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Infections, StreptococcalPhase 3NCT00680914

Primary Vaccination Course in Children Receiving Pneumococcal Conjugate Vaccine GSK 1024850A or Prevenar™ and Hiberix™

A Phase 3 study testing Pneumococcal vaccine GSK1024850A (Synflorix), Prevenar and GSK Biologicals' Hiberix™ in people with Infections, Streptococcal, run by GlaxoSmithKline at 14 sites in South Korea.

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

The purposes of this study are: To demonstrate the immunogenicity in terms of antibody response following primary vaccination of Korean infants with the pneumococcal conjugate vaccine GSK 1024850A compared to Prevenar™ when co-administered with a Haemophilus influenzae type b (Hib) vaccine in children during the first… Read more about this study

Who is it for?
Ages 6 to 12 weeksHealthy volunteers can take part
Conditions the study is for
Infections, Streptococcal
What is being tested?
Pneumococcal vaccine GSK1024850A (Synflorix), Prevenar and GSK Biologicals' Hiberix™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
503 participants
Where
14 sitesSouth Korea
Study dates
10 Jun 2008to 8 May 2009
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 6 to 12 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Male or female subjects between, and including 6-12 weeks of age at the time of the first vaccination.
  • Subjects for whom the investigator believes that their parent(s)/guardian(s) can and will comply with the requirements of the protocol should be enrolled in the study.
  • Written and signed informed consent obtained from the parent(s)/guardian(s) of the child/ward.
  • Free of any known or suspected health problems as established by medical history and clinical examination before entering into the study.
  • Born after a gestation period of 36 to 42 weeks inclusive, with a birth weight of at least 2.5 kilogram.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first dose of the study vaccines, or planned use during the study period.
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device).
  • Chronic administration of immunosuppressants or other immune-modifying drugs since birth.
  • Planned administration/administration of a vaccine not allowed by the study protocol during the study period. Vaccines included in the Korean routine immunization schedule can be administered at least one week before or at least one month after the administration of the study vaccines. Recommended live vaccines not included in the Korean routine immunization schedule can be given at least one month before or at least one month after the administration of the study vaccines.
  • A family history of congenital or hereditary immunodeficiency.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination.
Show all 13Show fewer
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period (Hepatitis B immunoglobulins at birth are allowed).
  • Previous vaccination against Streptococcus pneumoniae and/or Haemophilus influenzae type b.
  • History of, or intercurrent Streptococcus pneumoniae and/or Haemophilus influenzae type b disease.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
  • History of any neurological disorders or seizures.
  • Major congenital defects or serious chronic illness.
  • Acute disease at the time of enrolment. Study entry should be delayed until the illness has improved.

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

South Korea14 sites
  • GSK Investigational Site

    Ansan, 425-707

  • GSK Investigational Site

    Bucheon-si, 420-767

  • GSK Investigational Site

    Daejeon, 301-723

  • GSK Investigational Site

    Gyeongnam, 641-560

  • GSK Investigational Site

    Iksan, 570-711

  • GSK Investigational Site

    Jeju City, 690-716

  • GSK Investigational Site

    Jeonju Jeonbuk, 561-712

  • GSK Investigational Site

    Pusan, 602-739

  • GSK Investigational Site

    Seoul, 130-702

  • GSK Investigational Site

    Seoul, 150-719

  • GSK Investigational Site

    Seoul, 158-710

  • GSK Investigational Site

    Seoul, 411-706

  • GSK Investigational Site

    Suwon, 442-723

  • GSK Investigational Site

    Wonju-si Kangwon-do, 220-701

Other trials in South Korea

About this study

Official title: Primary Vaccination Course in Children Receiving the Pneumococcal Vaccine GSK 1024850A or Prevenar™ Co-administered With Hiberix™

The purposes of this study are:

To demonstrate the immunogenicity in terms of antibody response following primary vaccination of Korean infants with the pneumococcal conjugate vaccine GSK 1024850A compared to Prevenar™ when co-administered with a Haemophilus influenzae type b (Hib) vaccine in children during the first 6 months of life.

To evaluate the safety/reactogenicity in terms of solicited and unsolicited symptoms and serious adverse events following primary vaccination of Korean infants with the pneumococcal conjugate vaccine GSK 1024850A.

Read the detailed description

Vaccination course at 2, 4, 6 months of age.

Being tested
Pneumococcal vaccine GSK1024850A (Synflorix), Prevenar, GSK Biologicals' Hiberix™
Keywords
Streptococcus pneumoniae, pneumococcal conjugate vaccine
Medical subject headings
Streptococcal Infections

What participants receive

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

  • Pneumococcal vaccine GSK1024850A (Synflorix)Biological

    3 doses administered intramuscularly.

  • PrevenarBiological

    3 doses administered intramuscularly.

  • GSK Biologicals' Hiberix™Biological

    Also called Hib

    3 doses administered intramuscularly.

Study groups in NCT00680914
Study groupRoleWhat they receive
Synflorix GroupExperimentalSubjects received 3 doses of Synflorix vaccine co-administered with Hiberix vaccine at Study Months 0, 2 and 4.
Receives: Biological: Pneumococcal vaccine GSK1024850A (Synflorix); Biological: GSK Biologicals' Hiberix™
Prevenar GroupActive comparatorSubjects received 3 doses of Prevenar vaccine co-administered with Hiberix vaccine at Study Months 0, 2 and 4.
Receives: Biological: Prevenar; Biological: GSK Biologicals' Hiberix™

What is being measured

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

  1. Number of Subjects With Vaccine Pneumococcal Serotypes Antibody Concentrations Above the Cut-Off Value

    Anti-pneumococcal antibody cut-off value assessed was 0.20 microgram per milliliter (ug/mL).

    The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.

    Measured: One month after administration of 3rd dose of the pneumococcal conjugate vaccine

Secondary outcomes (13)
  1. Number of Subjects With a Seropositivity Status Against Protein D and Defined Pneumococcal Serotypes

    Seropositivity status for protein D is defined as anti protein D (anti-PD) antibody concentrations >= 100 Enzyme-Linked Immuno Sorbent Assay (EL) units EL.U/mL.

    Seropositivity status for pneumococcal serotypes is defined as anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations >= 0.05 ug/mL.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  2. Number of Subjects With Opsonophagocytic Activity Against Pneumococcal Serotypes Contained in the Vaccine Above the Cut-off Value

    The results were presented as the dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. In this assay the cut-off value for opsonophagocytic activity against pneumococcal antibody assessed was >= 8.

    The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  3. Number of Subjects With Cross-reactive Pneumococcal Serotype Antibody Concentrations Above the Cut-Off Value

    Anti-pneumococcal antibody cut-off value assessed was 0.20 microgram per milliliter (ug/mL).

    Pneumococcal cross-reactive serotypes were 6A and 19A.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  4. Antibody Concentrations Against Pneumococal Serotypes Contained in the Vaccine

    Concentrations are reported as Geometric Mean Concentrations in ug/mL. Pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  5. Anti-PD Antibody Concentration

    Concentration of anti-PD antibody given as GMC expressed in EL.U/mL.

    Measured: One month after administration of 3rd vaccine dose of the pneumococcal conjugate vaccine

  6. Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes

    Concentration of cross-reactive pneumococcal serotypes 6A and 19A in ug/mL.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  7. Number of Subjects With Opsonophagocytic Activity Against Pneumococcal Cross-reactive Serotypes

    The results were presented as the dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. In this assay the cut-off value for opsonophagocytic activity against pneumococcal cross-reactive serotypes 6A and 19A was defined as >= 8.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  8. Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentrations

    Concentration of anti-PRP antibody given as GMC in ug/mL.

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  9. Number of Subjects With Seroprotection Status Against PRP

    Seroprotection status is defined as anti-PRP antibody concentrations above 0.15 ug/mL and above 1.0 ug/mL

    Measured: One month after the administration of the 3rd vaccine dose of the pneumococcal conjugate vaccine

  10. Number of Subjects Reporting Solicited Local Symptoms

    Solicited local symptoms assessed include pain, redness and swelling.

    Measured: Within 4 days after each vaccination

  11. Number of Subjects With Solicited General Symptoms

    Solicited general symptoms assessed include drowsiness, fever, irritability and loss of appetite.

    Fever was defined as axillary temperature >= 37.5 degrees Celsius.

    Measured: Within 4 days after each vaccination

  12. Number of Subjects Reporting Unsolicited Adverse Events

    Measured: Within 31 days after each vaccination

  13. Number of Subjects With Serious Adverse Events (SAE)

    An SAE is any untoward medical occurrence that:

    results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

    Measured: Following the administration of the first dose of the study vaccines throughout the entire study period up to study month 5

Timeline

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

  1. First posted20 May 2008 (estimated)
  2. Study start10 Jun 2008
  3. Primary completion8 May 2009
  4. Study completion8 May 2009

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
Single blind
Who is masked
Participant
Enrolment
503 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00680914
Sponsor's protocol ID
110808
Status last verified
May 2018
First submitted
16 May 2008
Last updated
8 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.

Publications

  • Kim CH, Kim JS, Cha SH, Kim KN, Kim JD, Lee KY, Kim HM, Kim JH, Hyuk S, Hong JY, Park SE, Kim YK, Kim NH, Fanic A, Borys D, Ruiz-Guinazu J, Moreira M, Schuerman L, Kim KH. Response to primary and booster vaccination with 10-valent pneumococcal nontypeable Haemophilus influenzae protein D conjugate vaccine in Korean infants. Pediatr Infect Dis J. 2011 Dec;30(12):e235-43. doi: 10.1097/INF.0b013e31822a8541.

    PubMed 21817957
  • Kim CH et al. Immunogenicity and safety of 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in Korean children. Abstract presented at the Korean Society of Pediatric Infectious Diseases - 2011 Spring Conference. Seoul, South Korea, 7-11 June 2011.

  • Kim CH et al. Immunogenicity of a 10-valent pneumococcal non-typeable Haemophilus influenzae protein D-conjugate vaccine (PHiD-CV) and co-administered vaccines following primary vaccination in Asian infants. Abstract presented at the 5th Asian Congress of Pediatric Infectious Diseases (ACPID). Taipei, Taiwan, 23-26 September 2010.

  • Kim JS et al. Safety and reactogenicity of primary vaccination with 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in Korean infants. Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

  • Kim KH et al. Immunogenicity of primary vaccination with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in Korean infants. Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

  • Schuerman L, Wysocki J, Tejedor JC, Knuf M, Kim KH, Poolman J. Prediction of pneumococcal conjugate vaccine effectiveness against invasive pneumococcal disease using opsonophagocytic activity and antibody concentrations determined by enzyme-linked immunosorbent assay with 22F adsorption. Clin Vaccine Immunol. 2011 Dec;18(12):2161-7. doi: 10.1128/CVI.05313-11. Epub 2011 Oct 12.

    PubMed 21994351
  • Schuerman L et al. Immune responses against cross-reactive pneumococcal serotypes 6A and 19A with 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV). Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

  • Schuerman L et al. OPA assay is more reliable predictor of vaccine effectiveness against invasive pneumococcal disease (IPD) than ELISA antibody measurements. Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

  • Schuerman L et al. Population variability in antibody responses following pneumococcal conjugate vaccination: experience with the non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV). Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

  • Schuerman L et al. Population variability of opsonophagocytic activity following 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate (PHiD-CV) vaccination more limited than antibody responses. Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pneumococcal vaccine GSK1024850A (Synflorix), Prevenar and GSK Biologicals' Hiberix™ in people with Infections, Streptococcal, run by GlaxoSmithKline at 14 sites in South Korea.

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 5 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 8 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 14 sites in South Korea. 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 14 Jun 2010). 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 Subjects With Vaccine Pneumococcal Serotypes Antibody Concentrations Above the Cut-Off Value (time frame: One month after administration of 3rd dose of the pneumococcal conjugate vaccine). 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 NCT00680914, which also lists 10 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 8 Jun 2018.

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