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Study in Toddlers to Demonstrate Non-inferiority of GSK Biologicals' Hib-MenC & to Evaluate Persistence up to 5 Years.

Study to Demonstrate Non-inferiority of GSK Biologicals' Hib-MenC With Priorix™, Versus MenC-CRM197 Vaccine With Hiberix™ & Priorix™ in Toddlers Primed With Hib But Not MenC & to Evaluate Persistence up to 5 Years After Vaccination.

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00326118
Enrollment
433
Registered
2006-05-16
Start date
2006-06-01
Completion date
2007-11-06
Last updated
2018-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Haemophilus Influenzae Type b, Neisseria Meningitidis

Keywords

Meningococcal serogroup C diseases, H.influenzae type b diseases

Brief summary

The purpose of the primary phase of the study is to demonstrate the non-inferiority of a single dose of GSK Biologicals' Haemophilus influenzae type b and meningococcal C (Hib-MenC) conjugate vaccine when given in the second year of life to subjects primed in infancy with a Hib vaccine, but not with a meningococcal serogroup C vaccine, versus commercially available Hib and MenC vaccines. In the extension phase, at Years 1, 2, 3, 4 & 5, one blood sample is taken at each year to follow the antibody persistence up to 5 years after vaccination. No additional vaccine is administered during the extension phase. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Detailed description

This multicenter study is open and has 2 treatment groups with Hiberix™ + a commercially available MenC vaccine as active controls. Priorix™ is given concomitantly in both groups. In the primary phase, two blood samples are taken from all subjects for immunogenicity analyses: before and one month after vaccination. In the extension phase, at Year 1, 2, 3, 4 & 5, one blood sample is taken at each year to follow the antibody persistence up to 5 years after vaccination. No additional vaccine is administered during the extension phase.

Interventions

BIOLOGICALHaemophilus influenzae type b and meningococcal serogroup C (vaccine)

One intramuscular dose at 12-18 months of age

BIOLOGICALPriorix™

One subcutaneous dose at 12-18 months of age

BIOLOGICALHiberix™

One intramuscular dose at 12-18 months of age.

BIOLOGICALMeningitec™

One intramuscular dose at 12-18 months of age

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Months to 18 Months
Healthy volunteers
Yes

Inclusion criteria

Primary phase: * Subjects 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 and 18 months of age at the time of 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. * Previously completed routine childhood vaccinations to the best of his/her parents'/guardians knowledge. * Having completed primary vaccination with two doses of Haemophilus influenzae type b outer membrane protein (Hib-OMP) containing vaccine OR three doses of diphtheria, tetanus, acellular pertussis and Haemophilus influenzae type b (DTPa/Hib) containing vaccine at least 6 months before the study start. Long-term persistence phase: \- Having participated in the vaccination study 106445

Exclusion criteria

For the primary vaccination phase: * Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period. * Chronic administration (defined as more than 14 days) or planned administration of immuno-suppressants or other immune-modifying drugs within six months prior to vaccination. * Planned administration/administration of a vaccine not foreseen by the protocol during the period starting from 30 days before vaccination and ending 30 days after vaccination. * Administration of a meningococcal vaccine not foreseen by the study protocol during the period starting at birth and ending at first dose. * Previous administration of a booster dose of Hib vaccine. * Previous vaccination against measles, mumps, rubella. * History of H. influenzae type b, meningococcal serogroup C and/or confirmed measles, mumps or rubella diseases. * Known exposure to measles, mumps or rubella within 30 days prior to the start of the study. * Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus infection. * A family history of congenital or hereditary immunodeficiency. * History of allergic disease or reactions likely to be exacerbated by any component of the vaccine. * Major congenital defects or serious chronic illness. * History of neurological disorders or more than one episode of febrile convulsion. * Acute disease at the time of enrolment. * Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period. Additional

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 0.15 Micrograms Per Milliliter (µg/mL)1 month after vaccinationAnti-PRP antibody concentration greater than or equal to 0.15 µg/mL is indicative of short-term protection.
Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Greater Than or Equal to 1:8 Titer1 month after vaccinationrSBA-MenC titers greater than or equal to 1:8 titer are indicative of seroprotection.

Secondary

MeasureTime frameDescription
Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) TitersPrior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination.Titers are given as Geometric Mean Titers (GMTs). Functional anti-meningococcal serogroup C activity (SBA-MenC) was determined by a serum bactericidal test using rabbit complement. For SBA testing at a GlaxoSmithKline (GSK) laboratory up to Year 3 after vaccination, titres were expressed as the reciprocal of the dilution resulting in 50% inhibition. For SBA testing at the PHE at year 4 after vaccination, titres were expressed as the reciprocal of the last dilution resulting in at least 50% inhibition.
Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off ValuesPrior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccinationAnti-PRP antibody concentration cut-off values assessed include 0.15 µg/mL (indicative of short-term protection) and 1.0 µg/mL (indicative of long-term protection).
Number of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off ValuesPrior to, 1 month, 1 year, 2 years and 3 years after vaccinationAnti-PSC antibody concentration cut-off values assessed include greater than or equal to (≥) 0.30 µg/mL and ≥ 2.0 µg/mL.
Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody ConcentrationsPrior to, 1 month , 1 year, 2 years, 3 years and 4 years after vaccinationConcentrations are given as Geometric Mean Concentrations (GMCs).
Number of Subjects Reporting Solicited Local and General SymptomsWithin 4 days (Day 0 -Day 3) after vaccinationSolicited local symptoms assessed include pain, redness and swelling at the injection site. Solicited general symptoms assessed include drowsiness, fever (≥ 38°C), irritability and loss of appetite.
Number of Subjects Reporting Unsolicited SymptomsWithin 31 days (Day 0 - Day 30) after vaccinationUnsolicited symptom: Any adverse event (AE) reported in addition to those solicited during the clinical study. Also any solicited symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.
Number of Subjects Reporting Serious Adverse Events (SAEs)Throughout the entire study period (up to year 5)A serious adverse event (SAE) is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect in the offspring of a study subject. For the long-term persistence phase (Years 1 through 5), only those SAEs that are determined by the investigator to have a causal relationship to the vaccination will be described individually.
Anti-polysaccharide C (Anti-PSC) Antibody ConcentrationsPrior to, 1 month, 1 year, 2 years and 3 years after vaccinationConcentrations given as Geometric Mean Concentrations (GMCs).
Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off ValuesPrior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccinationrSBA-MenC titers cut-off values assessed were greater than or equal to (≥) 1:8 (indicative of seroprotection) and ≥ 1:128 titers. Functional anti-meningococcal serogroup C activity (SBA-MenC) was determined by a serum bactericidal test using rabbit complement. For SBA testing at a GlaxoSmithKline (GSK) laboratory up to Year 3 after vaccination, titres were expressed as the reciprocal of the dilution resulting in 50% inhibition. For SBA testing at the Public Health England (PHE), formerly known as Health Protection Agency (HPA), at Year 4, titres were expressed as the reciprocal of the last dilution resulting in at least 50% inhibition.

Countries

Australia

Participant flow

Pre-assignment details

Total of subjects completed in the previous period does not necessarily correspond to the amount of subjects who came back for the follow-up. These subjects were considered lost-to-follow-up.

Participants by arm

ArmCount
Menitorix Group
Subjects received a single dose of Menitorix™ vaccine co-administered with Priorix™ vaccine. Menitorix vaccine was administered intramuscularly in the left deltoid region and the Priorix vaccine was administered subcutaneously in the right upper arm.
324
Meningitec + Hiberix Group
Subjects received a single dose of Meningitec™ vaccine co-administered with Hiberix™ and Priorix™ vaccines. The Meningitec vaccine was administered intramuscularly in the left deltoid region, the Hiberix vaccine was administered intramuscularly in the left thigh region and the Priorix vaccine was administered subcutaneously in the right upper arm.
109
Total433

Withdrawals & dropouts

PeriodReasonFG000FG001
Active PhaseWithdrawal by Subject41

Baseline characteristics

CharacteristicMenitorix GroupMeningitec + Hiberix GroupTotal
Age, Continuous12.5 Months
STANDARD_DEVIATION 0.94
12.5 Months
STANDARD_DEVIATION 0.75
12.5 Months
STANDARD_DEVIATION 0.9
Sex: Female, Male
Female
150 Participants42 Participants192 Participants
Sex: Female, Male
Male
174 Participants67 Participants241 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
293 / 324104 / 109
serious
Total, serious adverse events
4 / 3242 / 109

Outcome results

Primary

Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 0.15 Micrograms Per Milliliter (µg/mL)

Anti-PRP antibody concentration greater than or equal to 0.15 µg/mL is indicative of short-term protection.

Time frame: 1 month after vaccination

Population: The analysis was performed on the According-to-Protocol (ATP) cohort for analysis of immunogenicity which included subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component for the blood sample taken 1 month after vaccination.

ArmMeasureValue (NUMBER)
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 0.15 Micrograms Per Milliliter (µg/mL)292 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 0.15 Micrograms Per Milliliter (µg/mL)100 Subjects
Primary

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Greater Than or Equal to 1:8 Titer

rSBA-MenC titers greater than or equal to 1:8 titer are indicative of seroprotection.

Time frame: 1 month after vaccination

Population: The analysis was performed on the According-to-Protocol (ATP) cohort for analysis of immunogenicity which included subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component for the blood sample taken 1 month after vaccination.

ArmMeasureValue (NUMBER)
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Greater Than or Equal to 1:8 Titer280 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Greater Than or Equal to 1:8 Titer98 Subjects
Secondary

Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations

Concentrations are given as Geometric Mean Concentrations (GMCs).

Time frame: 5 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of persistence for Year 5, on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureValue (GEOMETRIC_MEAN)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations2.131 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations2.537 microgram per milliliter (µg/mL)
Secondary

Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations

Concentrations are given as Geometric Mean Concentrations (GMCs).

Time frame: Prior to, 1 month , 1 year, 2 years, 3 years and 4 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity (prior to and 1 month after vaccination) and the ATP cohort for analysis of persistence for Year 1, 2, 3 and 4 (1, 2, 3 and 4 years after vaccination), on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody ConcentrationsPrior to vaccination (N=285, 98)0.438 microgram per milliliter (µg/mL)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations1 month after vaccination (N=292, 100)46.652 microgram per milliliter (µg/mL)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations1 year after vaccination (N=255, 91)3.550 microgram per milliliter (µg/mL)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations2 years after vaccination (N= 237, 84)2.5 microgram per milliliter (µg/mL)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations3 years after vaccination (N= 233, 78)2.234 microgram per milliliter (µg/mL)
Menitorix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations4 years after vaccination (N= 204, 73)2.116 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations3 years after vaccination (N= 233, 78)2.751 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody ConcentrationsPrior to vaccination (N=285, 98)0.472 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations2 years after vaccination (N= 237, 84)3.3 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations1 month after vaccination (N=292, 100)73.976 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations4 years after vaccination (N= 204, 73)2.964 microgram per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentrations1 year after vaccination (N=255, 91)4.802 microgram per milliliter (µg/mL)
Secondary

Anti-polysaccharide C (Anti-PSC) Antibody Concentrations

Concentrations given as Geometric Mean Concentrations (GMCs).

Time frame: Prior to, 1 month, 1 year, 2 years and 3 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity (prior to and 1 month after vaccination) and the ATP cohort for analysis of persistence for Year 1, 2, 3 (1, 2, 3 years after vaccination), on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Menitorix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations1 month after vaccination (N=290,100)18.69 micrograms per milliliter (µg/mL)
Menitorix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations2 years after vaccination (N= 233, 84)0.2 micrograms per milliliter (µg/mL)
Menitorix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations1 year after vaccination (N=250, 91)NA micrograms per milliliter (µg/mL)
Menitorix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations3 years after vaccination (N= 230, 79)NA micrograms per milliliter (µg/mL)
Menitorix GroupAnti-polysaccharide C (Anti-PSC) Antibody ConcentrationsPrior to vaccination (N=283, 96)NA micrograms per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations3 years after vaccination (N= 230, 79)NA micrograms per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polysaccharide C (Anti-PSC) Antibody ConcentrationsPrior to vaccination (N=283, 96)NA micrograms per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations1 month after vaccination (N=290,100)7.95 micrograms per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations1 year after vaccination (N=250, 91)NA micrograms per milliliter (µg/mL)
Meningitec + Hiberix GroupAnti-polysaccharide C (Anti-PSC) Antibody Concentrations2 years after vaccination (N= 233, 84)0.2 micrograms per milliliter (µg/mL)
Secondary

Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers

Titers are given as Geometric Mean Titers (GMTs). Functional anti-meningococcal serogroup C activity (SBA-MenC) was determined by a serum bactericidal test using rabbit complement. For SBA testing at the PHE at Year 5, titres were expressed as the reciprocal of the last dilution resulting in at least 50% inhibition.

Time frame: 5 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of persistence for Year 5, on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureValue (GEOMETRIC_MEAN)
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers6.6 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers8.5 Titer
Secondary

Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers

Titers are given as Geometric Mean Titers (GMTs). Functional anti-meningococcal serogroup C activity (SBA-MenC) was determined by a serum bactericidal test using rabbit complement. For SBA testing at a GlaxoSmithKline (GSK) laboratory up to Year 3 after vaccination, titres were expressed as the reciprocal of the dilution resulting in 50% inhibition. For SBA testing at the PHE at year 4 after vaccination, titres were expressed as the reciprocal of the last dilution resulting in at least 50% inhibition.

Time frame: Prior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination.

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity (prior to and 1 month after vaccination) and the ATP cohort for analysis of persistence for Year 1, 2, 3 and 4 (1, 2, 3 and 4 years after vaccination), on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) TitersPrior to vaccination (N= 255; 83)6.3 Titer
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers1 month after vaccination (N= 281; 98)482.8 Titer
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers1 year after vaccination (N= 249; 89)91.7 Titer
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers2 years after vaccination (N= 235; 86)39.3 Titer
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers3 years after vaccination (N= 226; 77)29.8 Titer
Menitorix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers4 years after vaccination (N=208;73)5.3 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers3 years after vaccination (N= 226; 77)21.8 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) TitersPrior to vaccination (N= 255; 83)5.5 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers2 years after vaccination (N= 235; 86)30.6 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers1 month after vaccination (N= 281; 98)621.0 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers4 years after vaccination (N=208;73)6.0 Titer
Meningitec + Hiberix GroupMeningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers1 year after vaccination (N= 249; 89)63.8 Titer
Secondary

Number of Subjects Reporting Serious Adverse Events (SAEs)

A serious adverse event (SAE) is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect in the offspring of a study subject. For the long-term persistence phase (Years 1 through 5), only those SAEs that are determined by the investigator to have a causal relationship to the vaccination will be described individually.

Time frame: Throughout the entire study period (up to year 5)

Population: Analysis was performed on vaccinated subjects from the Total Vaccinated Cohort for the Vaccination Phase of the study (up to Month 1) and on the Total Enrolled Cohort up to Year 5, which included all vaccinated subjects in the vaccination phase who came back for the Year 1, Year 2, Year 3 ,Year 4 and/or Year 5 persistence phases of the study.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects Reporting Serious Adverse Events (SAEs)Vaccination Phase (N=324, 109)4 Subjects
Menitorix GroupNumber of Subjects Reporting Serious Adverse Events (SAEs)Until year 5 (N=295, 100)0 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Serious Adverse Events (SAEs)Vaccination Phase (N=324, 109)2 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Serious Adverse Events (SAEs)Until year 5 (N=295, 100)0 Subjects
Secondary

Number of Subjects Reporting Solicited Local and General Symptoms

Solicited local symptoms assessed include pain, redness and swelling at the injection site. Solicited general symptoms assessed include drowsiness, fever (≥ 38°C), irritability and loss of appetite.

Time frame: Within 4 days (Day 0 -Day 3) after vaccination

Population: Analysis was performed on the Total Vaccinated Cohort, on vaccinated subjects with available data for the vaccination phase.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsSwelling78 Subjects
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsFever76 Subjects
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsRedness146 Subjects
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsIrritabily154 Subjects
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsDrowsiness102 Subjects
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsLoss of appetite102 Subjects
Menitorix GroupNumber of Subjects Reporting Solicited Local and General SymptomsPain91 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsLoss of appetite40 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsPain42 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsRedness64 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsSwelling41 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsDrowsiness40 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsFever30 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Solicited Local and General SymptomsIrritabily69 Subjects
Secondary

Number of Subjects Reporting Unsolicited Symptoms

Unsolicited symptom: Any adverse event (AE) reported in addition to those solicited during the clinical study. Also any solicited symptom with onset outside the specified period of follow-up for solicited symptoms will be reported as an unsolicited adverse event.

Time frame: Within 31 days (Day 0 - Day 30) after vaccination

Population: Analysis was performed on the Total Vaccinated Cohort, on vaccinated subjects with available data for the vaccination phase.

ArmMeasureValue (NUMBER)
Menitorix GroupNumber of Subjects Reporting Unsolicited Symptoms217 Subjects
Meningitec + Hiberix GroupNumber of Subjects Reporting Unsolicited Symptoms81 Subjects
Secondary

Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values

Anti-PRP antibody concentration cut-off values assessed include 0.15 µg/mL (indicative of short-term protection) and 1.0 µg/mL (indicative of long-term protection).

Time frame: Prior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity (prior to and 1 month after vaccination) and the ATP cohort for analysis of persistence for Year 1, 2, 3 and 4 (1, 2, 3 and 4 years after vaccination), on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [3 years post-vaccination] (N=233,78)231 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [1 month post-vaccination] (N=292,100)286 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [2 years post-vaccination] (N=237,84)235 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [1 year post-vaccination] (N=255,91)209 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [4 years post-vaccination] (N=204,73)202 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [2 years post-vaccination] (N=237,84)174 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [1 year post-vaccination] (N=255,91)252 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [3 years post-vaccination] (N=233,78)164 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [Prior to vaccination] (N=285,98)77 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [4 years post-vaccination] (N=204,73)144 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [Prior to vaccination] (N=285,98)219 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [4 years post-vaccination] (N=204,73)57 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [Prior to vaccination] (N=285,98)82 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [1 year post-vaccination] (N=255,91)91 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [2 years post-vaccination] (N=237,84)84 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [3 years post-vaccination] (N=233,78)77 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [4 years post-vaccination] (N=204,73)73 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [Prior to vaccination] (N=285,98)22 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [1 month post-vaccination] (N=292,100)100 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [1 year post-vaccination] (N=255,91)80 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [2 years post-vaccination] (N=237,84)72 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [3 years post-vaccination] (N=233,78)64 Subjects
Secondary

Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values

Anti-PRP antibody concentration cut-off values assessed include 0.15 µg/mL (indicative of short-term protection) and 1.0 µg/mL (indicative of long-term protection).

Time frame: 5 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of persistence for Year 5, on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [5 years post-vaccination]191 Subjects
Menitorix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [5 years post-vaccination]129 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 0.15 µg/mL [5 years post-vaccination]67 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values≥ 1.0 µg/mL [5 years post-vaccination]47 Subjects
Secondary

Number of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values

Anti-PSC antibody concentration cut-off values assessed include greater than or equal to (≥) 0.30 µg/mL and ≥ 2.0 µg/mL.

Time frame: Prior to, 1 month, 1 year, 2 years and 3 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity (prior to and 1 month after vaccination) and the ATP cohort for analysis of persistence for Year 1, 2, 3 (1, 2, 3 years after vaccination), on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [prior to vaccination] (N=283, 96)2 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [1 month post-vaccination] (N=290,100)290 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [1 year post-vaccination] (N=250, 91)95 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [2 years post-vaccination] (N=233,84)47 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [3 years post-vaccination] (N=230,79)24 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [prior to vaccination] (N=283, 96)0 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [1 month post-vaccination] (N=290,100)289 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [1 year post-vaccination] (N=250, 91)6 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [2 years post-vaccination] (N=233,84)1 Subjects
Menitorix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [3 years post-vaccination] (N=230,79)1 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [1 year post-vaccination] (N=250, 91)0 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [prior to vaccination] (N=283, 96)1 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [prior to vaccination] (N=283, 96)0 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [1 month post-vaccination] (N=290,100)100 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [3 years post-vaccination] (N=230,79)1 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [1 year post-vaccination] (N=250, 91)33 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [1 month post-vaccination] (N=290,100)96 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [2 years post-vaccination] (N=233,84)17 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 2.0 µg/mL [2 years post-vaccination] (N=233,84)1 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Above the Cut-off Values≥ 0.3 µg/mL [3 years post-vaccination] (N=230,79)8 Subjects
Secondary

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values

rSBA-MenC titers cut-off values assessed were greater than or equal to (≥)1:8 (indicative of seroprotection) and 1:128 titers. For SBA testing at the PHE at Year 5, titres were expressed as the reciprocal of the last dilution resulting in at least 50% inhibition.

Time frame: 5 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of persistence for Year 5, on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [5 years after vaccination]37 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [5 years after vaccination ]12 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [5 years after vaccination]17 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [5 years after vaccination ]7 Subjects
Secondary

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values

rSBA-MenC titers cut-off values assessed were greater than or equal to (≥) 1:8 (indicative of seroprotection) and ≥ 1:128 titers. Functional anti-meningococcal serogroup C activity (SBA-MenC) was determined by a serum bactericidal test using rabbit complement. For SBA testing at a GlaxoSmithKline (GSK) laboratory up to Year 3 after vaccination, titres were expressed as the reciprocal of the dilution resulting in 50% inhibition. For SBA testing at the Public Health England (PHE), formerly known as Health Protection Agency (HPA), at Year 4, titres were expressed as the reciprocal of the last dilution resulting in at least 50% inhibition.

Time frame: Prior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity (prior to and 1 month after vaccination) and the ATP cohort for analysis of persistence for Year 1, 2, 3 and 4 (1, 2, 3 and 4 years after vaccination), on subjects with available data for at least one tested antigen at the considered time point.

ArmMeasureGroupValue (NUMBER)
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [3 years after vaccination] (N= 226, 77)145 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [1 month after vaccination] (N=281, 98)247 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [2 years after vaccination] (N= 235, 86)164 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [1 year after vaccination] (N=249, 89)117 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [4 years after vaccination] (N= 208, 73)26 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [2 years after vaccination] (N= 235, 86)76 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [1 year after vaccination] (N=249, 89)216 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [3 years after vaccination] (N= 226, 77)58 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [Prior to vaccination] (N=255, 83)15 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [4 years after vaccination] (N= 208, 73)7 Subjects
Menitorix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [Prior to vaccination] (N=255, 83)37 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [4 years after vaccination] (N= 208, 73)4 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [Prior to vaccination] (N=255, 83)7 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [1 year after vaccination] (N=249, 89)68 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [2 years after vaccination] (N= 235, 86)52 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [3 years after vaccination] (N= 226, 77)41 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:8 [4 years after vaccination] (N= 208, 73)9 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [Prior to vaccination] (N=255, 83)3 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [1 month after vaccination] (N=281, 98)89 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [1 year after vaccination] (N=249, 89)37 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [2 years after vaccination] (N= 235, 86)26 Subjects
Meningitec + Hiberix GroupNumber of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values≥ 1:128 [3 years after vaccination] (N= 226, 77)22 Subjects

Source: ClinicalTrials.gov · Data processed: Mar 24, 2026