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Safety and Immunogenicity of the Japanese Encephalitis Vaccine IC51 (IXIARO®) in a Pediatric Population

Safety and Immunogenicity of the Japanese Encephalitis Vaccine IC51 (IXIARO®) in a Pediatric Population. Open Label, Randomized, Active Controlled, Phase 3 Study

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01041573
Enrollment
1869
Registered
2009-12-31
Start date
2010-03-31
Completion date
2011-07-31
Last updated
2021-07-27

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

Conditions

Encephalitis

Keywords

Pediatric, Japanese Encephalitis Vaccine, endemic countries, to assess the systemic and local safety profile of purified inactivated Japanese Encephalitis Virus (JEV) vaccine IC51

Brief summary

The primary objective is to assess the systemic and local safety profile of purified inactivated Japanese Encephalitis Virus (JEV) vaccine IC51 administered in two doses in a 28 days interval up to Month 7 after the first IC51 vaccination in a pediatric population from endemic regions.

Detailed description

Open-label, randomized, active controlled Phase 3 study in children aged ≥ 2 months to \< 18 years. Subjects aged ≥ 2 months to \< 12 months were randomized in a 2:1 ratio to receive IC51 (0.25 ml dose) or Prevnar® as a safety comparator. Children aged ≥ 12 months to \< 3 years and ≥ 12 years to \< 18 years were randomized in a 3:1 ratio to receive IC51 (0.25 ml dose \< 3 years, 0.5 ml ≥ 12 years) or HAVRIX®720 as safety comparator. For subjects aged ≥ 3 years to \< 12 years, a dose finding run-in phase was performed. A total of 200 subjects were randomized 1:1 to receive either the 0.25 ml or the 0.5 ml dose of IC51, and the appropriate dose was determined based on an interim analysis. After this run-in phase, 300 further children in this age group were randomized 2:1 to receive either 0.5 ml of IC51 or HAVRIX®720. Immunogenicity was be studied in a subgroup of 30 children aged ≥ 2 months to \< 12 months; 125 children aged ≥ 12 months to \< 3 years and 140 children ≥ 12 years to \< 18 years. For the age group of ≥ 3 to \< 12 years immunogenicity was assessed in the 200 children enrolled during the dose-finding run-in phase.

Interventions

BIOLOGICALIC51 Japanese Encephalitis

6 mcg or 3 mcg im. at day 0 and day 28

BIOLOGICALHavrix®720

0.5 ml im. at day 0 and month 7

BIOLOGICALPrevnar

0.5 ml im. at day 0 and day 56 and month 7

Sponsors

Valneva Austria GmbH
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
2 Months to 18 Years
Healthy volunteers
Yes

Inclusion criteria

* Male or female healthy children and adolescents aged \> 2 months to \< 18 years at the time of first vaccination. * Written informed consent by the subject's legal representative(s), according to local requirements, and written informed assent of the subject, if applicable. * Female subjects: either no childbearing potential or negative pregnancy test, for females after menarche willingness to practice a reliable method of contraception.

Exclusion criteria

* Clinical manifestation of Japanese Encephalitis * History of Flavivirus vaccination (including any investigational vaccines) * History of vaccination with HAVRIX®720 and/or Prevnar® * History of immunodeficiency or immunosuppressive therapy * Known HIV, HBV or HCV infection * History of hypersensitivity reactions to other vaccines * Acute febrile infection at each visit during which the subject receives a vaccination * Active or passive immunization within 2 weeks prior to the first IC51 vaccination and up to the second IC51 vaccination.

Design outcomes

Primary

MeasureTime frameDescription
Rate of Subjects With Serious Adverse Events and Medically Attended Adverse Events Until Day 56 After First Vaccinationuntil Day 56Rate of subjects with these types of AEs, comparison vs respective control vaccine stratified by age group: All study participants aged \< 1 year: IC51 0.25mL vs. Prevnar; All study participants aged 1 year and above: IC51 0.25 mL or =.5 mL vs. Havrix.

Secondary

MeasureTime frameDescription
Seroconversion Rate (SCR) at Days 0, 56 and at Month 7Days 0, 56 and at Month 7Seroconversion was defined as a PRNT50 titer of at least 1:10. SCRs are presented per dose group rather than age group due to overlapping age groups. IC51 0.25 mL includes subjects aged 2 months to \< 12 years; IC51 0.5 mL includes subjects aged ≥ 3 years to \< 18 years.
Rate of Subjects With SAEs and Medically Attended AEsup to Month 7Rate of subjects with SAEs and medically attended AEs; For this analysis IC51 vaccine recipients are displayed by age group rather than by dose group. This allows comparison of the safety profile of IC51 with the active control for the respective age group: Prevnar for study participants aged \>= 2 months to \<1 year and Havrix 720 for study participants aged \>= 1 year.
Geometric Mean Titers (GMT) for JEV Neutralizing AntibodiesDay 0, 56 and at Month 7GMT for JEV neutralizing antibodies is presented per dose group rather than age group due to overlapping age groups. IC51 0.25 mL includes subjects aged 2 months to \< 12 years; IC51 0.5 mL includes subjects aged ≥ 3 years to \< 18 years.
Rate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Day 56 and up to Month 7Rate of subjects with unsolicited AEs up to Day 56 and up to Month 7; For this analysis IC51 vaccine recipients are displayed by age group rather than by dose group. This allows comparison of the safety profile of IC51 with the active control for the respective age group: Prevnar for study participants aged \>= 2 months to \<1 year and Havrix 720 for study participants aged \>= 1 year.
Rate of Subjects With Abnormal Laboratory ParametersDay 56 and Month 7Rate of subjects with abnormal laboratory parameters clinically significant results are shown below
Rate of Subjects With Solicited Local and Systemic AEs7 days post vaccinationRate of subjects with solicited local and systemic AEs. Solicited AEs of local and systemic tolerability, i.e., reactions at the injection site or systemic reactions typical for vaccinations, were to be evaluated for 7 consecutive days after each vaccination (except after the HAVRIX®750 and Prevnar® injections at Month 7 \[Visit 4\]) and recorded in the subject diary. For this analysis IC51 vaccine recipients are displayed by age group rather than by dose group. This allows comparison of the safety profile of IC51 with the active control for the respective age group: Prevnar for study participants aged \>= 2 months to \<1 year and Havrix 720 for study participants aged \>= 1 year.

Countries

Philippines

Participant flow

Participants by arm

ArmCount
IC51 0.25 mL
Japanese Encephalitis Vaccine 3mcg i.m. at day 0 and day 28
871
IC51 0.5 mL
Japanese Encephalitis Vaccine 6mcg i.m. at day 0 and day 28
540
Havrix 720
Havrix®720 0.5 ml i.m. at day 0 and month 7
394
Prevnar
Prevnar 0.5 ml i.m. at day 0 and day 56 and month 7 or 0.5 ml i.m. at day 0, day 28 and day56 and month 7-13
64
Total1,869

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0200
Overall StudyDeath1000
Overall Studyfurther blood extraction0100
Overall StudyLost to Follow-up0121
Overall Studypositive to anti-HCV1000
Overall Studyrelocation1431
Overall StudyWithdrawal by Subject2520

Baseline characteristics

CharacteristicTotalPrevnarHavrix 720IC51 0.5 mLIC51 0.25 mL
Age, Customized
12 years - < 18 years
320 participants0 participants80 participants240 participants0 participants
Age, Customized
1 year - < 3 years
853 participants0 participants213 participants0 participants640 participants
Age, Customized
2 months - < 1 year
195 participants64 participants0 participants0 participants131 participants
Age, Customized
3 years - < 12 years
501 participants0 participants101 participants300 participants100 participants
Region of Enrollment
Philippines
1869 participants64 participants394 participants540 participants871 participants
Sex: Female, Male
Female
925 Participants30 Participants197 Participants249 Participants449 Participants
Sex: Female, Male
Male
944 Participants34 Participants197 Participants291 Participants422 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
691 / 871300 / 540252 / 39457 / 64
serious
Total, serious adverse events
16 / 8717 / 54010 / 3941 / 64

Outcome results

Primary

Rate of Subjects With Serious Adverse Events and Medically Attended Adverse Events Until Day 56 After First Vaccination

Rate of subjects with these types of AEs, comparison vs respective control vaccine stratified by age group: All study participants aged \< 1 year: IC51 0.25mL vs. Prevnar; All study participants aged 1 year and above: IC51 0.25 mL or =.5 mL vs. Havrix.

Time frame: until Day 56

Population: As specified per protocol, safety parameters were compared between treatment groups (i.e. IC51 any dose level versus Havrix or Prevnar), stratified by age. Age was the determining factor of the respective safety comparators Prevnar (\<1yrs) and HAVRIX (1+ yrs). Different dose levels of IC51 were grouped for these analyses, to test the hypothesis that events do not occur in higher frequency after vaccination with IC51 compared to vaccination with Prevnar® or Havrix®720.

ArmMeasureValue (NUMBER)
IC51, Subjects Aged >= 1 YearRate of Subjects With Serious Adverse Events and Medically Attended Adverse Events Until Day 56 After First Vaccination16.1 percentage of participants
Havrix 720Rate of Subjects With Serious Adverse Events and Medically Attended Adverse Events Until Day 56 After First Vaccination14.2 percentage of participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Serious Adverse Events and Medically Attended Adverse Events Until Day 56 After First Vaccination38.2 percentage of participants
PrevnarRate of Subjects With Serious Adverse Events and Medically Attended Adverse Events Until Day 56 After First Vaccination42.2 percentage of participants
p-value: 0.641Fisher Exact
p-value: <0.001Fisher Exact
Secondary

Geometric Mean Titers (GMT) for JEV Neutralizing Antibodies

GMT for JEV neutralizing antibodies is presented per dose group rather than age group due to overlapping age groups. IC51 0.25 mL includes subjects aged 2 months to \< 12 years; IC51 0.5 mL includes subjects aged ≥ 3 years to \< 18 years.

Time frame: Day 0, 56 and at Month 7

Population: Intent-to-treat Population: all subjects randomized into the immunogenicity subgroup, who received at least 1 vaccination. Subjects were analyzed according to the treatment group to which they were randomized rather than by the actual vaccine they received.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
IC51, Subjects Aged >= 1 YearGeometric Mean Titers (GMT) for JEV Neutralizing AntibodiesDay 05.79 Geometric Mean TiterStandard Deviation 1.802
IC51, Subjects Aged >= 1 YearGeometric Mean Titers (GMT) for JEV Neutralizing AntibodiesDay 56199.39 Geometric Mean TiterStandard Deviation 3.387
IC51, Subjects Aged >= 1 YearGeometric Mean Titers (GMT) for JEV Neutralizing AntibodiesMonth 737.99 Geometric Mean TiterStandard Deviation 3.267
Havrix 720Geometric Mean Titers (GMT) for JEV Neutralizing AntibodiesMonth 764.83 Geometric Mean TiterStandard Deviation 3.242
Havrix 720Geometric Mean Titers (GMT) for JEV Neutralizing AntibodiesDay 09.78 Geometric Mean TiterStandard Deviation 2.944
Havrix 720Geometric Mean Titers (GMT) for JEV Neutralizing AntibodiesDay 56190.77 Geometric Mean TiterStandard Deviation 2.747
Secondary

Rate of Subjects With Abnormal Laboratory Parameters

Rate of subjects with abnormal laboratory parameters clinically significant results are shown below

Time frame: Day 56 and Month 7

Population: Urinalysis Evaluations were not mandatory unless the subject was at least 12 years old at V0.

ArmMeasureGroupValue (NUMBER)
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersHemoglobin Day 561 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersPlatelets Month 70 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersSodium Day 562 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersHematocrit Month 70 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersPlatelets Day 561 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Month 71 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersSodium Month 71 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersCreatinine Day 561 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Day 568 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersHemoglobin Month 70 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersBilirubin Month 71 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersHematocrit Day 561 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersPotassium Day 561 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersCreatinine Month 72 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersBilirubin Day 560 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersAST Month 75 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Month 70 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Month 77 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersALT Day 560 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersAST Day 560 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersCalcium Month 70 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersALT Month 74 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Day 560 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersCalcium Day 561 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersPotassium Month 71 participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Day 561 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Day 561 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersHemoglobin Day 561 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersHematocrit Day 562 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersHematocrit Month 72 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersPotassium Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersAST Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersALT Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersSodium Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersSodium Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersHemoglobin Month 72 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersPlatelets Day 562 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersPlatelets Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersPotassium Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersCalcium Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersCalcium Month 72 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersAST Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersALT Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersBilirubin Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersBilirubin Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Day 561 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Month 70 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersCreatinine Day 560 participants
Havrix 720Rate of Subjects With Abnormal Laboratory ParametersCreatinine Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersHematocrit Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersPlatelets Month 72 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersPotassium Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersCreatinine Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersPotassium Month 71 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersALT Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersCalcium Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersCalcium Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersALT Day 561 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersAST Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersAST Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersCreatinine Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersBilirubin Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersHematocrit Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersHemoglobin Month 71 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersBilirubin Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersHemoglobin Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersSodium Month 70 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Day 561 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Month 71 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersSodium Day 560 participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Abnormal Laboratory ParametersPlatelets Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersPlatelets Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersAST Day 561 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersPotassium Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersALT Month 73 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersCreatinine Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersPlatelets Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersPotassium Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersBilirubin Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersWhite Blood Cells Day 561 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersSodium Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersCalcium Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersALT Day 561 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersRed Blood Cells Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersCalcium Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersHematocrit Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersHemoglobin Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersHemoglobin Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersAST Month 73 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersCreatinine Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersBilirubin Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersAlkaline Phosphatase Day 560 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersSodium Month 70 participants
PrevnarRate of Subjects With Abnormal Laboratory ParametersHematocrit Month 70 participants
Secondary

Rate of Subjects With SAEs and Medically Attended AEs

Rate of subjects with SAEs and medically attended AEs; For this analysis IC51 vaccine recipients are displayed by age group rather than by dose group. This allows comparison of the safety profile of IC51 with the active control for the respective age group: Prevnar for study participants aged \>= 2 months to \<1 year and Havrix 720 for study participants aged \>= 1 year.

Time frame: up to Month 7

Population: As specified per protocol, safety parameters were compared between treatment groups (i.e. IC51 any dose level versus Havrix or Prevnar), stratified by age. Age was the determining factor of the respective safety comparators Prevnar (\<1yrs) and HAVRIX (1+ yrs). Different dose levels of IC51 were grouped for these analyses, to test the hypothesis that events do not occur in higher frequency after vaccination with IC51 compared to vaccination with Prevnar® or Havrix®720.

ArmMeasureGroupValue (NUMBER)
IC51, Subjects Aged >= 1 YearRate of Subjects With SAEs and Medically Attended AEsRate of subjects with SAE0.5 percentage of participants
IC51, Subjects Aged >= 1 YearRate of Subjects With SAEs and Medically Attended AEsRate of subjects with medically attended AE16.1 percentage of participants
Havrix 720Rate of Subjects With SAEs and Medically Attended AEsRate of subjects with medically attended AE14.2 percentage of participants
Havrix 720Rate of Subjects With SAEs and Medically Attended AEsRate of subjects with SAE1.0 percentage of participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With SAEs and Medically Attended AEsRate of subjects with SAE0 percentage of participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With SAEs and Medically Attended AEsRate of subjects with medically attended AE38.2 percentage of participants
PrevnarRate of Subjects With SAEs and Medically Attended AEsRate of subjects with SAE1.6 percentage of participants
PrevnarRate of Subjects With SAEs and Medically Attended AEsRate of subjects with medically attended AE42.2 percentage of participants
Secondary

Rate of Subjects With Solicited Local and Systemic AEs

Rate of subjects with solicited local and systemic AEs. Solicited AEs of local and systemic tolerability, i.e., reactions at the injection site or systemic reactions typical for vaccinations, were to be evaluated for 7 consecutive days after each vaccination (except after the HAVRIX®750 and Prevnar® injections at Month 7 \[Visit 4\]) and recorded in the subject diary. For this analysis IC51 vaccine recipients are displayed by age group rather than by dose group. This allows comparison of the safety profile of IC51 with the active control for the respective age group: Prevnar for study participants aged \>= 2 months to \<1 year and Havrix 720 for study participants aged \>= 1 year.

Time frame: 7 days post vaccination

Population: As specified per protocol, safety parameters were compared between treatment groups (i.e. IC51 any dose level versus Havrix or Prevnar), stratified by age. Age was the determining factor of the respective safety comparators Prevnar (\<1yrs) and HAVRIX (1+ yrs). Different dose levels of IC51 were grouped for these analyses, to test the hypothesis that events do not occur in higher frequency after vaccination with IC51 compared to vaccination with Prevnar® or Havrix®720.

ArmMeasureValue (NUMBER)
IC51, Subjects Aged >= 1 YearRate of Subjects With Solicited Local and Systemic AEs40.8 percentage of participants
Havrix 720Rate of Subjects With Solicited Local and Systemic AEs29.4 percentage of participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Solicited Local and Systemic AEs58 percentage of participants
PrevnarRate of Subjects With Solicited Local and Systemic AEs59.4 percentage of participants
Secondary

Rate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7

Rate of subjects with unsolicited AEs up to Day 56 and up to Month 7; For this analysis IC51 vaccine recipients are displayed by age group rather than by dose group. This allows comparison of the safety profile of IC51 with the active control for the respective age group: Prevnar for study participants aged \>= 2 months to \<1 year and Havrix 720 for study participants aged \>= 1 year.

Time frame: Day 56 and up to Month 7

Population: As specified per protocol, safety parameters were compared between treatment groups (i.e. IC51 any dose level versus Havrix or Prevnar), stratified by age. Age was the determining factor of the respective safety comparators Prevnar (\<1yrs) and HAVRIX (1+ yrs). Different dose levels of IC51 were grouped for these analyses, to test the hypothesis that events do not occur in higher frequency after vaccination with IC51 compared to vaccination with Prevnar® or Havrix®720.

ArmMeasureGroupValue (NUMBER)
IC51, Subjects Aged >= 1 YearRate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Day 5646.5 percentage of participants
IC51, Subjects Aged >= 1 YearRate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Month 758.5 percentage of participants
Havrix 720Rate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Month 757.6 percentage of participants
Havrix 720Rate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Day 5646.4 percentage of participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Day 5672.5 percentage of participants
IC51, Subjects Aged >= 2 Months to <1 YearRate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Month 777.1 percentage of participants
PrevnarRate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Day 5665.6 percentage of participants
PrevnarRate of Subjects With Unsolicited AEs up to Day 56 and up to Month 7Month 781.3 percentage of participants
Secondary

Seroconversion Rate (SCR) at Days 0, 56 and at Month 7

Seroconversion was defined as a PRNT50 titer of at least 1:10. SCRs are presented per dose group rather than age group due to overlapping age groups. IC51 0.25 mL includes subjects aged 2 months to \< 12 years; IC51 0.5 mL includes subjects aged ≥ 3 years to \< 18 years.

Time frame: Days 0, 56 and at Month 7

Population: number analyzed is dependent on number of serum samples available for testing

ArmMeasureGroupValue (NUMBER)
IC51, Subjects Aged >= 1 YearSeroconversion Rate (SCR) at Days 0, 56 and at Month 7Day 07.5 percentage of participants
IC51, Subjects Aged >= 1 YearSeroconversion Rate (SCR) at Days 0, 56 and at Month 7Day 5698.0 percentage of participants
IC51, Subjects Aged >= 1 YearSeroconversion Rate (SCR) at Days 0, 56 and at Month 7Month 783.9 percentage of participants
Havrix 720Seroconversion Rate (SCR) at Days 0, 56 and at Month 7Day 033.6 percentage of participants
Havrix 720Seroconversion Rate (SCR) at Days 0, 56 and at Month 7Day 56100.0 percentage of participants
Havrix 720Seroconversion Rate (SCR) at Days 0, 56 and at Month 7Month 794.5 percentage of participants

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