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Phase 3 N=476 Randomized Prevention

Immunogenicity and Safety of Kinrix + (Measles Mumps Rubella) MMR Vaccine With and Without Varicella Vaccine in Healthy Children 4-6 Years

Tetanus · Acellular Pertussis · Diphtheria

Enrolled (actual)
476
Serious AEs
0.2%
Results posted
Feb 2011
Primary outcome: Primary: Number of Subjects With Booster Responses to Diphteria and Tetanus — 209; 207; 208; 203 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
GSK Biologicals'Kinrix® (Biological); Merck and Company's MMRII (Biological); Merck and Company's Varivax (Biological)
Age
Pediatric · 4+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Jan 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Subjects With Booster Responses to Diphteria and Tetanus
209; 207; 208; 203
PRIMARY
Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (FHA) and Anti-pertactin (Anti-PRN) Booster Responses, Measured in Enzyme-Linked Immunosorbent Assay Units Per Milliliter (EL.U/mL)
207; 201; 213; 209; 220; 209
PRIMARY
Geometric Mean Titers (GMTs) for Antibodies to Poliovirus Types 1, 2 and 3
1638.4; 1789.9; 1572.9; 1902.6; 2588.4; 3189.6
SECONDARY
Number of Subjects With Anti-D and Anti-T Antibody Concentrations Above Cut-off Value
217; 212; 217; 209
SECONDARY
Geometric Mean Concentrations (GMCs) for Anti-D and Anti-T Antibodies
14.273; 14.809; 8.658; 8.138
SECONDARY
GMCs for Anti-PT, Anti-FHA, Anti-PRN Antibodies
96.5; 101.3; 968.9; 968.2; 627.1; 620.4
SECONDARY
Number of Subjects With an Anti-polio 1, 2, 3 Booster Response
211; 202; 204; 207; 213; 207
SECONDARY
Number of Subjects Seroprotected Against Diphteria and Tetanus
217; 212; 217; 212
SECONDARY
Number of Subjects Protected Against Poliovirus 1, 2 and 3
219; 211; 218; 212; 219; 212
SECONDARY
Number of Subjects Seropositive for Anti-PT, Anti-FHA and Anti-PRN Antibodies
220; 212; 220; 212; 220; 212
SECONDARY
Number of Subjects With Any Solicited Local Symptoms
156; 166; 115; 114; 95; 84
SECONDARY
Number of Subjects With Any Solicited General Symptoms
61; 66; 60; 57; 58; 68
SECONDARY
Number of Subjects With Unsolicited Adverse Events
75; 72
SECONDARY
Number of Subjects With Serious Adverse Events (SAEs)
0; 1

Summary

The purpose of the study is to evaluate the immunogenicity and safety of Kinrix when co-administered with varicella (Varivax® [varicella virus vaccine live], Merck and Company) and (measles mumps rubella) MMR vaccines, compared to Kinrix co-administered with MMR vaccine alone. Both Kinrix and the second dose of Varivax are indicated in children 4-6 years of age, and there is great potential for the vaccines to be given concurrently. The aim of this trial is to demonstrate that co-administered Varivax does not negatively affect the immunogenicity or reactogenicity of Kinrix.

Eligibility Criteria

Inclusion Criteria

  • Subjects for whom the investigator believes that their parents/ guardians can and will comply with the requirements of the protocol.
  • A male or female child between 4 and 6 years of age, inclusive.
  • Written informed consent obtained from the parent or guardian of the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Having received 4 doses of (Diphtheria, Tetanus Acellular Pertussis) DTaP vaccine using Pediarix and/or Infanrix, and 3 doses of poliovirus vaccine using Pediarix and/or (inactivated poliovirus vaccine, Aventis Pasteur) IPOL in the first 2 years of life.
  • Previously received 1 dose of M-M-RII and Varivax (separate or combined) in the second year of life.

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.
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or non-investigational product or device.
  • History of previous or intercurrent diphtheria, tetanus, pertussis, polio, measles, mumps, rubella or varicella 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 (oral polio virus) 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 planned 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 at any time 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 (HIV) 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 enrolment.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine(s).
  • 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 or Pediarix.
  • 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 or Pediarix not due to another identifiable cause.
  • Collapse or shock-like state within 48 hours of previous dose of DTaP or DTaP-containing vaccine.
  • Persistent, severe, inconsolable screaming or crying lasting ³3 hours occurring within 48 hours of administration of previous dose of DTaP or DTaP-containing vaccine.
  • 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, 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 has been demonstrated.
  • Residence in the same household as the following persons:
  • New-born infants (0-4 weeks of age).
  • Pregnant mother/women without documented positive history of chickenpox disease or laboratory evidence of prior varicella vaccination.
  • Pregnant women at or beyond 28 weeks gestation regardless of varicella vaccination status or varicella disease history.
  • Persons with known immunodeficiency.

*

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00871117). 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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