Phase 3
N=4,209
Immune Response and Safety Comparison of 3 Lots of GSK Biologicals' DTaP-IPV Candidate Vaccine to DTaP + IPV Vaccines
Tetanus · Acellular Pertussis · Diphtheria
Bottom Line
View on ClinicalTrials.gov: NCT00148941 ↗Enrolled (actual)
4,209
Serious AEs
0.4%
Results posted
Feb 2020
Primary outcome: Primary: Geometric Mean Concentrations (GMCs) for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies in a Subset of Subjects — 16.704; 18.658; 18.437; 18.112 IU/mL
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- SB213503 lot 1 (Biological); SB213503 lot 2 (Biological); SB213503 lot 3 (Biological); Infanrix (Biological); IPOL (Biological); M-M-R II (Biological)
- Age
- Pediatric · 4+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Nov 2006
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Geometric Mean Concentrations (GMCs) for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies in a Subset of Subjects |
16.704; 18.658; 18.437; 18.112; 9.693; 9.974 | — |
| PRIMARY Geometric Mean Concentrations (GMCs) for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies in a Subset of Subjects |
66.9; 74.1; 71.4; 80.4; 809.1; 918.8 | — |
| PRIMARY Geometric Mean Titers (GMTs) for Anti-poliovirus Types 1, 2 and 3 Antibodies in a Subset of Subjects |
2095.0; 2103.1; 2129.2; 1683.1; 2345.4; 2132.9 | — |
| PRIMARY Number of Subjects With Booster Response Against Diphtheria Toxoid (D) and Tetanus Toxoid (T) Antigens in a Subset of Subjects |
279; 280; 281; 260; 266; 273 | — |
| PRIMARY Number of Subjects With Booster Response Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN) Antigens in a Subset of Subjects |
251; 250; 257; 237; 265; 272 | — |
| PRIMARY Number of Subjects With Circumferential Swelling at the Injection Site |
5; 10; 5; 11; 10; 20 | — |
| SECONDARY Number of Seroprotected Subjects Against Diphteria (D) and Tetanus (T) Antigens in a Subset of Subjects |
284; 282; 284; 260; 284; 283 | — |
| SECONDARY Number of Seroprotected Subjects Against Poliovirus Types 1, 2 and 3 Antigens in a Subset of Subjects |
275; 274; 275; 249; 276; 273 | — |
| SECONDARY Number of Seropositive Subjects Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN) Antigens in a Subset of Subjects |
285; 279; 283; 261; 285; 280 | — |
| SECONDARY Number of Subjects With Anti-D and Anti-T Antibody Concentrations Greater Than or Equal to (≥) 1 IU/mL |
284; 282; 284; 260; 281; 282 | — |
| SECONDARY Number of Subjects With Booster Response for Poliovirus Types 1, 2 and 3 Antigens in a Subset of Subjects |
264; 257; 264; 231; 271; 252 | — |
| SECONDARY Geometric Mean Titers (GMTs) for Serum Haemagglutination-inhibition (HI) Anti-H1N1, Anti-H3N2 and Anti-B Antibodies in a Subset of Subjects |
5.0; 20.0; 20.0; 56.6; 57.0; 134.5 | — |
| SECONDARY Number of Seroconverted Subjects Against Influenza Virus Strains H1N1, H3N2, and B in a Subset of Subjects |
1; 2; 0; 1; 0; 2 | — |
| SECONDARY Number of Seroprotected Subjects Against Influenza Virus Strains H1N1, H3N2, and B in a Subset of Subjects |
0; 1; 1; 1; 1; 4 | — |
| SECONDARY Number of Subjects With Any and Grade 3 Solicited Local Symptoms |
620; 582; 642; 601; 19; 17 | — |
| SECONDARY Number of Subjects With Any and Grade 3 Increase in the Mid-upper Arm Circumference at the Injection Site |
368; 374; 393; 397; 16; 29 | — |
| SECONDARY Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms |
194; 216; 185; 181; 9; 10 | — |
| SECONDARY Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms Specific to M-M-R II Vaccination |
34; 44; 21; 36; 5; 4 | — |
| SECONDARY Number of Subjects With Any Unsolicited Adverse Events (AEs) |
321; 317; 326; 307 | — |
| SECONDARY Number of Subjects With Serious Adverse Events (SAEs) |
4; 7; 1; 4 | — |
| SECONDARY Number of Subjects With Onset of Chronic Illness(es) and AE(s) Leading to Emergency Room (ER) or to Physician Office Visits |
6; 6; 4; 5; 7; 7 | — |
Summary
The aims of this trial are to demonstrate the consistency of three manufacturing lots of GSK Biologicals' DTaP-IPV candidate vaccine in terms of immunogenicity and to evaluate the non-inferiority of GSK Biologicals' DTaP-IPV vaccine with respect to immunogenicity and safety compared to the control vaccines (separate injections of GSK Biologicals' DTaP vaccine [Infanrix] and Aventis Pasteur's IPV vaccine [IPOL]) when administered as a 5th dose of DTaP and a 4th dose of inactivated poliovirus vaccine in subjects 4 to 6 years of age. Vaccines will be co-administered with the second dose of M-M-RII, which is recommended at this age. Concomitant administration of a US-licensed influenza vaccine will be allowed according to seasonal availability of vaccine and at the discretion of the investigator.
Eligibility Criteria
Inclusion criteria
- Male or female child between and including 4 and 6 years of age at the time of vaccination.
- Free of obvious health problems as established by medical history and brief medical evaluation before entering into the study.
- Received 4 doses of Infanrix and 3 doses of IPOL during the first 2 years of life.
- Vaccination against measles, mumps, and rubella in the second year of life.
- Subjects whom the investigator believed would comply with the requirements of the protocol.
- Written informed consent obtained before study entry from the parent(s) or guardian(s) of the subject.
Exclusion criteria
- Use of any investigational or non-registered drug or vaccine other than the study vaccines within 30 days preceding the administration of study vaccines, or planned use during the study period.
- History of previous or intercurrent diphtheria, tetanus, pertussis, polio, measles, mumps, or rubella disease, or of vaccination against these diseases given after the second year of life.
- Known exposure to diphtheria, tetanus, pertussis, or polio, prior to vaccination.
- Poliovirus vaccination with one or more doses of OPV vaccine.
- Administration or planned administration of a vaccine not foreseen by the study protocol within 30 days of study vaccination and ending at Day 30.
- Chronic administration or administration of immunosuppressants or other immune modifying drugs within six months prior to study vaccination or planned administration during the study period ending at Day 30.
- Administration of immunoglobulins and/or any blood products within three months prior to study vaccination or planned administration during the study period ending at Day 30.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus infection.
- History of seizures or progressive neurological disorder, including infantile spasms, uncontrolled epilepsy or progressive encephalopathy.
- Major congenital defects or serious chronic illness.
- Acute disease at the time of enrollment.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine(s), including allergic reactions to 2-phenoxyethanol, formaldehyde, neomycin, polymyxin B, streptomycin, gelatin, and/or latex.
- History of anaphylactic reaction to egg proteins or previous doses of the vaccine(s).
- Encephalopathy within 7 days of administration of previous dose of Infanrix.
- Fever ≥ 40.5°C or 104.9°F (rectal temperature) (39.5°C or 103.1°F, oral/axillary) within 48 hours of previous dose of Infanrix not due to another identifiable cause.
- Collapse or shock-like state (hypotonic-hyporesponsive episode) within 48 hours of previous dose of Infanrix.
- Persistent, severe, inconsolable screaming or crying lasting ≥ 3 hours which occurred within 48 hours of administration of previous dose of Infanrix.
- Thrombocytopenia following a previous dose of M-M-RII or its component vaccines.
- Inability to contact a parent/guardian of the subject by telephone.
- Blood dyscrasias (including current thrombocytopenia), leukemia, lymphomas or other malignant neoplasms affecting the bone marrow or lymphatic systems.
- Family history of congenital or hereditary immunodeficiency, unless the immune competence of the subject was demonstrated.
Data sourced from ClinicalTrials.gov (NCT00148941). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.