Trial Outcomes & Findings for Tdap Vaccine Safety for Plasma Donors (NCT NCT04142983)

NCT ID: NCT04142983

Last Updated: 2022-12-06

Results Overview

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs are defined as an adverse event occurring after first study treatment. A serious TEAE was defined as an AE that resulted in any of the following outcomes: death; life-threatening; inpatient hospitalization or prolongation of hospitalization; persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, an important medical event that based on appropriate medical judgment may jeopardize the subject and may require medical or surgical intervention to prevent one of the aforementioned outcomes.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

110 participants

Primary outcome timeframe

Up to 18 months

Results posted on

2022-12-06

Participant Flow

Participants between the ages of 18 to 63 years old were recruited from the Laredo, Texas area during February through May, 2020, without regard to ethnicity, race, or socioeconomic level. Standard recruiting practices such as IRB-approved flyers were used to recruit study volunteers

All participants were "Qualified Donors" who had been qualified for continued plasma donations in accordance with Donor Eligibility requirements found in 21 CFR 630.10 and 630.15, and Source Plasma regulations under 21 CRF 640, Subpart G. A total of 110 participants were consented and screened for eligibility. Ten of these did not meet eligibility criteria.

Participant milestones

Participant milestones
Measure
Tdap Vaccine
The vaccine was administered every 3 months ± 1 week for 12 months (5 vaccinations)
Overall Study
STARTED
110
Overall Study
Treatment Population
100
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
99

Reasons for withdrawal

Reasons for withdrawal
Measure
Tdap Vaccine
The vaccine was administered every 3 months ± 1 week for 12 months (5 vaccinations)
Overall Study
Lost to Follow-up
73
Overall Study
Withdrawal by Subject
10
Overall Study
Physician Decision
1
Overall Study
Adverse Event
1
Overall Study
No longer eligible
4
Overall Study
Screen Failure
10

Baseline Characteristics

Tdap Vaccine Safety for Plasma Donors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tdap Vaccine
n=100 Participants
The vaccine was administered every 3 months ± 1 week for 12 months (5 vaccinations)
Age, Continuous
38.2 years
STANDARD_DEVIATION 9.17 • n=99 Participants
Sex: Female, Male
Female
48 Participants
n=99 Participants
Sex: Female, Male
Male
52 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
100 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
100 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
100 participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to 18 months

Population: Population included all enrolled participants who received at least one vaccination and had safety data.

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs are defined as an adverse event occurring after first study treatment. A serious TEAE was defined as an AE that resulted in any of the following outcomes: death; life-threatening; inpatient hospitalization or prolongation of hospitalization; persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, an important medical event that based on appropriate medical judgment may jeopardize the subject and may require medical or surgical intervention to prevent one of the aforementioned outcomes.

Outcome measures

Outcome measures
Measure
Tdap Vaccine
n=100 Participants
Tdap vaccine 0.5 mL administered intramuscularly on Day 0, Month 3, Month 6, Month 9 and Month 12.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Number of participants with at least one TEAE
71 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Number of participants with at least one TEAE related to the study product
42 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Number of participants with at least one serious TEAE
0 participants

SECONDARY outcome

Timeframe: Baseline, Month 1, Month 2, Month 3, Month 4, Month 5, Month 6, Month 7, Month 8, Month 9, Month 10, Month 11, Month 12, Month 13, Month 18

Population: Multiple participants dropped out of the study early. Missing data were documented in the protocol deviations and summary statistics to reflect the number of observations for which data were provided. No missing data were derived.

Anti-tetanus antibody titer levels after each vaccination presented at geometric means (GeoMean) over time.

Outcome measures

Outcome measures
Measure
Tdap Vaccine
n=100 Participants
Tdap vaccine 0.5 mL administered intramuscularly on Day 0, Month 3, Month 6, Month 9 and Month 12.
Anti-tetanus Antibody Titers in Participants Over Time
Screening
1.2 Titers (IU/mL)
Standard Deviation 1.29
Anti-tetanus Antibody Titers in Participants Over Time
Month 1
13.2 Titers (IU/mL)
Standard Deviation 0.74
Anti-tetanus Antibody Titers in Participants Over Time
Month 2
8.1 Titers (IU/mL)
Standard Deviation 0.89
Anti-tetanus Antibody Titers in Participants Over Time
Month 3
5.6 Titers (IU/mL)
Standard Deviation 1.12
Anti-tetanus Antibody Titers in Participants Over Time
Month 4
9.0 Titers (IU/mL)
Standard Deviation 0.56
Anti-tetanus Antibody Titers in Participants Over Time
Month 5
5.9 Titers (IU/mL)
Standard Deviation 0.82
Anti-tetanus Antibody Titers in Participants Over Time
Month 6
4.8 Titers (IU/mL)
Standard Deviation 0.89
Anti-tetanus Antibody Titers in Participants Over Time
Month 7
7.8 Titers (IU/mL)
Standard Deviation 0.69
Anti-tetanus Antibody Titers in Participants Over Time
Month 8
5.8 Titers (IU/mL)
Standard Deviation 0.70
Anti-tetanus Antibody Titers in Participants Over Time
Month 9
4.5 Titers (IU/mL)
Standard Deviation 0.75
Anti-tetanus Antibody Titers in Participants Over Time
Month 10
7.7 Titers (IU/mL)
Standard Deviation 0.53
Anti-tetanus Antibody Titers in Participants Over Time
Month 11
5.1 Titers (IU/mL)
Standard Deviation 0.72
Anti-tetanus Antibody Titers in Participants Over Time
Month 12
4.2 Titers (IU/mL)
Standard Deviation 0.83
Anti-tetanus Antibody Titers in Participants Over Time
Month 13
6.3 Titers (IU/mL)
Standard Deviation 0.79
Anti-tetanus Antibody Titers in Participants Over Time
Month 18
5.0 Titers (IU/mL)
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Baseline, Month 1, Month 2, Month 3, Month 4, Month 5, Month 6, Month 7, Month 8, Month 9, Month 10, Month 11, Month 12, Month 13, Month 18

Population: Multiple participants dropped out of the study early. Missing data were documented in the protocol deviations and summary statistics to reflect the number of observations for which data were provided. No missing data were derived.

The numbers and percentages of participants whose post vaccination antibody levels were \<5 IU/mL; ≥5 IU/mL to 10 IU/mL; \>10 IU/mL to 15 IU/mL; and, \>15 IU/mL after each vaccination.

Outcome measures

Outcome measures
Measure
Tdap Vaccine
n=100 Participants
Tdap vaccine 0.5 mL administered intramuscularly on Day 0, Month 3, Month 6, Month 9 and Month 12.
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 12 · ≥ 5 to 10 IU/mL
20 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Screening · < 5 IU/mL
88 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Screening · ≥ 5 to 10 IU/mL
8 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Screening · ≥ 10 to 15 IU/mL
4 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Screening · ≥ 15 IU/mL
0 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 1 · < 5 IU/mL
4 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 1 · ≥ 5 to 10 IU/mL
22 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 1 · ≥ 10 to 15 IU/mL
12 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 1 · ≥ 15 IU/mL
36 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 2 · < 5 IU/mL
14 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 2 · ≥ 5 to 10 IU/mL
31 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 2 · ≥ 10 to 15 IU/mL
10 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 2 · ≥ 15 IU/mL
17 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 3 · < 5 IU/mL
23 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 3 · ≥ 5 to 10 IU/mL
29 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 3 · ≥ 10 to 15 IU/mL
9 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 3 · ≥ 15 IU/mL
8 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 4 · < 5 IU/mL
7 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 4 · ≥ 5 to 10 IU/mL
30 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 4 · ≥ 10 to 15 IU/mL
21 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 4 · ≥ 15 IU/mL
10 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 5 · < 5 IU/mL
15 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 5 · ≥ 5 to 10 IU/mL
34 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 5 · ≥ 10 to 15 IU/mL
12 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 5 · ≥ 15 IU/mL
3 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 6 · < 5 IU/mL
20 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 6 · ≥ 5 to 10 IU/mL
33 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 6 · ≥ 10 to 15 IU/mL
8 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 6 · ≥ 15 IU/mL
1 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 7 · < 5 IU/mL
8 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 7 · ≥ 5 to 10 IU/mL
29 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 7 · ≥ 10 to 15 IU/mL
10 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 7 · ≥ 15 IU/mL
8 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 8 · < 5 IU/mL
11 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 8 · ≥ 5 to 10 IU/mL
30 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 8 · ≥ 10 to 15 IU/mL
9 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 8 · ≥ 15 IU/mL
1 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 9 · < 5 IU/mL
20 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 9 · ≥ 5 to 10 IU/mL
26 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 9 · ≥ 10 to 15 IU/mL
3 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 9 · ≥ 15 IU/mL
6 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 10 · < 5 IU/mL
6 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 10 · ≥ 5 to 10 IU/mL
21 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 10 · ≥ 10 to 15 IU/mL
16 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 10 · ≥ 15 IU/mL
1 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 11 · < 5 IU/mL
15 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 11 · ≥ 5 to 10 IU/mL
23 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 11 · ≥ 10 to 15 IU/mL
4 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 11 · ≥ 15 IU/mL
0 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 12 · < 5 IU/mL
13 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 12 · ≥ 10 to 15 IU/mL
1 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 12 · ≥ 15 IU/mL
0 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 13 · < 5 IU/mL
5 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 13 · ≥ 5 to 10 IU/mL
27 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 13 · ≥ 10 to 15 IU/mL
6 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 13 · ≥ 15 IU/mL
1 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 18 · < 5 IU/mL
0 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 18 · ≥ 5 to 10 IU/mL
1 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 18 · ≥ 10 to 15 IU/mL
0 Participants
Number of Participants With Post Vaccination Anti-tetanus Antibody Range Levels
Month 18 · ≥ 15 IU/mL
0 Participants

Adverse Events

Tdap Vaccine

Serious events: 0 serious events
Other events: 71 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Tdap Vaccine
n=100 participants at risk
Tdap vaccine 0.5 mL administered intramuscularly on Day 0, Month 3, Month 6, Month 9 and Month 12.
General disorders
Injection site pain
37.0%
37/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
General disorders
Injection site bruising
26.0%
26/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
General disorders
Injection site erythema
14.0%
14/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
General disorders
Injection site induration
8.0%
8/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
General disorders
Injection site swelling
6.0%
6/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Investigations
Red blood cells urine positive
18.0%
18/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Investigations
Urine leukocyte esterase positive
17.0%
17/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Investigations
Protein urine present
14.0%
14/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Investigations
Hemoglobin urine present
11.0%
11/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Investigations
Glucose urine present
7.0%
7/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Investigations
Urine ketone body present
5.0%
5/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.
Nervous system disorders
Headache
5.0%
5/100 • 1 year, 6 months
AEs and serious adverse events (SAEs) were collected starting with the initiation of the first study vaccination through study month 18, documented in the source records, and entered into the eCRFs using accepted medical terms and/or the diagnosis that accurately characterized the event.

Additional Information

Center Medical Director

GCAM / Biomat USA - Grifols

Phone: 956-729-7677

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place