Acellular Pertussis, Diphtheria, Diphtheria-Tetanus-aPertussis-Poliomyelitis-Haemophilus Influenzae Type b Vaccines, Haemophilus Influenzae Type b, Hepatitis B, Poliomyelitis, Tetanus
Conditions
Keywords
Infanrix-IPV/Hib, Long-term follow up, Persistence, Infanrix hexa
Brief summary
The aim of this study is to assess antibody persistence in infants who received three doses of Infanrix hexa™ (DTPa-HBV-IPV/Hib) or Infanrix-IPV/Hib™ (DTPa-IPV/Hib) at 3, 5 and 11 months of age in study NCT00307034.
Interventions
A blood sample will be taken at 5 years of age, after vaccination in the primary study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects who had received 3 doses of Infanrix hexa™ or Infanrix-IPV/Hib™ in study NCT00307034. * Subjects who the investigator believes that parent(s)/Legally Acceptable Representative(s) LAR(s) can and will comply with the requirements of the protocol. * A male or female subject aged 5 years at the time of study entry. * Written informed consent obtained from the parent(s)/LAR(s) of the subject. * Healthy subjects as established by medical history and clinical examination before entering into the study.
Exclusion criteria
* Child in care. * 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. * Use of any investigational or non-registered product within 30 days prior to blood sampling. * Evidence of previous or intercurrent diphtheria, tetanus, pertussis, polio, hepatitis B, and Hib vaccination or disease since the study NCT00307034, with the exception of hepatitis B vaccination in the DTPa-IPV/Hib group. * Administration of immunoglobulins and/or any blood products within the 3 months prior to blood sampling. * Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination. * Family history of congenital or hereditary immunodeficiency.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Seroprotected Subjects Against Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T). | At Day 0 | A seroprotected subject is a subject with anti-D/anti-T antibody concentrations greater than (≥) or equal to 0.1 international units per milliliter (IU/mL) |
| Concentrations of Antibodies Against Anti-D and Anti-T | At Day 0 | Concentrations are presented as geometric mean concentrations (GMCs), expressed in milliinternational units per millilitre (mIU/mL). |
| Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | At Day 0 | Cut-off values assessed were greater than or equal to 5 ELISA units per millilitre (EL.U/mL) in the sera of subjects seronegative before vaccination. |
| Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | At Day 0 | Concentrations are presented as geometric mean concentrations (GMCs), expressed in ELISA units per millilitre (EL.U/mL). |
| Number of Seroprotected Subjects Against Anti-hepatitis B Surface Antigen (Anti-HBs). | At Day 0 | Seroprotection = anti-HBs antibody concentration ≥ 10 milli-international units per milliliter (mIU/mL). |
| Concentrations of Antibodies Against Anti-HBs. | At Day 0 | Concentrations are presented as geometric mean concentrations (GMCs), expressed in milliinternational units per millilitre (mIU/mL). |
| Number of Seroprotected Subjects Against Anti-polyribosyl Ribitol Phosphate (Anti-PRP). | At Day 0 | A seroprotected subject is a subject with anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (μg/mL) |
| Concentrations of Antibodies Against Anti-PRP. | At Day 0 | Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per millilitre (μg/mL). |
| Number of Subjects With Serious Adverse Events (SAEs). | During the entire study period (up to Day 46) | Assessed SAEs include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. |
| Number of Subjects With Anti-HBs Antibody Concentrations ≥ 6.2 mIU/mL | At Day 0 | Cut-off values assessed were greater than or equal to 6.2 milliinternational units per millilitre ( mIU/mL) in the sera of subjects seronegative before vaccination. |
Countries
Norway, Sweden
Participant flow
Pre-assignment details
During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms.
Participants by arm
| Arm | Count |
|---|---|
| Infanrix Hexa Group Subjects aged 5 years previously vaccinated at 3, 5 and 11 months of age with 3 doses of Infanrix hexa™ (administered intramuscularly) in study NCT00307034. | 12 |
| Infanrix-IPV/Hib Group Subjects aged 5 years previously vaccinated at 3, 5 and 11 months of age with 3 doses of Infanrix-IPV/Hib™ (administered intramuscularly) in study NCT00307034. | 46 |
| Total | 58 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Blood sample not drawn | 0 | 1 |
Baseline characteristics
| Characteristic | Infanrix Hexa Group | Infanrix-IPV/Hib Group | Total |
|---|---|---|---|
| Age, Continuous | 5.0 Years STANDARD_DEVIATION 0 | 5.0 Years STANDARD_DEVIATION 0 | 5.0 Years STANDARD_DEVIATION 0 |
| Sex: Female, Male Female | 9 Participants | 14 Participants | 23 Participants |
| Sex: Female, Male Male | 3 Participants | 32 Participants | 35 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 12 | 0 / 46 |
Outcome results
Concentrations of Antibodies Against Anti-D and Anti-T
Concentrations are presented as geometric mean concentrations (GMCs), expressed in milliinternational units per millilitre (mIU/mL).
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-D and Anti-T | Anti-D | 0.13 IU/mL |
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-D and Anti-T | Anti-T | 0.29 IU/mL |
| Infanrix-IPV/Hib Group | Concentrations of Antibodies Against Anti-D and Anti-T | Anti-D | 0.196 IU/mL |
| Infanrix-IPV/Hib Group | Concentrations of Antibodies Against Anti-D and Anti-T | Anti-T | 0.352 IU/mL |
Concentrations of Antibodies Against Anti-HBs.
Concentrations are presented as geometric mean concentrations (GMCs), expressed in milliinternational units per millilitre (mIU/mL).
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-HBs. | 9 mIU/mL |
Concentrations of Antibodies Against Anti-PRP.
Concentrations are presented as geometric mean concentrations (GMCs), expressed in micrograms per millilitre (μg/mL).
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-PRP. | 0.404 μg/mL |
| Infanrix-IPV/Hib Group | Concentrations of Antibodies Against Anti-PRP. | 0.886 μg/mL |
Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN.
Concentrations are presented as geometric mean concentrations (GMCs), expressed in ELISA units per millilitre (EL.U/mL).
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | Anti-PT | 2.5 EL.U/mL |
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | Anti-FHA | 32.6 EL.U/mL |
| Infanrix Hexa Group | Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | Anti-PRN | 6.2 EL.U/mL |
| Infanrix-IPV/Hib Group | Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | Anti-PT | 4.2 EL.U/mL |
| Infanrix-IPV/Hib Group | Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | Anti-FHA | 50.7 EL.U/mL |
| Infanrix-IPV/Hib Group | Concentrations of Antibodies Against Anti-PT, Anti-FHA and Anti-PRN. | Anti-PRN | 11.9 EL.U/mL |
Number of Seroprotected Subjects Against Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T).
A seroprotected subject is a subject with anti-D/anti-T antibody concentrations greater than (≥) or equal to 0.1 international units per milliliter (IU/mL)
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Infanrix Hexa Group | Number of Seroprotected Subjects Against Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T). | Anti-D | 7 Participants |
| Infanrix Hexa Group | Number of Seroprotected Subjects Against Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T). | Anti-T | 10 Participants |
| Infanrix-IPV/Hib Group | Number of Seroprotected Subjects Against Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T). | Anti-D | 28 Participants |
| Infanrix-IPV/Hib Group | Number of Seroprotected Subjects Against Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T). | Anti-T | 34 Participants |
Number of Seroprotected Subjects Against Anti-hepatitis B Surface Antigen (Anti-HBs).
Seroprotection = anti-HBs antibody concentration ≥ 10 milli-international units per milliliter (mIU/mL).
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Infanrix Hexa Group | Number of Seroprotected Subjects Against Anti-hepatitis B Surface Antigen (Anti-HBs). | 5 Participants |
Number of Seroprotected Subjects Against Anti-polyribosyl Ribitol Phosphate (Anti-PRP).
A seroprotected subject is a subject with anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (μg/mL)
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Infanrix Hexa Group | Number of Seroprotected Subjects Against Anti-polyribosyl Ribitol Phosphate (Anti-PRP). | 10 Participants |
| Infanrix-IPV/Hib Group | Number of Seroprotected Subjects Against Anti-polyribosyl Ribitol Phosphate (Anti-PRP). | 40 Participants |
Number of Subjects With Anti-HBs Antibody Concentrations ≥ 6.2 mIU/mL
Cut-off values assessed were greater than or equal to 6.2 milliinternational units per millilitre ( mIU/mL) in the sera of subjects seronegative before vaccination.
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Infanrix Hexa Group | Number of Subjects With Anti-HBs Antibody Concentrations ≥ 6.2 mIU/mL | 6 Participants |
Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL).
Cut-off values assessed were greater than or equal to 5 ELISA units per millilitre (EL.U/mL) in the sera of subjects seronegative before vaccination.
Time frame: At Day 0
Population: The analysis was performed on the According-To-Protocol (ATP) Cohort, which included all subjects with blood sample available and who met all the eligibility criteria, complying with the procedure defined in the protocol and with no elimination code assigned.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Infanrix Hexa Group | Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | Anti-PT | 0 Participants |
| Infanrix Hexa Group | Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | Anti-FHA | 12 Participants |
| Infanrix Hexa Group | Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | Anti-PRN | 8 Participants |
| Infanrix-IPV/Hib Group | Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | Anti-PT | 9 Participants |
| Infanrix-IPV/Hib Group | Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | Anti-FHA | 41 Participants |
| Infanrix-IPV/Hib Group | Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Antifilamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥5 ELISA Units Per Milliliter (EL.U/mL). | Anti-PRN | 34 Participants |
Number of Subjects With Serious Adverse Events (SAEs).
Assessed SAEs include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time frame: During the entire study period (up to Day 46)
Population: The analysis was performed on the Total Cohort, which included all subjects enrolled in the study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Infanrix Hexa Group | Number of Subjects With Serious Adverse Events (SAEs). | 0 Participants |
| Infanrix-IPV/Hib Group | Number of Subjects With Serious Adverse Events (SAEs). | 0 Participants |