UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058407
Receipt number R000066773
Scientific Title The Effect of Dosing Intervals on the Diphtheria Immunogenicity Response in DTwP-HB-Hib Vaccination
Date of disclosure of the study information 2025/07/09
Last modified on 2025/07/09 00:37:13

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Basic information

Public title

The Effect of Dosing Intervals on the Diphtheria Immunogenicity Response in DTwP-HB-Hib Vaccination

Acronym

Dosing Intervals and the Diphtheria Immunogenicity Response in DTwP-HB-Hib Vaccination

Scientific Title

The Effect of Dosing Intervals on the Diphtheria Immunogenicity Response in DTwP-HB-Hib Vaccination

Scientific Title:Acronym

Dosing Intervals and the Diphtheria Immunogenicity Response in DTwP-HB-Hib Vaccination

Region

Asia(except Japan)


Condition

Condition

Healthy infants who had not received DTwP-HB-Hib vaccinations

Classification by specialty

Infectious disease

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the anti-diphtheria toxoid immunoglobulin G (IgG) antibody levels before and after DTP vaccination at four-weeks and eight-weeks intervals.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Anti-diphtheria toxoid immunoglobulin G (IgG) antibody levels measured after three doses of DTwP-HB-Hib vaccinations

Key secondary outcomes

Adverse effects following the administration of the vaccine (local pain, local edema, fever, seizure)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Vaccine

Interventions/Control_1

Intervention: DTwP-HB-Hib vaccination at eight-weeks interval

Interventions/Control_2

Control: DTwP-HB-Hib vaccination at four-weeks interval

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

2 months-old >=

Gender

Male and Female

Key inclusion criteria

Healthy infants aged two months who had not previously received DTP vaccination, and whose parents consented to participate in the study by singing informed consent form.

Key exclusion criteria

infants who have already received diphtheria and those with contraindications following the administration of diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type b (DTwP-HepB-Hib) vaccines. The dropout criteria were infants who failed to attend scheduled appointments, declined to complete the study, relocated from Palembang during the study, switched to the DtaP vaccine, experienced a severe adverse reaction to the vaccine, died during the study, or had insufficient or inadequate blood samples.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Ariesti
Middle name
Last name Karmila

Organization

Faculty of Medicine, Universitas Sriwijaya

Division name

Department of Child Health

Zip code

30126

Address

Jl. Jend. Sudirman

TEL

+62-711-376445

Email

a.karmila@unsri.ac.id


Public contact

Name of contact person

1st name Ariesti
Middle name
Last name Karmila

Organization

Faculty of Medicine, Universitas Sriwijaya

Division name

Department of Child Health

Zip code

30126

Address

Jl. Jend. Sudirman

TEL

+62-711-376445

Homepage URL


Email

a.karmila@unsri.ac.id


Sponsor or person

Institute

Universitas Sriwijaya

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Universitas Sriwijaya

Address

Jalan Dokter Muhammad Ali

Tel

+62-711-373438

Email

kedokteran@unsri.ac.id


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 09 Day


Related information

URL releasing protocol

None

Publication of results

Unpublished


Result

URL related to results and publications

None

Number of participants that the trial has enrolled

64

Results

All study participants exhibited no protection against diphtheria antibody prior to the intervention. No statistically significant difference in the antibody levels was observed following three doses of the vaccination. The incidence of local pain following the first dose of the DTP vaccine was significantly higher in the 4-week interval group compared to the 8-week interval group.

Results date posted

2025 Year 07 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The majority are female (n=34; 53%) and exclusively breastfed (n=43; 67%). The mean birth weight was 3,100 grams.

Participant flow

Eighty subjects were enrolled at the beginning of the study, where 36 and 44 subjects were randomized to receive DTwP-HB-Hib vaccinations at eight-weeks or four-weeks interval, respectively. Twelve subjects declined to participate in the second sampling, three respondents' blood samples got lysis, and one subject's sample was insufficient, making 64 subjects fulfilled the study requirements.

Adverse events

No severe adverse reaction is observed.

Outcome measures

All study participants exhibited no protection against diphtheria antibody (0.01-0.99 IU/mL) at the beginning of the study. Following three doses of the vaccination, no statistically significant difference in the antibody levels was observed.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 12 Month 07 Day

Date of IRB

2021 Year 02 Month 20 Day

Anticipated trial start date

2021 Year 03 Month 01 Day

Last follow-up date

2021 Year 09 Month 17 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 07 Month 09 Day

Last modified on

2025 Year 07 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066773