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Pertussis is an acute respiratory infectious disease caused by Bordetella pertussis, diphtheria is an acute upper respiratory infectious disease caused by Gram-positive Corynebacterium diphtheriae, and tetanus is a highly fatal disease caused by Clostridium tetani infection. Currently, there is no clinical trial registration of Diphtheria, tetanus, and pertussis (DPT) vaccine applicable to ≥6 years of age in China, therefore, the five-component acellular DPT combination vaccine developed by our research has a promising future.
The vaccines used in China's immunization program for the prevention of pertussis, tetanus and diphtheria include the adsorbed cell-free diphtheria-tetanus-acellular pertussis vaccine (DTaP) and the diphtheria-tetanus-acellular tetanus vaccine (DT) and tetanus vaccine. Among them, DTaP vaccination is for children from 3 months of age to 6 years of age, with one dose each at 3, 4, 5, and 18 months of age; DT vaccination is for children under 12 years of age, with one dose at 6 weeks of age after completing four doses of DTaP vaccination. However, infant and young child vaccination is no longer sufficient to prevent the threat of this disease, mainly due to the rapid decay of immune protection in adolescents and adults, and infections in this population, which are the main source of infection leading to infection in infants and young children, have been a number of new preventive strategies are being evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental vaccine group 1A,≥18 years old | Experimental | 1 dose of Tdcp vaccine |
|
| Control vaccine group 1B,≥18 years old | Active Comparator | 1 dose of PPV23 vaccine |
|
| Experimental vaccine group 2A,12~17 years old | Experimental | 1 dose of Tdcp vaccine |
|
| Control vaccine group 2B,12~17 years old | Active Comparator | 1 dose of PPV23 vaccine |
|
| Experimental vaccine group 3A,6~11 years old | Experimental | 1 dose of Tdcp vaccine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tetanus, Reduced Diphtheria and Acellular Pertussis (Five Components) Combined Vaccine, Adsorbed (Aged 6 Years and Older) (Tdcp) | Biological | 1 dose of Tdcp vaccine (0.5ml) on Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse reactions 0-30 days after vaccination | 0-30 days after vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse reactions within 30 minutes of vaccination | Within 30 minutes of vaccination | |
| Incidence of adverse reactions/adverse events 0-7 days after vaccination | 0-7 days after vaccination |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shaanxi Center for Disease Control and Prevention | Xi'an | Shaanxi | 710054 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40977696 | Derived | Liu X, Wei C, Huang H, Wan J, Li Y, Wang F, Li S, Wang Y, Wang X, Wang X, Sui X, Gou J, Zhu T, Ma X, Hu W. Preliminarily evaluation the safety and immunogenicity of tetanus, reduced diphtheria and acellular pertussis (five components) combined vaccine, adsorbed (Tdcp) in participants aged 6 years and above: a blinded and randomised, and controlled phase I clinical trial. Front Immunol. 2025 Sep 5;16:1616574. doi: 10.3389/fimmu.2025.1616574. eCollection 2025. |
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| Control vaccine group 3B,6~11 years old | Active Comparator | 1 dose of DT vaccine |
|
| 23-Valent Pneumococcal Polysaccharide Vaccine(PPV23) | Biological | 1 dose of PPV23 vaccine (0.5ml) on Day 0 |
|
| Diphtheria and Tetanus Combined Vaccine, Adsorbed (DT) | Biological | 1 dose of DT vaccine (0.5ml) on Day 0 |
|
| Incidence of adverse events 0-30 days after vaccination | 0-30 days after vaccination |
| Incidence of severe adverse events (SAE) 360 days after vaccination in the 6-11 years old group | 360 days after vaccination |
| Incidence of SAE 180 days after vaccination in the 12-17 year old group and the ≥18 years old group | 180 days after vaccination |
| Hemoglobin content (HGB) on day 4 after vaccination | Day 4 after vaccination |
| White blood cell count on day 4 after vaccination | Day 4 after vaccination |
| Alanine aminotransferase (ALT) in blood on day 4 after vaccination | Day 4 after vaccination |
| Aspartate aminotransferase (AST) in blood on day 4 after vaccination | Day 4 after vaccination |
| Total bilirubin (TBIL) in blood on day 4 after vaccination | Day 4 after vaccination |
| Protein in urine on day 4 after vaccination | Day 4 after vaccination |
| Erythrocytes in urine on day 4 after vaccination | Day 4 after vaccination |
| Antibody Positive Turnover of Serum Anti-Diphtheria Toxoid(DT), Tetanus Toxoid(TT), Pertussis Toxoid(PT), Filamentous hemagglutmin(FHA), Pertactin(PRN), FIM bridal agglutinogens(FIM) 2&3 at 30 days after vaccination | 30 days after vaccination |
| Antibody Positivity of Serum Anti-DT, TT, PT, FHA, PRN, FIM 2&3 at 30 days after vaccination | 30 days after vaccination |
| Geometric Mean Concentration (GMC) of Serum Anti-DT, TT, PT, FHA, PRN, FIM 2&3 at 30 days after vaccination | 30 days after vaccination |
| Proportion of serum anti-PRN, FIM 2&3 antibodies ≥5, 10, 20 IU/ml 30 days after vaccination | 30 days after vaccination |
| ID | Term |
|---|---|
| D004165 | Diphtheria |
| D013742 | Tetanus |
| D014917 | Whooping Cough |
| ID | Term |
|---|---|
| D003354 | Corynebacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D003015 | Clostridium Infections |
| D001885 | Bordetella Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D012141 | Respiratory Tract Infections |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D013745 | Tetanus Toxoid |
| D017778 | Vaccines, Combined |
| D000375 | Aging |
| ID | Term |
|---|---|
| D014121 | Toxoids |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D048788 | Growth and Development |
| D010829 | Physiological Phenomena |
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