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Trial registered on ANZCTR
Registration number
ACTRN12617000375358
Ethics application status
Approved
Date submitted
27/02/2017
Date registered
13/03/2017
Date last updated
13/03/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Safety and immunogenicity of Q fever vaccine in children aged 10 to 15 years.
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Scientific title
Safety and immunogenicity of Q fever vaccine in children aged 10 to 15 years.
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Secondary ID [1]
291290
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None
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Universal Trial Number (UTN)
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Trial acronym
Q fever vaccine safety
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Q fever
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Condition category
Condition code
Infection
301845
301845
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0
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Other infectious diseases
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Inflammatory and Immune System
301846
301846
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0
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Normal development and function of the immune system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Administration of Q fever vaccine to children aged 10 to 14 years old. The Q fever vaccine will be administered by trained immunisation nurses in either a hospital/community health setting or at home. The vaccine is given intramuscularly. The subject will be monitored for any adverse reaction for 15 minutes post vaccination. The vaccine 0.5ml QVax is only given once.
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Intervention code [1]
297312
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Prevention
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Intervention code [2]
297401
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Safety will be assessed using a standardised 7 day diary card completed by both parent and subject. The subject will be asked to record any local reaction and systemic reaction, as well as record their temperature each night for 7 days. telephone contact will be made with the participant 48-72 hours post vaccination.
Safety and reactogenicity: descriptive analyses will be performed on the number, type and severity of local and systemic reactions and severe adverse reactions that occur following vaccination and presented by treatment group.
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Assessment method [1]
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Timepoint [1]
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1 month post vaccine
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Secondary outcome [1]
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Immunogenicity serum phase 1 and 2 IgG Q fever antibodies will be measured post vaccination at 3 timepoints; 28-42 days post vaccine, 6-7 months post vaccine and 12-13 months post vaccine
Immunogenicity: An exploratory analysis of seroprevalence by age and time post vaccination will be performed – the analysis will be essentially descriptive.
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Assessment method [1]
332158
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Timepoint [1]
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Serum will be collected a t timepoint which is 28 to 42 days post Q fever vaccination, Further serology samples will be collected 6-7 and 12-13 months post Q fever vaccine to assess for longevity of immune responses.
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Eligibility
Key inclusion criteria
Children who are between 10 years and 14 years 364 days old are eligible to participate in this study.
Eligible children must meet inclusion and exclusion criteria at the time of first visit and parents/guardians must give written informed consent.
Vaccination will be deferred in children who are eligible but have
1. Acute disease at the time of vaccination, which may include conditions, which in the opinion of the treating physician warrant investigation and/or treatment with fever defined as axillary temperature greater than 38 degrees Celsius
2. Receipt of a live attenuated vaccine within 30 days of visit 1 or receipt of an inactivated vaccine within 14 days of visit 1.
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Minimum age
10
Years
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Maximum age
14
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Subject exclusion criteria:
1.. Contraindications to Q fever vaccination as listed in the current NHMRC Australian Immunisation Handbook 10th Edition or as listed in the QVax Product Information.
2. Q fever vaccine will not be administered to any individual with any history of egg allergy
3. Q fever vaccine will not be administered to individuals known to be hypersensitive to any component of the vaccine, including egg protein, thiomersal or residues carried over from manufacture (such as formalin).
4. Administration of immunoglobulins and any blood products within the 3 month period prior to the first visit; in which case, a delay in enrolment will be considered in the absence of other excluding criteria.
5, Positive pre-vaccine screening on serology or skin test (see above)
6. Any confirmed or suspected immunosuppressive or immunodeficient condition contraindicating MMR vaccination.
7. History of serious chronic illness or condition which in the judgement of the clinical investigator would preclude study participation.
8. History of neurologic disease or seizure (excluding simple febrile seizure).
9. Must not have had a Q fever vaccination
10. History of medical documentation that supports a previous diagnosis of Q fever
11. Pregnancy
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Safety
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Statistical methods / analysis
Immunogenicity: An exploratory analysis of seroprevalence by age and time post vaccination will be performed – the analysis will be essentially descriptive.
Safety and reactogenicity: descriptive analyses will be performed on the number, type and severity of local and systemic reactions and severe adverse reactions that occur following vaccination and presented by treatment group.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
11/01/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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The Children's Hospital at Westmead - Westmead
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Recruitment postcode(s) [1]
15465
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2145 - Westmead
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Funding & Sponsors
Funding source category [1]
295757
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Hospital
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Name [1]
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The Children's Hospital at Westmead
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Address [1]
295757
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Cnr Hainsworth St and Hawkesbury rds
Westmead
NSW 2145
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Country [1]
295757
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Australia
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Primary sponsor type
Hospital
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Name
The Children's Hospital at Westmead
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Address
Cnr Hainsworth St and Hawkesbury rds
Westmead
NSW 2145
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Country
Australia
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Secondary sponsor category [1]
294600
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None
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Name [1]
294600
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Address [1]
294600
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Country [1]
294600
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297056
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Sydney Children's Hospitals Network
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Ethics committee address [1]
297056
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Cnr Hainsworth St and Hawkesbury rds Westmead NSW 2145
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Ethics committee country [1]
297056
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Australia
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Date submitted for ethics approval [1]
297056
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16/12/2015
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Approval date [1]
297056
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20/06/2016
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Ethics approval number [1]
297056
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HREC/15/SCHN/475
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Summary
Brief summary
Summary: Q fever is a highly infectious disease caused by Coxiella Burnettii. Each year in Australia there are over 450 cases notified, (2013 n= 485, 2014 n=452). This equates to approximately 8-10 cases per week. Currently there is an efficacious Q fever vaccine which is recommended for those considered to be in “occupational at risk” groups, such as abattoir workers, veterinarians and farmers. However, several recent studies have highlighted that the risk in the non-traditional “at risk” groups, such as children, metropolitan dwellers, is higher than previously thought. The epidemiology of Q fever disease in New South Wales has changed and amongst notified cases the relative importance of non-abattoir contact with livestock, wildlife or feral animals appears to be increasing. Importantly the only vaccine available in the world is QVax, manufactured by CSL and is only licensed for those over 15 years old. Therefore under current Australian Immunisation guidelines children under 15 years old, who are at risk of contracting Q fever, because they live on farms, near abattoirs or, are children of “at risk” workers cannot be vaccinated. The main reason for this age restriction is not because of an identified safety risk but because the initial trials did not include children under 15 and therefore restricted the licensure of the vaccine. Vaccinating children, particularly children of farmers or animal breeders, is an important preventive measure and has not been studied at all. In this pilot study the safety and efficacy of Q fever vaccine in children aged 10 to 15 years old will be measured.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Nicholas Wood
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Address
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The Children's Hospital at Westmead
Cnr Hainsworth St and Hawkesbury Rd
Westmead
NSW 2145
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Country
72830
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Australia
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Phone
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61 2 98451429
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Fax
72830
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61 2 9845 1418
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Email
72830
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[email protected]
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Contact person for public queries
Name
72831
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Nicholas Wood
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Address
72831
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The Children's Hospital at Westmead
Cnr Hainsworth St and Hawkesbury Rd
Westmead
NSW 2145
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Country
72831
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Australia
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Phone
72831
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61 2 9845 1429
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Fax
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62 2 9845 1418
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Email
72831
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[email protected]
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Contact person for scientific queries
Name
72832
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Nicholas Wood
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Address
72832
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The Children's Hospital at Westmead
Cnr Hainsworth St and Hawkesbury Rd
Westmead
NSW 2145
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Country
72832
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Australia
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Phone
72832
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61 2 9845 1429
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Fax
72832
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61 2 9845 1418
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Email
72832
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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