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Safety and Immunogenicity of GSK's Tdap Vaccine (Boostrix) in Adults Aged 19 to 64 Years

A Study to Evaluate Immunogenicity and Safety of Boostrix Compared to Adacel When Administered as a Booster Vaccination in Adults Aged 19 to 64 Years of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00346073
Enrollment
2337
Registered
2006-06-29
Start date
2006-07-13
Completion date
2007-03-07
Last updated
2018-08-07

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

Conditions

Acellular Pertussis, Diphtheria, Tetanus

Keywords

Prophylaxis for diphtheria, tetanus, pertussis, Immunogenicity, booster, dTpa

Brief summary

GSK Biologicals' dTpa vaccine has recently been approved by the US Food and Drug Administration (FDA) for booster vaccination of adolescents aged 10 to 18 years. The ACIP has recently issued provisional recommendations for universal adult Tdap vaccination. The current study will provide pivotal data in support of extending the age range for Boostrix vaccine to include adults 19-64 years of age.

Interventions

BIOLOGICALBoostrix™

Combined Reduced Antigen Content Diphtheria, Tetanus, Acellular Pertussis Vaccine

BIOLOGICALADACEL®

Sanofi Pasteur

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
19 Years to 64 Years
Healthy volunteers
Yes

Inclusion criteria

* A healthy male or female, 19 to 64 years of age (not having reached the 65th birthday) at the time of study vaccination.

Exclusion criteria

* Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding administration of study vaccine, or planned use during the active phase of the study. * Chronic administration of immunosuppressants or within six months prior to administration of study vaccine. * Planned administration/ administration of a vaccine not foreseen by the study protocol within 30 days of administration of study vaccine (with the exception of an influenza vaccine). * Administration of a diphtheria-tetanus (Td) booster within previous five years. * Administration of Tdap vaccine at any time prior to study entry. History of serious allergic reaction (e.g. anaphylaxis) following any other tetanus toxoid, diphtheria toxoid or pertussis-containing vaccine or any component of the study vaccines.

Design outcomes

Primary

MeasureTime frameDescription
Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) AntibodiesAt Month 1A seroprotected subject is defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to ( ≥) 0.1 international units per milliliter (IU/mL).
Number of Seropositive Subjects With Anti-tetanus (Anti-T) AntibodiesAt Month 1A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to 1.0 international units per milliliter (IU/mL).
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAt Month 1Concentrations are presented as geometric mean concentrations (GMCs) and expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAt Month 1Booster responses for anti-PT, anti-FHA and anti-PRN antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (\<) 5 EU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥) 20 EU/mL), one month after vaccination; for initially seropositive subjects with pre-vaccination concentration ≥ 5 EU/mL and \< 20 EU/mL: an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination; and for initially seropositive subjects with pre-vaccination concentration ≥ 20 EU/mL: an increase in antibody concentrations of at least two times the pre-vaccination concentration, one month after vaccination.

Secondary

MeasureTime frameDescription
Number of Subjects With Any, Grade 3 and Related Solicited General SymptomsDuring the 15-day period (Day 0-14) following vaccinationAssessed solicited general symptoms were fatigue, fever \[defined as temperature measured orally, greater than or equal to (≥) 37.5 degrees Celsius (°C)\], gastrointestinal symptoms \[gastro sympt.\] and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.
Number of Subjects With Any Unsolicited Adverse Events (AEs)During the 31-day period (Days 0-30) following vaccinationAn 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. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Number of Subjects With Serious Adverse Events (SAEs).During the active phase of the study (Day 0 - Day 30)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.
Number of Seropositive Subjects With Anti-diphteria (Anti-D) AntibodiesAt Month 1A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to (≥) 1.0 international units per milliliter (IU/mL).
Number of Subjects Reporting HospitalizationsDuring the extended safety follow-up (ESFU) period (from Day 31 to Month 6)Hospitalization signified that the subject had been detained (usually involving at least an overnight stay) at the hospital or emergency ward for observation and/or treatment that would not have been appropriate in the physician's office or out patient setting.
Number of Subjects Reporting Emergency Room VisitsDuring the extended safety follow-up (ESFU) period (from Day 31 to Month 6)Emergency room visits refer to AEs requiring immediate medical attention.
Number of Subjects Reporting the Onset of New Chronic IllnessesDuring the extended safety follow-up (ESFU) period (from Day 31 to Month 6)New onset chronic illnesses include diabetes, asthma, allergies, autoimmune diseases.
Number of Subjects With Serious Adverse Events (SAEs)During the extended safety follow-up (ESFU) phase (Day 31 - Month 6)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.
Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)At Month 1Booster responses for anti-D and anti-T antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (\<) 0.1 IU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥ 0.4 IU/mL), one month after vaccination; and for initially seropositive subjects (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination.
Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody ConcentrationsAt Month 1Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
Number of Subjects With Any and Grade 3 Solicited Local SymptomsDuring the 15-day period (Day 0-14) following vaccinationAssessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

Countries

United States

Participant flow

Pre-assignment details

A total of 2337 subjects were enrolled into the study. Of these, 53 subjects were allocated subject numbers, but did not receive study vaccination.

Participants by arm

ArmCount
Boostrix Group
Subjects, male or female, between, and including, 19 and 64 years of age received a single dose of Boostrix® vaccine administered intramuscularly in the deltoid region of the non-dominant upper arm at Day 0.
1,522
Adacel Group
Subjects, male or female, between, and including, 19 and 64 years of age received a single dose of Adacel™ vaccine administered intramuscularly in the deltoid region of the non-dominant upper arm at Day 0.
762
Total2,284

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up3924
Overall StudySerious Adverse Event20

Baseline characteristics

CharacteristicAdacel GroupTotalBoostrix Group
Age, Continuous40.1 Years
STANDARD_DEVIATION 13.51
39.97 Years
STANDARD_DEVIATION 13.59
39.9 Years
STANDARD_DEVIATION 13.64
Race/Ethnicity, Customized
Geographic ancestry
African heritage/African American
61 Participants187 Participants126 Participants
Race/Ethnicity, Customized
Geographic ancestry
American Indian or Alaskan native
5 Participants11 Participants6 Participants
Race/Ethnicity, Customized
Geographic ancestry
Asian - Central/South Asian heritage
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Geographic ancestry
Asian - East Asian heritage
1 Participants3 Participants2 Participants
Race/Ethnicity, Customized
Geographic ancestry
Asian - Japanese heritage
0 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Geographic ancestry
Asian - South East Asian heritage
3 Participants9 Participants6 Participants
Race/Ethnicity, Customized
Geographic ancestry
Native Hawaiian or other Pacific islander
3 Participants9 Participants6 Participants
Race/Ethnicity, Customized
Geographic ancestry
Not specified
41 Participants113 Participants72 Participants
Race/Ethnicity, Customized
Geographic ancestry
White - Arabic/North African heritage
13 Participants32 Participants19 Participants
Race/Ethnicity, Customized
Geographic ancestry
White - Caucasian/European heritage
635 Participants1916 Participants1281 Participants
Sex: Female, Male
Female
479 Participants1425 Participants946 Participants
Sex: Female, Male
Male
283 Participants859 Participants576 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 1,5221 / 762
other
Total, other adverse events
1,108 / 1,522595 / 762
serious
Total, serious adverse events
21 / 1,52213 / 762

Outcome results

Primary

Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs) and expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available. The primary outcome results only refer to subjects who received a Boostrix vaccination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Boostrix GroupAnti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAnti-PT63.6 EL.U/mL
Boostrix GroupAnti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAnti-FHA624.4 EL.U/mL
Boostrix GroupAnti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAnti-PRN401.0 EL.U/mL
Adacel GroupAnti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAnti-PRN351.9 EL.U/mL
Adacel GroupAnti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAnti-PT32.2 EL.U/mL
Adacel GroupAnti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody ConcentrationsAnti-FHA368.4 EL.U/mL
Primary

Number of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies

A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to 1.0 international units per milliliter (IU/mL).

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies1420 Participants
Adacel GroupNumber of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies723 Participants
Comparison: The non-inferiority of Boostrix® vaccine compared to Adacel™ vaccine, with respect to the percentage of subjects with anti-tetanus (anti-T) antibody concentrations greater than or equal to (≥) 1.0 IU/mL, one month after vaccination.95% CI: [-1.97, 0]
Primary

Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies

A seroprotected subject is defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to ( ≥) 0.1 international units per milliliter (IU/mL).

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) AntibodiesAnti-D1418 Participants
Boostrix GroupNumber of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) AntibodiesAnti-T1439 Participants
Adacel GroupNumber of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) AntibodiesAnti-D717 Participants
Adacel GroupNumber of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) AntibodiesAnti-T728 Participants
Comparison: The non-inferiority of Boostrix® vaccine compared to Adacel™ vaccine, with respect to the percentage of subjects with anti-diphtheria (anti-D) antibody concentrations greater than or equal to (≥) 0.1 IU/mL, one month after vaccination.95% CI: [-1.47, 0.84]
Comparison: The non-inferiority of Boostrix® vaccine compared to Adacel™ vaccine, with respect to the percentage of subjects with anti-tetanus (anti-T) antibody concentrations greater than or equal to (≥) 0.1 IU/mL, one month after vaccination.95% CI: [-0.9, 0.11]
Primary

Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies

Booster responses for anti-PT, anti-FHA and anti-PRN antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (\<) 5 EU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥) 20 EU/mL), one month after vaccination; for initially seropositive subjects with pre-vaccination concentration ≥ 5 EU/mL and \< 20 EU/mL: an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination; and for initially seropositive subjects with pre-vaccination concentration ≥ 20 EU/mL: an increase in antibody concentrations of at least two times the pre-vaccination concentration, one month after vaccination.

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available. The primary outcome results only refer to subjects who received a Boostrix vaccination.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAnti-PT1095 Participants
Boostrix GroupNumber of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAnti-FHA1388 Participants
Boostrix GroupNumber of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAnti-PRN1343 Participants
Adacel GroupNumber of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAnti-PT338 Participants
Adacel GroupNumber of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAnti-FHA671 Participants
Adacel GroupNumber of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) AntibodiesAnti-PRN665 Participants
Comparison: Demonstration that anti-PT booster response occurred in at least 80% of adults receiving a single dose of Boostrix® vaccine, one month after vaccination.~Criterion for evaluation: one month after vaccination, the lower limit of the 95% confidence interval (CI) for the percentage of subjects with a booster response was greater than or equal to (≥) 80%.95% CI: [74.9, 79.3]
Comparison: Demonstration that anti-FHA booster response occurred in at least 80% of adults receiving a single dose of Boostrix® vaccine, one month after vaccination.~Criterion for evaluation: one month after vaccination, the lower limit of the 95% confidence interval (CI) for the percentage of subjects with a booster response was greater than or equal to (≥) 80%.95% CI: [95.8, 97.7]
Comparison: Demonstration that anti-PRN booster response occurred in at least 80% of adults receiving a single dose of Boostrix® vaccine, one month after vaccination.~Criterion for evaluation: one month after vaccination, the lower limit of the 95% confidence interval (CI) for the percentage of subjects with a booster response was greater than or equal to (≥) 80%.95% CI: [91.8, 94.4]
Secondary

Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Boostrix GroupAnti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody ConcentrationsAnti-D4.7 EL.U/mL
Boostrix GroupAnti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody ConcentrationsAnti-T8.5 EL.U/mL
Adacel GroupAnti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody ConcentrationsAnti-D5.0 EL.U/mL
Adacel GroupAnti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody ConcentrationsAnti-T13.3 EL.U/mL
Secondary

Number of Seropositive Subjects With Anti-diphteria (Anti-D) Antibodies

A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to (≥) 1.0 international units per milliliter (IU/mL).

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Seropositive Subjects With Anti-diphteria (Anti-D) Antibodies1269 Participants
Adacel GroupNumber of Seropositive Subjects With Anti-diphteria (Anti-D) Antibodies669 Participants
Secondary

Number of Subjects Reporting Emergency Room Visits

Emergency room visits refer to AEs requiring immediate medical attention.

Time frame: During the extended safety follow-up (ESFU) period (from Day 31 to Month 6)

Population: The analysis was performed on the Extended Safety Follow Up (ESFU) cohort, which included all the subjects for whom the ESFU contact was completed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects Reporting Emergency Room Visits13 Participants
Adacel GroupNumber of Subjects Reporting Emergency Room Visits6 Participants
Secondary

Number of Subjects Reporting Hospitalizations

Hospitalization signified that the subject had been detained (usually involving at least an overnight stay) at the hospital or emergency ward for observation and/or treatment that would not have been appropriate in the physician's office or out patient setting.

Time frame: During the extended safety follow-up (ESFU) period (from Day 31 to Month 6)

Population: The analysis was performed on the Extended Safety Follow Up (ESFU) cohort, which included all the subjects for whom the ESFU contact was completed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects Reporting Hospitalizations13 Participants
Adacel GroupNumber of Subjects Reporting Hospitalizations10 Participants
Secondary

Number of Subjects Reporting the Onset of New Chronic Illnesses

New onset chronic illnesses include diabetes, asthma, allergies, autoimmune diseases.

Time frame: During the extended safety follow-up (ESFU) period (from Day 31 to Month 6)

Population: The analysis was performed on the Extended Safety Follow Up (ESFU) cohort, which included all the subjects for whom the ESFU contact was completed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects Reporting the Onset of New Chronic Illnesses2 Participants
Adacel GroupNumber of Subjects Reporting the Onset of New Chronic Illnesses3 Participants
Secondary

Number of Subjects With Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

Time frame: During the 15-day period (Day 0-14) following vaccination

Population: The analysis was performed on the Total Vaccinated Cohort, which included all subjects with at least one vaccine administration documented and with the symptom sheet filled in.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsPain, Any903 Participants
Boostrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsPain, Grade 324 Participants
Boostrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsRedness, Any313 Participants
Boostrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsRedness, ≥ 50 mm23 Participants
Boostrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsSwelling, Any260 Participants
Boostrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsSwelling, ≥ 50 mm21 Participants
Adacel GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsSwelling, Any190 Participants
Adacel GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsPain, Any513 Participants
Adacel GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsRedness, ≥ 50 mm17 Participants
Adacel GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsPain, Grade 317 Participants
Adacel GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsSwelling, ≥ 50 mm21 Participants
Adacel GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsRedness, Any201 Participants
Secondary

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

Assessed solicited general symptoms were fatigue, fever \[defined as temperature measured orally, greater than or equal to (≥) 37.5 degrees Celsius (°C)\], gastrointestinal symptoms \[gastro sympt.\] and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

Time frame: During the 15-day period (Day 0-14) following vaccination

Population: The analysis was performed on the Total Vaccinated Cohort, which included all subjects with at least one vaccine administration documented and with the symptom sheet filled in.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFatigue, Related251 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGastro sympt., Any235 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFever (orally), ≥37.5 °C82 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGastro sympt., Grade 318 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFatigue, Grade 337 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGastro sympt., Related125 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFever (orally), ≥39 °C1 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsHeadache, Any445 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFatigue, Any416 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsHeadache, Grade 332 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFever, Related40 Participants
Boostrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsHeadache, Related245 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsHeadache, Related143 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFatigue, Any214 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFatigue, Grade 39 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFatigue, Related151 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFever (orally), ≥37.5 °C59 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFever (orally), ≥39 °C3 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsFever, Related28 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGastro sympt., Any130 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGastro sympt., Grade 310 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGastro sympt., Related67 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsHeadache, Any230 Participants
Adacel GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsHeadache, Grade 311 Participants
Secondary

Number of Subjects With Any Unsolicited Adverse Events (AEs)

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. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

Time frame: During the 31-day period (Days 0-30) following vaccination

Population: The analysis was performed on the Total Vaccinated Cohort, which included all subjects with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)271 Participants
Adacel GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)169 Participants
Secondary

Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)

Booster responses for anti-D and anti-T antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (\<) 0.1 IU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥ 0.4 IU/mL), one month after vaccination; and for initially seropositive subjects (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination.

Time frame: At Month 1

Population: The analysis was performed on the According-To-Protocol cohort for immunogenicity, which included all evaluable subjects who met all eligibility criteria, who complied with the protocol requirements and for whom immunogenicity measures were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)Anti-D1116 Participants
Boostrix GroupNumber of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)Anti-T704 Participants
Adacel GroupNumber of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)Anti-D566 Participants
Adacel GroupNumber of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T)Anti-T441 Participants
Secondary

Number of Subjects With Serious Adverse Events (SAEs)

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 extended safety follow-up (ESFU) phase (Day 31 - Month 6)

Population: The analysis was performed on the Extended Safety Follow Up (ESFU) cohort, which included all the subjects for whom the ESFU contact was completed. Two subjects were not contacted after the active phase of study, but had SAEs reported in the ESFU period.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Serious Adverse Events (SAEs)12 Participants
Adacel GroupNumber of Subjects With Serious Adverse Events (SAEs)11 Participants
Secondary

Number of Subjects With Serious Adverse Events (SAEs).

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 active phase of the study (Day 0 - Day 30)

Population: The analysis was performed on the Total Vaccinated Cohort, which included all subjects with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Boostrix GroupNumber of Subjects With Serious Adverse Events (SAEs).9 Participants
Adacel GroupNumber of Subjects With Serious Adverse Events (SAEs).2 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026