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Hepatitis BPhase 3NCT00158756

Immune Response Post Pry Vaccination of 2 Formulations of DTPw-HBV Vaccine Given With Rotavirus Vaccine to Infants

A Phase 3 study testing Tritanrix™-HepB, Rotarix™ and Zilbrix™ in people with Hepatitis B, run by GlaxoSmithKline at 9 sites in Russia.

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

To compare the two formulations of GSK Biologicals' DTPw-HBV vaccine to concomitant administration of CSL's DTPw vaccine and GSK Biologicals' HBV with respect to the antibody response to the diphtheria antigen after a three-dose primary vaccination course. Read more about this study

Who is it for?
Ages 3 weeks to 4 monthsHealthy volunteers can take part
Conditions the study is for
Hepatitis B
What is being tested?
Tritanrix™-HepB, Rotarix™ and Zilbrix™
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
308 participants
Where
9 sitesRussia
Study dates
12 Sep 2005to 23 Nov 2006
Phase
Phase 3
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 3 weeks to 4 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Subjects who the investigator believes that their parent/guardian can and will comply with the requirements of the protocol.
  • Administration of one dose of hepatitis B vaccine at birth.
  • A male or female between, and including, 11 and 17 weeks of age at the time of the first DTPw vaccination.
  • Free of obvious health problems as established by medical history and clinical examination before entering into the study.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) 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.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol within 30 days before the first vaccine dose or planned administration during the study period with the exception of oral polio vaccine.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination (no laboratory testing is required)
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

Russia9 sites
  • GSK Investigational Site

    Barnaul, 656049

  • GSK Investigational Site

    Ivanteevka Moscow Region, 141280

  • GSK Investigational Site

    Krasnoyarsk, 660027

  • GSK Investigational Site

    Moscow, 119991

  • GSK Investigational Site

    Moscow, 129347

  • GSK Investigational Site

    Saint Petersburg, 197022

  • GSK Investigational Site

    Samara, 443021

  • GSK Investigational Site

    Tomsk, 634 050

  • GSK Investigational Site

    Yekaterinburg, 620003

Other trials in Russia

About this study

Official title: A Phase III, Partially Blind, Randomized Study to Evaluate the Immunogenicity, Safety and Reactogenicity of GlaxoSmithKline (GSK) Biologicals' Tritanrix™-HepB and GSK Biologicals Kft's DTPw-HBV Vaccines as Compared to Concomitant Administration of Commonwealth Serum Laboratory's (CSL's) DTPw (Triple Antigen™) and GSK Biologicals' HBV (Engerix™-B), When Co-administered With GSK Biologicals' Oral Live Attenuated Human Rotavirus (HRV) Vaccine, to Healthy Infants at 3, 4½ and 6 Months of Age, After a Birth Dose of Hepatitis B Vaccine.

To compare the two formulations of GSK Biologicals' DTPw-HBV vaccine to concomitant administration of CSL's DTPw vaccine and GSK Biologicals' HBV with respect to the antibody response to the diphtheria antigen after a three-dose primary vaccination course.

Read the detailed description

Randomized study with five groups to receive one of the following vaccination regimens:

One of the two formulations of GSK Biologicals' DTPw-HBV + GSK Biologicals' HRV One of the two formulations of GSK Biologicals' DTPw-HBV + Placebo CSL's DTPw + GSK Biologicals' HBV

Conditions
Hepatitis B
Being tested
Tritanrix™-HepB, Rotarix™, Zilbrix™, Triple Antigen™, Engerix™-B
Keywords
Diphtheria, Pertussis, Prophylaxis, Hepatitis B diseases, Tetanus
Medical subject headings
Hepatitis B, Diphtheria, Whooping Cough, Tetanus

What participants receive

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

  • Tritanrix™-HepBBiological

    Also called DTPw-HBV

    GSK Biologicals' combined diphtheria-tetanus-whole cell Bordetella pertussis -hepatitis B vaccine.

  • Rotarix™Biological

    Also called HRV vaccine

    GSK Biologicals' live attenuated human rotavirus vaccine

  • Zilbrix™Biological

    Also called DTPw-HBV Kft

    GSK Biologicals Kft's combined diphtheria-tetanus whole-cell B. pertussis-hepatitis B vaccine

  • Triple Antigen™Biological

    Also called DTPwcsl vaccine

    Commonwealth Serum Laboratory's (CSL's) combined diphtheria-tetanus-whole cell B. pertussis vaccine.

  • Engerix™-BBiological

    Also called HBV vaccine

    GSK Biologicals' hepatitis B vaccine

  • PlaceboDrug

    Placebo for the Rotarix™ vaccine

Study groups in NCT00158756
Study groupRoleWhat they receive
Tritanrix™-HepB+Rotarix™ GroupExperimentalSubjects received 3 doses of Tritanrix™-HepB vaccine at 3, 4.5 and 6 months of age, intramuscularly into the right anterolateral thigh concomitantly with 2 oral doses of Rotarix™ vaccine at 3 and 4.5 months of age.
Receives: Biological: Tritanrix™-HepB; Biological: Rotarix™
Tritanrix™-HepB+Placebo GroupExperimentalSubjects received 3 doses of Tritanrix™-HepB vaccine at 3, 4.5 and 6 months of age, intramuscularly into the right anterolateral thigh concomitantly with 2 oral doses of Placebo for Rotarix™ vaccine at 3 and 4.5 months of age.
Receives: Biological: Tritanrix™-HepB; Drug: Placebo
Zilbrix™+Rotarix™ GroupActive comparatorSubjects received 3 doses of Zilbrix™ vaccine at 3, 4.5 and 6 months of age, intramuscularly into the right anterolateral thigh concomitantly with 2 oral doses of Rotarix™ vaccine at 3 and 4.5 months of age.
Receives: Biological: Rotarix™; Biological: Zilbrix™
Zilbrix™+Placebo GroupActive comparatorSubjects received 3 doses of Zilbrix™ vaccine at 3, 4.5 and 6 months of age, intramuscularly into the right anterolateral thigh concomitantly with 2 oral doses of Placebo for Rotarix™ vaccine at 3 and 4.5 months of age.
Receives: Biological: Zilbrix™; Drug: Placebo
Triple Antigen™+Engerix™-B GroupActive comparatorSubjects received 3 separate doses of Triple Antigen™ and Engerix™-B vaccines at 3, 4.5 and 6 months of age, intramuscularly into the left and right anterolateral thighs, respectively.
Receives: Biological: Triple Antigen™; Biological: Engerix™-B

What is being measured

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

  1. Seroprotection Status for Anti-diphteria (Anti-DT) Antibodies

    Seroprotection status (SP) defined vaccinated subjects with antibody concentrations greater than or equal to (≥) 0.1 international units per millitre (IU/mL) as assessed by the Enzyme-linked Immunosorbent Assay (ELISA) or ≥ 0.016 IU/mL by neautralization assay on Vero cells in subjects seronegative for ELISA.

    Measured: At one month post dose 3 [PIII(M4)]

Secondary outcomes (17)
  1. Number of Seroprotected Subjects for Anti-DT Antibodies as Assessed by ELISA

    A seroprotected subject is a vaccinated subject with concentrations ≥ 0.1 IU/mL.

    Measured: At one month post dose 3 [PIII(M4)]

  2. Number of Seroprotected Subjects for Anti-Hepatitis B (Anti-HBs) Antibodies

    A seroprotected subject was defined as a vaccinated subject with antibody concentrations ≥ 10 milli-international units per millilitre (mIU/mL).

    Measured: At one most post dose 3 [PIII(M4)]

  3. Number of Seropositive Subjects With Anti-Bordetella Pertussis (Anti-BPT) Antibody Concentrations ≥ the Established Cut-off Values

    A seropositive subject was defined as a subject with Anti-BPT antibody concentrations ≥ 15 ELISA units per millilitre (EL.U/mL), as assessed by the Enzyme-Linked Immunosorbent Assay (ELISA).

    Measured: At one month post dose 3 [PIII(M4)]

  4. Number of Subjects With Vaccine Response to BPT Antigen

    Vaccine response (VR) was defined as the appearance of antibodies in subjects seronegative at pre-vaccination and antibody concentrations ≥ the cut-off values post-vaccination in subjects who were seropositive at pre-vaccination.

    Measured: At one month post dose 3 [PIII(M4)]

  5. Number of Seropositive Subjects With Anti-rotavirus (Anti-RV) Antibodies Above the Cut-off Values

    A seropositive subject was defined as a subject with anti-RV antibody concentrations ≥ 20 units per millilitre (U/mL).

    Measured: At 2.5 months after dose 2 of Rotarix [PIII(M4)]

  6. Number of Seroprotected Subjects for Anti-Tetanus (Anti-T) Antigen

    A seroprotected subject was defined as a vaccinated subject with anti-T antibody concentrations ≥ the cut-off value of 0.1 international units per millilitre (IU/mL).

    Measured: At one month post dose 3 [PIII(M4)]

  7. Number of Seroprotected Subjects for Anti-Poliovirus Types 1, 2, 3 (Anti-Polio 1, 2, 3)

    A seroprotected subject was defined as a vaccinated subject with anti-Polio type 1,2 ,3 antibody titers ≥ 8

    Measured: At one month post dose 3 [PIII(M4)]

  8. Concentrations of Anti-HBs Antibodies

    Concentrations of anti-HB, antibodies, expressed as Geometric Mean Concentrations (GMCs), were measured in mIU/mL.

    Measured: At one month post dose 3 [PIII(M4)]

  9. Concentrations of Anti-DT Antibodies

    Concentrations of anti-DT antibodies, expressed as Geometric Mean Concentrations (GMCs), were measured in IU/mL.

    Measured: At one month post dose 3 [PIII(M4)]

  10. Concentrations of Anti-T Antibodies

    Concentrations, expressed as Geometric Mean Concentrations (GMCs), were measured in international units per millillitre (IU/mL).

    Measured: At one month post dose 3 [PIII(M4)]

  11. Concentrations of Anti-BPT Antibodies

    Concentrations, expressed as Geometric Mean Concentrations (GMCs), were measured in EL.U/mL.

    Measured: At one month post dose 3 [PIII(M4)]

  12. Concentrations of Anti-RV Antibodies

    Concentrations, expressed as Geometric Mean Concentrations (GMCs), were measured in U/mL.

    Measured: At 2.5 months post dose 2 of Rotarix [PIII(M4)]

  13. Anti-Polio Type 1, 2, 3 Antibody Titers

    Anti-Polio type 1, 2 and 3 antibody titers were expressed as Geometric Mean Titers (GMTs).

    Measured: At one month post dose 3 [PIII(M4)]

  14. Number of Subjects With Solicited Local Symptoms

    Solicited local symptoms were pain, redness and swelling. Any = occurence of symptom regardless of intensity grade. Grade 3 pain = Significant pain at rest, pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling with a maximum diameter greater than 30 millimeters (mm).

    Measured: During the 8-Day (Days 0-7) follow-up period

  15. Number of Subjects With Any Solicited General Symptoms

    Assessed solicited general symptoms were diarrhea, drowsiness, fever [defined as rectal temperature equal to or above 38.0 degrees Celsius (°C)], irritability, loss of appetite [loss of appet.] and vomiting. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination. Grade 3 loss of appetite = symptoms that prevents eating. Grade 3 diarrhea = ≥ 6 looser than normal stools per (/) day. Grade 3 vomiting = ≥ 3 episodes of vomiting/day.

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

  16. Number of Subjects With Unsolicited Adverse Events (AEs)

    Number of subjects with any unsolicited adverse events (AEs)

    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.

    Measured: During the 31-day (Days 0-30) follow-up period

  17. Number of Subjects With Serious Adverse Events (SAEs)

    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.

    Measured: From Month 0 to Month 4

Timeline

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

  1. First posted12 Sep 2005 (estimated)
  2. Study start12 Sep 2005
  3. Primary completion1 Nov 2006
  4. Study completion23 Nov 2006

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
308 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00158756
Sponsor's protocol ID
104021
Status last verified
Apr 2017
First submitted
8 Sep 2005
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tritanrix™-HepB, Rotarix™ and Zilbrix™ in people with Hepatitis B, run by GlaxoSmithKline at 9 sites in Russia.

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 4 inclusion and 5 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 9 sites in Russia. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 12 Jul 2017). 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?

Seroprotection Status for Anti-diphteria (Anti-DT) Antibodies (time frame: At one month post dose 3 [PIII(M4)]). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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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