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A Study to Evaluate Immunogenicity and Safety of GlaxoSmithKline (GSK)'s Infanrix Hexa Vaccine (DTPa-HBV-IPV/Hib) Versus MCM Vaccine BV's Vaxelis Vaccine (DTaP5-HBV-IPV-Hib) in Healthy Infants and Toddlers

Primary Purpose

Diphtheria

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
DTPa-HBV-IPV/Hib
DTaP5-HBV-IPV-Hib
Pneumococcal 13-valent conjugate vaccine
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Diphtheria focused on measuring Primary immunization, Immunogenicity, Safety, Diphtheria, Tetanus, Acellular pertussis, Hepatitis B, Inactivated poliovirus, Haemophilus influenzae type b

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects' parent(s)/Legally Acceptable Representative(s) (LAR[s]) who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., return for follow-up visits).
  • Written or witnessed/thumb printed informed consent obtained from the parent(s)/LAR(s) of the subject prior to performing any study specific procedure.
  • A male or female child between and including 6 and 12 weeks of age (42 to 84 days) at the time of the first vaccination.
  • Subject born after at least 37 weeks of gestation.
  • Healthy subjects as established by the investigator based on medical history and the clinical examination before entering into the study.

Exclusion Criteria:

  • Any clinical condition that, in the opinion of the investigator, might pose any risk to the subject due to participation in the study. As with other vaccines, administration of DTPa-HBV-IPV/Hib should be postponed in subjects suffering from acute severe febrile illness. The presence of a minor infection is not a contraindication.
  • Known history of diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and Hib diseases since birth.
  • History of any reaction or hypersensitivity likely to be caused or exacerbated by any excipient or active component of the vaccine(s).
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including malignancies, based on medical history and physical examination (no laboratory testing required).
  • Family history of congenital or hereditary immunodeficiency.
  • Major congenital defects, as assessed by the investigator.
  • Acute or chronic clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined via medical history including physical examination.
  • Medical history of neurological disorder, including seizures.
  • Previous vaccination for diphtheria, tetanus, pertussis, HBV, poliomyelitis, Hib diseases and previous vaccination against pneumococcal infection with pneumococcal conjugate vaccine, with the exception of a birth dose of HBV vaccine, which may be given in accordance with local recommendations.
  • Use of any investigational or nonregistered product (drug, vaccine, or medical device) other than the study vaccine(s) during the period starting 30 days before the first dose of study vaccine(s) (Day -29 to Day 1), or planned use during the study period.
  • Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first dose and ending 30 days after the last dose of vaccine(s) with the exception of administration of vaccines given as part of the national immunization schedule and as part of routine vaccination practice, e.g., rotavirus vaccine, that are allowed at any time during the study period. In case emergency mass vaccination for an unforeseen public health threat (e.g., a pandemic) is organized by public health authorities outside the routine immunization programme, the time period described above can be reduced if necessary for that mass vaccination vaccine, provided this vaccine/product(s) is licensed and used according to its Product Information.
  • Administration of long-acting immune-modifying drugs in the period starting 30 days before the first dose and at any time during the study period.
  • Administration of immunoglobulins and/or any blood products or plasma derivatives from birth or planned administration during the study period.
  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the first vaccine. For corticosteroids, this will mean prednisone ≥0.5 mg/kg/day (for paediatric subjects), or equivalent. Inhaled and topical steroids are allowed.
  • 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 (drug or medical device).
  • 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

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

DTPa-HBV-IPV/Hib Investigational Group

DTaP5-HBV-IPV-Hib Comparator Group

Arm Description

All subjects in this group receive 3 doses (2 primary doses and 1 booster dose) of DTPa-HBV-IPV/Hib vaccine co-administered with 3 doses of pneumococcal 13-valent conjugate vaccine at 2, 4, and 12 months of age.

All subjects in this group receive 3 doses (2 primary doses and 1 booster dose) of DTaP5-HBV-IPV-Hib vaccine co-administered with 3 doses of pneumococcal 13-valent conjugate vaccine at 2, 4, and 12 months of age.

Outcomes

Primary Outcome Measures

Anti-PRP antibody concentrations at Month 11, based on Per protocol set (PPS)
Anti-PRP antibody concentrations are presented as geometric mean concentrations (GMCs) and expressed in microgram per milliliter (μg/mL), as assessed by Enzyme-linked immunosorbent assay (ELISA).
Percentage of subjects with anti-PRP antibody concentrations equal to or above (≥) 5 µg/mL at Month 11, based on PPS
The percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL (as assessed by ELISA) is reported.
Anti-PRP antibody concentrations at Month 11, based on the Exposed Set (ES)
Anti-PRP antibody concentrations are presented as GMCs and expressed in μg/mL, as assessed by ELISA.
Percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL at Month 11, based on ES
The percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL (as assessed by ELISA) is reported.

Secondary Outcome Measures

Percentage of subjects with anti-PRP antibody concentrations ≥ 0.15 µg/mL
The percentage of subjects with anti-PRP antibody concentration equal to or above the threshold (i.e., 0.15 µg/mL) for protection is reported.
Percentage of subjects with anti-PRP antibody concentrations ≥ 1.0 µg/mL
The percentage of subjects with anti-PRP antibody concentration equal to or above the threshold for long-term protection is reported. The threshold for long-term protection is 1.0 µg/mL.
Anti-PRP antibody concentrations
Anti-PRP antibody concentrations are presented as GMCs and expressed in μg/mL, as assessed by ELISA.
Number of subjects with unsolicited adverse events (AEs)
An AE is any untoward medical occurrence in a subject or subject, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Number of subjects with serious adverse events (SAEs)
An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity or is a congenital anomaly/birth defect.

Full Information

First Posted
August 27, 2020
Last Updated
January 24, 2023
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT04535037
Brief Title
A Study to Evaluate Immunogenicity and Safety of GlaxoSmithKline (GSK)'s Infanrix Hexa Vaccine (DTPa-HBV-IPV/Hib) Versus MCM Vaccine BV's Vaxelis Vaccine (DTaP5-HBV-IPV-Hib) in Healthy Infants and Toddlers
Official Title
A Phase IV, Single-blind, Randomised, Controlled, Multi-country Study to Evaluate the Immunogenicity and Safety of GSK's Infanrix Hexa (DTPa-HBV-IPV/Hib) Versus MCM Vaccine BV's Vaxelis (DTaP5-HBV-IPV Hib), When Administered Intramuscularly According to a 2-, 4- and 12-month Schedule in Healthy Infants and Toddlers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
February 17, 2021 (Actual)
Primary Completion Date
July 25, 2022 (Actual)
Study Completion Date
July 25, 2022 (Actual)

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
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and immunogenicity of GSK's combined diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliovirus and Haemophilus influenzae type b conjugate vaccine (DTPa-HBV-IPV/Hib) versus MCM Vaccine BV's DTaP5-HBV-IPV-Hib vaccine administered to healthy infants and toddlers, between 6 and 12 weeks of age at the time of first vaccination, based on a 2-, 4-, and 12-months of age vaccination schedule.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diphtheria
Keywords
Primary immunization, Immunogenicity, Safety, Diphtheria, Tetanus, Acellular pertussis, Hepatitis B, Inactivated poliovirus, Haemophilus influenzae type b

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
500 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DTPa-HBV-IPV/Hib Investigational Group
Arm Type
Experimental
Arm Description
All subjects in this group receive 3 doses (2 primary doses and 1 booster dose) of DTPa-HBV-IPV/Hib vaccine co-administered with 3 doses of pneumococcal 13-valent conjugate vaccine at 2, 4, and 12 months of age.
Arm Title
DTaP5-HBV-IPV-Hib Comparator Group
Arm Type
Active Comparator
Arm Description
All subjects in this group receive 3 doses (2 primary doses and 1 booster dose) of DTaP5-HBV-IPV-Hib vaccine co-administered with 3 doses of pneumococcal 13-valent conjugate vaccine at 2, 4, and 12 months of age.
Intervention Type
Biological
Intervention Name(s)
DTPa-HBV-IPV/Hib
Other Intervention Name(s)
Infanrix hexa
Intervention Description
3 doses (1 each at 2, 4 and 12 months of age) of DTPa-HBV-IPV/Hib vaccine administered by intramuscular injection into the right thigh
Intervention Type
Biological
Intervention Name(s)
DTaP5-HBV-IPV-Hib
Other Intervention Name(s)
Vaxelis
Intervention Description
3 doses (1 each at 2, 4 and 12 months of age) of DTaP5-HBV-IPV-Hib vaccine administered by intramuscular injection into the right thigh
Intervention Type
Biological
Intervention Name(s)
Pneumococcal 13-valent conjugate vaccine
Other Intervention Name(s)
Prevenar 13
Intervention Description
3 doses (1 each at 2, 4 and 12 months of age) of pneumococcal 13-valent conjugate vaccine administered by intramuscular injection into the left thigh
Primary Outcome Measure Information:
Title
Anti-PRP antibody concentrations at Month 11, based on Per protocol set (PPS)
Description
Anti-PRP antibody concentrations are presented as geometric mean concentrations (GMCs) and expressed in microgram per milliliter (μg/mL), as assessed by Enzyme-linked immunosorbent assay (ELISA).
Time Frame
At Month 11 (i.e., 1 month post-booster vaccination)
Title
Percentage of subjects with anti-PRP antibody concentrations equal to or above (≥) 5 µg/mL at Month 11, based on PPS
Description
The percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL (as assessed by ELISA) is reported.
Time Frame
At Month 11 (i.e., 1 month post-booster vaccination)
Title
Anti-PRP antibody concentrations at Month 11, based on the Exposed Set (ES)
Description
Anti-PRP antibody concentrations are presented as GMCs and expressed in μg/mL, as assessed by ELISA.
Time Frame
At Month 11 (i.e., 1 month post-booster vaccination)
Title
Percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL at Month 11, based on ES
Description
The percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL (as assessed by ELISA) is reported.
Time Frame
At Month 11 (i.e., 1 month post-booster vaccination)
Secondary Outcome Measure Information:
Title
Percentage of subjects with anti-PRP antibody concentrations ≥ 0.15 µg/mL
Description
The percentage of subjects with anti-PRP antibody concentration equal to or above the threshold (i.e., 0.15 µg/mL) for protection is reported.
Time Frame
At Month 3 (i.e., 1 month post-primary vaccination), Month 10 (i.e., pre-booster), Month 11 (i.e., 1 month post-booster vaccination)
Title
Percentage of subjects with anti-PRP antibody concentrations ≥ 1.0 µg/mL
Description
The percentage of subjects with anti-PRP antibody concentration equal to or above the threshold for long-term protection is reported. The threshold for long-term protection is 1.0 µg/mL.
Time Frame
At Month 3 (i.e., 1 month post-primary vaccination), Month 10 (i.e., pre-booster), Month 11 (i.e., 1 month post-booster vaccination)
Title
Anti-PRP antibody concentrations
Description
Anti-PRP antibody concentrations are presented as GMCs and expressed in μg/mL, as assessed by ELISA.
Time Frame
At Month 3 (i.e., 1 month post-primary vaccination), Month 10 (i.e., pre-booster), Month 11, (i.e., 1 month post-booster vaccination)
Title
Number of subjects with unsolicited adverse events (AEs)
Description
An AE is any untoward medical occurrence in a subject or subject, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Time Frame
During the 31-day (Days 1-31) follow-up period after each vaccination
Title
Number of subjects with serious adverse events (SAEs)
Description
An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity or is a congenital anomaly/birth defect.
Time Frame
During the entire study period (Day 1 - Month 11)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Weeks
Maximum Age & Unit of Time
12 Weeks
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects' parent(s)/Legally Acceptable Representative(s) (LAR[s]) who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., return for follow-up visits). Written or witnessed/thumb printed informed consent obtained from the parent(s)/LAR(s) of the subject prior to performing any study specific procedure. A male or female child between and including 6 and 12 weeks of age (42 to 84 days) at the time of the first vaccination. Subject born after at least 37 weeks of gestation. Healthy subjects as established by the investigator based on medical history and the clinical examination before entering into the study. Exclusion Criteria: Any clinical condition that, in the opinion of the investigator, might pose any risk to the subject due to participation in the study. As with other vaccines, administration of DTPa-HBV-IPV/Hib should be postponed in subjects suffering from acute severe febrile illness. The presence of a minor infection is not a contraindication. Known history of diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and Hib diseases since birth. History of any reaction or hypersensitivity likely to be caused or exacerbated by any excipient or active component of the vaccine(s). Any confirmed or suspected immunosuppressive or immunodeficient condition, including malignancies, based on medical history and physical examination (no laboratory testing required). Family history of congenital or hereditary immunodeficiency. Major congenital defects, as assessed by the investigator. Acute or chronic clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined via medical history including physical examination. Medical history of neurological disorder, including seizures. Previous vaccination for diphtheria, tetanus, pertussis, HBV, poliomyelitis, Hib diseases and previous vaccination against pneumococcal infection with pneumococcal conjugate vaccine, with the exception of a birth dose of HBV vaccine, which may be given in accordance with local recommendations. Use of any investigational or nonregistered product (drug, vaccine, or medical device) other than the study vaccine(s) during the period starting 30 days before the first dose of study vaccine(s) (Day -29 to Day 1), or planned use during the study period. Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first dose and ending 30 days after the last dose of vaccine(s) with the exception of administration of vaccines given as part of the national immunization schedule and as part of routine vaccination practice, e.g., rotavirus vaccine, that are allowed at any time during the study period. In case emergency mass vaccination for an unforeseen public health threat (e.g., a pandemic) is organized by public health authorities outside the routine immunization programme, the time period described above can be reduced if necessary for that mass vaccination vaccine, provided this vaccine/product(s) is licensed and used according to its Product Information. Administration of long-acting immune-modifying drugs in the period starting 30 days before the first dose and at any time during the study period. Administration of immunoglobulins and/or any blood products or plasma derivatives from birth or planned administration during the study period. Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the first vaccine. For corticosteroids, this will mean prednisone ≥0.5 mg/kg/day (for paediatric subjects), or equivalent. Inhaled and topical steroids are allowed. 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 (drug or medical device). 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
Rosenheim
State/Province
Bayern
ZIP/Postal Code
83026
Country
Germany
Facility Name
GSK Investigational Site
City
Schoenau Am Koenigssee
State/Province
Bayern
ZIP/Postal Code
83471
Country
Germany
Facility Name
GSK Investigational Site
City
Leipzig
State/Province
Brandenburg
ZIP/Postal Code
16269
Country
Germany
Facility Name
GSK Investigational Site
City
Wolfsburg
State/Province
Niedersachsen
ZIP/Postal Code
38448
Country
Germany
Facility Name
GSK Investigational Site
City
Huerth
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
50354
Country
Germany
Facility Name
GSK Investigational Site
City
Moenchengladbach
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
41236
Country
Germany
Facility Name
GSK Investigational Site
City
Frankenthal
State/Province
Rheinland-Pfalz
ZIP/Postal Code
67227
Country
Germany
Facility Name
GSK Investigational Site
City
Bramsche
ZIP/Postal Code
49565
Country
Germany
Facility Name
GSK Investigational Site
City
Erfurt
ZIP/Postal Code
99086
Country
Germany
Facility Name
GSK Investigational Site
City
Moenchengladbach
ZIP/Postal Code
41236
Country
Germany
Facility Name
GSK Investigational Site
City
Milano
ZIP/Postal Code
20122
Country
Italy
Facility Name
GSK Investigational Site
City
Malaga
State/Province
Andalucia
ZIP/Postal Code
29004
Country
Spain
Facility Name
GSK Investigational Site
City
Badalona
ZIP/Postal Code
08916
Country
Spain
Facility Name
GSK Investigational Site
City
Boadilla Del Monte (Madrid)
ZIP/Postal Code
28660
Country
Spain
Facility Name
GSK Investigational Site
City
Leganes
ZIP/Postal Code
28911
Country
Spain
Facility Name
GSK Investigational Site
City
Lleida
ZIP/Postal Code
25198
Country
Spain
Facility Name
GSK Investigational Site
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
GSK Investigational Site
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
GSK Investigational Site
City
Santiago de Compostela
ZIP/Postal Code
15706
Country
Spain
Facility Name
GSK Investigational Site
City
Sevilla
ZIP/Postal Code
41013
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study will be made available via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints of the study.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Learn more about this trial

A Study to Evaluate Immunogenicity and Safety of GlaxoSmithKline (GSK)'s Infanrix Hexa Vaccine (DTPa-HBV-IPV/Hib) Versus MCM Vaccine BV's Vaxelis Vaccine (DTaP5-HBV-IPV-Hib) in Healthy Infants and Toddlers

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