A Study to Evaluate Immunogenicity of Various Schedules of Inactivated Polio Vaccine
A Study to Evaluate Immunogenicity of Various Schedules of Inactivated Polio Vaccine
The study will evaluate the humoral immunogenicity in various schedule combinations of full
 dose inactivated polio vaccines (IPV) via intramuscular administration (IM) and of the
 fractional dose of inactivated poliovaccine (f-IPV) via intradermal administration (ID).
The study will be conducted in a setting where only IPV is being used for polio prevention in
 infant immunization schedules.

 The study population will include infants from Uruguay, a pioneer country in immunization
 programs in Latin America, where tOPV(trivalent oral polio vaccine) was used until 2012,
 after which the program changed to an all-IPV schedule without transition.

 The primary IPV immunization schedule in the country is as stand-alone vaccine at 2, 4 and 6
 months of age, with a booster dose at 15 months. This setting allows the evaluation of IPV
 immunogenicity in a scenario where the circulation of any poliovirus is highly unlikely.

 Infants will receive two or three doses of full dose IPV IM or fractional dose f-IPV ID, in
 various schedule combinations (6 and 14 weeks; 10 and 14 weeks; 14 and 36 weeks; 6, 14 and 36
 weeks; 10, 14 and 36 weeks). Immunological and safety assessments will be made after one
 dose, two doses and three doses.

 The study will be conducted in Montevideo, Uruguay and a total of 1493 infants will be
 randomized into 6 groups. Other vaccines comprise DTPw-HB-Hib (pentavalent combined
 diphtheria-tetanus-whole cell pertussis-hepatitis B-Hib vaccine), Pneumococcal conjugate
 vaccine, Rotavirus and will be administered concomitantly.

 Optimum immunogenicity expected from the dose/s of IPV in the post-eradication era will have
 to be balanced with the cost and supply constraints of IPV. This study will be critical to
 determine how many doses of IPV and which schedule will be recommended for the
 post-eradication era after the cessation of OPV (oral polio vaccine) usage globally.
Inclusion Criteria:

 -  Infants of 6 weeks of age (-7 to + 7 days) on date of first vaccination

 -  Healthy, as assessed from medical history and physical examination by a study
 physician

 -  Written informed consent obtained from parents or legal representatives that they have
 been properly informed about the study and are able to comply with planned study
 procedures

 Exclusion Criteria:

 -  Vaccinated with any poliovirus vaccine prior to inclusion

 -  A household contact with OPV vaccination history in the past 4 weeks

 -  HIV infection or pharmacologic immunosuppression.

 -  Known allergy to any component of the study vaccines (phenoxyethanol, formaldehyde)

 -  Uncontrolled coagulopathy or blood disorder contraindicating intramuscular and
 intradermal injections.

 -  Acute severe febrile illness on day of vaccination deemed by the Investigator to be a
 contraindication for vaccination.

 -  Not suitable for inclusion or is unlikely to comply with the protocol in the opinion
 of the investigator.