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Infections, StreptococcalPhase 3NCT01641133

Primary Vaccination With Either Synflorix™ or Prevenar 13™ or Both Vaccines and Booster Vaccination With Synflorix™

A Phase 3 study testing Synflorix (3-Dose), Synflorix (2-Dose) and Synflorix (Single Dose) in people with Infections, Streptococcal and Streptococcus Pneumoniae Vaccines, run by GlaxoSmithKline at 3 sites in Mexico.

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 primary aim of this study is to assess the reactogenicity of Synflorix vaccine and Prevenar 13 vaccine after primary vaccination at 2 and 4 months of age with either Synflorix or Prevenar 13 vaccine or Prevenar 13 and Synflorix, respectively. Read more about this study

Who is it for?
Ages 6 to 12 weeksHealthy volunteers can take part
What is being tested?
Synflorix (3-Dose), Synflorix (2-Dose) and Synflorix (Single Dose)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
457 participants
Where
3 sitesMexico
Study dates
4 Sep 2012to 7 May 2014
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

  • Subjects who the investigator believes that parent(s)/Legally Acceptable Representative(s) [LAR(s)] can and will comply with the requirements of the protocol.
  • A male or female between, and including, 6-12 weeks of age at the time of the first vaccination.
  • 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.
  • Written informed consent obtained from the parent(s)/LAR(s) of the subject.

Who cannot join

  • Child in care.
  • Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccines, or planned use during the entire study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs since birth or planned use 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.
  • 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 study vaccine.
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  • Major congenital defects or serious chronic illness.
  • History of any seizures or progressive neurological disease.
  • Administration of immunoglobulins and/or blood products since birth or planned use during the study.
  • Acute disease and/or fever at the time of enrolment.
  • Previous vaccination or planned vaccination during the study with any pneumococcal vaccine.

Trial locations and contacts

3 sites in 1 country.

Mexico3 sites
  • GSK Investigational Site

    Cuernavaca, Morelos, 62210

  • GSK Investigational Site

    México, 04530

  • GSK Investigational Site

    Monterrey, Nuevo León, 64460

Other trials in Mexico

About this study

Official title: Two-dose Primary Vaccination With Either GSK Biologicals' 10-valent Pneumococcal Vaccine (Synflorix™) or Pfizer's Prevenar 13™ or Both Vaccines Followed by a Booster Dose of Synflorix™

The primary aim of this study is to assess the reactogenicity of Synflorix vaccine and Prevenar 13 vaccine after primary vaccination at 2 and 4 months of age with either Synflorix or Prevenar 13 vaccine or Prevenar 13 and Synflorix, respectively. In addition, this study aims at assessing the safety, reactogenicity, immunogenicity and antibody persistence (approximately 8-11 months following primary vaccination) of the Synflorix vaccine and Prevenar 13 vaccine after primary vaccination at 2 and 4 months of age with either Synflorix or Prevenar 13 vaccine or Prevenar 13 and Synflorix, respectively. This study also aims at assessing the safety, reactogenicity and immunogenicity of the Synflorix vaccine when given as a booster dose at 12-15 months of age following primary vaccination at 2 and 4 months of age with either Synflorix vaccine or Prevenar 13 vaccine or Prevenar 13 and Synflorix respectively.

Read the detailed description

This study is partially blinded as the primary phase will be conducted in an observer-blind method and booster phase will be open method.

Being tested
Synflorix (3-Dose), Synflorix (2-Dose), Synflorix (Single Dose), Prevenar 13 (Single Dose), Prevenar 13 (2-Dose)
Keywords
pneumococcal conjugate vaccine, Synflorix, Prevnar 13, Pneumococcal diseases
Medical subject headings
Streptococcal Infections, Pneumococcal Infections

What participants receive

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

  • Synflorix (3-Dose)Biological

    3 doses administered intramuscularly

  • Synflorix (2-Dose)Biological

    2 doses administered intramuscularly

  • Synflorix (Single Dose)Biological

    1 dose administered intramuscularly

  • Prevenar 13 (Single Dose)Biological

    1 dose administered intramuscularly

  • Prevenar 13 (2-Dose)Biological

    2 doses administered intramuscularly

Study groups in NCT01641133
Study groupRoleWhat they receive
Synflorix GroupActive comparatorSubjects who were primed with two doses of Synflorix vaccine, administered intramuscularly into the right or left thigh, at 2 and 4 months of age, received a booster dose of Synflorix vaccine, administered intramuscularly into the right or left anterolateral thigh or in the deltoid, at 12-15 months of age.
Receives: Biological: Synflorix (3-Dose)
Prevnar 1 GroupExperimentalSubjects who were primed with Prevnar 13 and Synflorix vaccines, administered intramuscularly into the right or left thigh, at 2 and 4 months of age respectively, received a booster dose of Synflorix vaccine, administered intramuscularly into the right or left thigh or in the deltoid, at 12-15 months of age.
Receives: Biological: Synflorix (2-Dose); Biological: Prevenar 13 (Single Dose)
Prevnar 2 GroupExperimentalSubjects who were primed with two doses of Prevnar 13 vaccine, administered intramuscularly into the right or left thigh, at 2 and 4 months of age, received a booster dose of Synflorix vaccine, administered intramuscularly into the right or left anterolateral thigh or in the deltoid, at 12-15 months of age.
Receives: Biological: Synflorix (Single Dose); Biological: Prevenar 13 (2-Dose)

What is being measured

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

  1. Number of Subjects With Grade 3 Adverse Events (AEs) (Solicited and Unsolicited) - Primary Period

    The number of subjects with Grade 3 AEs (solicited and unsolicited), during the 31-day post-vaccination period following each primary dose is reported.

    Measured: Within 31-day (Day 0-Day 30) after any dose of primary vaccination

Secondary outcomes (11)
  1. Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms - Primary Period

    Solicited local symptoms assessed include pain, redness and swelling. Grade 3 pain was defined as crying when limb was moved/spontaneously painful. Grade 3 swelling/redness was defined as swelling/redness larger than (>) 30 millimeters (mm). "Any" is defined as incidence of the specified symptom regardless of intensity.

    Measured: During the 4-day (Days 0-3) post-vaccination period following each primary dose

  2. Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms - Booster Period

    Solicited local symptoms assessed include pain, redness and swelling. Grade 3 pain was defined as crying when limb was moved/spontaneously painful. Grade 3 swelling/redness was defined as swelling/redness larger than (>) 30 millimeters (mm). "Any" is defined as incidence of the specified symptom regardless of intensity.

    Measured: During the 4-day (Days 0-3) post-booster vaccination period

  3. Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms - Primary Period

    Solicited general symptoms assessed include drowsiness, fever (defined as axillary temperature ≥ 37.5°C), irritability, and loss of appetite. Grade 3 drowsiness was defined as drowsiness which prevented normal everyday activities. Grade 3 fever was defined as fever (axillary temperature) above (>) 39.5 degree Celsius (°C). Grade 3 irritability was defined as crying that could not be comforted/preventing normal activity. Grade 3 loss of appetite was defined as the subject not eating at all. "Any" is defined as incidence of the specified symptom regardless of intensity or relationship to study vaccination.

    Measured: During the 4-day (Days 0-3) post-vaccination period following each primary dose

  4. Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms - Booster Period

    Solicited general symptoms assessed include drowsiness, fever (defined as axillary temperature ≥ 37.5°C), irritability, and loss of appetite. Grade 3 drowsiness was defined as drowsiness which prevented normal everyday activities. Grade 3 fever was defined as fever (axillary temperature) above (>) 39.5 degree Celsius (°C). Grade 3 irritability was defined as crying that could not be comforted/preventing normal activity. Grade 3 loss of appetite was defined as the subject not eating at all. "Any" is defined as incidence of the specified symptom regardless of intensity or relationship to study vaccination.

    Measured: During the 4-day (Days 0-3) post-booster vaccination period

  5. Number of Subjects Reporting Any and Grade 3 Symptoms (Solicited and Unsolicited) - Booster Period

    The number of subjects with any and grade 3 symptoms (solicited and unsolicited), during the 31-day post-booster vaccination period is reported.

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

  6. Number of Subjects With Unsolicited AEs - Primary Period

    An unsolicited AE is 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. "Any" is defined an incidence of an unsolicited AE regardless of intensity or relationship to study vaccination.

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

  7. Number of Subjects With Unsolicited AEs - Booster Period

    An unsolicited AE is 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. "Any" is defined an incidence of an unsolicited AE regardless of intensity or relationship to study vaccination.

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

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

    SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Measured: From first vaccination (Month 0) up to study end (11-14 months)

  9. Antibody Concentrations Against Pneumococcal Serotypes

    Antibodies assessed for this outcome measure were those against the vaccine/cross-reactive pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F (ANTI-1, -3, -4, -5, -6A, -6B, -7F, -9V, -14, -18C, -19A, -19F and -23F). Antibody concentrations were measured by 22F-inhibition enzyme-linked immunosorbent assay (ELISA), expressed as geometric mean concentrations (GMCs), in micrograms per milliliter (µg/mL). The cut-off of the assay was an antibody concentration higher than or equal to (≥) 0.05 µg/mL.

    Measured: At study Month 3 (one month after the primary vaccination), at study Month 10 (prior to booster vaccination) and at study Month 11 (one month after the booster vaccination)

  10. Concentrations of Antibodies Against Protein D (Anti-PD)

    Anti-PD antibody concentrations were measured by Enzyme-linked Immunosorbent Assay (ELISA), expressed as geometric mean concentrations (GMCs), in ELISA Units per milliliter (EL.U/mL). The cut-off of the assay was an anti-PD antibody concentration higher than or equal to (≥) 153 EL.U/mL.

    Measured: At study Month 3 (one month after primary vaccination) and at study Month 11 (one month after booster vaccination)

  11. Titers for Opsonophagocytic Activity Against Pneumococcal Serotypes

    The immunogenicity assessment was based on multiplex opsonophagocytic activity assay (MOPA). Titers for opsonophagocytic activity assessed for this outcome measure were those for opsonophagocytic activity against pneumococcal serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F (OPA-1, -3, -4, -5, -6A, -6B, -7F, -9V, -14, -18C, -19A, -19F and -23F). The cut-off of the assay was a serotype specific titer for opsonophagocytic activity higher than or equal to (≥) the Lower Limit of Quantification (LLOQ) i.e.: 14 for OPA-1, 11 for OPA-3; 40 for OPA-4; 15 for OPA-5; 45 for OPA-6A; 29 for OPA-6B; 28 for OPA-7F; 39 for OPA-9V; 16 for OPA-14; 40 for OPA-18C; 13 for OPA-19A; 33 for OPA-19F and 40 for OPA-23F.

    Measured: At study Month 3 (one month after the primary vaccination), at study Month 10 (prior to booster vaccination) and at study Month 11 (one month after the booster vaccination)

Timeline

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

  1. First posted16 Jul 2012 (estimated)
  2. Study start4 Sep 2012
  3. Primary completion15 Jul 2013
  4. Study completion7 May 2014

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
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
457 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01641133
Sponsor's protocol ID
115992
Other IDs
2013-003479-36
Status last verified
Feb 2021
First submitted
12 Jul 2012
Last updated
2 Mar 2021
Individual data sharing
Yes: IPD for this study is available via the Clinical Study Data Request site.

Publications

  • de Los Santos AM, Rodriguez-Weber MA, Sanchez-Marquez P, Traskine M, Carreno-Manjarrez R, Cervantes-Apolinar MY, Strezova A, Ruiz-Guinazu J, Ortega-Barria E, Borys D. Can two different pneumococcal conjugate vaccines be used to complete the infant vaccination series? A randomized trial exploring interchangeability of the 13-valent pneumococcal conjugate vaccine and the pneumococcal non-typeable Haemophilus influenzae protein D-conjugate vaccine. Expert Rev Vaccines. 2020 Nov;19(11):995-1010. doi: 10.1080/14760584.2020.1843431.

    PubMed 33297773

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Synflorix (3-Dose), Synflorix (2-Dose) and Synflorix (Single Dose) in people with Infections, Streptococcal and Streptococcus Pneumoniae Vaccines, run by GlaxoSmithKline at 3 sites in Mexico.

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 11 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 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Mexico. 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 27 Feb 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 Subjects With Grade 3 Adverse Events (AEs) (Solicited and Unsolicited) - Primary Period (time frame: Within 31-day (Day 0-Day 30) after any dose of primary vaccination). 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 NCT01641133, 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 Mar 2021.

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