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Infections, StreptococcalPhase 3NCT00814710

Primary Vaccination Study With a Pneumococcal Conjugate Vaccine in Healthy Children 6 to 10 Weeks of Age

A Phase 3 study testing Pneumococcal conjugate vaccine GSK1024850A, Tritanrix-HepB/Hib and Hiberix in people with Infections, Streptococcal and Streptococcus Pneumoniae, run by GlaxoSmithKline at 4 sites in India.

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 this study is to assess the immunogenicity in terms of antibody response and the safety/reactogenicity in terms of solicited and unsolicited symptoms and serious adverse events following primary vaccination of Indian infants with pneumococcal conjugate vaccine GSK1024850A co-administered with a… Read more about this study

Who is it for?
Ages 6 to 10 weeksHealthy volunteers can take part
What is being tested?
Pneumococcal conjugate vaccine GSK1024850A, Tritanrix-HepB/Hib and Hiberix
Could I receive a placebo?
No, everyone receives an active treatment
How many people
360 participants
Where
4 sitesIndia
Study dates
7 Mar 2009to 13 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 10 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Male or female subjects between, and including 6-10 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. Where parent(s)/guardian(s) are illiterate, the consent form will be countersigned by a witness.
  • Free of any known or suspected health problems (as established by medical history and clinical examination before entering into the study).

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, in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device).
  • 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 13Show fewer
  • Previous vaccination against diphtheria, tetanus, pertussis, hepatitis B, Haemophilus influenzae type b and/or Streptococcus pneumoniae (with the exception of hepatitis B vaccination at birth or at least 30 days before the subject's first study visit).
  • History of, or intercurrent, diphtheria, tetanus, pertussis, hepatitis B, Streptococcus and Haemophilus influenzae type b 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.
  • Babies for which birth weight is < 2 kilogram.

Trial locations and contacts

4 sites in 1 country.

India4 sites
  • GSK Investigational Site

    Kolkata, 700073

  • GSK Investigational Site

    Ludhiana, 141 008

  • GSK Investigational Site

    Pune

  • GSK Investigational Site

    Vellore, 632004

Other trials in India

About this study

Official title: Primary Vaccination Course in Healthy Children Receiving the Pneumococcal Vaccine GSK 1024850A Co-administered With Tritanrix™-HepB/Hib at 6, 10 and 14 Weeks of Age

The purpose of this study is to assess the immunogenicity in terms of antibody response and the safety/reactogenicity in terms of solicited and unsolicited symptoms and serious adverse events following primary vaccination of Indian infants with pneumococcal conjugate vaccine GSK1024850A co-administered with a diphtheria, tetanus, whole cell pertussis (DTPw)-combined vaccine during the first 4 months of life. The study will be conducted in India.

Being tested
Pneumococcal conjugate vaccine GSK1024850A, Tritanrix-HepB/Hib, Hiberix, Tritanrix-HepB
Keywords
Pneumococcal disease, Pneumococcal vaccine, Safety, Primary vaccination, Immunogenicity
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 GSK1024850ABiological

    Intramuscular injection, 3 doses

  • Tritanrix-HepB/HibBiological

    Also called DTPw-HBV/Hib

    Intramuscular injection, 3 doses

  • HiberixBiological

    Also called Hib

    Intramuscular injection, 3 doses

  • Tritanrix-HepBBiological

    Also called DTPw-HBV

    Intramuscular injection, 3 doses

Study groups in NCT00814710
Study groupRoleWhat they receive
Synflorix & Tritanrix-HebB/Hib GroupExperimentalSubjects received SynflorixTM (GSK1024850A) intramuscularly in the right thigh co-administered with TritanrixTM-HepB/Hib intramuscularly in the left thigh at 6-10-14 weeks of age (=study month 0, 1, 2)
Receives: Biological: Pneumococcal conjugate vaccine GSK1024850A; Biological: Tritanrix-HepB/Hib
Hiberix group & Tritanrix-HebB GroupActive comparatorSubjects received HiberixTM intramuscularly in the right thigh co-administered with TritanrixTM-HepB intramuscularly in the left thigh at 6-10-14 weeks of age (=study month 0, 1, 2)
Receives: Biological: Hiberix; Biological: Tritanrix-HepB

What is being measured

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

  1. Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes

    Concentrations were expressed as Geometric Mean Concentrations (GMCs) in microgram per milliliter (µg/mL).

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

    Measured: One month after primary immunization (month 3)

  2. Concentration of Antibody Against Protein D (PD)

    Concentrations were expressed as GMCs GSK's 22F-inhibition in enzyme-linked-immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: One month after primary immunization (month 3)

Secondary outcomes (15)
  1. Number of Subjects With Opsonophagocytic Activity Against Pneumococcal Serotypes

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

    Cross-reactive pneumococcal serotypes included 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 3)

  2. Number of Subjects With Antibody Concentrations Against Pneumococcal Serotypes Equal to or Above Cut-off Value

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

    The cut-off was defined as 0.20 microgram per milliliter (µg/mL).

    Measured: One month after primary immunization

  3. Concentrations of Antibodies Against Pneumococcal Cross-reactive Serotypes

    Concentrations were expressed as GMCs in µg/mL. Pneumococcal cross-reactive serotypes included 6A and 19A.

    Measured: One month after primary immunization (month 3)

  4. Number of Subjects Seropositive for Pneumococcal Serotypes

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

    Seropositivity was defined as a titer equal to or greater than 0.05 µg/mL

    Measured: One month after primary immunization (month 3)

  5. Number of Subjects Seropositive for Protein D (PD)

    Seropositivity for PD was defined greater than or equal to 100 EL.U/mL.

    Measured: One month after primary immunization (month 3)

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

    Concentration is expressed as GMC in µg/mL.

    Measured: One month after primary immunization (month 3)

  7. Concentration of Antibodies Against Diphteria (Anti-DT) and Tetanus (Anti-TT)

    Concentrations were expressed as GMCs in international units per milliliter (IU/mL).

    Measured: One month after primary immunization (month 3)

  8. Concentration of Antibody Against Bordetella Pertussis (B. Pertussis)

    Concentration was expressed as GMC in EL.U/mL.

    Measured: One month after primary immunization (month 3)

  9. Concentration of Antibody Against Hepatitis B (Anti-HBs) by Enzyme-Linked ImmunoSorbent Assay (ELISA).

    Concentration was expressed as GMC in milli international units per milliliter (mIU/mL). As a decrease in the specificity of the anti-HBs 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 retesting/reanalysis.

    Measured: One month after primary immunization (month 3)

  10. Number of Subjects Seropostive for B. Pertussis

    Seropositivity was defined as and antibody concentration equal to or greater than 15 EL.U/mL.

    Measured: One month after primary immunization (month 3)

  11. Number of Seroprotected Subjects (Anti-DT, Anti-TT, Anti-PRP, Anti-HBs)

    Seroprotection was defined as:

    Anti-DT antibody concentration equal to or greater than 0.1 IU/mL. Anti-TT antibody concentration equal to or greater than 0.1 IU/mL. Anti-PRP antibody concentration equal to or greater than 0.15 µg/mL Anti-HBs antibody concentration greater than or equal to 10 mIU/mL.

    Measured: One month after primary immunization (month 3)

  12. Number of Seroprotected Subjects (Anti-PRP Above the Cut-off of 1.0 µg/mL)

    Anti-PRP antibody concentration equal to or greater than 1.0 µg/mL.

    Measured: One month after primary immunization (month 3)

  13. Number of Subjects With Solicited Local and General Symptoms

    Solicited local symptoms included pain, redness and swelling. Solicited general symptoms included drowsiness, fever (equal to or above 38 degrees Celsius and above 39 degrees Celsius), irritability and loss of appetite.

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

  14. Number of Subjects With 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.

    Unsolicited AE covers any AE 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

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

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

    SAEs assessed include medical occurrences that result in death, are 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 first vaccination (Month 0) throughout the entire study period (month 3)

Timeline

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

  1. First posted25 Dec 2008 (estimated)
  2. Study start7 Mar 2009
  3. Primary completion13 Nov 2009
  4. Study completion13 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
Single blind
Who is masked
Participant
Enrolment
360 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00814710
Sponsor's protocol ID
111188
Other IDs
2011-004644-22
Status last verified
Dec 2019
First submitted
23 Dec 2008
Last updated
3 Jan 2020
Individual data sharing
Yes: IPD is available via the Clinical Study Data Request site (click on the link provided below)

Publications

  • Lalwani S, Chatterjee S, Chhatwal J, Verghese VP, Mehta S, Shafi F, Borys D, Moreira M, Schuerman L. Immunogenicity, safety, and reactogenicity of the 10-valent pneumococcal non-typeable Hemophilus influenzae protein D conjugate vaccine (PHiD-CV) when co-administered with the DTPw-HBV/Hib vaccine in Indian infants: a single-blind, randomized, controlled study. Hum Vaccin Immunother. 2012 May;8(5):612-22. doi: 10.4161/hv.19287. Epub 2012 May 1.

    PubMed 22634448
  • Lalwani S, Chatterjee S, Chhatwal J, Simon A, Ravula S, Francois N, Mehta S, Strezova A, Borys D. Randomized, open-label study of the impact of age on booster responses to the 10-valent pneumococcal nontypeable Haemophilus influenzae protein D conjugate vaccine in children in India. Clin Vaccine Immunol. 2014 Sep;21(9):1292-300. doi: 10.1128/CVI.00068-14. Epub 2014 Jul 9.

    PubMed 25008901

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pneumococcal conjugate vaccine GSK1024850A, Tritanrix-HepB/Hib and Hiberix in people with Infections, Streptococcal and Streptococcus Pneumoniae, run by GlaxoSmithKline at 4 sites in India.

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 4 inclusion and 13 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 3 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in India. 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 29 Oct 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 Pneumococcal Serotypes (time frame: One month after primary immunization (month 3)). 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 NCT00814710, which also lists 2 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 3 Jan 2020.

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