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PoliomyelitisPhase 3NCT01353703

Immunogenicity and Safety Study in Infants of GlaxoSmithKline Biologicals' Infanrix Hexa™ (DTPa-HBV-IPV/Hib) Vaccine

A Phase 3 study testing Infanrix hexa™ in people with Poliomyelitis and Tetanus, run by GlaxoSmithKline at 4 sites in India.

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 evaluates the immunogenicity and safety of Infanrix hexa™ (DTPa-HBV-IPV/Hib) when administered as a primary vaccination course to Indian infants according to a 6-10-14 weeks or a 2-4-6 months schedule. Read more about this study

Who is it for?
Ages 6 to 10 weeksHealthy volunteers can take part
Conditions the study is for
Poliomyelitis, Tetanus, Acellular Pertussis
What is being tested?
Infanrix hexa™
Could I receive a placebo?
No, everyone receives an active treatment
How many people
224 participants
Where
4 sitesIndia
Study dates
16 Apr 2012to 25 Feb 2013
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 10 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • All subjects must satisfy ALL the following criteria at study entry:
  • A male or female between, and including, 6 and 10 weeks of age at the time of the first vaccination
  • Documented administration of a hepatitis B vaccine dose at birth
  • Subjects who the investigator believes that their parent(s)/legally acceptable representative(s) [LAR(s)] can and will comply with the requirements of the protocol
  • Written informed consent obtained from the parent(s)/LAR(s) of the subject
  • Healthy subjects as established by medical history and clinical examination before entering into the study
  • Born after a gestation period of at least 36 weeks

Who cannot join

  • The following criteria should be checked at the time of study entry. If ANYexclusion criterion applies, the subject must not be included in the study:
  • Child in care
  • Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose, or planned use during the study period
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose
  • Administration of a vaccine not foreseen by the study protocol, within 30 days prior to the first study visit, or planned administration during the study period, with the exception of oral human rotavirus (HRV) vaccination which is allowed at any time during the study
  • 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
Show all 13Show fewer
  • Evidence of previous diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and Haemophilus influenzae type b (Hib) vaccination or disease, with the exception of a birth dose of hepatitis B vaccine and oral poliovirus vaccine (OPV) as per local standard of care
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination
  • Family history of congenital or hereditary immunodeficiency
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine
  • Major congenital defects or serious chronic illness
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period
  • Acute disease and/or fever at the time of enrolment

Trial locations and contacts

4 sites in 1 country.

India4 sites
  • GSK Investigational Site

    Belgaun, 590010

  • GSK Investigational Site

    Chennai

  • GSK Investigational Site

    Pune, 411018

  • GSK Investigational Site

    Pune

Other trials in India

About this study

Official title: Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' Infanrix Hexa™ Vaccine in Healthy Infants in India

This study evaluates the immunogenicity and safety of Infanrix hexa™ (DTPa-HBV-IPV/Hib) when administered as a primary vaccination course to Indian infants according to a 6-10-14 weeks or a 2-4-6 months schedule.

Being tested
Infanrix hexa™
Keywords
Infanrix hexa™, Primary vaccination, India, combination vaccine, infants
Medical subject headings
Poliomyelitis, Tetanus, Haemophilus Infections, Diphtheria, Hepatitis B

What participants receive

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

  • Infanrix hexa™Biological

    Also called DTPa-HBV-IPV/Hib

    Intramuscular, three doses

Study groups in NCT01353703
Study groupRoleWhat they receive
INFANRIX HEXA 6-10-14 GROUPExperimentalHealthy male or female subjects, aged between and including 6 and 10 weeks of age at the time of first vaccination, who received 3 doses of Infanrix hexa™ vaccine at 6, 10 and 14 weeks of age, administered intramuscularly in the right side of the thigh.
Receives: Biological: Infanrix hexa™
INFANRIX HEXA 2-4-6 GROUPActive comparatorHealthy male or female subjects, aged between and including 6 and 10 weeks of age at the time of first vaccination, who received 3 doses of Infanrix hexa™ vaccine at 2, 4 and 6 months of age, administered intramuscularly in the right side of the thigh.
Receives: 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 Diphteria (D) and Tetanus (T) Antigens

    A seroprotected subject was defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to (≥) 0.1 international units per milliliter (IU/mL).

    Measured: One month post Dose 3 (Month 3 or Month 5)

  2. Number of Seroprotected Subjects Against Hepatitis B (HBs)

    A seroprotected subject was defined as a vaccinated subject with anti-HBS antibody concentration ≥ 10 milli-international units per milliliter (mIU/mL).

    Measured: One month post Dose 3 (Month 3 or Month 5)

  3. Number of Seroprotected Subjects Against Poliovirus (Polio) Types 1,2,3 Antigens

    A seroprotected subject was defined as a subject with anti-Poliovirus 1,2 and 3 antibody titers ≥ 8 effective dose, for 50% of people receiving the vaccine (ED50).

    Measured: One month post Dose 3 (Month 3 or Month 5)

  4. Number of Seroprotected Subjects Against Polyribosyl-ribitol Phosphate (PRP) Antigens

    A seroprotected subject was defined as a subject with anti-PRP antibody concentration ≥ 0.15 micrograms per milliliter (µg/mL).

    Measured: One month post Dose 3 (Month 3 or Month 5)

  5. Number of Subjects With Vaccine Response for Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN)

    Vaccine response was defined as : For initially seronegative subjects (S-), antibody concentration ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL) at 1 month after the third dose; For initially seropositive subjects (S+): antibody concentration at 1 month after the third dose ≥ 1 fold increase in the pre-vaccination antibody concentration.

    Measured: One month post Dose 3 (Month 3 or Month 5)

Secondary outcomes (16)
  1. Anti-D and Anti-T Antibody Concentrations

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

    Measured: One month post Dose 3 (Month 3 or Month 5)

  2. Anti-HBs Antibody Concentrations

    Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in milli-international units per milliliter (mIU/mL).

    Measured: One month post Dose 3 (Month 3 or Month 5)

  3. Anti-Polio Types 1, 2, 3 Antibody Titers

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

    Measured: One month post Dose 3 (Month 3 or Month 5)

  4. Anti-PRP Antibody Concentrations

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

    Measured: One month post Dose 3 (Month 3 or Month 5)

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

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

    Measured: One month post Dose 3 (Month 3 or Month 5)

  6. Number of Seropositive Subjects for Anti-PT, Anti-FHA and Anti-PRN

    A seropositive subject was defined as a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5 EL.U/mL.

    Measured: One month post Dose 3 (Month 3 or Month 5)

  7. Number of Seroprotected Subjects Against Polio Type 1, 2 and 3 Antigens

    A seroprotected subject was defined as a subject with anti-Polio type 1, 2 and 3 antibody titers ≥ 8 effective dose, for 50% of people receiving the vaccine (ED50).

    Measured: At Month 0

  8. Number of Seropositive Subjects for Anti-PT, Anti-FHA and Anti-PRN

    A seropositive subject was defined as a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5 EL.U/mL.

    Measured: At Month 0

  9. Number of Seroprotected Subjects Against Anti-HBs Antigens

    A seroprotected subject was defined as a subject with anti-HBs antibody concentrations ≥ 10 mIU/mL.

    Measured: At Month 0

  10. Anti-Polio Types 1, 2 and 3 Antibody Titers

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

    Measured: At Month 0

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

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

    Measured: At Month 0

  12. Anti-HBs Antibody Concentrations

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

    Measured: At Month 0

  13. Number of Subjects With Any Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = incidence of any particular symptom regardless of intensity grade.

    Measured: During the 4-day (Days 0-3) post-vaccination period after each dose and across doses: Up to Month 2 (Infanrix Hexa 6-10-14 Group) or Month 4 (Infanrix Hexa 2-4-6 Group)

  14. Number of Subjects With Solicited General Symptoms

    Assessed solicited general symptoms were drowsiness, irritability/fussiness, loss of appetite and temperature [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)]. Any = incidence of any particular symptom regardless of intensity grade or relationship to study vaccination.

    Measured: During the 4-day (Days 0-3) post-vaccination period after each dose and across doses: Up to Month 2 (Infanrix Hexa 6-10-14 Group) or Month 4 (Infanrix Hexa 2-4-6 Group)

  15. Number of Subjects With 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 (Days 0-30) post-vaccination period: Up to Month 3 (Infanrix Hexa 6-10-14 Group) or Month 5 (Infanrix Hexa 2-4-6 Group)

  16. 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 up to Month 3 (Infanrix Hexa 6-10-14 Group) or Month 5 (Infanrix Hexa 2-4-6 Group))

Timeline

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

  1. First posted16 May 2011 (estimated)
  2. Study start16 Apr 2012
  3. Primary completion25 Feb 2013
  4. Study completion25 Feb 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
224 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01353703
Sponsor's protocol ID
111157
Other IDs
2013-003427-10
Status last verified
Dec 2019
First submitted
12 May 2011
Last updated
2 Jan 2020
Individual data sharing
Yes: IPD is available via the Clinical Study Data Request site (click on the link provided below)

Publications

  • Lalwani SK, Agarkhedkar S, Sundaram B, Mahantashetti NS, Malshe N, Agarkhedkar S, Van Der Meeren O, Mehta S, Karkada N, Han HH, Mesaros N. Immunogenicity and safety of 3-dose primary vaccination with combined DTPa-HBV-IPV/Hib in Indian infants. Hum Vaccin Immunother. 2017 Jan 2;13(1):120-127. doi: 10.1080/21645515.2016.1225639. Epub 2016 Sep 15.

    PubMed 27629913

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Infanrix hexa™ in people with Poliomyelitis and Tetanus, run by GlaxoSmithKline at 4 sites in India.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 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 2 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 4 sites in India. 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 25 Jan 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?

Number of Seroprotected Subjects Against Diphteria (D) and Tetanus (T) Antigens (time frame: One month post Dose 3 (Month 3 or Month 5)). The study lists 5 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 NCT01353703, 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 2 Jan 2020.

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