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Completed

NCT Number: NCT00547248

Pneumococcal Vaccine Booster Study in Healthy Children 12-18 Mths Old Previously Primed With the Same Vaccines

The purpose of this observer blind study is to assess the safety in terms of fever >39°C (rectal temperature) and the immunogenicity in terms of antibody response following a booster vaccination with pneumococcal vaccine GSK 1024850A at 12 to 18 months of age in children previously primed with the same vaccines including a pneumococcal conjugate vaccine co-administered with a diphtheria, tetanus, whole cell pertussis (DTPw)-combined vaccine and OPV or IPV vaccines. Subjects participating in this study should have received three doses of pneumococcal conjugate vaccine in the primary study.

This protocol posting deals with objectives & outcome measures of the booster phase. The objectives & outcome measures of the primary phase are presented in a separate protocol posting (NCT number = NCT00344318)

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Key information

Age range

12 month–18 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

GSK Investigational Site, City of Muntinlupa, Philippines

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About this study

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects for whom the investigator believes that their parents/guardians can and will comply with the requirements of the protocol.
  • A male or female between, and including, 12-18 months of age at the time of the booster vaccination and who previously participated in study 107007 and received three doses of pneumococcal conjugate vaccine.
  • Written informed consent obtained from the parent or guardian of the subject.
  • Free of obvious health problems as established by medical history and clinical examination before entering into the study.

Exclusion criteria

  • Concurrently participating in another clinical study, at any time during the study period (active phase and extended safety follow-up), in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device).
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within one month preceding the booster dose of study vaccines, or planned use during the entire study period
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the booster dose of study vaccines.
  • Planned administration/administration of a vaccine not foreseen by the study protocol, during the period starting one month before the booster dose of study vaccines and up to the follow-up visit.
  • Administration of any pneumococcal, diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b vaccine other than the study vaccines from study 107007.
  • History of, or intercurrent diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b diseases.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
  • History of seizures (this criterion does not apply to subjects who have had a single, uncomplicated febrile convulsion in the past) or progressive neurological disease.
  • Acute disease at the time of enrolment.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination
  • A family history of congenital or hereditary immunodeficiency.
  • Major congenital defects or serious chronic illness.
  • Administration of immunoglobulins and/or any blood products within three months preceding the booster dose of study vaccines or planned administration during the active phase of the study.

Treatment and study plan

Synflorix

Biological

Intramuscular injection, 1 dose

Other names: Pneumococcal conjugate vaccine GSK1024850A

Tritanrix-HepB

Biological

Intramuscular injection, 1 dose

Other names: DTPw-HBV vaccine

Hiberix

Biological

Reconstituted with Tritanrix-Hep B before injection

Other names: Hib vaccine

Polio Sabin

Biological

Oral, 1 dose

Other names: OPV

Poliorix

Biological

Intramuscular injection, 1 dose

Other names: IPV

Prevenar (Wyeth)

Biological

Intramuscular injection, 1 dose

Other names: Pneumococcal conjugate vaccine

Primary outcomes

  1. Number of Subjects Reporting Rectal Temperature Greater Than (>) the Cut-off

    Time frame: Within the 4-day (Days 0-3) period after booster vaccination

    Fever was measured as rectal temperature. The cut-off was 39.0 degree Celsius (°C). Assessment of occurrences of fever > 39.0 (°C) was performed after booster vaccination with Synflorix™ or Prevenar™ vaccines.

Secondary outcomes

  1. Number of Subjects With Any and Grade 3 Solicited Local Symptoms

    Time frame: Within the 4-day (Days 0-3) period after booster vaccination

    Solicited local symptoms assessed included pain, redness and swelling. "Any" was defined as incidence of the specified symptom regardless of intensity. Grade 3 pain was defined as crying when limb was moved/ spontaneously painful. Grade 3 swelling/ redness was defined as swelling/ redness greater than (>) 30 millimeters (mm).

  2. Number of Subjects With Any and Grade 3 Solicited General Symptoms

    Time frame: Within the 4-day (Days 0-3) period after booster vaccination

    Solicited general symptoms assessed include drowsiness, fever (defined as rectal temperature greater than or equal to (≥) 38.0°C), irritability, and loss of appetite."Any" was defined as incidence of the specified symptom regardless of intensity or relationship to study vaccination. Grade 3 drowsiness was defined as drowsiness which prevented normal everyday activities. Grade 3 fever was defined as fever (rectal temperature) >40.0 degree Celsius (°C). Grade 3 irritability was defined as crying that could not be comforted/ preventing normal activity. Grade 3 loss of appetite was defined as the subject not eating at all.

  3. Number of Subjects With Unsolicited Adverse Events (AEs)

    Time frame: Within the 31-day (Days 0-30) period after booster vaccination

    An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. "Any" was defined an incidence of an unsolicited AE regardless of intensity or relationship to study vaccination.

  4. Number of Subjects With Serious Adverse Events (SAEs)

    Time frame: Throughout the active phase of the study (Month 0 to Month 1)

    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.

  5. Number of Subjects With Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off was 0.20 microgram per milliliter (μg/mL).

  6. Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seropositivity status, defined as anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations ≥ 0.05 microgram per milliliter (μg/mL).

  7. Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seropositivity status, defined as Opsonophagocytic activity against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ 8.

  8. Antibody Concentrations to Protein D (Anti-PD)

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seropositivity status, defined as anti-PD antibody concentrations ≥100 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

  9. Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seropositivity status, defined as anti-pneumococcal cross-reactive serotypes 6A and 19A antibody concentrations ≥ 0.05 microgram per milliliter (μg/mL).

  10. Opsonophagocytic Activity (OPA) Against Pneumococcal Cross-reactive Serotypes 6A and 19A

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seropositivity status, defined as Opsonophagocytic activity against pneumococcal cross-reactive serotypes 6A and 19A ≥ 8.

  11. Number of Subjects With Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off of the assay was 0.05 μg/mL.

  12. Number of Subjects With Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 8.

  13. Number of Subjects With Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-of for the assay was 0.05 μg/mL.

  14. Number of Subjects With Opsonophagocytic Activity (OPA) Against Pneumococcal Cross-reactive Serotypes 6A and 19A ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 8.

  15. Number of Subjects With Antibody Concentrations Against Protein D (Anti-PD) ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 100 ELISA units per milliliter (EL.U/mL).

  16. Anti-diphtheria (Anti-DT) and Anti-tetanus Toxoids (Anti-TT) Antibody Concentrations

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seroprotection status, defined as anti-diphtheria toxoid or anti-tetanus toxoid antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).

  17. Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibody Concentrations

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seroprotection status, defined as anti-PRP antibody concentrations ≥ 0.15 μg/mL and ≥ 1.0 μg/mL.

  18. Anti-Bordetella Pertussis (BPT) Antibody Concentrations

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seropositivity status, defined as anti-BPT antibody concentrations ≥ 15 EL.U/mL.

  19. Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seroprotection status, defined as anti-HBs antibody concentrations ≥ 10 milli international units per milliliter (mIU/mL).

  20. Anti-polio Type 1, 2 and 3 Antibody Titers

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    Seroprotection status, defined as anti-polio type 1, anti-polio type 2 and anti-polio type 3 antibody titers ≥ 8.

  21. Number of Subjects With Anti-Bordetella Pertussis (BPT) With Concentrations ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 15 EL.U/mL.

  22. Number of Subjects With Anti-diphtheria (Anti-DT) and Anti-tetanus Toxoids (Anti-TT) Antibody Concentrations ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 0.1 milli-international units per milliliter (mIU/mL).

  23. Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 0.15 μg/mL.

  24. Number of Subjects With Anti-PRP Antibody Concentration ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 1.0 μg/mL.

  25. Number of Subjects With Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 10 mIU/mL.

  26. Number of Subjects With Anti-polio Type 1, 2 and 3 (Anti-Polio 1, 2 and 3) Antibody Titers ≥ the Cut-off

    Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)

    The cut-off for the assay was 8.

  27. Number of Subjects With Vaccine Response to Anti-Bordetella Pertussis (BPT)

    Time frame: One month after booster vaccination (Month 1)

    Vaccine response for anti-BPT, defined as the appearance of antibodies in subjects seronegative at pre-vaccination, or at least 2-fold increase of pre-vaccination antibody concentrations in those who were initially seropositive at pre-vaccination.

Sponsors and collaborators

Lead sponsor

GlaxoSmithKline

Industry

Registry information

Official study title

Booster Vaccination Course With the Pneumococcal Vaccine GSK 1024850A, DTPw-HBV/Hib and OPV or IPV in Children Who Completed the Primary Vaccination Course in Study 107007

Important dates

Study start
2007
Primary completion
2008
Study completion
2008
First posted
Oct 22, 2007
Registry last updated
Jan 14, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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