Concomitant Administration of a New Hexavalent Vaccine With a Meningococcal Serogroup C Conjugate Vaccine in Healthy Infants During Primary Series Immunisation Followed by Booster Vaccination
A Phase III Open-label Randomised Study to Evaluate the Immunogenicity and Safety of the Concomitant Administration of a New Hexavalent DTaP-IPV-HepB-PRP-T Combined Vaccine (Hexavalent Vaccine) Given at 2, 3, and 4 Months of Age With a Meningococcal Serogroup C Conjugate (MenC) Vaccine Given at 2 and 4 Months of Age
Primary Series Primary objectives
- To demonstrate that the concomitant administration of the hexavalent vaccine with a meningococcal serogroup C conjugate vaccine is non inferior to the administration of the hexavalent vaccine without a MenC vaccine concomitantly in term of seroprotection rate for hepatitis B one month after the third dose of the hexavalent vaccine
- To demonstrate that the concomitant administration of a MenC vaccine with the hexavalent vaccine induces an acceptable response for MenC in term of seroprotection rate (SPR) one month after the second dose of MenC
Booster Primary objectives
- To describe the immunogenicity of a booster dose of the hexavalent vaccine and of a meningococcal group ACWY conjugate (MenACWY) vaccine either co-administered at 12 months of age or given separately.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Primary Series Secondary objectives
- To describe the antibody response to all the hexavalent vaccine antigens one month after the third dose of the hexavalent vaccine when given concomitantly or not to MenC
- To describe the antibody response to MenC vaccine when a MenC vaccine is given concomitantly with the hexavalent vaccine, one month after the first and the second dose of MenC vaccine
- To describe the safety profile of the hexavalent vaccine after each and any injection when given concomitantly or not with a MenC vaccine
Booster Secondary objectives
- To describe the antibody (Ab) persistence at 12 months of age for the hexavalent valences following a 3-dose primary vaccination at 2, 3 and 4 months of age (prior to administration of a booster dose)
- To describe the safety of a booster dose of the hexavalent vaccine and of a meningococcal group ACWY conjugate (MenACWY) vaccine either co-administered at 12 months of age or given separately.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Espoo, Finland
- Sanofi Pasteur MSD Investigational Site 003
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Helsinki, Finland
- Sanofi Pasteur MSD Investigational Site 001
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Helsinki, Finland
- Sanofi Pasteur MSD Investigational Site 002
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Jarvenpaa, Finland
- Sanofi Pasteur MSD Investigational Site 011
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Kokkola, Finland
- Sanofi Pasteur MSD Investigational Site 010
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Oulu, Finland
- Sanofi Pasteur MSD Investigational Site 004
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Pori, Finland
- Sanofi Pasteur MSD Investigational Site 005
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Seinajoki, Finland
- Sanofi Pasteur MSD Investigational Site 009
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Tampere, Finland
- Sanofi Pasteur MSD Investigational Site 006
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Turku, Finland
- Sanofi Pasteur MSD Investigational Site 007
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Vantaa, Finland
- Sanofi Pasteur MSD Investigational Site 008
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy infant 46 to 74 days of age (both inclusive)
- Born at full term of pregnancy (≥37 weeks) and/or with a birth weight≥2.5 kg
- Subject's parent(s) or legal representative able to comply with the study procedures
Exclusion Criteria:
- Participation in another clinical study investigating a vaccine, drug, medical device, or medical procedure
- Receipt of any vaccine in the 4 weeks preceding each study vaccination
- Previous vaccination against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis, Haemophilus influenzae type b, meningococcal, pneumococcal, rotavirus infection
- Know or suspected congenital, hereditary or acquired immunodeficiency
- History of seizures or encephalopathy
- Known thrombocytopenia
- Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular injection
- Chronic illness that could interfere with trial conduct or completion
- Known or suspected hypersensitivity to any of the study vaccines' active substance or excipients or history of a life-threatening reaction to a vaccine(s) containing the same substances as the study vaccines
- Contraindication to any of the study vaccines
- Known personal or maternal history of hepatitis B or hepatitis C seropositivity
- History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, Haemophilus influenzae type b or meningococcal serogroup C infection
- Receipt of immune globulin, blood or blood-derived products, immunosuppressive drugs, systemic corticosteroid since birth
- Identified as a natural or adopted child of the investigator or employee with direct involvement in the current study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Group 2
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0.5 mL intramuscular injection at 2, 3 and 4 months of age (primary series) 0.5 mL intramuscular injection at 12 or 13 months of age (booster)
Other Names:
0.5 mL intramuscular injection at 2 and 4 months of age (primary series) 0.5 mL intramuscular injection at 13 months of age (booster)
Other Names:
2 mL oral administration at 2, 3 and 4 months
Other Names:
0.5 mL intramuscular injection at 12 months
Other Names:
0.5 mL intramuscular or subcutaneous injection at 13 months of age
Other Names:
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Experimental: Group 1
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0.5 mL intramuscular injection at 2, 3 and 4 months of age (primary series) 0.5 mL intramuscular injection at 12 or 13 months of age (booster)
Other Names:
0.5 mL intramuscular injection at 2 and 4 months of age
Other Names:
0.5 mL intramuscular injection at 2 and 4 months of age (primary series) 0.5 mL intramuscular injection at 13 months of age (booster)
Other Names:
2 mL oral administration at 2, 3 and 4 months
Other Names:
0.5 mL intramuscular injection at 12 months
Other Names:
0.5 mL intramuscular or subcutaneous injection at 13 months of age
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Proportion of subjects with an anti-hepatitis B concentration ≥10 IU/mL
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)
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Proportion of subjects with an anti-MenC titre ≥1:8 dil
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Proportion of subjects with an anti-polyribosylribitol phosphate concentration ≥0.15 µg/mL
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Proportion of subjects with an anti-diphtheria concentration ≥0.01 IU/mL
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster)
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Proportion of subjects with an anti-tetanus concentration ≥0.01 IU/mL
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster)
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Proportion of subjects with an anti-inactivated poliovirus 1, 2, 3 titre ≥1:8 dil
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Proportion of subjects with pertussis vaccine response
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine)
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Proportion of subjects with an anti-MenC titre ≥1:8 dil
Time Frame: Month 3 (One month after dose 1 of MenC vaccine)
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Month 3 (One month after dose 1 of MenC vaccine)
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Solicited injection-site and systemic reactions
Time Frame: Day 1 to Day 7 following vaccination
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Day 1 to Day 7 following vaccination
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Unsolicited adverse events
Time Frame: Day 1 to Day 30 following vaccination
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Day 1 to Day 30 following vaccination
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Serious adverse events
Time Frame: From signature of the informed consent to the last visit of the subject, an expected average of 11 months
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From signature of the informed consent to the last visit of the subject, an expected average of 11 months
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Proportion of subjects with an anti-polyribosylribitol phosphate concentration ≥1 µg/mL
Time Frame: Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Proportion of subjects with an anti-diphtheria concentration ≥0.1 IU/mL
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Proportion of subjects with an anti-tetanus concentration ≥0.1 IU/mL
Time Frame: Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Month 5 (One month after dose 3 of the hexavalent vaccine and dose 2 of MenC vaccine), Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Proportion of subjects with an anti-MenA, anti-MenC, anti-MenW-135, anti-MenY titre ≥1:8 dil
Time Frame: Month 13 (One month after MenAWCY vaccine)
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Month 13 (One month after MenAWCY vaccine)
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Proportion of subjects with an anti-hepatitis B concentration ≥10 IU/mL
Time Frame: Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Month 12 (Pre-booster) and Month 13 (One month post-booster)
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Proportion of subjects with pertussis booster response
Time Frame: Month 13 (One month post-booster)
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Month 13 (One month post-booster)
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Vesikari T, Borrow R, Da Costa X, Thomas S, Eymin C, Boisnard F, Lockhart S. Concomitant administration of a fully liquid ready-to-use DTaP-IPV-HB-PRP-T hexavalent vaccine with a meningococcal ACWY conjugate vaccine in toddlers. Vaccine. 2018 Dec 18;36(52):8019-8027. doi: 10.1016/j.vaccine.2018.10.100. Epub 2018 Nov 22.
- Vesikari T, Borrow R, Da Costa X, Richard P, Eymin C, Boisnard F, Lockhart S. Concomitant administration of a fully liquid, ready-to-use DTaP-IPV-HB-PRP-T hexavalent vaccine with a meningococcal serogroup C conjugate vaccine in infants. Vaccine. 2017 Jan 11;35(3):452-458. doi: 10.1016/j.vaccine.2016.11.053. Epub 2016 Dec 9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HXM01C
- 2012-005547-24 (EudraCT Number)
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