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A Study of ProQuad™ in Healthy Children in Korea (V221-023)

A Multicenter, Randomized, Open-Label Study to Compare the Immunogenicity, Safety, and Tolerability of Measles, Mumps, Rubella, and Varicella of Combination Vaccine ProQuad With Concomitant Administration of M-M-R II and VARIVAX in Healthy Korean Children

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00839917
Enrollment
30
Registered
2009-02-10
Start date
2008-02-29
Completion date
2008-05-31
Last updated
2017-04-12

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

Conditions

Measles, Mumps, Rubella, Varicella

Keywords

Measles, Mumps, Rubella, Varicella

Brief summary

This study will compare ProQuad™ and concomitant administration of M-M-R™ II and Varivax™ with respect to immunogenicity, safety and tolerability. The primary hypothesis to be tested is that the antibody response rates to measles, mumps, rubella, and varicella 6 weeks after vaccination with ProQuad™ will be non-inferior to the antibody response rates after vaccination with concomitant M-M-R™ II and Varivax™.

Interventions

BIOLOGICALMeasles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (ProQuad™)

Single administration of 0.5 mL subcutaneous injection

BIOLOGICALM-M-R™ II and Varivax™

Single administration of 0.5 mL subcutaneous injection

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Months to 23 Months
Healthy volunteers
Yes

Inclusion criteria

* Subject is in good health * Subject has a negative clinical history for measles, mumps, rubella, varicella and zoster

Exclusion criteria

* Subject has previously received measles, mumps, rubella and/or varicella vaccine, either alone or in any combination * Subject has any congenital or acquired immune deficiency, neoplastic disease or depressed immunity * Subject has a history of seizure disorder * Subject had exposure to measles, mumps, rubella, varicella and/or zoster in the last 4 weeks * Subject has received an inactivated vaccine within the past 14 days * Subject has received a live vaccine within the past 30 days * Subject has received immune globulin within the past 5 months * Subject has a recent history of fever (within the last 72 hours)

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL6 weeks postvaccinationAntibody response to measles at 6 weeks after vaccination for participants initially seronegative (\<255 mIU/mL) to measles at baseline
Percentage of Participants With Varicella-zoster Virus (VZV) Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL6 weeks postvaccinationAntibody response to VZV at 6 weeks after vaccination for participants initially seronegative (\<5 gpELISA units/mL) to VZV at baseline
Percentage of Participants With Rubella Antibody Levels ≥10 IU/mL6 weeks postvaccinationAntibody response to rubella at 6 weeks after vaccination for participants initially seronegative (\<10 IU/mL) to rubella at baseline
Percentage of Participants With Mumps Antibody Levels ≥10 Mumps Antibody Units/mL6 weeks postvaccinationAntibody response to mumps at 6 weeks after vaccination for participants initially seronegative (\<10 units/mL) to mumps at baseline

Secondary

MeasureTime frameDescription
Geometric Mean Titer of Measles Antibodies6 weeks postvaccinationMean measles antibody response at 6 weeks after vaccination for participants initially seronegative (\<255 mIU/mL) to measles at baseline
Geometric Mean Titer of Mumps Antibodies6 weeks postvaccinationMean mumps antibody response at 6 weeks after vaccination for participants initially seronegative (\<10 Units/mL) to mumps at baseline
Geometric Mean Titer of Rubella Antibodies6 weeks postvaccinationMean rubella antibody response at 6 weeks postvaccination for participants initially seronegative (\<10 IU/mL) to rubella at baseline
Geometric Mean Titer of VZV (gpELISA) Antibodies6 weeks postvaccinationMean VZV antibody response at 6 weeks after vaccination for participants initially seronegative (\<5 gpELISA Units/mL) to VZV at baseline

Other

MeasureTime frameDescription
Percentage of Participants With Zoster-like RashThrough 6 weeks postvaccination
Percentage of Participants With Rubella-like RashThrough 6 weeks postvaccination
Percentage of Participants With Varicella-like RashThrough 6 weeks postvaccination
Percentage of Participants With Any Systemic Adverse ExperienceThrough 6 weeks postvaccinationAn adverse experience is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse experience. A systemic adverse experience is any adverse experience other than injection-site adverse experiences.
Percentage of Participants With Injection-site Adverse ExperiencesThrough 6 weeks postvaccinationAn adverse experience is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse experience. An injection-site adverse experience is an adverse experience that occurs at the injection site only.
Percentage of Participants With Fever (≥101.0°F [38.3°C] Axillary or ≥103.0°F [39.4°C] Rectal)Through 6 weeks postvaccination
Percentage of Participants With Measles-like RashThrough 6 weeks postvaccination

Participant flow

Recruitment details

The study was planned to enroll 360 participants; however the study was terminated early because it was not possible to complete enrollment before expiration of the investigational vaccine lot

Participants by arm

ArmCount
ProQuad™
Single subcutaneous 0.5 mL vaccination
13
M-M-R™ II and Varivax™
Single subcutaneous 0.5 mL vaccination
17
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDid not receive vaccine01
Overall StudyLost to Follow-up10

Baseline characteristics

CharacteristicProQuad™M-M-R™ II and Varivax™Total
Age, Customized
12 to 15 months
13 participants17 participants30 participants
Sex: Female, Male
Female
7 Participants6 Participants13 Participants
Sex: Female, Male
Male
6 Participants11 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 139 / 16
serious
Total, serious adverse events
0 / 131 / 16

Outcome results

Primary

Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL

Antibody response to measles at 6 weeks after vaccination for participants initially seronegative (\<255 mIU/mL) to measles at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL100.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL87.5 percentage of participants
Primary

Percentage of Participants With Mumps Antibody Levels ≥10 Mumps Antibody Units/mL

Antibody response to mumps at 6 weeks after vaccination for participants initially seronegative (\<10 units/mL) to mumps at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Mumps Antibody Levels ≥10 Mumps Antibody Units/mL100.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Mumps Antibody Levels ≥10 Mumps Antibody Units/mL100.0 percentage of participants
Primary

Percentage of Participants With Rubella Antibody Levels ≥10 IU/mL

Antibody response to rubella at 6 weeks after vaccination for participants initially seronegative (\<10 IU/mL) to rubella at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Rubella Antibody Levels ≥10 IU/mL100.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Rubella Antibody Levels ≥10 IU/mL100.0 percentage of participants
Primary

Percentage of Participants With Varicella-zoster Virus (VZV) Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL

Antibody response to VZV at 6 weeks after vaccination for participants initially seronegative (\<5 gpELISA units/mL) to VZV at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Varicella-zoster Virus (VZV) Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL90.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Varicella-zoster Virus (VZV) Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL100.0 percentage of participants
Secondary

Geometric Mean Titer of Measles Antibodies

Mean measles antibody response at 6 weeks after vaccination for participants initially seronegative (\<255 mIU/mL) to measles at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
ProQuad™Geometric Mean Titer of Measles Antibodies5270.7 mIU/mL
M-M-R™ II and Varivax™Geometric Mean Titer of Measles Antibodies3516.2 mIU/mL
Secondary

Geometric Mean Titer of Mumps Antibodies

Mean mumps antibody response at 6 weeks after vaccination for participants initially seronegative (\<10 Units/mL) to mumps at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
ProQuad™Geometric Mean Titer of Mumps Antibodies159.2 Units/mL
M-M-R™ II and Varivax™Geometric Mean Titer of Mumps Antibodies104.4 Units/mL
Secondary

Geometric Mean Titer of Rubella Antibodies

Mean rubella antibody response at 6 weeks postvaccination for participants initially seronegative (\<10 IU/mL) to rubella at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
ProQuad™Geometric Mean Titer of Rubella Antibodies105.8 IU/mL
M-M-R™ II and Varivax™Geometric Mean Titer of Rubella Antibodies147.1 IU/mL
Secondary

Geometric Mean Titer of VZV (gpELISA) Antibodies

Mean VZV antibody response at 6 weeks after vaccination for participants initially seronegative (\<5 gpELISA Units/mL) to VZV at baseline

Time frame: 6 weeks postvaccination

Population: Analysis was performed on the per-protocol population, defined as all participants who had both pre- and post-vaccination blood samples, were seronegative at baseline, and followed all protocol procedures. Too few participants were enrolled in the study to perform non-inferiority analysis for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
ProQuad™Geometric Mean Titer of VZV (gpELISA) Antibodies10.4 gpELISA units/mL
M-M-R™ II and Varivax™Geometric Mean Titer of VZV (gpELISA) Antibodies11.9 gpELISA units/mL
Other Pre-specified

Percentage of Participants With Any Systemic Adverse Experience

An adverse experience is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse experience. A systemic adverse experience is any adverse experience other than injection-site adverse experiences.

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Any Systemic Adverse Experience53.9 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Any Systemic Adverse Experience56.3 percentage of participants
Other Pre-specified

Percentage of Participants With Fever (≥101.0°F [38.3°C] Axillary or ≥103.0°F [39.4°C] Rectal)

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Fever (≥101.0°F [38.3°C] Axillary or ≥103.0°F [39.4°C] Rectal)7.7 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Fever (≥101.0°F [38.3°C] Axillary or ≥103.0°F [39.4°C] Rectal)12.5 percentage of participants
Other Pre-specified

Percentage of Participants With Injection-site Adverse Experiences

An adverse experience is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse experience. An injection-site adverse experience is an adverse experience that occurs at the injection site only.

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Injection-site Adverse Experiences15.4 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Injection-site Adverse Experiences0.0 percentage of participants
Other Pre-specified

Percentage of Participants With Injection-site Adverse Experiences

An adverse experience is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse experience. An injection-site adverse experience is an adverse experience that occurs at the injection site only.

Time frame: Through 5 days postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Injection-site Adverse Experiences7.7 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Injection-site Adverse Experiences0.0 percentage of participants
Other Pre-specified

Percentage of Participants With Measles-like Rash

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Measles-like Rash0.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Measles-like Rash12.5 percentage of participants
Other Pre-specified

Percentage of Participants With Rubella-like Rash

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Rubella-like Rash0.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Rubella-like Rash0.0 percentage of participants
Other Pre-specified

Percentage of Participants With Varicella-like Rash

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Varicella-like Rash0.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Varicella-like Rash0.0 percentage of participants
Other Pre-specified

Percentage of Participants With Zoster-like Rash

Time frame: Through 6 weeks postvaccination

Population: The safety population included all participants who received study vaccination

ArmMeasureValue (NUMBER)
ProQuad™Percentage of Participants With Zoster-like Rash0.0 percentage of participants
M-M-R™ II and Varivax™Percentage of Participants With Zoster-like Rash0.0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026