Evaluation of Immunogenicity and Safety of DTPa-IPV/Hib Conjugate Vaccine (Infanrix™-IPV/Hib) Administered at 6, 10 and 14 Weeks in Healthy Indian Infants
Primary Purpose
Diphtheria, Acellular Pertussis, Haemophilus Influenzae Type b
Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Infanrix-IPV/Hib
Sponsored by
About this trial
This is an interventional prevention trial for Diphtheria focused on measuring Safety, Infanrix™-IPV/Hib, Immunogenicity, Indian infants, Combined vaccine
Eligibility Criteria
Inclusion Criteria:
- Subjects' parent(s)/Legally Acceptable Representatives [LARs] who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
- A male or female between, and including, 6 and 9 weeks of age (42-69 days) at the time of the first vaccination.
- Written informed consent obtained from the parents/LARs of the subject prior to performing any study specific procedure.
- Healthy subjects as established by medical history and clinical examination before entering into the study.
- Born full-term [i.e., after a gestation period of 37 to less than 42 completed weeks (259 to 293 days)].
Exclusion Criteria:
- Child in care.
- Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before first dose of study vaccine (Day-29 to Day 0), or planned use during the study period.
- Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.
- Chronic administration of immunosuppressants or other immune-modifying drugs from birth to within six months prior to the first vaccine dose. For corticosteroids, this will mean prednisone (0.5 mg/kg/day, or equivalent). Inhaled and topical steroids are allowed.
- Administration of long-acting immune-modifying drugs at any time during the study period.
- Planned administration/administration of a vaccine not foreseen by the study protocol within the period starting 30 days before and 30 days after the last dose of vaccine with the exception of human rotavirus vaccine, hepatitis B vaccine, pneumococcal conjugate vaccine and other vaccines given as a part of the national immunisation schedule, that are allowed at any time 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 vaccine/product.
- History of diphtheria, tetanus, pertussis, poliomyelitis and Hib disease.
- Evidence of previous diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and Hib vaccination or disease prior to study enrolment, with the exception of a birth dose of hepatitis B and/or Baccillus Calmette-Guerin (BCG) vaccines and/or oral poliovirus (OPV) vaccine as per local standard of care. The BCG vaccination should occur at least 30 days prior to first dose of vaccination in the study.
- 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.
- History of any neurological disorders or seizures.
Acute disease and/or fever at the time of enrolment.
- Fever is defined as temperature ≥37.5°C/99.5°F for oral, axillary or tympanic route, or ≥ 38.0°C/100.4°F for rectal route.
- Subjects with a minor illness without fever may be enrolled at the discretion of the investigator.
- Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
DTPa-IPV/Hib Group
Arm Description
All subjects will receive three doses of primary vaccination at 6, 10 and 14 weeks of age.
Outcomes
Primary Outcome Measures
Number of seroprotected subjects in terms of anti-diphtheria (anti-D) and anti-tetanus (anti-T) antibodies.
A seroprotected subject is a subject whose anti-D/anti-T antibody concentration is greater than or equal to (≥) 0.1 International Units per millilitre (IU/ml).
Number of seroprotected subjects in terms of anti-poliomyelitis (anti-Polio) types 1, 2 and 3 antibodies.
A seroprotected subject is a subject whose anti-Polio 1, 2 and 3 antibody titers are greater than or equal to (≥) 8 median effective dose (ED50).
Number of seroprotected subjects in terms of anti-polysaccharide Polyribosyl-Ribitol Phosphate (anti-PRP) antibodies.
A seroprotected subject is a subject whose anti-PRP antibody concentration is greater than or equal to (≥) 0.15 micrograms per millilitre (µg/ml).
Number of subjects with vaccine response to pertussis toxoid (PT), Filamentous Haemagglutinin (FHA) and pertactin (PRN) antigens.
Vaccine response to pertussis antigens is defined as the appearance of antibodies in subjects who were initially seronegative (i.e., with concentrations lesser than the assay cut-off value), or maintenance of pre-vaccination antibody concentrations in subjects who were initially seropositive (i.e., with concentrations ≥ assay cut-off value).
Secondary Outcome Measures
Anti-D and anti-T antibody concentrations.
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Anti-Polio type 1, 2 and 3 antibody titres.
Antibody titres are expressed as geometric mean titres (GMTs).
Anti-PRP antibody concentrations.
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Anti-PT, anti-FHA and anti-PRN antibody concentrations.
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Number of seropositive subjects in terms of anti-PT, anti-FHA and anti-PRN antibodies.
A seropositive subject is a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations above the cut-off value of 5 Enzyme-linked immunosorbent assay (ELISA) Units per millilitre (EL.U/mL).
Anti-PT, anti-FHA and anti-PRN antibody concentrations.
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Anti-Polio type 1, 2 and 3 antibody titres.
Antibody titres are expressed as geometric mean titres (GMTs).
Anti-PRP antibody concentrations.
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Number of seropositive subjects in terms of anti-PT, anti-FHA and anti-PRN antibodies.
A seropositive subject is a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations above the cut-off value of 5 EL.U/mL.
Number of seroprotected subjects in terms of anti-Polio type 1, 2 and 3 antibodies.
A seroprotected subject is a subject whose anti-Polio 1, 2 and 3 antibody titers are greater than or equal to (≥) 8 ED50.
Number of seroprotected subjects in terms of anti-PRP antibodies.
A seroprotected subject is a subject whose anti-PRP antibody concentration is greater than or equal to (≥) 0.15 µg/ml.
Number of subjects with solicited local symptoms.
Solicited local symptoms assessed are pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevents normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimetres (mm) of injection site.
Number of subjects with solicited general symptoms.
Solicited general symptoms assessed are drowsiness, fever [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)], irritability/fussiness and loss of appetite. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevents normal activity. Grade 3 fever = fever > 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.
Number of subjects with unsolicited adverse events (AEs).
An unsolicited adverse event 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.
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.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03128489
Brief Title
Evaluation of Immunogenicity and Safety of DTPa-IPV/Hib Conjugate Vaccine (Infanrix™-IPV/Hib) Administered at 6, 10 and 14 Weeks in Healthy Indian Infants
Official Title
Immunogenicity and Safety of GSK Biologicals' DTPa-IPV/Hib Conjugate Vaccine (Infanrix™-IPV/Hib) (SB213503) in Healthy Indian Infants
Study Type
Interventional
2. Study Status
Record Verification Date
December 2017
Overall Recruitment Status
Withdrawn
Why Stopped
The study is cancelled due to reassessment of the medical need for the vaccine in India. Cancellation is not related to vaccine's safety and/or efficacy.
Study Start Date
December 1, 2017 (Anticipated)
Primary Completion Date
August 1, 2018 (Anticipated)
Study Completion Date
August 1, 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The purpose of this study is to assess the immunogenicity and safety of DTPa-IPV/Hib when administered at 6, 10 and 14 weeks to healthy Indian infants, as per guidance from the Indian regulatory authority. The 6, 10 and 14 week schedule reflects the current Indian standard of care.
Detailed Description
Experimental design: Phase III, open-label, non-randomised, multi-centric, single-country study with a single group.
Duration of the study: The intended duration of the study will be approximately 3 months per subject.
Treatment group and vaccination schedule: All subjects will receive three doses of the vaccine at 6, 10 and 14 weeks of age.
DTPa-IPV/Hib Group: Subjects who will receive DTPa-IPV/Hib vaccine (Infanrix-IPV/Hib).
Other routine registered childhood vaccinations as part of National Immunisation Programme are permitted. Information regarding vaccine administered since birth until study completion will be collected and documented.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diphtheria, Acellular Pertussis, Haemophilus Influenzae Type b, Tetanus, Poliomyelitis
Keywords
Safety, Infanrix™-IPV/Hib, Immunogenicity, Indian infants, Combined vaccine
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
DTPa-IPV/Hib Group
Arm Type
Experimental
Arm Description
All subjects will receive three doses of primary vaccination at 6, 10 and 14 weeks of age.
Intervention Type
Biological
Intervention Name(s)
Infanrix-IPV/Hib
Intervention Description
Subjects will receive (Infanrix-IPV/Hib) as three-dose primary vaccination course at 6, 10 and 14 weeks of age. The vaccine will be administered intramuscularly, at a 90-degree angle into the anterolateral side of the thigh on the right side. The vaccine should not be administered in the buttock.
Primary Outcome Measure Information:
Title
Number of seroprotected subjects in terms of anti-diphtheria (anti-D) and anti-tetanus (anti-T) antibodies.
Description
A seroprotected subject is a subject whose anti-D/anti-T antibody concentration is greater than or equal to (≥) 0.1 International Units per millilitre (IU/ml).
Time Frame
One month after the third dose of primary vaccination (Month 3)
Title
Number of seroprotected subjects in terms of anti-poliomyelitis (anti-Polio) types 1, 2 and 3 antibodies.
Description
A seroprotected subject is a subject whose anti-Polio 1, 2 and 3 antibody titers are greater than or equal to (≥) 8 median effective dose (ED50).
Time Frame
One month after the third dose of primary vaccination (Month 3)
Title
Number of seroprotected subjects in terms of anti-polysaccharide Polyribosyl-Ribitol Phosphate (anti-PRP) antibodies.
Description
A seroprotected subject is a subject whose anti-PRP antibody concentration is greater than or equal to (≥) 0.15 micrograms per millilitre (µg/ml).
Time Frame
One month after the third dose of primary vaccination (Month 3)
Title
Number of subjects with vaccine response to pertussis toxoid (PT), Filamentous Haemagglutinin (FHA) and pertactin (PRN) antigens.
Description
Vaccine response to pertussis antigens is defined as the appearance of antibodies in subjects who were initially seronegative (i.e., with concentrations lesser than the assay cut-off value), or maintenance of pre-vaccination antibody concentrations in subjects who were initially seropositive (i.e., with concentrations ≥ assay cut-off value).
Time Frame
One month after the third dose of primary vaccination (Month 3)
Secondary Outcome Measure Information:
Title
Anti-D and anti-T antibody concentrations.
Description
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Time Frame
One month after the third dose of primary vaccination (Month 3).
Title
Anti-Polio type 1, 2 and 3 antibody titres.
Description
Antibody titres are expressed as geometric mean titres (GMTs).
Time Frame
One month after the third dose of primary vaccination (Month 3)
Title
Anti-PRP antibody concentrations.
Description
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Time Frame
One month after the third dose of primary vaccination (Month 3).
Title
Anti-PT, anti-FHA and anti-PRN antibody concentrations.
Description
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Time Frame
One month after the third dose of primary vaccination (Month 3)
Title
Number of seropositive subjects in terms of anti-PT, anti-FHA and anti-PRN antibodies.
Description
A seropositive subject is a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations above the cut-off value of 5 Enzyme-linked immunosorbent assay (ELISA) Units per millilitre (EL.U/mL).
Time Frame
One month after the third dose of primary vaccination (Month 3).
Title
Anti-PT, anti-FHA and anti-PRN antibody concentrations.
Description
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Time Frame
Before the first dose of primary vaccination (Day 0)
Title
Anti-Polio type 1, 2 and 3 antibody titres.
Description
Antibody titres are expressed as geometric mean titres (GMTs).
Time Frame
Before the first dose of primary vaccination (Day 0)
Title
Anti-PRP antibody concentrations.
Description
Antibody concentrations are expressed as geometric mean concentrations (GMCs).
Time Frame
Before the first dose of primary vaccination (Day 0)
Title
Number of seropositive subjects in terms of anti-PT, anti-FHA and anti-PRN antibodies.
Description
A seropositive subject is a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations above the cut-off value of 5 EL.U/mL.
Time Frame
Before the first dose of primary vaccination (Day 0)
Title
Number of seroprotected subjects in terms of anti-Polio type 1, 2 and 3 antibodies.
Description
A seroprotected subject is a subject whose anti-Polio 1, 2 and 3 antibody titers are greater than or equal to (≥) 8 ED50.
Time Frame
Before the first dose of primary vaccination (Day 0)
Title
Number of seroprotected subjects in terms of anti-PRP antibodies.
Description
A seroprotected subject is a subject whose anti-PRP antibody concentration is greater than or equal to (≥) 0.15 µg/ml.
Time Frame
Before the first dose of primary vaccination (Day 0)
Title
Number of subjects with solicited local symptoms.
Description
Solicited local symptoms assessed are pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevents normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimetres (mm) of injection site.
Time Frame
During the 4-day period (Days 0-3) following each vaccination.
Title
Number of subjects with solicited general symptoms.
Description
Solicited general symptoms assessed are drowsiness, fever [defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)], irritability/fussiness and loss of appetite. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevents normal activity. Grade 3 fever = fever > 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.
Time Frame
During the 4-day period (Days 0-3) following each vaccination.
Title
Number of subjects with unsolicited adverse events (AEs).
Description
An unsolicited adverse event 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.
Time Frame
During the 31-day period (Days 0-30) following each vaccination.
Title
Number of subjects with serious adverse events (SAEs).
Description
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.
Time Frame
From dose 1 (Day 0) until study end (Month 3)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
6 Weeks
Maximum Age & Unit of Time
9 Weeks
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Subjects' parent(s)/Legally Acceptable Representatives [LARs] who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
A male or female between, and including, 6 and 9 weeks of age (42-69 days) at the time of the first vaccination.
Written informed consent obtained from the parents/LARs of the subject prior to performing any study specific procedure.
Healthy subjects as established by medical history and clinical examination before entering into the study.
Born full-term [i.e., after a gestation period of 37 to less than 42 completed weeks (259 to 293 days)].
Exclusion Criteria:
Child in care.
Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before first dose of study vaccine (Day-29 to Day 0), or planned use during the study period.
Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.
Chronic administration of immunosuppressants or other immune-modifying drugs from birth to within six months prior to the first vaccine dose. For corticosteroids, this will mean prednisone (0.5 mg/kg/day, or equivalent). Inhaled and topical steroids are allowed.
Administration of long-acting immune-modifying drugs at any time during the study period.
Planned administration/administration of a vaccine not foreseen by the study protocol within the period starting 30 days before and 30 days after the last dose of vaccine with the exception of human rotavirus vaccine, hepatitis B vaccine, pneumococcal conjugate vaccine and other vaccines given as a part of the national immunisation schedule, that are allowed at any time 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 vaccine/product.
History of diphtheria, tetanus, pertussis, poliomyelitis and Hib disease.
Evidence of previous diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and Hib vaccination or disease prior to study enrolment, with the exception of a birth dose of hepatitis B and/or Baccillus Calmette-Guerin (BCG) vaccines and/or oral poliovirus (OPV) vaccine as per local standard of care. The BCG vaccination should occur at least 30 days prior to first dose of vaccination in the study.
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.
History of any neurological disorders or seizures.
Acute disease and/or fever at the time of enrolment.
Fever is defined as temperature ≥37.5°C/99.5°F for oral, axillary or tympanic route, or ≥ 38.0°C/100.4°F for rectal route.
Subjects with a minor illness without fever may be enrolled at the discretion of the investigator.
Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
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.
Learn more about this trial
Evaluation of Immunogenicity and Safety of DTPa-IPV/Hib Conjugate Vaccine (Infanrix™-IPV/Hib) Administered at 6, 10 and 14 Weeks in Healthy Indian Infants
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