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Phase 3 N=286 Prevention

Study to Evaluate the Safety and Immunogenicity of a 10-valent Pneumococcal Conjugate Vaccine in Preterm Infants

Infections, Streptococcal

Enrolled (actual)
286
Serious AEs
16.4%
Results posted
Dec 2018
Primary outcome: Primary: Number of Subjects With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off — 5; 2; 1; 1 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Pneumococcal conjugate vaccine GSK1024850A (Biological); Infanrix hexa (Biological)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Jul 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Subjects With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off
5; 2; 1; 1; 3; 1
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
58; 40; 6; 6; 67; 39
SECONDARY
Number of Subjects With Any and Grade 3 Solicited General Symptoms
53; 44; 2; 1; 38; 41
SECONDARY
Number of Subjects With Any Unsolicited Adverse Events (AEs)
58; 43
SECONDARY
Number of Subjects With Any Serious Adverse Events (SAEs)
19; 29
SECONDARY
Number of Subjects With Any Serious Adverse Events (SAEs)
19; 29
SECONDARY
Number of Subjects With Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Greater Than or Equal to (≥) the Cut-off
41; 82; 129; 40; 81; 130
SECONDARY
Number of Subjects With Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off
42; 82; 130; 41; 82; 130
SECONDARY
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F
0.97; 1.1; 1.35; 1.53; 1.88; 2.42
SECONDARY
Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off
20; 49; 80; 36; 72; 110
SECONDARY
Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F
23; 30.3; 46.3; 644.1; 500.9; 543.5
SECONDARY
Number of Subjects With Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off
32; 68; 114; 26; 72; 120
SECONDARY
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A
0.14; 0.21; 0.2; 0.08; 0.21; 0.26
SECONDARY
Number of Subjects With Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off
25; 54; 58; 2; 10; 17
SECONDARY
Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A
114.5; 157.3; 49.5; 4.5; 7.1; 7
SECONDARY
Number of Subjects With Concentrations of Antibodies Against Protein D (Anti-PD) ≥ the Cut-off
42; 82; 130
SECONDARY
Concentrations of Antibodies Against Protein D (Anti-PD)
1688.6; 1415.4; 1496.8
SECONDARY
Number of Subjects With Anti-diphtheria (Anti DT) and Anti-tetanus Toxoids (Anti TT) Antibody Concentrations ≥ the Cut-off
18; 41; 61; 18; 41; 61
SECONDARY
Antibody Concentrations for Anti-diphtheria and Tetanus Toxoids ≥ the Cut-off
2.495; 3.23; 3.077; 7.745; 8.617; 7.695
SECONDARY
Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off
16; 38; 60
SECONDARY
Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off
16; 38; 60
SECONDARY
Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibody Concentrations ≥ th Cut-off
4.031; 5.804; 7.952
SECONDARY
Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥ the Cut-off
18; 41; 61; 18; 41; 61
SECONDARY
Antibody Concentration for Anti-pertussis Toxoid (Anti-PT) , Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)
41.9; 37.9; 47.3; 188.6; 169; 163.1
SECONDARY
Number of Subjects With Anti-Hepatitis B Surface Antigen (HBs) Antibody Concentrations ≥ the Cut-off.
8; 26; 12
SECONDARY
Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations
431.9; 356; 462.9
SECONDARY
Number of Subjects With Anti-polio Type 1, 2 and 3 Antibody Titres
12; 22; 29; 12; 22; 29
SECONDARY
Antibody Titers for Polio Type 1, 2 and 3 ≥ the Cut-off
271.3; 189.5; 230.1; 341.7; 319; 194.4
SECONDARY
Number of Subjects With Vaccine Response to Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)
18; 27; 45; 0; 8; 12

Summary

This study aims to evaluate the safety, reactogenicity and immunogenicity of GlaxoSmithKline (GSK) Biologicals´ 10-valent pneumococcal conjugate vaccine when co-administered with diphtheria, tetanus, acellular pertussis-hepatitis B virus-inactivated polio virus/Haemophilus influenzae type b (DTPa-HBV-IPV/Hib) vaccine in preterm infants as a 3-dose primary immunization course during the first 6 months of life. This protocol posting deals with objectives & outcome measures of the primary study. The objectives & outcome measures of the Booster study are presented in a separate protocol posting (NCT number = 00609492)

Eligibility Criteria

Inclusion Criteria

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol
  • A male or female between, and including, 8-16 weeks (56-118 days) of age at the time of the first vaccination.
  • Written informed consent obtained from the parent or guardian of the subject.
  • Born after a gestation period of >27 weeks (at least 189 days).
  • If full term born, healthy subjects as established by medical history and clinical examination before entering into the study
  • If premature, medically stable condition (not requiring significant medical support or ongoing management for debilitating disease and having demonstrated a clinical course of sustained recovery).

Exclusion Criteria

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first dose of study vaccines, or planned use during the study period
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs from birth to the first vaccine dose.
  • Planned administration/administration of a vaccine not foreseen by the study protocol, during the period starting from one month before the first dose of vaccines and up to Visit 6.
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b, Neisseria meningitidis and/or Streptococcus pneumoniae with the exception of vaccines where the first dose can be given within the first two weeks of life according to the national recommendations
  • History of or intercurrent diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b disease, Neisseria meningitidis.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
  • History of any neurologic disorders or seizures (this criterion does not apply to subjects who have had a single, uncomplicated febrile convulsion in the past).
  • Acute disease at the time of enrolment.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination
  • A family history of congenital or hereditary immunodeficiency.
  • Major congenital defects or serious chronic illness.
  • Administration of immunoglobulins, with the exception of monoclonal antibodies against RSV, and/or any blood products within one month preceding the first dose of study vaccines or planned administration during the active phase of the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00390910). 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.

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