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| Name | Class |
|---|---|
| National Institutes for Food and Drug Control, China | OTHER |
| Kangwei Biological Technology | OTHER |
| Third Military Medical University | OTHER |
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Helicobacter pylori (H. pylori) is a Gram-negative, microaerophilic bacterium that persistently colonizes the human stomach; more than half the human population is infected worldwide. H. pylori infection is a risk factor for the development of gastritis, peptic ulcer, gastric mucosa-associated lymphoid tissue lymphoma, and gastric cancer.
The phaseâ… and â…¡clinical trial of oral recombinant Helicobacter pylori vaccine had completed in Jiangsu Province in China. The data from phaseâ… and â…¡clinical trial suggested that the oral recombinant Helicobacter pylori vaccine had a clinically acceptable safety and good immunogenicity for health adults and children. To further explore the safety and immunogenicity profile of this vaccine, a phase â…¢ clinical trial was conducted.
Helicobacter pylori (H. pylori) is a Gram-negative, microaerophilic bacterium that persistently colonizes the human stomach; more than half the human population is infected worldwide. H. pylori infection is the major risk factor for the development of gastritis, peptic ulcer, gastric mucosa-associated lymphoid tissue lymphoma, and gastric cancer.
At present, the main clinical treatment for H. pylori infection is the application of antibiotics and bismuth agent or H+ antagonists. Due to the widespread drug resistance, toxic side effects, high medical costs as well as poor patient compliance, it is unworkable to practice antibiotics therapy for H. pylori eradication on every patient. Vaccination is the most effective way for prevention H. pylori infection.
Since H. pylori were found, great attention has been given to the H. pylori vaccine, scientists worldwide have made great efforts to develop both prophylactic and therapeutic H. pylori vaccine. Numerous H. pylori vaccine approaches have been studied, including inactivated whole cell H. pylori vaccine, genetic engineering subunit vaccine, live vector vaccines. Urease is considered to be an excellent candidate antigen for vaccine against H. pylori. However, no vaccine against H. pylori has been used in clinic.
The phaseâ… and â…¡clinical trial of oral recombinant Helicobacter pylori vaccine had completed in Jiangsu Province in China. The data from phaseâ… and â…¡clinical trial suggested that the oral recombinant Helicobacter pylori vaccine had a clinically acceptable safety and good immunogenicity for children. To further explore the safety and immunogenicity profile of this vaccine, a phase â…¢ clinical trial was conducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| H. pylori vaccine in children | Experimental | H. pylori vaccine (15mg/dose) in children between 6-15 years of age |
|
| placebo in children | Placebo Comparator | placebo (0mg/dose) in children between 6-15 years of age |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| H. pylori vaccine | Biological |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| The occurrence of Helicobacter pylori infection in participants one year after three-dose vaccinations. | one year after the third dose |
| Measure | Description | Time Frame |
|---|---|---|
| The immune response of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants | seroconversion rates, GMTs, GMFI of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants at month 1. | 1 month after the third dose |
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Inclusion Criteria:
Exclusion Criteria:
Exclusion criteria for the first dose
Exclusion criteria for the second and third dose Subjects will not be eligible for the second or third dose if any of following happened after first dose
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jiangsu Provincial Center for Diseases Control and Prevention | Nanjing | Jiangsu | 210009 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26142048 | Derived | Zeng M, Mao XH, Li JX, Tong WD, Wang B, Zhang YJ, Guo G, Zhao ZJ, Li L, Wu DL, Lu DS, Tan ZM, Liang HY, Wu C, Li DH, Luo P, Zeng H, Zhang WJ, Zhang JY, Guo BT, Zhu FC, Zou QM. Efficacy, safety, and immunogenicity of an oral recombinant Helicobacter pylori vaccine in children in China: a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2015 Oct 10;386(10002):1457-64. doi: 10.1016/S0140-6736(15)60310-5. Epub 2015 Jun 30. |
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| placebo |
| Biological |
|
| The immune response of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants |
conversion rates, GMTs, GMFI of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants at month 1 |
| 1 month after the third dose |
| The immune response of anti-UreB IgG antibodies in serum three-dose vaccinations in the immunogenicity subset of participants. | seroconversion rates, GMTs, GMFI of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants at month 6 | 6 months after the third dose |
| The immune response of anti-UreB IgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants | To evaluate conversion rates, GMTs, GMFI of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants at month 6 | 6 months after the third dose |
| The immune response of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants | seroconversion rates, GMTs, GMFI of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants at month 12 | 12 months after the third dose |
| The immune response of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants | conversion rates, GMTs, GMFI of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants at month 12 | 12 months after the third dose |
| Frequency of adverse reactions after taking the H. pylori vaccines in children | Frequency of adverse reactions within 3 days after taking the H. pylori vaccines in children | within 3 days after each vaccination |
| Occurrence of serious adverse reactions after taking the H. pylori vaccines in children | Occurrence of serious adverse reactions within one year after the third dose in children | From day 0 to One year after the third dose |
| Anti-UreB IgG antibodies persistency in serum after three-dose vaccinations in the immunogenicity subset of participants | seroconversion rates, GMTs, GMFI of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants at month 24 | 24 months after the third dose |
| Anti-UreB IgA antibodies persistency in saliva after three-dose vaccinations in the immunogenicity subset of participants | conversion rates, GMTs, GMFI of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants at month 24 | 24 months after the third dose |
| Anti-UreB IgG antibodies persistency in serum after three-dose vaccinations in the immunogenicity subset of participants | seroconversion rates, GMTs, GMFI of anti-UreB IgG antibodies in serum after three-dose vaccinations in the immunogenicity subset of participants at month 36 | 36 months after the third dose |
| Anti-UreB IgA antibodies persistency in saliva after three-dose vaccinations in the immunogenicity subset of participants | To evaluate conversion rates, GMTs, GMFI of anti-UreB sIgA antibodies in saliva after three-dose vaccinations in the immunogenicity subset of participants at month 36 | 36 months after the third dose |
| The occurrence of Helicobacter pylori infection in participants in the second year after three-dose vaccinations. | in the second year after the third dose |
| The occurrence of Helicobacter pylori infection in participants in the third year after three-dose vaccinations. | in the third year after the third dose. |