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Primary and Booster Vaccination Study With Pneumococcal Vaccine GSK1024850A and Prophylactic Antipyretic Treatment

Primary Purpose

Infections, Streptococcal

Status
Completed
Phase
Phase 4
Locations
Romania
Study Type
Interventional
Intervention
GSK1024850A (SynflorixTM)
Infanrix hexa
Infanrix-IPV/Hib
Ibuprofen
Paracetamol
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Infections, Streptococcal focused on measuring Pneumococcal vaccine, Immunogenicity, Safety, Fever, Primary vaccination, Booster vaccination, Pneumococcal disease, Prophylactic antipyretic

Eligibility Criteria

12 Weeks - 16 Weeks (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative(s) (LAR) can and will comply with the requirements of the protocol.
  • A male or female between, and including, 12 and 16 weeks (84-118 days) of age at the time of the first vaccination.
  • Written informed consent obtained from the parent(s)/LAR(s) of the subject.
  • Free of obvious 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.

Exclusion Criteria:

  • Use of any investigational or non-registered product other than the study vaccines/products within 30 days preceding the first dose of study vaccine/product, 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 (.
  • Indication, other than specified in the protocol, for prophylactic or therapeutic antipyretic treatment during the study period.
  • Treatment with antipyretics in the 24 hours before study vaccination or planned administration of antipyretics in the 24 hours after study vaccination.
  • Chronic administration of immunosuppressants or other immune-modifying drugs since birth.
  • Planned administration/administration of a vaccine not foreseen by the study protocol during the period starting 30 days before each dose of study vaccine and ending 30 days after with the exception of locally recommended (pandemic) influenza vaccines, and those should be documented in the eCRF.
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b and/or Streptococcus pneumoniae with the exception of the vaccines where the first dose may be given within the first two weeks of life according to the national recommendations.
  • History of intercurrent diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b disease.
  • History of any allergic disease or reaction likely to be exacerbated by any component of the vaccines or prophylactic antipyretic treatment, i.e. ibuprofen or paracetamol, as specified in the protocol.
  • History of any seizures or progressive neurological disease.
  • Acute disease and/or fever at the time of enrolment. The study entry should be delayed until the illness has improved.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination .
  • A family history of congenital or hereditary immunodeficiency.
  • Major congenital defects or serious chronic illness.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during entire study period.
  • Any contraindication to treatment with ibuprofen as described in the ibuprofen summary of product characteristics (SPC).
  • Any contraindication to treatment with paracetamol as described in the paracetamol SPC.
  • Body weight < 5 kg at the time of enrolment.
  • Child in care.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm 15

Arm 16

Arm 17

Arm 18

Arm Type

Experimental

Active Comparator

Active Comparator

Experimental

Experimental

Active Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Group IIBU

Group DIBU

Group NIBU

Group IPARA

Group DPARA

Group NPARA

Group IIBU-IIBU

Group IIBU-DIBU

Group IIBU-NIBU

Group DIBU-IIBU

Group DIBU-DIBU

Group DIBU-NIBU

Group NIBU-IIBU

Group NIBU-DIBU

Group NIBU-NIBU

Group IPARA-NPARA

Group DPARA-IPARA

Group NPARA-IPARA

Arm Description

Immediate ibuprofen group: subjects receiving immediate ibuprofen treatment after each primary vaccine dose

Delayed ibuprofen group: subjects receiving delayed ibuprofen treatment after each primary vaccine dose

No ibuprofen group: subjects receiving no prophylactic ibuprofen treatment after each primary vaccine dose

Immediate paracetamol group: subjects receiving immediate paracetamol treatment after each primary vaccine dose

Delayed paracetamol group: subjects receiving delayed paracetamol treatment after each primary vaccine dose

No paracetamol group: subjects receiving no prophylactic paracetamol treatment after each primary vaccine dose

1/3 of the subjects from the primary IIBU group receiving immediate ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary IIBU group receiving delayed ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary IIBU group receiving no prophylactic ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary DIBU group receiving immediate ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary DIBU group receiving delayed ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary DIBU group receiving no prophylactic ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary NIBU group receiving immediate ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary NIBU group receiving delayed ibuprofen treatment after booster vaccination

1/3 of the subjects from the primary NIBU group receiving no prophylactic ibuprofen treatment after booster vaccination

subjects from the primary IPARA group receiving no paracetamol treatment after booster vaccination

subjects from the primary DPARA group receiving immediate paracetamol treatment after booster vaccination

subjects from the primary NPARA group receiving immediate paracetamol treatment after booster vaccination

Outcomes

Primary Outcome Measures

Number of Subjects With Antibody Concentrations Against Vaccine Pneumococcal Serotypes Greater Than or Equal to (≥) the Cut-off
Antibodies against the vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) have been assessed by 22F-inhibition enzyme-linked immunosorbent assay (ELISA). The cut-off value of the assay was an antibody concentration greater than or equal to (≥) 0.2 micrograms per milliliter (μg/mL).
Antibody Concentrations Against Vaccine Pneumococcal Serotypes
Anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 0.05 μg/mL.
Antibody Concentrations Against Protein D (Anti-PD)
Anti-PD antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in ELISA units (EL.U) per milliliter (EL.U/mL). The seropositivity cut-off of the assay was an antibody concentration ≥ 100 EL.U/mL.

Secondary Outcome Measures

Antibody Concentrations Against Cross-reactive Pneumococcal Serotypes 6A and 19A
Anti-pneumococcal serotype 6A and 19A antibody concentrations have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 0.05 μg/mL.
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Solicited local symptoms assessed were pain, redness and swelling. Any = incidence of any local symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling above 30 millimeters (mm).
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Solicited local symptoms assessed were pain, redness and swelling. Any = incidence of any local symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling above 30 millimeters (mm).
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Solicited general symptoms included drowsiness, irritability, loss of appetite and fever [rectally, greater than or equal to (≥) 38 degrees Celsius (°C)]. Any= incidence of any symptom regardless of intensity grade or relationship to vaccination. Grade 3 drowsiness = drowsiness that interfered with normal activity. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = fever above (>) 40.0°C. Related = symptom assessed by the investigator as related to the vaccination.
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Solicited general symptoms included drowsiness, irritability, loss of appetite and fever [rectally, greater than or equal to (≥) 38 degrees Celsius (°C)]. Any= incidence of any symptom regardless of intensity grade or relationship to vaccination. Grade 3 drowsiness = drowsiness that interfered with normal activity. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = fever above (>) 40.0°C. Related = symptom assessed by the investigator as related to the vaccination.
Number of Subjects With Any Serious Adverse Events (SAEs)
SAEs assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization, results in disability/incapacity.
Number of Subjects With Any Unsolicited Adverse Events (AEs)
An unsolicited adverse event is any adverse event (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.
Number of Subjects With Any Unsolicited Adverse Events (AEs)
An unsolicited adverse event is any adverse event (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.
Antibody Concentrations Against Vaccine Pneumococcal Serotypes
Anti- pneumococcal serotypes 1, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F antibody concentrations have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was an antibody concentration greater than or equal to (≥) 0.05 μg/mL.
Opsonophagocytic Activity (OPA) Titers Against Vaccine Pneumococcal Serotypes
OPA titers against pneumococcal serotypes 1, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F (Opsono-1, -4, -5, -6A, -6B, -7F, -9V, -14, -18C, -19A, -19F and -23F) were presented as geometric mean titers (GMTs). The seropositivity cut-off for the assay was an antibody titer ≥ 8.
Opsonophagocytic Activity (OPA) Titers Against Vaccine Pneumococcal Serotypes
OPA titers against pneumococcal serotypes (Opsono-1, -4, -5, -6A, -6B, -7F, -9V, -14, -18C, -19A, -19F and -23F) were presented as geometric mean titers (GMTs). The seropositivity cut-off for the assay was ≥ 8. When the number of subjects in a group for a specific category equals (=) 1, the lower limit and upper limit of the confidence interval that can't be calculated, are filled in with the GMT value (due to system constraint). Placeholder value "99999.9" has been entered when value to be entered in the system was greater than (>) 1.0 E10.
Antibody Concentrations Against Protein D (Anti-PD)
Anti-PD antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U//mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 100 EL.U/mL.
Antibody Concentrations Against Diphtheria (D) and Tetanus (T) Toxoids
Anti-D and anti-T antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 0.1 IU/mL.
Antibody Concentrations Against Diphteria (D) and Tetanus (T) Toxoids
Anti-D and anti-T antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in IU/mL. The seroprotection cut-off for the assay was an antibody concentration ≥ 0.1 IU/mL.
Antibody Concentrations Against Pertussis Toxoid (Anti-PT), Filamentous Haemagglutinin (Anti-FHA) and Pertactin (Anti-PRN)
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 5 EL.U/mL.
Antibody Concentrations Against Pertussis Toxoid (Anti-PT), Filamentous Haemagglutinin (Anti-FHA) and Pertactin (Anti-PRN)
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 5 EL.U/mL.
Antibody Concentrations Against Hepatitis B Surface Antigen (HBs)
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 10 mIU/mL.
Antibody Concentrations Against Hepatitis B Surface Antigen
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in mIU/mL. The seroprotection cut-off for the assay was an antibody concentration ≥ 10 mIU/mL.
Antibody Concentrations Against Polyribosyl-ribitol-phosphate (PRP)
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (µg/mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 0.15 µg/mL.
Antibody Concentrations Against Polyribosyl-ribitol-phosphate (PRP)
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in µg/mL. The seroprotection cut-off for the assay was an antibody concentration ≥ 0.15 µg/mL.
Antibody Titers Against Poliovirus Type 1, 2 and 3
Antibody titers assessed were presented as geometric mean titers (GMTs). The seroprotection cut-off for the assay was a titer ≥ the value of 8.
Antibody Titers Against Poliovirus Type 1, 2 and 3
Antibody titers assessed were presented as geometric mean titers (GMTs). The seroprotection cut-off for the assay was a titer ≥ the value of 8.

Full Information

First Posted
November 4, 2010
Last Updated
April 25, 2019
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01235949
Brief Title
Primary and Booster Vaccination Study With Pneumococcal Vaccine GSK1024850A and Prophylactic Antipyretic Treatment
Official Title
Impact of Immediate or Delayed Prophylactic Antipyretic Treatment on the Immunogenicity, Reactogenicity and Safety of GlaxoSmithKline Biologicals' Pneumococcal Vaccine 1024850A and the Co-administered DTPa-combined Vaccines
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
November 12, 2010 (Actual)
Primary Completion Date
March 28, 2012 (Actual)
Study Completion Date
December 8, 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
The aim of the current study is to determine whether ibuprofen, given as immediate or delayed prophylactic antipyretic treatment in a standardized manner, significantly impacts the immune response in children receiving primary vaccination with GlaxoSmithKline (GSK) Biologicals' 10-valent pneumococcal conjugate vaccine, co-administered with DTPa-combined vaccines, at 3, 4 and 5 months of age. In addition, this study will further evaluate the impact of prophylactic administration of paracetamol following primary vaccination with immediate or delayed administration or when given in an immediate manner at the time of the booster dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infections, Streptococcal
Keywords
Pneumococcal vaccine, Immunogenicity, Safety, Fever, Primary vaccination, Booster vaccination, Pneumococcal disease, Prophylactic antipyretic

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
850 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group IIBU
Arm Type
Experimental
Arm Description
Immediate ibuprofen group: subjects receiving immediate ibuprofen treatment after each primary vaccine dose
Arm Title
Group DIBU
Arm Type
Active Comparator
Arm Description
Delayed ibuprofen group: subjects receiving delayed ibuprofen treatment after each primary vaccine dose
Arm Title
Group NIBU
Arm Type
Active Comparator
Arm Description
No ibuprofen group: subjects receiving no prophylactic ibuprofen treatment after each primary vaccine dose
Arm Title
Group IPARA
Arm Type
Experimental
Arm Description
Immediate paracetamol group: subjects receiving immediate paracetamol treatment after each primary vaccine dose
Arm Title
Group DPARA
Arm Type
Experimental
Arm Description
Delayed paracetamol group: subjects receiving delayed paracetamol treatment after each primary vaccine dose
Arm Title
Group NPARA
Arm Type
Active Comparator
Arm Description
No paracetamol group: subjects receiving no prophylactic paracetamol treatment after each primary vaccine dose
Arm Title
Group IIBU-IIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary IIBU group receiving immediate ibuprofen treatment after booster vaccination
Arm Title
Group IIBU-DIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary IIBU group receiving delayed ibuprofen treatment after booster vaccination
Arm Title
Group IIBU-NIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary IIBU group receiving no prophylactic ibuprofen treatment after booster vaccination
Arm Title
Group DIBU-IIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary DIBU group receiving immediate ibuprofen treatment after booster vaccination
Arm Title
Group DIBU-DIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary DIBU group receiving delayed ibuprofen treatment after booster vaccination
Arm Title
Group DIBU-NIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary DIBU group receiving no prophylactic ibuprofen treatment after booster vaccination
Arm Title
Group NIBU-IIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary NIBU group receiving immediate ibuprofen treatment after booster vaccination
Arm Title
Group NIBU-DIBU
Arm Type
Experimental
Arm Description
1/3 of the subjects from the primary NIBU group receiving delayed ibuprofen treatment after booster vaccination
Arm Title
Group NIBU-NIBU
Arm Type
Active Comparator
Arm Description
1/3 of the subjects from the primary NIBU group receiving no prophylactic ibuprofen treatment after booster vaccination
Arm Title
Group IPARA-NPARA
Arm Type
Experimental
Arm Description
subjects from the primary IPARA group receiving no paracetamol treatment after booster vaccination
Arm Title
Group DPARA-IPARA
Arm Type
Experimental
Arm Description
subjects from the primary DPARA group receiving immediate paracetamol treatment after booster vaccination
Arm Title
Group NPARA-IPARA
Arm Type
Experimental
Arm Description
subjects from the primary NPARA group receiving immediate paracetamol treatment after booster vaccination
Intervention Type
Biological
Intervention Name(s)
GSK1024850A (SynflorixTM)
Intervention Description
Intramuscular injection, 4 doses
Intervention Type
Biological
Intervention Name(s)
Infanrix hexa
Intervention Description
Intramuscular injection, 3 doses
Intervention Type
Biological
Intervention Name(s)
Infanrix-IPV/Hib
Intervention Description
Intramuscular injection, 1 dose
Intervention Type
Drug
Intervention Name(s)
Ibuprofen
Other Intervention Name(s)
Nurofen for Children
Intervention Description
Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight
Intervention Type
Drug
Intervention Name(s)
Paracetamol
Other Intervention Name(s)
Panadol Baby
Intervention Description
Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight
Primary Outcome Measure Information:
Title
Number of Subjects With Antibody Concentrations Against Vaccine Pneumococcal Serotypes Greater Than or Equal to (≥) the Cut-off
Description
Antibodies against the vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) have been assessed by 22F-inhibition enzyme-linked immunosorbent assay (ELISA). The cut-off value of the assay was an antibody concentration greater than or equal to (≥) 0.2 micrograms per milliliter (μg/mL).
Time Frame
One month after primary immunization (At Month 3)
Title
Antibody Concentrations Against Vaccine Pneumococcal Serotypes
Description
Anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 0.05 μg/mL.
Time Frame
One month after primary immunization (At Month 3)
Title
Antibody Concentrations Against Protein D (Anti-PD)
Description
Anti-PD antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in ELISA units (EL.U) per milliliter (EL.U/mL). The seropositivity cut-off of the assay was an antibody concentration ≥ 100 EL.U/mL.
Time Frame
One month after primary immunization (At Month 3)
Secondary Outcome Measure Information:
Title
Antibody Concentrations Against Cross-reactive Pneumococcal Serotypes 6A and 19A
Description
Anti-pneumococcal serotype 6A and 19A antibody concentrations have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 0.05 μg/mL.
Time Frame
One month after primary immunization (At Month 3)
Title
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Description
Solicited local symptoms assessed were pain, redness and swelling. Any = incidence of any local symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling above 30 millimeters (mm).
Time Frame
Within the 4-day (Days 0-3) post-primary vaccination period following each dose and across doses
Title
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Description
Solicited local symptoms assessed were pain, redness and swelling. Any = incidence of any local symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling above 30 millimeters (mm).
Time Frame
Within the 4-day (Days 0-3) period following booster vaccination
Title
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Description
Solicited general symptoms included drowsiness, irritability, loss of appetite and fever [rectally, greater than or equal to (≥) 38 degrees Celsius (°C)]. Any= incidence of any symptom regardless of intensity grade or relationship to vaccination. Grade 3 drowsiness = drowsiness that interfered with normal activity. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = fever above (>) 40.0°C. Related = symptom assessed by the investigator as related to the vaccination.
Time Frame
Within the 4-day (Days 0-3) post-primary vaccination period following each dose and across doses
Title
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Description
Solicited general symptoms included drowsiness, irritability, loss of appetite and fever [rectally, greater than or equal to (≥) 38 degrees Celsius (°C)]. Any= incidence of any symptom regardless of intensity grade or relationship to vaccination. Grade 3 drowsiness = drowsiness that interfered with normal activity. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = fever above (>) 40.0°C. Related = symptom assessed by the investigator as related to the vaccination.
Time Frame
Within the 4-day (Days 0-3) period following booster vaccination
Title
Number of Subjects With Any Serious Adverse Events (SAEs)
Description
SAEs assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization, results in disability/incapacity.
Time Frame
During the entire study period (Month 0 to 10)
Title
Number of Subjects With Any Unsolicited Adverse Events (AEs)
Description
An unsolicited adverse event is any adverse event (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.
Time Frame
Within 31-days (Day 0-30) following each primary vaccination dose
Title
Number of Subjects With Any Unsolicited Adverse Events (AEs)
Description
An unsolicited adverse event is any adverse event (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.
Time Frame
Within 31-days (Day 0-30) following booster vaccination
Title
Antibody Concentrations Against Vaccine Pneumococcal Serotypes
Description
Anti- pneumococcal serotypes 1, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F antibody concentrations have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was an antibody concentration greater than or equal to (≥) 0.05 μg/mL.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Opsonophagocytic Activity (OPA) Titers Against Vaccine Pneumococcal Serotypes
Description
OPA titers against pneumococcal serotypes 1, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F and 23F (Opsono-1, -4, -5, -6A, -6B, -7F, -9V, -14, -18C, -19A, -19F and -23F) were presented as geometric mean titers (GMTs). The seropositivity cut-off for the assay was an antibody titer ≥ 8.
Time Frame
One month after primary immunization (Month 3)
Title
Opsonophagocytic Activity (OPA) Titers Against Vaccine Pneumococcal Serotypes
Description
OPA titers against pneumococcal serotypes (Opsono-1, -4, -5, -6A, -6B, -7F, -9V, -14, -18C, -19A, -19F and -23F) were presented as geometric mean titers (GMTs). The seropositivity cut-off for the assay was ≥ 8. When the number of subjects in a group for a specific category equals (=) 1, the lower limit and upper limit of the confidence interval that can't be calculated, are filled in with the GMT value (due to system constraint). Placeholder value "99999.9" has been entered when value to be entered in the system was greater than (>) 1.0 E10.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Antibody Concentrations Against Protein D (Anti-PD)
Description
Anti-PD antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U//mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 100 EL.U/mL.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Antibody Concentrations Against Diphtheria (D) and Tetanus (T) Toxoids
Description
Anti-D and anti-T antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 0.1 IU/mL.
Time Frame
One month after primary immunization (Month 3)
Title
Antibody Concentrations Against Diphteria (D) and Tetanus (T) Toxoids
Description
Anti-D and anti-T antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in IU/mL. The seroprotection cut-off for the assay was an antibody concentration ≥ 0.1 IU/mL.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Antibody Concentrations Against Pertussis Toxoid (Anti-PT), Filamentous Haemagglutinin (Anti-FHA) and Pertactin (Anti-PRN)
Description
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 5 EL.U/mL.
Time Frame
One month after primary immunization (Month 3)
Title
Antibody Concentrations Against Pertussis Toxoid (Anti-PT), Filamentous Haemagglutinin (Anti-FHA) and Pertactin (Anti-PRN)
Description
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off for the assay was an antibody concentration ≥ 5 EL.U/mL.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Antibody Concentrations Against Hepatitis B Surface Antigen (HBs)
Description
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in milli-international units per milliliter (mIU/mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 10 mIU/mL.
Time Frame
One month after primary immunization (Month 3)
Title
Antibody Concentrations Against Hepatitis B Surface Antigen
Description
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in mIU/mL. The seroprotection cut-off for the assay was an antibody concentration ≥ 10 mIU/mL.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Antibody Concentrations Against Polyribosyl-ribitol-phosphate (PRP)
Description
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (µg/mL). The seroprotection cut-off for the assay was an antibody concentration ≥ 0.15 µg/mL.
Time Frame
One month after primary immunization (Month 3)
Title
Antibody Concentrations Against Polyribosyl-ribitol-phosphate (PRP)
Description
Antibody concentrations assessed were presented as geometric mean concentrations (GMCs) and expressed in µg/mL. The seroprotection cut-off for the assay was an antibody concentration ≥ 0.15 µg/mL.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)
Title
Antibody Titers Against Poliovirus Type 1, 2 and 3
Description
Antibody titers assessed were presented as geometric mean titers (GMTs). The seroprotection cut-off for the assay was a titer ≥ the value of 8.
Time Frame
One month after primary immunization (Month 3)
Title
Antibody Titers Against Poliovirus Type 1, 2 and 3
Description
Antibody titers assessed were presented as geometric mean titers (GMTs). The seroprotection cut-off for the assay was a titer ≥ the value of 8.
Time Frame
Prior to (Month 9) and one month after booster vaccination (Month 10)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Weeks
Maximum Age & Unit of Time
16 Weeks
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative(s) (LAR) can and will comply with the requirements of the protocol. A male or female between, and including, 12 and 16 weeks (84-118 days) of age at the time of the first vaccination. Written informed consent obtained from the parent(s)/LAR(s) of the subject. Free of obvious 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. Exclusion Criteria: Use of any investigational or non-registered product other than the study vaccines/products within 30 days preceding the first dose of study vaccine/product, 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 (. Indication, other than specified in the protocol, for prophylactic or therapeutic antipyretic treatment during the study period. Treatment with antipyretics in the 24 hours before study vaccination or planned administration of antipyretics in the 24 hours after study vaccination. Chronic administration of immunosuppressants or other immune-modifying drugs since birth. Planned administration/administration of a vaccine not foreseen by the study protocol during the period starting 30 days before each dose of study vaccine and ending 30 days after with the exception of locally recommended (pandemic) influenza vaccines, and those should be documented in the eCRF. Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b and/or Streptococcus pneumoniae with the exception of the vaccines where the first dose may be given within the first two weeks of life according to the national recommendations. History of intercurrent diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b disease. History of any allergic disease or reaction likely to be exacerbated by any component of the vaccines or prophylactic antipyretic treatment, i.e. ibuprofen or paracetamol, as specified in the protocol. History of any seizures or progressive neurological disease. Acute disease and/or fever at the time of enrolment. The study entry should be delayed until the illness has improved. Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination . A family history of congenital or hereditary immunodeficiency. Major congenital defects or serious chronic illness. Administration of immunoglobulins and/or any blood products since birth or planned administration during entire study period. Any contraindication to treatment with ibuprofen as described in the ibuprofen summary of product characteristics (SPC). Any contraindication to treatment with paracetamol as described in the paracetamol SPC. Body weight < 5 kg at the time of enrolment. Child in care.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Bacau
ZIP/Postal Code
600316
Country
Romania
Facility Name
GSK Investigational Site
City
Braila
ZIP/Postal Code
810289
Country
Romania
Facility Name
GSK Investigational Site
City
Braila
ZIP/Postal Code
810346
Country
Romania
Facility Name
GSK Investigational Site
City
Brasov
ZIP/Postal Code
500063
Country
Romania
Facility Name
GSK Investigational Site
City
Brasov
ZIP/Postal Code
500260
Country
Romania
Facility Name
GSK Investigational Site
City
Brasov
ZIP/Postal Code
500366
Country
Romania
Facility Name
GSK Investigational Site
City
Bucharest
ZIP/Postal Code
051821
Country
Romania
Facility Name
GSK Investigational Site
City
Bucharest
ZIP/Postal Code
077190
Country
Romania
Facility Name
GSK Investigational Site
City
Bucuresti
ZIP/Postal Code
030442
Country
Romania
Facility Name
GSK Investigational Site
City
Bucuresti
ZIP/Postal Code
050734
Country
Romania
Facility Name
GSK Investigational Site
City
Calarasi
ZIP/Postal Code
910160
Country
Romania
Facility Name
GSK Investigational Site
City
Cluj-Napoca
ZIP/Postal Code
400217
Country
Romania
Facility Name
GSK Investigational Site
City
Constanta
ZIP/Postal Code
900709
Country
Romania
Facility Name
GSK Investigational Site
City
Constanta
ZIP/Postal Code
900721
Country
Romania
Facility Name
GSK Investigational Site
City
Galati
ZIP/Postal Code
800099
Country
Romania
Facility Name
GSK Investigational Site
City
Galati
ZIP/Postal Code
800179
Country
Romania
Facility Name
GSK Investigational Site
City
Galati
ZIP/Postal Code
800235
Country
Romania
Facility Name
GSK Investigational Site
City
Galati
ZIP/Postal Code
800322
Country
Romania
Facility Name
GSK Investigational Site
City
Galati
ZIP/Postal Code
800394
Country
Romania
Facility Name
GSK Investigational Site
City
Iasi
ZIP/Postal Code
700115
Country
Romania
Facility Name
GSK Investigational Site
City
Pantelimon
ZIP/Postal Code
77145
Country
Romania
Facility Name
GSK Investigational Site
City
Sibiu
ZIP/Postal Code
550166
Country
Romania
Facility Name
GSK Investigational Site
City
Timisoara
ZIP/Postal Code
300593
Country
Romania

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Citations:
PubMed Identifier
27541270
Citation
Falup-Pecurariu O, Man SC, Neamtu ML, Chicin G, Baciu G, Pitic C, Cara AC, Neculau AE, Burlea M, Brinza IL, Schnell CN, Sas V, Lupu VV, Francois N, Swinnen K, Borys D. Effects of prophylactic ibuprofen and paracetamol administration on the immunogenicity and reactogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugated vaccine (PHiD-CV) co-administered with DTPa-combined vaccines in children: An open-label, randomized, controlled, non-inferiority trial. Hum Vaccin Immunother. 2017 Mar 4;13(3):649-660. doi: 10.1080/21645515.2016.1223001. Epub 2016 Aug 19.
Results Reference
background
Links:
URL
https://www.clinicalstudydatarequest.com
Description
Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
Available IPD and Supporting Information:
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
112921
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
112921
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Statistical Analysis Plan
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
112921
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
112921
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
112921
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Study Protocol
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
112921
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

Learn more about this trial

Primary and Booster Vaccination Study With Pneumococcal Vaccine GSK1024850A and Prophylactic Antipyretic Treatment

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