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

31 december 2019 uppdaterad av: 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.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Faktisk)

360

Fas

  • Fas 3

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

1 månad till 2 månader (Barn)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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)
Intramuskulär injektion, 3 doser
Intramuscular injection, 3 doses
Andra namn:
  • DTPw-HBV/Hib
Aktiv komparator: 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
Andra namn:
  • Hib
Intramuscular injection, 3 doses
Andra namn:
  • DTPw-HBV

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes
Tidsram: 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)
Tidsram: 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)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Number of Subjects With Opsonophagocytic Activity Against Pneumococcal Serotypes
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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).
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

7 mars 2009

Primärt slutförande (Faktisk)

13 november 2009

Avslutad studie (Faktisk)

13 november 2009

Studieregistreringsdatum

Först inskickad

23 december 2008

Först inskickad som uppfyllde QC-kriterierna

23 december 2008

Första postat (Uppskatta)

25 december 2008

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

3 januari 2020

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

31 december 2019

Senast verifierad

1 december 2019

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

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

Tidsram för IPD-delning

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

Kriterier för IPD Sharing Access

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.

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • ICF
  • CSR

Studiedata/dokument

  1. Studieprotokoll
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
  2. Datauppsättning för individuella deltagare
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
  3. Annoterad fallrapportformulär
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
  4. Klinisk studierapport
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
  5. Informerat samtycke
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
  6. Datauppsättningsspecifikation
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register
  7. Statistisk analysplan
    Informationsidentifierare: 111188
    Informationskommentarer: For additional information about this study please refer to the GSK Clinical Study Register

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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