VaricellaPhase 3NCT00226499
Evaluate Vaccine Against Chickenpox and a Combined Vaccine Against 4 Viral Childhood Diseases: Measles, Mumps, Rubella and Chickenpox
A Phase 3 study testing Priorix-tetra™, Priorix™ and Varilrix™ in people with Varicella and Chickenpox Vaccines, run by GlaxoSmithKline at 104 sites in 10 countries.
Trial summary
An observer-blind study to evaluate GlaxoSmithKline Biologicals' live attenuated varicella vaccine and GlaxoSmithKline Biologicals' combined measles-mumps-rubella-varicella vaccine in the prevention of varicella disease in children. Read more about this study
- Who is it for?
- Ages 11 to 22 monthsHealthy volunteers can take part
- Conditions the study is for
- Varicella, Chickenpox Vaccines
- What is being tested?
- Priorix-tetra™, Priorix™ and Varilrix™
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5,803 participants
- Where
- 104 sitesin 10 countries
- Study dates
- 1 Sep 2005to 12 Oct 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 11 to 22 months
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Subjects for whom the investigator believes that their parents/guardians can and will comply with the requirements of the protocol for the whole duration of the study.
- Male or female subject between 12 and 22 months of age at the time of the first vaccination.
- Subjects free of obvious health problems, as established by medical history and physical examination before entering the study.
- Written informed consent obtained from the parents/guardians of the subject after they have been informed on the risks and benefits of the study, in a language they clearly understand and before performance of any study procedure.
- Subjects whose parents/guardians have direct access to telephone/mobile phone.
- Subjects:
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- with at least one sibling (with negative history of varicella disease/vaccination) at home, or
- attending day care center, or
- attending childminders, i.e. someone taking care of several children, or
- who are in contact for at least once a week with other children without a known positive history of varicella disease/vaccination, while playing in close physical contact for more than 5 minutes.
Who cannot join
- Previous vaccination against measles, mumps, rubella and/or varicella.
- History of previous measles, mumps, rubella and/or varicella/ herpes zoster diseases.
- Known exposure to measles, mumps, rubella and/or varicella/herpes zoster within 30 days prior to the start of the study.
- Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
- Administration of immunoglobulins and/or any blood products within three months prior to the first vaccine dose or planned administration during the study period.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical.
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- Family history of congenital or hereditary immunodeficiency.
- History of allergic diseases or reactions likely to be exacerbated by any component of the vaccines, including systemic allergy to egg proteins or neomycin.
- Major congenital defects or serious chronic illness.
- Residence in the same household as newborns (0-4 weeks of age), pregnant women who are varicella-susceptible, persons with a known immunodeficiency or any other persons at high risk for varicella.
- History of any neurologic disorders or seizures.
- Use of any investigational or non-registered product (drug/vaccine other than the study vaccines) within 14 days prior to vaccination and planned use during the study period.
- Additional exclusion criteria for subjects included in the subset:
- Administration of a licensed vaccine within 14 days prior to vaccination and planned use until approximately 42 days after the last study vaccine dose (Day 84) with the exception of oral polio vaccine (OPV).
Trial locations and contacts
104 sites in 10 countries.
104 sites in 10 countries
Czechia20 sites
GSK Investigational Site
Brno, 628 00
GSK Investigational Site
Chomutov, 43003
GSK Investigational Site
Děčín, 405 01
GSK Investigational Site
Havlíčkův Brod, 580 22
GSK Investigational Site
Hradec Králové, 500 01
GSK Investigational Site
Humpolec, 396 01
GSK Investigational Site
Jindřichův Hradec, 377 01
GSK Investigational Site
Kolín, 28002
GSK Investigational Site
Liberec, 46015
GSK Investigational Site
Moravská Ostrava, 702 00
GSK Investigational Site
Náchod, 547 01
GSK Investigational Site
Ostrava, 728 92
GSK Investigational Site
Pardubice, 532 03
GSK Investigational Site
Pilsen, 305 99
GSK Investigational Site
Prague, 140 00
GSK Investigational Site
Prague, 14200
GSK Investigational Site
Prague, 150 00
GSK Investigational Site
Prague, 160 00
GSK Investigational Site
Prague, 190 00
GSK Investigational Site
Znojmo
Russia14 sites
GSK Investigational Site
Ivanteevka Moscow Region, 141280
GSK Investigational Site
Moscow, 115 478
GSK Investigational Site
Moscow, 115446
GSK Investigational Site
Moscow, 119991
GSK Investigational Site
Murmansk, 183046
GSK Investigational Site
Novokuznetsk, 654063
GSK Investigational Site
Novosibirsk, 630112
GSK Investigational Site
Saint Petersburg, 191123
GSK Investigational Site
Samara, 443079
GSK Investigational Site
Saratov, 410010
GSK Investigational Site
Tomsk, 634001
GSK Investigational Site
Volgograd, 400130
GSK Investigational Site
Yekaterinburg, 620085
GSK Investigational Site
Yekaterinburg, 620109
Slovakia13 sites
GSK Investigational Site
Bratislava, 841 08
GSK Investigational Site
Bratislava, 851 05
GSK Investigational Site
Dlhá nad Oravou, 027 55
GSK Investigational Site
Dolný Kubín, 026 01
GSK Investigational Site
Dubnica nad Váhom, 018 41
GSK Investigational Site
Nová Dubnica, 018 51
GSK Investigational Site
Nové Mesto nad Váhom, 915 01
GSK Investigational Site
Nové Zámky, 940 01
GSK Investigational Site
Púchov, 020 01
GSK Investigational Site
Ružomberok, 034 01
GSK Investigational Site
Štúrovo, 943 01
GSK Investigational Site
Šurany, 942 18
GSK Investigational Site
Trenčín, 911 01
Greece11 sites
GSK Investigational Site
Arta, 471 00
GSK Investigational Site
Athens, 115 22
GSK Investigational Site
Athens, 115 27
GSK Investigational Site
Athens, 25236
GSK Investigational Site
Giannitsá, 581 00
GSK Investigational Site
Karditsa, 43100
GSK Investigational Site
Komotini, 69 100
GSK Investigational Site
Ptolemaida, 50200
GSK Investigational Site
Thessaloniki, 54636
GSK Investigational Site
Tripoli, 22100
GSK Investigational Site
Véria, 591 00
Poland10 sites
GSK Investigational Site
Bydgoszcz, 85-021
GSK Investigational Site
Dębica, 39-200
GSK Investigational Site
Krakow, 31-202
GSK Investigational Site
Oleśnica, 56-400
GSK Investigational Site
Poznan, 61-709
GSK Investigational Site
Siemianowice Śląskie, 41-103
GSK Investigational Site
Tarnów, 33-100
GSK Investigational Site
Trzebnica, 55-100
GSK Investigational Site
Wesoła, 05-077
GSK Investigational Site
Wroclaw, 52-312
Italy9 sites
GSK Investigational Site
Alghero (SS), Sardinia, 07041
GSK Investigational Site
Ferrara, Emilia-Romagna, 44100
GSK Investigational Site
Florence, Tuscany, 50139
GSK Investigational Site
Genoa, Liguria, 16132
GSK Investigational Site
Milan, Lombardy, 20122
GSK Investigational Site
Novara, Piedmont, 28100
GSK Investigational Site
Ozieri (SS), Sardinia, 07014
GSK Investigational Site
Quarto (NA), Campania, 80010
GSK Investigational Site
Udine, Friuli Venezia Giulia, 33100
Romania9 sites
GSK Investigational Site
Brasov
GSK Investigational Site
Bucharest, 050098
GSK Investigational Site
Bucharest, 077190
GSK Investigational Site
Bucharest, 20395
GSK Investigational Site
Bucharest, 22102
GSK Investigational Site
Cluj-Napoca, 400217
GSK Investigational Site
Constanța, 900709
GSK Investigational Site
Sibiu
GSK Investigational Site
Timișoara, 300593
Lithuania8 sites
GSK Investigational Site
Alytus, LT-63164
GSK Investigational Site
Kaunas, LT-48259
GSK Investigational Site
Klaipėda, LT-94007
GSK Investigational Site
Panevezys, LT-37355
GSK Investigational Site
Šiauliai, LT-76346
GSK Investigational Site
Vilnius, LT -10207
GSK Investigational Site
Vilnius, LT-02169
GSK Investigational Site
Vilnius, LT-11200
Norway5 sites
GSK Investigational Site
Bekkestua, 1319
GSK Investigational Site
Moelv, N-2390
GSK Investigational Site
Paradis, 5231
GSK Investigational Site
Skien, N-03730
GSK Investigational Site
Trondheim, N-7036
Sweden5 sites
GSK Investigational Site
Linköping, SE-581 85
GSK Investigational Site
Malmö, 205 02
GSK Investigational Site
Norrköping, SE-602 39
GSK Investigational Site
Örebro, SE-702 11
GSK Investigational Site
Umeå, SE-901 85
About this study
Official title: Study in Healthy Children (<2 Years) to Evaluate the Safety and Efficacy of GSK Biologicals' Live Attenuated Varicella Vaccine (VarilrixTM) and of GSK Biologicals' Combined Measles-Mumps-Rubella-Varicella Vaccine
An observer-blind study to evaluate GlaxoSmithKline Biologicals' live attenuated varicella vaccine and GlaxoSmithKline Biologicals' combined measles-mumps-rubella-varicella vaccine in the prevention of varicella disease in children. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Read the detailed description
According to treatment group allocation, participants will receive study vaccines and be followed for antibody titres and occurrence of varicella disease.
This study is conducted in 2 phases. Phase A includes the vaccination period and an observation period for efficacy. The efficacy endpoints will be evaluated over at least two years after vaccination. During this period, the immunogenicity endpoints will be evaluated with respect to the immune response 43 days after vaccination and the persistence of antibodies over two years to varicella (for all subjects) and to measles, mumps and rubella (for a subset of subjects). Regarding the safety endpoints, SAEs (including any complicated varicella cases if observed) will be assessed for all subjects during the whole Phase A duration, whereas, solicited (local and general) and unsolicited adverse events will be assessed in a subset of subjects within a 43-day period after vaccination.
Phase B is an extension of Phase A. It is a long-term follow-up until Year 10 to examine the long-term efficacy of the study vaccines against clinical varicella disease as well as the long-term persistence of antibodies to varicella (for all subjects) and to measles, mumps and rubella (in a subset of subjects) after vaccination.
- Conditions
- Varicella, Chickenpox Vaccines
- Being tested
- Priorix-tetra™, Priorix™, Varilrix™
- Medical subject headings
- Chickenpox
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Priorix-tetra™Biological
2 doses administered subcutaneously, one at Day 0 and the other at Day 42 to subjects in MMRV Group
Priorix™Biological
2 doses administered subcutaneously, one at Day 0 and the other at Day 42 to subjects in MMR Group and one dose administered subcutaneously at Day 0 to subjects in OKAH Group
Varilrix™Biological
1 dose administered subcutaneously at Day 42 to subjects in OKAH Group
| Study group | Role | What they receive |
|---|---|---|
| MMRV Group | Experimental | Subjects in this group received 2 doses of Priorix-Tetra vaccine, administered subcutaneously in the deltoid region of the left arm, one at Day 0 (Visit 1) and the other at Day 42 (Visit 2). Receives: Biological: Priorix-tetra™ |
| OKAH Group | Experimental | Subjects in this group received 1 dose of Priorix at Day 0 (Visit 1) and 1 dose of Varilrix at Day 42 (Visit 2). Both vaccines were administered subcutaneously in the deltoid region of the left arm. Receives: Biological: Priorix™; Biological: Varilrix™ |
| MMR Group | Active comparator | Subjects in this group received 2 doses of Priorix, administered subcutaneously in the deltoid region of the left arm, one at Day 0 (Visit 1) and the other at Day 42 (Visit 2). Receives: Biological: Priorix™ |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase A: Number of Subjects With Confirmed Varicella Case
Confirmed varicella case = A case that met the clinical case definition [an illness with acute onset of diffuse, generalized maculopapulovesicular rash (i.e. spots, papules and/or vesicles) without other apparent cause] at least in the opinion of the investigator and was confirmed by laboratory test [Polymerase Chain Reaction (PCR) (+)] OR a case that met the clinical definition confirmed by the Independent Data Monitoring Committee (IDMC) and was epidemiologically linked [Epi (+)] to a valid index case.
Measured: From 42 days post dose 2 until the end of Phase A
Secondary outcomes (36)
Phase A: Number of Subjects With Moderate or Severe Confirmed Varicella Case
Confirmed varicella case: A case that met the clinical case definition at least in the opinion of the investigator and was confirmed by laboratory test [PCR (+)] OR a case that met the clinical definition confirmed by the IDMC and was epidemiologically linked [Epi (+)] to a valid index case. Moderately severe disease: 8-15 points; severe disease: ≥ 16 points (scored by IDMC using the modified Vázquez scale).
Measured: From 42 days post dose 2 until the end of Phase A
Phase A: Number of Subjects With Probable or Confirmed Varicella Case
Probable or confirmed varicella case = A case that met the clinical case definition (as determined by the IDMC) but was not laboratory confirmed [PCR (-)] AND was not epidemiologically linked [Epi (-)] to another probable or confirmed case.
Measured: From 42 days post dose 2 until the end of Phase A
Phase A: Immune Response to Varicella Vaccine With Respect to Anti-Varicella Zoster Virus (Anti-VZV) Antibody Concentrations
Anti-VZV antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in milliinternational units per milliliter (mIU/mL).
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Seroconversion/Seroresponse to VZV
Seronegative (S-) = Subjects with antibody concentration less than (<) 25 mIU/mL prior to vaccination. Seropositive (S+) = Subjects with antibody concentration greater than or equal to (≥) 25 mIU/mL prior to vaccination. Seroconversion was defined as the appearance of antibodies (i.e. titer greater than or equal to the cut-off value) in the serum of subjects seronegative before vaccination.
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Immune Response to Measles With Respect to Anti-measles Antibody Concentrations in a Subset of Subjects
Anti-measles antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in milliinternational units per milliliter (mIU/mL).
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Seroconversion/Seroresponse to Measles in a Subset of Subjects
Seronegative (S-) = Subjects with antibody concentration < 150 mIU/mL prior to vaccination. Seropositive (S+) = Subjects with antibody concentration ≥ 150 mIU/mL prior to vaccination. Seroconversion was defined as the appearance of antibodies (i.e. titer greater than or equal to the cut-off value) in the serum of subjects seronegative before vaccination.
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Immune Response to Mumps With Respect to Anti-mumps Antibody Concentrations in a Subset of Subjects
Anti-mumps antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in units per milliliter (U/mL).
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Seroconversion/Seroresponse to Mumps in a Subset of Subjects
Seronegative (S-) = Subjects with antibody concentration < 231 U/mL prior to vaccination. Seropositive (S+) = Subjects with antibody concentration ≥ 231 U/mL prior to vaccination. Seroconversion was defined as the appearance of antibodies (i.e. titer greater than or equal to the cut-off value) in the serum of subjects seronegative before vaccination.
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Immune Response to Rubella With Respect to Anti-rubella Antibody Concentrations in a Subset of Subjects
Anti-rubella antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in International Units per milliliter (IU/mL).
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With a Seroconversion/Seroresponse to Rubella in a Subset of Subjects
Seronegative (S-) = Subjects with antibody concentration < 4 IU/mL prior to vaccination. Seropositive (S+) = Subjects with antibody concentration ≥ 4 IU/mL prior to vaccination. Seroconversion was defined as the appearance of antibodies (i.e. titer greater than or equal to the cut-off value) in the serum of subjects seronegative before vaccination.
Measured: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Confirmed Cases of Herpes Zoster
The number of subjects with confirmed cases of herpes zoster is reported.
Measured: From Day 0 until the end of Phase A (Year 2)
Phase A: Number of Subjects Reporting Fever
All fever = Occurrence of any fever (measured rectally) regardless of its intensity grade or relationship to vaccination. Related = fever (measured rectally) assessed by the investigator to be causally related to the study vaccination. Medical Advice = seek for medical advice.
Measured: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Fever
All fever = Occurrence of any fever (measured rectally) regardless of its intensity grade or relationship to vaccination. Related fever = fever (measured rectally) assessed by the investigator to be causally related to the study vaccination. Medical Advice = seek for medical advice.
Measured: Within 15 days (Day 0-14) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Solicited Local Symptoms
Solicited local symptoms assessed were pain, redness and swelling. Any solicited local symptom = Occurrence of any local symptom regardless of their intensity grade. Grade 3 pain = Cried when limb was moved/spontaneously painful. Grade 3 redness and swelling = greater than (>) 20 mm.
Measured: 4 days post-vaccination period following each dose
Phase A: Number of Subjects Reporting Meningism
Any = Occurrence of meningism regardless of its intensity grade. Grade 3 meningism = Prevented normal, everyday activities. Related = Assessed by the investigator to be causally related to the study vaccination.
Measured: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Parotitis
Any = Occurrence of parotitis regardless of its intensity grade. Grade 3 parotitis = Swelling with accompanying general symptoms. Related = Assessed by the investigator to be causally related to the study.
Measured: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Rash
Any = Occurrence of rash regardless of its intensity grade. Grade 3 rash = 101-500 lesions. Grade 4 rash = > 500 lesions. Related rash = Assessed by the investigator to be causally related to the study vaccination.
Measured: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects With Suspected Sign of Meningism Including Febrile Convulsions
Any = Occurrence of meningism including febrile convulsions regardless of intensity grade.
Measured: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Unsolicited Adverse Events (AEs)
Unsolicited AE assessed included 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. Any = Occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination.
Measured: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Serious Adverse Events (SAEs)
SAEs assessed included medical occurrences that resulted in death, were life-threatening, required hospitalisation or prolongation of hospitalisation or resulted in disability/incapacity. Any SAE = occurrence of SAE regardless of intensity grade or relation to vaccination.
Measured: From Day 0 until the end of Phase A (Year 2)
Phase A: Health Economics Analysis of Factors Leading to Indirect Costs Due to Varicella Illness
Parameters assessed: 1. Number of hours lost from work by parents/guardians as a result of taking care of their child due to varicella. 2. Number of hours the child lost attendance in: day care/childminder, school, or in any extra-curricular activities (e.g. sports or recreation or any type of organised leisure activities) due to varicella. 3. Number of hours spent by a nurse, a babysitter or any type of existing paid caregiver to look after the child (if applicable).
Measured: During Phase A (from Day 0 up to Year 2)
Phase B: Number of Subjects With Confirmed Varicella Case
Confirmed varicella case = A case that met the clinical case definition at least in the opinion of the investigator and was confirmed by laboratory test [PCR (+)] OR a case that met the clinical definition confirmed by the IDMC and was epidemiologically linked [Epi (+)] to a valid index case.
Measured: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Number of Subjects With Moderate or Severe Confirmed Varicella Case
Confirmed varicella case = A case that met the clinical case definition at least in the opinion of the investigator and was confirmed by laboratory test [PCR (+)] OR a case that met the clinical definition confirmed by the IDMC and was epidemiologically linked [Epi (+)] to a valid index case. Moderately severe disease = 8-15 points; severe disease: ≥ 16 points (scored by IDMC using the modified Vázquez scale).
Measured: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Number of Subjects With Probable or Confirmed Varicella Case
Probable or confirmed varicella = A case that met the clinical case definition (as determined by the IDMC) but was not laboratory confirmed [PCR (-)] AND was not epidemiologically linked [Epi (-)] to another probable or confirmed case.
Measured: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Characteristics of Varicella Cases
Varicella cases were characterized by type, number and character of lesions, duration of rash, incidence of fever, systemic signs, the assessment by investigator, complications, treatment, outcome and intensity of severity.
Measured: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Immune Response to Varicella Vaccine With Respect to Anti-Varicella Zoster Virus (Anti-VZV) Antibody Concentrations
Anti-VZV antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in milliinternational units per milliliter (mIU/mL).
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-VZV Antibody Concentrations Above the Cut-off Value
The anti-VZV antibody concentration cut-off value assessed was greater than or equal to (≥) 25 mIU/mL, in the sera of subjects seronegative before vaccination.
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Immune Response to Measles With Respect to Anti-measles Antibody Concentrations
Anti-measles antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in milliinternational units per milliliter (mIU/mL).
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-measles Antibody Concentrations Above the Cut-off Value
The anti-measles antibody concentration cut-off value assessed was ≥ 150 mIU/mL, in the sera of subjects seronegative before vaccination.
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Immune Response to Mumps With Respect to Anti-mumps Antibody Concentrations
Anti-mumps antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in units per milliliter (U/mL).
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-mumps Antibody Concentrations Above the Cut-off Value
The anti-mumps antibody concentration cut-off value assessed was ≥ 231 U/mL, in the sera of subjects seronegative before vaccination.
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Immune Response to Rubella With Respect to Anti-rubella Antibody Concentrations
Anti-rubella antibody concentrations are presented as Geometric Mean Concentrations (GMCs), expressed in international units per milliliter (IU/mL).
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-rubella Antibody Concentrations Above the Cut-off Value
The anti-rubella antibody concentration cut-off value assessed was ≥ 4 IU/mL, in the sera of subjects seronegative before vaccination.
Measured: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Characteristics of Zoster Cases
Zoster cases were characterized by number and character of lesions, duration of rash, incidence of fever, systemic signs, the assessment by investigator, complications, treatment, outcome and intensity of severity.
Measured: From 6 weeks after Dose 2 until study end (Year 10)
Phase B: Number of Subjects Reporting Serious Adverse Events (SAEs)
SAEs assessed included medical occurrences that resulted in death, were life-threatening, required hospitalisation or prolongation of hospitalisation or resulted in disability/incapacity. Any SAE = occurrence of SAE regardless of intensity grade or relation to vaccination.
Measured: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Health Economics Analysis of Factors Leading to Indirect Costs Due to Varicella Illness
Parameters assessed: 1. Number of hours lost from work by parents/guardians as a result of taking care of their child due to varicella. 2. Number of hours the child lost attendance in: day care/childminder, school, or in any extra-curricular activities (e.g. sports or recreation or any type of organised leisure activities) due to varicella. 3. Number of hours spent by a nurse, a babysitter or any type of existing paid caregiver to look after the child (if applicable).
Measured: During Phase B
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Sep 2005 (estimated)
- Study start1 Sep 2005
- Primary completion12 Oct 2006
- Study completion12 Oct 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for VaricellaStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 5,803 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00226499
- Sponsor's protocol ID
- 100388
- Other IDs
- 104105 (EXT FU Y2), 103494 (EXT FU Y1), 104106 (EXT FU Y4-Y6-Y8-Y10), 2004-002676-41, 2004
- Status last verified
- Aug 2019
- First submitted
- 23 Sep 2005
- Last updated
- 23 Sep 2019
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD for this study will be made available via the Clinical Study Data Request site.
Publications
Henry O, Brzostek J, Czajka H, Leviniene G, Reshetko O, Gasparini R, Pazdiora P, Plesca D, Desole MG, Kevalas R, Gabutti G, Povey M, Innis B. One or two doses of live varicella virus-containing vaccines: Efficacy, persistence of immune responses, and safety six years after administration in healthy children during their second year of life. Vaccine. 2018 Jan 8;36(3):381-387. doi: 10.1016/j.vaccine.2017.11.081. Epub 2017 Dec 7.
PubMed 29224964Prymula R, Bergsaker MR, Esposito S, Gothefors L, Man S, Snegova N, Stefkovicova M, Usonis V, Wysocki J, Douha M, Vassilev V, Nicholson O, Innis BL, Willems P. Protection against varicella with two doses of combined measles-mumps-rubella-varicella vaccine versus one dose of monovalent varicella vaccine: a multicentre, observer-blind, randomised, controlled trial. Lancet. 2014 Apr 12;383(9925):1313-1324. doi: 10.1016/S0140-6736(12)61461-5. Epub 2014 Jan 29.
PubMed 24485548Carryn S, Feyssaguet M, Povey M, Di Paolo E. Long-term immunogenicity of measles, mumps and rubella-containing vaccines in healthy young children: A 10-year follow-up. Vaccine. 2019 Aug 23;37(36):5323-5331. doi: 10.1016/j.vaccine.2019.07.049. Epub 2019 Jul 22.
PubMed 31345639Habib MA, Prymula R, Carryn S, Esposito S, Henry O, Ravault S, Usonis V, Wysocki J, Gillard P, Povey M. Correlation of protection against varicella in a randomized Phase III varicella-containing vaccine efficacy trial in healthy infants. Vaccine. 2021 Jun 8;39(25):3445-3454. doi: 10.1016/j.vaccine.2021.02.074. Epub 2021 Mar 16.
PubMed 33736915Povey M, Henry O, Riise Bergsaker MA, Chlibek R, Esposito S, Flodmark CE, Gothefors L, Man S, Silfverdal SA, Stefkovicova M, Usonis V, Wysocki J, Gillard P, Prymula R. Protection against varicella with two doses of combined measles-mumps-rubella-varicella vaccine or one dose of monovalent varicella vaccine: 10-year follow-up of a phase 3 multicentre, observer-blind, randomised, controlled trial. Lancet Infect Dis. 2019 Mar;19(3):287-297. doi: 10.1016/S1473-3099(18)30716-3. Epub 2019 Feb 11.
PubMed 30765242
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study in Healthy Children (<2 Years) to Evaluate the Safety and Efficacy of GSK Biologicals' Live Attenuated Varicella Vaccine (VarilrixTM) and of GSK Biologicals' Combined Measles-Mumps-Rubella-Varicella Vaccine
- ClinicalTrials.gov ID
- NCT00226499
- Acronym / sponsor ID
- 100388
- Conditions
- Varicella, Chickenpox Vaccines
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5,803 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Sep 2005 (actual)
- Primary completion
- 12 Oct 2006 (actual)
- Study completion
- 12 Oct 2006 (actual)
- First posted
- 27 Sep 2005 (estimated)
- Results
- Posted 23 Sep 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
An observer-blind study to evaluate GlaxoSmithKline Biologicals' live attenuated varicella vaccine and GlaxoSmithKline Biologicals' combined measles-mumps-rubella-varicella vaccine in the prevention of varicella disease in children. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Detailed description
According to treatment group allocation, participants will receive study vaccines and be followed for antibody titres and occurrence of varicella disease.
This study is conducted in 2 phases. Phase A includes the vaccination period and an observation period for efficacy. The efficacy endpoints will be evaluated over at least two years after vaccination. During this period, the immunogenicity endpoints will be evaluated with respect to the immune response 43 days after vaccination and the persistence of antibodies over two years to varicella (for all subjects) and to measles, mumps and rubella (for a subset of subjects). Regarding the safety endpoints, SAEs (including any complicated varicella cases if observed) will be assessed for all subjects during the whole Phase A duration, whereas, solicited (local and general) and unsolicited adverse events will be assessed in a subset of subjects within a 43-day period after vaccination.
Phase B is an extension of Phase A. It is a long-term follow-up until Year 10 to examine the long-term efficacy of the study vaccines against clinical varicella disease as well as the long-term persistence of antibodies to varicella (for all subjects) and to measles, mumps and rubella (in a subset of subjects) after vaccination.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| MMRV Group | Experimental | Biological: Priorix-tetra™Subjects in this group received 2 doses of Priorix-Tetra vaccine, administered subcutaneously in the deltoid region of the left arm, one at Day 0 (Visit 1) and the other at Day 42 (Visit 2). |
| OKAH Group | Experimental | Biological: Priorix™, Biological: Varilrix™Subjects in this group received 1 dose of Priorix at Day 0 (Visit 1) and 1 dose of Varilrix at Day 42 (Visit 2). Both vaccines were administered subcutaneously in the deltoid region of the left arm. |
| MMR Group | Active comparator | Biological: Priorix™Subjects in this group received 2 doses of Priorix, administered subcutaneously in the deltoid region of the left arm, one at Day 0 (Visit 1) and the other at Day 42 (Visit 2). |
Who may qualify
- Ages
- 11 to 22 months
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (10 listed)
- Subjects for whom the investigator believes that their parents/guardians can and will comply with the requirements of the protocol for the whole duration of the study.
- Male or female subject between 12 and 22 months of age at the time of the first vaccination.
- Subjects free of obvious health problems, as established by medical history and physical examination before entering the study.
- Written informed consent obtained from the parents/guardians of the subject after they have been informed on the risks and benefits of the study, in a language they clearly understand and before performance of any study procedure.
- Subjects whose parents/guardians have direct access to telephone/mobile phone.
Key exclusion criteria (14 listed)
- Previous vaccination against measles, mumps, rubella and/or varicella.
- History of previous measles, mumps, rubella and/or varicella/ herpes zoster diseases.
- Known exposure to measles, mumps, rubella and/or varicella/herpes zoster within 30 days prior to the start of the study.
- Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
- Administration of immunoglobulins and/or any blood products within three months prior to the first vaccine dose or planned administration during the study period.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Priorix-tetra™2 doses administered subcutaneously, one at Day 0 and the other at Day 42 to subjects in MMRV Group | Biological | MMRV Group |
| Priorix™2 doses administered subcutaneously, one at Day 0 and the other at Day 42 to subjects in MMR Group and one dose administered subcutaneously at Day 0 to subjects in OKAH Group | Biological | MMR Group, OKAH Group |
| Varilrix™1 dose administered subcutaneously at Day 42 to subjects in OKAH Group | Biological | OKAH Group |
Primary outcome
Phase A: Number of Subjects With Confirmed Varicella Case
Time frame: From 42 days post dose 2 until the end of Phase A
Confirmed varicella case = A case that met the clinical case definition [an illness with acute onset of diffuse, generalized maculopapulovesicular rash (i.e. spots, papules and/or vesicles) without other apparent cause] at least in the opinion of the investigator and was confirmed by laboratory test [Polymerase Chain Reaction (PCR) (+)] OR a case that met the clinical definition confirmed by the Independent Data Monitoring Committee (IDMC) and was epidemiologically linked [Epi (+)] to a valid index case.
36 secondary outcomes
Phase A: Number of Subjects With Moderate or Severe Confirmed Varicella Case
Time frame: From 42 days post dose 2 until the end of Phase A
Phase A: Number of Subjects With Probable or Confirmed Varicella Case
Time frame: From 42 days post dose 2 until the end of Phase A
Phase A: Immune Response to Varicella Vaccine With Respect to Anti-Varicella Zoster Virus (Anti-VZV) Antibody Concentrations
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Seroconversion/Seroresponse to VZV
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Immune Response to Measles With Respect to Anti-measles Antibody Concentrations in a Subset of Subjects
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Seroconversion/Seroresponse to Measles in a Subset of Subjects
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Immune Response to Mumps With Respect to Anti-mumps Antibody Concentrations in a Subset of Subjects
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Seroconversion/Seroresponse to Mumps in a Subset of Subjects
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Immune Response to Rubella With Respect to Anti-rubella Antibody Concentrations in a Subset of Subjects
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With a Seroconversion/Seroresponse to Rubella in a Subset of Subjects
Time frame: At Day 0, Day 42, Day 84, Year 1 and Year 2 time points
Phase A: Number of Subjects With Confirmed Cases of Herpes Zoster
Time frame: From Day 0 until the end of Phase A (Year 2)
Phase A: Number of Subjects Reporting Fever
Time frame: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Fever
Time frame: Within 15 days (Day 0-14) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Solicited Local Symptoms
Time frame: 4 days post-vaccination period following each dose
Phase A: Number of Subjects Reporting Meningism
Time frame: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Parotitis
Time frame: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Rash
Time frame: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects With Suspected Sign of Meningism Including Febrile Convulsions
Time frame: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Unsolicited Adverse Events (AEs)
Time frame: Within 43 days (Day 0-42) post-vaccination period following each dose
Phase A: Number of Subjects Reporting Serious Adverse Events (SAEs)
Time frame: From Day 0 until the end of Phase A (Year 2)
Phase A: Health Economics Analysis of Factors Leading to Indirect Costs Due to Varicella Illness
Time frame: During Phase A (from Day 0 up to Year 2)
Phase B: Number of Subjects With Confirmed Varicella Case
Time frame: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Number of Subjects With Moderate or Severe Confirmed Varicella Case
Time frame: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Number of Subjects With Probable or Confirmed Varicella Case
Time frame: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Characteristics of Varicella Cases
Time frame: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Immune Response to Varicella Vaccine With Respect to Anti-Varicella Zoster Virus (Anti-VZV) Antibody Concentrations
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-VZV Antibody Concentrations Above the Cut-off Value
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Immune Response to Measles With Respect to Anti-measles Antibody Concentrations
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-measles Antibody Concentrations Above the Cut-off Value
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Immune Response to Mumps With Respect to Anti-mumps Antibody Concentrations
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-mumps Antibody Concentrations Above the Cut-off Value
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Immune Response to Rubella With Respect to Anti-rubella Antibody Concentrations
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Number of Subjects With Anti-rubella Antibody Concentrations Above the Cut-off Value
Time frame: At Year 4, Year 6, Year 8 and Year 10 time points
Phase B: Characteristics of Zoster Cases
Time frame: From 6 weeks after Dose 2 until study end (Year 10)
Phase B: Number of Subjects Reporting Serious Adverse Events (SAEs)
Time frame: From the beginning of Phase B (Year 2) up to study end (Year 10)
Phase B: Health Economics Analysis of Factors Leading to Indirect Costs Due to Varicella Illness
Time frame: During Phase B
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Sep 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 29224964Henry O, Brzostek J, Czajka H, Leviniene G, Reshetko O, Gasparini R, Pazdiora P, Plesca D, Desole MG, Kevalas R, Gabutti G, Povey M, Innis B. One or two doses of live varicella virus-containing vaccines: Efficacy, persistence of immune responses, and safety six years after administration in healthy children during their second year of life. Vaccine. 2018 Jan 8;36(3):381-387. doi: 10.1016/j.vaccine.2017.11.081. Epub 2017 Dec 7.
- Background: PubMed 24485548Prymula R, Bergsaker MR, Esposito S, Gothefors L, Man S, Snegova N, Stefkovicova M, Usonis V, Wysocki J, Douha M, Vassilev V, Nicholson O, Innis BL, Willems P. Protection against varicella with two doses of combined measles-mumps-rubella-varicella vaccine versus one dose of monovalent varicella vaccine: a multicentre, observer-blind, randomised, controlled trial. Lancet. 2014 Apr 12;383(9925):1313-1324. doi: 10.1016/S0140-6736(12)61461-5. Epub 2014 Jan 29.
- Background: PubMed 31345639Carryn S, Feyssaguet M, Povey M, Di Paolo E. Long-term immunogenicity of measles, mumps and rubella-containing vaccines in healthy young children: A 10-year follow-up. Vaccine. 2019 Aug 23;37(36):5323-5331. doi: 10.1016/j.vaccine.2019.07.049. Epub 2019 Jul 22.
- Derived from this study: PubMed 33736915Habib MA, Prymula R, Carryn S, Esposito S, Henry O, Ravault S, Usonis V, Wysocki J, Gillard P, Povey M. Correlation of protection against varicella in a randomized Phase III varicella-containing vaccine efficacy trial in healthy infants. Vaccine. 2021 Jun 8;39(25):3445-3454. doi: 10.1016/j.vaccine.2021.02.074. Epub 2021 Mar 16.
- Derived from this study: PubMed 30765242Povey M, Henry O, Riise Bergsaker MA, Chlibek R, Esposito S, Flodmark CE, Gothefors L, Man S, Silfverdal SA, Stefkovicova M, Usonis V, Wysocki J, Gillard P, Prymula R. Protection against varicella with two doses of combined measles-mumps-rubella-varicella vaccine or one dose of monovalent varicella vaccine: 10-year follow-up of a phase 3 multicentre, observer-blind, randomised, controlled trial. Lancet Infect Dis. 2019 Mar;19(3):287-297. doi: 10.1016/S1473-3099(18)30716-3. Epub 2019 Feb 11.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. IPD for this study will be made available via the Clinical Study Data Request site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
104 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Priorix-tetra™, Priorix™ and Varilrix™ in people with Varicella and Chickenpox Vaccines, run by GlaxoSmithKline at 104 sites in 10 countries.
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 10 inclusion and 14 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 23 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 104 sites in Czechia, Russia, Slovakia, Greece, Poland and 5 more countries. 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 23 Sep 2019). 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?
Phase A: Number of Subjects With Confirmed Varicella Case (time frame: From 42 days post dose 2 until the end of Phase A). 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 NCT00226499, which also lists 5 linked publications.
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 23 Sep 2019.