Phase 3
N=476
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
Bottom Line
View on ClinicalTrials.gov: NCT00871117 ↗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
| Outcome | Result | p-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.
*
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.