Immunogenicity and Safety of GSK Biologicals' Infanrix Hexa in Infants
Study Details
Study Description
Brief Summary
This study will evaluate GSK Biologicals' DTPa-HBV-IPV/Hib vaccine given as a three-dose primary vaccination course at 2, 4 and 6 months of age, in terms of safety and immunogenicity in different population of infants residing in Canada.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
This protocol posting has been updated following Protocol amendment 1 (19-MAY-2010).
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Aboriginal infants group
|
Biological: Infanrix™ hexa
Intramuscular, three doses
Other Names:
|
Active Comparator: Other Non-Aboriginal infants
|
Biological: Infanrix™ hexa
Intramuscular, three doses
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Number of Seroprotected Subjects Against Polyribosyl-ribitol Phosphate (Anti-PRP) [One month after (POST) Dose 3.]
A seroprotected subject was a subject whose anti-PRP antibody concentration was greater or equal to (≥) 0.15 microgram per milliliter (µg/mL).
Secondary Outcome Measures
- Number of Subjects With Anti-PRP Antibody Concentrations ≥1µg/mL [One month after (POST) Dose 3.]
For this assay, 1 μg/mL was considered as the seropositivity cut-off.
- Anti-PRP Antibody Concentrations [One month after (POST) Dose 3.]
Anti-PRP antibody concentrations were presented as Geometric mean Concentrations (GMC), expressed as micrograms per milliliter (μg/mL).
- Number of Seroprotected Subjects Against Hepatitis B (Anti-HBs) [One month after (POST) Dose 3.]
A seroprotected subject was a subject with anti-HBs antibody concentrations ≥ 10 milli-International Units ler milliliter (mIU/mL). A decrease in the specificity of the anti-HB ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Some of the available blood samples initially tested with ELISA were re-tested using the new assay, CLIA.
- Number of Subjects With Anti-HBs Antibody Concentrations ≥100 mIU/mL [One month after (POST) Dose 3.]
The testing was done using the Enzyme-Linked Immunosorbent assay (ELISA) assay.
- Anti-HBs Antibody Concentrations [One month after (POST) Dose 3.]
Anti-HBs antibody concentrations were assessed by Enzyme-Linked Immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs).
- Number of Subjects With Unsolicited Adverse Events (AEs) [During the 31 day (Days 0-30) post vaccination]
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product 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) [During the entire study period up to Last subject last visit on 03/12/2013]
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Subjects who the investigator believes that their parent/guardian can and will comply with the requirements of the protocol should be enrolled in the study.
-
A male or female between, and including, 6 and 12 weeks of age at the time of the first vaccination.
-
Born after a gestation period of 36 to 42 weeks inclusive.
-
Healthy subjects as established by medical history before entering into the study.
-
Written informed consent obtained from the parent or guardian of the subject.
Exclusion Criteria:
-
Use of any investigational or non-registered product within 30 days preceding the first dose of study vaccine, or planned use during the study period.
-
Chronic administration of immunosuppressants or other immune-modifying drugs from birth until first primary vaccination dose..
-
Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
-
Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.
-
Major congenital defects or serious chronic illness.
-
Evidence of previous or intercurrent diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B and/or Hib vaccination or disease.
-
Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history.
-
History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
-
The following condition is temporary or self limiting and a subject may be vaccinated once the condition has resolved and no other exclusion criteria are met:
-
Current febrile illness or axillary temperature of ≥ 37.5 ºC or other moderate to severe illness within 24 hours of study vaccine administration.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | GSK Investigational Site | Edmonton | Alberta | Canada | T5M 3Z7 |
2 | GSK Investigational Site | Vancouver | British Columbia | Canada | V5Z 4H4 |
3 | GSK Investigational Site | Truro | Nova Scotia | Canada | B2N 1L2 |
Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Publications
- 103506
- 2013-003428-34
Study Results
Participant Flow
Recruitment Details | Study started on 23-Sep-2008 and enrolled 224 subjects from Canada. |
---|---|
Pre-assignment Detail | During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Period Title: Overall Study | ||
STARTED | 112 | 112 |
COMPLETED | 105 | 112 |
NOT COMPLETED | 7 | 0 |
Baseline Characteristics
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group | Total |
---|---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Total of all reporting groups |
Overall Participants | 112 | 112 | 224 |
Age (Weeks) [Mean (Standard Deviation) ] | |||
Mean (Standard Deviation) [Weeks] |
9.3
(1.38)
|
9.2
(1.3)
|
9.25
(1.34)
|
Sex: Female, Male (Count of Participants) | |||
Female |
62
55.4%
|
52
46.4%
|
114
50.9%
|
Male |
50
44.6%
|
60
53.6%
|
110
49.1%
|
Outcome Measures
Title | Number of Seroprotected Subjects Against Polyribosyl-ribitol Phosphate (Anti-PRP) |
---|---|
Description | A seroprotected subject was a subject whose anti-PRP antibody concentration was greater or equal to (≥) 0.15 microgram per milliliter (µg/mL). |
Time Frame | One month after (POST) Dose 3. |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was performed on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who had received 3 doses of Infanrix Hexa vaccine and for whom data concerning immunogenicity outcome measures were available. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 94 | 107 |
Number [Subjects] |
92
|
106
|
Title | Number of Subjects With Anti-PRP Antibody Concentrations ≥1µg/mL |
---|---|
Description | For this assay, 1 μg/mL was considered as the seropositivity cut-off. |
Time Frame | One month after (POST) Dose 3. |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was performed on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who had received 3 doses of Infanrix Hexa vaccine and for whom data concerning immunogenicity outcome measures were available. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 94 | 107 |
Number [Subjects] |
83
|
91
|
Title | Anti-PRP Antibody Concentrations |
---|---|
Description | Anti-PRP antibody concentrations were presented as Geometric mean Concentrations (GMC), expressed as micrograms per milliliter (μg/mL). |
Time Frame | One month after (POST) Dose 3. |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was performed on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who had received 3 doses of Infanrix Hexa vaccine and for whom data concerning immunogenicity outcome measures were available. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 94 | 107 |
Geometric Mean (95% Confidence Interval) [µg/mL] |
6.123
|
3.51
|
Title | Number of Seroprotected Subjects Against Hepatitis B (Anti-HBs) |
---|---|
Description | A seroprotected subject was a subject with anti-HBs antibody concentrations ≥ 10 milli-International Units ler milliliter (mIU/mL). A decrease in the specificity of the anti-HB ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL). The table shows updated results following partial or complete retesting/reanalysis. Some of the available blood samples initially tested with ELISA were re-tested using the new assay, CLIA. |
Time Frame | One month after (POST) Dose 3. |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was performed on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who had received 3 doses of Infanrix Hexa vaccine and for whom data concerning immunogenicity outcome measures were available. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 91 | 103 |
Number [Subjects] |
91
|
103
|
Title | Number of Subjects With Anti-HBs Antibody Concentrations ≥100 mIU/mL |
---|---|
Description | The testing was done using the Enzyme-Linked Immunosorbent assay (ELISA) assay. |
Time Frame | One month after (POST) Dose 3. |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was performed on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who had received 3 doses of Infanrix Hexa vaccine and for whom data concerning immunogenicity outcome measures were available. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 91 | 103 |
Number [Subjects] |
89
|
100
|
Title | Anti-HBs Antibody Concentrations |
---|---|
Description | Anti-HBs antibody concentrations were assessed by Enzyme-Linked Immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs). |
Time Frame | One month after (POST) Dose 3. |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was performed on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who had received 3 doses of Infanrix Hexa vaccine and for whom data concerning immunogenicity outcome measures were available. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 91 | 103 |
Geometric Mean (95% Confidence Interval) [mIU/mL] |
1797.9
|
1544.4
|
Title | Number of Subjects With Unsolicited Adverse Events (AEs) |
---|---|
Description | An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product 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 |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was based on the Total Vaccinated cohort, which included all subjects with at least one dose of Infanrix hexa administration documented. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 112 | 112 |
Number [Subjects] |
26
|
19
|
Title | Number of Subjects With Serious Adverse Events (SAEs) |
---|---|
Description | Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. |
Time Frame | During the entire study period up to Last subject last visit on 03/12/2013 |
Outcome Measure Data
Analysis Population Description |
---|
The analysis was based on the Total Vaccinated cohort, which included all subjects with at least one dose of Infanrix hexa administration documented. |
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group |
---|---|---|
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. |
Measure Participants | 112 | 112 |
Number [Subjects] |
6
|
0
|
Adverse Events
Time Frame | Unsolicited AEs during the 31-day post-vaccination period, SAEs during the entire period up to Last subject last visit on 03/12/2013. | |||
---|---|---|---|---|
Adverse Event Reporting Description | During this study, no solicited adverse events were collected, therefore none are reported. | |||
Arm/Group Title | Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group | ||
Arm/Group Description | Subjects of aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | Subjects of non-aboriginal origins who received 3 doses of Infanrix Hexa vaccine at 2, 4, and 6 months of age, administered as an intramuscular injection into the right side of the thigh. Subjects also received two doses of Rotarix vaccine at 2 and 4 months of age (administered orally), a pneumococcal conjugate vaccine, meningococcal serogroup C conjugate vaccine and an influenza vaccine according to the recommended provincial infant immunisation schedules. | ||
All Cause Mortality |
||||
Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | / (NaN) | / (NaN) | ||
Serious Adverse Events |
||||
Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 6/112 (5.4%) | 0/112 (0%) | ||
General disorders | ||||
Pyrexia | 1/112 (0.9%) | 1 | 0/112 (0%) | 0 |
Infections and infestations | ||||
Bronchiolitis | 1/112 (0.9%) | 1 | 0/112 (0%) | 0 |
Pneumonia bacterial | 1/112 (0.9%) | 1 | 0/112 (0%) | 0 |
Respiratory syncytial virus infection | 1/112 (0.9%) | 1 | 0/112 (0%) | 0 |
Nervous system disorders | ||||
Convulsion | 2/112 (1.8%) | 2 | 0/112 (0%) | 0 |
Febrile convulsion | 1/112 (0.9%) | 1 | 0/112 (0%) | 0 |
Other (Not Including Serious) Adverse Events |
||||
Infanrix Hexa Aboriginal Group | Infanrix Hexa Non-Aboriginal Group | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 6/112 (5.4%) | 0/112 (0%) | ||
General disorders | ||||
Pyrexia | 6/112 (5.4%) | 6 | 0/112 (0%) | 0 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
Results Point of Contact
Name/Title | GSK Response Center |
---|---|
Organization | GlaxoSmithKline |
Phone | 866-435-7343 |
- 103506
- 2013-003428-34