Clinical trial • Phase IV • Oncology

VARICELLA VIRUS OKA STRAIN (LIVE, ATTENUATED) for Pediatric cancer

Phase IV trial of VARICELLA VIRUS OKA STRAIN (LIVE, ATTENUATED) for Pediatric cancer. 160 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Pediatric cancer
Trial Stage
Phase IV
Drug Modality
Vaccine
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
18-06-2024
First CTIS Authorization Date
27-09-2024

Trial design

Phase IV trial in Sweden.

Target Sample Size
160

Eligibility

Recruits 160 paediatric patients.

Pregnancy Exclusion
Female participants with an ongoing pregnancy at diagnosis or during the study
Vulnerable Population
Children and adolescents 0-18 years are included. Consent requirement: "Oral and written information about the trial along with signed consent". Subject information and consent forms are provided for different age groups and guardians (documents for ages 6-11, 12-14, 15-18, versions for healthy volunteers, and a version for guardians are listed in the trial documents).

Inclusion criteria

  • {"criterion_text":"- Children and adolescents (0-18.0 years) initiating cancer treatment through the childrens cancer centre in Gothenburg.\n- Vaccination status for measles and chickenpox before cancer treatment is known.\n- Oral and written information about the trial along with signed consent\n- Female participants of reproductive age with menarche who are sexually active must consent to using effective contraception and have a negative pregnancy test at the times of all vaccinations. (Effective contraception refers to combined preparations with estrogen and progesterone taken orally, intravaginal ring, known as the p-ring, or preparations used transdermally, such as the contraceptive patch. Contraception with progesterone taken orally, via injections, or implants such as the contraceptive implant. Intrauterine hormone-releasing coil or copper coil. Completed sterilization with blockage of both fallopian tubes. Sexual abstinence)"}

Exclusion criteria

  • {"criterion_text":"- Known primary immunodeficiency.\n- Ongoing treatment with immunomodulatory or immunosuppressive agents\n- Patients planned for relapse therapy or stem cell transplantation (SCT)\n- Known contraindication to any of the proposed vaccines.\n- Female participants with an ongoing pregnancy at diagnosis or during the study\n- Ongoing breastfeeding."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Difference in VZ IgG antibody levels before and after revaccination against chickenpox","definition_or_measurement_approach":"Measured by IgG antibodies to VZV before and after vaccination; primary objective framed as proportion (%) of patients with protective level of VZ-IgG after vaccination compared to before vaccination."}
  • {"endpoint_text":"- Difference in measles IgG antibody level before and after revaccination against measles","definition_or_measurement_approach":"Measured by IgG antibodies to measles (morbilli) before and after vaccination; primary objective framed as proportion (%) of patients with protective morbilli-IgG level after vaccination compared to prior to vaccination."}

Secondary endpoints

  • {"endpoint_text":"- Percentage of patients with immunity against chickenpox and measles before and after treatment measured in IgG","definition_or_measurement_approach":"Measured as percentage (%) immune patients using IgG serology before and after treatment."}
  • {"endpoint_text":"- Changes in cellmediated immunity (CMI) against chickenpox and measles before and after revaccination. Comparisons with a healthy control group.","definition_or_measurement_approach":"Assessment of cell-mediated immunity (CMI) changes pre- and post-revaccination with comparisons to a healthy control group (specific CMI assays not detailed in provided record)."}
  • {"endpoint_text":"- Differences in antibody levels and CMI between various diagnostic groups (leukemias, solid tumors), different age groups, low- vs. high-intensity treatment, and pre-immune versus non-immune groups","definition_or_measurement_approach":"Subgroup analyses comparing antibody levels and CMI across diagnostic groups, age groups, treatment intensity, and baseline immune status (measurement methods referenced above: IgG and CMI assessments)."}

Recruitment

Planned Sample Size
160
Recruitment Window Months
47
Consent Approach
Oral and written information provided and signed consent required ("Oral and written information about the trial along with signed consent"). Age-specific subject information and consent forms are available (documents for ages 6-11, 12-14, 15-18), there is a specific guardian/parent consent document, and versions exist for healthy volunteers.

Geography

Total Number Of Sites
7
Total Number Of Participants
160

Sweden

Earliest CTIS Part Ii Submission Date
08-09-2024
Latest Decision Or Authorization Date
27-09-2024
Processing Time Days
19
Number Of Sites
7
Number Of Participants
160

Sites

Site Name
NU Hospital Group-Vastra Gotalandsregionen
Department Name
Barnmottagningen NÄL
Contact Person Name
Sandra Klerfors
Contact Person Email
sandra.klerfors@vgregion.se
Site Name
Region Vaermland
Department Name
Barndagvården, Centralsjukhuset
Contact Person Name
Martin Dalin
Contact Person Email
martin.dalin@regionvarmland.se
Site Name
Skaraborg Hospital-Vastra Gotalandsregionen
Department Name
Barn och ungdomsmedicin
Contact Person Name
Antonia Quinones Perez
Site Name
Queen Silvia Childrens Hospital - Sahlgrenska University Hospital - Vastra Gotalandsregionen
Department Name
Children´s cancer centre
Contact Person Name
Torben Ek
Contact Person Email
torben.ek@vgregion.se
Site Name
Sodra Alvsborg Hospital-Vastra Gotalandsregionen
Department Name
Barnkliniken SÄS
Contact Person Name
Gábor Boglári
Contact Person Email
gabor.boglari@vgregion.se
Site Name
Region Halland
Department Name
Barnmottagningen Halmstad
Contact Person Name
Isabella Donnér
Site Name
Region Joenkoepings Laen
Department Name
Barn- och ungdomsmedicinska kliniken
Contact Person Name
Stina Edblom
Contact Person Email
stina.edblom@rjl.se

Sponsor

Primary sponsor

Full Name
Vaestra Goetalandsregionen
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
VARICELLA, LIVE ATTENUATED
Active Substance
VARICELLA VIRUS OKA STRAIN (LIVE, ATTENUATED)
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
INTRAMUSCULAR INJECTION
Starting Dose
0.5 ml
Maximum Dose
1.0 ml
Investigational Product Name
MEASLES, COMBINATIONS WITH MUMPS AND RUBELLA, LIVE ATTENUATED
Active Substance
MEASLES VIRUS EDMONSTON-SCHWARZ STRAIN (LIVE, ATTENUATED); MUMPS VIRUS RIT 4385 STRAIN (LIVE, ATTENUATED); RUBELLA VIRUS WISTAR RA 27/3 STRAIN (LIVE, ATTENUATED)
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
INTRAMUSCULAR INJECTION
Starting Dose
0.5 ml
Maximum Dose
1.0 ml

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