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Safety, Tolerability, and Immunogenicity of V419 in Healthy Infants When Given at 2, 4, and 11 to 12 Months (V419-008)

A Phase III Randomized, Double-Blind, Active-Comparator Controlled Clinical Trial to Study the Safety, Tolerability, and Immunogenicity of V419 in Healthy Infants When Given at 2, 4, and 11 to 12 Months

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01480258
Enrollment
1315
Registered
2011-11-28
Start date
2011-11-23
Completion date
2013-10-09
Last updated
2019-04-02

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

Conditions

Bacterial Infections, Virus Diseases

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

BIOLOGICALPrevenar 13™

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.

BIOLOGICALPR5I

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

Merck Sharp & Dohme LLC
CollaboratorINDUSTRY
MCM Vaccines B.V.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
46 Days to 89 Days
Healthy volunteers
Yes

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

MeasureTime frameDescription
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

MeasureTime frameDescription
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 Hexa1 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 Hexa1 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 Hexa1 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 Hexa1 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 VaccinationUp 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 VaccinationFrom D1 to D15 after any vaccinationAdverse 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 VaccinationUp 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 VaccinationSolicited 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

ArmCount
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
Total1,315

Withdrawals & dropouts

PeriodReasonFG000FG001
Infant SeriesAdverse Event11
Infant SeriesNot Vaccinated30
Infant SeriesPhysician Decision01
Infant SeriesProtocol Violation20
Infant SeriesWithdrawal by Subject16
Interim PeriodLost to Follow-up02
Interim PeriodPhysician Decision10
Interim PeriodProtocol Violation01
Interim PeriodWithdrawal by Subject96

Baseline characteristics

CharacteristicPR5IINFANRIX™ HexaTotal
Age, Continuous68 Days
STANDARD_DEVIATION 10.3
68.1 Days
STANDARD_DEVIATION 10.5
68.1 Days
STANDARD_DEVIATION 10.4
Region of Enrollment
Finland
459 Participants460 Participants919 Participants
Region of Enrollment
Italy
132 Participants132 Participants264 Participants
Region of Enrollment
Sweden
65 Participants67 Participants132 Participants
Sex: Female, Male
Female
323 Participants313 Participants636 Participants
Sex: Female, Male
Male
333 Participants346 Participants679 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 6530 / 659
other
Total, other adverse events
650 / 653653 / 659
serious
Total, serious adverse events
6 / 65310 / 659

Outcome results

Primary

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.

ArmMeasureGroupValue (NUMBER)
PR5IAcceptability 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/mL89.87 Percentage of participants
PR5IAcceptability 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/mL98.14 Percentage of participants
PR5IAcceptability 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/mL98.64 Percentage of participants
PR5IAcceptability 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/mL99.83 Percentage of participants
PR5IAcceptability 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 seroresponse99.12 Percentage of participants
PR5IAcceptability 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 seroresponse97.42 Percentage of participants
PR5IAcceptability 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 seroresponse98.28 Percentage of participants
PR5IAcceptability 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 seroresponse96.91 Percentage of participants
PR5IAcceptability 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 dilution99.32 Percentage of participants
PR5IAcceptability 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 dilution99.83 Percentage of participants
PR5IAcceptability 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 dilution99.49 Percentage of participants
Comparison: Anti-PRP ≥ 1.0 μg/mLp-value: <0.001Clopper and Pearson
Comparison: Anti-HBsAg ≥10 mIU/mLp-value: <0.001Clopper and Pearson
Comparison: Anti-Diphtheria ≥0.1 IU/mLp-value: <0.001Clopper and Pearson
Comparison: Anti-Tetanus ≥0.1 IU/mLp-value: <0.001Clopper and Pearson
Comparison: Anti-PT seroresponsep-value: <0.001Clopper and Pearson
Comparison: Anti-FHA seroresponsep-value: <0.001Clopper and Pearson
Comparison: Anti-FIM seroresponsep-value: <0.001Clopper and Pearson
Comparison: Anti-PRN seroresponsep-value: <0.001Clopper and Pearson
Comparison: Anti-IPV1 ≥1:8 dilutionp-value: <0.001Clopper and Pearson
Comparison: Anti-IPV2 ≥1:8 dilutionp-value: <0.001Clopper and Pearson
Comparison: Anti-IPV3 ≥1:8 dilutionp-value: <0.001Clopper and Pearson
Secondary

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.

ArmMeasureGroupValue (NUMBER)
PR5INon-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 HexaAnti-PRP ≥1.0 μg/mL89.80 Percentage of participants
PR5INon-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 HexaAnti-HBsAg ≥10 mIU/mL98.14 Percentage of participants
PR5INon-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 HexaAnti-Diphtheria ≥0.1 IU/mL98.62 Percentage of participants
PR5INon-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 HexaAnti-Tetanus ≥0.1 IU/mL99.83 Percentage of participants
PR5INon-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 HexaAnti-PT seroresponse99.11 Percentage of participants
PR5INon-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 HexaAnti-FHA seroresponse97.40 Percentage of participants
PR5INon-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 HexaAnti-PRN seroresponse96.86 Percentage of participants
PR5INon-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 HexaAnti-IPV1 ≥1:8 dilution99.32 Percentage of participants
PR5INon-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 HexaAnti-IPV2 ≥1:8 dilution99.83 Percentage of participants
PR5INon-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 HexaAnti-IPV3 ≥1:8 dilution99.49 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-IPV1 ≥1:8 dilution99.83 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-PRP ≥1.0 μg/mL91.06 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-FHA seroresponse99.13 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-HBsAg ≥10 mIU/mL98.73 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-IPV3 ≥1:8 dilution99.65 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-Diphtheria ≥0.1 IU/mL99.83 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-PRN seroresponse98.28 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-Tetanus ≥0.1 IU/mL100.00 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-IPV2 ≥1:8 dilution100.00 Percentage of participants
INFANRIX™ HexaNon-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 HexaAnti-PT seroresponse99.64 Percentage of participants
Comparison: Non-inferiority for PRPp-value: <0.00195% CI: [-5.13, 2.52]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for HBsAgp-value: <0.00195% CI: [-2.66, 1.35]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for Diptheriap-value: <0.00195% CI: [-2.54, -0.22]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for Tetanusp-value: <0.00195% CI: [-0.95, 0.5]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for PTp-value: <0.00195% CI: [-1.75, 0.49]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for FHAp-value: <0.00195% CI: [-3.47, -0.26]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for PRNp-value: <0.00195% CI: [-3.42, 0.39]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for IPV1p-value: <0.00195% CI: [-1.59, 0.34]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for IPV2p-value: <0.00195% CI: [-0.96, 0.49]Miettinen & Nurminen with stratification
Comparison: Non-Inferiority for IPV3p-value: <0.00195% CI: [-1.2, 0.82]Miettinen & Nurminen with stratification
Secondary

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.

ArmMeasureValue (NUMBER)
PR5INon-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 Hexa72.86 Percentage of participants
INFANRIX™ HexaNon-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 Hexa26.66 Percentage of participants
p-value: <0.00195% CI: [41.05, 51.06]Miettinen & Nurminen
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)
PR5INon-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 Hexa96.41 Titre (units/mL)
INFANRIX™ HexaNon-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 Hexa122.24 Titre (units/mL)
p-value: 0.01195% CI: [0.54, 1.2]ANCOVA
Secondary

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.

ArmMeasureGroupValue (NUMBER)
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 ISR or systemic AE (D1-D15)99.5 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 ISR or V-related systemic AE (D1-D15)99.5 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 ISR (D1-D15)90.8 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 solicited ISR (D1-D5)90.4 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 systemic AE (D1-D15)99.1 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 V-related systemic AE (D1-D15)99.1 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 solicited systemic AE (D1-D5)99.1 Percentage of participants
PR5INumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 V-related solicited systemic AE (D1-D5)99.1 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 V-related solicited systemic AE (D1-D5)98.2 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 ISR or systemic AE (D1-D15)99.2 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 systemic AE (D1-D15)98.9 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 ISR or V-related systemic AE (D1-D15)98.8 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 solicited systemic AE (D1-D5)98.3 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 ISR (D1-D15)88.2 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 V-related systemic AE (D1-D15)98.3 Percentage of participants
INFANRIX™ HexaNumber of Participants Who Experienced an Adverse Event (AE) From Day 1 to Day 15 After Any VaccinationAt least 1 solicited ISR (D1-D5)87.9 Percentage of participants
Comparison: ISR or systemic AE95% CI: [-0.7, 1.4]
Comparison: ISR or V-related systemic AE95% CI: [-0.3, 2]
Comparison: At least 1 ISR95% CI: [-0.7, 6]
Comparison: At least 1 solicited ISR95% CI: [-0.9, 5.9]
Comparison: At least 1 systemic AE95% CI: [-1.1, 1.4]
Comparison: At least 1 vaccine-related systemic AE95% CI: [-0.5, 2.2]
Comparison: At least 1 solicited systemic AE95% CI: [-0.5, 2.2]
Comparison: At least 1 vaccine-related solicited systemic AE95% CI: [-0.4, 2.3]
Secondary

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.

ArmMeasureGroupValue (NUMBER)
PR5IPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationCrying89.3 Percentage of participants
PR5IPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationDecreased appetite65.8 Percentage of participants
PR5IPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationIrritability91.6 Percentage of participants
PR5IPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationPyrexia73.8 Percentage of participants
PR5IPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationSomnolence86.1 Percentage of participants
PR5IPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationVomiting32.8 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationSomnolence80.3 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationCrying87.1 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationPyrexia67.4 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationDecreased appetite62.2 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationVomiting31.0 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited Adverse Events (AEs) From D1 to D5 After Any VaccinationIrritability89.4 Percentage of participants
Comparison: Crying95% CI: [-1.3, 5.7]
Comparison: Decreased appetite95% CI: [-1.6, 8.8]
Comparison: Irritability95% CI: [-1, 5.4]
Comparison: Pyrexia95% CI: [1.5, 11.3]
Comparison: Somnolence95% CI: [1.7, 9.8]
Comparison: Vomiting95% CI: [-3.2, 6.9]
Secondary

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.

ArmMeasureGroupValue (NUMBER)
PR5IPercentage of Participants Reporting Solicited ISRs From D1 to D5 After Any VaccinationInjection-site erythema68.6 Percentage of participants
PR5IPercentage of Participants Reporting Solicited ISRs From D1 to D5 After Any VaccinationInjection-site pain73.4 Percentage of participants
PR5IPercentage of Participants Reporting Solicited ISRs From D1 to D5 After Any VaccinationInjection-site swelling56.8 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited ISRs From D1 to D5 After Any VaccinationInjection-site erythema60.4 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited ISRs From D1 to D5 After Any VaccinationInjection-site pain70.0 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Solicited ISRs From D1 to D5 After Any VaccinationInjection-site swelling49.3 Percentage of participants
Comparison: Injection-site erythema95% CI: [3, 13.3]
Comparison: Injection-site pain95% CI: [-1.5, 8.3]
Comparison: Injection-site swelling95% CI: [2.1, 12.9]
Secondary

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.

ArmMeasureGroupValue (NUMBER)
PR5IPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site haemorrhage1.8 Percentage of participants
PR5IPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site nodule1.1 Percentage of participants
PR5IPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site induration15.8 Percentage of participants
PR5IPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site warmth2.3 Percentage of participants
PR5IPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site bruising0.9 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site warmth1.2 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site bruising2.0 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site haemorrhage1.8 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site induration13.2 Percentage of participants
INFANRIX™ HexaPercentage of Participants Reporting Unsolicited ISRs From D1 to D15 After Any VaccinationInjection-site nodule0.8 Percentage of participants
Comparison: Injection-site bruising95% CI: [-2.5, 0.3]
Comparison: Injection-site haemorrhage95% CI: [-1.5, 1.6]
Comparison: Injection-site induration95% CI: [-1.2, 6.4]
Comparison: Injection-site nodule95% CI: [-0.8, 1.5]
Comparison: Injection-site warmth95% CI: [-0.4, 2.7]
Secondary

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.

ArmMeasureValue (NUMBER)
PR5ISuperiority 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 Hexa72.86 Percentage of participants
INFANRIX™ HexaSuperiority 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 Hexa26.66 Percentage of participants
p-value: <0.00195% CI: [41.05, 51.06]Miettinen & Nurminen

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026