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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Withdrawn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
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

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

6 Weeks - 9 Weeks (Child)All SexesAccepts Healthy Volunteers

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

    First Posted
    April 20, 2017
    Last Updated
    December 22, 2017
    Sponsor
    GlaxoSmithKline
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    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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