Last updated: 11/03/2018 09:32:13

Prophylactic antipyretic treatment in children receiving booster dose of pneumococcal conjugate vaccine GSK1024850A

GSK study ID
107137
Clinicaltrials.gov ID
EudraCT ID
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: Prophylactic antipyretic treatment in children receiving booster dose of pneumococcal vaccine GSK1024850A and DTPa-HBV-IPV/Hib vaccine (Infanrix hexa) and assessment of impact of pneumococcal vaccination on nasopharyngeal carriage
Trial description: The purpose of this trial is to assess if the rate of febrile reactions following the co-administration of a booster dose of pneumococcal conjugate vaccines with standard infant vaccines is lowered when paracetamol is given prophylactically and to assess the impact of pneumococcal conjugate vaccine on pneumococcal and H. influenzae nasopharyngeal carriage compared to control group receiving meningococcal conjugate vaccine (GSK134612).
This protocol posting deals with objectives & outcome measures of the booster phase. The objectives & outcome measures of the primary phase are presented in a separate protocol posting (NCT number = NCT00370318).
Primary purpose:
Prevention
Trial design:
Parallel Assignment
Masking:
None (Open Label)
Allocation:
Non-randomized
Primary outcomes:

Number of subjects reported with core fever (rectal temperature) greater than or equal to (≥) the cut-off

Timeframe: Within 4 days (Day 0-3) after primary vaccine dose.

Secondary outcomes:

Number of subjects reported with core fever (rectal temperature) greater than (>) the cut-off

Timeframe: Within 4 days (Day 0-3) after primary vaccination dose

Number of subjects reported with any and Grade 3 solicited local symptoms.

Timeframe: During the 4-day (Days 0-3) post-primary vaccination period

Number of subjects reported with any, Grade 3 and related solicited general symptoms

Timeframe: During the 4-day (Day 0-3) post-vaccination period

Number of subjects reported with unsolicited adverse events (AEs)

Timeframe: Within 31 days (Days 0-30) after primary vaccine dose.

Number of subjects reported with serious adverse events (SAEs)

Timeframe: Throughout the entire study period (Month 0-Month 12)

Number of subjects reported with AEs resulting in rash, new onset of chronic illness (NOCI), emergency room (ER) visits and non-routine physician office visits.

Timeframe: Up to 6 months after vaccination with Mencevax™

Number of subjects with antibody concentrations against certain pneumococcal serotypes ≥ the cut off

Timeframe: Prior to booster vaccination (PRE), 1 month (M1) and 12 months (M12) post-booster vaccination

Antibody concentrations against certain pneumococcal serotypes ≥ the cut off.

Timeframe: Prior to booster vaccination (PRE), 1 month (M1) and 12 months (M12) post-booster vaccination

Opsonophagocytic activity (OPA) titers against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F

Timeframe: Prior to booster vaccination (PRE), 1 month (M1) and 12 months (M12) post-booster vaccination

Concentrations of antibodies against protein D (Anti-PD)

Timeframe: Prior to booster vaccination (PRE), 1 month (M1) and 12 months (M12) post-booster vaccination

Antibody concentrations against pneumococcal serotypes 6A and 19A (anti-6A and 19A)

Timeframe: Prior to booster vaccination (PRE), 1 month (M1) and 12 months (M12) post-booster vaccination

Opsonophagocytic activity (OPA) titers against pneumococcal cross-reactive serotypes 6A and 19A

Timeframe: Prior to booster vaccination (PRE), 1 month (M1) and 12 months (M12) post-booster vaccination

Number of subjects with serum bactericidal antibodies, using baby rabbit complement for assay (rSBA) titres ≥ the cut-off values

Timeframe: Prior to vaccination (PRE), 1 month (M1) and 12 months (M12) post-vaccination

rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY titers in the Mencevax + Infanrix Hexa Group

Timeframe: Prior to vaccination(PRE), 1 month (M1) and 12 months (M12) post- vaccination.

Number of subjects with anti-polysaccharide N (anti-PS) concentrations ≥ the cut-off values

Timeframe: Prior to vaccination(PRE), 1 month (M1) and 12 months (M12) post-vaccination

Geometric mean antibody concentration (GMCs) for anti-polysaccharide N (anti-PS) antibody concentrations

Timeframe: Prior to vaccination(PRE), 1 month (M1) and 12 months (M12) post- vaccination.

Anti-tetanus toxoids (anti-T) antibody concentrations in the Mencevax + Infanrix Hexa Group

Timeframe: Prior to vaccination (Pre)

Anti-hepatitis B surface antigen (anti-HBs) antibody concentrations in the Mencevax + Infanrix Hexa Group

Timeframe: Prior to vaccination (Pre)

Concentrations of antibodies against diphtheria and tetanus toxoids (anti-D and T).

Timeframe: 1 month post-vaccination (M1)

Anti-pertussis toxoid (anti-PT), anti-filamentous haemagglutinin (anti-FHA) and anti-pertactin (anti-PRN) antibody concentrations

Timeframe: 1 month post-vaccination (M1)

Anti-hepatitis B surface antigen (anti-HBs) antibody concentrations

Timeframe: 1 month post-vaccination (M1)

Anti-polyribosyl-ribitol phosphate (anti-PRP) antibody concentrations

Timeframe: 1 month post-vaccination (M1)

Anti-poliovirus (Anti-Polio) types 1, 2 and 3 titers

Timeframe: 1 month post-vaccination (M1)

Anti-hepatitis B surface antigen (Anti-HBs) antibody concentrations

Timeframe: 12 month post-vaccination (M12)

Anti-poliovirus (Anti-Polio) type 1, 2 and 3 titers

Timeframe: 12 month post-vaccination (M12)

Number of nasopharyngeal swabs with S.pneumoniae (vaccine serotypes)

Timeframe: Prior to vaccination(Pre), 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Number of nasopharyngeal swabs with S.pneumoniae (cross-reactive serotypes)

Timeframe: Prior to vaccination(Pre), 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Number of nasopharyngeal swabs with S.pneumoniae (non-vaccine and non-cross-reactive serotypes)

Timeframe: Prior to vaccination(Pre), 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Number of nasopharyngeal swabs with H. influenzae

Timeframe: Prior to vaccination(Pre), 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Number of nasopharyngeal swabs with S. pneumoniae and H. influenzae

Timeframe: Prior to vaccination(Pre), 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Number of subjects with new acquisition associated to S. pneumoniae detected in nasopharyngeal swabs

Timeframe: 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Number of subjects with new acquisition associated to H. influentzae detected in nasopharyngeal swabs.

Timeframe: 1 month post-vaccination (M1), 3 months post-vaccination (M3), 7 months post-vaccination (M7), 12 months post-vaccination (M12) and across all time points (Overall)

Interventions:
  • Biological/vaccine: Pneumococcal conjugate vaccine GSK1024850A.
  • Biological/vaccine: Infanrix hexa.
  • Biological/vaccine: Meningococcal vaccine GSK134612.
  • Drug: Paracetamol.
  • Enrollment:
    750
    Primary completion date:
    2008-25-03
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Prymula R et al. (2009) Effect of prophylactic paracetamol administration at time of vaccination on febrile reactions and antibody responses in children: two open-label, randomised controlled trials. Lancet. 374(9698):1339-1350.
    Prymula R et al. (2011) Impact of the 10-valent pneumococcal non-typeable Haemophilus influenzae Protein D conjugate vaccine (PHiD-CV) on bacterial nasopharyngeal carriage. Vaccine. 29(10):1959-1967.
    Prymula R et al. Does prophylactic paracetamol influence the effect of 10-valent pneumococcal non-typeable Haemophilus influenzae protein-D conjugate vaccine (PHiD-CV) on pneumococcal nasopharyngeal carriage? Abstract presented at the 7th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD). Tel Aviv, Israel, 14-18 March 2010.
    Prymula R et al. Effects on serotype 6A and 6B nasopharyngeal carriage following immunization with 10-valent pneumococcal non-typeable Haemophilus influenzae protein-D conjugate vaccine. Abstract presented at the 28th Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID). Nice, France, 4–8 May 2010.
    Prymula R et al. Limited clinical benefit but reduced antibody responses to paediatric vaccines following prophylactic paracetamol administration. Abstract presented at the 4th Europaediatrics, Moscow, Russia, 03-06 July 2009.
    Prymula R et al. The 10-valent pneumococcal vaccine conjugated to protein-D (PHiD-CV) reduces nasopharyngeal carriage of Streptococcus pneumoniae (SP) vaccine serotypes in Czech children. Abstract presented at the 6th World Congress of the World Society for Pediatric Infectious Diseases (WSPID). Buenos Aires, Argentina, 19-22 November 2009.
    Silfverdal SA et al. (2016) Safety profile of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV). Expert Rev Vaccines. [Epub ahead of print]
    Medical condition
    Infections, Streptococcal
    Product
    GSK1024850A, GSK134612A
    Collaborators
    Not applicable
    Study date(s)
    July 2007 to February 2009
    Type
    Interventional
    Phase
    3

    Participation criteria

    Sex
    Female & Male
    Age
    12 - 15 months
    Accepts healthy volunteers
    Yes
    • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study.
    • A male or female between, and including, 12-15 months of age at the time of the vaccination.
    • For all subjects:
    • 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

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Praha 6, Czech Republic, 1600
    Status
    Study Complete
    Location
    GSK Investigational Site
    Brno, Czech Republic, 628 00
    Status
    Study Complete
    Location
    GSK Investigational Site
    Praha 9, Czech Republic, 190 00
    Status
    Study Complete
    Location
    GSK Investigational Site
    Praha 5, Czech Republic, 150 00
    Status
    Study Complete
    Location
    GSK Investigational Site
    Jindrichuv Hradec, Czech Republic, 377 01
    Status
    Study Complete
    Location
    GSK Investigational Site
    Pardubice, Czech Republic, 532 03
    Status
    Study Complete
    Showing 1 - 6 of 10 Results

    Study documents

    Clinical study report
    Available language(s): English
    Scientific result summary
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Study complete
    Actual primary completion date
    2008-25-03
    Actual study completion date
    2009-17-02

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

    Participate in clinical trial
    Additional information
    Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
    Click here
    Access to clinical trial data by researchers
    Visit website