Phase 3
Completed N=12,018
An Efficacy Study of GlaxoSmithKline (GSK) Biologicals' Candidate Influenza Vaccine GSK2321138A in Children
Source: ClinicalTrials.gov NCT01439360 ↗Enrolled (actual)
12,018
Serious AEs
3.5%
Results posted
Mar 2017
Primary outcomePrimary: Number of Subjects With Moderate to Severe RT-PCR Confirmed Influenza. — 90; 242 Participants
Summary
The purpose of this study is to evaluate the efficacy, immunogenicity and safety of GSK Biologicals' influenza candidate vaccine GSK2321138A when compared to non-influenza vaccine comparators in children 6 to 35 months of age. Recruitment will encompass at least 4 independent cohorts: a first cohort in the Northern Hemisphere (2011-2012), a second cohort in subtropical countries (2012), third cohort in the Northern Hemisphere (2012-2013) and a fourth cohort and additional independent cohorts possibly in NH countries (end 2013) and subtropical countries (beginning 2014).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Subjects With Moderate to Severe RT-PCR Confirmed Influenza. |
90; 242 | — |
| PRIMARY Number of Subjects With RT-PCR Confirmed Influenza of Any Severity. |
344; 662 | — |
| SECONDARY Number of Subjects With First Occurrence of Lower Respiratory Illness (LRI) With RT-PCR Confirmed Influenza. |
28; 61 | — |
| SECONDARY Number of Subjects With First Occurrence of Culture-confirmed Moderate to Severe Influenza A and/or B Disease Due to Antigenically-matching Influenza Strains. |
20; 88 | — |
| SECONDARY Number of Subjects With First Occurrence of Culture-confirmed Influenza A and/or B Disease of Any Severity Due to Antigenically-matching Influenza Strains |
88; 216 | — |
| SECONDARY Number of Subjects With First Occurrence of Culture-confirmed Moderate to Severe Influenza A and/or B Disease Due to Any Seasonal Influenza Strain. |
79; 216 | — |
| SECONDARY Number of Subjects With First Occurrence of Culture-confirmed Influenza A and/or B Disease of Any Severity Due to Any Seasonal Influenza Strain. |
303; 602 | — |
| SECONDARY Number of Subjects With First Occurrence of Acute Otitis Media (AOM) With RT-PCR Confirmed Influenza A and/or B Infection Due to Any Seasonal Influenza Strain. |
12; 28 | — |
| SECONDARY Number of Subjects With First Occurrence of RT-PCR Confirmed Severe Influenza A and/or B Due to Any Seasonal Influenza Strain. |
2; 3 | — |
| SECONDARY Humoral Immune Response in Terms of Haemagglutination-inhibition (HI) Antibody Titres Against Each of Four Vaccine Strains Contained in the D-QIV (in Immuno Subcohort of Subjects Only) |
11.9; 11.9; 165.3; 12.6; 14.8; 13.4 | — |
| SECONDARY Number of Seropositive Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only) |
200; 152; 728; 170; 266; 187 | — |
| SECONDARY Number of Seroconverted Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only) |
596; 20; 513; 24; 514; 5 | — |
| SECONDARY Mean Geometric Increase (MGI) for HI Antibody Titer Against Each of the 4 Vaccine Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only). |
14; 1.1; 9.0; 1.1; 9.3; 1.0 | — |
| SECONDARY Number of Seroprotected Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only) |
182; 134; 640; 146; 238; 159 | — |
| SECONDARY Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms. |
1015; 1047; 23; 30; 775; 831 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms. |
739; 829; 39; 52; 490; 535 | — |
| SECONDARY Duration of Solicited Local Symptoms |
1.0; 1.0; 1.0; 1.0; 2.0; 2.0 | — |
| SECONDARY Duration of Solicited General Symptoms |
2.0; 2.0; 2.0; 2.0; 2.0; 2.0 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AEs) |
2640; 2679; 160; 149; 106; 116 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related AEs With Medically Attended Visits (MAVs) |
3885; 3988; 200; 211; 57; 58 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Potential Immune-mediated Diseases (pIMDs). |
5; 0; 3; 0; 3; 0 | — |
| SECONDARY Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs). |
217; 201; 6; 2; 1; 3 | — |
Eligibility Criteria
Inclusion Criteria
- Subjects who the investigator believes that their parents/Legally Acceptable Representative (LARs) can and will comply with the requirements of the protocol.
- A male or female between, and including, 6 and 35 months of age at the time of first vaccination; children are eligible regardless of history of influenza vaccination.
- Written informed consent obtained from the parent(s) /LAR(s) of the subject.
- Subjects in stable health as determined by medical history and clinical examination before entering into the study.
Exclusion Criteria
- Participation in a previous FLU-D-QIV-004 study (115345) cohort.
- Child in care.
- Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
- Prior receipt of any influenza vaccine within 6 months preceding the first dose of study vaccine, or planned use of such vaccines during the study period.
- Children with underlying illness who are at risk of complications of influenza and for whom yearly (seasonal) influenza vaccination is recommended in their respective country.
- Any confirmed or suspected immunosuppressive or immunodeficient condition (including HIV), based on medical history and physical examination.
- Chronic administration of immunosuppressants or other immune modifying drugs within six months prior to the first vaccine dose. Inhaled and topical steroids are allowed.
- Administration of immunoglobulins and/ or any blood products within 3 months preceding the first dose of study vaccine or planned administration during the study period.
- Any known or suspected allergy to any constituent of influenza vaccines, non-influenza vaccine comparators and latex; a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous vaccination.
- Any contraindication to intramuscular injection.
- Acute disease and/or fever at the time of enrolment.
- Any other condition which, in the opinion of the Investigator, prevents the subject from participating in the study.
- Additional criteria for children ≥ 12 months of age:
- Prior receipt of any licensed varicella vaccine* or any licensed hepatitis A vaccine or planned use of these vaccines during the study period. Other routine registered childhood vaccinations are permitted.
- For countries with varicella vaccine administered as 2-dose schedule, prior receipt of a single dose of a varicella vaccine is allowed if administered at least 2 weeks before the first study vaccination.
- Any history of hepatitis A or varicella diseases.
- Additional criteria for children 6 - 11 months of age in countries without universal mass vaccination recommendation for pneumococcal vaccine:
- Prior receipt of any pneumococcal conjugated vaccine or planned use of this vaccine during the study period. Other routine registered childhood vaccinations are permitted.
Data sourced from ClinicalTrials.gov (NCT01439360). 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. Informational only — not medical advice.