SPLENEVAC-2

11 mai 2023

Evaluation of immunological response following a revaccination with PPS23 boosted or not by PCV13 in splenectomised patients

Topic

Pneumococcal revaccination


Sponsor

Assistance Publique – Hôpitaux de Paris


Coordinating investigator

Odile LAUNAY MD, PhD-AP-HP


Short description

This research is a multi-center French randomized and double blind phase IIb clinical trial evaluating 2 revaccination strategies against pneumococcal infections among splenectomised patients. The main objective is to evaluate at M13 the immunological response of 2 pneumococcal revaccination strategies (combined revaccination by a boost dose of PCV13 following 12 months later by PPS23, versus PPS23 alone) in splenectomised adults.


Study design

Multicenter, randomized, national, double-blind phase IIb clinical trial


Primary objective

To evaluate at M13 the immunological response of 2 pneumococcal revaccination strategies (combined revaccination by a boost dose of PCV13 following 12 months later by PPS23, versus PPS23 alone), in splenectomised adults.


Primary endpoint

The primary endpoint is the proportion of patients responding to a minimum of 5 of the 9 serotypes analysed (9 serotypes among the 12 common serotypes to both PPS23 and PCV13: 1, 3, 6B, 7F, 9V, 14, 19A, 19F, and 23F) at M13 in each arm.
A responder to a serotype is defined as a four-fold increase of the rate of OPA (OpsonoPhagocytic Assay) compared to baseline (M0) and titer ≥ LLOQ (Lower Limit of Quantification).


Study population

Splenectomised patients


Intervention

Prevenar13® (M0) + Pneumovax® (M12) vs Prevenar13® placebo (M0) + Pneumovax® (M12)


Number of subjects

56 participants


Participating country(ies) and sites

France, 5 sites


Study duration

48 months


Funding

French Ministry of Health (PHRC-N)


UMS MART/EUCLID activities

Methodology and Statistical aspects