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Infections, StreptococcalPhase 3NCT00390910

Study to Evaluate the Safety and Immunogenicity of a 10-valent Pneumococcal Conjugate Vaccine in Preterm Infants

A Phase 3 study testing Pneumococcal conjugate vaccine GSK1024850A and Infanrix hexa in people with Infections, Streptococcal, run by GlaxoSmithKline at 8 sites in 2 countries.

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

This study aims to evaluate the safety, reactogenicity and immunogenicity of GlaxoSmithKline (GSK) Biologicals´ 10-valent pneumococcal conjugate vaccine when co-administered with diphtheria, tetanus, acellular pertussis-hepatitis B virus-inactivated polio virus/Haemophilus influenzae type b (DTPa-HBV-IPV/Hib) vaccine… Read more about this study

Who is it for?
Ages 8 to 16 weeksHealthy volunteers can take part
Conditions the study is for
Infections, Streptococcal
What is being tested?
Pneumococcal conjugate vaccine GSK1024850A and Infanrix hexa
Could I receive a placebo?
No, everyone receives an active treatment
How many people
286 participants
Where
8 sitesin 2 countries
Study dates
1 Oct 2006to 2 May 2008
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 8 to 16 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol
  • A male or female between, and including, 8-16 weeks (56-118 days) of age at the time of the first vaccination.
  • Written informed consent obtained from the parent or guardian of the subject.
  • Born after a gestation period of >27 weeks (at least 189 days).
  • If full term born, healthy subjects as established by medical history and clinical examination before entering into the study
  • If premature, medically stable condition (not requiring significant medical support or ongoing management for debilitating disease and having demonstrated a clinical course of sustained recovery).

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first dose of study vaccines, or planned use during the study period
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs from birth to the first vaccine dose.
  • Planned administration/administration of a vaccine not foreseen by the study protocol, during the period starting from one month before the first dose of vaccines and up to Visit 6.
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b, Neisseria meningitidis and/or Streptococcus pneumoniae with the exception of vaccines where the first dose can be given within the first two weeks of life according to the national recommendations
  • History of or intercurrent diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b disease, Neisseria meningitidis.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
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  • History of any neurologic disorders or seizures (this criterion does not apply to subjects who have had a single, uncomplicated febrile convulsion in the past).
  • Acute disease at the time of enrolment.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination
  • A family history of congenital or hereditary immunodeficiency.
  • Major congenital defects or serious chronic illness.
  • Administration of immunoglobulins, with the exception of monoclonal antibodies against RSV, and/or any blood products within one month preceding the first dose of study vaccines or planned administration during the active phase of the study.

Trial locations and contacts

8 sites in 2 countries.

8 sites in 2 countries

Greece5 sites
  • GSK Investigational Site

    Athens, 115 27

  • GSK Investigational Site

    Athens, 11527

  • GSK Investigational Site

    Ioannina, 452 21

  • GSK Investigational Site

    Rio/Patras, 26500

  • GSK Investigational Site

    Thessaloniki, 54636

Other trials in Greece

Spain3 sites
  • GSK Investigational Site

    Burgos, 09005

  • GSK Investigational Site

    Madrid, 28047

  • GSK Investigational Site

    Móstoles/Madrid, 28935

Other trials in Spain

About this study

Official title: Study to Assess the Safety and Immunogenicity of GSK Biologicals 10-valent Pneumococcal Conjugate Vaccine When Co-administered With DTPa-HBV-IPV/Hib (Infanrix-Hexa) Vaccine in Preterm Infants as a 3-dose Primary Immunization Course During the First 6 Months of Life.

This study aims to evaluate the safety, reactogenicity and immunogenicity of GlaxoSmithKline (GSK) Biologicals´ 10-valent pneumococcal conjugate vaccine when co-administered with diphtheria, tetanus, acellular pertussis-hepatitis B virus-inactivated polio virus/Haemophilus influenzae type b (DTPa-HBV-IPV/Hib) vaccine in preterm infants as a 3-dose primary immunization course during the first 6 months of life.

This protocol posting deals with objectives \& outcome measures of the primary study. The objectives \& outcome measures of the Booster study are presented in a separate protocol posting (NCT number = 00609492)

Read the detailed description

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Being tested
Pneumococcal conjugate vaccine GSK1024850A, Infanrix hexa
Keywords
Pneumococcal vaccine, Preterm, Safety, Pneumococcal disease, Immunogenicity
Medical subject headings
Streptococcal Infections, Premature Birth, Pneumococcal Infections

What participants receive

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

  • Pneumococcal conjugate vaccine GSK1024850ABiological

    Intramuscular injection, 3 doses

  • Infanrix hexaBiological

    Also called DTPa-HBV-IPV/Hib

    Intramuscular injection, 3 doses

Study groups in NCT00390910
Study groupRoleWhat they receive
Synflorix™ + Infanrix™ hexa Group IExperimentalVery preterm infants born after a gestation period of 27-30 weeks (189-216 days)
Receives: Biological: Pneumococcal conjugate vaccine GSK1024850A; Biological: Infanrix hexa
Synflorix™ + Infanrix™ hexa Group IIExperimentalMild pretem infants born after a gestation period of 31-36 weeks (217-258 days)
Receives: Biological: Pneumococcal conjugate vaccine GSK1024850A; Biological: Infanrix hexa
Synflorix™ + Infanrix™ hexa Group IIIExperimentalInfants born after a gestation period of more than 36 weeks (more than 258 days)
Receives: Biological: Pneumococcal conjugate vaccine GSK1024850A; Biological: Infanrix hexa

What is being measured

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

  1. Number of Subjects With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off

    Fever was measured as rectal temperature. Assessment of occurrences of fever > 39.0 °C was performed post doses 1, 2 and 3 of Synflorix or Infanrix hexa vaccine.

    Measured: Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4)

Secondary outcomes (28)
  1. Number of Subjects With Any and Grade 3 Solicited Local Symptoms

    Solicited local symptoms assessed included pain, redness and swelling. Grade 3 pain was defined as crying when limb was moved/ spontaneously painful. Grade 3 swelling/ redness was defined as swelling/ redness greater than (>) 30 millimeters (mm). "Any" was defined as incidence of the specified symptom regardless of intensity.

    Measured: Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4)

  2. Number of Subjects With Any and Grade 3 Solicited General Symptoms

    Solicited general symptoms assessed included drowsiness, fever (defined as rectal temperature ≥ 38.0°C), irritability, and loss of appetite. Grade 3 drowsiness was defined as drowsiness which prevented normal everyday activities. Grade 3 fever was defined as fever (rectal temperature) above (>) 40.0 degree Celsius (°C). Grade 3 irritability was defined as crying that could not be comforted/ preventing normal activity. Grade 3 loss of appetite was defined as the subject not eating at all. "Any" was defined as incidence of the specified symptom regardless of intensity or relationship to study vaccination.

    Measured: Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4)

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

    An AE is 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. "Any" was defined an incidence of an unsolicited AE regardless of intensity or relationship to study vaccination.

    Measured: Within 31 days (Days 0-30) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4)

  4. Number of Subjects With Any Serious Adverse Events (SAEs)

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

    Measured: Throughout the active phase of the study (from the first vaccine administration (Month 0) up to 1 month after the third vaccine administration (Month5).

  5. Number of Subjects With Any Serious Adverse Events (SAEs)

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

    Measured: Throughout the entire study period starting from the first vaccine dose administration (Month 0) up to the end of the 6-month safety follow-up (ESFU- Month 10).

  6. Number of Subjects With Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Greater Than or Equal to (≥) the Cut-off

    The cut-off for the assay was ≥ 0.20 microgram per mililiter (μg/ mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  7. Number of Subjects With Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off

    The cut-off for the assay was ≥ 0.05 microgram per mililiter (μg/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  8. Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F

    Seropositivity status, defined as anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations ≥ 0.05 microgram per milliliter (μg/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  9. Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off

    The cut-off for the assay was ≥ 8

    Measured: One month after the 3rd vaccine dose (Month 5)

  10. Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F

    Seropositivity status, defined as Opsonophagocytic activity against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ 8.

    Measured: One month after the 3rd vaccine dose (Month 5)

  11. Number of Subjects With Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off

    The cut-off for the assay was ≥ 0.05 microgram per milliliter (μg/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  12. Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A

    Seropositivity status was defined as anti-pneumococcal cross-reactive serotypes 6A and 19A antibody concentrations ≥ 0.05 microgram per milliliter (μg/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  13. Number of Subjects With Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off

    The cut-off for the assay was ≥ 8.

    Measured: One month after the 3rd vaccine dose (Month 5)

  14. Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A

    Seropositivity status was defined as opsonophagocytic activity against pneumococcal cross-reactive serotypes 6A and 19A ≥ 8.

    Measured: One month after the 3rd vaccine dose (Month 5)

  15. Number of Subjects With Concentrations of Antibodies Against Protein D (Anti-PD) ≥ the Cut-off

    The cut-off for the assay was ≥ 100 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  16. Concentrations of Antibodies Against Protein D (Anti-PD)

    Seropositivity status was defined as anti-PD antibody concentrations ≥ 100 ELISA units per milliliter ( EL.U/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  17. Number of Subjects With Anti-diphtheria (Anti DT) and Anti-tetanus Toxoids (Anti TT) Antibody Concentrations ≥ the Cut-off

    The cut-off for the assay was ≥ 0.1 international units per milliliter (IU/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  18. Antibody Concentrations for Anti-diphtheria and Tetanus Toxoids ≥ the Cut-off

    Seroprotection status was defined as anti-diphtheria toxoid or anti-tetanus toxoid antibody concentrations ≥ 0.1 IU/mL

    Measured: One month after the 3rd vaccine dose (Month 5)

  19. Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off

    The cut-off for the assay was ≥ 0.15 microgram per milliliter (μg/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  20. Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off

    The cut-off for the assay was ≥ 1.0 microgram per milliliter (μg/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  21. Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibody Concentrations ≥ th Cut-off

    Seroprotection status was defined as anti-PRP antibody concentrations ≥ 0.15 μg/mL and ≥ 1.0 μg/mL

    Measured: One month after the 3rd vaccine dose (Month 5)

  22. Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥ the Cut-off

    The cut-off for the assay was ≥ 5 ELISA unit per milliliter (EL.U/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  23. Antibody Concentration for Anti-pertussis Toxoid (Anti-PT) , Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)

    Seropositivity status was defined as anti-PT, anti-FHA, anti-PRN antibody concentrations ≥ 5 EL.U/mL.

    Measured: One month after the 3rd vaccine dose (Month 5)

  24. Number of Subjects With Anti-Hepatitis B Surface Antigen (HBs) Antibody Concentrations ≥ the Cut-off.

    The cut-off for the assay was ≥ 10 milli-international units per milliliter (mIU/mL).

    Measured: One month after the 3rd vaccine dose (Month 5)

  25. Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations

    Seroprotection status was defined as Anti-HBs antibody concentrations ≥ 10 mIU/mL

    Measured: One month after the 3rd vaccine dose (Month 5)

  26. Number of Subjects With Anti-polio Type 1, 2 and 3 Antibody Titres

    The cut-off for the assay was ≥ 8.

    Measured: One month after the 3rd vaccine dose (Month 5)

  27. Antibody Titers for Polio Type 1, 2 and 3 ≥ the Cut-off

    Seroprotection status was defined as Anti-polio type 1, Anti-polio type 2 and Anti-polio type 3 antibody titers ≥ 8.

    Measured: One month after the 3rd vaccine dose (Month 5)

  28. Number of Subjects With Vaccine Response to Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)

    Vaccine response to PT, FHA and PRN was defined as appearance of antibodies in subjects who are initially seronegative (S-), or at least maintenance of pre-vaccination antibody concentrations in those who are initially seropositive (S+). For the SYNFLORIX™ + INFANRIX™ HEXA GROUP I, no subjects presented initial seropositivity for PT and PRN antigens.

    Measured: One month after the 3rd vaccine dose (Month 5)

Timeline

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

  1. First posted23 Oct 2006 (estimated)
  2. Study start1 Oct 2006
  3. Primary completion2 Jul 2007
  4. Study completion2 May 2008

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
286 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00390910
Sponsor's protocol ID
107737
Status last verified
May 2017
First submitted
20 Oct 2006
Last updated
17 Dec 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

  • Omenaca F, Merino JM, Tejedor JC, Constantopoulos A, Papaevangelou V, Kafetzis D, Tsirka A, Athanassiadou F, Anagnostakou M, Francois N, Borys D, Schuerman L. Immunization of preterm infants with 10-valent pneumococcal conjugate vaccine. Pediatrics. 2011 Aug;128(2):e290-8. doi: 10.1542/peds.2010-1184. Epub 2011 Jul 4.

    PubMed 21727108
  • Omeneca F et al. Vaccination of pre-term infants with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D-conjugate vaccine (PHID-CV). Abstract presented at the 27th annual ESPID meeting, Brussels, Belgium, 9-13 June 2009.

  • Omeneca F et al. Immunogenicity and safety of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) following primary and booster vaccination in preterm-born children. Abstract presented at Excellence In Paediatrics. Florence, Italy, 3-6 December 2009.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pneumococcal conjugate vaccine GSK1024850A and Infanrix hexa in people with Infections, Streptococcal, run by GlaxoSmithKline at 8 sites in 2 countries.

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 6 inclusion and 12 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 17 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Greece, Spain. 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 17 Dec 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 Subjects With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off (time frame: Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4)). 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 NCT00390910, which also lists 3 linked publications.

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 17 Dec 2018.

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