Bacterial Infections, Virus Diseases
Conditions
Keywords
combination vaccine, diphtheria, pertussis, tetanus, hepatitis B, Hep B, Haemophilus influenzae b, Hib, polio, poliovirus
Brief summary
This study will determine whether participants who receive V419 (PR5I) at 2, 4, and 11 to 12 months of age have an acceptable response to the vaccine. This study will also determine whether the immune response to V419 is similar to that of participants who received a licensed vaccine control. The primary hypothesis is that participants who receive PR5I at 2, 4, and 11 to 12 months have an acceptable response rate to all PR5I-contained antigens at one month after the Toddler dose of PR5I.
Interventions
Prevenar 13™ 0.5 mL intramuscular injection at 2, 4, and 11 to 12 months of age. Injection is to be administered in the upper anterolateral thigh, separate limb from the concomitant vaccine.
DTaP-HB-IPV-Hib (Diphtheria, tetanus, pertussis \[acellular, component\], hepatitis B \[recombinant DNA\], polio virus \[inactivated\], and Haemophilus influenza type b conjugate vaccine \[adsorbed\]) Vaccine 0.5 mL intramuscular injection at 2, 4, and 11 to 12 months of age. Injection is to be administered in the upper anterolateral thigh, separate limb from the concomitant vaccine. PR5I is a liquid suspension hexavalent vaccine.
Rotarix™ 1.5 mL oral dose at 2 and 4 months of age (subset 1, Italy and Sweden) or RotaTeq™ 2 mL oral dose at 2, 4 and 5 months of age (subset 2, Finland)
Combined Diphtheria-Tetanus-acellular Pertussis \[DTaP\], Hepatitis B \[HepB\], Poliovirus \[IPV\] and Haemophilus influenzae type b \[Hib\] Vaccine 0.5 mL intramuscular injection at 2, 4 and 11 to 12 months of age. Injection is to be administered in the upper anterolateral thigh, separate limb from the concomitant vaccine. INFANRIX™ hexa is provided as 2 components (lyophilized Hib and liquid DTaP, IPV, and HepB). Prior to administration, the vaccine must be reconstituted by adding the liquid DTaP-HepB-IPV component to the vial containing the Hib pellet.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy infant able to attend all study visits * Parent(s)/legal representative are able to read, understand, and complete study questionnaires
Exclusion criteria
* History of congenital or acquired immunodeficiency * Received or is expected to receive immunosuppressive agents or systemic immunomodulatory steroids * History of leukemia, lymphoma, malignant melanoma, or myeloproliferative disorder * Hypersensitivity to any of the vaccine components or history of a life-threatening reaction to a vaccine containing the same substances as the study vaccines or concomitant study vaccines * Has any chronic illness that could interfere with study conduct or completion * Received any immune globulin, blood, or blood-derived products since birth * Received a dose of hepatitis B vaccine prior to study entry * Vaccinated with any acellular pertussis or whole cell pertussis based combination vaccines, Haemophilus influenzae type b conjugate, poliovirus, pneumococcal conjugate or pneumococcal polysaccharide, rotavirus vaccine, or combination thereof * Fever within 24 hours prior to enrollment * Received any non-study vaccine within 30 days prior to enrollment, except for inactivated influenza vaccine, which is permitted 14 days or more prior to enrolment * Has a coagulation disorder * Has developmental delay or neurological disorder * Participant or his/her mother has a medical history of hepatitis B surface antigens (HBsAg) seropositivity * History of Haemophilus influenzae type b, hepatitis B, diphtheria, tetanus, pertussis, poliomyelitis, rotavirus gastroenteritis, or invasive pneumococcal infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | 1 month after Toddler dose of PR51 (post-toddler dose) | Acceptability response rates were defined as Ab titre ≥1.0 μg/mL for Haemophilus influenzae type b (Hib) (polyribosylribitol phosphate, PRP); ≥10 mIU/mL for Hepatitis (HBsAg); ≥0.1 IU/mL for diphtheria and tetanus; ≥8 (1/dil) for inactive poliovirus type (IPV) 1, 2 & 3, and percentage of pertussis seroresponder participants (Pertussis toxoid \[PT\], Filamentous haemagglutinin \[FHA\], Fimbriae types 2 & 3 \[FIM\] and Pertactin \[PRN\]) 1 month Post-Toddler dose of PR5I. Seroresponse was defined: (1) If pre-Dose 1 Ab concentration (cc) was \<LLOQ (lower limit of quantitation), postvaccination Ab cc was ≥LLOQ, (2) If pre-Dose 1 Ab cc was ≥LLOQ, postvaccination Ab cc was ≥prevaccination levels. Due to the timing of the occurrence of protocol violation or the availability of each antigen serology testing result, the analysis populations may not have been identical for each antigen-specific analysis at each post-vaccination visit. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Non-inferiority of Antibody (Ab) Response Rate to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa | 1 month after the 2nd dose (post-infant dose 2) | Percentage of participants with an Ab titre ≥1.0 μg/mL for Hib (polyribosylribitol phosphate, PRP) measured by radioimmunoassay (RIA) 1 month post-infant dose 2 of PR5I or INFANRIX hexa. |
| Superiority of Antibody (Ab) Response Rates to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa | 1 month after the 2nd dose (post-infant dose 2) | Percentage of participants with an Ab titre ≥1.0 μg/mL for Hib (polyribosylribitol phosphate, PRP) measured by RIA 1 month post-infant dose 2 of PR5I or INFANRIX hexa. |
| Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | 1 month after Toddler dose (post-toddler dose) | Percentage of participants with pre-specified Ab titre for PRP, HBsAg, diphtheria, tetanus, IPV1, 2 & 3, and percentage of pertussis seroresponder participants (PT, FHA, FIM and PRN) 1 month post-toddler dose were calculated based on the method by Miettinen and Nurminen stratified by country. Seroresponse was defined: (1) If pre-Dose 1 Ab cc was \<LLOQ, post-vaccination Ab cc was ≥LLOQ, (2) If pre-Dose 1 Ab cc was ≥LLOQ, post-vaccination Ab cc was ≥pre-vaccination levels. Due to the timing of the occurrence of protocol violation or the availability of each antigen serology testing result, the analysis populations may not have been identical for each antigen-specific analysis at each post-vaccination visit. |
| Non-inferiority of Rotavirus Response (Geometric Mean Titer, GMT) One Month After the 2nd Dose of Rotarix (4 Months of Age) Administered Concomitantly With PR5I Versus INFANRIX Hexa | 1 month after the 2nd dose of Rotarix, administered concomitantly with PR5I or INFANRIX hexa (Post-Dose 2) | Antibody titres expressed in units/mL were measured for Rotavirus IgA by Enzyme Immunoassay (EIA), 1 month after the 2nd dose of Rotarix, administered concomitantly with PR5I or INFANRIX hexa (Post-Dose 2). The 95% CI for GMT was based on the t-distribution of the natural log-transformed antibody titer. |
| Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Up to 5 days (Day 1 to Day 5 following vaccination) | Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions \[ISRs\]). Solicited ISRs were defined as injection-site erythema, injection-site pain, and injection-site swelling occurring from D1 to D5 after vaccination. |
| Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | From D1 to D15 after any vaccination | Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions {ISRs\]). Unsolicited ISRs occurring from Day 1 (D1) to D15 after any vaccination were reported daily on the VRC by the parent(s) or legal representative. Unsolicited ISRs with incidence ≥1% are reported below. |
| Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Up to 5 days (from D1 to D5 after any vaccination) | Solicited systemic AEs were defined as crying, decreased appetite, irritability, pyrexia (rectal temperature ≥38.0°C), somnolence, and vomiting occurring from D1 to D5 after vaccination. The investigator had to assess whether these systemic AEs were related or not to the vaccines. All (related and unrelated) are displayed here. |
| Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | Solicited AEs: up to 5 days (Days 1-5 after any vaccination); unsolicited AEs: up to 15 days (Day 1-15 after any vaccination) | Injection-site and systemic AEs were reported daily on the Vaccination Report Card (VRC) by the parent(s) or legal representative from Day 1 (D1) to D15 after each vaccination. Solicited injection site and systemic AEs were reported daily from D1 to D5 after each vaccination. AEs at injection sites were always considered as vaccine-related (V-related) (Injection-Site Reactions \[ISRs\]). The investigator had to assess whether systemic AEs were related or not to the vaccine. All AEs (related and unrelated) are displayed here. |
Participant flow
Recruitment details
Participants from Italy and Sweden were randomized to Rotavirus Vaccine Subset 1 (Rotarix™). Participants from Finland were randomized to Rotavirus Vaccine Subset 2 (RotaTeq™).
Participants by arm
| Arm | Count |
|---|---|
| PR5I Infant series: PR5I 0.5 mL injection + Prevenar 13™ 0.5 mL injection administered at 2 and 4 months of age, and rotavirus vaccine (either Rotarix™ 1.5 mL oral dose at 2 and 4 months of age \[subset 1\] or RotaTeq™ 2 mL oral dose at 2, 4 and 5 months of age \[subset 2\]). Toddler dose: PR5I 0.5 mL injection + Prevenar 13™ 0.5 mL injection administered at 11 to 12 months of age. | 656 |
| INFANRIX™ Hexa Infant series: INFANRIX™ hexa 0.5 mL injection + Prevenar 13™ 0.5 mL injection administered at 2 and 4 months of age, and rotavirus vaccine (either Rotarix™ 1.5 mL oral dose at 2 and 4 months of age \[subset 1\] or RotaTeq™ 2 mL oral dose at 2, 4 and 5 months of age \[subset 2\]). Toddler dose: INFANRIX™ hexa 0.5 mL injection + Prevenar 13™ 0.5 mL injection administered at 11 to 12 months of age. | 659 |
| Total | 1,315 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Infant Series | Adverse Event | 1 | 1 |
| Infant Series | Not Vaccinated | 3 | 0 |
| Infant Series | Physician Decision | 0 | 1 |
| Infant Series | Protocol Violation | 2 | 0 |
| Infant Series | Withdrawal by Subject | 1 | 6 |
| Interim Period | Lost to Follow-up | 0 | 2 |
| Interim Period | Physician Decision | 1 | 0 |
| Interim Period | Protocol Violation | 0 | 1 |
| Interim Period | Withdrawal by Subject | 9 | 6 |
Baseline characteristics
| Characteristic | PR5I | INFANRIX™ Hexa | Total |
|---|---|---|---|
| Age, Continuous | 68 Days STANDARD_DEVIATION 10.3 | 68.1 Days STANDARD_DEVIATION 10.5 | 68.1 Days STANDARD_DEVIATION 10.4 |
| Region of Enrollment Finland | 459 Participants | 460 Participants | 919 Participants |
| Region of Enrollment Italy | 132 Participants | 132 Participants | 264 Participants |
| Region of Enrollment Sweden | 65 Participants | 67 Participants | 132 Participants |
| Sex: Female, Male Female | 323 Participants | 313 Participants | 636 Participants |
| Sex: Female, Male Male | 333 Participants | 346 Participants | 679 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 653 | 0 / 659 |
| other Total, other adverse events | 650 / 653 | 653 / 659 |
| serious Total, serious adverse events | 6 / 653 | 10 / 659 |
Outcome results
Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age)
Acceptability response rates were defined as Ab titre ≥1.0 μg/mL for Haemophilus influenzae type b (Hib) (polyribosylribitol phosphate, PRP); ≥10 mIU/mL for Hepatitis (HBsAg); ≥0.1 IU/mL for diphtheria and tetanus; ≥8 (1/dil) for inactive poliovirus type (IPV) 1, 2 & 3, and percentage of pertussis seroresponder participants (Pertussis toxoid \[PT\], Filamentous haemagglutinin \[FHA\], Fimbriae types 2 & 3 \[FIM\] and Pertactin \[PRN\]) 1 month Post-Toddler dose of PR5I. Seroresponse was defined: (1) If pre-Dose 1 Ab concentration (cc) was \<LLOQ (lower limit of quantitation), postvaccination Ab cc was ≥LLOQ, (2) If pre-Dose 1 Ab cc was ≥LLOQ, postvaccination Ab cc was ≥prevaccination levels. Due to the timing of the occurrence of protocol violation or the availability of each antigen serology testing result, the analysis populations may not have been identical for each antigen-specific analysis at each post-vaccination visit.
Time frame: 1 month after Toddler dose of PR51 (post-toddler dose)
Population: Participants who met the inclusion criteria, were not protocol violators, received PR51 vaccinations within acceptable day ranges, and had a blood draw sample window of Days 28 to 51 following the Toddler dose. Participants receiving INFANRIX™ hexa were excluded from the acceptability analyses.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-PRP ≥1.0 μg/mL | 89.87 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-HBsAg ≥10 mIU/mL | 98.14 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-Diphtheria ≥0.1 IU/mL | 98.64 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-Tetanus ≥0.1 IU/mL | 99.83 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-PT seroresponse | 99.12 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-FHA seroresponse | 97.42 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-FIM seroresponse | 98.28 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-PRN seroresponse | 96.91 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-IPV1 ≥1:8 dilution | 99.32 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-IPV2 ≥1:8 dilution | 99.83 Percentage of participants |
| PR5I | Acceptability of Antibody (Ab) Response or Seroresponse Rates to All Antigens Contained in PR5I Vaccine One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) | Anti-IPV3 ≥1:8 dilution | 99.49 Percentage of participants |
Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa
Percentage of participants with pre-specified Ab titre for PRP, HBsAg, diphtheria, tetanus, IPV1, 2 & 3, and percentage of pertussis seroresponder participants (PT, FHA, FIM and PRN) 1 month post-toddler dose were calculated based on the method by Miettinen and Nurminen stratified by country. Seroresponse was defined: (1) If pre-Dose 1 Ab cc was \<LLOQ, post-vaccination Ab cc was ≥LLOQ, (2) If pre-Dose 1 Ab cc was ≥LLOQ, post-vaccination Ab cc was ≥pre-vaccination levels. Due to the timing of the occurrence of protocol violation or the availability of each antigen serology testing result, the analysis populations may not have been identical for each antigen-specific analysis at each post-vaccination visit.
Time frame: 1 month after Toddler dose (post-toddler dose)
Population: Participants who met the inclusion criteria, were not protocol violators, received vaccinations within acceptable day ranges, and had a blood draw sample window of Days 28 to 51 following the Toddler dose.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-PRP ≥1.0 μg/mL | 89.80 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-HBsAg ≥10 mIU/mL | 98.14 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-Diphtheria ≥0.1 IU/mL | 98.62 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-Tetanus ≥0.1 IU/mL | 99.83 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-PT seroresponse | 99.11 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-FHA seroresponse | 97.40 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-PRN seroresponse | 96.86 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-IPV1 ≥1:8 dilution | 99.32 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-IPV2 ≥1:8 dilution | 99.83 Percentage of participants |
| PR5I | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-IPV3 ≥1:8 dilution | 99.49 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-IPV1 ≥1:8 dilution | 99.83 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-PRP ≥1.0 μg/mL | 91.06 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-FHA seroresponse | 99.13 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-HBsAg ≥10 mIU/mL | 98.73 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-IPV3 ≥1:8 dilution | 99.65 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-Diphtheria ≥0.1 IU/mL | 99.83 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-PRN seroresponse | 98.28 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-Tetanus ≥0.1 IU/mL | 100.00 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-IPV2 ≥1:8 dilution | 100.00 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority Ab Response Rates to PR5I Antigens One Month After the Toddler Dose of PR5I (11 to 12 Months of Age) as Compared With INFANRIX Hexa | Anti-PT seroresponse | 99.64 Percentage of participants |
Non-inferiority of Antibody (Ab) Response Rate to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa
Percentage of participants with an Ab titre ≥1.0 μg/mL for Hib (polyribosylribitol phosphate, PRP) measured by radioimmunoassay (RIA) 1 month post-infant dose 2 of PR5I or INFANRIX hexa.
Time frame: 1 month after the 2nd dose (post-infant dose 2)
Population: Participants who received 2nd dose in the Infant series and had a blood draw sample window of Days 28 to 51 post-infant dose 2.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PR5I | Non-inferiority of Antibody (Ab) Response Rate to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa | 72.86 Percentage of participants |
| INFANRIX™ Hexa | Non-inferiority of Antibody (Ab) Response Rate to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa | 26.66 Percentage of participants |
Non-inferiority of Rotavirus Response (Geometric Mean Titer, GMT) One Month After the 2nd Dose of Rotarix (4 Months of Age) Administered Concomitantly With PR5I Versus INFANRIX Hexa
Antibody titres expressed in units/mL were measured for Rotavirus IgA by Enzyme Immunoassay (EIA), 1 month after the 2nd dose of Rotarix, administered concomitantly with PR5I or INFANRIX hexa (Post-Dose 2). The 95% CI for GMT was based on the t-distribution of the natural log-transformed antibody titer.
Time frame: 1 month after the 2nd dose of Rotarix, administered concomitantly with PR5I or INFANRIX hexa (Post-Dose 2)
Population: Participants who received dose 2 of Rotarix.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| PR5I | Non-inferiority of Rotavirus Response (Geometric Mean Titer, GMT) One Month After the 2nd Dose of Rotarix (4 Months of Age) Administered Concomitantly With PR5I Versus INFANRIX Hexa | 96.41 Titre (units/mL) |
| INFANRIX™ Hexa | Non-inferiority of Rotavirus Response (Geometric Mean Titer, GMT) One Month After the 2nd Dose of Rotarix (4 Months of Age) Administered Concomitantly With PR5I Versus INFANRIX Hexa | 122.24 Titre (units/mL) |
Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination
Injection-site and systemic AEs were reported daily on the Vaccination Report Card (VRC) by the parent(s) or legal representative from Day 1 (D1) to D15 after each vaccination. Solicited injection site and systemic AEs were reported daily from D1 to D5 after each vaccination. AEs at injection sites were always considered as vaccine-related (V-related) (Injection-Site Reactions \[ISRs\]). The investigator had to assess whether systemic AEs were related or not to the vaccine. All AEs (related and unrelated) are displayed here.
Time frame: Solicited AEs: up to 5 days (Days 1-5 after any vaccination); unsolicited AEs: up to 15 days (Day 1-15 after any vaccination)
Population: All randomized participants who received at least 1 vaccination and who had safety follow-up.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 ISR or systemic AE (D1-D15) | 99.5 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 ISR or V-related systemic AE (D1-D15) | 99.5 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 ISR (D1-D15) | 90.8 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 solicited ISR (D1-D5) | 90.4 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 systemic AE (D1-D15) | 99.1 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 V-related systemic AE (D1-D15) | 99.1 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 solicited systemic AE (D1-D5) | 99.1 Percentage of participants |
| PR5I | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 V-related solicited systemic AE (D1-D5) | 99.1 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 V-related solicited systemic AE (D1-D5) | 98.2 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 ISR or systemic AE (D1-D15) | 99.2 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 systemic AE (D1-D15) | 98.9 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 ISR or V-related systemic AE (D1-D15) | 98.8 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 solicited systemic AE (D1-D5) | 98.3 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 ISR (D1-D15) | 88.2 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 V-related systemic AE (D1-D15) | 98.3 Percentage of participants |
| INFANRIX™ Hexa | Number of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any Vaccination | At least 1 solicited ISR (D1-D5) | 87.9 Percentage of participants |
Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination
Solicited systemic AEs were defined as crying, decreased appetite, irritability, pyrexia (rectal temperature ≥38.0°C), somnolence, and vomiting occurring from D1 to D5 after vaccination. The investigator had to assess whether these systemic AEs were related or not to the vaccines. All (related and unrelated) are displayed here.
Time frame: Up to 5 days (from D1 to D5 after any vaccination)
Population: All randomised participants who received at least 1 vaccination and who had safety follow-up.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PR5I | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Crying | 89.3 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Decreased appetite | 65.8 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Irritability | 91.6 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Pyrexia | 73.8 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Somnolence | 86.1 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Vomiting | 32.8 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Somnolence | 80.3 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Crying | 87.1 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Pyrexia | 67.4 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Decreased appetite | 62.2 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Vomiting | 31.0 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any Vaccination | Irritability | 89.4 Percentage of participants |
Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination
Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions \[ISRs\]). Solicited ISRs were defined as injection-site erythema, injection-site pain, and injection-site swelling occurring from D1 to D5 after vaccination.
Time frame: Up to 5 days (Day 1 to Day 5 following vaccination)
Population: All randomised participants who received at least 1 vaccination and who had safety follow-up.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PR5I | Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Injection-site erythema | 68.6 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Injection-site pain | 73.4 Percentage of participants |
| PR5I | Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Injection-site swelling | 56.8 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Injection-site erythema | 60.4 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Injection-site pain | 70.0 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Solicited ISRs From D1 to D5 After Any Vaccination | Injection-site swelling | 49.3 Percentage of participants |
Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination
Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions {ISRs\]). Unsolicited ISRs occurring from Day 1 (D1) to D15 after any vaccination were reported daily on the VRC by the parent(s) or legal representative. Unsolicited ISRs with incidence ≥1% are reported below.
Time frame: From D1 to D15 after any vaccination
Population: All randomised participants who received at least 1 vaccination and who had safety follow-up.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PR5I | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site haemorrhage | 1.8 Percentage of participants |
| PR5I | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site nodule | 1.1 Percentage of participants |
| PR5I | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site induration | 15.8 Percentage of participants |
| PR5I | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site warmth | 2.3 Percentage of participants |
| PR5I | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site bruising | 0.9 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site warmth | 1.2 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site bruising | 2.0 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site haemorrhage | 1.8 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site induration | 13.2 Percentage of participants |
| INFANRIX™ Hexa | Percentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any Vaccination | Injection-site nodule | 0.8 Percentage of participants |
Superiority of Antibody (Ab) Response Rates to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa
Percentage of participants with an Ab titre ≥1.0 μg/mL for Hib (polyribosylribitol phosphate, PRP) measured by RIA 1 month post-infant dose 2 of PR5I or INFANRIX hexa.
Time frame: 1 month after the 2nd dose (post-infant dose 2)
Population: Participants who received 2nd dose in the Infant series and had a blood draw sample window of Days 28 to 51 post-infant dose 2.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PR5I | Superiority of Antibody (Ab) Response Rates to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa | 72.86 Percentage of participants |
| INFANRIX™ Hexa | Superiority of Antibody (Ab) Response Rates to Haemophilus Influenzae Type b (PRP) One Month After the 2nd Dose of PR5I (4 Months of Age) as Compared With INFANRIX Hexa | 26.66 Percentage of participants |