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

31 de diciembre de 2019 actualizado por: GlaxoSmithKline

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.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Actual)

360

Fase

  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Kolkata, India, 700073
        • GSK Investigational Site
      • Ludhiana, India, 141 008
        • GSK Investigational Site
      • Pune, India
        • GSK Investigational Site
      • Vellore, India, 632004
        • GSK Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

1 mes a 2 meses (Niño)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • 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).

Exclusion Criteria:

  • 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).
  • 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.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Synflorix & Tritanrix-HebB/Hib Group
Subjects 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)
Inyección intramuscular, 3 dosis
Intramuscular injection, 3 doses
Otros nombres:
  • DTPw-HBV/Hib
Comparador activo: Hiberix group & Tritanrix-HebB Group
Subjects 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)
Intramuscular injection, 3 doses
Otros nombres:
  • Hib
Intramuscular injection, 3 doses
Otros nombres:
  • DTPw-VHB

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes
Periodo de tiempo: One month after primary immunization (month 3)

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.

One month after primary immunization (month 3)
Concentration of Antibody Against Protein D (PD)
Periodo de tiempo: One month after primary immunization (month 3)
Concentrations were expressed as GMCs GSK's 22F-inhibition in enzyme-linked-immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
One month after primary immunization (month 3)

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of Subjects With Opsonophagocytic Activity Against Pneumococcal Serotypes
Periodo de tiempo: One month after primary immunization (month 3)

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.

One month after primary immunization (month 3)
Number of Subjects With Antibody Concentrations Against Pneumococcal Serotypes Equal to or Above Cut-off Value
Periodo de tiempo: One month after primary immunization

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).

One month after primary immunization
Concentrations of Antibodies Against Pneumococcal Cross-reactive Serotypes
Periodo de tiempo: One month after primary immunization (month 3)
Concentrations were expressed as GMCs in µg/mL. Pneumococcal cross-reactive serotypes included 6A and 19A.
One month after primary immunization (month 3)
Number of Subjects Seropositive for Pneumococcal Serotypes
Periodo de tiempo: One month after primary immunization (month 3)

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

One month after primary immunization (month 3)
Number of Subjects Seropositive for Protein D (PD)
Periodo de tiempo: One month after primary immunization (month 3)
Seropositivity for PD was defined greater than or equal to 100 EL.U/mL.
One month after primary immunization (month 3)
Concentration of Antibody Against Polyribosyl-ribitol Phosphate (PRP)
Periodo de tiempo: One month after primary immunization (month 3)
Concentration is expressed as GMC in µg/mL.
One month after primary immunization (month 3)
Concentration of Antibodies Against Diphteria (Anti-DT) and Tetanus (Anti-TT)
Periodo de tiempo: One month after primary immunization (month 3)
Concentrations were expressed as GMCs in international units per milliliter (IU/mL).
One month after primary immunization (month 3)
Concentration of Antibody Against Bordetella Pertussis (B. Pertussis)
Periodo de tiempo: One month after primary immunization (month 3)
Concentration was expressed as GMC in EL.U/mL.
One month after primary immunization (month 3)
Concentration of Antibody Against Hepatitis B (Anti-HBs) by Enzyme-Linked ImmunoSorbent Assay (ELISA).
Periodo de tiempo: One month after primary immunization (month 3)
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.
One month after primary immunization (month 3)
Number of Subjects Seropostive for B. Pertussis
Periodo de tiempo: One month after primary immunization (month 3)
Seropositivity was defined as and antibody concentration equal to or greater than 15 EL.U/mL.
One month after primary immunization (month 3)
Number of Seroprotected Subjects (Anti-DT, Anti-TT, Anti-PRP, Anti-HBs)
Periodo de tiempo: One month after primary immunization (month 3)

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.

One month after primary immunization (month 3)
Number of Seroprotected Subjects (Anti-PRP Above the Cut-off of 1.0 µg/mL)
Periodo de tiempo: One month after primary immunization (month 3)
Anti-PRP antibody concentration equal to or greater than 1.0 µg/mL.
One month after primary immunization (month 3)
Number of Subjects With Solicited Local and General Symptoms
Periodo de tiempo: Within 4 days (day 0-3) after vaccination
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.
Within 4 days (day 0-3) after vaccination
Number of Subjects With Unsolicited Adverse Events (AEs)
Periodo de tiempo: Within 31 days (day 0-30) after vaccination

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

Within 31 days (day 0-30) after vaccination
Number of Subjects With Serious Adverse Events (SAEs)
Periodo de tiempo: Following first vaccination (Month 0) throughout the entire study period (month 3)
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.
Following first vaccination (Month 0) throughout the entire study period (month 3)

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

7 de marzo de 2009

Finalización primaria (Actual)

13 de noviembre de 2009

Finalización del estudio (Actual)

13 de noviembre de 2009

Fechas de registro del estudio

Enviado por primera vez

23 de diciembre de 2008

Primero enviado que cumplió con los criterios de control de calidad

23 de diciembre de 2008

Publicado por primera vez (Estimar)

25 de diciembre de 2008

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

3 de enero de 2020

Última actualización enviada que cumplió con los criterios de control de calidad

31 de diciembre de 2019

Última verificación

1 de diciembre de 2019

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Descripción del plan IPD

IPD is available via the Clinical Study Data Request site (click on the link provided below)

Marco de tiempo para compartir IPD

IPD is available via the Clinical Study Data Request site (click on the link provided below)

Criterios de acceso compartido de IPD

Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Tipo de información de apoyo para compartir IPD

  • PROTOCOLO DE ESTUDIO
  • SAVIA
  • CIF
  • RSC

Datos del estudio/Documentos

  1. Protocolo de estudio
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  2. Conjunto de datos de participantes individuales
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  3. Formulario de informe de caso anotado
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  4. Informe de estudio clínico
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  5. Formulario de consentimiento informado
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  6. Especificación del conjunto de datos
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  7. Plan de Análisis Estadístico
    Identificador de información: 111188
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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