This study is a phase 3, randomized, observer-blinded, active-controlled, multicenter study to evaluate the immunogenicity and safety of BK1803 in healthy infants aged 2 months to less than 7 months. Participants will be randomized to receive either BK1803 or a control regimen consisting of GOBIK Aqueous Suspension Syringes and Bimmugen® Injection. The primary objective is to demonstrate the noninferiority of BK1803 compared with the control in terms of antibody seroprotection rates against hepatitis B surface (HBs) antigen, Haemophilus influenzae type b (Hib), pertussis, diphtheria, tetanus, and poliovirus. Safety will also be assessed throughout the study.
This is a phase 3, randomized, observer-blinded, active-controlled, parallel-group, multicenter study to evaluate the immunogenicity and safety of BK1803 in healthy infants. BK1803 is a combined vaccine containing antigens against diphtheria, pertussis, tetanus, inactivated poliovirus, Haemophilus influenzae type b (Hib), and hepatitis B. This study aims to assess whether BK1803 provides immunogenicity comparable to standard vaccination regimens. The study consists of two cohorts: a safety lead-in cohort and a main cohort. In the safety lead-in cohort, participants receive BK1803 to evaluate its initial safety and tolerability before initiating the main cohort. In the main cohort, participants are randomized in a 1:1 ratio to receive either BK1803 or a control regimen consisting of GOBIK Aqueous Suspension Syringes and Bimmugen® Injection. Participants will receive primary and booster immunizations according to the study schedule, and immunogenicity will be evaluated based on antibody responses to multiple vaccine antigens. Safety will be monitored throughout the study period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
344
BK1803 is a combination vaccine administered intramuscularly according to the study vaccination schedule, including primary and booster immunizations.
GOBIK Aqueous Suspension Syringes is a combination vaccine administered intramuscularly according to the study vaccination schedule.
Bimmugen® Injection is a hepatitis B vaccine administered subcutaneously according to the study vaccination schedule.
Fukui Aiiku Hospital
Fukui-shi, Fukui, Japan
Oda Children's Allergy Clinic
Fukuoka, Fukuoka, Japan
Morooka Chirdren's Chikushi-dori Clinic
Fukuoka, Fukuoka, Japan
Shindo children's clinic
Fukuoka, Fukuoka, Japan
Kurokawa Michiko Pediatric Clinic
Fukuoka, Fukuoka, Japan
Japanese Red Cross Fukuoka Hospital
Antibody seroprotection rates against vaccine antigens in the BK1803 of Main Cohort
The antibody seroprotection rates against hepatitis B surface (HBs) antigen, polyribosylribitol phosphate (PRP), Bordetella pertussis (pertussis toxin \[PT\] and filamentous hemagglutinin \[FHA\]), diphtheria toxin, tetanus toxin, and attenuated poliovirus will be evaluated.
Time frame: 4 weeks from the post-primary immunization of BK1803 in Main Cohort (Visit4)
Antibody seroprotection rates against vaccine antigens for HBs antigen in the Control of Main Cohort
The antibody seroprotection rates against hepatitis B surface (HBs) antigen will be evaluated.
Time frame: 4 weeks from the post-booster immunization of Bimmugen in Main Cohort (Visit6)
The antibody seroprotection rates against vaccine antigens for PRP, PT and FHA, diphtheria toxin, tetanus toxin, and attenuated poliovirus in the Control of Main Cohort
The antibody seroprotection rates against polyribosylribitol phosphate (PRP), Bordetella pertussis (pertussis toxin \[PT\] and filamentous hemagglutinin \[FHA\]), diphtheria toxin, tetanus toxin, and attenuated poliovirus will be evaluated.
Time frame: 4 weeks from the post-primary immunization of GOBIK in Main Cohort (Visit4)
Geometric mean antibody titers for HBs antigen
Geometric mean antibody titers against hepatitis B surface (HBs) antigen will be evaluated.
Time frame: 4 weeks from the post-primary immunization and the post-booster immunization in Safety Lead-in Cohort (Visit 4 and 8); 4 weeks from the post-primary immunization of BK1803 and the post-booster immunization of BK1803/Bimmugen in Main Cohort (Visit 4,6,8)
Geometric mean antibody titers for PRP
Geometric mean antibody titers against PRP will be evaluated.
Time frame: 4 weeks from the post-primary immunization and the post-booster immunization in Safety Lead-in Cohort (Visit 4 and 8); 4 weeks from the post-primary immunization and the post-booster immunization of BK1803/GOBIK in Main Cohort (Visit 4 and 8)
Geometric mean antibody titers for Bordetella pertussis (PT and FHA)
Geometric mean antibody titers against Bordetella pertussis (PT and FHA) will be evaluated.
Time frame: 4 weeks from the post-primary immunization and the post-booster immunization in Safety Lead-in Cohort (Visit 4 and 8); 4 weeks from the post-primary immunization and the post-booster immunization of BK1803/GOBIK in Main Cohort (Visit 4 and 8)
Geometric mean antibody titers for diphtheria toxin
Geometric mean antibody titers against diphtheria toxin will be evaluated.
Time frame: 4 weeks from the post-primary immunization and the post-booster immunization in Safety Lead-in Cohort (Visit 4 and 8); 4 weeks from the post-primary immunization and the post-booster immunization of BK1803/GOBIK in Main Cohort (Visit 4 and 8)
Geometric mean antibody titers for tetanus toxin
Geometric mean antibody titers against tetanus toxin will be evaluated.
Time frame: 4 weeks from the post-primary immunization and the post-booster immunization in Safety Lead-in Cohort (Visit 4 and 8); 4 weeks from the post-primary immunization and the post-booster immunization of BK1803/GOBIK in Main Cohort (Visit 4 and 8)
Geometric mean antibody titers for attenuated poliovirus
Geometric mean antibody titers against attenuated poliovirus will be evaluated.
Time frame: 4 weeks from the post-primary immunization and the post-booster immunization in Safety Lead-in Cohort (Visit 4 and 8); 4 weeks from the post-primary immunization and the post-booster immunization of BK1803/GOBIK in Main Cohort (Visit 4 and 8)
Antibody seroprotection rates against vaccine antigens
The antibody seroprotection rates against hepatitis B surface (HBs) antigen, polyribosylribitol phosphate (PRP), Bordetella pertussis (pertussis toxin \[PT\] and filamentous hemagglutinin \[FHA\]), diphtheria toxin, tetanus toxin, and attenuated poliovirus will be evaluated.
Time frame: 4 weeks from the post-primary and the post-booster of BK1803 in Safety Lead-in Cohort (visit 4and 8); 4 weeks from the post-booster of BK1803/GOBIK in Main Cohort (visit 8)
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Fukuoka, Fukuoka, Japan
Isesaki Municipal Hospital
Isesaki, Gunma, Japan
Japanese Red Cross Maebashi Hospital
Maebashi, Gunma, Japan
Yoshimitsu Pediatric Clinic
Hiroshima, Hiroshima, Japan
Taniguchi Children Clinic
Hiroshima, Hiroshima, Japan
...and 23 more locations