UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062217
Receipt number R000071194
Scientific Title Comparing the Immunogenicity of 4-Week and 8-Week Pentavalent Vaccination Schedules on Pertussis IgG Levels: A Randomized Controlled Trial
Date of disclosure of the study information 2026/07/12
Last modified on 2026/07/12 16:18:04

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Basic information

Public title

Comparing the Immunogenicity of 4-Week and 8-Week Pentavalent Vaccination Schedules on Pertussis IgG Levels: A Randomized Controlled Trial

Acronym

Pentavalent Vaccine Intervals and Pertussis Immunogenicity

Scientific Title

Comparing the Immunogenicity of 4-Week and 8-Week Pentavalent Vaccination Schedules on Pertussis IgG Levels: A Randomized Controlled Trial

Scientific Title:Acronym

Pentavalent Vaccine Intervals and Pertussis Immunogenicity

Region

Asia(except Japan)


Condition

Condition

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

Classification by specialty

Infectious disease Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess and compare the anti-pertussis IgG antibody response elicited by the DTwP-HB-Hib pentavalent vaccine when administered at 4-week versus 8-week interval.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Anti-pertussis Immunoglobulin G (IgG) levels measured one month after the third doses of DTwP-HB-Hib vaccinations

Key secondary outcomes



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

DTwP-HB-Hib vaccination at 8-week interval

Interventions/Control_2

DTwP-HB-Hib vaccination at 4-week 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

Inclusion criteria required infants to have a normal gestational age, a birth weight exceeding 2,500 grams, and an absence of congenital abnormalities or severe perinatal infections.

Key exclusion criteria

Infants were excluded if they presented with vaccine contraindications, had a previously confirmed pertussis infection, relocated outside the study area, or switched to an acellular (DTaP) vaccine during the study period.

Target sample size

62


Research contact person

Name of lead principal investigator

1st name Ariesti
Middle name
Last name Karmila

Organization

Faculty of Medicine, Universitas Sriwijaya-Dr. Mohammad Hoesin General Hospital

Division name

Department of Child Health

Zip code

30126

Address

Jalan Jenderal 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-Dr. Mohammad Hoesin General Hospital

Division name

Department of Child Health

Zip code

30126

Address

Jalan Jenderal Sudirman

TEL

+62-711-376445

Homepage URL


Email

a.karmila@unsri.ac.id


Sponsor or person

Institute

Faculty of Medicine, Universitas Sriwijaya-Dr. Mohammad Hoesin General Hospital

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

2026 Year 07 Month 12 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

Baseline IgG levels were uniformly below the assay's detection limit (5.00 IU/mL) for all subjects, indicating absolute vulnerability. Post-vaccination, 100% of infants achieved complete seroprotection. Crucially, the 8-week interval cohort elicited a higher median IgG titer compared to the 4-week cohort. Vaccine reactogenicity, including localized pain, swelling, and fever, was predominantly mild and did not differ significantly between the two schedules across all doses.

Results date posted

2026 Year 07 Month 12 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The cohort comprised 30 males (47%) and 34 females (53%), with an overall mean birth weight of 3,100 g. The majority of the infants (58%) had a well-nourished status, and were exclusively breastfed. There were no statistically significant baseline differences between the two intervention groups concerning gender, birth weight, nutritional status, or exclusive breastfeeding status (all P > 0.05), indicating successful randomization.

Participant flow

Of the 92 infants who met the inclusion criteria, 12 were excluded as their parents declined participation, resulting in an initial enrollment of 80 subjects. During the follow-up period, a total of 16 subjects dropped out due to refusal of post-vaccination blood sampling or lysed blood samples, leaving 64 infants who successfully completed the study. These 64 subjects were equally divided into the 8-week interval group (n = 32) and the 4-week interval group (n = 32).

Adverse events

No severe adverse reaction is observed.

Outcome measures

Baseline IgG levels were uniformly below the assay's detection limit (5.00 IU/mL) for all subjects, indicating absolute vulnerability. Post-vaccination, 100% of infants achieved complete seroprotection. Crucially, the 8-week interval cohort elicited a higher median IgG titer compared to the 4-week cohort. Vaccine reactogenicity, including localized pain, swelling, and fever, was predominantly mild and did not differ significantly between the two schedules across all doses.

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 01 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

2026 Year 07 Month 12 Day

Last modified on

2026 Year 07 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071194