Phase 3
N=780
Co-administration of Pneumococcal Conjugate Vaccine With DTPa-IPV-Hib Versus Co-administration With DTPa-HBV-IPV/Hib
Infections, Streptococcal
Bottom Line
View on ClinicalTrials.gov: NCT00652951 ↗Enrolled (actual)
780
Serious AEs
12.3%
Results posted
Dec 2018
Primary outcome: Primary: Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) - Primary Vaccination — 1.17; 1.31; 0.03; 1.61 μg/mL
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- GSK Biologicals´ Pneumococcal Conjugate Vaccine GSK1024850A (Synflorix™) (Biological); Infanrix™ hexa. (Biological); Pediacel™ (Biological); Prevenar™ (Biological)
- Age
- Pediatric · 0+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- May 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) - Primary Vaccination |
1.17; 1.31; 0.03; 1.61; 1.59; 2.44 | — |
| PRIMARY Antibody Concentration Against Protein D (PD) - Primary Vaccination |
1580; 1743; 69.7 | — |
| SECONDARY Number of Subjects With Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) ≥ 0.2 μg/mL - Primary Vaccination |
174; 176; 5; 188; 180; 189 | — |
| SECONDARY Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F - Primary Vaccination |
20.7; 20.8; 4.7; 592.9; 600.4; 838.4 | — |
| SECONDARY Number of Subjects With Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A (Anti-6A and 19A) ≥ 0.2 μg/mL - Primary Vaccination. |
58; 51; 41; 56; 50; 40 | — |
| SECONDARY Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A (Anti-6A and 19A) - Primary Vaccination |
0.1; 0.1; 0.08; 0.1; 0.09; 0.08 | — |
| SECONDARY Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Cross-reactive Serotypes 6A and 19A - Primary Vaccination. |
23.2; 25.4; 33; 9; 8; 4.9 | — |
| SECONDARY Concentrations of Antibodies Against Diphtheria and Tetanus Toxoids (Anti-D and T) - Primary Vaccination |
1.475; 1.078; 1.077; 2.873; 1.702; 0.934 | — |
| SECONDARY Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentrations - Primary Vaccination |
2.139; 4.796; 2.219 | — |
| SECONDARY Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations - Primary Vaccination |
42.7; 36.4; 40.1; 145.6; 100.8; 100.5 | — |
| SECONDARY Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations - Primary Vaccination. |
356.9; 14; 11.5 | — |
| SECONDARY Anti-polio Types 1, 2 and 3 Titers - Primary Vaccination. |
27.2; 16; 18.1; 37.1; 29; 23.2 | — |
| SECONDARY Number of Subjects With Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) ≥ 0.2 μg/mL - Booster Vaccination |
84; 92; 6; 136; 147; 148 | — |
| SECONDARY Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) - Booster Vaccination |
0.2; 0.22; 0.03; 0.39; 0.43; 0.38 | — |
| SECONDARY Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F - Booster Vaccination |
5.5; 5.6; 5; 11.3; 15.3; 12.3 | — |
| SECONDARY Number of Subjects With Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A (Anti-6A and 19A) ≥ 0.2 μg/mL - Booster Vaccination. |
50; 56; 28; 61; 63; 29 | — |
| SECONDARY Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A (Anti-6A and 19A) - Booster Vaccination |
0.1; 0.11; 0.06; 0.12; 0.12; 0.06 | — |
| SECONDARY Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Cross-reactive Serotypes 6A and 19A - Booster Vaccination. |
23.3; 30.7; 15.5; 5.7; 5.5; 5.5 | — |
| SECONDARY Concentrations of Antibodies Against Protein D (Anti-PD) - Booster Vaccination. |
421; 520.5; 80.8; 1715; 1936.8; 84.1 | — |
| SECONDARY Concentrations of Antibodies Against Diphtheria and Tetanus Toxoids (Anti-D and T) - Booster Vaccination. |
0.235; 0.232; 0.266; 0.728; 0.536; 0.232 | — |
| SECONDARY Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentrations - Booster Vaccination |
0.475; 0.855; 0.371; 19.331; 39.383; 23.676 | — |
| SECONDARY Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations - Booster Vaccination. |
7.4; 6; 6.6; 34; 35.3; 34.7 | — |
| SECONDARY Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations - Booster Vaccination. |
142.1; 9.9; 9.9; 1981; 8.6; 8.5 | — |
| SECONDARY Anti-polio Types 1, 2 and 3 Titers - Booster Vaccination. |
8.3; 7.3; 7; 13.4; 10.6; 10.4 | — |
| SECONDARY Number of Subjects With Booster Vaccine Response Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN) Antibodies - Booster Vaccination. |
40; 47; 48; 95; 94; 98 | — |
| SECONDARY Number of Subjects With Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) ≥ 0.2 μg/mL - 12 Months After Booster Dose. |
106; 108; 6; 101; 102; 130 | — |
| SECONDARY Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) - 12 Months After Booster Dose. |
0.3; 0.32; 0.04; 0.25; 0.29; 0.36 | — |
| SECONDARY Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F - 12 Months After Booster Dose. |
10.9; 9.9; 4.3; 12; 15.5; 45.2 | — |
| SECONDARY Number of Subjects With Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A (Anti-6A and 19A) ≥ 0.2 μg/mL - 12 Months After Booster Dose. |
54; 57; 92; 120; 97; 80 | — |
| SECONDARY Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A (Anti-6A and 19A) - 12 Months After Booster Dose. |
0.14; 0.15; 0.22; 0.43; 0.29; 0.21 | — |
| SECONDARY Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Cross-reactive Serotypes 6A and 19A - 12 Months After Booster Dose. |
21.6; 24.8; 56.5; 12.6; 9.1; 9.6 | — |
| SECONDARY Concentrations of Antibodies Against Protein D (Anti-PD) - 12 Months After Booster Dose. |
332; 423; 81.4 | — |
| SECONDARY Number of Subjects With Positive Cultures of Haemophilus Influenzae and/or Streptococcus Pneumoniae in the Nasopharynx - Primary Vaccination. |
102; 109; 100; 115; 134; 119 | — |
| SECONDARY Number of Subjects With Positive Cultures of Streptococcus Pneumoniae Vaccine Seroptypes (VS), Cross-reactive Serotypes (CRS) or Other Serotypes (OS) in the Nasopharynx - Primary Vaccination. |
18; 25; 21; 16; 20; 18 | — |
| SECONDARY Number of Subjects With Acquisition of New Streptococcus Pneumoniae and Haemophilus Influenzae Strains Identified in Nasopharyngeal Swabs - Primary Vaccination. |
103; 114; 107; 86; 95; 90 | — |
| SECONDARY Number of Subjects With Acquisition of New Streptococcus Pneumoniae Vaccine Serotypes (VS), Cross-reactive Serotypes (CRS) or Other Serotypes (OS) Identified in Nasopharyngeal Swabs - Primary Vaccination. |
14; 11; 15; 8; 9; 8 | — |
| SECONDARY Number of Subjects With Solicited Local Symptoms - Primary Vaccination |
168; 159; 142; 30; 31; 22 | — |
| SECONDARY Number of Subjects With Solicited General Symptoms - Primary Vaccination |
183; 171; 164; 4; 7; 6 | — |
| SECONDARY Number of Subjects With Unsolicited Adverse Events (AEs) - Primary Vaccination. |
181; 177; 185 | — |
| SECONDARY Number of Subjects With Serious Adverse Events (SAEs) |
35; 26; 35 | — |
| SECONDARY Number of Subjects With Solicited Local Symptoms -Booster Vaccination |
174; 161; 145; 21; 21; 7 | — |
| SECONDARY Number of Subjects With Solicited General Symptoms - Booster Vaccination. |
131; 118; 128; 6; 5; 3 | — |
| SECONDARY Number of Subjects With Unsolicited Adverse Events (AEs) - Booster Vaccination. |
106; 105; 105 | — |
Summary
The purpose of this trial is to evaluate the immunogenicity and safety of a pneumococcal conjugate vaccine when co-administered with DTPa-IPV-Hib or DTPa-HBV-IPV/Hib in infants as a three-dose primary immunisation course during the first 6 months of life and as a booster dose at 11-12 months of age. The impact of the pneumococcal conjugate vaccine on nasopharyngeal carriage of S. pneumoniae and H. influenzae in children in their first two years of life will also be assessed. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Eligibility Criteria
Inclusion Criteria
- Subjects who the investigator believes that their parents/guardian(s) can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits) should be enrolled in the study.
- A male or female between, and including, 6-12 weeks (42-90 days) of age at the time of the first vaccination.
- Written informed consent obtained from both parents or from the guardian(s) of the subject.
- Free of obvious health problems as established by medical history and clinical examination before entering into the study.
- Born after a gestation period of at least 36 weeks.
Exclusion Criteria
- Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
- Concurrently participating in another clinical study, at any time during the entire study period, in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device).
- Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs since birth.
- Planned administration/administration of a vaccine not foreseen by the study protocol during the period starting from one month (30 days) before and up to one month (30 days) after each dose of study vaccine.
- Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b and/or Streptococcus pneumoniae.
- Children for whom hepatitis B vaccination is required according to the local recommendations
- History of or intercurrent diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b disease.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
- History of any neurologic disorders or seizures.
- 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 and/or any blood products since birth or planned administration during the study period.
Data sourced from ClinicalTrials.gov (NCT00652951). 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.