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临床试验/NCT00390910
NCT00390910已完成3 期

Study to Assess the Safety and Immunogenicity of GSK Biologicals 10-valent Pneumococcal Conjugate Vaccine When Co-administered With DTPa-HBV-IPV/Hib (Infanrix-Hexa) Vaccine in Preterm Infants as a 3-dose Primary Immunization Course During the First 6 Months of Life.

GlaxoSmithKline9 个研究点 分布在 2 个国家目标入组 286 人开始时间: 2006年10月1日最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
已完成
入组人数
286
试验地点
9
主要终点
Number of Subjects With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off

研究概览

简要总结

This study aims to evaluate the safety, reactogenicity and immunogenicity of GlaxoSmithKline (GSK) Biologicals´ 10-valent pneumococcal conjugate vaccine when co-administered with diphtheria, tetanus, acellular pertussis-hepatitis B virus-inactivated polio virus/Haemophilus influenzae type b (DTPa-HBV-IPV/Hib) vaccine in preterm infants as a 3-dose primary immunization course during the first 6 months of life.

This protocol posting deals with objectives & outcome measures of the primary study. The objectives & outcome measures of the Booster study are presented in a separate protocol posting (NCT number = 00609492)

详细描述

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
8 Weeks 至 16 Weeks(Child)
性别
All
接受健康志愿者

入选标准

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol
  • A male or female between, and including, 8-16 weeks (56-118 days) of age at the time of the first vaccination.
  • Written informed consent obtained from the parent or guardian of the subject.
  • Born after a gestation period of >27 weeks (at least 189 days).
  • If full term born, healthy subjects as established by medical history and clinical examination before entering into the study
  • If premature, medically stable condition (not requiring significant medical support or ongoing management for debilitating disease and having demonstrated a clinical course of sustained recovery).

排除标准

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first dose of study vaccines, or planned use during the study period
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs from birth to the first vaccine dose.
  • Planned administration/administration of a vaccine not foreseen by the study protocol, during the period starting from one month before the first dose of vaccines and up to Visit
  • Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b, Neisseria meningitidis and/or Streptococcus pneumoniae with the exception of vaccines where the first dose can be given within the first two weeks of life according to the national recommendations
  • History of or intercurrent diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b disease, Neisseria meningitidis.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
  • History of any neurologic disorders or seizures (this criterion does not apply to subjects who have had a single, uncomplicated febrile convulsion in the past).
  • Acute disease at the time of enrolment.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination
  • A family history of congenital or hereditary immunodeficiency.
  • Major congenital defects or serious chronic illness.
  • Administration of immunoglobulins, with the exception of monoclonal antibodies against RSV, and/or any blood products within one month preceding the first dose of study vaccines or planned administration during the active phase of the study.

研究组 & 干预措施

Synflorix™ + Infanrix™ hexa Group I

Experimental

Very preterm infants born after a gestation period of 27-30 weeks (189-216 days)

干预措施: Pneumococcal conjugate vaccine GSK1024850A (Biological)

Synflorix™ + Infanrix™ hexa Group II

Experimental

Mild pretem infants born after a gestation period of 31-36 weeks (217-258 days)

干预措施: Pneumococcal conjugate vaccine GSK1024850A (Biological)

Synflorix™ + Infanrix™ hexa Group III

Experimental

Infants born after a gestation period of more than 36 weeks (more than 258 days)

干预措施: Pneumococcal conjugate vaccine GSK1024850A (Biological)

Synflorix™ + Infanrix™ hexa Group III

Experimental

Infants born after a gestation period of more than 36 weeks (more than 258 days)

干预措施: Infanrix hexa (Biological)

Synflorix™ + Infanrix™ hexa Group II

Experimental

Mild pretem infants born after a gestation period of 31-36 weeks (217-258 days)

干预措施: Infanrix hexa (Biological)

Synflorix™ + Infanrix™ hexa Group I

Experimental

Very preterm infants born after a gestation period of 27-30 weeks (189-216 days)

干预措施: Infanrix hexa (Biological)

结局指标

主要结局

Number of Subjects With Core Fever (Rectal Temperature) Greater Than (>) the Cut-off

时间窗: Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4)

Fever was measured as rectal temperature. Assessment of occurrences of fever \> 39.0 °C was performed post doses 1, 2 and 3 of Synflorix or Infanrix hexa vaccine.

次要结局

  • Number of Subjects With Concentrations of Antibodies Against Protein D (Anti-PD) ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Any Serious Adverse Events (SAEs)(Throughout the entire study period starting from the first vaccine dose administration (Month 0) up to the end of the 6-month safety follow-up (ESFU- Month 10).)
  • Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F(One month after the 3rd vaccine dose (Month 5))
  • Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Any and Grade 3 Solicited General Symptoms(Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4))
  • Number of Subjects With Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Any Unsolicited Adverse Events (AEs)(Within 31 days (Days 0-30) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4))
  • Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F(One month after the 3rd vaccine dose (Month 5))
  • Concentrations of Antibodies Against Protein D (Anti-PD)(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Anti-diphtheria (Anti DT) and Anti-tetanus Toxoids (Anti TT) Antibody Concentrations ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Antibody Titers for Polio Type 1, 2 and 3 ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Vaccine Response to Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Any and Grade 3 Solicited Local Symptoms(Within 4 days (Days 0-3) after each vaccine dose, administered according to a 3-dose schedule at 2-4-6 months of age (Month 0-2-4))
  • Number of Subjects With Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Greater Than or Equal to (≥) the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Antibody Concentrations for Anti-diphtheria and Tetanus Toxoids ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibody Concentrations ≥ th Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))
  • Antibody Concentration for Anti-pertussis Toxoid (Anti-PT) , Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)(One month after the 3rd vaccine dose (Month 5))
  • Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Anti-polio Type 1, 2 and 3 Antibody Titres(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Anti-Hepatitis B Surface Antigen (HBs) Antibody Concentrations ≥ the Cut-off.(One month after the 3rd vaccine dose (Month 5))
  • Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off(One month after the 3rd vaccine dose (Month 5))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (9)

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