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Persistence Study of GSK Biologicals' Tdap Vaccine 1, 3, 5 and 9 Years Following Administration as an Initial Single Dose in Healthy Young Adults and to Evaluate the Immunogenicity and Safety of Boostrix as a Second Dose of Tdap, When Administered at Year 9

Primary Purpose

Acellular Pertussis, Tetanus, Diphtheria

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Taking of blood samples
Boostrix
Adacel
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Acellular Pertussis focused on measuring Persistence, immunogenicity

Eligibility Criteria

28 Years - 73 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

• Persistence follow-up phase up to Year 9 time point:

The following criteria are applicable to subjects who refuse vaccination at Year 8 time point:

All subjects who received study vaccination (Boostrix or Adacel) in study NCT00346073 will be considered eligible to participate in this study.

Written informed consent must be obtained from the subject prior to each study time point.

Vaccination phase at Year 9 applicable for subjects in Boostrix and Adacel groups only:

The following criterion is applicable to subjects willing to consent to vaccination at Year 9 time point in the Boostrix and Adacel groups:

• All subjects who received study vaccination (Boostrix or Adacel) in study NCT00346073 will be considered eligible to participate in this study.

Vaccination phase at Year 9 applicable for subjects in the Control group only:

The following criterion is applicable to subjects willing to consent to vaccination at Year 9 time point in the Control group only:

• Subjects within the age range of 28-73 years will be considered eligible to participate in this study in the Control group.

Vaccination phase at Year 9 applicable for ALL subjects (Control, Boostrix and Adacel groups):

The following criteria are applicable to subjects willing to consent to vaccination at Year 9 time point in the Boostrix, Adacel and Control groups:

All subjects must satisfy the following criteria at study entry at Year 9 time point:

Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. completion of the diary cards, return for follow-up visits).

Written informed consent obtained from the subject for vaccination at Year 9 time point.

Healthy subjects as established by medical history and clinical examination before entering into the study.

  • Female subjects of non-childbearing potential may be enrolled in the study.

    • Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause.
  • Female subjects of child bearing potential may be enrolled in the study, if the subject

    • has practiced adequate contraception for 30 days prior to vaccination, and
    • has a negative pregnancy test on the day of vaccination, and
    • has agreed to continue adequate contraception for 1 month after completion of the vaccine dose

Exclusion Criteria:

The following criteria should be checked at the time of Year 9 vaccination time point. If any criteria is applicable, the subject must not be vaccinated in the study:

For subjects in Boostrix and Adacel groups:

• Administration of Tdap vaccine since the last dose received in the study NCT00346073.

For subjects in the Control group:

• Administration of Tdap (Boostrix or Adacel) vaccine at any time prior to the administration of Boostrix vaccine in this study.

For ALL subjects (Control, Boostrix and Adacel groups):

Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the dose of study vaccine, or planned use during the study period, 31 days (Day 0-30).

  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs within six months prior to Visit 6 (pre-vacc). Inhaled and topical steroids are allowed.
  • Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before and ending 30 days after the dose of vaccine, with the exception of inactivated Influenza vaccine which is allowed throughout the study period, 31 days (Day 0-30).

    -- 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.

  • Hypersensitivity to latex.
  • History of diphtheria, tetanus or pertussis diseases.
  • Severe allergic reaction (e.g. anaphylaxis) after previous administration of any tetanus toxoid, diphtheria toxoid, or pertussis-antigen containing vaccines, or any component of Boostrix.
  • History of any neurological disorders or seizures.
  • Encephalopathy (e.g. coma, decreased level of consciousness, prolonged seizures) of unknown etiology occurring within seven days following previous vaccination with pertussis-containing vaccine.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • Acute disease and/or fever at the time of enrolment.

    • Fever is defined as temperature ≥ 100.4°F by any route. The preferred route for recording temperature in this study will be oral.
    • Subjects with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may, be enrolled at the discretion of the investigator.
  • Administration of immunoglobulins and/or any blood products within three months preceding the dose of study vaccine or planned administration during the study period, 31 days (Day 0-30).

Administration of any tetanus or diphtheria containing vaccine or any registered or investigational vaccine utilizing a diphtheria toxoid or tetanus toxoid carrier within 5 years prior to the administration of Boostrix vaccine in this study.

  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests.
  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions during the 31 day (Day 0-30) follow-up period post-vaccination.

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
  • 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 Type

Experimental

Active Comparator

Active Comparator

Arm Label

Boostrix Group

Adacel Group

Control group

Arm Description

Subjects received in the primary study (NCT00346073) a single dose of Boostrix vaccine [Tdap](GSK776423) intramuscularly in the deltoid region of the non-dominant upper arm and in this study at Year 9 received a second dose of Boostrix vaccine [Tdap](GSK776423).

Subjects received in the primary study (NCT00346073) a single dose of Adacel vaccine intramuscularly in the deltoid region of the non-dominant upper arm and in this study at Year 9 received a dose of Boostrix vaccine [Tdap](GSK776423).

Subjects received the first dose of Boostrix vaccine [Tdap](GSK776423) in this study at Year 9.

Outcomes

Primary Outcome Measures

Number of Subjects With Anti-diphtheria (Anti-D) Antibody Concentrations Greater Than or Equal to (≥) Protocol Specified Cut-off
Anti-D cut-off was defined as ≥ 0.1 International Units per milliliter (IU/mL) determined with Enzyme-linked Immunosorbent Assay (ELISA)
Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-D cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA
Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-D cut-off was defined as ≥ 0.1IU/mL as assessed by ELISA.
Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-D cut-off was defined as ≥ to 0.1IU/mL as assessed by ELISA.
Number of Subjects With Anti-tetanus (Anti-T) Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Number of Subjects With Anti-D and Anti-T Concentrations ≥ 0.1 IU/mL and 1 IU/mL
Number of subjects with anti-D and anti-T concentrations ≥ 0.1 IU/mL and 1 IU/mL were tabulated
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations
Anti-PT, anti-FHA and anti-PRN antibody concentrations were measured by ELISA, tabulated as GMCs and expressed in IU/mL.
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations
Anti-PT, anti-FHA and anti-PRN antibody concentrations were measured by ELISA, tabulated as GMCs and expressed in IU/mL.
Booster Response to D and T Antigens
A booster response was defined as: for initially seronegative subjects (S-) (pre-vaccination concentration below cut-off: < 0.1 IU/mL) antibody concentrations at least four times the cut-off (post vaccination concentration ≥ 0.4 IU/mL); for initially seropositive subjects (S+) (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least four times the pre-vaccination concentration; Total = subjects either seropositive or seronegative.
Booster Response to PT, FHA and PRN Antigens
Booster response was defined as: for subjects with pre-vaccination antibody concentration < 5 EL.U/mL (S-): antibody concentration ≥ 20 EL.U/mL; for subjects with pre-vaccination antibody concentration ≥ 5 EL.U/mL and < 20 EL.U/mL (S+, <4*cut-off): antibody concentration at least four times the pre-vaccination concentration; for subjects with pre-vaccination antibody concentration ≥ 20 EL.U/mL (S+, ≥4*cut-off): antibody concentration at least two times the pre-vaccination concentration; Total = subjects either seropositive or seronegative

Secondary Outcome Measures

Number of Subjects With Anti-pertussis Toxoid (PT) Antibody Concentrations Equal to or Above Protocol Specified Cut-off
The cut-off for anti-PT concentrations was defined as ≥ 5 ELISA units per mililiter (EL.U/mL).
Number of Subjects With Anti-PT Antibody Concentrations Equal to or Above Protocol Specified Cut-off
The cut-off for anti-PT concentrations was defined as equal to or greater than 2.693 IU/mL.
Number of Subjects With Anti-FHA Antibody Concentrations Equal to or Above Protocol Specified Cut-off
The cut-off for anti-FHA concentrations was defined as equal to or greater than 5 EL.U/mL.
Number of Subjects With Anti-FHA Antibody Concentrations Equal to or Above Protocol Specified Cut-off
The cut-off for anti-FHA concentrations was defined as equal to or greater than 2.046 IU/mL
Number of Subjects With Anti-PRN Antibody Concentrations Equal to or Above Protocol Specified Cut-off
The cut-off for anti-PRN concentrations was defined as equal to or greater than 5 EL.U/mL.
Number of Subjects With Anti-PRN Antibody Concentrations Equal to or Above Protocol Specified Cut-off
The cut-off for anti-PRN concentrations was defined as equal to or greater than 2.187 IU/mL.
Anti-D Antibody Concentration
Anti-D antibody concentration is expressed as geometric mean concentration (GMC) in IU/mL.
Anti-D Antibody Concentration
Anti-D antibody concentration is expressed as GMC in IU/mL.
Anti-T Antibody Concentration
Anti-T antibody concentration is expressed as GMC in IU/mL.
Anti-T Antibody Concentration
Anti-T antibody concentration is expressed as GMC in IU/mL.
Anti-PT Antibody Concentration
Anti-PT antibody concentration is expressed as GMC in EL.U/mL.
Anti-PT Antibody Concentration
Anti-PT antibody concentration was expressed as GMC in IU/mL.
Anti-FHA Antibody Concentration
Anti-FHA antibody concentration is expressed as GMC in IU/mL
Anti-FHA Antibody Concentration
Anti-FHA antibody concentration was expressed as GMC in IU/mL.
Anti-PRN Antibody Concentration
Anti-PRN antibody concentration is expressed as GMC in IU/mL
Anti-PRN Antibody Concentration
Anti-PRN antibody concentration is expressed as GMC in IU/mL.
Alternative Booster Response to Anti-D and Anti-T Antigens
Alternative Booster response to D and T antigens is defined as: - For subjects with pre-booster antibody concentration below 0.1 IU/mL: antibody concentrations at least four times the 0.1IU/ML, one month after vaccination, and - For subjects with pre-booster antibody concentration ≥0.1 IU/mL and <1.0 IU/mL: antibody concentrations of at least four times the pre-booster antibody concentration, one month after vaccination. - For subjects with pre-booster antibody concentration ≥1.0 IU/mL and <6.0 IU/mL: antibody concentrations of at least two times the pre-booster antibody concentration, one month after vaccination. - Subjects with pre-booster antibody concentration ≥6.0 IU/mL are not evaluable for booster response. S- = Antibody concentration < 0.1 IU/mL S+ = Antibody concentration ≥ 0.1 IU/mL Total = subjects either seropositive or seronegative
Alternative Booster Responses to Anti-PT, Anti-FHA and Anti-PRN Antigens
Alternative Booster response to PT, FHA and PRN antigens is defined as: - For subjects with pre-booster antibody concentration below the assay cut off: antibody concentrations at least four times the assay cut off one month after vaccination, and - For subjects with pre-booster antibody concentration ≥ assay cut off and < 60 IU/mL: antibody concentration increase of at least 30 IU/mL from the pre-booster antibody concentration, one month after vaccination. - For subjects with pre-booster antibody concentration ≥ 60 IU/mL : at least 1.5 fold increase of antibody concentration from the pre-booster antibody concentration, one month after vaccination. S- = seronegative subjects (antibody concentration below assay cut off for anti-PT, anti-FHA, anti-PRN) S+ = seropositive subjects (antibody concentration below assay cut off for anti-PT, anti-FHA, anti-PRN) Total = subjects either seropositive or seronegative
Seroprotection Status for Anti-D Antibody Concentration
Seroprotection status for anti-D antibody concentration < 0.1 IU/mL were tested for neutralizing antibodies using a VERO-cell neutralization assay. Seroprotection rate is defined as the percentage of subjects with antibody concentrations greater than or equal (≥) the seroprotection cut-off value defined for that antibody.
Number of Subjects With Any and Grade 3 Solicited Local Symptoms - Year 9
Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity. Grade 3 pain was defined as significant pain at rest that prevented normal everyday activities. Grade 3 redness and swelling was greater than 50 millimeters (mm)
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms - Year 9
The solicited general symptoms assessed were Fatigue, Gastrointestinal symptoms (including nausea, vomiting, diarrhea and abdominal pain), Headache and Fever [defined as temperature of ≥100.4 degrees Fahrenheit (F) by any route]. Any = Occurrence of any general symptom regardless of its intensity grade or relationship to vaccination; Grade 3 Symptom = Symptom that prevented normal activity; Grade 3 Fever > 104.0 degrees F.
Number of Subjects With Any Large Injection Site Reaction - Year 9
Large injection site reaction = a swelling with a diameter > 100 mm, noticeable diffuse swelling or noticeable increase in limb circumference.
Number of Subjects With Any Unsolicited Adverse Events (AEs) - Year 9
An unsolicited AE covers any untoward medical oc-currence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and 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 Serious Adverse Events (SAEs) - Year 9
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
June 21, 2007
Last Updated
April 21, 2020
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00489970
Brief Title
Persistence Study of GSK Biologicals' Tdap Vaccine 1, 3, 5 and 9 Years Following Administration as an Initial Single Dose in Healthy Young Adults and to Evaluate the Immunogenicity and Safety of Boostrix as a Second Dose of Tdap, When Administered at Year 9
Official Title
Persistence Study of GSK Biologicals' Tdap Vaccine (776423), 1, 3, 5 and 9 Years Following Administration as a Single Dose in NCT00346073 Study and to Evaluate the Immunogenicity and Safety of Boostrix as a Second Dose of Tdap, When Administered at Year 9
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
June 1, 2007 (Actual)
Primary Completion Date
September 1, 2011 (Actual)
Study Completion Date
March 1, 2016 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the persistence of antibodies against all the vaccine antigens 1, 3, 5 and 9 years after an initial vaccination with Tdap, and also to assess immunogenicity and safety of another dose of Boostrix, administered in this study. This protocol posting deals with objectives and outcome measures of the extension phase. The objectives and outcome measures of the primary phase are presented in a separate protocol posting (NCT number = NCT00346073).
Detailed Description
Subjects were previously vaccinated with either Boostrix or a control Tdap vaccine (Sanofi Pasteurs' Adacel) in study NCT00346073. Only subjects who were part of the primary study will be invited to participate in this study. All subjects will receive a single dose of Boostrix at Visit 6 (Day 0) and subjects will be observed till Visit 7 (Day 30) for safety in terms of solicited adverse events (during 4 days post vaccination), unsolicited adverse events (during 31 days post vaccination) and serious adverse event (during the trial period). A blood sample will be collected from all subjects before vaccination (Visit 6) and one month after vaccination (Visit 7) for antibodies estimation. This summary has been updated following Protocol amendment 1 dated 09 November 2010, amendment 2 dated 18 February 2014, and amendment 3 dated 10 December 2014. The protocol was amended first due to the following reasons: The maximum window period allowed for the return of subjects for the Year 5 and Year 10 follow-up visits (Visit 5 and Visit 6) was extended from ± 5 weeks to ± 8 weeks. The contact details for reporting of SAEs were clarified. Text pertaining to the reporting of spontaneous abortion was removed from the protocol. The number of attempts to contact subjects who did not return for scheduled persistence visits was clarified. The main purpose of protocol amendment 2 is to evaluate the immunogenicity and safety of Boostrix as a second dose of Tdap vaccine when administered 8 years after an initial dose of Tdap. The Year 10 time point for evaluation of persistence has been cancelled because it is no longer feasible to conduct after a second dose of Tdap vaccine has been administered at Year 8. The purpose of amendment 3 is to add co-primary objective to demonstrate that the immune response elicited by a second dose of Tdap vaccine, Boostrix (Boostrix group and Adacel group) is non-inferior to the immune response elicited by a first dose of Tdap vaccine (Control group), with respect to booster response against diphtheria, tetanus and pertussis (PT, FHA and PRN) antigens, one month following vaccination according to CBER's input. Accordingly, the study start has been pushed to Year 9 and this is reflected throughout the document.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acellular Pertussis, Tetanus, Diphtheria
Keywords
Persistence, immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1954 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Boostrix Group
Arm Type
Experimental
Arm Description
Subjects received in the primary study (NCT00346073) a single dose of Boostrix vaccine [Tdap](GSK776423) intramuscularly in the deltoid region of the non-dominant upper arm and in this study at Year 9 received a second dose of Boostrix vaccine [Tdap](GSK776423).
Arm Title
Adacel Group
Arm Type
Active Comparator
Arm Description
Subjects received in the primary study (NCT00346073) a single dose of Adacel vaccine intramuscularly in the deltoid region of the non-dominant upper arm and in this study at Year 9 received a dose of Boostrix vaccine [Tdap](GSK776423).
Arm Title
Control group
Arm Type
Active Comparator
Arm Description
Subjects received the first dose of Boostrix vaccine [Tdap](GSK776423) in this study at Year 9.
Intervention Type
Procedure
Intervention Name(s)
Taking of blood samples
Intervention Description
No treatment is planned to be given in this study. Blood samples will be collected at the following time points: 1 year, 3 years, 5 years and 9 years after the dose of vaccination.
Intervention Type
Biological
Intervention Name(s)
Boostrix
Intervention Description
A single dose of Boostrix was administered in the primary study (NCT00346073). No treatment was given in this study.
Intervention Type
Biological
Intervention Name(s)
Adacel
Intervention Description
A single dose of Adacel was administered in the primary study (NCT00346073). No treatment was given in this study.
Primary Outcome Measure Information:
Title
Number of Subjects With Anti-diphtheria (Anti-D) Antibody Concentrations Greater Than or Equal to (≥) Protocol Specified Cut-off
Description
Anti-D cut-off was defined as ≥ 0.1 International Units per milliliter (IU/mL) determined with Enzyme-linked Immunosorbent Assay (ELISA)
Time Frame
At year 1 after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-D cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA
Time Frame
At year 3 after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-D cut-off was defined as ≥ 0.1IU/mL as assessed by ELISA.
Time Frame
At year 5 after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-D cut-off was defined as ≥ to 0.1IU/mL as assessed by ELISA.
Time Frame
At Year 9, one month before the booster vaccination.
Title
Number of Subjects With Anti-tetanus (Anti-T) Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Time Frame
At year 1 after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Time Frame
At year 3 after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Time Frame
At year 5 after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
Description
Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.
Time Frame
At Year 9, one month before the booster vaccination.
Title
Number of Subjects With Anti-D and Anti-T Concentrations ≥ 0.1 IU/mL and 1 IU/mL
Description
Number of subjects with anti-D and anti-T concentrations ≥ 0.1 IU/mL and 1 IU/mL were tabulated
Time Frame
At Year 9, one month after the booster vaccination.
Title
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations
Description
Anti-PT, anti-FHA and anti-PRN antibody concentrations were measured by ELISA, tabulated as GMCs and expressed in IU/mL.
Time Frame
At Year 9, one month before booster vaccination
Title
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations
Description
Anti-PT, anti-FHA and anti-PRN antibody concentrations were measured by ELISA, tabulated as GMCs and expressed in IU/mL.
Time Frame
At Year 9, one month after the booster vaccination
Title
Booster Response to D and T Antigens
Description
A booster response was defined as: for initially seronegative subjects (S-) (pre-vaccination concentration below cut-off: < 0.1 IU/mL) antibody concentrations at least four times the cut-off (post vaccination concentration ≥ 0.4 IU/mL); for initially seropositive subjects (S+) (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least four times the pre-vaccination concentration; Total = subjects either seropositive or seronegative.
Time Frame
At Year 9, one month after the booster vaccination.
Title
Booster Response to PT, FHA and PRN Antigens
Description
Booster response was defined as: for subjects with pre-vaccination antibody concentration < 5 EL.U/mL (S-): antibody concentration ≥ 20 EL.U/mL; for subjects with pre-vaccination antibody concentration ≥ 5 EL.U/mL and < 20 EL.U/mL (S+, <4*cut-off): antibody concentration at least four times the pre-vaccination concentration; for subjects with pre-vaccination antibody concentration ≥ 20 EL.U/mL (S+, ≥4*cut-off): antibody concentration at least two times the pre-vaccination concentration; Total = subjects either seropositive or seronegative
Time Frame
At Year 9, one month after the booster vaccination.
Secondary Outcome Measure Information:
Title
Number of Subjects With Anti-pertussis Toxoid (PT) Antibody Concentrations Equal to or Above Protocol Specified Cut-off
Description
The cut-off for anti-PT concentrations was defined as ≥ 5 ELISA units per mililiter (EL.U/mL).
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-PT Antibody Concentrations Equal to or Above Protocol Specified Cut-off
Description
The cut-off for anti-PT concentrations was defined as equal to or greater than 2.693 IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Number of Subjects With Anti-FHA Antibody Concentrations Equal to or Above Protocol Specified Cut-off
Description
The cut-off for anti-FHA concentrations was defined as equal to or greater than 5 EL.U/mL.
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-FHA Antibody Concentrations Equal to or Above Protocol Specified Cut-off
Description
The cut-off for anti-FHA concentrations was defined as equal to or greater than 2.046 IU/mL
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Number of Subjects With Anti-PRN Antibody Concentrations Equal to or Above Protocol Specified Cut-off
Description
The cut-off for anti-PRN concentrations was defined as equal to or greater than 5 EL.U/mL.
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Number of Subjects With Anti-PRN Antibody Concentrations Equal to or Above Protocol Specified Cut-off
Description
The cut-off for anti-PRN concentrations was defined as equal to or greater than 2.187 IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Anti-D Antibody Concentration
Description
Anti-D antibody concentration is expressed as geometric mean concentration (GMC) in IU/mL.
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Anti-D Antibody Concentration
Description
Anti-D antibody concentration is expressed as GMC in IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Anti-T Antibody Concentration
Description
Anti-T antibody concentration is expressed as GMC in IU/mL.
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Anti-T Antibody Concentration
Description
Anti-T antibody concentration is expressed as GMC in IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Anti-PT Antibody Concentration
Description
Anti-PT antibody concentration is expressed as GMC in EL.U/mL.
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Anti-PT Antibody Concentration
Description
Anti-PT antibody concentration was expressed as GMC in IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Anti-FHA Antibody Concentration
Description
Anti-FHA antibody concentration is expressed as GMC in IU/mL
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Anti-FHA Antibody Concentration
Description
Anti-FHA antibody concentration was expressed as GMC in IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Anti-PRN Antibody Concentration
Description
Anti-PRN antibody concentration is expressed as GMC in IU/mL
Time Frame
At 1, 3, and 5 years after the vaccination in primary study (NCT00346073)
Title
Anti-PRN Antibody Concentration
Description
Anti-PRN antibody concentration is expressed as GMC in IU/mL.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Alternative Booster Response to Anti-D and Anti-T Antigens
Description
Alternative Booster response to D and T antigens is defined as: - For subjects with pre-booster antibody concentration below 0.1 IU/mL: antibody concentrations at least four times the 0.1IU/ML, one month after vaccination, and - For subjects with pre-booster antibody concentration ≥0.1 IU/mL and <1.0 IU/mL: antibody concentrations of at least four times the pre-booster antibody concentration, one month after vaccination. - For subjects with pre-booster antibody concentration ≥1.0 IU/mL and <6.0 IU/mL: antibody concentrations of at least two times the pre-booster antibody concentration, one month after vaccination. - Subjects with pre-booster antibody concentration ≥6.0 IU/mL are not evaluable for booster response. S- = Antibody concentration < 0.1 IU/mL S+ = Antibody concentration ≥ 0.1 IU/mL Total = subjects either seropositive or seronegative
Time Frame
At Year 9, one month after booster vaccination
Title
Alternative Booster Responses to Anti-PT, Anti-FHA and Anti-PRN Antigens
Description
Alternative Booster response to PT, FHA and PRN antigens is defined as: - For subjects with pre-booster antibody concentration below the assay cut off: antibody concentrations at least four times the assay cut off one month after vaccination, and - For subjects with pre-booster antibody concentration ≥ assay cut off and < 60 IU/mL: antibody concentration increase of at least 30 IU/mL from the pre-booster antibody concentration, one month after vaccination. - For subjects with pre-booster antibody concentration ≥ 60 IU/mL : at least 1.5 fold increase of antibody concentration from the pre-booster antibody concentration, one month after vaccination. S- = seronegative subjects (antibody concentration below assay cut off for anti-PT, anti-FHA, anti-PRN) S+ = seropositive subjects (antibody concentration below assay cut off for anti-PT, anti-FHA, anti-PRN) Total = subjects either seropositive or seronegative
Time Frame
At Year 9, one month after booster vaccination
Title
Seroprotection Status for Anti-D Antibody Concentration
Description
Seroprotection status for anti-D antibody concentration < 0.1 IU/mL were tested for neutralizing antibodies using a VERO-cell neutralization assay. Seroprotection rate is defined as the percentage of subjects with antibody concentrations greater than or equal (≥) the seroprotection cut-off value defined for that antibody.
Time Frame
At Year 9, one month before(pre booster) and after the booster vaccination(post booster)
Title
Number of Subjects With Any and Grade 3 Solicited Local Symptoms - Year 9
Description
Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity. Grade 3 pain was defined as significant pain at rest that prevented normal everyday activities. Grade 3 redness and swelling was greater than 50 millimeters (mm)
Time Frame
During the 4-day (Days 0-3) post vaccination period.
Title
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms - Year 9
Description
The solicited general symptoms assessed were Fatigue, Gastrointestinal symptoms (including nausea, vomiting, diarrhea and abdominal pain), Headache and Fever [defined as temperature of ≥100.4 degrees Fahrenheit (F) by any route]. Any = Occurrence of any general symptom regardless of its intensity grade or relationship to vaccination; Grade 3 Symptom = Symptom that prevented normal activity; Grade 3 Fever > 104.0 degrees F.
Time Frame
During the 4-day (Days 0-3) post vaccination period.
Title
Number of Subjects With Any Large Injection Site Reaction - Year 9
Description
Large injection site reaction = a swelling with a diameter > 100 mm, noticeable diffuse swelling or noticeable increase in limb circumference.
Time Frame
During the 4-day (Days 0-3) follow-up period after vaccination.
Title
Number of Subjects With Any Unsolicited Adverse Events (AEs) - Year 9
Description
An unsolicited AE covers any untoward medical oc-currence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and 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
During the 31-day (Days 0-30) post-vaccination period.
Title
Number of Subjects With Serious Adverse Events (SAEs) - Year 9
Description
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
During the 31-day (Days 0-30) post-vaccination period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
28 Years
Maximum Age & Unit of Time
73 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: • Persistence follow-up phase up to Year 9 time point: The following criteria are applicable to subjects who refuse vaccination at Year 8 time point: All subjects who received study vaccination (Boostrix or Adacel) in study NCT00346073 will be considered eligible to participate in this study. Written informed consent must be obtained from the subject prior to each study time point. Vaccination phase at Year 9 applicable for subjects in Boostrix and Adacel groups only: The following criterion is applicable to subjects willing to consent to vaccination at Year 9 time point in the Boostrix and Adacel groups: • All subjects who received study vaccination (Boostrix or Adacel) in study NCT00346073 will be considered eligible to participate in this study. Vaccination phase at Year 9 applicable for subjects in the Control group only: The following criterion is applicable to subjects willing to consent to vaccination at Year 9 time point in the Control group only: • Subjects within the age range of 28-73 years will be considered eligible to participate in this study in the Control group. Vaccination phase at Year 9 applicable for ALL subjects (Control, Boostrix and Adacel groups): The following criteria are applicable to subjects willing to consent to vaccination at Year 9 time point in the Boostrix, Adacel and Control groups: All subjects must satisfy the following criteria at study entry at Year 9 time point: Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. completion of the diary cards, return for follow-up visits). Written informed consent obtained from the subject for vaccination at Year 9 time point. Healthy subjects as established by medical history and clinical examination before entering into the study. Female subjects of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause. Female subjects of child bearing potential may be enrolled in the study, if the subject has practiced adequate contraception for 30 days prior to vaccination, and has a negative pregnancy test on the day of vaccination, and has agreed to continue adequate contraception for 1 month after completion of the vaccine dose Exclusion Criteria: The following criteria should be checked at the time of Year 9 vaccination time point. If any criteria is applicable, the subject must not be vaccinated in the study: For subjects in Boostrix and Adacel groups: • Administration of Tdap vaccine since the last dose received in the study NCT00346073. For subjects in the Control group: • Administration of Tdap (Boostrix or Adacel) vaccine at any time prior to the administration of Boostrix vaccine in this study. For ALL subjects (Control, Boostrix and Adacel groups): Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the dose of study vaccine, or planned use during the study period, 31 days (Day 0-30). Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs within six months prior to Visit 6 (pre-vacc). Inhaled and topical steroids are allowed. Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before and ending 30 days after the dose of vaccine, with the exception of inactivated Influenza vaccine which is allowed throughout the study period, 31 days (Day 0-30). -- 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. Hypersensitivity to latex. History of diphtheria, tetanus or pertussis diseases. Severe allergic reaction (e.g. anaphylaxis) after previous administration of any tetanus toxoid, diphtheria toxoid, or pertussis-antigen containing vaccines, or any component of Boostrix. History of any neurological disorders or seizures. Encephalopathy (e.g. coma, decreased level of consciousness, prolonged seizures) of unknown etiology occurring within seven days following previous vaccination with pertussis-containing vaccine. Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required). Acute disease and/or fever at the time of enrolment. Fever is defined as temperature ≥ 100.4°F by any route. The preferred route for recording temperature in this study will be oral. Subjects with a minor illness (such as mild diarrhea, mild upper respiratory infection) without fever may, be enrolled at the discretion of the investigator. Administration of immunoglobulins and/or any blood products within three months preceding the dose of study vaccine or planned administration during the study period, 31 days (Day 0-30). Administration of any tetanus or diphtheria containing vaccine or any registered or investigational vaccine utilizing a diphtheria toxoid or tetanus toxoid carrier within 5 years prior to the administration of Boostrix vaccine in this study. Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests. Pregnant or lactating female. Female planning to become pregnant or planning to discontinue contraceptive precautions during the 31 day (Day 0-30) follow-up period post-vaccination.
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
Huntsville
State/Province
Alabama
ZIP/Postal Code
35802
Country
United States
Facility Name
GSK Investigational Site
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
Facility Name
GSK Investigational Site
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85203
Country
United States
Facility Name
GSK Investigational Site
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85213
Country
United States
Facility Name
GSK Investigational Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85014
Country
United States
Facility Name
GSK Investigational Site
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85283
Country
United States
Facility Name
GSK Investigational Site
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
GSK Investigational Site
City
San Diego
State/Province
California
ZIP/Postal Code
92103-6204
Country
United States
Facility Name
GSK Investigational Site
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
GSK Investigational Site
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
GSK Investigational Site
City
Pueblo
State/Province
Colorado
ZIP/Postal Code
81001
Country
United States
Facility Name
GSK Investigational Site
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20006
Country
United States
Facility Name
GSK Investigational Site
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32935
Country
United States
Facility Name
GSK Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
GSK Investigational Site
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
GSK Investigational Site
City
Boise
State/Province
Idaho
ZIP/Postal Code
83704
Country
United States
Facility Name
GSK Investigational Site
City
Peoria
State/Province
Illinois
ZIP/Postal Code
61602
Country
United States
Facility Name
GSK Investigational Site
City
South Bend
State/Province
Indiana
ZIP/Postal Code
46601
Country
United States
Facility Name
GSK Investigational Site
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
GSK Investigational Site
City
Richland
State/Province
Michigan
ZIP/Postal Code
49083
Country
United States
Facility Name
GSK Investigational Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
GSK Investigational Site
City
North Platte
State/Province
Nebraska
ZIP/Postal Code
69101
Country
United States
Facility Name
GSK Investigational Site
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
Facility Name
GSK Investigational Site
City
Tabor City
State/Province
North Carolina
ZIP/Postal Code
28463
Country
United States
Facility Name
GSK Investigational Site
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
GSK Investigational Site
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
GSK Investigational Site
City
Erie
State/Province
Pennsylvania
ZIP/Postal Code
16505
Country
United States
Facility Name
GSK Investigational Site
City
Grove City
State/Province
Pennsylvania
ZIP/Postal Code
16127
Country
United States
Facility Name
GSK Investigational Site
City
Johnstown
State/Province
Pennsylvania
ZIP/Postal Code
15904
Country
United States
Facility Name
GSK Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
Facility Name
GSK Investigational Site
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29412
Country
United States
Facility Name
GSK Investigational Site
City
Bristol
State/Province
Tennessee
ZIP/Postal Code
37620
Country
United States
Facility Name
GSK Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77024
Country
United States
Facility Name
GSK Investigational Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84109
Country
United States
Facility Name
GSK Investigational Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
Facility Name
GSK Investigational Site
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
Facility Name
GSK Investigational Site
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD is available via the Clinical Study Data Request site (click on the link provided below)
IPD Sharing Time Frame
IPD is available via the Clinical Study Data Request site (click on the link provided below)
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.
IPD Sharing URL
https://www.clinicalstudydatarequest.com/Posting.aspx?ID=16064
Citations:
PubMed Identifier
30197282
Citation
Brandon D, Kimmel M, Kuriyakose SO, Kostanyan L, Mesaros N. Antibody persistence and safety and immunogenicity of a second booster dose nine years after a first booster vaccination with a reduced antigen diphtheria-tetanus-acellular pertussis vaccine (Tdap) in adults. Vaccine. 2018 Oct 8;36(42):6325-6333. doi: 10.1016/j.vaccine.2018.08.051. Epub 2018 Sep 7. Erratum In: Vaccine. 2020 Mar 10;38(12):2746-2747.
Results Reference
background
PubMed Identifier
21945698
Citation
Weston W, Messier M, Friedland LR, Wu X, Howe B. Persistence of antibodies 3 years after booster vaccination of adults with combined acellular pertussis, diphtheria and tetanus toxoids vaccine. Vaccine. 2011 Nov 3;29(47):8483-6. doi: 10.1016/j.vaccine.2011.09.063. Epub 2011 Sep 25.
Results Reference
derived
Links:
URL
https://clinicalstudydatarequest.com
Description
IPD for this study will be made available via the Clinical Study Data Request site.
URL
https://filehosting-v2.pharmacm.com/api/Attachment/Download?tenantId=80217381&amp;parentIdentifier=110080&amp;attachmentIdentifier=65724607-d004-4400-b36a-3fe9c67941ee&amp;fileName=gsk-110080-clinical-study-report-redact.pdf&amp;versionIdentifier=
Description
Redacted with child studies & included

Learn more about this trial

Persistence Study of GSK Biologicals' Tdap Vaccine 1, 3, 5 and 9 Years Following Administration as an Initial Single Dose in Healthy Young Adults and to Evaluate the Immunogenicity and Safety of Boostrix as a Second Dose of Tdap, When Administered at Year 9

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