Lot Consistency Study of DTaP-IPV-HB-PRP~T Vaccine Administered at 2-4-6 Months of Age in Healthy Infants

Sponsor
Sanofi Pasteur, a Sanofi Company (Industry)
Overall Status
Completed
CT.gov ID
NCT00404651
Collaborator
(none)
1,189
6
4
20
198.2
9.9

Study Details

Study Description

Brief Summary

The purpose of this trial is to clinically confirm that the manufacturing process of the final bulk products of the investigational DTaP-IPV-HB-PRP~T vaccine is consistent.

The primary objective is to demonstrate the equivalence of three batches of DTaP-IPV-HB-PRP~T vaccine, in terms of seroprotection and seroconversion rates for the vaccine antigens after the three-dose primary series.

The secondary objectives are:
  • To describe in each group, the immunogenicity parameters for all antigens one month after the third dose of the primary series

  • To assess the overall safety in each group one month after the third dose of the primary series.

Condition or Disease Intervention/Treatment Phase
  • Biological: DTaP-IPV-HB-PRP~T vaccine
  • Biological: DTaP-IPV-HB-PRP~T vaccine
  • Biological: DTaP-IPV-HB-PRP~T vaccine
  • Biological: DTaP-HBV-IPV vaccine
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1189 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Lot to Lot Consistency Study of DTaP-IPV-Hep B-PRP~T Vaccine Administered at 2-4-6 Months of Age in Healthy Mexican Infants
Study Start Date :
Nov 1, 2006
Actual Primary Completion Date :
Apr 1, 2008
Actual Study Completion Date :
Jul 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: Group 1

Participants receive vaccine Batch A

Biological: DTaP-IPV-HB-PRP~T vaccine
0.5 mL, intramuscular (IM)

Experimental: Group 2

Participants receive vaccine Batch B

Biological: DTaP-IPV-HB-PRP~T vaccine
0.5 mL, IM

Experimental: Group 3

Participants receive vaccine Batch C

Biological: DTaP-IPV-HB-PRP~T vaccine
0.5 mL, IM

Active Comparator: Group 4

Participants receive Infanrix hexa™

Biological: DTaP-HBV-IPV vaccine
0.5 mL, IM
Other Names:
  • INFANRIX®HEXA
  • Outcome Measures

    Primary Outcome Measures

    1. Equivalence of Seroprotection Against Vaccine Antigens in Study Participants After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T or Infanrix Hexa™ Vaccine [Day 150 (one month post-dose 3)]

      Antibody titers were measured for hepatitis B (Hep B) by enhanced chemiluminescence detection, for Haemophilus influenzae type b (PRP) by Farr type radioimmunoassay, for Diphtheria (D) by toxin neutralization test, and for Tetanus (T) by enzyme-linked immunosorbent assay (ELISA). Seroprotection was defined as a titer ≥ 0.10 mIU/mL for Hep B, ≥ 0.15 µg/mL for PRP, and ≥ 0.01 IU/mL for D and T antibodies.

    2. Equivalence of Seroprotection Against Pertussis in Study Participants After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T or Infanrix Hexa™ Vaccine. [Day 150 (one month post-dose 3)]

      Antibody titers were measured for pertussis toxoid (PT) and filamentous hemagglutinin (FHA) by enzyme linked immunosorbent assay (ELISA). Seroconversion was defined as a ≥ 4 fold increase in titer from Day 0 (before dose 1) to Day 150, one month post-dose 3.

    3. Equivalence of Seroprotection Against Poliovirus Types 1, 2, and 3 in Study Participants After Vaccination With Either One of the Batches of DTaP-IPV-Hep B-PRP~T or Infanrix Hexa™ Vaccine [Day 150 (one month post-dose 3)]

      Antibody titers were measured for poliovirus types 1, 2, and 3 by Enzyme immuno assay. Seroprotection against Poliovirus Types 1, 2, and 3 was defined as a titer ≥ 8 (1/dilutions).

    Secondary Outcome Measures

    1. Geometric Mean Titers of Antibodies After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T Vaccine or Infanrix Hexa™ Vaccine [Day 150 (one month post-dose 3)]

      Antibody titers were measured for hepatitis B (Hep B) by enhanced chemiluminescence detection, for Haemophilus influenzae type b (PRP) by Farr type radioimmunoassay, for diphtheria (D) by toxin neutralization test, and for tetanus by enzyme linked immunosorbent assay. Antibody titers were measured for poliovirus types 1, 2, and 3 by neutralization assay. Antibody titers were measured for pertussis toxoid (PT) and filamentous hemagglutinin (FHA) by enzyme linked immunosorbent assay (ELISA).

    2. Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T Vaccine or Infanrix Hexa™ Vaccine [Day 0 (pre-each vaccination) up to 7 days post-each dose]

      Solicited Injection Site Reactions: Pain, Erythema, and Swelling. Solicited Systemic Reactions: Fever ([pyrexia] - temperature), Vomiting, Crying, Somnolence, Anorexia, and Irritability

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    2 Months and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria :
    • Two months old infants on the day of inclusion

    • Born at full term of pregnancy (≥ 37 weeks) with a birth weight ≥ 2.5 kg

    • Informed consent form signed by one or both parents or by the guardian and two independent witnesses

    • Able to attend all scheduled visits and to comply with all trial procedures

    • Received Bacillus Calmette Guerin (BCG) vaccine between birth and one month of life in agreement with the national immunization calendar.

    Exclusion Criteria :
    • Participation in another clinical trial in the four weeks preceding the (first) trial vaccination

    • Planned participation in another clinical trial during the present trial period

    • Congenital or acquired immunodeficiency

    • Systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the trial vaccine or a vaccine containing the same substances

    • Chronic illness at a stage that could interfere with trial conduct or completion

    • Blood or blood-derived products received since birth

    • Any vaccination in the four weeks preceding the first trial visit

    • Any planned vaccination (except BCG, rotavirus, and pneumococcal conjugated vaccines) during the study

    • Documented history of pertussis, tetanus, diphtheria, poliomyelitis, Haemophilus influenzae type b or hepatitis B infection(s) (confirmed either clinically, serologically or microbiologically)

    • Previous vaccination against hepatitis B, pertussis, tetanus, diphtheria, poliovirus, or Haemophilus influenzae type b infection(s)

    • Known personal or maternal history of HIV, Hepatitis B (HBsAg) or Hepatitis C seropositivity

    • Thrombocytopenia or a bleeding disorder contraindicating intramuscular vaccination

    • History of seizures

    • Febrile (rectal equivalent temperature ≥ 38.0°C) or acute illness on the day of inclusion.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Estado de Mexico Mexico 56613
    2 Estado de Mexico Mexico
    3 Insurgentes Cuicuilco Mexico
    4 Monterrey Mexico
    5 Puebla Mexico
    6 Tlalpan Mexico 14050

    Sponsors and Collaborators

    • Sanofi Pasteur, a Sanofi Company

    Investigators

    • Study Director: Medical Director, Sanofi Pasteur Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT00404651
    Other Study ID Numbers:
    • A3L11
    First Posted:
    Nov 29, 2006
    Last Update Posted:
    May 9, 2014
    Last Verified:
    Apr 1, 2014

    Study Results

    Participant Flow

    Recruitment Details Participants were enrolled from 14 November 2006 to 13 July 2007 in 6 clinical centers in Mexico.
    Pre-assignment Detail A total of 1189 participants who met the inclusion and exclusion criteria were enrolled and vaccinated.
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    Period Title: Overall Study
    STARTED 340 343 339 167
    COMPLETED 301 315 294 146
    NOT COMPLETED 39 28 45 21

    Baseline Characteristics

    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™ Total
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age. Total of all reporting groups
    Overall Participants 340 343 339 167 1189
    Age (Count of Participants)
    <=18 years
    340
    100%
    343
    100%
    339
    100%
    167
    100%
    1189
    100%
    Between 18 and 65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Age (Months) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Months]
    2.00
    (0.200)
    2.00
    (0.197)
    2.01
    (0.193)
    1.98
    (0.189)
    2.00
    (0.195)
    Sex: Female, Male (Count of Participants)
    Female
    160
    47.1%
    163
    47.5%
    167
    49.3%
    82
    49.1%
    572
    48.1%
    Male
    180
    52.9%
    180
    52.5%
    172
    50.7%
    85
    50.9%
    617
    51.9%
    Region of Enrollment (Number) [Number]
    Mexico
    340
    100%
    343
    100%
    339
    100%
    167
    100%
    1189
    100%

    Outcome Measures

    1. Primary Outcome
    Title Equivalence of Seroprotection Against Vaccine Antigens in Study Participants After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T or Infanrix Hexa™ Vaccine
    Description Antibody titers were measured for hepatitis B (Hep B) by enhanced chemiluminescence detection, for Haemophilus influenzae type b (PRP) by Farr type radioimmunoassay, for Diphtheria (D) by toxin neutralization test, and for Tetanus (T) by enzyme-linked immunosorbent assay (ELISA). Seroprotection was defined as a titer ≥ 0.10 mIU/mL for Hep B, ≥ 0.15 µg/mL for PRP, and ≥ 0.01 IU/mL for D and T antibodies.
    Time Frame Day 150 (one month post-dose 3)

    Outcome Measure Data

    Analysis Population Description
    Seroprotection was assessed in participants that received a vaccine who did not have any protocol deviation that might have interfered with primary criteria evaluation (Per-Protocol Population). Total number (N) are those with available data for the endpoint.
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    Measure Participants 231 236 228 119
    Anti-Hep B (N = 230, 234, 236, 119)
    226
    66.5%
    231
    67.3%
    221
    65.2%
    119
    71.3%
    Anti-PRP (N = 231, 236, 228, 119)
    229
    67.4%
    232
    67.6%
    226
    66.7%
    118
    70.7%
    Anti-Diphtheria (N = 231, 236, 228, 119)
    220
    64.7%
    228
    66.5%
    222
    65.5%
    118
    70.7%
    Anti-Tetanus (N = 231, 236, 227, 119)
    231
    67.9%
    236
    68.8%
    227
    67%
    119
    71.3%
    2. Primary Outcome
    Title Equivalence of Seroprotection Against Pertussis in Study Participants After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T or Infanrix Hexa™ Vaccine.
    Description Antibody titers were measured for pertussis toxoid (PT) and filamentous hemagglutinin (FHA) by enzyme linked immunosorbent assay (ELISA). Seroconversion was defined as a ≥ 4 fold increase in titer from Day 0 (before dose 1) to Day 150, one month post-dose 3.
    Time Frame Day 150 (one month post-dose 3)

    Outcome Measure Data

    Analysis Population Description
    Seroconversion was assessed in all participants who did not have any protocol deviation that might have interfered with primary criteria evaluation (Per-Protocol Population).
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    Measure Participants 231 236 228 119
    Anti-Pertussis (N= 228, 234, 223, 118)
    223
    65.6%
    226
    65.9%
    218
    64.3%
    113
    67.7%
    Anti-FHA (N= 227, 233, 221, 115)
    225
    66.2%
    229
    66.8%
    216
    63.7%
    111
    66.5%
    3. Primary Outcome
    Title Equivalence of Seroprotection Against Poliovirus Types 1, 2, and 3 in Study Participants After Vaccination With Either One of the Batches of DTaP-IPV-Hep B-PRP~T or Infanrix Hexa™ Vaccine
    Description Antibody titers were measured for poliovirus types 1, 2, and 3 by Enzyme immuno assay. Seroprotection against Poliovirus Types 1, 2, and 3 was defined as a titer ≥ 8 (1/dilutions).
    Time Frame Day 150 (one month post-dose 3)

    Outcome Measure Data

    Analysis Population Description
    Seroprotection was assessed in all participants who did not have any protocol deviation that might have interfered with primary criteria evaluation (Per-Protocol Population).
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    Measure Participants 231 236 228 119
    Anti-Polio 1 (N = 231, 236, 225, 119)
    230
    67.6%
    236
    68.8%
    225
    66.4%
    119
    71.3%
    Anti-Polio 2 (N = 230, 236, 226, 118)
    230
    67.6%
    236
    68.8%
    226
    66.7%
    118
    70.7%
    Anti-Polio 3 (N = 230, 236, 226, 119)
    229
    67.4%
    235
    68.5%
    226
    66.7%
    117
    70.1%
    4. Secondary Outcome
    Title Geometric Mean Titers of Antibodies After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T Vaccine or Infanrix Hexa™ Vaccine
    Description Antibody titers were measured for hepatitis B (Hep B) by enhanced chemiluminescence detection, for Haemophilus influenzae type b (PRP) by Farr type radioimmunoassay, for diphtheria (D) by toxin neutralization test, and for tetanus by enzyme linked immunosorbent assay. Antibody titers were measured for poliovirus types 1, 2, and 3 by neutralization assay. Antibody titers were measured for pertussis toxoid (PT) and filamentous hemagglutinin (FHA) by enzyme linked immunosorbent assay (ELISA).
    Time Frame Day 150 (one month post-dose 3)

    Outcome Measure Data

    Analysis Population Description
    Geometric Mean Titers were assessed in all participants with endpoint data who did not have any protocol deviation that might have interfered with primary criteria evaluation (Per-Protocol Population).
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    Measure Participants 231 236 228 119
    Anti-Hep B (N = 230, 234, 226, 119)
    935
    1566
    1009
    1576
    Anti-PRP (N = 231, 236, 228, 119)
    11.9
    13.1
    11.5
    6.68
    Anti-Diphtheria (N = 231, 236, 228, 119)
    0.176
    0.246
    0.173
    0.173
    Anti-Tetanus (N = 231, 236, 227, 119)
    1.90
    1.86
    1.77
    2.20
    Anti-Polio 1 (N = 231, 236, 225, 119)
    860
    945
    843
    1370
    Anti-Polio 2 (N = 230, 236, 226, 118)
    1689
    1665
    1612
    2337
    Anti-Polio 3 (N = 230, 235, 226, 117)
    1198
    1170
    962
    2186
    Anti-Pertusiss toxoid (N = 230, 235, 226, 119)
    242
    238
    241
    228
    Anti-FHA (N = 230, 234, 226, 118)
    243
    256
    220
    182
    5. Secondary Outcome
    Title Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination With Either One of the Batches of DTaP-IPV-HB-PRP~T Vaccine or Infanrix Hexa™ Vaccine
    Description Solicited Injection Site Reactions: Pain, Erythema, and Swelling. Solicited Systemic Reactions: Fever ([pyrexia] - temperature), Vomiting, Crying, Somnolence, Anorexia, and Irritability
    Time Frame Day 0 (pre-each vaccination) up to 7 days post-each dose

    Outcome Measure Data

    Analysis Population Description
    Solicited reactions were assessed in all subjects who received at least one dose of vaccine, according to the vaccine actually received (Safety Analysis Population). Two batch 1 subjects got batch 2 vaccine, and 1 batch 1 got batch 3 vaccine. Total number (N) are those with available data for the outcome
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    Measure Participants 337 345 340 167
    Pain Post-dose 1 (N = 323, 336, 329, 155)
    220
    64.7%
    237
    69.1%
    225
    66.4%
    95
    56.9%
    Pain Post-dose 2 (N = 310, 319, 316, 153)
    191
    56.2%
    220
    64.1%
    199
    58.7%
    88
    52.7%
    Pain Pos-dose 3 (N = 302, 317, 306, 149)
    188
    55.3%
    209
    60.9%
    198
    58.4%
    87
    52.1%
    Erythema-Post dose 1 (N = 323, 336, 329, 156)
    92
    27.1%
    97
    28.3%
    97
    28.6%
    41
    24.6%
    Erythema Post-dose 2 (N = 310, 319, 315, 153)
    94
    27.6%
    101
    29.4%
    96
    28.3%
    33
    19.8%
    Erythema Post-dose 3 (N = 302, 317, 306, 149)
    95
    27.9%
    94
    27.4%
    101
    29.8%
    43
    25.7%
    Swelling Post-dose 1 (N = 323, 336, 329, 156)
    67
    19.7%
    86
    25.1%
    80
    23.6%
    35
    21%
    Swelling Post-dose 2 (N = 310, 319, 315, 153)
    74
    21.8%
    70
    20.4%
    60
    17.7%
    26
    15.6%
    Swelling Post-dose 3 (N = 302, 317, 306, 149)
    66
    19.4%
    65
    19%
    72
    21.2%
    22
    13.2%
    Pyrexia Post-dose 1 (N = 323, 336, 329, 156)
    63
    18.5%
    77
    22.4%
    82
    24.2%
    17
    10.2%
    Pyrexia Post-dose 2 (N = 310, 318, 315, 153)
    75
    22.1%
    84
    24.5%
    85
    25.1%
    32
    19.2%
    Pyrexia Post-dose 3 (N = 302, 317, 306, 149)
    69
    20.3%
    85
    24.8%
    70
    20.6%
    28
    16.8%
    Vomiting Post-dose 1 (N = 323, 336, 329, 156)
    68
    20%
    63
    18.4%
    56
    16.5%
    27
    16.2%
    Vomiting Post-dose 2 (N = 310, 319, 316, 153)
    37
    10.9%
    46
    13.4%
    34
    10%
    18
    10.8%
    Vomiting Post-dose 3 (N = 302, 317, 306, 149)
    51
    15%
    46
    13.4%
    47
    13.9%
    20
    12%
    Crying Post-dose 1 (N = 323, 336, 329, 156)
    160
    47.1%
    156
    45.5%
    148
    43.7%
    62
    37.1%
    Crying Post-dose 2 (N=310, 319, 316, 153)
    133
    39.1%
    145
    42.3%
    134
    39.5%
    59
    35.3%
    Crying Post-dose 3 (N=302, 317, 306, 149)
    110
    32.4%
    118
    34.4%
    122
    36%
    40
    24%
    Somnolence Post-dose 1 (N = 323, 336, 329, 156)
    93
    27.4%
    110
    32.1%
    102
    30.1%
    45
    26.9%
    Somnolence Post-dse 2 (N = 310, 319, 316, 153)
    69
    20.3%
    78
    22.7%
    65
    19.2%
    24
    14.4%
    Somnolence Post-dose 3 (N = 302, 317, 306, 149)
    56
    16.5%
    57
    16.6%
    54
    15.9%
    20
    12%
    Anorexia Post-dose 1 (N = 323, 336, 329, 156)
    62
    18.2%
    75
    21.9%
    70
    20.6%
    27
    16.2%
    Anorexia Post-dose 2 (N = 310, 319, 315, 153)
    56
    16.5%
    64
    18.7%
    65
    19.2%
    25
    15%
    Anorexia Post-dose 3 (N = 302, 317, 306, 149)
    61
    17.9%
    58
    16.9%
    65
    19.2%
    29
    17.4%
    Irritability Post-dose 1 (N = 323, 336, 329, 156)
    188
    55.3%
    198
    57.7%
    193
    56.9%
    83
    49.7%
    Irritability Post-dose 2 (N = 310, 319, 316, 153)
    158
    46.5%
    192
    56%
    174
    51.3%
    72
    43.1%
    Irritability Post-dse 3 (N = 302, 317, 306, 149)
    158
    46.5%
    167
    48.7%
    165
    48.7%
    69
    41.3%

    Adverse Events

    Time Frame Adverse events data were collected from Day 0 after the first vaccination for up to 10 months (Day 300) post-vaccination.
    Adverse Event Reporting Description Safety was assessed in all participants who received at least one dose of vaccine, according to the vaccine actually received (Safety Analysis Population). Two participants randomized to Batch 1 got Batch 2 vaccine; 1 Batch 1 participant got Batch 3 vaccine. Total number (N) for each safety parameter are those with available data.
    Arm/Group Title DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Arm/Group Description Participants received 3 doses of Batch 1 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-Hep B-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 2 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of Batch 3 of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed, and Haemophilus influenzae type b (Hib) vaccine, conjugated to tetanus protein (DTaP-IPV-HB-PRP~T), with one dose each at 2, 4, and 6 months of age. Participants received 3 doses of diphtheria (D), tetanus (T), pertussis (2 component acellular), recombinant hepatitis B Hansenula (Hep B) and poliomyelitis (IPV) vaccine adsorbed (Infanrix hexa™), plus Haemophilus influenzae type b (Hib) vaccine conjugated to tetanus protein , with one dose each at 2, 4, and 6 months of age.
    All Cause Mortality
    DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/337 (1.5%) 5/345 (1.4%) 12/340 (3.5%) 6/167 (3.6%)
    Congenital, familial and genetic disorders
    Heart Disease Congenital 0/337 (0%) 0 1/345 (0.3%) 1 0/340 (0%) 0 0/167 (0%) 0
    Gastrointestinal disorders
    Intussusception 0/337 (0%) 0 0/345 (0%) 0 1/340 (0.3%) 1 0/167 (0%) 0
    Infections and infestations
    Bronchiolitis 1/337 (0.3%) 1 0/345 (0%) 0 0/340 (0%) 0 2/167 (1.2%) 2
    Bronchopneumonia 0/337 (0%) 0 0/345 (0%) 0 1/340 (0.3%) 1 0/167 (0%) 0
    Ear Infection 0/337 (0%) 0 0/345 (0%) 0 1/340 (0.3%) 1 0/167 (0%) 0
    Gastroenteritis 2/337 (0.6%) 2 2/345 (0.6%) 2 5/340 (1.5%) 5 2/167 (1.2%) 2
    Pneumonia 1/337 (0.3%) 1 0/345 (0%) 0 1/340 (0.3%) 1 0/167 (0%) 0
    Injury, poisoning and procedural complications
    Head Injury 0/337 (0%) 0 1/345 (0.3%) 1 0/340 (0%) 0 0/167 (0%) 0
    Multiple Fractures 0/337 (0%) 0 1/345 (0.3%) 1 0/340 (0%) 0 0/167 (0%) 0
    Metabolism and nutrition disorders
    Food Intolerance 1/337 (0.3%) 1 0/345 (0%) 0 0/340 (0%) 0 0/167 (0%) 0
    Nervous system disorders
    Febrile Convulsion 1/337 (0.3%) 1 0/345 (0%) 0 1/340 (0.3%) 2 1/167 (0.6%) 1
    Infantile Spasms 0/337 (0%) 0 0/345 (0%) 0 1/340 (0.3%) 1 0/167 (0%) 0
    Partial Seizures 0/337 (0%) 0 0/345 (0%) 0 0/340 (0%) 0 1/167 (0.6%) 1
    Respiratory, thoracic and mediastinal disorders
    Asphyxia 0/337 (0%) 0 0/345 (0%) 0 1/340 (0.3%) 1 0/167 (0%) 0
    Other (Not Including Serious) Adverse Events
    DTaP-IPV-HB-PRP~T Batch 1 DTaP-IPV-HB-PRP~T Batch 2 DTaP-IPV-HB-PRP~T Batch 3 Infanrix Hexa™
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 220/337 (65.3%) 237/345 (68.7%) 225/340 (66.2%) 95/167 (56.9%)
    Gastrointestinal disorders
    Vomiting 68/323 (21.1%) 68 63/336 (18.8%) 63 56/329 (17%) 56 27/156 (17.3%) 27
    General disorders
    Injection Site Pain 220/323 (68.1%) 220 237/336 (70.5%) 237 225/329 (68.4%) 225 95/155 (61.3%) 95
    Injection Site Erythema 95/302 (31.5%) 95 101/319 (31.7%) 101 101/306 (33%) 101 43/149 (28.9%) 43
    Injection Site Swelling 74/310 (23.9%) 74 86/336 (25.6%) 86 80/329 (24.3%) 80 35/156 (22.4%) 35
    Irritability 188/323 (58.2%) 188 198/336 (58.9%) 198 193/329 (58.7%) 193 83/156 (53.2%) 83
    Pyrexia 75/310 (24.2%) 75 85/317 (26.8%) 85 85/315 (27%) 85 32/153 (20.9%) 32
    Metabolism and nutrition disorders
    Anorexia 62/323 (19.2%) 62 75/336 (22.3%) 75 70/329 (21.3%) 70 29/149 (19.5%) 29
    Nervous system disorders
    Somnolence 93/323 (28.8%) 93 110/336 (32.7%) 110 102/329 (31%) 102 45/156 (28.8%) 45
    Psychiatric disorders
    Crying 160/323 (49.5%) 160 156/336 (46.4%) 156 148/329 (45%) 148 62/156 (39.7%) 62

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications

    Results Point of Contact

    Name/Title Medical Director
    Organization Sanofi Pasteur Inc.
    Phone
    Email RegistryContactUs@sanofipasteur.com
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT00404651
    Other Study ID Numbers:
    • A3L11
    First Posted:
    Nov 29, 2006
    Last Update Posted:
    May 9, 2014
    Last Verified:
    Apr 1, 2014