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This is a thirteen-year follow-up study conducted as an extension of a Phase III clinical trial. In this study, a sub-cohort of volunteers who was eligible for enrollment and randomly administrated either 2 dose EV71 vaccine or placebo in the phase III clinical trial was selected to evaluate the EV71 immune levels 13 years after the primary vaccination.
The initial study was a randomized, double-blind, placebo-controlled phase III clinical trial conducted in children aged 6-71 months from Guilin region of Guangxi Province in 2012. A total of 12000 participants (with 1100 in the immunogenicity group) were randomized in a 1:1 ratio to receive two doses EV71 vaccine or placebo on a 0-, 28-day schedule. Besides, an extended one-year and two year follow-up of this study was completed in 2013.
In this study, immunogenicity group participants from the phase III clinical trial was chosen as the studied subjects. A retrospective survey for the enrolled subjects involved with the history of HFMD and the extra vaccination of EV71 vaccine was conducted before blood collection. 3 ml venous blood were collected from each available subject for EV71 neutralizing antibody (NAb) testing. Since the unblinding was performed after the initial study completed, this study was an open-labelled detection for the persistence of the vaccine-induced EV71 NAb.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Two doses of placebo at the vaccination schedule of Day 0, 28 | ||
| Vaccine | EV71 vaccine on Day 0, 28 |
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| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity index-seropositive rates of neutralizing antibody | Neutralizing antibody assay will be performed using the neutralization and Microneutralization test method. Seropositive will be defined as the positive results with ties≥1:8 | Year 13 after the second vaccination |
| Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody | Neutralizing antibody assay will be performed using the neutralization and Microneutralization test method | Year 13 after the second vaccination |
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Inclusion Criteria:
Exclusion Criteria:
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Immunogenicity group participants from the phase III clinical trial
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| Name | Affiliation | Role |
|---|---|---|
| Teng Huang | Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lingchuan Center for Disease Control and Prevention | Guilin | Guangxi | China | |||
| Lipu Center for Disease Control and Prevention |
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| ID | Term |
|---|---|
| D006232 | Hand, Foot and Mouth Disease |
| ID | Term |
|---|---|
| D003384 | Coxsackievirus Infections |
| D004769 | Enterovirus Infections |
| D010850 | Picornaviridae Infections |
| D012327 | RNA Virus Infections |
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venous blood
| Guilin |
| Guangxi |
| China |
| Xing'an Center for Disease Control and Prevention | Guilin | Guangxi | China |
| Yongfu Center for Disease Control and Prevention | Guilin | Guangxi | China |
| D014777 | Virus Diseases |
| D007239 | Infections |