Acellular Pertussis, Diphtheria, Tetanus
Conditions
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
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies | At Month 1 | 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). |
| Number of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies | At Month 1 | 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). |
| Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | At Month 1 | Concentrations 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) Antibodies | At Month 1 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | During the 15-day period (Day 0-14) following vaccination | 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. |
| Number of Subjects With Any Unsolicited Adverse Events (AEs) | During the 31-day period (Days 0-30) following vaccination | 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. |
| 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) Antibodies | At Month 1 | 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). |
| Number of Subjects Reporting Hospitalizations | During 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 Visits | During 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 Illnesses | During 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 1 | 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. |
| Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations | At Month 1 | Concentrations 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 Symptoms | During the 15-day period (Day 0-14) following vaccination | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 2,284 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 39 | 24 |
| Overall Study | Serious Adverse Event | 2 | 0 |
Baseline characteristics
| Characteristic | Adacel Group | Total | Boostrix Group |
|---|---|---|---|
| Age, Continuous | 40.1 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 Participants | 187 Participants | 126 Participants |
| Race/Ethnicity, Customized Geographic ancestry American Indian or Alaskan native | 5 Participants | 11 Participants | 6 Participants |
| Race/Ethnicity, Customized Geographic ancestry Asian - Central/South Asian heritage | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Geographic ancestry Asian - East Asian heritage | 1 Participants | 3 Participants | 2 Participants |
| Race/Ethnicity, Customized Geographic ancestry Asian - Japanese heritage | 0 Participants | 3 Participants | 3 Participants |
| Race/Ethnicity, Customized Geographic ancestry Asian - South East Asian heritage | 3 Participants | 9 Participants | 6 Participants |
| Race/Ethnicity, Customized Geographic ancestry Native Hawaiian or other Pacific islander | 3 Participants | 9 Participants | 6 Participants |
| Race/Ethnicity, Customized Geographic ancestry Not specified | 41 Participants | 113 Participants | 72 Participants |
| Race/Ethnicity, Customized Geographic ancestry White - Arabic/North African heritage | 13 Participants | 32 Participants | 19 Participants |
| Race/Ethnicity, Customized Geographic ancestry White - Caucasian/European heritage | 635 Participants | 1916 Participants | 1281 Participants |
| Sex: Female, Male Female | 479 Participants | 1425 Participants | 946 Participants |
| Sex: Female, Male Male | 283 Participants | 859 Participants | 576 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 1 / 1,522 | 1 / 762 |
| other Total, other adverse events | 1,108 / 1,522 | 595 / 762 |
| serious Total, serious adverse events | 21 / 1,522 | 13 / 762 |
Outcome results
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.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Boostrix Group | Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | Anti-PT | 63.6 EL.U/mL |
| Boostrix Group | Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | Anti-FHA | 624.4 EL.U/mL |
| Boostrix Group | Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | Anti-PRN | 401.0 EL.U/mL |
| Adacel Group | Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | Anti-PRN | 351.9 EL.U/mL |
| Adacel Group | Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | Anti-PT | 32.2 EL.U/mL |
| Adacel Group | Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations | Anti-FHA | 368.4 EL.U/mL |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies | 1420 Participants |
| Adacel Group | Number of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies | 723 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Boostrix Group | Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies | Anti-D | 1418 Participants |
| Boostrix Group | Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies | Anti-T | 1439 Participants |
| Adacel Group | Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies | Anti-D | 717 Participants |
| Adacel Group | Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies | Anti-T | 728 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Boostrix Group | Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies | Anti-PT | 1095 Participants |
| Boostrix Group | Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies | Anti-FHA | 1388 Participants |
| Boostrix Group | Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies | Anti-PRN | 1343 Participants |
| Adacel Group | Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies | Anti-PT | 338 Participants |
| Adacel Group | Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies | Anti-FHA | 671 Participants |
| Adacel Group | Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies | Anti-PRN | 665 Participants |
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.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Boostrix Group | Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations | Anti-D | 4.7 EL.U/mL |
| Boostrix Group | Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations | Anti-T | 8.5 EL.U/mL |
| Adacel Group | Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations | Anti-D | 5.0 EL.U/mL |
| Adacel Group | Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations | Anti-T | 13.3 EL.U/mL |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Seropositive Subjects With Anti-diphteria (Anti-D) Antibodies | 1269 Participants |
| Adacel Group | Number of Seropositive Subjects With Anti-diphteria (Anti-D) Antibodies | 669 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Subjects Reporting Emergency Room Visits | 13 Participants |
| Adacel Group | Number of Subjects Reporting Emergency Room Visits | 6 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Subjects Reporting Hospitalizations | 13 Participants |
| Adacel Group | Number of Subjects Reporting Hospitalizations | 10 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Subjects Reporting the Onset of New Chronic Illnesses | 2 Participants |
| Adacel Group | Number of Subjects Reporting the Onset of New Chronic Illnesses | 3 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Boostrix Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Pain, Any | 903 Participants |
| Boostrix Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Pain, Grade 3 | 24 Participants |
| Boostrix Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Redness, Any | 313 Participants |
| Boostrix Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Redness, ≥ 50 mm | 23 Participants |
| Boostrix Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Swelling, Any | 260 Participants |
| Boostrix Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Swelling, ≥ 50 mm | 21 Participants |
| Adacel Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Swelling, Any | 190 Participants |
| Adacel Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Pain, Any | 513 Participants |
| Adacel Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Redness, ≥ 50 mm | 17 Participants |
| Adacel Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Pain, Grade 3 | 17 Participants |
| Adacel Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Swelling, ≥ 50 mm | 21 Participants |
| Adacel Group | Number of Subjects With Any and Grade 3 Solicited Local Symptoms | Redness, Any | 201 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fatigue, Related | 251 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Gastro sympt., Any | 235 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fever (orally), ≥37.5 °C | 82 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Gastro sympt., Grade 3 | 18 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fatigue, Grade 3 | 37 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Gastro sympt., Related | 125 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fever (orally), ≥39 °C | 1 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Headache, Any | 445 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fatigue, Any | 416 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Headache, Grade 3 | 32 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fever, Related | 40 Participants |
| Boostrix Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Headache, Related | 245 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Headache, Related | 143 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fatigue, Any | 214 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fatigue, Grade 3 | 9 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fatigue, Related | 151 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fever (orally), ≥37.5 °C | 59 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fever (orally), ≥39 °C | 3 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Fever, Related | 28 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Gastro sympt., Any | 130 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Gastro sympt., Grade 3 | 10 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Gastro sympt., Related | 67 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Headache, Any | 230 Participants |
| Adacel Group | Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms | Headache, Grade 3 | 11 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Subjects With Any Unsolicited Adverse Events (AEs) | 271 Participants |
| Adacel Group | Number of Subjects With Any Unsolicited Adverse Events (AEs) | 169 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Boostrix Group | Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) | Anti-D | 1116 Participants |
| Boostrix Group | Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) | Anti-T | 704 Participants |
| Adacel Group | Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) | Anti-D | 566 Participants |
| Adacel Group | Number of Subjects With Booster Responses for Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) | Anti-T | 441 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Subjects With Serious Adverse Events (SAEs) | 12 Participants |
| Adacel Group | Number of Subjects With Serious Adverse Events (SAEs) | 11 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Boostrix Group | Number of Subjects With Serious Adverse Events (SAEs). | 9 Participants |
| Adacel Group | Number of Subjects With Serious Adverse Events (SAEs). | 2 Participants |