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Neisseria MeningitidisPhase 2NCT00871338

Study to Evaluate GSK Biologicals' GSK2197870A Vaccine Given as Primary Course in Infants

A Phase 2 study testing GSK2197870A, Prevenar™ and Menitorix™ in people with Neisseria Meningitidis and Haemophilus Influenzae Type b, run by GlaxoSmithKline at 5 sites in United Kingdom.

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 Phase II study is to evaluate the feasibility of GSK Biologicals' GSK2197870A vaccine co-administered with Wyeth-Lederle's Prevenar™ when given in healthy infants as a three-dose primary vaccination course at 2, 3 and 4 months of age followed by a booster dose of GSK Biologicals' Menitorix™ at 12… Read more about this study

Who is it for?
Ages 6 to 12 weeksHealthy volunteers can take part
What is being tested?
GSK2197870A, Prevenar™ and Menitorix™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
284 participants
Where
5 sitesUnited Kingdom
Study dates
24 Jun 2009to 9 Dec 2010
Phase
Phase 2
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

  • All subjects must satisfy the following criteria at study entry:
  • A male or female infant between, and including, 6 and 12 weeks of age at the time of the first vaccination.
  • Born after 36 to 42 weeks of gestation.
  • Subjects who the investigator believes that their parents/ guardians can and will comply with the requirements of the protocol should be enrolled in the study.
  • Written informed consent obtained from the parent or guardian of the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.

Who cannot join

  • The following criteria should be checked at the time of study entry. If any apply, the subject must not be included in the study:
  • Use of any investigational or non-registered product other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs since birth. For corticosteroids, this will mean prednisone, or equivalent, >= 0.5 mg/kg/day. Inhaled and topical steroids are allowed.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
  • Administration of a vaccine not foreseen by the study protocol within 30 days prior to vaccination, or planned administration 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 .
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  • Evidence of previous or intercurrent diphtheria, tetanus, pertussis, poliomyelitis, Hib, pneumococcal and/or group C meningococcal vaccination or disease.
  • History of seizures or progressive neurological disease (one episode of febrile convulsion does not constitute an exclusion criterion).
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine(s).
  • Major congenital defects or serious chronic illness.
  • The following condition is temporary or self limiting and a subject may be vaccinated once the condition has resolved and no other exclusion criteria are met:
  • Current febrile illness or axillary temperature ≥37.5ºC or other moderate to severe illness within 24 hours of study vaccine administration

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United Kingdom5 sites
  • GSK Investigational Site

    Bristol, BS2 8AE

  • GSK Investigational Site

    Ely, Cambridgeshire, CB7 4HF

  • GSK Investigational Site

    London, SW17 0QT

  • GSK Investigational Site

    Oxford, Oxfordshire, OX3 7LJ

  • GSK Investigational Site

    Southampton, Hampshire, SO16 6YD

Other trials in United Kingdom

About this study

Official title: Study in Healthy Children of GSK Biologicals' DTPa-IPV/Hib-MenC-TT Vaccine, GSK2197870A, Co-administered With Prevenar™ as a Three-dose Primary Vaccination Course in Infancy Followed by a Booster Dose of Menitorix™ at 12 Months of Age

The purpose of this Phase II study is to evaluate the feasibility of GSK Biologicals' GSK2197870A vaccine co-administered with Wyeth-Lederle's Prevenar™ when given in healthy infants as a three-dose primary vaccination course at 2, 3 and 4 months of age followed by a booster dose of GSK Biologicals' Menitorix™ at 12 months of age.

Read the detailed description

This protocol posting has been updated following Protocol amendment 1, 11-February-2010; The Study design section is impacted by this amendment.

Being tested
GSK2197870A, Prevenar™, Menitorix™, Pediacel™, Menjugate™
Keywords
combined, Vaccines
Medical subject headings
Haemophilus Infections

What participants receive

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

  • GSK2197870ABiological

    Also called GSK Biologicals' combined diphtheria, tetanus, acellular pertussis, polio

    3 doses given at 2, 3 and 4 months of age

  • Prevenar™Biological

    Also called Pfizer's 13-valent pneumococcal polysaccharide conjugate vaccine

    3 co-administered doses, intramuscular into right thigh

  • Menitorix™Biological

    Also called GSK Biologicals' combined Haemophilus influenzae type b and Neisseria meningitidis serogroup C tetanus toxoid conjugate vaccine.

    1 booster dose at 12 months of age

  • Pediacel™Biological

    Also called Sanofi-Pasteur-MSD's combined DTPa-inactivated polio-Haemophilus influenzae type b vaccine.

    3 doses given at 2, 3 and 4 months of age

  • Menjugate™Biological

    Also called Novartis' meningococcal serogroup C CRM197 protein conjugated vaccine.

    2 doses given at 3 and 4 months of age

Study groups in NCT00871338
Study groupRoleWhat they receive
GSK2197870A GroupExperimentalSubjects aged between and including 6 and 12 weeks of age at the time of first vaccination received 3 doses of GSK2197870A vaccine at Months 0, 1 and 2, 2 doses of Prevenar™ vaccine at Months 0 and 2 and a booster dose of Menitorix™ vaccine at Month 10. All vaccines were administered intramuscularly. GSK2197870A and Menitorix™ vaccines were administered in the right upper anterolateral thigh and Prevenar™ vaccine in the left upper anterolateral thigh.
Receives: Biological: GSK2197870A; Biological: Prevenar™; Biological: Menitorix™
Pediacel GroupActive comparatorSubjects aged between and including 6 and 12 weeks of age at the time of first vaccination received 3 doses of Pediacel™ vaccine at Months 0, 1 and 2, 2 doses of Prevenar™ vaccine at Months 0 and 2, 2 doses of Menjugate™ vaccine at Months 1 and 2 and a booster dose of Menitorix™ at Month 10. All vaccines were administered intramuscularly. Pediacel™ and Menitorix™ vaccines were administered in the right upper anterolateral thigh and Prevenar™ vaccine in the left upper anterolateral thigh and Menjugate™ vaccine in the left lower anterolateral thigh.
Receives: Biological: Prevenar™; Biological: Menitorix™; Biological: Pediacel™; Biological: Menjugate™

What is being measured

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

  1. Number of Seroprotected Subjects for Anti-polyribosylribitol Phosphate (Anti-PRP).

    A seroprotected subject was defined as a vaccinated subject who had anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (µg/mL).

    Measured: At Month 3

  2. Number of Seropositive Subjects Against Neisseria Meningitidis Using Baby Rabbit Complement (rSBA-MenC)

    A seropositive subject was defined as a vaccinated subject who had rSBA-MenC ≥ 1:8.

    Measured: At Month 2 and Month 3.

Secondary outcomes (32)
  1. Number of Subjects With Anti-PRP Concentrations Antibody Above the Cut-off.

    The reference cut-off was ≥ 1.0 micrograms per milliliter (µg/mL).

    Measured: At Month 3

  2. Number of Subjects With Anti-polysaccharide C (Anti-PSC ) Antibody Concentrations Above the Cut-offs.

    The reference cut-offs were ≥ 0.3 µg/mL and ≥ 2 µg/mL.

    Measured: At Month 2 and Month 3.

  3. Number of Seroprotected Subjects for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies.

    A seroprotected subject was defined as a vaccinated subject who had anti-D and anti-T antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).

    Measured: At Month 3.

  4. Number of Seropositive Subjects Against Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN).

    A seropositive subject was defined as a vaccinated subject who had anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliters (EL.U/mL).

    Measured: At Month 3.

  5. Number of Seroprotected Subjects for Anti-poliovirus (Anti-polio) Types 1, 2 and 3.

    A seroprotected subject was defined as a vaccinated subject who had anti-polio 1, 2 and 3 antibody concentrations ≥ 1:8.

    Measured: At Month 3.

  6. Number of Seropositive Subjects for Anti-pneumococcal (Anti-PNE) Serotypes.

    A seropositive subject was defined as a vaccinated subject who had anti- pneumococcal antibody concentrations ≥ 0.2 micrograms per milliliter (µg/mL). The anti-PNE serotypes assessed were 4, 6B, 9V, 14, 18C, 19F and 23F.

    Measured: At Month 3

  7. Concentrations for Anti-PRP.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection reference cut-off value was ≥ 0.15 µg/mL.

    Measured: At Month 3.

  8. Titers for rSBA-MenC.

    Titers were expressed as geometric mean titers (GMCs). The seropositivity reference cut-off value was ≥ 1:8.

    Measured: At Month 2 and Month 3.

  9. Concentrations for Anti-PSC.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection reference cut-off value was ≥ 0.3 µg/mL.

    Measured: At Month 2 and Month 3.

  10. Concentrations for Anti-T and Anti-D.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection reference cut-off value was ≥ 0.1 IU/mL.

    Measured: At Month 3.

  11. Concentrations for Anti-PT, Anti-FHA and Anti-PRN.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seropositivity reference cut-off value was ≥ 5 EL.U/mL.

    Measured: At Month 3.

  12. Titers for Anti-polio 1, 2 and 3.

    Titers were expressed as geometric mean titers (GMTs). The seropositivity reference cut-off value was ≥ 1:8.

    Measured: At Month 3.

  13. Concentrations for Anti-PNE Serotypes.

    Concentrations were expressed as geometric mean concentreations (GMCs). The seropositivity reference cut-off value was ≥ 0.2 µg/mL.

    Measured: At Month 3.

  14. Number of Seroprotected Subjects for Anti-PRP.

    A seroprotected subject was defined as a vaccinated subject who had anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (µg/mL).

    Measured: At Month 10 and Month 11.

  15. Number of Seropositive Subjects Against rSBA-MenC.

    A seropositive subject was defined as a vaccinated subject who had rSBA-MenC ≥ 1:8.

    Measured: At Month 10 and Month 11.

  16. Number of Subjects With Anti-PSC Antibody Concentrations Above the Cut-offs.

    The reference cut-offs were ≥ 0.3 µg/mL and ≥ 2 µg/mL.

    Measured: At Month 10 and Month 11.

  17. Number of Seroprotive Subjects for Anti-D and Anti-T Antibodies.

    A seropositive subject was defined as a vaccinated subject who had anti-D (ELISA) and anti-T antibody concentrations ≥ 0.1 IU/mL. Seropositivity for anti-D was also defined with the ≥ 0.016 IU/mL cut-off (Neutralisation assay).

    Measured: At Month 10.

  18. Number of Seropositive Subjects for Anti-PT, Anti-FHA and Anti-PRN.

    A seropositive subject was defined as a vaccinated subject who had anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliters (EL.U/mL).

    Measured: At Month 10.

  19. Number of Seroprotected Subjects for Anti-anti-polio Types 1, 2 and 3.

    A seroprotected subject was defined as a vaccinated subject who had anti-polio 1, 2 and 3 antibody concentrations ≥ 1:8.

    Measured: At Month 10.

  20. Concentrations for Anti-PRP.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection reference cut-off value was ≥ 0.15 µg/mL.

    Measured: At Month 10 and Month 11.

  21. Titers for rSBA-MenC.

    Titers were expressed as geometric mean titers (GMCs). The seropositivity reference cut-off value was ≥ 1:8.

    Measured: At Month 10 and Month 11.

  22. Concentrations for Anti-PSC.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection reference cut-off value was ≥ 0.3 µg/mL.

    Measured: At Month 10 and Month 11.

  23. Concentrations for Anti-T and Anti-D.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection reference cut-off value was ≥ 0.1 IU/mL. Seropositivity for anti-D was also defined with the ≥ 0.016 IU/mL cut-off (Neutralisation assay).

    Measured: At Month 10.

  24. Concentrations for Anti-PT, Anti-FHA and Anti-PRN.

    Concentrations were expressed as geometric mean concentrations (GMCs). The seropositivity reference cut-off value was ≥ 5 EL.U/mL.

    Measured: At Month 10.

  25. Titers for Anti-polio 1, 2 and 3.

    Titers were expressed as geometric mean titers (GMTs). The seroprotection reference cut-off value was ≥ 1:8.

    Measured: At Month 10.

  26. Number of Subjects With a Booster Response to rSBA-MenC Antibodies.

    Booster response defined as: for initially seronegative subjects, antibody titre ≥ 1:32 at post-booster (Month 11); for initially seropositive subjects, antibody titres at post-booster ≥ 4 fold the pre-booster.

    Measured: At Month 11

  27. Number of Subjects With a Booster Response to Anti-PRP Antibodies.

    Booster response defined as: for initially seronegative subjects, antibody concentration ≥ 0.6 µg/mL at post-booster (Month 11); for initially seropositive subjects, antibody concentrations at post-booster ≥ 4 fold the pre-booster.

    Measured: At Month 11

  28. Number of Subjects With a Booster Response to Anti-PSC Antibodies.

    Booster response defined as: for initially seronegative subjects, antibody concentration ≥ 1.2 µg/mL at post-booster (Month 11); for initially seropositive subjects, antibody concentrations at post-booster ≥ 4 fold the pre-booster.

    Measured: At Month 11

  29. Number of Subjects Reporting Any Solicited Local Symptoms.

    Solicited local symptoms assessed were pain, redness and swelling. Any = occurrence of any local symptom regardless of intensity grade.

    Measured: During the 8-day (Days 0-7)

  30. Number of Subjects Reporting Any Solicited General Symptoms.

    Solicited general symptoms assessed were drowsiness, irritability, loss of appetite and fever [axillary temperature above (≥) 37.5 degrees Celsius (°C)]. Any = occurrence of any local symptom regardless of intensity grade.

    Measured: During the 8-day (Days 0-7)

  31. Number of Subjects Reporting Any Unsolicited Adverse Events (AEs).

    An unsolicited AE is any AE (i.e. any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product) 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 = occurrence of an AE regardless of intensity grade or relationship to study vaccination.

    Measured: Within the 31-day (Days 0-30) follow up period after vaccination.

  32. Number of Subjects Reporting Any Serious Adverse Events (SAEs).

    SAEs assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization or results in disability/incapacity of a study subjects. Any SAE = any SAE regardless of assessment of relationship to study vaccination.

    Measured: During the entire study period (Month 0 to Month 11)

Timeline

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

  1. First posted30 Mar 2009 (estimated)
  2. Study start24 Jun 2009
  3. Primary completion31 Mar 2010
  4. Study completion9 Dec 2010

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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
284 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00871338
Sponsor's protocol ID
111709
Status last verified
Sep 2016
First submitted
26 Mar 2009
Last updated
6 Jun 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

  • Khatami A, Snape MD, Ohene-Kena B, Young K, Oeser C, Michaelis LJ, Macleod E, Smee H, Van Der Meeren O, Leyssen M, Caubet M, Yu LM, Heath PT, Faust SN, Finn A, Pollard AJ. Phase II study of a three-dose primary vaccination course of DTPa-IPV/Hib-MenC-TT followed by a 12-month Hib-MenC-TT booster in healthy infants. Pediatr Infect Dis J. 2013 Jun;32(6):675-81. doi: 10.1097/INF.0b013e31828672a7.

    PubMed 23348809

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK2197870A, Prevenar™ and Menitorix™ in people with Neisseria Meningitidis and Haemophilus Influenzae Type b, run by GlaxoSmithKline at 5 sites in United Kingdom.

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 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 6 Jun 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 United Kingdom. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 28 Jul 2014). 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 for Anti-polyribosylribitol Phosphate (Anti-PRP). (time frame: At 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 NCT00871338, 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 6 Jun 2018.

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