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Hepatitis APhase 3NCT00197002

Immune Response & Safety of a Hepatitis A Vaccine Given Together With a Pneumococcal Vaccine in Healthy Children 15 m of Age

A Phase 3 study testing GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix) and Prevnar™ in people with Hepatitis A, run by GlaxoSmithKline at 18 sites in United States.

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

This is a study to evaluate the immunogenicity and safety of GSK Biologicals 2-dose inactivated hepatitis A vaccine when administered with a pneumococcal conjugate vaccine in children as young as 15 months of age. Read more about this study

Who is it for?
Ages 12 to 13 monthsHealthy volunteers can take part
Conditions the study is for
Hepatitis A
What is being tested?
GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix) and Prevnar™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
521 participants
Where
18 sitesUnited States
Study dates
11 Sep 2003to 16 Jan 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 12 to 13 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • A male or female child 12 or 13 months of age at the time of entry into the Enrollment Phase,
  • Free of obvious health problems,
  • Subjects must have previously received three doses of Prevnar in his/her first year of life.

Who cannot join

  • Use of any investigational or non-registered drug or vaccine within 42 days preceding the first dose of study vaccine, or planned use during the study period,
  • Chronic administration of immuno-suppressant or other immune-modifying drugs within six months prior to vaccination or planned administration at any time during the study period. (For corticosteroids, this will mean prednisone, or equivalent, less than 0.5 mg/kg/day. Inhaled, nasal and topical steroids are allowed.),
  • Administration of the ACIP-recommended fourth dose of Prevnar prior to entering the Enrollment Phase of the study,
  • Planned administration or administration of any vaccine not foreseen by the study protocol within the period of 42 days before and 30 days after each dose of study vaccine(s),
  • Previous vaccination against hepatitis A,
  • History of hepatitis A or known exposure to hepatitis A,
Show all 13Show fewer
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection,
  • A family history of congenital, hereditary or infectious immunodeficiency or parental risk factors for HIV infection,
  • History of allergic disease/reactions or hypersensitivity likely to be exacerbated by any component of Havrix (e.g., neomycin, 2-phenoxyethanol) or Prevnar (e.g., diphtheria toxoid),
  • Major congenital defects or serious chronic illness,
  • History of any neurologic disorder (history of febrile seizures not associated with an underlying neurological disorder does not exclude the subject),
  • Acute disease, defined as the presence of a moderate or severe illness with or without fever, at the time of vaccination,
  • Administration of immunoglobulins and/or any blood products within three months prior to the first dose of study vaccine or planned administration at any time during the entire study period.

Trial locations and contacts

18 sites in 1 country.

18 sites in 1 country

United States18 sites
  • GSK Investigational Site

    Bardstown, Kentucky, 40004

  • GSK Investigational Site

    Boston, Massachusetts, 02115

  • GSK Investigational Site

    Boston, Massachusetts, 02118

  • GSK Investigational Site

    Centennial, Colorado, 80112

  • GSK Investigational Site

    Chapel Hill, North Carolina, 27514

  • GSK Investigational Site

    Dallas, Texas, 75235

  • GSK Investigational Site

    Kalamazoo, Michigan, 49008

  • GSK Investigational Site

    Las Vegas, Nevada, 89014

  • GSK Investigational Site

    Louisville, Kentucky, 40202

  • GSK Investigational Site

    North Las Vegas, Nevada, 89025

  • GSK Investigational Site

    Omaha, Nebraska, 68131

  • GSK Investigational Site

    Pittsburgh, Pennsylvania, 15241

  • GSK Investigational Site

    Salt Lake City, Utah, 84109

  • GSK Investigational Site

    Salt Lake City, Utah, 84121

  • GSK Investigational Site

    San Antonio, Texas, 78205-2489

  • GSK Investigational Site

    Stony Brook, New York, 11794

  • GSK Investigational Site

    University Heights, Ohio, 44118

  • GSK Investigational Site

    Vancouver, Washington, 98664

Other trials in United States

About this study

Official title: A Phase IIIb, Open, Randomized, Controlled, Multicenter Study of the Immunogenicity and Safety of GSK Biologicals' Inactivated Hepatitis A Vaccine Administered on a 0-6 Mth Schedule Concomitantly With Wyeth Lederle's Pneumococcal Conjugate Vaccine in Healthy Children 15 Months of Age

This is a study to evaluate the immunogenicity and safety of GSK Biologicals 2-dose inactivated hepatitis A vaccine when administered with a pneumococcal conjugate vaccine in children as young as 15 months of age.

Read the detailed description

An open, controlled comparison of Havrix administered alone or with Prevnar. The three groups evaluated are: 1) Havrix alone, 2) Havrix plus Prevnar and 3) Prevnar followed by Havrix one month later.

Conditions
Hepatitis A
Being tested
GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix), Prevnar™
Medical subject headings
Hepatitis A

What participants receive

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

  • GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix)Biological

    Two doses, administered intramuscularly in the right anterolateral thigh.

  • Prevnar™Biological

    One dose, administered intramuscularly in the left anterolateral thigh.

Study groups in NCT00197002
Study groupRoleWhat they receive
Havrix GroupActive comparatorHealthy male or female subjects, 15 months of age, who received Havrix® vaccine administered intramuscularly in the right anterolateral thigh, at Day 0 and at Month 6-9.
Receives: Biological: GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix)
Havrix+Prevnar GroupExperimentalHealthy male or female subjects, 15 months of age, who received Havrix® and Prevnar™ vaccines co-administered intramuscularly in the right and left anterolateral thighs, respectively, at Day 0 and Havrix® vaccine administered intramuscularly in the right anterolateral thigh, at Month 6-9.
Receives: Biological: GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix); Biological: Prevnar™
Prevnar Havrix GroupActive comparatorHealthy male or female subjects, 15 months of age, who received Prevnar™ vaccine administered intramuscularly in the left anterolateral thigh, at Day 0 and Havrix® vaccine, administered intramuscularly in the right anterolateral thigh, at Day 30 and at Month 7-10.
Receives: Biological: GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix); Biological: Prevnar™

What is being measured

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

  1. Number of Seropositive Subjects for Anti-HAV Antibodies

    Cut-off values assessed were greater than or equal to (≥) 15 milli-international units per milliliter (mIU/mL) in the sera of subjects seronegative before vaccination.

    Measured: At one month after Dose 2 of Havrix® vaccine (Month 7-10)

  2. Concentrations for Anti-HAV Antibodies

    Anti-HAV antibody concentrations are presented as geometric mean concentrations (GMCs), expressed in milli-international units per milliliter (mIU/mL).

    Measured: At one month after Dose 2 of Havrix® vaccine (Month 7-10)

Secondary outcomes (12)
  1. Anti-4, Anti-6B, Anti-9V, Anti-14, Anti-19F and Anti-23F Antibody Concentrations

    Antibody concentrations against pneumococcal serotypes (4, 6B, 9V, 14, 18C, 19F and 23F) are presented as geometric mean concentrations (GMCs), expressed in microgram per milliliter (μg/mL).

    Measured: At one month after Prevnar™ vaccination (Day 30)

  2. Number of Subjects With an Immune Response to Anti-pneumococcal Serotypes 4, 6B, 9V, 14, 18C, 19F and 23F

    The immune response was defined, with respect to anti-pneumococcal response rates, as an antibody concentration equal to or above (≥) 0.05 μg/mL.

    Measured: At one month after Prevnar™ vaccination (Day 30)

  3. Number of Seropositive Subjects for Anti-HAV Antibodies

    Cut-off values assessed were greater than or equal to (≥) 15 mIU/mL in the sera of subjects seronegative before vaccination.

    Measured: At one month after Dose 1 of Havrix® vaccine (Day 30)

  4. Concentrations for Anti-HAV Antibodies

    Anti-HAV antibody concentrations are presented as geometric mean concentrations (GMCs), expressed in milli international units per milliliter (mIU/mL).

    Measured: At one month after Dose 1 of Havrix® vaccine (Day 30)

  5. Number of Seropositive Subjects for Anti-HAV Antibodies

    Cut-off values assessed were greater than or equal to (≥) 15 mIU/mL in the sera of subjects seronegative before vaccination.

    Measured: At one month after Dose 2 of Havrix® vaccine (Month 8-11)

  6. Concentrations for Anti-HAV Antibodies

    Anti-HAV antibody concentrations are presented as geometric mean concentrations (GMCs), expressed in milli international units per milliliter (mIU/mL).

    Measured: At one month after Dose 2 of Havrix® vaccine (Month 8-11)

  7. Number of Subjects With Vaccine Response to Anti-HAV Antibodies

    The vaccine response was defined as:

    1. a detectable anti-HAV antibody concentration one month after Dose 2 in subjects who were initially seronegative (antibody concentrations < 15 mIU/mL for anti-HAV); or
    2. a 2-fold increase above the pre-vaccination concentration one month after Dose 2 in subjects who were initially seropositive (antibody concentrations ≥ 15 mIU/mL for anti-HAV).

    Measured: One month after Dose 2 of Havrix® vaccine (Month 7-10/8-10)

  8. Number of Subjects With Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.

    Measured: During the 4-day (Day 0-3) follow-up period after each vaccine dose and across doses

  9. Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were drowsiness, fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)], irritability and loss of appetite. Any = occurrence of the symptom regardless of intensity grade. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 fever = fever > 39.0 °C. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = symptom assessed by the investigator as related to the vaccination.

    Measured: During the 4-day (Day 0-3) follow-up period after each vaccine dose and across doses

  10. Number of Subjects With Any, Grade 3 and Related 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. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

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

  11. Number of Subjects With Serious Adverse Events (SAEs), New Chronic Illnesses (NCIs) and Medically Significant Events (MSEs)

    SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. NCIs include autoimmune disorders, asthma, type I diabetes, allergies. MSEs include AEs prompting emergency room or physician visits that are not related to common diseases or routine visits for physical examination or vaccination, or serious adverse events (SAEs) that are not related to common diseases. Common diseases include upper respiratory infections, sinusitis, pharyngitis, gastroenteritis, urinary tract infections, cervico-vaginal yeast infections, menstrual cycle abnormalities and injury.

    Measured: During the Active Phase (from Day 0 to Day 30 after final vaccine dose for each subject)

  12. Number of Subjects With SAEs, NCIs and MSEs

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. NCIs include autoimmune disorders, asthma, type I diabetes, allergies. MSEs include AEs prompting emergency room or physician visits that are not related to common diseases or routine visits for physical examination or vaccination, or serious adverse events (SAEs) that are not related to common diseases. Common diseases include upper respiratory infections, sinusitis, pharyngitis, gastroenteritis, urinary tract infections, cervico-vaginal yeast infections, menstrual cycle abnormalities and injury.

    Measured: During the Extended Safety Follow-up (ESFU) Phase (from Day 30 to 6 months after final vaccine dose)

Timeline

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

  1. First posted20 Sep 2005 (estimated)
  2. Study start11 Sep 2003
  3. Primary completion16 Jan 2006
  4. Study completion16 Jan 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
521 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00197002
Sponsor's protocol ID
208109/220
Status last verified
Jun 2018
First submitted
13 Sep 2005
Last updated
6 Aug 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.

Publications

  • Trofa AF, Levin M, Marchant CD, Hedrick J, Blatter MM. Immunogenicity and safety of an inactivated hepatitis a vaccine administered concomitantly with a pneumococcal conjugate vaccine in healthy children 15 months of age. Pediatr Infect Dis J. 2008 Jul;27(7):658-60. doi: 10.1097/INF.0b013e31816907bd.

    PubMed 18536623

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GSK Biologicals 2-dose inactivated hepatitis A vaccine (Havrix) and Prevnar™ in people with Hepatitis A, run by GlaxoSmithKline at 18 sites in United States.

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 3 inclusion and 13 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 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States. 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 20 Feb 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?

Number of Seropositive Subjects for Anti-HAV Antibodies (time frame: At one month after Dose 2 of Havrix® vaccine (Month 7-10)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00197002, which also lists 1 linked publication.

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 Aug 2018.

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