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Haemophilus Influenzae Type bPhase 2NCT01106092

Study to Evaluate the Immunogenicity and Reactogenicity of a Booster Dose of GSK2036874A Vaccine in Healthy Toddlers

A Phase 2 study testing GSK2036874A vaccine, Zilbrix™/Hib vaccine and Poliorix™ in people with Haemophilus Influenzae Type b and Tetanus, run by GlaxoSmithKline at 1 site in Philippines.

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 purpose of the study is to assess the immunogenicity and safety of three formulations of GSK Biologicals' GSK2036874A vaccine compared to Zilbrix™/Hib and Poliorix™ vaccines administered concomitantly, when administered as a single booster dose to healthy poliovirus-primed toddlers aged 12-24 months. Read more about this study

Who is it for?
Ages 12 to 24 monthsHealthy volunteers can take part
What is being tested?
GSK2036874A vaccine, Zilbrix™/Hib vaccine and Poliorix™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
312 participants
Where
1 sitePhilippines
Study dates
13 May 2010to 2 Sep 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 12 to 24 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • A male or female subject, between and including 12 and 24 months of age at the time of booster vaccination.
  • Subjects who have received three doses of polio vaccine as primary vaccination along with the routine vaccinations indicated during the first year of life.
  • Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative (s) can and will comply with the requirements of the protocol.
  • Written informed consent obtained from the parent(s)/Legally Acceptable Representative (s) 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 vaccine(s) within 30 days preceding the booster dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the booster dose.
  • Administration of a vaccine not foreseen by the study protocol within 30 days prior to booster vaccination, or planned administration during the active study period (up to Visit 2).
  • 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.
  • History of diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and/or Haemophilus influenza type b diseases.
  • Previous booster vaccination against diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B or H. influenzae diseases.
Show all 23Show fewer
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • A family history of congenital or hereditary immunodeficiency.
  • Major congenital defects or serious chronic illness.
  • History of neurologic disorders or seizures.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the booster dose or planned administration during the study period.
  • Occurrence of transient thrombocytopenia or neurological complications following an earlier immunisation against diphtheria and/or tetanus.
  • Child in care.
  • Occurrence of any of the following adverse events after a previous administration of a diphtheria-tetanus-pertussis vaccine:
  • encephalopathy of unknown aetiology occurring within seven days following previous vaccination with pertussis-containing vaccine,
  • fever >= 40 °C within 48 hours of vaccination not due to another identifiable cause,
  • collapse or shock-like state within 48 hours of vaccination,
  • convulsions with or without fever, occurring within 3 days of vaccination.
  • Acute disease and/or fever at the time of enrolment.
  • Fever is defined as temperature >= 37.5°C on oral, axillary or tympanic setting, or >= 38.0°C on rectal setting.
  • Subjects with a minor illness without fever may, be enrolled at the discretion of the investigator.
  • Other conditions which, in the opinion of the investigator, may potentially interfere with interpretation of study results.

Trial locations and contacts

1 site in 1 country.

Philippines1 site
  • GSK Investigational Site

    City of Muntinlupa, 1781

Other trials in Philippines

About this study

Official title: Immunogenicity and Reactogenicity of a Booster Dose of GlaxoSmithKline Biologicals' GSK2036874A Vaccine in Healthy Toddlers

The purpose of the study is to assess the immunogenicity and safety of three formulations of GSK Biologicals' GSK2036874A vaccine compared to Zilbrix™/Hib and Poliorix™ vaccines administered concomitantly, when administered as a single booster dose to healthy poliovirus-primed toddlers aged 12-24 months.

Read the detailed description

The study will be conducted in a partially double-blinded manner. The study will be double-blinded with respect to the three GSK2036874A formulation groups and open-label with respect to the Control Group.

Being tested
GSK2036874A vaccine, Zilbrix™/Hib vaccine, Poliorix™
Medical subject headings
Haemophilus Infections, Tetanus, Hepatitis B, Diphtheria

What participants receive

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

  • GSK2036874A vaccineBiological

    Intramuscular, single dose

  • Zilbrix™/Hib vaccineBiological

    Intramuscular, single dose

  • Poliorix™Biological

    Intramuscular, single dose

Study groups in NCT01106092
Study groupRoleWhat they receive
GSK2036874A GROUP 1ExperimentalHealthy male or female children between and including 12 and 24 months of age at the time of the booster vaccination, who were primed with a three-dose vaccination course of polio vaccine, additionally received 1 dose of GSK2036874A vaccine (Formulation 1) intramuscularly into the anterolateral region of the left thigh, at Day 0.
Receives: Biological: GSK2036874A vaccine
GSK2036874A GROUP 2ExperimentalHealthy male or female children between and including 12 and 24 months of age at the time of the booster vaccination, who were primed with a three-dose vaccination course of polio vaccine, additionally received 1 dose of GSK2036874A vaccine (Formulation 2) intramuscularly into the anterolateral region of the left thigh, at Day 0.
Receives: Biological: GSK2036874A vaccine
GSK2036874A GROUP 3ExperimentalHealthy male or female children between and including 12 and 24 months of age at the time of the booster vaccination, who were primed with a three-dose vaccination course of polio vaccine, additionally received 1 dose of GSK2036874A vaccine (Formulation 3) intramuscularly into the anterolateral region of the left thigh, at Day 0.
Receives: Biological: GSK2036874A vaccine
ZILBRIX/HIB/POLIORIX GROUPActive comparatorHealthy male or female children between and including 12 and 24 months of age at the time of the booster vaccination, who were primed with a three-dose vaccination course of polio vaccine, additionally received 1 dose of Zilbrix/Hib™ and Poliorix™ vaccines at Day 0, administered intramuscularly into the anterolateral regions of the left and right thighs, respectively.
Receives: Biological: Zilbrix™/Hib vaccine; Biological: Poliorix™

What is being measured

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

  1. Number of Seroprotected Subjects Against Poliovirus Types 1, 2 and 3

    Seroprotection was defined as anti-polio types 1, 2 and 3 antibody titres ≥ 8 effective dose (ED50), for 50% of vaccinated subjects.

    Measured: One month after booster vaccination (At Month 1)

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

    Antibody titers were presented as geometric mean titers (GMTs).

    Measured: Prior to booster vaccination (At Month 0)

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

    Antibody titers were presented as geometric mean titers (GMTs).

    Measured: One month after booster vaccination (At Month 1)

Secondary outcomes (15)
  1. Number of Seroconverted Subjects for Anti-polio Types 1, 2 and 3

    Seroconversion was defined as: For initially seronegative subjects, antibody titer ≥ 8 ED50 one month after the booster dose. For initially seropositive subjects: antibody titer one month after the booster dose ≥ 4 fold the pre-booster antibody titer. For subjects with pre-booster antibody titer below the highest dilution tested (reciprocal < 8192 ED50): highest dilution tested one month after the booster dose (reciprocal > 8192 ED50).

    Measured: One month after booster vaccination (At Month 1)

  2. Number of Seroprotected Subjects Against Poliovirus Types 1, 2 and 3

    Seroprotection was defined as anti-polio types 1, 2 and 3 antibody titres ≥ 8 effective dose (ED50), for 50% of vaccinated subjects.

    Measured: Prior to booster vaccination (At Month 0)

  3. Number of Seroprotected Subjects Against Diphteria (D) and Tetanus (T)

    Seroprotection was defined as anti-D and anti-T antibody concentration ≥ 0.1 international units per milliliter (IU/mL).

    Measured: Prior to (At Month 0) and one month after booster vaccination (At Month 1)

  4. Anti-D and Anti-T Antibody Concentrations

    Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in IU/mL.

    Measured: Prior to (At Month 0) and one month after booster vaccination (At Month 1)

  5. Number of Seroprotected and Seropositive Subjects for Anti-hepatitis B (Anti-HBs)

    Seropositivity was defined as anti-HBs antibody concentration ≥ 3.3 milli-international units per milliliter (mIU/mL). Seprotection was defined as anti-HBs antibody concentration ≥ 10 mIU/mL. Note that percentage of subjects with concentration ≥ 10 mIU/mL was over-estimated due to the use of in-house assay overestimating concentrations between 10-100 mIU/mL. Accordingly GMCs were also overestimated. A decrease in the specificity of the anti-HB ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Some of the available blood samples initially tested with ELISA were re-tested using the new assay, CLIA.

    Measured: Prior to (At Month 0) and one month after the booster vaccination (At Month 1)

  6. Anti-HBs Antibody Concentrations

    Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in mIU/mL.

    Measured: Prior to (At Month 0) and one month after the booster vaccination (At Month 1)

  7. Number of Seroprotected Subjects Against Polyribosil-ribitol-phosphate (PRP)

    Seprotection was defined as anti-PRP antibody concentration ≥ 0.15 micrograms per milliliter (μg/mL).

    Measured: Prior to (At Month 0) and one month after booster vaccination (At Month 1)

  8. Anti-PRP Antibody Concentrations

    Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in μg/mL.

    Measured: Prior to (At Month 0) and one month after booster vaccination (At Month 1)

  9. Number of Seropositive Subjects for Anti-Bordetella Pertussis (Anti-BPT)

    Seropositivity was defined as anti-BPT antibody concentration ≥ 15 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

    Measured: Prior to (At Month 0) and one month after the booster vaccination (At Month 1)

  10. Anti-BPT Antibody Concentrations

    Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in EL.U/mL.

    Measured: Prior to (At Month 0) and one month after booster vaccination (At Month 1)

  11. Number of Subjects With a Booster Response for Anti-BPT

    Booster response was defined as: For initially seronegative subjects, antibody concentration ≥ 15 EL.U/mL one month after the booster dose. For initially seropositive subjects: antibody concentration one month after the booster dose ≥ 2 fold the pre-booster antibody concentration.

    Measured: One month after booster vaccination (At Month 1)

  12. Number of Subjects With Any Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.

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

  13. Number of Subjects With Any Solicited General Symptoms

    Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)]. Any = occurrence of the symptom regardless of intensity grade.

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

  14. Number of Subjects With Any Unsolicited Adverse Events (AEs)

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

    Measured: During the 31-day (Day 0-Day 30) post-vaccination period

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

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Measured: During the entire study period (from Month 0 to Month 1)

Timeline

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

  1. First posted19 Apr 2010 (estimated)
  2. Study start13 May 2010
  3. Primary completion2 Sep 2010
  4. Study completion2 Sep 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
Double blind
Who is masked
Participant, Investigator
Enrolment
312 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01106092
Sponsor's protocol ID
113264
Other IDs
2016-000645-31, 2016
Status last verified
Sep 2019
First submitted
1 Apr 2010
Last updated
1 Oct 2019
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

  • Quiambao B, Van Der Meeren O, Kolhe D, Gatchalian S. A randomized, dose-ranging assessment of the immunogenicity and safety of a booster dose of a combined diphtheria-tetanus-whole cell pertussis-hepatitis B-inactivated poliovirus-Hemophilus influenzae type b (DTPw-HBV-IPV/Hib) vaccine vs. co-administration of DTPw-HBV/Hib and IPV vaccines in 12 to 24 months old Filipino toddlers. Hum Vaccin Immunother. 2012 Mar;8(3):347-54. doi: 10.4161/hv.18630. Epub 2012 Feb 14.

    PubMed 22330958
  • Quiambao B et al. The immunogenicity and safety of a new combined DTPw-HBV-IPV/HIB vaccine when administered as a booster dose in Filipino toddlers. Abstract presented at the 7th World Congress for World Society for Pediatric Infectious Diseases (WSPID), Melbourne, Australia, 16-19 November 2011.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK2036874A vaccine, Zilbrix™/Hib vaccine and Poliorix™ in people with Haemophilus Influenzae Type b and Tetanus, run by GlaxoSmithKline at 1 site in Philippines.

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 23 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 1 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Philippines. 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 12 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 Poliovirus Types 1, 2 and 3 (time frame: One month after booster vaccination (At Month 1)). 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 NCT01106092, which also lists 2 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 1 Oct 2019.

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Clinical Trial NCT01106092 | AzTrials