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Co-administration of Meningococcal Vaccine GSK134612 and Pneumococcal Vaccine GSK1024850A vs Individual Administration

Immunogenicity & Safety Study of GSK Biologicals' Meningococcal Vaccine GSK134612 When Co-administered With GSK Biologicals' Pneumococcal Vaccine GSK1024850A in Healthy 12-23-month-old Children Previously Primed With GSK1024850A

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00758264
Enrollment
363
Registered
2008-09-25
Start date
2008-10-30
Completion date
2009-11-02
Last updated
2018-05-09

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

Conditions

Infections, Meningococcal

Keywords

Safety, Routine infancy vaccination, Meningococcal vaccine, Immunogenicity, Pneumococcal vaccine

Brief summary

The purpose of this study is to demonstrate, in 12-23 months old subjects, the non-inferiority of meningococcal vaccine GSK134612 and pneumococcal vaccine GSK1024850A when co-administered, compared to each vaccine administered individually.

Detailed description

Multi-center study with 3 parallel groups. One group will receive 2 vaccines injections at the same visit (pneumococcal+ meningococcal), one group will receive a pneumococcal vaccine followed one month later by a meningococcal vaccine, and the last group will receive the meningococcal vaccine followed one month later by the pneumococcal vaccine. All subjects will have one blood sample taken before vaccination and one blood sample taken one month after each vaccination (i.e. the first group will have 2 blood samples taken, and the other two groups will have 3 blood sample taken)

Interventions

Single dose intramuscular injection.

Single dose intramuscular injection.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Months to 23 Months
Healthy volunteers
Yes

Inclusion criteria

* Subjects who 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 23 months of age at the time of the first booster vaccination, who previously participated in study 109661 conducted in Mexico or in study 109861 conducted in Taiwan and who received 3 doses of the GSK1024850A vaccine. * Written informed consent obtained from the parent or guardian of the subject. * Healthy subjects as established by medical history and clinical examination before entering into the study.

Exclusion criteria

* Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first dose of study vaccine(s), or planned use during the study period. * Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose. * Planned administration/ administration of a vaccine not foreseen by the study protocol within 30 days before the first dose of vaccine(s) and 30 days after the last dose of vaccine(s). * Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product (pharmaceutical product or device). * Previous vaccination with a meningococcal vaccine. * Previous administration of a fourth dose of a pneumococcal vaccine * Previous vaccination with tetanus toxoid within the last month (including also tetanus toxoid given as part of Hib-TT conjugate vaccine). * History of meningococcal or pneumococcal invasive disease. * History of reactions or allergic disease likely to be exacerbated by any component of the vaccines. * Hypersensitivity reaction due to previous vaccination with GSK1024850A vaccine. * History of seizures (this criterion does not apply to subjects who have had a single, uncomplicated febrile convulsion in the past) or progressive neurological disease. * Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection, based on medical history and physical examination (no laboratory testing required). * A family history of congenital or hereditary immunodeficiency, unless the child has previously been documented, through laboratory testing, to have normal immune function. * Major congenital defects or serious chronic illness. * Acute disease at the time of enrolment. * Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period.

Design outcomes

Primary

MeasureTime frameDescription
Anti-pneumococcal Antibody ConcentrationsAt Month 1Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL). Anti-pneumococcal serotypes assessed were Anti-1, Anti-4, Anti-5, Anti-6B, Anti-7F, Anti-9V, Anti-14, Anti-18C, Anti-19F and Anti-23F via the 22F-inhibition Enzyme Linked Immunosorbent Assay (ELISA).
Number of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValueAt Month 1The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8.
rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersAt Month 1Antibody titers are presented as geometric mean titers (GMTs) and are measured in titers.

Secondary

MeasureTime frameDescription
Cross-reactive Anti-pneumococcal Antibody ConcentrationsBefore vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)Concentrations are presented as geometric mean concentrations (GMCs), expressed in µg/mL. The pneumococcal serotypes assessed were 6A and 19A (anti-6A and anti-19A) via the 22F-inhibition ELISA. GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
Opsonophagocytic Titers Against Pneumococcal SerotypesBefore vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)Opsonophagocytic titers are presented as geometric mean titers (GMTs). The pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (OPSONO-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F). GMTs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersBefore vaccination (PRE) and at one month post dose 2 (Month 2)Antibody titers are presented as geometric mean titers (GMTs) and measured in titers. GMTs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
Anti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsBefore vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL). GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
Anti-tetanus (Anti-T) Antibody ConcentrationsBefore vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)Concentrations are presented as geometric mean concentrations (GMCs), expressed in international units per milliliter (IU/mL). GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
Number of Subjects With Any and Grade 3 Solicited Local SymptomsWithin the 4-day (Days 0-3) post-vaccination period after each doseAssessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site.
Anti-pneumococcal Antibody ConcentrationsBefore vaccination (PRE) and at one month post dose 2 (Month 2)Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL). The pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) via 22F-inhibition ELISA. GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
Number of Subjects With Any Unsolicited Adverse Events (AEs)Within the 31-day (Day 0-30) post-vaccination period after each doseAn 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)Throughout the entire study duration (Day 0-Month 7)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 Reporting RashThroughout the entire study duration (Day 0-Month 7)Rash-like symptoms assessed were hives, idiopathic thrombocytopenic purpura, petechiae.
Number of Subjects With New Onset Chronic Illnesses (NOCIs)Throughout the entire study duration (Day 0-Month 7)NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.
Number of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) VisitsThroughout the entire study duration (Day 0-Month 7)Among AEs prompting emergency room visits were: infections, injuries, skin diseases, gastrointestinal symptoms.
Number of Subjects With Any, Grade 3 and Related Solicited General SymptomsWithin the 4-day (Days 0-3) post-vaccination period after each doseAssessed solicited general symptoms were drowsiness, irritability, loss of appetite and temperature \[defined as rectally temperature equal to or above (≥) 38.0 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade. Grade 3 drowsiness = drowsiness that prevented normal activities. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = fever higher than (\>) 40.0 °C. Related = symptom assessed by the investigator as related to the vaccination.
Opsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesBefore vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)Opsonophagocytic titers are presented as geometric mean titers (GMTs). The pneumococcal serotypes assessed were 6A and 19A (OPSONO-6A and OPSONO-19A). GMTs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.
Anti-protein D (Anti-PD) Antibody ConcentrationsBefore vaccination (PRE), at one month post dose 1(Month 1) and at one month post dose 2 (Month 2)Concentrations are presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL). GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Countries

Mexico, Taiwan

Participant flow

Pre-assignment details

3 subjects have not been contacted for the Extended Safety Follow Up phase, out of which 2 subjects have not been contacted due to lost to follow-up (1 subject in Nimenrix + Synflorix Group and 1 subject in Nimenrix Group) and 1 subject due to consent withdrawal (Synflorix Group).

Participants by arm

ArmCount
Nimenrix + Synflorix Group
Subjects aged 12 to 23 months, male or female, primed with Synflorix vaccine who received Nimenrix vaccine and Synflorix booster vaccine at Month 0. Both vaccines were administered intramuscularly, in the right thigh for the Nimenrix conjugate vaccine, in the left thigh for the Synflorix vaccine.
182
Nimenrix Group
Subjects aged 12 to 23 months, male or female, primed with Synflorix vaccine who received Nimenrix conjugate vaccine at Month 0 and Synflorix booster vaccine at Month 1. Both vaccines were administered intramuscularly, in the right thigh for the Nimenrix conjugate vaccine, in the left thigh for the Synflorix vaccine.
91
Synflorix Group
Subjects aged 12 to 23 months, male or female, primed with Synflorix vaccine who received Synflorix booster vaccine at Month 0 and Nimenrix conjugate vaccine at Month 1. Both vaccines were administered intramuscularly, in the right thigh for the Nimenrix conjugate vaccine, in the left thigh for the Synflorix vaccine.
90
Total363

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Active PhaseLost to Follow-up100
Active PhaseOther004
Active PhaseWithdrawal by Subject001

Baseline characteristics

CharacteristicNimenrix + Synflorix GroupNimenrix GroupSynflorix GroupTotal
Age, Continuous17.2 Months
STANDARD_DEVIATION 1.97
17.2 Months
STANDARD_DEVIATION 1.88
17.4 Months
STANDARD_DEVIATION 1.86
17.25 Months
STANDARD_DEVIATION 1.92
Race/Ethnicity, Customized
Asian - East Asian heritage
91 Participants45 Participants44 Participants180 Participants
Race/Ethnicity, Customized
Hispanic
91 Participants46 Participants46 Participants183 Participants
Sex: Female, Male
Female
83 Participants56 Participants47 Participants186 Participants
Sex: Female, Male
Male
99 Participants35 Participants43 Participants177 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 1820 / 910 / 90
other
Total, other adverse events
154 / 18281 / 9176 / 90
serious
Total, serious adverse events
6 / 1823 / 914 / 90

Outcome results

Primary

Anti-pneumococcal Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL). Anti-pneumococcal serotypes assessed were Anti-1, Anti-4, Anti-5, Anti-6B, Anti-7F, Anti-9V, Anti-14, Anti-18C, Anti-19F and Anti-23F via the 22F-inhibition Enzyme Linked Immunosorbent Assay (ELISA).

Time frame: At Month 1

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available. The primary outcome concerns the Nimenrix + Synflorix Group and the Synflorix Group.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-13.43 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-46.86 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-54.97 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B2.91 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F5.32 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V4.70 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-148.89 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C9.81 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F19.16 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F4.46 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F1.39 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-10.33 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V0.79 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F0.88 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-40.52 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F0.59 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C0.73 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-50.54 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-141.16 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B0.53 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C19.48 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B3.14 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F5.10 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V4.74 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F20.79 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-149.00 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-13.60 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F3.79 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-46.98 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-55.07 μg/mL
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 1 antibody concentrations.95% CI: [0.72, 1.05]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 4 antibody concentrations.95% CI: [0.84, 1.26]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 5 antibody concentrations.95% CI: [0.74, 1.1]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 6B antibody concentrations.95% CI: [0.66, 1.07]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 7F antibody concentrations.95% CI: [0.84, 1.2]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 9V antibody concentrations.95% CI: [0.78, 1.14]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 14 antibody concentrations.95% CI: [0.78, 1.23]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 18C antibody concentrations.95% CI: [0.41, 0.67]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 19F antibody concentrations.95% CI: [0.68, 1.08]
Comparison: Demonstration of non-inferiority of Synflorix vaccine when co-administered with Nimenrix conjugate vaccine versus Synflorix vaccine given alone (Nimenrix conjugate vaccine was administered 1 month later) in terms of anti-pneumococcal serotype 23F antibody concentrations.95% CI: [0.83, 1.38]
Primary

Number of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off Value

The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8.

Time frame: At Month 1

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available. The primary outcome concerns the Nimenrix + Synflorix Group and the Nimenrix Group.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenA173 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenC173 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenW-135174 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenY173 Participants
Nimenrix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenY80 Participants
Nimenrix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenA78 Participants
Nimenrix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenW-13579 Participants
Nimenrix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenC79 Participants
Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenY48 Participants
Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenC9 Participants
Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenW-13540 Participants
Synflorix GroupNumber of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off ValuerSBA-MenA23 Participants
Comparison: Demonstration of non-inferiority of Nimenrix conjugate vaccine when co-administered with Synflorix vaccine versus Nimenrix conjugate vaccine given alone (Synflorix vaccine was administered 1 month later) in terms of serum bactericidal assay using rabbit complement against Neisseria meningitides serogroup A (rSBA-MenA).95% CI: [-1.09, 8.15]
Comparison: Demonstration of non-inferiority of Nimenrix conjugate vaccine when co-administered with Synflorix vaccine versus Nimenrix conjugate vaccine given alone (Synflorix vaccine was administered 1 month later) in terms of serum bactericidal assay using rabbit complement against Neisseria meningitides serogroup C (rSBA-MenC).95% CI: [-2.11, 6.22]
Comparison: Demonstration of non-inferiority of Nimenrix conjugate vaccine when co-administered with Synflorix vaccine versus Nimenrix conjugate vaccine given alone (Synflorix vaccine was administered 1 month later) in terms of serum bactericidal assay using rabbit complement against Neisseria meningitides serogroup W-135 (rSBA-MenW-135).95% CI: [-0.94, 6.76]
Comparison: Demonstration of non-inferiority of Nimenrix conjugate vaccine when co-administered with Synflorix vaccine versus Nimenrix conjugate vaccine given alone (Synflorix vaccine was administered 1 month later) in terms of serum bactericidal assay using rabbit complement against Neisseria meningitides serogroup Y (rSBA-MenY).95% CI: [-2.18, 4.6]
Primary

rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody Titers

Antibody titers are presented as geometric mean titers (GMTs) and are measured in titers.

Time frame: At Month 1

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available. The primary outcome concerns the Nimenrix + Synflorix Group and the Nimenrix Group.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenW- 13511731.0 Titers
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenA6673.7 Titers
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenY6797.8 Titers
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenC2496.6 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenW- 1358407.7 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenC2044.0 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenA5016.6 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenY5606.2 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenC6.4 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenA23.5 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenY68.4 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-Men-Y Antibody TitersrSBA-MenW- 13535.8 Titers
Secondary

Anti-meningococcal Polysaccharide (Anti-PS) Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL). GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, PRE0.18 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, M156.44 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, PRE0.16 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, M124.11 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, PRE0.15 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, M112.11 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, PRE0.15 μg/mL
Nimenrix + Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, M112.03 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, M111.68 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, M124.54 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, M211.38 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, M110.78 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, M210.22 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, PRE0.17 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, PRE0.16 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, PRE0.17 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, M141.94 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, PRE0.15 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, M218.88 μg/mL
Nimenrix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, M211.56 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, M219.80 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, PRE0.16 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, M28.47 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, M10.16 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSC, M29.62 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, PRE0.15 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, M10.15 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, M10.15 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSW-135, M26.75 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, PRE0.20 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSA, M10.19 μg/mL
Synflorix GroupAnti-meningococcal Polysaccharide (Anti-PS) Antibody ConcentrationsAnti-PSY, PRE0.16 μg/mL
Secondary

Anti-pneumococcal Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL). The pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) via 22F-inhibition ELISA. GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-5, PRE0.61 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F, PRE1.36 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V, PRE0.79 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-4, PRE0.45 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F, PRE0.79 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B, PRE0.57 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-1, PRE0.31 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C, PRE0.79 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F, PRE0.62 μg/mL
Nimenrix + Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-14, PRE1.30 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-4, PRE0.57 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-1, PRE0.33 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-1, M24.19 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-4, M27.80 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-5, PRE0.55 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-5, M24.65 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B, PRE0.53 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B, M22.95 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F, PRE0.95 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F, M26.49 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V, PRE0.85 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V, M25.31 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-14, PRE1.37 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-14, M210.60 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C, PRE0.82 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C, M27.78 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F, PRE1.35 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F, M216.90 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F, PRE0.67 μg/mL
Nimenrix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F, M25.25 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-4, M24.05 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F, PRE1.08 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-14, PRE1.29 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F, PRE0.53 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-14, M26.79 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-4, PRE0.49 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-19F, M212.35 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B, PRE0.48 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C, PRE0.87 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-6B, M22.18 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-5, M23.22 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-1, PRE0.24 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F, PRE0.71 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-18C, M214.14 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-7F, M23.85 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-5, PRE0.48 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-1, M22.32 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V, PRE0.75 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-23F, M22.72 μg/mL
Synflorix GroupAnti-pneumococcal Antibody ConcentrationsAnti-9V, M23.07 μg/mL
Secondary

Anti-protein D (Anti-PD) Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL). GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE), at one month post dose 1(Month 1) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, PRE588.4 EL.U/mL
Nimenrix + Synflorix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, M12340.3 EL.U/mL
Nimenrix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, M1632.6 EL.U/mL
Nimenrix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, PRE633.4 EL.U/mL
Nimenrix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, M22921.6 EL.U/mL
Synflorix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, M12452.3 EL.U/mL
Synflorix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, M21854.3 EL.U/mL
Synflorix GroupAnti-protein D (Anti-PD) Antibody ConcentrationsAnti-PD, PRE514.6 EL.U/mL
Secondary

Anti-tetanus (Anti-T) Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in international units per milliliter (IU/mL). GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, PRE0.499 IU/mL
Nimenrix + Synflorix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, M118.446 IU/mL
Nimenrix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, M118.137 IU/mL
Nimenrix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, PRE0.566 IU/mL
Nimenrix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, M216.643 IU/mL
Synflorix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, M14.412 IU/mL
Synflorix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, M213.773 IU/mL
Synflorix GroupAnti-tetanus (Anti-T) Antibody ConcentrationsAnti-T, PRE0.502 IU/mL
Secondary

Cross-reactive Anti-pneumococcal Antibody Concentrations

Concentrations are presented as geometric mean concentrations (GMCs), expressed in µg/mL. The pneumococcal serotypes assessed were 6A and 19A (anti-6A and anti-19A) via the 22F-inhibition ELISA. GMCs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, PRE0.25 μg/mL
Nimenrix + Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, M11.54 μg/mL
Nimenrix + Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, PRE0.17 μg/mL
Nimenrix + Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, M12.00 μg/mL
Nimenrix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, M21.59 μg/mL
Nimenrix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, M22.21 μg/mL
Nimenrix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, M10.22 μg/mL
Nimenrix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, PRE0.25 μg/mL
Nimenrix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, PRE0.18 μg/mL
Nimenrix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, M10.28 μg/mL
Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, M12.50 μg/mL
Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, M12.07 μg/mL
Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, M21.30 μg/mL
Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, PRE0.16 μg/mL
Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-19A, M21.51 μg/mL
Synflorix GroupCross-reactive Anti-pneumococcal Antibody ConcentrationsAnti-6A, PRE0.26 μg/mL
Secondary

Number of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) Visits

Among AEs prompting emergency room visits were: infections, injuries, skin diseases, gastrointestinal symptoms.

Time frame: Throughout the entire study duration (Day 0-Month 7)

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) Visits13 Participants
Nimenrix GroupNumber of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) Visits10 Participants
Synflorix GroupNumber of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) Visits9 Participants
Secondary

Number of Subjects Reporting Rash

Rash-like symptoms assessed were hives, idiopathic thrombocytopenic purpura, petechiae.

Time frame: Throughout the entire study duration (Day 0-Month 7)

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects Reporting Rash9 Participants
Nimenrix GroupNumber of Subjects Reporting Rash10 Participants
Synflorix GroupNumber of Subjects Reporting Rash5 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 = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site.

Time frame: Within the 4-day (Days 0-3) post-vaccination period after each dose

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects with the symptoms sheet filled in.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 1, Nimenrix56 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 1, Synflorix70 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 2, Synflorix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 1, Synflorix90 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 1, Synflorix3 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 2, Nimenrix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 1, Nimenrix14 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 1, Nimenrix66 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 2, Synflorix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 2, Synflorix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 1, Nimenrix3 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 2, Synflorix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 1, Synflorix14 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 2, Synflorix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 1, Nimenrix87 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 1, Synflorix54 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 2, Synflorix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 2, Nimenrix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 1, Nimenrix3 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 2, Nimenrix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 2, Nimenrix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 2, Nimenrix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3, Dose 2, Nimenrix0 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 1, Synflorix2 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3, Dose 2, Nimenrix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 2, Synflorix29 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 2, Synflorix3 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 1, Synflorix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 2, Nimenrix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 1, Synflorix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 2, Nimenrix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 2, Synflorix38 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 1, Nimenrix31 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 2, Synflorix1 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 2, Nimenrix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 1, Nimenrix1 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 1, Nimenrix40 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 1, Synflorix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 1, Synflorix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 1, Nimenrix37 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 1, Nimenrix4 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 1, Nimenrix1 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 2, Synflorix43 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 2, Synflorix8 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 1, Synflorix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 2, Nimenrix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 2, Nimenrix0 Participants
Nimenrix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 1, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 2, Nimenrix34 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 1, Synflorix47 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 1, Synflorix6 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 1, Nimenrix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 1, Nimenrix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 1, Synflorix32 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 1, Synflorix4 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 1, Nimenrix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 1, Nimenrix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 1, Synflorix42 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 1, Synflorix3 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 1, Nimenrix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 1, Nimenrix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Pain, Dose 2, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Pain, Dose 2, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3, Dose 2, Nimenrix2 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 2, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 2, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Redness, Dose 2, Nimenrix24 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Redness, Dose 2, Nimenrix1 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 2, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 2, Synflorix0 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsAny Swelling, Dose 2, Nimenrix30 Participants
Synflorix GroupNumber of Subjects With Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling, Dose 2, Nimenrix2 Participants
Secondary

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

Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and temperature \[defined as rectally temperature equal to or above (≥) 38.0 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade. Grade 3 drowsiness = drowsiness that prevented normal activities. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = fever higher than (\>) 40.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

Time frame: Within the 4-day (Days 0-3) post-vaccination period after each dose

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects with the symptoms sheet filled in.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Loss of appetite, Dose 155 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Drowsiness, Dose 11 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Drowsiness, Dose 155 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Irritability, Dose 172 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Irritability, Dose 12 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Irritability, Dose 165 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Drowsiness, Dose 159 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Loss of appetite, Dose 12 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Loss of appetite, Dose 146 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Temperature, Dose 125 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Temperature, Dose 10 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Temperature, Dose 124 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Drowsiness, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Drowsiness, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Drowsiness, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Irritability, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Irritability, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Irritability, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Loss of appetite, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Loss of appetite, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Loss of appetite, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Temperature, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Temperature, Dose 20 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Temperature, Dose 20 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Temperature, Dose 218 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Drowsiness, Dose 121 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Drowsiness, Dose 225 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Irritability, Dose 21 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Drowsiness, Dose 10 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Temperature, Dose 10 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Loss of appetite, Dose 220 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Drowsiness, Dose 118 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Drowsiness, Dose 21 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Temperature, Dose 21 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Irritability, Dose 133 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Temperature, Dose 110 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Irritability, Dose 230 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Irritability, Dose 10 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Drowsiness, Dose 222 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Temperature, Dose 110 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Irritability, Dose 130 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Loss of appetite, Dose 118 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Temperature, Dose 216 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Loss of appetite, Dose 122 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Irritability, Dose 235 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Loss of appetite, Dose 222 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Loss of appetite, Dose 10 Participants
Nimenrix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Loss of appetite, Dose 20 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Loss of appetite, Dose 11 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Loss of appetite, Dose 128 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Temperature, Dose 115 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Temperature, Dose 10 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Loss of appetite, Dose 20 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Temperature, Dose 115 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Temperature, Dose 20 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Drowsiness, Dose 217 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Drowsiness, Dose 20 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Loss of appetite, Dose 220 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Drowsiness, Dose 215 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Temperature, Dose 29 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Irritability, Dose 229 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Drowsiness, Dose 135 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Drowsiness, Dose 11 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Irritability, Dose 21 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Drowsiness, Dose 134 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Temperature, Dose 211 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Irritability, Dose 143 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsGrade 3 Irritability, Dose 11 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Irritability, Dose 225 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsRelated Irritability, Dose 140 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Loss of appetite, Dose 133 Participants
Synflorix GroupNumber of Subjects With Any, Grade 3 and Related Solicited General SymptomsAny Loss of appetite, Dose 222 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: Within the 31-day (Day 0-30) post-vaccination period after each dose

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)Any AE(s) post-Dose 182 Participants
Nimenrix + Synflorix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)Any AE(s) post-Dose 20 Participants
Nimenrix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)Any AE(s) post-Dose 139 Participants
Nimenrix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)Any AE(s) post-Dose 240 Participants
Synflorix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)Any AE(s) post-Dose 142 Participants
Synflorix GroupNumber of Subjects With Any Unsolicited Adverse Events (AEs)Any AE(s) post-Dose 231 Participants
Secondary

Number of Subjects With New Onset Chronic Illnesses (NOCIs)

NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.

Time frame: Throughout the entire study duration (Day 0-Month 7)

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects With New Onset Chronic Illnesses (NOCIs)0 Participants
Nimenrix GroupNumber of Subjects With New Onset Chronic Illnesses (NOCIs)1 Participants
Synflorix GroupNumber of Subjects With New Onset Chronic Illnesses (NOCIs)0 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: Throughout the entire study duration (Day 0-Month 7)

Population: The analysis was done on the Total Vaccinated cohort, which included all vaccinated subjects.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Nimenrix + Synflorix GroupNumber of Subjects With Serious Adverse Events (SAEs)6 Participants
Nimenrix GroupNumber of Subjects With Serious Adverse Events (SAEs)3 Participants
Synflorix GroupNumber of Subjects With Serious Adverse Events (SAEs)4 Participants
Secondary

Opsonophagocytic Titers Against Cross-reactive Pneumococcal Serotypes

Opsonophagocytic titers are presented as geometric mean titers (GMTs). The pneumococcal serotypes assessed were 6A and 19A (OPSONO-6A and OPSONO-19A). GMTs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, PRE55.8 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, M1355.2 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, PRE5.3 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, M1100.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, M2566.0 Titers
Nimenrix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, M2203.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, M16.3 Titers
Nimenrix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, PRE73.1 Titers
Nimenrix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, PRE5.9 Titers
Nimenrix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, M159.4 Titers
Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, M1214.5 Titers
Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, M1696.6 Titers
Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, M2284.1 Titers
Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, PRE7.0 Titers
Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-19A, M286.8 Titers
Synflorix GroupOpsonophagocytic Titers Against Cross-reactive Pneumococcal SerotypesOPSONO-6A, PRE127.6 Titers
Secondary

Opsonophagocytic Titers Against Pneumococcal Serotypes

Opsonophagocytic titers are presented as geometric mean titers (GMTs). The pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (OPSONO-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F). GMTs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE), at one month post dose 1 (Month 1) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, PRE13.7 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, M13178.4 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, PRE6.6 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, PRE329.5 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, PRE37.4 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, M12074.7 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, M12697.7 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, M1678.9 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, M12638.7 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, PRE728.3 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, M13808.8 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, M15485.4 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, PRE1795.6 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, PRE33.5 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, M1395.3 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, M11969.9 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, PRE12.9 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, PRE262.3 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, PRE13.9 Titers
Nimenrix + Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, M1362.1 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, M23432.4 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, PRE5.8 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, M18.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, M2200.8 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, PRE14.9 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, M110.3 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, M22536.5 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, PRE10.8 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, M111.0 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, M2233.3 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, PRE26.1 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, M156.1 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, M21112.1 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, PRE1588.3 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, M12051.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, M25235.8 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, PRE627.7 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, M1445.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, M22709.7 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, PRE324.7 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, M1214.3 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, M22563.7 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, PRE10.5 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, M18.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, M21229.9 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, PRE34.2 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, M157.3 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, M22110.4 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, PRE98.1 Titers
Nimenrix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, M1199.0 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, PRE320.5 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, M1332.7 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, PRE6.2 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, M13914.0 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, M21260.4 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-14, M22149.0 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, PRE12.7 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, M23284.2 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, PRE13.2 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, M21427.7 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, M2238.0 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, M15616.8 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, M13794.6 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-18C, M24190.1 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, PRE1843.1 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, M2560.6 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, M13621.3 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, M15421.5 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-23F, PRE460.2 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-7F, M24444.3 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, M11158.7 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, PRE32.9 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, PRE1269.8 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-6B, PRE42.7 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-4, PRE24.9 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, M14862.0 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-1, M1438.6 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-9V, M23392.6 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-5, M2308.9 Titers
Synflorix GroupOpsonophagocytic Titers Against Pneumococcal SerotypesOpsono-19F, M12534.2 Titers
Secondary

rSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody Titers

Antibody titers are presented as geometric mean titers (GMTs) and measured in titers. GMTs post Dose 2 are not presented for Nimenrix + Synflorix Group, as they received only one study vaccination dose.

Time frame: Before vaccination (PRE) and at one month post dose 2 (Month 2)

Population: The analysis was done on the According-to-protocol (ATP) cohort for immunogenicity, which included all evaluable subjects for whom data concerning immunogenicity outcome measures were available.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenA, PRE15.2 Titers
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenC, PRE5.8 Titers
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenW, PRE46.4 Titers
Nimenrix + Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenY, PRE66.0 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenC, M21834.6 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenW, M25817.6 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenC, PRE6.1 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenY, M24669.5 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenY, PRE74.4 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenA, PRE15.3 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenW, PRE32.7 Titers
Nimenrix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenA, M24746.8 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenW, PRE39.6 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenY, PRE77.0 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenC, PRE7.7 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenC, M21579.9 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenA, M25288.0 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenW, M27666.8 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenY, M26461.1 Titers
Synflorix GrouprSBA-MenA, rSBA-MenC, rSBA-MenW -135 and rSBA-Men-Y Antibody TitersrSBA-MenA, PRE39.4 Titers

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