Evaluation of different infant vaccination schedules incorporating pneumococcal vaccination (The Vietnam Pneumococcal Project): protocol of a randomised controlled trial

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Author(s)
Temple, Beth
Nguyen, Trong Toan
Uyen, Doan Y
Balloch, Anne
Bright, Kathryn
Cheung, Yin Bun
Licciardi, Paul
Cattram, Duong Nguyen
Nguyen, Thi Minh Phuong
Satzke, Catherine
Smith-Vaughan, Heidi
Thi, Que Huong Vu
Tran, Ngoc Huu
Mulhollan, Edward Kim
Griffith University Author(s)
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2018
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Abstract

Introduction WHO recommends the use of pneumococcal conjugate vaccine (PCV) as a priority. However, there are many countries yet to introduce PCV, especially in Asia. This trial aims to evaluate different PCV schedules and to provide a head-to-head comparison of PCV10 and PCV13 in order to generate evidence to assist with decisions regarding PCV introduction. Schedules will be compared in relation to their immunogenicity and impact on nasopharyngeal carriage of Streptococcus pneumoniae and Haemophilus influenzae. Methods and analysis This randomised, single-blind controlled trial involves 1200 infants recruited at 2 months of age to one of six infant PCV schedules: PCV10 in a 3+1, 3+0, 2+1 or two-dose schedule; PCV13 in a 2+1 schedule; and controls that receive two doses of PCV10 and 18 and 24 months. An additional control group of 200 children is recruited at 18 months that receive one dose of PCV10 at 24 months. All participants are followed up until 24 months of age. The primary outcome is the post-primary series immunogenicity, expressed as the proportions of participants with serotype-specific antibody levels ≥0.35 μg/mL for each serotype in PCV10. Ethics and dissemination Ethical approval has been obtained from the Human Research Ethics Committee of the Northern Territory Department of Health and Menzies School of Health Research (EC00153) and the Vietnam Ministry of Health Ethics Committee. The results, interpretation and conclusions will be presented to parents and guardians, at national and international conferences, and published in peer-reviewed open access journals. Trial registration number NCT01953510; Pre-results.

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BMJ Open

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8

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6

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© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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Clinical sciences

Health services and systems

Public health

Other health sciences

Science & Technology

Life Sciences & Biomedicine

Medicine, General & Internal

General & Internal Medicine

CONJUGATE VACCINE

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Temple, B; Nguyen, TT; Uyen, DY; Balloch, A; Bright, K; Cheung, YB; Licciardi, P; Cattram, DN; Nguyen, TMP; Satzke, C; Smith-Vaughan, H; Thi, QHV; Tran, NH; Mulhollan, EK, Evaluation of different infant vaccination schedules incorporating pneumococcal vaccination (The Vietnam Pneumococcal Project): protocol of a randomised controlled trial, BMJ Open, 2018, 8 (6), pp. e019795:1-e019795:11

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