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

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT04535037
Collaborator
(none)
500
3
2
17.5
166.7
9.5

Study Details

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.

Condition or Disease Intervention/Treatment Phase
  • Biological: DTPa-HBV-IPV/Hib
  • Biological: DTaP5-HBV-IPV-Hib
  • Biological: Pneumococcal 13-valent conjugate vaccine
Phase 4

Study Design

Study Type:
Interventional
Anticipated Enrollment :
500 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Care Provider)
Primary Purpose:
Prevention
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
Actual Study Start Date :
Feb 17, 2021
Anticipated Primary Completion Date :
Aug 5, 2022
Anticipated Study Completion Date :
Aug 5, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: DTPa-HBV-IPV/Hib Investigational Group

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.

Biological: DTPa-HBV-IPV/Hib
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
Other Names:
  • Infanrix hexa
  • Biological: Pneumococcal 13-valent conjugate vaccine
    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
    Other Names:
  • Prevenar 13
  • Active Comparator: DTaP5-HBV-IPV-Hib Comparator Group

    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.

    Biological: DTaP5-HBV-IPV-Hib
    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
    Other Names:
  • Vaxelis
  • Biological: Pneumococcal 13-valent conjugate vaccine
    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
    Other Names:
  • Prevenar 13
  • Outcome Measures

    Primary Outcome Measures

    1. Anti-PRP antibody concentrations at Month 11, based on Per protocol set (PPS) [At Month 11 (i.e., 1 month post-booster vaccination)]

      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).

    2. Percentage of subjects with anti-PRP antibody concentrations equal to or above (≥) 5 µg/mL at Month 11, based on PPS [At Month 11 (i.e., 1 month post-booster vaccination)]

      The percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL (as assessed by ELISA) is reported.

    3. Anti-PRP antibody concentrations at Month 11, based on the Exposed Set (ES) [At Month 11 (i.e., 1 month post-booster vaccination)]

      Anti-PRP antibody concentrations are presented as GMCs and expressed in μg/mL, as assessed by ELISA.

    4. Percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL at Month 11, based on ES [At Month 11 (i.e., 1 month post-booster vaccination)]

      The percentage of subjects with anti-PRP antibody concentrations ≥ 5 µg/mL (as assessed by ELISA) is reported.

    Secondary Outcome Measures

    1. Percentage of subjects with anti-PRP antibody concentrations ≥ 0.15 µg/mL [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)]

      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.

    2. Percentage of subjects with anti-PRP antibody concentrations ≥ 1.0 µg/mL [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)]

      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.

    3. Anti-PRP antibody concentrations [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)]

      Anti-PRP antibody concentrations are presented as GMCs and expressed in μg/mL, as assessed by ELISA.

    4. Number of subjects with unsolicited adverse events (AEs) [During the 31-day (Days 1-31) follow-up period after each vaccination]

      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.

    5. Number of subjects with serious adverse events (SAEs) [During the entire study period (Day 1 - Month 11)]

      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.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    6 Weeks to 12 Weeks
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    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.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 GSK Investigational Site Schoenau Am Koenigssee Bayern Germany 83471
    2 GSK Investigational Site Milano Italy 20122
    3 GSK Investigational Site Santiago de Compostela Spain 15706

    Sponsors and Collaborators

    • GlaxoSmithKline

    Investigators

    • Study Director: GSK Clinical Trials, GlaxoSmithKline

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    GlaxoSmithKline
    ClinicalTrials.gov Identifier:
    NCT04535037
    Other Study ID Numbers:
    • 212645
    • 2019-002988-10
    First Posted:
    Sep 1, 2020
    Last Update Posted:
    May 19, 2022
    Last Verified:
    May 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    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
    Keywords provided by GlaxoSmithKline
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 19, 2022