NCT00436007

Brief Summary

This study is being done to assess the possibility of the potential integration of malaria vaccine into the EPI regimen. It will evaluate whether the malaria vaccine is safe and immunogenic in infants aged 6 to 10 weeks at first dose, when co-administered with other EPI vaccine antigens. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
511

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Apr 2007

Geographic Reach
3 countries

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 15, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 16, 2007

Completed
2 months until next milestone

Study Start

First participant enrolled

April 30, 2007

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2008

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 7, 2009

Completed
3.6 years until next milestone

Results Posted

Study results publicly available

May 27, 2013

Completed
Last Updated

August 16, 2018

Status Verified

April 1, 2017

Enrollment Period

1.4 years

First QC Date

February 15, 2007

Results QC Date

December 19, 2012

Last Update Submit

July 19, 2018

Conditions

Keywords

AfricaPlasmodium falciparumMalaria

Outcome Measures

Primary Outcomes (1)

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

    SAEs were defined as medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity.

    From Month 0 to Month 8

Secondary Outcomes (17)

  • Concentrations of Antibodies Against Hepatitis B (Anti-HB Antibodies).

    At Months 0, 1, 3 and 7.

  • Concentrations of Antibodies Against Hepatitis B (Anti-HB Antibodies).

    At Months 0, 3, 7 and 8.

  • Concentrations of Antibodies Against Hepatitis B (Anti-HB Antibodies).

    At Months 0, 3, 7 and 8.

  • Concentrations of Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies.

    At Month 3

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

    From Month 8 to Month 19

  • +12 more secondary outcomes

Study Arms (3)

GSK 257049 1 Group

EXPERIMENTAL

Subjects aged 6 to 10 weeks at the time of first vaccination received 3 doses of Tritanrix™ HepB/Hib, Polio Sabin™ and GSK 257049 vaccines at Months 0, 1 and 2, and a single dose of Rouvax™ and Stamaril™ vaccines at Month 7. The GSK 257049 and Tritanrix™ HepB/Hib vaccines were administered intramuscularly in the left and right antero-lateral thigh, respectively. Rouvax™ and Stamaril™ were administered intramuscularly in the left and right arm respectively. Polio Sabin™ was administered orally. The Stamaril™ vaccine was not administered to subjects from Tanzania as this vaccine was not foreseen at the time to be introduced to the EPI vaccination schedule in Tanzania.

Biological: GSK 257049Biological: Tritanrix™ HepB/HibBiological: Rouvax™Biological: Stamaril™Biological: Polio Sabin™

GSK 257049 2 Group

EXPERIMENTAL

Subjects aged 6 to 10 weeks at the time of first vaccination received 3 doses of Tritanrix™ HepB/Hib and Polio Sabin™ at Months 0, 1 and 2, 3 doses of GSK 257049 vaccine at Months 0, 1 and 7, and a single dose of Rouvax™ and Stamaril™ at Month 7. The GSK 257049 and Tritanrix™ HepB/Hib vaccines were administered intramuscularly in the left and right antero-lateral thigh, respectively. Rouvax™ and Stamaril™ were administered intramuscularly in the left and right arm respectively. Polio Sabin™ was administered orally. Stamaril™ was not administered to subjects from Tanzania as this vaccine was not foreseen at the time to be introduced to the EPI vaccination schedule in Tanzania.

Biological: GSK 257049Biological: Tritanrix™ HepB/HibBiological: Rouvax™Biological: Stamaril™Biological: Polio Sabin™

Tritanrix™ HepB/Hiberix™ Group

ACTIVE COMPARATOR

Subjects aged 6 to 10 weeks at the time of first vaccination received 3 doses of Tritanrix™ HepB/Hib and Polio Sabin™ at Months 0, 1 and 2, and a single dose of Rouvax™ and Stamaril™ at Month 7. The GSK 257049 and Tritanrix™ HepB/Hib vaccines were administered intramuscularly in the left and right antero-lateral thigh, respectively. Rouvax™ and Stamaril™ were administered intramuscularly in the left and right arm respectively. Polio Sabin™ was administered orally. The Stamaril™ vaccine was not administered to subjects from Tanzania as this vaccine was not foreseen at the time to be introduced to the EPI vaccination schedule in Tanzania.

Biological: Tritanrix™ HepB/HibBiological: Rouvax™Biological: Stamaril™Biological: Polio Sabin™

Interventions

GSK 257049BIOLOGICAL

GlaxoSmithKline (GSK) Biologicals' candidate Plasmodium falciparum malaria vaccine

GSK 257049 1 GroupGSK 257049 2 Group

GSK Biologicals' re-constituted diphtheria, tetanus, pertussis, hepatitis B vaccine (Tritanrix™ HepB) and Haemophilus influenzae type B vaccine (Hiberix™)

Also known as: DTPwHepB/Hib vaccine
GSK 257049 1 GroupGSK 257049 2 GroupTritanrix™ HepB/Hiberix™ Group
Rouvax™BIOLOGICAL

Aventis Pasteur's attenuated measles vaccine.

GSK 257049 1 GroupGSK 257049 2 GroupTritanrix™ HepB/Hiberix™ Group
Stamaril™BIOLOGICAL

Aventis Pasteur's attenuated yellow fever vaccine.

Also known as: Yellow Fever Vaccine
GSK 257049 1 GroupGSK 257049 2 GroupTritanrix™ HepB/Hiberix™ Group
Polio Sabin™BIOLOGICAL

GSK Biologicals' oral polio virus vaccine

Also known as: Oral Polio vaccine (OPV).
GSK 257049 1 GroupGSK 257049 2 GroupTritanrix™ HepB/Hiberix™ Group

Eligibility Criteria

Age6 Weeks - 10 Weeks
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • A male or female infant between 6 and 10 weeks of age at the time of first vaccination.
  • Signed or thumb-printed informed consent obtained from the parent(s)/guardian(s) of the child. Where parent(s)/guardian(s) are illiterate, the consent form will be countersigned by a witness.
  • Subjects who have received one previous dose of OPV and BCG.
  • Subjects who are born after a normal gestation period (between 36 and 42 weeks).

You may not qualify if:

  • Acute disease at the time of enrolment.
  • Serious acute or chronic illness determined by clinical or physical examination and laboratory screening tests.
  • Laboratory screening tests out of range, specifically: ALT and creatinine above acceptable limit; Hemoglobin, Platelet count and Total white cell count below acceptable limit.
  • Previous vaccination with diphtheria, tetanus, pertussis (whole-cell or acellular), Hemophilus influenzae type b or hepatitis B vaccines.
  • BCG administration within one week of proposed administration of a study vaccine.
  • OPV administration within four weeks of proposed administration of a study vaccine.
  • Planned administration/administration of a vaccine not foreseen by the study protocol within 30 days of the first dose of vaccine(s).
  • Use of any investigational or non-registered drug or vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Administration of immunoglobulins, blood transfusions or other blood products since birth to the first dose of study vaccine or planned administration during the study period.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
  • Simultaneous participation in any other clinical trial.
  • Twins (to avoid misidentification).
  • Maternal death.
  • History of allergic reactions (significant IgE-mediated events) or anaphylaxis to previous immunizations.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

GSK Investigational Site

Lambaréné, Gabon

Location

GSK Investigational Site

Kintampo, Ghana

Location

GSK Investigational Site

Dar es Salaam, Tanzania

Location

Related Publications (4)

  • Ajua A, Lell B, Agnandji ST, Asante KP, Owusu-Agyei S, Mwangoka G, Mpina M, Salim N, Tanner M, Abdulla S, Vekemans J, Jongert E, Lievens M, Cambron P, Ockenhouse CF, Kremsner PG, Mordmuller B. The effect of immunization schedule with the malaria vaccine candidate RTS,S/AS01E on protective efficacy and anti-circumsporozoite protein antibody avidity in African infants. Malar J. 2015 Feb 13;14:72. doi: 10.1186/s12936-015-0605-7.

  • Warimwe GM, Fletcher HA, Olotu A, Agnandji ST, Hill AV, Marsh K, Bejon P. Peripheral blood monocyte-to-lymphocyte ratio at study enrollment predicts efficacy of the RTS,S malaria vaccine: analysis of pooled phase II clinical trial data. BMC Med. 2013 Aug 21;11:184. doi: 10.1186/1741-7015-11-184.

  • Asante KP, Abdulla S, Agnandji S, Lyimo J, Vekemans J, Soulanoudjingar S, Owusu R, Shomari M, Leach A, Jongert E, Salim N, Fernandes JF, Dosoo D, Chikawe M, Issifou S, Osei-Kwakye K, Lievens M, Paricek M, Moller T, Apanga S, Mwangoka G, Dubois MC, Madi T, Kwara E, Minja R, Hounkpatin AB, Boahen O, Kayan K, Adjei G, Chandramohan D, Carter T, Vansadia P, Sillman M, Savarese B, Loucq C, Lapierre D, Greenwood B, Cohen J, Kremsner P, Owusu-Agyei S, Tanner M, Lell B. Safety and efficacy of the RTS,S/AS01E candidate malaria vaccine given with expanded-programme-on-immunisation vaccines: 19 month follow-up of a randomised, open-label, phase 2 trial. Lancet Infect Dis. 2011 Oct;11(10):741-9. doi: 10.1016/S1473-3099(11)70100-1. Epub 2011 Jul 22.

  • Agnandji ST, Asante KP, Lyimo J, Vekemans J, Soulanoudjingar SS, Owusu R, Shomari M, Leach A, Fernandes J, Dosoo D, Chikawe M, Issifou S, Osei-Kwakye K, Lievens M, Paricek M, Apanga S, Mwangoka G, Okissi B, Kwara E, Minja R, Lange J, Boahen O, Kayan K, Adjei G, Chandramohan D, Jongert E, Demoitie MA, Dubois MC, Carter T, Vansadia P, Villafana T, Sillman M, Savarese B, Lapierre D, Ballou WR, Greenwood B, Tanner M, Cohen J, Kremsner PG, Lell B, Owusu-Agyei S, Abdulla S. Evaluation of the safety and immunogenicity of the RTS,S/AS01E malaria candidate vaccine when integrated in the expanded program of immunization. J Infect Dis. 2010 Oct 1;202(7):1076-87. doi: 10.1086/656190.

Related Links

MeSH Terms

Conditions

MalariaMalaria, Falciparum

Interventions

RTS malaria vaccineYellow Fever VaccinePoliovirus Vaccine, Oral

Condition Hierarchy (Ancestors)

Protozoan InfectionsParasitic DiseasesInfectionsMosquito-Borne DiseasesVector Borne Diseases

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex MixturesPoliovirus Vaccines

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 15, 2007

First Posted

February 16, 2007

Study Start

April 30, 2007

Primary Completion

September 15, 2008

Study Completion

October 7, 2009

Last Updated

August 16, 2018

Results First Posted

May 27, 2013

Record last verified: 2017-04

Data Sharing

IPD Sharing
Will share

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Available IPD Datasets

Dataset Specification (106369)Access
Individual Participant Data Set (106369)Access
Clinical Study Report (106369)Access
Study Protocol (106369)Access
Informed Consent Form (106369)Access
Statistical Analysis Plan (106369)Access

Locations