Measles, Mumps, Rubella, Varicella
Conditions
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
Single administration of 0.5 mL subcutaneous injection
Single administration of 0.5 mL subcutaneous injection
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL | 6 weeks postvaccination | Antibody 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/mL | 6 weeks postvaccination | Antibody 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/mL | 6 weeks postvaccination | Antibody 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/mL | 6 weeks postvaccination | Antibody response to mumps at 6 weeks after vaccination for participants initially seronegative (\<10 units/mL) to mumps at baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Geometric Mean Titer of Measles Antibodies | 6 weeks postvaccination | Mean measles antibody response at 6 weeks after vaccination for participants initially seronegative (\<255 mIU/mL) to measles at baseline |
| Geometric Mean Titer of Mumps Antibodies | 6 weeks postvaccination | Mean mumps antibody response at 6 weeks after vaccination for participants initially seronegative (\<10 Units/mL) to mumps at baseline |
| Geometric Mean Titer of Rubella Antibodies | 6 weeks postvaccination | Mean rubella antibody response at 6 weeks postvaccination for participants initially seronegative (\<10 IU/mL) to rubella at baseline |
| Geometric Mean Titer of VZV (gpELISA) Antibodies | 6 weeks postvaccination | Mean VZV antibody response at 6 weeks after vaccination for participants initially seronegative (\<5 gpELISA Units/mL) to VZV at baseline |
Other
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Zoster-like Rash | Through 6 weeks postvaccination | — |
| Percentage of Participants With Rubella-like Rash | Through 6 weeks postvaccination | — |
| Percentage of Participants With Varicella-like Rash | Through 6 weeks postvaccination | — |
| Percentage of Participants With Any Systemic Adverse Experience | Through 6 weeks postvaccination | 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. |
| Percentage of Participants With Injection-site Adverse Experiences | Through 6 weeks postvaccination | 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. |
| 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 Rash | Through 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
| Arm | Count |
|---|---|
| ProQuad™ Single subcutaneous 0.5 mL vaccination | 13 |
| M-M-R™ II and Varivax™ Single subcutaneous 0.5 mL vaccination | 17 |
| Total | 30 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Did not receive vaccine | 0 | 1 |
| Overall Study | Lost to Follow-up | 1 | 0 |
Baseline characteristics
| Characteristic | ProQuad™ | M-M-R™ II and Varivax™ | Total |
|---|---|---|---|
| Age, Customized 12 to 15 months | 13 participants | 17 participants | 30 participants |
| Sex: Female, Male Female | 7 Participants | 6 Participants | 13 Participants |
| Sex: Female, Male Male | 6 Participants | 11 Participants | 17 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 8 / 13 | 9 / 16 |
| serious Total, serious adverse events | 0 / 13 | 1 / 16 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL | 100.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Measles Antibody Levels ≥255 mIU/mL | 87.5 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Mumps Antibody Levels ≥10 Mumps Antibody Units/mL | 100.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Mumps Antibody Levels ≥10 Mumps Antibody Units/mL | 100.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Rubella Antibody Levels ≥10 IU/mL | 100.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Rubella Antibody Levels ≥10 IU/mL | 100.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Varicella-zoster Virus (VZV) Antibody Levels ≥5 Glycoprotein Enzyme-linked Immunosorbent Assay (gpELISA) Units/mL | 90.0 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/mL | 100.0 percentage of participants |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ProQuad™ | Geometric Mean Titer of Measles Antibodies | 5270.7 mIU/mL |
| M-M-R™ II and Varivax™ | Geometric Mean Titer of Measles Antibodies | 3516.2 mIU/mL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ProQuad™ | Geometric Mean Titer of Mumps Antibodies | 159.2 Units/mL |
| M-M-R™ II and Varivax™ | Geometric Mean Titer of Mumps Antibodies | 104.4 Units/mL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ProQuad™ | Geometric Mean Titer of Rubella Antibodies | 105.8 IU/mL |
| M-M-R™ II and Varivax™ | Geometric Mean Titer of Rubella Antibodies | 147.1 IU/mL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| ProQuad™ | Geometric Mean Titer of VZV (gpELISA) Antibodies | 10.4 gpELISA units/mL |
| M-M-R™ II and Varivax™ | Geometric Mean Titer of VZV (gpELISA) Antibodies | 11.9 gpELISA units/mL |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Any Systemic Adverse Experience | 53.9 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Any Systemic Adverse Experience | 56.3 percentage of participants |
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
| Arm | Measure | Value (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 |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Injection-site Adverse Experiences | 15.4 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Injection-site Adverse Experiences | 0.0 percentage of participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Injection-site Adverse Experiences | 7.7 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Injection-site Adverse Experiences | 0.0 percentage of participants |
Percentage of Participants With Measles-like Rash
Time frame: Through 6 weeks postvaccination
Population: The safety population included all participants who received study vaccination
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Measles-like Rash | 0.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Measles-like Rash | 12.5 percentage of participants |
Percentage of Participants With Rubella-like Rash
Time frame: Through 6 weeks postvaccination
Population: The safety population included all participants who received study vaccination
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Rubella-like Rash | 0.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Rubella-like Rash | 0.0 percentage of participants |
Percentage of Participants With Varicella-like Rash
Time frame: Through 6 weeks postvaccination
Population: The safety population included all participants who received study vaccination
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Varicella-like Rash | 0.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Varicella-like Rash | 0.0 percentage of participants |
Percentage of Participants With Zoster-like Rash
Time frame: Through 6 weeks postvaccination
Population: The safety population included all participants who received study vaccination
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ProQuad™ | Percentage of Participants With Zoster-like Rash | 0.0 percentage of participants |
| M-M-R™ II and Varivax™ | Percentage of Participants With Zoster-like Rash | 0.0 percentage of participants |