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Acellular PertussisPhase 3NCT00346073

Safety and Immunogenicity of GSK's Tdap Vaccine (Boostrix) in Adults Aged 19 to 64 Years

A Phase 3 study testing Boostrix™ and ADACEL® in people with Acellular Pertussis and Diphtheria, run by GlaxoSmithKline at 42 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

GSK Biologicals' dTpa vaccine has recently been approved by the US Food and Drug Administration (FDA) for booster vaccination of adolescents aged 10 to 18 years. The ACIP has recently issued provisional recommendations for universal adult Tdap vaccination. Read more about this study

Who is it for?
Ages 19 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Acellular Pertussis, Diphtheria, Tetanus
What is being tested?
Boostrix™ and ADACEL®
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,337 participants
Where
42 sitesUnited States
Study dates
13 Jul 2006to 7 Mar 2007
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • A healthy male or female, 19 to 64 years of age (not having reached the 65th birthday) at the time of study vaccination.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding administration of study vaccine, or planned use during the active phase of the study.
  • Chronic administration of immunosuppressants or within six months prior to administration of study vaccine.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol within 30 days of administration of study vaccine (with the exception of an influenza vaccine).
  • Administration of a diphtheria-tetanus (Td) booster within previous five years.
  • Administration of Tdap vaccine at any time prior to study entry. History of serious allergic reaction (e.g. anaphylaxis) following any other tetanus toxoid, diphtheria toxoid or pertussis-containing vaccine or any component of the study vaccines.

Trial locations and contacts

42 sites in 1 country.

42 sites in 1 country

United States42 sites
  • GSK Investigational Site

    Albuquerque, New Mexico, 87108

  • GSK Investigational Site

    Alliance, Nebraska, 69301

  • GSK Investigational Site

    Bardstown, Kentucky, 40004

  • GSK Investigational Site

    Bismarck, North Dakota, 58501

  • GSK Investigational Site

    Boise, Idaho, 83713

  • GSK Investigational Site

    Bristol, Tennessee, 37620

  • GSK Investigational Site

    Chandler, Arizona, 85224

  • GSK Investigational Site

    Colorado Springs, Colorado, 80909

  • GSK Investigational Site

    Grove City, Pennsylvania, 16127

  • GSK Investigational Site

    Hickory, North Carolina, 28601

  • GSK Investigational Site

    Houston, Texas, 77024

  • GSK Investigational Site

    Huntsville, Alabama, 35802

  • GSK Investigational Site

    Kansas City, Missouri, 64114

  • GSK Investigational Site

    Knoxville, Tennessee, 37920

  • GSK Investigational Site

    Las Vegas, Nevada, 89104

  • GSK Investigational Site

    Little Rock, Arkansas, 72205

  • GSK Investigational Site

    Melbourne, Florida, 32901

  • GSK Investigational Site

    Mesa, Arizona, 85203

  • GSK Investigational Site

    Mesa, Arizona, 85213

  • GSK Investigational Site

    Miami, Florida, 33143

  • GSK Investigational Site

    Norfolk, Virginia, 23507

  • GSK Investigational Site

    North Platte, Nebraska, 69101

  • GSK Investigational Site

    Oklahoma City, Oklahoma, 73112

  • GSK Investigational Site

    Pembroke Pines, Florida, 33024

  • GSK Investigational Site

    Peoria, Arizona, 85381 - 4828

  • GSK Investigational Site

    Peoria, Illinois, 61602

  • GSK Investigational Site

    Phoenix, Arizona, 85014

  • GSK Investigational Site

    Pittsburgh, Pennsylvania, 15241

  • GSK Investigational Site

    Pueblo, Colorado, 81001

  • GSK Investigational Site

    Raleigh, North Carolina, 27609

  • GSK Investigational Site

    Richland, Michigan, 49083

  • GSK Investigational Site

    Salt Lake City, Utah, 84109

  • GSK Investigational Site

    Salt Lake City, Utah, 84121

  • GSK Investigational Site

    San Diego, California, 92103-6204

  • GSK Investigational Site

    San Diego, California, 92108

  • GSK Investigational Site

    South Bend, Indiana, 46601

  • GSK Investigational Site

    St Louis, Missouri, 63141

  • GSK Investigational Site

    Tampa, Florida, 33603

  • GSK Investigational Site

    Tempe, Arizona, 85283

  • GSK Investigational Site

    Washington D.C., District of Columbia, 20036

  • GSK Investigational Site

    West Jordan, Utah, 84088

  • GSK Investigational Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Study to Evaluate Immunogenicity and Safety of Boostrix Compared to Adacel When Administered as a Booster Vaccination in Adults Aged 19 to 64 Years of Age

GSK Biologicals' dTpa vaccine has recently been approved by the US Food and Drug Administration (FDA) for booster vaccination of adolescents aged 10 to 18 years. The ACIP has recently issued provisional recommendations for universal adult Tdap vaccination. The current study will provide pivotal data in support of extending the age range for Boostrix vaccine to include adults 19-64 years of age.

Being tested
Boostrix™, ADACEL®
Keywords
Prophylaxis for diphtheria, tetanus, pertussis, Immunogenicity, booster, dTpa
Medical subject headings
Diphtheria, Tetanus, Whooping Cough

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Boostrix™Biological

    Combined Reduced Antigen Content Diphtheria, Tetanus, Acellular Pertussis Vaccine

  • ADACEL®Biological

    Sanofi Pasteur

Study groups in NCT00346073
Study groupRoleWhat they receive
Boostrix GroupExperimentalSubjects, male or female, between, and including, 19 and 64 years of age received a single dose of Boostrix® vaccine administered intramuscularly in the deltoid region of the non-dominant upper arm at Day 0.
Receives: Biological: Boostrix™
Adacel GroupExperimentalSubjects, male or female, between, and including, 19 and 64 years of age received a single dose of Adacel™ vaccine administered intramuscularly in the deltoid region of the non-dominant upper arm at Day 0.
Receives: Biological: ADACEL®

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies

    A seroprotected subject is defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to ( ≥) 0.1 international units per milliliter (IU/mL).

    Measured: At Month 1

  2. Number of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies

    A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to 1.0 international units per milliliter (IU/mL).

    Measured: At Month 1

  3. Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations

    Concentrations are presented as geometric mean concentrations (GMCs) and expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: At Month 1

  4. Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies

    Booster responses for anti-PT, anti-FHA and anti-PRN antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (<) 5 EU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥) 20 EU/mL), one month after vaccination; for initially seropositive subjects with pre-vaccination concentration ≥ 5 EU/mL and < 20 EU/mL: an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination; and for initially seropositive subjects with pre-vaccination concentration ≥ 20 EU/mL: an increase in antibody concentrations of at least two times the pre-vaccination concentration, one month after vaccination.

    Measured: At Month 1

Secondary outcomes (11)
  1. Number of Seropositive Subjects With Anti-diphteria (Anti-D) Antibodies

    A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to (≥) 1.0 international units per milliliter (IU/mL).

    Measured: At Month 1

  2. Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)

    Booster responses for anti-D and anti-T antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (<) 0.1 IU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥ 0.4 IU/mL), one month after vaccination; and for initially seropositive subjects (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination.

    Measured: At Month 1

  3. Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations

    Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: At Month 1

  4. Number of Subjects With Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

    Measured: During the 15-day period (Day 0-14) following vaccination

  5. Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were fatigue, fever [defined as temperature measured orally, greater than or equal to (≥) 37.5 degrees Celsius (°C)], gastrointestinal symptoms [gastro sympt.] and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

    Measured: During the 15-day period (Day 0-14) following vaccination

  6. Number of Subjects With Any Unsolicited Adverse Events (AEs)

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

    Measured: During the 31-day period (Days 0-30) following vaccination

  7. Number of Subjects With Serious Adverse Events (SAEs).

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Measured: During the active phase of the study (Day 0 - Day 30)

  8. Number of Subjects With Serious Adverse Events (SAEs)

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Measured: During the extended safety follow-up (ESFU) phase (Day 31 - Month 6)

  9. Number of Subjects Reporting Hospitalizations

    Hospitalization signified that the subject had been detained (usually involving at least an overnight stay) at the hospital or emergency ward for observation and/or treatment that would not have been appropriate in the physician's office or out patient setting.

    Measured: During the extended safety follow-up (ESFU) period (from Day 31 to Month 6)

  10. Number of Subjects Reporting Emergency Room Visits

    Emergency room visits refer to AEs requiring immediate medical attention.

    Measured: During the extended safety follow-up (ESFU) period (from Day 31 to Month 6)

  11. Number of Subjects Reporting the Onset of New Chronic Illnesses

    New onset chronic illnesses include diabetes, asthma, allergies, autoimmune diseases.

    Measured: During the extended safety follow-up (ESFU) period (from Day 31 to Month 6)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2006 (estimated)
  2. Study start13 Jul 2006
  3. Primary completion1 Mar 2007
  4. Study completion7 Mar 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
2,337 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00346073
Sponsor's protocol ID
106316
Status last verified
Feb 2018
First submitted
28 Jun 2006
Last updated
7 Aug 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Blatter M, Friedland LR, Weston WM, Li P, Howe B. Immunogenicity and safety of a tetanus toxoid, reduced diphtheria toxoid and three-component acellular pertussis vaccine in adults 19-64 years of age. Vaccine. 2009 Jan 29;27(5):765-72. doi: 10.1016/j.vaccine.2008.11.028. Epub 2008 Nov 27.

    PubMed 19041352

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Boostrix™ and ADACEL® in people with Acellular Pertussis and Diphtheria, run by GlaxoSmithKline at 42 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Aug 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies (time frame: At Month 1). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00346073, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Aug 2018.

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