NCT00496015

Brief Summary

The purpose of this trial is to assess if the rate of febrile reactions following the co-administration of a booster dose of pneumococcal conjugate vaccines with standard infant vaccines is lowered when paracetamol is given prophylactically and to assess the impact of pneumococcal conjugate vaccine on pneumococcal and H. influenzae nasopharyngeal carriage compared to control group receiving meningococcal conjugate vaccine (GSK134612). 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 = NCT00370318).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
750

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jul 2007

Geographic Reach
1 country

10 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

Study Start

First participant enrolled

July 2, 2007

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

July 3, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 4, 2007

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 25, 2008

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 17, 2009

Completed
9.9 years until next milestone

Results Posted

Study results publicly available

January 18, 2019

Completed
Last Updated

January 18, 2019

Status Verified

May 1, 2017

Enrollment Period

9 months

First QC Date

July 3, 2007

Results QC Date

May 11, 2017

Last Update Submit

August 7, 2018

Conditions

Keywords

Streptococcus Pneumoniae VaccinesMeningococcal diseaseCarriageProphylactic antipyreticSafetyPneumococcal vaccineFeverPneumococcal diseaseImmunogenicityMeningococcal vaccineBooster vaccination

Outcome Measures

Primary Outcomes (1)

  • Number of Subjects Reported With Core Fever (Rectal Temperature) Greater Than or Equal to (≥) the Cut-off

    The cut-off for core fever was 38.0 degrees Celsius (ºC).

    Within 4 days (Day 0-3) after primary vaccine dose.

Secondary Outcomes (32)

  • Number of Subjects Reported With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off

    Within 4 days (Day 0-3) after primary vaccination dose

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

    During the 4-day (Days 0-3) post-primary vaccination period

  • Number of Subjects Reported With Any, Grade 3 and Related Solicited General Symptoms

    During the 4-day (Day 0-3) post-vaccination period

  • Number of Subjects Reported With Unsolicited Adverse Events (AEs)

    Within 31 days (Days 0-30) after primary vaccine dose.

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

    Throughout the entire study period (Month 0-Month 12)

  • +27 more secondary outcomes

Study Arms (5)

Synflorix I Group

EXPERIMENTAL

Subjects were vaccinated with 3 primary vaccination doses of Synflorix™ vaccine with prophylactic administration of paracetamol in study 10PN-PD-DIT-010 (107017), and received in this study at 12-15 months of age a booster dose of Synforix™ vaccine, co-administered with Infanrix™ hexa along with prophylactic antipyretic treatment.

Biological: Pneumococcal conjugate vaccine GSK1024850A.Biological: Infanrix hexa.Drug: Paracetamol.

Synflorix II Group

EXPERIMENTAL

Subjects were vaccinated with 3 primary vaccination doses of Synforix™ vaccine without prophylactic administration of paracetamol in study 10PN-PD-DIT-010 (107017), and received in this study at 12-15 months of age a booster dose of Synforix™ vaccine, co-administered with Infanrix™ hexa without prophylactic antipyretic treatment

Biological: Pneumococcal conjugate vaccine GSK1024850A.Biological: Infanrix hexa.

Synflorix PRE Group

EXPERIMENTAL

Subjects were vaccinated with 3 primary vaccination doses of Synforix™ vaccine without prophylactic administration of paracetamol in study 10PN-PD-DIT-010 (107017), and received in this study (before the implementation of the protocol amendment) at 12-15 months of age a booster dose of Synforix™ vaccine, co-administered with Infanrix™ hexa without prophylactic antipyretic treatment.

Biological: Pneumococcal conjugate vaccine GSK1024850A.Biological: Infanrix hexa.

Synflorix POST Group

EXPERIMENTAL

Subjects were vaccinated with 3 primary vaccination doses of Synforix™ vaccine without prophylactic administration of paracetamol in study 10PN-PD-DIT-010 (107017), and received in this study (after the implementation of the protocol amendment) at 12-15 months of age a booster dose of Synforix™ vaccine, co-administered with Infanrix™ hexa without prophylactic antipyretic treatment.

Biological: Pneumococcal conjugate vaccine GSK1024850A.Biological: Infanrix hexa.

Mencevax + Infanrix Hexa Group

ACTIVE COMPARATOR

Age-matched pneumococcal vaccine unprimed group receiving a single dose of Mencevax™ vaccine co-administered with Infanrix™ hexa vaccine.

Biological: Infanrix hexa.Biological: Meningococcal vaccine GSK134612.

Interventions

1 intramuscular injection.

Synflorix I GroupSynflorix II GroupSynflorix POST GroupSynflorix PRE Group
Infanrix hexa.BIOLOGICAL

1 intramuscular injection.

Also known as: DTPa-HBV-IPV/Hib
Mencevax + Infanrix Hexa GroupSynflorix I GroupSynflorix II GroupSynflorix POST GroupSynflorix PRE Group

1 intramuscular injection.

Also known as: Mencevax™
Mencevax + Infanrix Hexa Group

Body weight of \< 7 kg: none; Body weight of ≥ 7 kg to \< 9 kg : 3 suppositories of 125 mg to be administered at 8h intervals after vaccination. Body weight of ≥ 9 kg: 4 suppositories of 125 mg to be administered at 6h intervals after vaccination.

Synflorix I Group

Eligibility Criteria

Age12 Months - 15 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study.
  • A male or female between, and including, 12-15 months of age at the time of the vaccination.
  • 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.
  • Subjects in the unprimed group
  • A male or female who previously participated in study 107017 and received 3 doses of pneumococcal conjugate vaccine GSK1024850A.

You may not qualify if:

  • For all subjects:
  • 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
  • Indication, other than specified in the protocol, for prophylactic antipyretic treatment.
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within one month preceding the 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 dose of study vaccines.
  • Planned administration/administration of a vaccine not foreseen by the study protocol, during the period starting one month before the dose of study vaccines and up to one month after the dose of study vaccines.
  • History of, or intercurrent, diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b disease.
  • 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 administration of the dose of study vaccines or planned administration during the study period.
  • Subjects of which both parents have a history of atopia.
  • +18 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

GSK Investigational Site

Brno, 628 00, Czechia

Location

GSK Investigational Site

Hradec Králové, 500 01, Czechia

Location

GSK Investigational Site

Jindřichův Hradec, 377 01, Czechia

Location

GSK Investigational Site

Náchod, 547 01, Czechia

Location

GSK Investigational Site

Ostrava, 728 92, Czechia

Location

GSK Investigational Site

Pardubice, 532 03, Czechia

Location

GSK Investigational Site

Prague, 150 00, Czechia

Location

GSK Investigational Site

Prague, 1600, Czechia

Location

GSK Investigational Site

Prague, 190 00, Czechia

Location

GSK Investigational Site

Znojmo, 669 00, Czechia

Location

Related Publications (6)

  • Prymula R, Siegrist CA, Chlibek R, Zemlickova H, Vackova M, Smetana J, Lommel P, Kaliskova E, Borys D, Schuerman L. Effect of prophylactic paracetamol administration at time of vaccination on febrile reactions and antibody responses in children: two open-label, randomised controlled trials. Lancet. 2009 Oct 17;374(9698):1339-50. doi: 10.1016/S0140-6736(09)61208-3.

    PMID: 19837254BACKGROUND
  • Prymula R, Hanovcova I, Splino M, Kriz P, Motlova J, Lebedova V, Lommel P, Kaliskova E, Pascal T, Borys D, Schuerman L. Impact of the 10-valent pneumococcal non-typeable Haemophilus influenzae Protein D conjugate vaccine (PHiD-CV) on bacterial nasopharyngeal carriage. Vaccine. 2011 Feb 24;29(10):1959-67. doi: 10.1016/j.vaccine.2010.12.086. Epub 2011 Jan 6.

    PMID: 21215830BACKGROUND
  • Prymula R et al. Does prophylactic paracetamol influence the effect of 10-valent pneumococcal non-typeable Haemophilus influenzae protein-D conjugate vaccine (PHiD-CV) on pneumococcal nasopharyngeal carriage? Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.

    BACKGROUND
  • Prymula R et al. Effects on serotype 6A and 6B nasopharyngeal carriage following immunization with 10-valent pneumococcal non-typeable Haemophilus influenzae protein-D conjugate vaccine. Abstract presented at the 28th Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID). Nice, France, 4-8 May 2010.

    BACKGROUND
  • Prymula R et al. Limited clinical benefit but reduced antibody responses to paediatric vaccines following prophylactic paracetamol administration. Abstract presented at the 4th Europaediatrics, Moscow, Russia, 03-06 July 2009.

    BACKGROUND
  • Prymula R et al. The 10-valent pneumococcal vaccine conjugated to protein-D (PHiD-CV) reduces nasopharyngeal carriage of Streptococcus pneumoniae (SP) vaccine serotypes in Czech children. Abstract presented at the 6th World Congress of the World Society for Pediatric Infectious Diseases (WSPID). Buenos Aires, Argentina, 19-22 November 2009.

    BACKGROUND

Related Links

MeSH Terms

Conditions

Streptococcal InfectionsMeningococcal InfectionsFeverPneumococcal Infections

Interventions

diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae b conjugate-hepatitis B vaccineAcetaminophen

Condition Hierarchy (Ancestors)

Gram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsNeisseriaceae InfectionsGram-Negative Bacterial InfectionsBody Temperature ChangesSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

AcetanilidesAnilidesAmidesOrganic ChemicalsAniline CompoundsAmines

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 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 3, 2007

First Posted

July 4, 2007

Study Start

July 2, 2007

Primary Completion

March 25, 2008

Study Completion

February 17, 2009

Last Updated

January 18, 2019

Results First Posted

January 18, 2019

Record last verified: 2017-05

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

Individual Participant Data Set (107137)Access
Statistical Analysis Plan (107137)Access
Dataset Specification (107137)Access
Study Protocol (107137)Access
Informed Consent Form (107137)Access
Annotated Case Report Form (107137)Access
Clinical Study Report (107137)Access

Locations