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Phase 3 N=2,095 Randomized Prevention

Immunogenicity and Safety of Meningococcal Vaccine GSK 134612 Co-administered With Pneumococcal and DTPa-HBV-IPV/Hib Vaccines

Infections, Meningococcal · Meningococcal Vaccines

Enrolled (actual)
2,095
Serious AEs
9.9%
Results posted
Feb 2019
Primary outcome: Primary: Percentage of Subjects With Serum Bactericidal Assay Using Baby Rabbit Complement Against Meningococcal Serogroups A, W-135 and Y (rSBA-MenA, rSBA-MenW-135 and rSBA-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off Value. — 99.4; 97.4; 99.1; 99.1 Percentage of Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Nimenrix™ (Biological); Menjugate® (Biological); NeisVac-CTM (Biological); Infanrix™ hexa (Biological); Synflorix™ (Biological)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Jun 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Subjects With Serum Bactericidal Assay Using Baby Rabbit Complement Against Meningococcal Serogroups A, W-135 and Y (rSBA-MenA, rSBA-MenW-135 and rSBA-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off Value.
99.4; 97.4; 99.1; 99.1; 93.1; 98.2
PRIMARY
Number of Subjects With rSBA-MenC Antibody Titers ≥ the Cut-off Value
459; 450; 453; 457
SECONDARY
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Titers Above Cut-off Values
2; 4; 2; 2; 1; 0
SECONDARY
rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers
22.9; 19.5; 4.7; 4.4; 1417.6; 1561.0
SECONDARY
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135, rSBA-MenY Antibody Titers Above the Cut-off Values
300; 279; 26; 23; 107; 99
SECONDARY
rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers
22.9; 19.5; 4.7; 4.4; 1417.6; 1561.0
SECONDARY
Number of Subjects With Serum Bactericidal Assay Using Human Complement Against Meningococcal Serogroups (hSBA-MenA, hSBA-MenC, hSBA-MenW-135 and hSBA-MenY) Antibody Titers Above the Cut-off Values
34; 31; 41; 34; 28; 19
SECONDARY
hSBA-MenA, hSBA-MenC, hSBA-MenW-135 and hSBA-MenY Antibody Titers
32.0; 14.5; 2.7; 2.7; 1192.7; 1007.2
SECONDARY
Number of Subjects With hSBA-MenA, hSBA-MenC, hSBA-MenW-135 and hSBA-MenY Antibody Titers Above the Cut-off Values
142; 119; 28; 26; 141; 119
SECONDARY
hSBA-MenA, hSBA-MenC, hSBA-MenW-135 and hSBA-MenY Antibody Titers
32.0; 14.5; 2.7; 2.7; 1192.7; 1007.2
SECONDARY
Number of Subjects With Anti-pneumococcal Serotypes (Anti-P) Antibody Concentrations Above the Cut-off Values
18; 15; 17; 18; 3; 9
SECONDARY
Anti-pneumococcal Serotypes Antibody Concentrations
0.19; 0.17; 0.20; 0.15; 2.03; 1.67
SECONDARY
Number of Subjects With Anti-pneumococcal Serotypes Antibody Concentrations Above the Cut-off Values
65; 64; 72; 57; 21; 20
SECONDARY
Anti-pneumococcal Serotypes Antibody Concentrations
0.19; 0.17; 0.20; 0.15; 2.03; 1.67
SECONDARY
Number of Subjects With Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Concentrations ≥ the Cut-off Value
37; 43; 56; 39; 117; 113
SECONDARY
Anti-D and Anti-T Antibody Concentrations
0.292; 0.325; 0.507; 0.379; 5.032; 5.438
SECONDARY
Number of Subjects With Anti-D and Anti-T Antibody Concentrations ≥ the Cut-off Value
98; 98; 116; 113; 116; 111
SECONDARY
Anti-D and Anti-T Antibody Concentrations
0.292; 0.325; 0.507; 0.379; 5.032; 5.438
SECONDARY
Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Concentrations ≥ the Cut-off Value
23; 32; 28; 31; 117; 111
SECONDARY
Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations
11.0; 11.1; 13.1; 11.4; 82.5; 78.2
SECONDARY
Number of Subjects With Anti-PT, Anti-FHA and Anti-PRN Concentrations ≥ the Cut-off Value
100; 94; 104; 102; 110; 109
SECONDARY
Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations
11.0; 11.1; 13.1; 11.4; 82.5; 78.2
SECONDARY
Number of Subjects With Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above the Cut-off Values
33; 34; 39; 28; 85; 84
SECONDARY
Anti-HBs Antibody Concentrations
150.5; 138.2; 196.6; 141.9; 3624.9; 4129.8
SECONDARY
Number of Subjects With Anti-HBs Antibody Concentrations Above the Cut-off Values
91; 86; 96; 94; 95; 97
SECONDARY
Anti-HBs Antibody Concentrations
150.5; 138.2; 196.6; 141.9; 3624.9; 4129.8
SECONDARY
Number of Subjects With Anti-polyribosyl Ribitol Phosphate (Anti-PRP) Concentrations ≥ the Cut-off Values
46; 55; 46; 47; 119; 113
SECONDARY
Anti-PRP Antibody Concentrations
0.378; 0.400; 0.535; 0.535; 17.350; 17.519
SECONDARY
Number of Subjects With Anti-PRP Antibody Concentrations Above the Cut-off Values
92; 91; 91; 100; 116; 112
SECONDARY
Anti-PRP Antibody Concentrations
0.378; 0.400; 0.535; 0.535; 17.350; 17.519
SECONDARY
Number of Subjects With Anti-poliovirus Type 1, 2 and 3 Antibody Concentrations ≥ the Cut-off Value
52; 46; 54; 46; 91; 83
SECONDARY
Anti-polio Type 1, 2 and 3 Antibody Titers
74.9; 84.7; 120.8; 90.0; 909.8; 1070.9
SECONDARY
Number of Subjects With Anti-polio Type 1, 2 and 3 Antibody Concentrations ≥ the Cut-off Value
74; 63; 80; 81; 85; 85
SECONDARY
Anti-polio Type 1, 2 and 3 Antibody Titers
74.9; 84.7; 120.8; 90.0; 909.8; 1070.9
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
247; 243; 243; 233; 32; 33
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Post-meningococcal Vaccination
191; 203; 203; 181; 24; 23
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Post-Infanrix™ Hexa Vaccination
240; 241; 242; 221; 35; 33
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Post-Synflorix Vaccination
218; 201; 217; 195; 29; 26
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Post-meningococcal Vaccination
191; 203; 203; 181; 24; 23
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Post-Infanrix™ Hexa Vaccination
240; 241; 242; 221; 35; 33
SECONDARY
Number of Subjects With Any Unsolicited Adverse Events (AEs)
179; 185; 164; 167
SECONDARY
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Post-Synflorix™ Vaccination
212; 215; 227; 205; 36; 33
SECONDARY
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
198; 206; 208; 202; 14; 13
SECONDARY
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
198; 206; 208; 202; 14; 13
SECONDARY
Number of Subjects With Any Unsolicited Adverse Events (AEs)
179; 185; 164; 167
SECONDARY
Number of Subjects With Serious Adverse Events (SAEs)
14; 18; 14; 17
SECONDARY
Number of Subjects With Serious Adverse Events (SAEs)
14; 18; 14; 17
SECONDARY
Number of Subjects With New Onset of Chronic Illnesses (NOCIs)
2; 2; 5; 3
SECONDARY
Number of Subjects With New Onset of Chronic Illnesses (NOCIs)
2; 2; 5; 3

Summary

The purpose of this study is to evaluate immunogenicity and safety of meningococcal conjugate vaccine GSK134612 compared to the licensed vaccines MenC-CRM197 and MenC-TT in infants of 2 months of age. Pneumococcal conjugate vaccine and DTPa-HBV-IPV/Hib vaccines will be co-administered.

Eligibility Criteria

Inclusion Criteria

All subjects must satisfy ALL the following criteria at study entry:

  • Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative(s) (LAR) can and will comply with the requirements of the protocol (e.g. completion of the diary cards, return for follow-up visit).
  • A male or female between, and including, 6 and 12 weeks (42-90 days) of age at the time of the first vaccination.
  • Written informed consent obtained from the parent(s) or guardian 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

  • Child in care.
  • 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.
  • Extended administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs since birth. For corticosteroids, this will mean prednisone >= 0.5 mg/kg/day, or equivalent. Inhaled and topical steroids are allowed.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol during the period starting 30 days before the first dose of vaccine(s) until 30 days after the last dose of vaccine(s) (i.e. booster dose), with the exception of rotavirus vaccine which can be administered at any time during the study, according to the national immunisation recommendations. MMR(V) vaccine, if recommended in national immunisation programs, can be given after the last blood sampling time point i.e. after Visit 6. Seasonal or pandemic influenza vaccine can be given at any time during the study, and according to the Summary of Product Characteristics and national recommendations.
  • 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 a non-investigational product (pharmaceutical product or device).
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b, Streptococcus pneumoniae, Neisseria meningitidis serogroups A, C, W-135 or Y with the exception of vaccines where the first dose may be given within the first two weeks of life according to the national recommendations (for example hepatitis B and BCG).
  • History of, or intercurrent, diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b disease, pneumococcal and/or meningococcal disease.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • Family history of congenital or hereditary immunodeficiency.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine(s).
  • Major congenital defects or serious chronic illness.
  • History of any neurologic disorders or seizures (history of a single, simple febrile seizure is permitted).
  • Acute disease and/or fever at the time of enrolment. (Fever is defined as temperature ≥ 37.5°C (99.5°F) on oral, axillary or tympanic setting, or ≥ 38.0°C (100.4°F) on rectal setting).

(Subjects with a minor illness (such as mild diarrhoea, mild upper respiratory infection) without fever may, be enrolled at the discretion of the investigator).

  • Administration of immunoglobulins and/ or any blood products since birth or planned administration during the study period.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01144663). 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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