Pneumococcal Vaccine Test for severely malnourished kids in hospital
Official title: Immunogenicity of Opportunistic Pneumococcal Conjugate Vaccination (Pneumosil®) Versus Control (Typhoid Conjugate Vaccine, Typbar TCV®) in Children Aged 6-59 Months Hospitalised With Severe Acute Malnutrition: a Single-centre, Double-blind, Randomised Controlled Trial in Timor-Leste
Run by Menzies School of Health Research · NCT06817421 · Data updated 2026-11-12
This study tests whether giving Pneumosil to children aged 6–59 months with severe acute malnutrition in hospital elicits a better immune response than a Typhoid vaccine, with follow-up visits over six months.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 6 Months to 59 Months |
| Sex | All |
| Enrollment | 214 (estimated) |
| Sponsor | Menzies School of Health Research Academic / other |
| Locations | 1 site (Dili) |
| Status | Recruiting |
| Started | January 16, 2026 |
| Main results expected | March 2028 |
| Study ends | February 2029 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT06817421 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are children 6–59 months with SAM admitted to hospital who or whose caregivers consent to join and comply with the protocol.
✕Probably not a fit
Children who do not mount a stronger pneumococcal antibody response to Pneumosil than Typbar TCV may not experience additional benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, single-center, double-blind randomized trial enrolling 264 children aged 6–59 months hospitalized with severe acute malnutrition. Participants are randomized 1:1 to receive Pneumosil (pneumococcal vaccine) or Typbar TCV (typhoid vaccine) during a stable in-hospital period, with stratification by prior PCV vaccination and malnutrition severity. The primary endpoint is the antibody response to 10 pneumococcal serotypes 28 days after vaccination. After vaccination, participants have four home visits over six months and a phone check at 12 months. The study aims to determine if Pneumosil induces a superior immune response compared to Typbar TCV in this high-risk population.
Why it matters
Potential benefit: If successful, the trial could support using Pneumosil to boost protection against pneumococcal disease in severely malnourished children.
How similar studies have gone: Previous vaccine studies in malnourished children have explored immunogenicity; this trial tests a specific pneumococcal vaccine in this group with a rigorous randomized design.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Aged 6-59 months at the time of hospitalisation 2. Hospitalised with severe acute malnutrition (SAM, defined as any one of a, b, or c): 1. weight-for-length/height z-score \<-3; or 2. middle upper arm circumference \<11.5cm; or 3. bilateral pitting pedal oedema unexplained by other causes 3. Parent/carer is willing for their child to participate in the study and has provided written informed consent 4. Parent/carer is willing to comply with all study procedures outlined in the protocol, including specimen collection, for the duration of the study Exclusion Criteria: 1. Known history of allergy or hypersensitivity to any component of either study vaccine, including diphtheria toxoid, or a history of anaphylactic shock. 2. Treatment with another investigational drug or other intervention in the 30 days prior to randomisation, or ongoing participation in another clinical trial. 3. Suspected primary or secondary immunodeficiency or prolonged administration (\>14 days) of an immune modifying drug (including oral glucocorticoids) in the past 3 months. 4. Known terminal illness expected to result in death within 6 months. 5. Participants who, in the opinion of the site Principal Investigator, are unable to comply with the study protocol, including scheduled visits, assessments, and any other protocol-required procedures. 6. Previously enrolled in this trial.
Where it's running
-
Guido Valadares National Hospital (HNGV)
Dili, Timor-Leste Recruiting
Study contacts
- Study coordinator: Nicholas S. S. Fancourt, PhD
- Email: nick.fancourt@menzies.edu.au
- Phone: +61889468600
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.