- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00317109
Study to Asses DTPw-HBV/Hib at 15-18 Months (m) and Mencevax™ ACW at 24 to 30 m in Primed Subjects
Booster Vaccination Study to Assess Safety & Reactogenicity of a Dose of DTPw-HBV/Hib Vaccine and to Assess the Immunogenicity, Safety & Reactogenicity of a Dose of Mencevax™ ACW in Subjects Primed in Study 759346/007
The purpose of this study is to assess the safety and reactogenicity of a booster dose of diphtheria-tetanus-whole cell pertussis-hepatitis B virus/Haemophilus influenzae type b vaccine (DTPw-HBV/Hib) at 15-18 m and to assess the immunogenicity, safety, and reactogenicity of a dose of Mencevax™ Group A, C and W135 polysaccharide meningococcal vaccine (ACW) at 24 to 30 m in primed subjects.
The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This open study will have two parallel groups based on the vaccination received in the primary study: AC primed Group: primed with Tritanrix™-HepB/Hib-MenAC vaccine and AC unprimed Group (control): primed with Tritanrix™-HepB/Hiberix™ vaccine. All subjects will receive a booster dose of Tritanrix™-HepB/Hiberix™ vaccine at 15 to 18 months of age with GSK Biological's OPV vaccine given concomitantly and a dose of Mencevax™ ACW vaccine at 24 to 30 months of age. Blood sampling will be done prior to (pre) and one month after (post) the Mencevax™ ACW vaccine administration for immunogenicity analyses. The study will last minimum 7 to maximum 16 months per subject.
Mencevax™ ACWY was changed to Mencevax™ ACW throughout the posting to correct an inconsistency in the earlier version of the protocol posting and to reflect the actual situation.
Type d'étude
Inscription (Réel)
Phase
- Phase 3
Contacts et emplacements
Lieux d'étude
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Brits, Afrique du Sud, 0250
- GSK Investigational Site
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Ga-Rankuwa, Afrique du Sud, 0208
- GSK Investigational Site
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Rooihuiskraal, Afrique du Sud, 0145
- GSK Investigational Site
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol.
- A male or female between, and including, 15 and 18 months of age at the time of vaccination.
- 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.
- Having participated in the primary vaccination study (CPMS N° 759346/007).
Exclusion criteria:
- Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine within 30 days preceding the vaccination, or planned use during the study period.
- Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to vaccination.
- Planned administration/ administration of a vaccine not foreseen by the study protocol within 30 days of vaccination.
- Booster vaccination against diphtheria, tetanus, pertussis, hepatitis B, Haemophilus influenzae type b (Hib) and/or meningococcal serogroups A, C or W disease, after the date of the study conclusion visit of the primary vaccination study (CPMS N° 759346/007).
- History of diphtheria, tetanus, pertussis, hepatitis B, Hib and/or meningococcal serogroup A, C or W disease.
- Known exposure to diphtheria, tetanus, pertussis, hepatitis B, Hib and/or meningococcal serogroup A, C or W disease.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
- A family history of congenital or hereditary immunodeficiency.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccines administered in the study.
- Major congenital defects or serious chronic illness.
- History of any neurologic disorders or seizures including febrile seizures in infancy.
- Acute disease at the time of enrolment.
- Axillary temperature ≥ 37.5°C at the time of vaccination.
- Administration of immunoglobulins and/or any blood products within the three months preceding the vaccination or planned administration during the study period.
- Anaphylactic reaction following the administration of vaccine in the primary vaccination study.
- Known hypersensitivity to any component of the vaccine, or subjects having shown signs of hypersensitivity after previous administration of diphtheria, tetanus, pertussis, hepatitis B, Hib or meningococcal vaccines.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: AC primed Group
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One intramuscular dose during the booster vaccination study in subjects aged 15 to 18 months
One intramuscular dose during the booster vaccination study in subjects aged 15 to 18 months
One subcutaneous dose during the booster vaccination study in subjects aged 24 to 30 months
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Comparateur actif: AC unprimed Group
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One intramuscular dose during the booster vaccination study in subjects aged 15 to 18 months
One intramuscular dose during the booster vaccination study in subjects aged 15 to 18 months
One subcutaneous dose during the booster vaccination study in subjects aged 24 to 30 months
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Number of Subjects With Serum Bactericidal Assay Against N. Meningitidis Serogroups A, C Using Rabbit Complement (rSBA-MenA,C) Antibodies
Délai: At one month post vaccination with Mencevax™ ACW vaccine (Month 25-31)
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Pre-defined assay cut-off values for assessed titers were greater than or equal to (≥) 1:128.
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At one month post vaccination with Mencevax™ ACW vaccine (Month 25-31)
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Number of Subjects With rSBA-MenA,C, W-135 Antibody Titers ≥ Predefined Cut-offs
Délai: Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Antibody titer cut-offs were ≥ 1:8 and ≥ 1:128.
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Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Anti-rSBA-MenA, C, W-135 Antibody Titers
Délai: Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Antibody titers were expressed as geometric mean titers (GMTs).
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Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Number of Subjects With Anti-polysaccharide A (Anti-PSA) and C (Anti-PSC) Antibody Concentrations Above Predefined Cut-off Values
Délai: Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Antibody concentrations cut-off were ≥ 0.3 and ≥2 micrograms per millilitre (µg/mL).
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Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Anti-PSA and Anti-PSC Antibody Concentrations
Délai: Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31
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Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs).
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Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31
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Number of Subjects With Anti- Polysaccharide W (Anti-PSW) Antibody Concentrations ≥ Predefined Cut-off Values
Délai: Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Antibody concentrations were ≥ 0.3 µg/mL.
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Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Anti-PSW Antibody Concentrations
Délai: Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs).
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Prior to (Months 24-30) & one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Number of Subjects With Anti-hepatitis B (Anti-HBs) Antibody Concentrations ≥ Predefined Cut-off Values
Délai: Prior to (Months 24-30) the administration of the Mencevax™ ACW vaccine
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Antibody concentrations cut-off were ≥ 10 milli international units per milliliter (mIU/mL).
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Prior to (Months 24-30) the administration of the Mencevax™ ACW vaccine
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Anti-HBs Antibody Concentrations
Délai: Prior to (Months 24-30) the administration of the Mencevax™ ACW vaccine
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Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs).
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Prior to (Months 24-30) the administration of the Mencevax™ ACW vaccine
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Number of Subjects With Vaccine Response for rSBA-Men A, C and W-135
Délai: At one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Vaccine response was defined as follows: for initially seronegative subjects (i.e. with rSBA titre < 1:8 pre-vaccination), rSBA titre ≥ 1:32 post-vaccination (seroconversion), and for initially seropositive subjects (i.e. with rSBA titre ≥ 1:8 pre-vaccination), at least a 4-fold increase in rSBA titre from pre to post-vaccination.
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At one month after the administration of the Mencevax™ ACW vaccine (Months 25-31)
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Number of Subjects With Fever
Délai: During the 4-day (Days 0-3) after the administration of the Tritanrix™-HepB/Hiberix™ vaccine
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Any Fever (measured rectally) = subjects with symptom, regardless of the intensity grade.
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During the 4-day (Days 0-3) after the administration of the Tritanrix™-HepB/Hiberix™ vaccine
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Number of Subjects With Solicited Local Symtoms
Délai: During the 4-Day (Days 0-3) after the administration of the Mencevax™ ACW vaccine
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Assessed solicited local symptoms were: pain, redness and swelling at the injection site.
Any = subjects with symptom, regardless of the intensity grade.
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During the 4-Day (Days 0-3) after the administration of the Mencevax™ ACW vaccine
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Number of Subjects With Solicited General Symptoms
Délai: During the 4-Day (Days 0-3) after the administration of the Mencevax™ ACW vaccine
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Assessed solicited general symptoms were: drowsiness, fever, irritability and loss of appetite.
Any = subjects with symptoms, regardless of intensity grade and casual relationship to study vaccination.
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During the 4-Day (Days 0-3) after the administration of the Mencevax™ ACW vaccine
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Number of Subjects With Unsolicited Adverse Events (AEs)
Délai: During the 31-Day (Days 0-30) after the administration of the Mencevax™ ACW vaccine
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An unsolicited AE covers 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 and 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 was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
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During the 31-Day (Days 0-30) after the administration of the Mencevax™ ACW vaccine
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Number of Subjects With Serious Adverse Events (SAEs)
Délai: From Months 15-18 and up to Months 25-31 post vaccination
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Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
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From Months 15-18 and up to Months 25-31 post vaccination
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Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 104756
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Données/documents d'étude
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Protocole d'étude
Identifiant des informations: 104756Commentaires d'informations: For additional information about this study please refer to the GSK Clinical Study Register
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Spécification du jeu de données
Identifiant des informations: 104756Commentaires d'informations: For additional information about this study please refer to the GSK Clinical Study Register
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Plan d'analyse statistique
Identifiant des informations: 104756Commentaires d'informations: For additional information about this study please refer to the GSK Clinical Study Register
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Formulaire de consentement éclairé
Identifiant des informations: 104756Commentaires d'informations: For additional information about this study please refer to the GSK Clinical Study Register
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Ensemble de données de participant individuel
Identifiant des informations: 104756Commentaires d'informations: For additional information about this study please refer to the GSK Clinical Study Register
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Rapport d'étude clinique
Identifiant des informations: 104756Commentaires d'informations: For additional information about this study please refer to the GSK Clinical Study Register
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