Mode
Text Size
Log in / Sign up
Phase 2 N=75 Randomized Quadruple-blind Prevention

Safety and Immunogenicity of a Trivalent Group B Streptococcus Vaccine in Healthy Pregnant Women

GBS Disease · Streptococcus Agalactiae

Enrolled (actual)
75
Serious AEs
16.0%
Results posted
May 2017
Primary outcome: Primary: Concentration of Serotype Ia GBS IgG Levels in Infant Serum at Delivery and at Days 42 and 90 of Age — 6.98; 0.24; 6.18; 0.39 µg/mL

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
GBS trivalent vaccine (Biological); Placebo (Biological)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
GlaxoSmithKline
Primary completion
Dec 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Concentration of Serotype Ia GBS IgG Levels in Infant Serum at Delivery and at Days 42 and 90 of Age
6.98; 0.24; 6.18; 0.39; 2.74; 0.33
PRIMARY
Concentration of Serotype Ib GBS IgG Levels in Infant Serum at Delivery and at Days 42 and 90 of Age
4.65; 0.6; 3.02; 0.63; 1.81; 0.52
PRIMARY
Concentration of Serotype III GBS IgG Levels in Infant Serum at Delivery and at Days 42 and 90 of Age
7.97; 0.21; 2.64; 0.25; 2.01; 0.22
PRIMARY
Concentration of Serotype Ia GBS IgG Levels in Maternal Serum at Pre-vaccination, at Study Day 31, at Delivery and at Days 42 and 90 Postpartum
0.49; 0.33; 8.99; 0.4; 5.37; 0.36
PRIMARY
Concentration of Serotype Ib GBS IgG Levels in Maternal Serum at Pre-vaccination, at Study Day 31, at Delivery and at Days 42 and 90 Postpartum
0.34; 0.42; 7.32; 0.47; 5.59; 0.41
PRIMARY
Concentration of Serotype III GBS IgG Levels in Maternal Serum at Pre-vaccination, at Study Day 31, at Delivery and at Days 42 and 90 Postpartum
0.31; 0.19; 3.61; 0.28; 4.4; 0.27
PRIMARY
Ratio Relative to Pre-vaccination Levels of Maternal Serum GBS IgG Antibody Levels - Serotype Ia, as Measured at Study Day 31, at Delivery and at Days 42 and 90 Postpartum
25; 1.05; 16; 1.03; 32; 1.55
PRIMARY
Ratio Relative to Pre-vaccination Levels of Maternal Serum GBS IgG Antibody Levels - Serotype Ib, as Measured at Study Day 31, at Delivery and at Days 42 and 90 Postpartum
21; 1.39; 16; 1.28; 28; 1.9
PRIMARY
Ratio Relative to Pre-vaccination Levels of Maternal Serum GBS IgG Antibody Levels - Serotype III, as Measured at Study Day 31, at Delivery and at Days 42 and 90 Postpartum
16; 0.97; 21; 0.98; 16; 0.99
SECONDARY
Ratio of GBS IgG Antibody Levels - Serotype Ia in Infant Serum Relative to Maternal Serum at the Time of Delivery
0.75; 0.86
SECONDARY
Ratio of GBS IgG Antibody Levels - Serotype Ib in Infant Serum Relative to Maternal Serum at the Time of Delivery
0.82; 0.95
SECONDARY
Ratio of GBS IgG Antibody Levels - Serotype III in Infant Serum Relative to Maternal Serum at the Time of Delivery
0.62; 0.87
SECONDARY
Percentage of Maternal Subjects With Solicited Local and Solicited Systemic Adverse Events (AEs) up to 30 Minutes
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Maternal Subjects With Solicited Local and Solicited Systemic AEs - Study Days 1-3
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Maternal Subjects With Solicited Local and Solicited Systemic AEs - Study Days 4-7
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Maternal Subjects With Solicited Local and Solicited Systemic AEs - Study Days 1-7
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Maternal Subjects With Any Unsolicited AEs
18; 6
SECONDARY
Percentage of Maternal Subjects With Serious Adverse Events (SAEs), Unsolicited Medically Attended AEs (MAEs) and Unsolicited AEs Leading to Study Withdrawal (AEs Lead. Wthwal)
1; 0; 10; 4; 0; 0
SECONDARY
Percentage of Maternal Subjects With SAEs, Unsolicited MAEs and Unsolicited AEs Leading to Study Withdrawal (AEs Lead. Wthwal)
7; 4; 38; 17; 0; 0
SECONDARY
Percentage of Infants With SAEs, Unsolicited MAEs and AEs Leading to Study Withdrawal
7; 3; 34; 15; 0; 0
SECONDARY
Birth Weight of Infants (Mean-Standard Deviation)
3.44; 3.32
SECONDARY
Birth Weight of Infants (Median, Minimum and Maximum)
3.5; 3.3
SECONDARY
Birth Length and Head Circumference of Infants (Mean - Standard Deviation)
51.35; 49.70; 34.4; 34.48
SECONDARY
Birth Length and Head Circumference of Infants (Median - Minimum and Maximum)
52.0; 50.0; 35.0; 34.0
SECONDARY
Infants Apgar Scores (Mean - Standard Deviation)
8.13; 8.23; 8.89; 8.88; 8.5; 9.0
SECONDARY
Infants Apgar Scores (Median, Minimum and Maximum)
8.0; 8.0; 9.0; 9.0; 8.5; 9.0
SECONDARY
Descriptive Statistics for the Score for the Long-term Developmental Outcome Assessed by Bayley Scales of Infant and Toddler Development 3rd Edition Screening Test (PsychCorp) in Infants (Mean - Standard Deviation)
11.2; 11.7; 8.8; 9.8; 8.4; 8.9
SECONDARY
Descriptive Statistics for the Score for the Long-term Developmental Outcome Assessed by Bayley Scales of Infant and Toddler Development 3rd Edition Screening Test (PsychCorp) in Infants (Median, Minimum and Maximum)
11.0; 12.0; 8.0; 9.0; 8.5; 9.0

Summary

Evaluate the safety and immunogenicity of the trivalent group B streptococcus vaccine in healthy pregnant women. The study will also evaluate the levels of GBS serotype-specific antibodies in infants, placental transfer from the pregnant women to the infant and levels of antibodies in the breast milk.

Eligibility Criteria

Inclusion Criteria

  • Healthy pregnant women 18-40 years of age, inclusive and at 24 0/7 through 34 6/7 weeks gestation.
  • Individuals who intend to breastfeed for at least 90 days postpartum.
  • Individuals who have given written consent after the nature of the study has been explained according to local regulatory requirements.
  • Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.
  • Individuals who can comprehend and comply with all study procedures and are available for follow-up.

Exclusion Criteria

  • Individuals with history of illness or an ongoing illness that, in the opinion of the investigator, may pose additional risk to the subject if she participates in the study.
  • Individuals with known hypersensitivity to any component of the vaccine.
  • Individuals who received or plan to receive any licensed vaccine within 14 days before or after the study vaccine with the exception of inactivated influenza vaccine which may be administered up to 7 days before or after study vaccine.
  • Individuals with an infection requiring systemic antibiotic or antiviral treatment within 7 days prior to Study Day 1.
  • Individuals determined as high risk for serious obstetrical complication, including:
  • Gestational hypertension, as defined by American College of Obstetricians and Gynecologists guidelines (ACOG Practice Bulletin 2012)
  • Gestational diabetes which is not controlled by diet and exercise as per American College of Obstetricians and Gynecologists guidelines (ACOG Practice Bulletin 2013)
  • Pre-eclampsia or eclampsia as defined by American College of Obstetricians and Gynecologists guidelines (ACOG practice bulletin, 2002)
  • HIV infection
  • Obesity class II or greater (pre-pregnancy BMI≥35.0)
  • multiple pregnancy
  • Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study.
  • Individuals who are not able to comprehend and to follow all required study procedures for the whole period of the study.
  • Individuals with known or suspected impairment of the immune system including known or suspected HIV infection or HIV-related disease, a history of or an active autoimmune disorder and receipt of immunosuppressive therapy.
  • Long term use of glucocorticoids, including oral or parenteral prednisone ≥ 20 mg/day or equivalent for more than 2 consecutive weeks (or 2 weeks total) within 30 days prior to enrollment. Use of inhaled, intranasal, or topical corticosteroids is allowed.
  • Individuals participating in any clinical trial with another investigational product during the pregnancy or intent to participate in another clinical study at any time during the conduct of this study.
  • Pregnant with a fetus with a known or suspected congenital anomaly
  • Individuals who are acting as study personnel or immediate family members (brother, sister, child, parent) or the spouse of study personnel.
  • Individuals with a fever (oral temperature ≥ 38°C/100.4 °F) within 3 days prior to intended study vaccination.
  • Individuals with a history of culture confirmed GBS case in the infant(s) previously born to her.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02046148). 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.

Back to search