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Hepatitis APhase 3NCT00197236

Immunogenicity and Safety of Havrix™ Co-Administered With a Diphtheria, Tetanus and Pertussis and a Haemophilus b Vaccine in Children Aged 15 Months

A Phase 3 study testing Havrix™, Infanrix™ and ActHIB™ in people with Hepatitis A, run by GlaxoSmithKline at 22 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 immune response and safety of GSK Biologicals 2-dose inactivated hepatitis A vaccine when administered with a diphtheria, tetanus and pertussis combination (DTaP) vaccine and a Haemophilus influenza type B (Hib) vaccine in children 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?
Havrix™, Infanrix™ and ActHIB™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
468 participants
Where
22 sitesUnited States
Study dates
11 Nov 2003to 3 Dec 2007
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

  • Subjects whose parents/guardians are believed by the investigator to be willing to comply with the requirements of the protocol
  • A male or female child 12 or 13 months of age at the time of entry into the Enrolment Phase,
  • Subjects must have previously received three doses each of DTaP and Hib vaccines during the first year of life. The three doses of DTaP vaccine must have been administered as either Infanrix™ or Pediarix™ and the three doses of Hib vaccine must have been administered as ActHIB™, HibTITER™, OmniHIB™.
  • Subjects who, at 15 months of age, will have had at least six months elapse since their third dose of Infanrix™ or Pediarix™,
  • Written informed consent obtained from the parents or guardian of the subject,
  • Free of obvious health problems as established by medical history and history-directed physical examination before entering into the study, and
  • Parents/guardian of the subject must have a telephone or be able to be contacted by telephone.

Who cannot join

  • Use of any investigational or non-registered drug or vaccine other than the study vaccine(s) within 31 days preceding the first dose of study vaccine, or planned use during the study period,
  • Chronic administration (defined as more than 14 days) of immuno-suppressant or other immune-modifying drugs within six months prior to vaccination or planned administration at any time during the study period.
  • Planned administration or administration of any vaccine not foreseen by the study protocol during the period 42 days before and 31 days after each dose of study vaccine(s).
  • Previous vaccination against DTaP using a commercially-available brand other than Infanrix™ or Pediarix™ or against Hib using a commercially-available brand other than ActHIB™, HibTITER™ or OmniHIB™.
  • Previous vaccination with more than three doses of DTaP-containing vaccines or more than three doses of Hib-containing vaccines.
  • Previous vaccination against hepatitis A,
Show all 18Show fewer
  • History or known exposure to hepatitis A,
  • History of diphtheria, tetanus, pertussis and/or Haemophilus influenza type b,
  • Known exposure to diphtheria, tetanus, pertussis and/or Haemophilus influenza type b within 31 days prior to the start of the study,
  • History of non-response to any vaccine in the current routine immunization schedule,
  • 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™, Infanrix™ or ActHIB™ including 2-phenoxyethanol, neomycin and gelatin,
  • History of hypersensitivity/allergic reaction to latex
  • Major congenital defects or serious chronic illness,
  • History of any neurologic disorder
  • Acute disease 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, i.e., the Enrolment Phase, the Active Phase and the Extended Safety Follow-up Phase

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

United States22 sites
  • GSK Investigational Site

    Beaumont, Texas, 77701

  • GSK Investigational Site

    Bellevue, Pennsylvania, 15202

  • GSK Investigational Site

    Bismarck, North Dakota, 58501

  • GSK Investigational Site

    Bossier City, Louisiana, 71111

  • GSK Investigational Site

    Charleston, South Carolina, 29425

  • GSK Investigational Site

    Dallas, Texas, 75235

  • GSK Investigational Site

    Danville, Virginia, 24549

  • GSK Investigational Site

    Hershey, Pennsylvania, 17033

  • GSK Investigational Site

    Ithaca, New York, 14850

  • GSK Investigational Site

    La Crosse, Wisconsin, 54601

  • GSK Investigational Site

    Long Branch, New Jersey, 07740

  • GSK Investigational Site

    Martinez, Georgia, 30907

  • GSK Investigational Site

    Mechanicsville, Virginia, 23111

  • GSK Investigational Site

    Oakland, California, 94612

  • GSK Investigational Site

    Pembroke Pines, Florida, 33027

  • GSK Investigational Site

    Phoenix, Arizona, 85029

  • GSK Investigational Site

    Pittsburgh, Pennsylvania, 15213

  • GSK Investigational Site

    Pittsburgh, Pennsylvania, 15241

  • GSK Investigational Site

    San Ramon, California, 94583

  • GSK Investigational Site

    Waterloo, Iowa, 50702

  • GSK Investigational Site

    Wilmington, Delaware, 19810

  • GSK Investigational Site

    Youngstown, Ohio, 44501

Other trials in United States

About this study

Official title: Immunogenicity and Safety of GSK Biologicals' Inactivated Hepatitis A Vaccine (Havrix™) Co-administered With GSK Biologicals' DTaP Vaccine (Infanrix™) and Aventis Pasteur's Haemophilus b Conjugate Vaccine (ActHIB) in Healthy Children 15 Months of Age

This is a study to evaluate the immune response and safety of GSK Biologicals 2-dose inactivated hepatitis A vaccine when administered with a diphtheria, tetanus and pertussis combination (DTaP) vaccine and a Haemophilus influenza type B (Hib) vaccine in children 15 months of age. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Read the detailed description

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

Conditions
Hepatitis A
Being tested
Havrix™, Infanrix™, ActHIB™
Keywords
Hepatitis A
Medical subject headings
Hepatitis A

What participants receive

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

  • Havrix™Biological

    2 intramuscular injections, 6 months apart

  • Infanrix™Biological

    1 intramuscular injection

  • ActHIB™Biological

    1 intramuscular injection

Study groups in NCT00197236
Study groupRoleWhat they receive
Havrix GroupActive comparatorSubjects received one dose of Havrix at Day 0 followed by a second dose of Havrix at Month 6-9.
Receives: Biological: Havrix™
Infanrix + ActHIB→Havrix GroupExperimentalSubjects received Infanrix co-administered with ActHIB at Day 0, followed by one dose of Havix at Day 30 and a second dose of Havrix at Month 7-10.
Receives: Biological: Havrix™; Biological: Infanrix™; Biological: ActHIB™
Havrix + Infanrix + ActHIB GroupActive comparatorSubjects received one dose of Havrix co-administered with Infanrix and ActHIB vaccines at Day 0 followed by a second dose of Havrix at Month 6-9.
Receives: Biological: Havrix™; Biological: Infanrix™; Biological: ActHIB™

What is being measured

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

  1. Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the Second Dose of Havrix

    Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).

    Measured: 31 days following the second dose of Havrix™

  2. Number of Anti-diphtheria, Anti-tetanus and Anti-polyribosylribitol Phosphate (PRP) Seroprotected Subjects

    Subjects are defined as being anti-diphtheria, anti-tetanus and anti-PRP seroprotected if their anti-diphtheria and anti-tetanus antibody concentration is ≥ 0.1 International Units per milliliter (IU/mL) and if their anti-PRP antibody concentration is ≥ 1 microgram per milliliter (μg/mL), respectively.

    Measured: 31 days following the administration of Infanrix™ and ActHIB

  3. Number of Vaccine Responders for Anti-pertussis Toxoid (PT), Anti-filamentous Hemagglutinin (FHA) and Anti-pertactin (PRN)

    Subjects are considered as being vaccine responders if they were initially seronegative and become seropositive (≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL)), or were initially seropositive and have a 2-fold increase above pre-study concentrations.

    Measured: 31 days following the administration of Infanrix™ and ActHIB

Secondary outcomes (11)
  1. Anti-diphtheria and Anti-tetanus Antibody Geometric Mean Concentrations (GMC)

    GMCs are expressed as International Units per milliliter (IU/mL).

    Measured: 31 days following the administration of Infanrix™ and ActHIB

  2. Anti-polyribosylribitol Phosphate (PRP) Antibody Geometric Mean Concentrations (GMC)

    GMCs are expressed as microgram/milliliter (µg/mL).

    Measured: 31 days following the administration of Infanrix™ and ActHIB

  3. Number of Subjects Seropositive for Anti-pertussis Toxoid (PT), Anti-filamentous Hemagglutinin (FHA), Anti-pertactin (PRN) and Anti-polyribosylribitol Phosphate (PRP)

    Seropositivity is defined as antibody concentrations ≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL) for anti-PT, anti-FHA and anti-PRN antibodies and as antibody concentrations ≥ 0.15 microgram/milliliter (µg/mL) for anti-PRP antibodies.

    Measured: 31 days following the administration of Infanrix™ and ActHIB

  4. Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the First Dose of Havrix

    Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).

    Measured: 31 days following the first dose of Havrix™

  5. Anti-hepatitis A Virus (HAV) Antibody Geometric Mean Concentrations (GMC) Following the First Dose of Havrix

    Anti-hepatitis A (HAV) antibody geometric mean concentrations (GMC) are expressed as milli-International Units per milliliter (mIU/mL).

    Measured: 31 days following the first dose of Havrix™

  6. Anti-hepatitis Virus A (HAV) Antibody Geometric Mean Concentrations (GMC) Following the Second Dose of Havrix

    Anti-hepatitis A (HAV) antibody geometric mean concentrations (GMC) are expressed as milli-International Units per milliliter (mIU/mL).

    Measured: 31 days following the second dose of Havrix™

  7. Number of Subjects With Vaccine Response to Havrix™.

    Vaccine response to Havrix is defined as post-vaccination anti-HAV antibody concentrations ≥ 15 mIU/mL in initially seronegative subjects or a ≥ 2-fold increase above the pre-vaccination anti-HAV antibody concentration in initially seropositive subjects.

    Measured: 31 days following the second dose

  8. Number of Subjects Reporting Solicited Local Adverse Events (AEs)

    Solicited local AEs assessed include pain, redness and swelling. Data across doses are presented in the table.

    Measured: 4-day period following each dose of study vaccine(s)

  9. Number of Subjects Reporting Solicited General Adverse Events (AEs)

    Solicited general AEs assessed include drowsiness, axillary fever ≥ 37.5°C, irritability and loss of appetite. Data across doses are presented in the table.

    Measured: 4-day period following each dose of study vaccine(s)

  10. Number of Subjects Reporting Unsolicited Adverse Events (AEs)

    An Adverse Event 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.

    Measured: 31-day period following each dose of study vaccine(s)

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

    Since the related information about medically significant events was not specifically collected and new chronic illnesses were only collected in the extended safety follow-up phase, all unsolicited adverse events (AEs) throughout the study are reported in the table without identifying which event was a medically significant or new chronic illness.

    Measured: Active Phase and the 6-months Extended Safety Follow-up (ESFU) Phase.

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 Nov 2003
  3. Primary completion3 Dec 2007
  4. Study completion3 Dec 2007

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
468 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00197236
Sponsor's protocol ID
208109/232
Status last verified
Jan 2017
First submitted
15 Sep 2005
Last updated
20 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, Klein NP, Paul IM, Michaels MG, Goessler M, Chandrasekaran V, Blatter M. Immunogenicity and safety of an inactivated hepatitis A vaccine when coadministered with Diphtheria-tetanus-acellular pertussis and haemophilus influenzae type B vaccines in children 15 months of age. Pediatr Infect Dis J. 2011 Sep;30(9):e164-9. doi: 10.1097/INF.0b013e31821b8a7d.

    PubMed 21494175

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Havrix™, Infanrix™ and ActHIB™ in people with Hepatitis A, run by GlaxoSmithKline at 22 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 7 inclusion and 18 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 20 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 22 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 24 Jul 2009). 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-hepatitis A Virus (HAV) Antibodies Following the Second Dose of Havrix (time frame: 31 days following the second dose of Havrix™). The study lists 3 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 NCT00197236, 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 20 Aug 2018.

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