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Infections, StreptococcalPhase 3NCT00808444

Primary Vaccination Study With a Pneumococcal Conjugate Vaccine in Healthy Children 6-12wks of Age

A Phase 3 study testing Pneumococcal conjugate vaccine GSK1024850A (different lots), Infanrix hexa and Infanrix-IPV/Hib in people with Infections, Streptococcal, run by GlaxoSmithKline at 5 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

The purpose of the present study is to demonstrate that the changes in the manufacturing process for the commercial lot of the pneumococcal conjugate vaccine GSK1024850A have no clinical impact and that the immune responses are non-inferior to the immune responses induced by the clinical lot. Read more about this study

Who is it for?
Ages 6 to 12 weeksHealthy volunteers can take part
Conditions the study is for
Infections, Streptococcal
What is being tested?
Pneumococcal conjugate vaccine GSK1024850A (different lots), Infanrix hexa and Infanrix-IPV/Hib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
466 participants
Where
5 sitesin 2 countries
Study dates
5 Jan 2009to 2 Nov 2009
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 6 to 12 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Male or female subjects between, and including 6-12 weeks of age at the time of the first vaccination.
  • Subjects for whom the investigator believes that their parent(s)/guardian(s) can and will comply with the requirements of the protocol.
  • Written or oral, signed or thumb-printed informed consent obtained from the parent(s)/guardian(s) of the child/ward.
  • Free of any known or suspected health problems (as established by medical history and clinical examination before entering into the study).
  • Born after a gestation period of >= 36 to <= 42 weeks.

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 the study vaccines, or planned use during the study period.
  • Concurrently participating in another clinical study, at any time during the study period.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs since birth.
  • A family history of congenital or hereditary immunodeficiency.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period (with the exception of hepatitis B immunoglobulins at birth).
Show all 15Show fewer
  • Previous vaccination against diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, Haemophilus influenzae type b and/or Streptococcus pneumoniae (with the exception of vaccines where the first dose can be given within the first two weeks of life).
  • Planned administration/administration of a vaccine not foreseen by the study protocol during the period starting 30 days before each dose of vaccine and ending 7 days after Dose 1 and Dose 2 and 30 days after Dose 3.
  • History of, or intercurrent diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis, H. influenzae type b and rotavirus disease.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
  • History of any neurological disorders or seizures.
  • Major congenital defects or serious chronic illness.
  • Acute disease at the time of enrolment.
  • Gastroenteritis within 7 days preceding the study vaccine administration.
  • Any clinically significant history of chronic gastrointestinal disease including any uncorrected congenital malformation of the gastrointestinal tract, intussusception or other medical condition determined to be serious by the investigator.

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

Singapore3 sites
  • GSK Investigational Site

    Singapore, 119074

  • GSK Investigational Site

    Singapore, 149547

  • GSK Investigational Site

    Singapore, 229899

Other trials in Singapore

Malaysia2 sites
  • GSK Investigational Site

    Kuala Lumpur, 59100

  • GSK Investigational Site

    Seremban, Negeri Sembilan, 70300

Other trials in Malaysia

About this study

Official title: Non-inferiority of a Commercial Lot of the Pneumococcal Vaccine GSK1024850A Compared to a Clinical Lot.

The purpose of the present study is to demonstrate that the changes in the manufacturing process for the commercial lot of the pneumococcal conjugate vaccine GSK1024850A have no clinical impact and that the immune responses are non-inferior to the immune responses induced by the clinical lot. The study will be conducted in Singapore and Malaysia.

Being tested
Pneumococcal conjugate vaccine GSK1024850A (different lots), Infanrix hexa, Infanrix-IPV/Hib, Rotarix
Keywords
Pneumococcal vaccine, Immunogenicity, Primary vaccination, Safety, Pneumococcal disease
Medical subject headings
Streptococcal Infections, Pneumococcal Infections

What participants receive

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

  • Pneumococcal conjugate vaccine GSK1024850A (different lots)Biological

    Intramuscular injection, 3 doses

  • Infanrix hexaBiological

    Also called DTPa-combined vaccine

    Intramuscular injection, 3 doses in Malaysia and 2 doses in Singapore

  • Infanrix-IPV/HibBiological

    Also called DTPa-combined vaccine

    Intramuscular injection, only for Visit 2 in Singapore

  • RotarixBiological

    Also called HRV vaccine

    Oral, 2 doses

Study groups in NCT00808444
Study groupRoleWhat they receive
Synflorix Clinical Lot & Infanrix GroupExperimentalSubjects received 3 doses of the clinical lot of Synflorix TM (GSK1024850A) intramuscularly in the right thigh at 2-3-5 months of age (= study month 0, 1, 3) co-administered with a DTPa-combined vaccine (Infanrix hexa TM (at 2, 3 and 5 months of age in Malaysia or 2 and 5 months of age in Singapore) or Infanrix-IPV/Hib TM (at 3 months of age in Singapore)) intramuscularly in the left thigh and Rotarix TM orally at 2-3 months of age (= study month 0, 1).
Receives: Biological: Pneumococcal conjugate vaccine GSK1024850A (different lots); Biological: Infanrix hexa; Biological: Infanrix-IPV/Hib; Biological: Rotarix
Synflorix Commercial Lot Infanrix GroupExperimentalSubjects received 3 doses of the commercial lot of Synflorix TM (GSK1024850A) intramuscularly in the lright thigh at 2-3-5 months of age (= study month 0, 1, 3) co-administered with a DTPa-combined vaccine (Infanrix hexa TM (at 2, 3 or 5 months of age in Malaysia or 2 and 5 months in Singapore) or Infanrix-IPV/Hib TM (at 3 months of age in Singapore)) intramuscularly in the left thigh and Rotarix TM orally at 2-3 months of age (= study month 0, 1).
Receives: Biological: Pneumococcal conjugate vaccine GSK1024850A (different lots); Biological: Infanrix hexa; Biological: Infanrix-IPV/Hib; Biological: Rotarix

What is being measured

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

  1. Concentrations of Antibodies Against Vaccine Components of the Pneumococcal Vaccine

    Concentrations are given as Geometric Mean Concentrations (GMCs) in microgram per milliliter (μg/mL).

    Vaccine pneumococcal serotypes assessed included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.

    Measured: One month after primary immunization (month 4)

  2. Concentration of Antibody Against Protein D (PD)

    Concentration was expressed as GMC in GSK's 22F enzyme-linked-immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: One month after primary immunization (month 4)

Secondary outcomes (15)
  1. Number of Subjects With Anti-pneumococcal Vaccine Serotype Antibody Concentrations Equal to or Above 0.20 µg/mL

    Vaccine pneumococcal serotypes included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.

    Measured: One month after primary immunization (month 4)

  2. Number of Subjects With Anti-pneumococcal Cross-reactive Serotype Concentrations Equal to or Above 0.20 µg/mL

    Anti-pneumococcal cross-reactive serotypes were 6A and 19A.

    Measured: One month after primary immunization (month 4)

  3. Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes

    Vaccine pneumococcal serotypes included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.

    Opsonophagocytic activity was defined as the dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. The cut-off of the assay was an opsonic titer equal to or greater than 8.

    Measured: One month after primary immunization (month 4)

  4. Number of Subjects With Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes

    Cross-reactive pneumococcal serotypes were 6A and 19A.

    Opsonophagocytic activity was defined as the dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. The cut-off of the assay was an opsonic titer equal to or greater than 8.

    Measured: One month after primary immunization (month 4)

  5. Opsonophagocytic Titers of Cross-reactive Pneumococcal Serotypes

    Opsonophagocytic titers were expressed as GMTs.

    Cross-reactive pneumococcal serotypes included 6A and 19A.

    Measured: One month after primary immunization (month 4)

  6. Poliovirus Types 1, 2 and 3 Titers

    Titers were given as Geometric Mean Titers (GMTs).

    Measured: One month after primary immunization (month 4)

  7. Concentrations of Antibodies Against Diphteria Toxoid (DT) and Tetanus Toxoid (TT)

    Concentrations were defined as GMCs in international units per milliter (IU/mL)

    Measured: One month after primary immunization (month 4)

  8. Concentration of Antibody Against Hepatitis B Surface Antigen (HBs) by Enzyme Linked ImmunoSorbent Assay (ELISA).

    Concentration was given as GMC in milli international units per milliliter (mIU/mL). As a decrease in the specificity of the anti-HB ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL), the table shows results following partial or complete reanalysis.

    Measured: One month after primary immunization (month 4)

  9. Concentration of Antibody Against Rotavirus Immunoglobulin A (IgA)

    Concentration was expressed as GMC in units per milliliter (U/mL).

    Measured: 3 months after primary immunization (month 4)

  10. Occurrence of Serious Adverse Events

    SAEs assessed include medical occurrences that result in death, is life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: Following vaccination and throughout the entire study period (Month 0 to Month 4)

  11. Opsonophagocytic Titers of Vaccine Pneumococcal Serotypes

    Titers are presented as Geometric Mean Titers (GMTs).

    Pneumococcal serotypes included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.

    Measured: One month after primary immunization (month 4)

  12. Number of Subjects With Solicited Local and General Symptoms.

    Solicited local symptoms were pain, redness and swelling.

    Solicited general symptoms were drowsiness, fever, irritability, loss of appetite, diarrhoea and vomiting.

    Measured: Within 4 days (day 0-3) after vaccination

  13. Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA), Pertactin (PRN)

    Concentrations are expressed as GMCs in EL.U/mL.

    Measured: One month after primary immunization (month 4)

  14. Concentration of Antibody Against Polyribosyl-ribitol Phosphate (PRP)

    Concentrain was expressed as GMC in µg/mL.

    Measured: One month after primary immunization (month 4)

  15. Occurrence of Unsolicited Adverse Events

    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.

    Measured: Within 31 days (day 0-30) after vaccination

Timeline

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

  1. First posted15 Dec 2008 (estimated)
  2. Study start5 Jan 2009
  3. Primary completion2 Nov 2009
  4. Study completion2 Nov 2009

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
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
466 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00808444
Sponsor's protocol ID
111654
Status last verified
Oct 2016
First submitted
11 Dec 2008
Last updated
17 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

  • Lim FS, Koh MT, Tan KK, Chan PC, Chong CY, Shung Yehudi YW, Teoh YL, Shafi F, Hezareh M, Swinnen K, Borys D. A randomised trial to evaluate the immunogenicity, reactogenicity, and safety of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) co-administered with routine childhood vaccines in Singapore and Malaysia. BMC Infect Dis. 2014 Oct 2;14:530. doi: 10.1186/1471-2334-14-530.

    PubMed 25278086

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pneumococcal conjugate vaccine GSK1024850A (different lots), Infanrix hexa and Infanrix-IPV/Hib in people with Infections, Streptococcal, run by GlaxoSmithKline at 5 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 5 inclusion and 15 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 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 5 sites in Singapore, Malaysia. 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 19 Nov 2010). 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?

Concentrations of Antibodies Against Vaccine Components of the Pneumococcal Vaccine (time frame: One month after primary immunization (month 4)). The study lists 2 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 NCT00808444, 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 17 Aug 2018.

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