Clinical Trial Results:
An open, phase IV, multicentre study to assess the long-term persistence of antibodies against hepatitis B and the immune response to a hepatitis B vaccine challenge in healthy children 7 to 9 years old, previously vaccinated with 4 doses of GlaxoSmithKline (GSK) Biologicals’ DTPa-HBV-IPV/Hib vaccine or 4 doses of GSK Biologicals’ HBV vaccine, in clinical trials conducted by GSK Biologicals.
Summary
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EudraCT number |
2006-000549-20 |
Trial protocol |
DE |
Global end of trial date |
19 May 2008
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Results information
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Results version number |
v2(current) |
This version publication date |
31 Jul 2016
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First version publication date |
04 Dec 2014
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Other versions |
v1 |
Version creation reason |
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Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
106744
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT00356564 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
GlaxoSmithKline Biologicals
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Sponsor organisation address |
Rue de l’Institut 89, Rixensart, Belgium, B-1330
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Public contact |
Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089-904466, GSKClinicalSupportHD@gsk.com
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Scientific contact |
Clinical Trials Call Center, GlaxoSmithKline Biologicals, 044 2089-904466, GSKClinicalSupportHD@gsk.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
30 Apr 2007
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
19 May 2008
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To assess the anti-HBs antibody response to a challenge dose of HBV vaccine in subjects aged 7 to 9 years, previously primed and boosted with 4 doses of Infanrix hexa in the first two years of life.
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Protection of trial subjects |
As with all injectable vaccines, appropriate medical treatment was always readily available in case of anaphylactic reactions following the administration of the vaccine.
For this reason, the vaccine remained under medical supervision for 30 minutes after vaccination.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
25 Jul 2006
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 224
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Worldwide total number of subjects |
224
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EEA total number of subjects |
224
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
224
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | |||||||||||||||
Pre-assignment
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Screening details |
During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms. | |||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
No
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Arm title
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Infanrix hexa Group | |||||||||||||||
Arm description |
Subjects previously vaccinated with 4 doses of Infanrix hexa™ vaccine in the first 2 years of life. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Engerix™-B Kinder
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
1 dose, intramuscular use
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Arm title
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Engerix-B Kinder Group | |||||||||||||||
Arm description |
Subjects previously vaccinated with 4 doses of Engerix™-B Kinder vaccine co-administered with Infanrix hexa™ vaccine in the first 2 years of life. | |||||||||||||||
Arm type |
Active comparator | |||||||||||||||
Investigational medicinal product name |
Engerix™-B Kinder
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
1 dose, intramuscular use
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Arm title
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No vaccination Group | |||||||||||||||
Arm description |
Subjects in this group were enrolled even though they had no previous vaccination history. | |||||||||||||||
Arm type |
No intervention | |||||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Arm title
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All subjects Group | |||||||||||||||
Arm description |
Pooled group including subjects from the other three groups. | |||||||||||||||
Arm type |
Merged group | |||||||||||||||
Investigational medicinal product name |
Engerix™-B Kinder
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
1 dose, intramuscular use
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Baseline characteristics reporting groups
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Reporting group title |
Infanrix hexa Group
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Reporting group description |
Subjects previously vaccinated with 4 doses of Infanrix hexa™ vaccine in the first 2 years of life. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Engerix-B Kinder Group
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Reporting group description |
Subjects previously vaccinated with 4 doses of Engerix™-B Kinder vaccine co-administered with Infanrix hexa™ vaccine in the first 2 years of life. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
No vaccination Group
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Reporting group description |
Subjects in this group were enrolled even though they had no previous vaccination history. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
All subjects Group
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Reporting group description |
Pooled group including subjects from the other three groups. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Infanrix hexa Group
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Reporting group description |
Subjects previously vaccinated with 4 doses of Infanrix hexa™ vaccine in the first 2 years of life. | ||
Reporting group title |
Engerix-B Kinder Group
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Reporting group description |
Subjects previously vaccinated with 4 doses of Engerix™-B Kinder vaccine co-administered with Infanrix hexa™ vaccine in the first 2 years of life. | ||
Reporting group title |
No vaccination Group
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Reporting group description |
Subjects in this group were enrolled even though they had no previous vaccination history. | ||
Reporting group title |
All subjects Group
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Reporting group description |
Pooled group including subjects from the other three groups. |
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End point title |
Number of subjects with anti-HBs antibody concentrations ≥ 100 mIU/mL. [1] [2] | ||||||||||||
End point description |
The data for the Infanrix hexa Group are the primary efficacy results.
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End point type |
Primary
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End point timeframe |
1 month after challenge dose of Engerix™-B Kinder vaccine
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with anti-HBs antibody concentrations ≥ 10 mIU/mL. [3] | ||||||||||||
End point description |
1 month after challenge dose of Engerix-B Kinder vaccine
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End point type |
Secondary
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End point timeframe |
1 month after challenge dose of Engerix™-B Kinder vaccine
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Notes [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Anti-HBs antibody concentrations. [4] | |||||||||||||||
End point description |
Concentrations were expressed as geometric mean concentrations (GMCs) for the cut-off value of ≥ 100 mIU/mL (milli-international units per milliliter).
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End point type |
Secondary
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End point timeframe |
1 month after challenge dose of Engerix™-B Kinder vaccine
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Notes [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with anti-HBs antibody concentrations between set cut-off values. [5] | ||||||||||||||||||
End point description |
The cut-off values assessed for this outcome were ≥ 10 mIU/mL, ≥ 100 mIU/mL and 10 mIU/mL - 100 mIU/mL.
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End point type |
Secondary
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End point timeframe |
Before challenge dose of Engerix™-B Kinder vaccine
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Notes [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Anti-HBs antibody concentrations. [6] | |||||||||||||||
End point description |
Concentrations were expressed as GMCs for the 10 mIU/mL - 100 mIU/mL cut-off.
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End point type |
Secondary
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End point timeframe |
Before challenge dose of Engerix™-B Kinder vaccine.
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Notes [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of seroprotected subjects for anti-diphtheria (anti-D) and anti –tetanus (anti-T). [7] | |||||||||||||||
End point description |
A seroprotected subject was defined as a subject with anti-D and anti-T antibody concentrations ≥ 0.1 IU/mL.
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End point type |
Secondary
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End point timeframe |
Before challenge dose of Engerix™-B Kinder vaccine
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Notes [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of seroprotected subjects for anti-polyribosyl ribitol phosphate (anti-PRP) [8] | |||||||||||||||
End point description |
A seroprotected subject was defined as a subject with anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (µg/mL) and ≥ 1 µg/mL.
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End point type |
Secondary
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End point timeframe |
Before challenge dose of Engerix™-B Kinder vaccine
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Notes [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of seroprotected subjects for anti-poliovirus types 1, 2 and 3. [9] | ||||||||||||||||||
End point description |
A seroprotected subject was defined as a subject with anti-polio types 1, 2 and 3 antibody concentrations ≥ 8.
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End point type |
Secondary
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End point timeframe |
Before challenge dose of Engerix™-B Kinder vaccine
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Notes [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of seropositive subjects for anti-pertussis toxoid (anti-PT), anti-filamentous haemagglutinin (anti-FHA) and anti-pertactin (anti-PRN). [10] | ||||||||||||||||||
End point description |
A seropositive subject was defined as a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5 EL.U/mL
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End point type |
Secondary
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End point timeframe |
Before challenge dose of Engerix™-B Kinder vaccine
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Notes [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with solicited local symptoms [11] | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
During the 4-day (Day 0-3) follow-up period after the challenge dose of Engerix™-B Kinder vaccine
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Notes [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Assessment done for All subjects Group. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with solicited general symptoms [12] | ||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
During the 4-day (Day 0-3) follow-up period after the challenge dose of Engerix™-B Kinder vaccine
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Notes [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Assessment done for All subjects Group. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with unsolicited symptoms [13] | ||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
During the 31-day (Day 0-30) follow-up period after the challenge dose of Engerix™-B Kinder vaccine
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Notes [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Assessment done for All subjects Group. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with serious adverse events (SAEs) [14] | ||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
during the entire study period
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Notes [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Assessment done for All subjects Group. |
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No statistical analyses for this end point |
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End point title |
Number of seroprotected subjects for anti-diphteria [15] | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Before challenge dose
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Notes [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Anti-D, anti-T antibody concentrations [16] | ||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Before the challenge dose of Engerix™-B Kinder vaccine
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Notes [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Anti-PT, anti-FHA, anti-PRN antibody concentrations [17] | |||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Before the challenge dose of Engerix™-B Kinder vaccine
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Notes [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Anti-Polio types 1, 2 and 3 antibody titers [18] | |||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Before the challenge dose of Engerix™-B Kinder vaccine
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Notes [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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End point title |
Anti-PRP antibody concentrations [19] | |||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Before the challenge dose of the Engerix™-B Kinder vaccine
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Notes [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Analysis assessed only in subjects who received HBs containing vaccines. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Solicited symptoms: 4 - day follow-up period after vaccination (Day 0 - Day 3); Unsolicited AEs: 31 - day follow-up period after vaccination (Day 0 - Day 30); SAEs: during the entire study period.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
9.0
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Reporting groups
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Reporting group title |
All Subjects Group
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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31 May 2006 |
This amendment was prepared to take advantage of higher enrolment capacity than envisaged earlier and increase the sample size of the DTPa-HBV-IPV/Hib group. The number of subjects to be enrolled in that group is increased from 100 to at least 200, which results in increased power of the study to define the percentage of children showing boostability of the HBV response. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |