278 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 3 |
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | All Subjects |
|---|---|
| Age, Continuous | 9.2 months STANDARD_DEVIATION 0.3 |
| Region of Enrollment Sri Lanka | 278 participants |
| Sex: Female, Male Female | 148 Participants |
| Sex: Female, Male Male | 130 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 278 |
| other Total, other adverse events | 122 / 278 |
| serious Total, serious adverse events | 45 / 278 |
Outcome results
Primary
Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects
Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum anti-measles immunoglobulin class G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA) (Serion ELISA classic Measles Virus IgG, Serion GmbH, Würzburg,Germany). For anti-measles IgG, two definitions of seropositivity were used: per manufacturer's instruction (concentration of\>200 mIU/mL) and when including those with borderline results (≥150 mIU/mL, this table).
Time frame: 1 year
Population: Of the 278 enrolled, 257 participants were determined to meet criteria at 28 days weeks post-co-administration with study vaccines (13 were found to have been out of range for age at inclusion, 4 did not have the Day 28 blood specimen collected within range, and 4 were not able to provide sera at Day 28).
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | 1 year | No | 7 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | Day 0 | Yes | 0 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | Day 0 | No | 257 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | Day 28 | Yes | 244 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | Day 28 | No | 13 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | 6 months | Yes | 229 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | 6 months | No | 14 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Including Borderline Subjects | 1 year | Yes | 246 Participants |
Primary
Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition
Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum anti-measles immunoglobulin class G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA) (Serion ELISA classic Measles Virus IgG, Serion GmbH, Würzburg,Germany). For anti-measles IgG, two definitions of seropositivity were used: per manufacturer's instruction (concentration of\>200 mIU/mL, this table) and when including those with borderline results (≥150 mIU/mL).
Time frame: 1 year
Population: Of the 278 enrolled, 257 participants were determined to meet criteria at 28 days weeks post-co-administration with study vaccines (13 were found to have been out of range for age at inclusion, 4 did not have the Day 28 blood specimen collected within range, and 4 were not able to provide sera at Day 28).
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | Day 0 | Yes | 0 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | Day 0 | No | 257 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | Day 28 | Yes | 218 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | Day 28 | No | 39 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | 6 months | Yes | 229 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | 6 months | No | 14 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | 1 year | Yes | 246 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Anti-measles Immunoglobulin G (IgG): Manufacturer Definition | 1 year | No | 7 Participants |
Primary
Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies
Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum neutralizing antibodies to the Beijing-1 JE strain were measured by plaque reduction neutralization test (PRNT) where the neutralizing titer was measured as the inverse dilution at which plaque counts were reduced by 50%. Seropositivity was defined as a titer of ≥1:10.
Time frame: 1 year
Population: Of the 278 enrolled, 257 participants were determined to meet criteria at 28 days weeks post-co-administration with study vaccines (13 were found to have been out of range for age at inclusion, 4 did not have the Day 28 blood specimen collected within range, and 4 were not able to provide sera at Day 28).
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | Day 0 | Yes | 14 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | Day 0 | No | 243 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | Day 28 | Yes | 233 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | Day 28 | No | 24 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | 6 months | Yes | 202 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | 6 months | No | 41 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | 1 year | Yes | 221 Participants |
| All Subjects | Number and Percentage of Subjects With Demonstrated Seropositivity for Japanese Encephalitis (JE) Neutralizing Antibodies | 1 year | No | 32 Participants |
Secondary
Geometric Mean Titer (GMT) of Anti-measles Immunoglobulin G (IgG)
Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum anti-measles immunoglobulin class G (IgG) antibodies were measured by enzyme-linked immunosorbent assay (ELISA) (Serion ELISA classic Measles Virus IgG, Serion GmbH, Würzburg,Germany). For anti-measles IgG, two definitions of seropositivity were used: per manufacturer's instruction (concentration of\>200 mIU/mL, this table) and when including those with borderline results (≥150 mIU/mL).
Time frame: 1 year
Population: Of the 278 enrolled, 257 participants were determined to meet criteria at 28 days weeks post-co-administration with study vaccines (13 were found to have been out of range for age at inclusion, 4 did not have the Day 28 blood specimen collected within range, and 4 were not able to provide sera at Day 28).
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| All Subjects | Geometric Mean Titer (GMT) of Anti-measles Immunoglobulin G (IgG) | Day 0 | 20.5 titer |
| All Subjects | Geometric Mean Titer (GMT) of Anti-measles Immunoglobulin G (IgG) | Day 28 | 374.9 titer |
| All Subjects | Geometric Mean Titer (GMT) of Anti-measles Immunoglobulin G (IgG) | 6 months | 697.8 titer |
| All Subjects | Geometric Mean Titer (GMT) of Anti-measles Immunoglobulin G (IgG) | 1 year | 1201.7 titer |
Secondary
Geometric Mean Titer (GMT) of Japanese Encephalitis (JE) Neutralizing Antibodies
Blood serum was collected immediately before administration (Day 0), Day 28, six months post-administration, and 1 year later. Serum neutralizing antibodies to the Beijing-1 JE strain were measured by plaque reduction neutralization test (PRNT) where the neutralizing titer was measured as the inverse dilution at which plaque counts were reduced by 50%.
Time frame: 1 year
Population: Of the 278 enrolled, 257 participants were determined to meet criteria at 28 days weeks post-co-administration with study vaccines (13 were found to have been out of range for age at inclusion, 4 did not have the Day 28 blood specimen collected within range, and 4 were not able to provide sera at Day 28).
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| All Subjects | Geometric Mean Titer (GMT) of Japanese Encephalitis (JE) Neutralizing Antibodies | Day 0 | 5.5 titer |
| All Subjects | Geometric Mean Titer (GMT) of Japanese Encephalitis (JE) Neutralizing Antibodies | Day 28 | 110.6 titer |
| All Subjects | Geometric Mean Titer (GMT) of Japanese Encephalitis (JE) Neutralizing Antibodies | 6 months | 68.3 titer |
| All Subjects | Geometric Mean Titer (GMT) of Japanese Encephalitis (JE) Neutralizing Antibodies | 1 year | 75.5 titer |
Secondary
Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE)
Subjects were monitored for immediate AEs and local reactions for 30 minutes after each injection by a study physician. Thereafter, parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days afterwards. Study staff called the subjects' parents 2 days after vaccination and monthly through 1 year to inquire about the child's well being and review the diary card. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card. The subject returned to the vaccination clinic on Day 28, 6 months, and 1 year to be examined, have a blood draw, and review any AEs or serious adverse events (SAE) with parents.
Time frame: 1 year
Population: Not all subjects were followed for a full 30 minutes after injection.
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Immediate reaction | Yes | 0 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Immediate reaction | No | 254 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reaction: LJEV, Days 0-3 | Yes | 34 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reaction: LJEV, Days 0-3 | No | 244 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reaction: measles, Days 0-3 | Yes | 27 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reaction: measles, Days 0-3 | No | 251 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reactions, LJEV: Days 4-7 | Yes | 2 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reactions, LJEV: Days 4-7 | No | 276 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reactions, measles: Days 4-7 | Yes | 1 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited local reactions, measles: Days 4-7 | No | 277 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited systemic reaction, days 0-7 | Yes | 112 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited systemic reaction, days 0-7 | No | 166 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited systemic reaction, >7 days | Yes | 18 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Solicited systemic reaction, >7 days | No | 260 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Unsolicited systemic reactions, Days 0-7 | Yes | 30 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Unsolicited systemic reactions, Days 0-7 | No | 248 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Unsolicited systemic reactions, >7 days | Yes | 14 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Unsolicited systemic reactions, >7 days | No | 264 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Any non-serious adverse event | Yes | 122 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Any non-serious adverse event | No | 156 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Related adverse events | Yes | 0 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Related adverse events | No | 278 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Serious adverse events, Days 8-365 | Yes | 45 Participants |
| All Subjects | Number and Percentage of Subjects With Immediate Reactions, Local and Systemic Reactions, and Unsolicited Adverse Events (AE) | Serious adverse events, Days 8-365 | No | 233 Participants |
Secondary
Number of Solicited Local Reactions to LJEV: Days 0-3
Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card.
Time frame: 3 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Any solicited local reaction: Any severity | 34 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Any solicited local reaction: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Erythema: Any severity | 11 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Erythema: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Induration: Any severity | 7 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Induration: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Pain: Any severity | 25 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 0-3 | Pain: Grade 3 | 0 reactions |
Secondary
Number of Solicited Local Reactions to LJEV: Days 4-7
Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card.
Time frame: 4 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Any solicited local reaction: Any severity | 2 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Any solicited local reaction: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Erythema: Any severity | 1 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Erythema: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Induration: Any severity | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Induration: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Pain: Any severity | 1 reactions |
| All Subjects | Number of Solicited Local Reactions to LJEV: Days 4-7 | Pain: Grade 3 | 0 reactions |
Secondary
Number of Solicited Local Reactions to Measles Vaccine: Days 0-3
Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card.
Time frame: 3 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Any solicited local reaction: Any severity | 27 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Any solicited local reaction: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Erythema: Any severity | 11 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Erythema: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Induration: Any severity | 6 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Induration: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Pain: Any severity | 21 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 0-3 | Pain: Grade 3 | 0 reactions |
Secondary
Number of Solicited Local Reactions to Measles Vaccine: Days 4-7
Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card.
Time frame: 4 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Pain: Any severity | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Pain: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Any solicited local reaction: Any severity | 1 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Any solicited local reaction: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Erythema: Any severity | 1 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Erythema: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Induration: Any severity | 0 reactions |
| All Subjects | Number of Solicited Local Reactions to Measles Vaccine: Days 4-7 | Induration: Grade 3 | 0 reactions |
Secondary
Number of Solicited Systemic Reactions: Days 0-3
Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card.
Time frame: 3 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Any solicited systemic reaction: Any severity | 105 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Any solicited systemic reaction: Grade 3 | 4 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Fever: Any severity | 21 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Fever: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Anorexia: Any severity | 52 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Anorexia: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Crying: Any severity | 56 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Crying: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Diarrhea: any severity | 27 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Diarrhea: Grade 3 | 2 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Tiredness: Any severity | 32 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Tiredness: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Insomnia: Any severity | 33 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Insomnia: Grade 3 | 1 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Irritability: Any severity | 17 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Irritability: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Vomiting: Any severity | 17 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 0-3 | Vomiting: Grade 3 | 1 reactions |
Secondary
Number of Solicited Systemic Reactions: Days 4-7
Parents recorded axillary temperature, local reactions (redness, swelling, pain, and other local reactions), and systemic symptoms (high-grade fever, anorexia, crying, diarrhea, drowsiness, insomnia, irritability, vomiting, and other systemic symptoms) in a study diary for 7 days after vaccination. The subject was visited at home on Day 7 to review and collect the reactogenicity diary card.
Time frame: 4 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Any solicited systemic reaction: Any severity | 55 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Any solicited systemic reaction: Grade 3 | 2 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Fever: Any severity | 14 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Fever: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Anorexia: Any severity | 32 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Anorexia: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Crying: Any severity | 18 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Crying: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Diarrhea: any severity | 19 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Diarrhea: Grade 3 | 2 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Tiredness: Any severity | 11 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Tiredness: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Insomnia: Any severity | 15 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Insomnia: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Irritability: Any severity | 10 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Irritability: Grade 3 | 0 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Vomiting: Any severity | 6 reactions |
| All Subjects | Number of Solicited Systemic Reactions: Days 4-7 | Vomiting: Grade 3 | 0 reactions |