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TetanusPhase 2NCT00970307

Immunogenicity and Safety Study of GSK Biologicals' GSK2202083A Vaccine in Healthy Infants at 2, 3 and 4 Months of Age

A Phase 2 study testing GSK2202083A vaccine, 10-valent pneumococcal vaccine (GSK 1024850A) and Infanrix hexa™ in people with Tetanus and Diphtheria, run by GlaxoSmithKline at 9 sites in Poland.

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 study will evaluate the safety and immunogenicity of GSK Biologicals' GSK2202083A vaccine co-administered with GSK Biologicals' 10-valent pneumococcal conjugate (GSK1024850A) vaccine given as a three-dose primary vaccination course at 2, 3 and 4 months of age. Read more about this study

Who is it for?
Ages 8 to 12 weeksHealthy volunteers can take part
Conditions the study is for
Tetanus, Diphtheria, Haemophilus Influenzae Type b
What is being tested?
GSK2202083A vaccine, 10-valent pneumococcal vaccine (GSK 1024850A) and Infanrix hexa™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
421 participants
Where
9 sitesPoland
Study dates
13 Aug 2009to 27 Jan 2010
Phase
Phase 2
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 8 to 12 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • A male or female infant between, and including, 8 and 12 weeks of age at the time of the first vaccination.
  • Born after a gestation period of 36 to 42 weeks inclusive.
  • Subjects should have received one dose of hepatitis B vaccination at birth as per local recommendations.
  • Subjects who the investigator believes that their parent(s)/LAR can and will comply with the requirements of the protocol.
  • Written informed consent obtained from the parent/LAR of the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.

Who cannot join

  • Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs since birth.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
  • Administration of any vaccine since birth, with exception of HBV and Bacillus Calmette-Guérin, or planned administration 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.
  • Evidence of previous or intercurrent diphtheria, tetanus, pertussis, hepatitis B, polio, Hib, pneumococcal and/or MenC disease.
Show all 12Show fewer
  • History of seizures or progressive neurological disease.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Major congenital defects or serious chronic illness.
  • The following condition is temporary or self-limiting, and a subject may be vaccinated once the condition has resolved if no other exclusion criteria is met:
  • Current febrile illness or axillary temperature >= 38.5 ºC or other moderate to severe illness within 24 hours of study vaccine administration.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

Poland9 sites
  • GSK Investigational Site

    Bydgoszcz, 85-021

  • GSK Investigational Site

    Dębica, 39-200

  • GSK Investigational Site

    Krakow, 31-503

  • GSK Investigational Site

    Krakow

  • GSK Investigational Site

    Siemianowice Śląskie, 41-103

  • GSK Investigational Site

    Tarnów, 33-100

  • GSK Investigational Site

    Torun

  • GSK Investigational Site

    Trzebnica, 55-100

  • GSK Investigational Site

    Wroclaw, 50345

Other trials in Poland

About this study

Official title: Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' GSK2202083A Vaccine in Healthy Infants at 2, 3 and 4 Months of Age

This study will evaluate the safety and immunogenicity of GSK Biologicals' GSK2202083A vaccine co-administered with GSK Biologicals' 10-valent pneumococcal conjugate (GSK1024850A) vaccine given as a three-dose primary vaccination course at 2, 3 and 4 months of age.

Read the detailed description

In accordance with the local recommended immunisation schedule, all subjects will receive 2 doses of GSK Biologicals' Human Rotavirus Vaccine (Rotarix) at 2 and 3 months of age.

Being tested
GSK2202083A vaccine, 10-valent pneumococcal vaccine (GSK 1024850A), Infanrix hexa™, Menjugate®
Medical subject headings
Tetanus, Diphtheria, Haemophilus Infections, Poliomyelitis, Hepatitis B

What participants receive

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

  • GSK2202083A vaccineBiological

    Intramuscular, three doses

  • 10-valent pneumococcal vaccine (GSK 1024850A)Biological

    Intramuscular, three doses

  • Infanrix hexa™Biological

    Intramuscular, three doses

  • Menjugate®Biological

    Intramuscular, two doses

Study groups in NCT00970307
Study groupRoleWhat they receive
GSK2202083A + SYNFLORIX GROUPExperimentalHealthy male and female infants between and including 8 to 12 weeks at the time of the first vaccination, who received 3 doses of GSK2202083A vaccine and Synflorix™ vaccine at 2, 3 and 4 months of age and 2 doses of Rotarix™ vaccine at 2 and 3 months of age. GSK2202083A and Synflorix™ vaccines were administered intramuscularly into the right and left thigh, while Rotarix™ vaccine was administered orally.
Receives: Biological: GSK2202083A vaccine; Biological: 10-valent pneumococcal vaccine (GSK 1024850A)
INFANRIX HEXA + MENJUGATE GROUPActive comparatorHealthy male and female infants between and including 8 to 12 weeks at the time of the first vaccination, who received 3 doses of Infanrix hexa™ vaccine at 2, 3 and 4 months of age, 2 doses of Menjugate® vaccine at 3 and 4 months of age and 2 doses of Rotarix™ vaccine at 2 and 3 months of age. Infanrix hexa™ and Menjugate® vaccines were administered intramuscularly into the right and left thigh, while Rotarix™ vaccine was administered orally.
Receives: Biological: Infanrix hexa™; Biological: Menjugate®
INFANRIX HEXA + SYNFLORIX GROUPActive comparatorHealthy male and female infants between and including 8 to 12 weeks at the time of the first vaccination, who received 3 doses of Infanrix hexa™ vaccine and Synflorix™ vaccine at 2, 3 and 4 months of age and 2 doses of Rotarix™ vaccine at 2 and 3 months of age. Infanrix hexa™ and Synflorix™ vaccines were administered intramuscularly into the right and left thigh, while Rotarix™ vaccine was administered orally.
Receives: Biological: 10-valent pneumococcal vaccine (GSK 1024850A); Biological: Infanrix hexa™

What is being measured

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

  1. Number of Seroprotected Subjects Against Polyribosyl-Ribitol-Phosphate (PRP)

    A seroprotected subject was defined as a subject with anti-PRP antibody concentrations greater than or equal to (≥) 0.15 micrograms per milliliter (µg/mL).

    Measured: At Month 3

  2. Number of Seroprotected Subjects Against Neisseria Meningitidis Serogroup C Using Baby Rabbit Complement (rSBA-MenC)

    A seroprotected subject was defined as a subject with rSBA-MenC titers greater than or equal to (≥) 1:8.

    Measured: At Month 3

Secondary outcomes (21)
  1. Anti-PRP Antibody Concentrations

    Concentrations were expressed as geometric mean concentrations (GMCs) for the seroprotection cut-off value of ≥ 0.15 µg/mL.

    Measured: At Months 0 and 3

  2. Antibody Titers Against rSBA-MenC

    The seroprotection cut-off value of the assay was an antibody titer ≥ 1:8.

    Measured: At Months 0 and 3

  3. Number of Seropositive Subjects for Anti-polysaccharide Neisseria Meningitidis Serogroup C (Anti-PSC)

    A seropositive subject was defined as a subject with anti-PSC antibody concentration ≥ 0.3 µg/mL.

    Measured: At Month 3

  4. Anti-PSC Antibody Concentrations

    Concentrations were expressed as geometric mean concentrations (GMCs) for the seropositivity cut-off value of ≥ 0.3 µg/mL.

    Measured: At Months 0 and 3

  5. Number of Seroprotected Subjects Against Diphtheria (D) and Tetanus (T)

    A seroprotected subject was defined as a subject with anti-D or anti-T antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).

    Measured: At Month 3

  6. Anti-D and Anti-T Antibody Concentrations

    Concentrations were expressed as geometric mean concentrations (GMCs) for the seroprotection cut-off value of ≥ 0.1 IU/mL.

    Measured: At Month 3

  7. Number of Seropositive Subjects for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)

    A seropositive subject was defined as a subject with anti-PT, anti-FHA or anti-PRN concentrations ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: At Month 3

  8. Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations

    Concentrations were expressed as geometric mean concentrations (GMCs) for the seropositivity cut-off value of ≥ 5 EL.U/mL.

    Measured: At Months 0 and 3

  9. Number of Subjects With a Vaccine Response to Anti-PT, Anti-FHA and Anti-PRN

    A subject with a vaccine response was defined as either an initially seronegative subject with anti-PT, anti-FHA or anti-PRN concentrations ≥ 5 EL.U/mL or an initially seropositive subjects with antibody concentrations one month after the primary vaccination ≥ 1 fold the-pre vaccination antibody concentration.

    Measured: At Month 3

  10. Number of Seroprotected and Seropositive Subjects for Anti-hepatitis B Surface Antigen (Anti-HBs)

    A seroprotected subject was defined as a subject with anti-HBs antibody concentrations ≥ 10 mIU/mL. A seropositive subject was defined as a subjects with anti-HBs antibody concentrations ≥ 3.3 mIU/mL. A decrease in the specificity of the anti-HB ELISA had been observed in some studies for low levels of antibody (10-100 mIU/mL). All the available blood samples initially tested with ELISA were re-tested using the Chemi Luminescence Immuno Assay (CLIA) approved by the US Food and Drug Administration (FDA). The table shows updated results following partial or complete retesting/reanalysis.

    Measured: At Month 3

  11. Anti-HBs Antibody Concentrations

    Antibody concentrations were expressed as GMCs. The seroprotection cut-off used was of ≥ 10 mIU/mL. A decrease in the specificity of the anti-HB ELISA had been observed in some studies for low levels of antibody (10-100 mIU/mL). All the available blood samples initially tested with ELISA were re-tested using the CLIA approved by the FDA. The table shows updated results following partial or complete retesting/reanalysis.

    Measured: At Month 3

  12. Number of Seroprotected Subjects for Anti-poliovirus (Anti-polio) Types 1, 2 and 3

    A seroprotected subject was defined as a subject with anti-polio type 1, 2 or 3 antibody titers ≥ 1:8.

    Measured: At Month 3

  13. Anti-polio Types 1, 2 and 3 Antibody Titers

    Titers were expressed as geometric mean titers (GMTs) for the seroprotection cut-off value of ≥ 1:8.

    Measured: At Month 3

  14. Number of Seropositive Subjects for Anti-pneumococcal (Anti-pneumo) Serotypes

    A seropositive subject was defined as a subject with anti-pneumo concentrations ≥ 0.05 µg/mL. The anti-pneumo serotypes assessed were: 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.

    Measured: At Month 3

  15. Anti-pneumo Antibody Concentrations

    Concentrations were expressed as geometric mean concentrations (GMCs) for the seropositivity cut-off value of ≥ 0.05 µg/mL.

    Measured: At Month 3

  16. Number of Seropositive Subjects for Anti-protein D (Anti-PD)

    A seropositive subject was defined as a subject with anti-PD concentrations ≥ 100 EL.U/mL.

    Measured: At Month 3

  17. Anti-PD Antibody Concentrations

    Concentrations were expressed as geometric mean concentrations (GMCs) for the seropositivity cut-off value of ≥ 100 EL.U/mL.

    Measured: At Month 3

  18. Number of Subjects With Any Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = incidence of a local symptom irrespective of intensity grade.

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

  19. Number of Subjects With Any Solicited General Symptoms

    Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and fever (defined as axillary temperature ≥ 37.5°C). Any= incidence of a general symptom irrespective of intensity grade and relationship to vaccination.

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

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

    An unsolicited AE was any AE (i.e. any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product) 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.

    Measured: During the 31-day (Days 0-30) post-vaccination period after any vaccination

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

    SAEs were defined as medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity.

    Measured: During the entire study period (from Month 0 to Month 3)

Timeline

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

  1. First posted2 Sep 2009 (estimated)
  2. Study start13 Aug 2009
  3. Primary completion27 Jan 2010
  4. Study completion27 Jan 2010

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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
421 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00970307
Sponsor's protocol ID
112157
Other IDs
2009-010431-41, 2009
Status last verified
Dec 2019
First submitted
27 Aug 2009
Last updated
3 Jan 2020
Individual data sharing
Yes: IPD is available via the Clinical Study Data Request site (click on the link provided below)

Publications

  • Szenborn L, Czajka H, Brzostek J, Konior R, Caubet M, Ulianov L, Leyssen M. A randomized, controlled trial to assess the immunogenicity and safety of a heptavalent diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis, hib and meningococcal serogroup C combination vaccine administered at 2, 3, 4 and 12-18 months of age. Pediatr Infect Dis J. 2013 Jul;32(7):777-85. doi: 10.1097/INF.0b013e31828d6b20.

    PubMed 23838777

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK2202083A vaccine, 10-valent pneumococcal vaccine (GSK 1024850A) and Infanrix hexa™ in people with Tetanus and Diphtheria, run by GlaxoSmithKline at 9 sites in Poland.

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 6 inclusion and 12 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 3 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Poland. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Apr 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 Seroprotected Subjects Against Polyribosyl-Ribitol-Phosphate (PRP) (time frame: At Month 3). 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 NCT00970307, 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 3 Jan 2020.

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