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    Clinical Trial Results:
    An Open-label, Multi-centre Study of the Safety of a 2-dose Regimen of a Combined Measles, Mumps, Rubella and Varicella Live Vaccine (ProQuad®) Manufactured with Recombinant Human Albumin (rHA) when administered to Children in their Second Year of Life

    Summary
    EudraCT number
    2007-002438-12
    Trial protocol
    DE   GR   NL   DK   SE   ES   IT  
    Global end of trial date
    24 Nov 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    27 Apr 2016
    First version publication date
    11 Jun 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    MRV01C
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00560755
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Sanofi Pasteur MSD S.N.C.
    Sponsor organisation address
    162 avenue Jean Jaurès - CS 50712, Lyon Cedex 07, France, 69367
    Public contact
    Clinical Trials Disclosure, Sanofi Pasteur MSD S.N.C., ClinicalTrialsDisclosure@spmsd.com
    Scientific contact
    Clinical Trials Disclosure, Sanofi Pasteur MSD S.N.C., ClinicalTrialsDisclosure@spmsd.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    24 Nov 2008
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    24 Nov 2008
    Global end of trial reached?
    Yes
    Global end of trial date
    24 Nov 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To describe the safety profile of a second dose of ProQuad® manufactured with rHA when administered to children in their second year of life. ProQuad® manufactured with rHA was called "ProQuad rHA" to facilitate the reading.
    Protection of trial subjects
    Subjects received 2 doses of ProQuad rHA vaccine with an interval of at least 1 month in accordance with the European Summary of Product Characteristics (Euro SmPC). Subjects with allergy to any of the vaccine components or history of a life-threatening reaction to a vaccine containing the same substances as the study vaccine were not vaccinated. Vaccines were administered by qualified study personnel. After each vaccination, subjects were kept under observation for at least 20 minutes to ensure their safety.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    24 Oct 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 331
    Country: Number of subjects enrolled
    Spain: 885
    Country: Number of subjects enrolled
    Sweden: 309
    Country: Number of subjects enrolled
    Denmark: 142
    Country: Number of subjects enrolled
    Germany: 1212
    Country: Number of subjects enrolled
    Greece: 133
    Country: Number of subjects enrolled
    Italy: 376
    Worldwide total number of subjects
    3388
    EEA total number of subjects
    3388
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    3388
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Study subjects were enrolled in 84 active centres in 7 European countries.

    Pre-assignment
    Screening details
    3414 subjects were screened out. 3388 subjects were included and vaccinated. 3346 subjects received the 2 doses of ProQuad rHA. 3328 subjects completed the study.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    Not applicable as this study was open-label.

    Arms
    Arm title
    All subjects
    Arm description
    Subjects in the study received 2 doses of ProQuad rHA (measles, mumps, rubella and varicella (live attenuated)) vaccine with an interval of at least 1 month in accordance with the European Summary of Product Characteristics (Euro SmPC): the 1st dose at 12 to 22 months of age, and the 2nd dose 28 to 42 days later. Both doses were administered subcutaneously in the deltoid region, and the second dose had to be administered in the contralateral arm.
    Arm type
    Experimental

    Investigational medicinal product name
    ProQuad® manufactured with rHA
    Investigational medicinal product code
    MMRV
    Other name
    Pharmaceutical forms
    Powder and solvent for suspension for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    0.5 mL, subcutaneous route (deltoid region, upper arm), 2 doses with an interval of at least 1 month. The second dose had to be administered in the contralateral arm (i.e. if the1st dose was injected in the right upper arm, it was recommended to inject the 2nd dose in the left upper arm; and vice versa).

    Number of subjects in period 1
    All subjects
    Started
    3388
    Completed
    3328
    Not completed
    60
         Consent withdrawn by subject
    26
         Physician decision
    2
         Adverse event, non-fatal
    8
         Lost to follow-up
    9
         Protocol deviation
    15

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial (overall period)
    Reporting group description
    Subjects received 2 doses of ProQuad rHA (measles, mumps, rubella and varicella (live attenuated)) vaccine with an interval of at least 1 month in accordance with the European Summary of Product Characteristics (Euro SmPC): the 1st dose at 12 to 22 months of age, and the 2nd dose 28 to 42 days later. Both doses were administered subcutaneously in the deltoid region, and the second dose had to be administered in the contralateral arm.

    Reporting group values
    Overall trial (overall period) Total
    Number of subjects
    3388 3388
    Age categorical
    Units: Subjects
        Infants and toddlers (28 days-23 months)
    3388 3388
    Age continuous
    Units: months
        arithmetic mean (standard deviation)
    14.6 ± 2.3 -
    Gender categorical
    Units: Subjects
        Female
    1650 1650
        Male
    1738 1738

    End points

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    End points reporting groups
    Reporting group title
    All subjects
    Reporting group description
    Subjects in the study received 2 doses of ProQuad rHA (measles, mumps, rubella and varicella (live attenuated)) vaccine with an interval of at least 1 month in accordance with the European Summary of Product Characteristics (Euro SmPC): the 1st dose at 12 to 22 months of age, and the 2nd dose 28 to 42 days later. Both doses were administered subcutaneously in the deltoid region, and the second dose had to be administered in the contralateral arm.

    Primary: Global safety from D0 to D28 following the 2nd dose of ProQuad rHA

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    End point title
    Global safety from D0 to D28 following the 2nd dose of ProQuad rHA [1]
    End point description
    Adverse events (AEs) occurring after injection of the 2nd dose of ProQuad rHA were recorded as follows. 1/ From D0 to D4: # solicited injection-site adverse reactions (ISRs) (erythema, swelling, and pain), 2/ From D0 to D28: # unsolicited ISRs (including erythema, swelling, and pain from D5 to D28), # numeric values of temperature, # AEs of interest (a/ injection-site rashes of interest, b/ non-injection site rashes of interest (measles-like rash, rubella-like rash, varicella-like rash and zoster-like rash), c/ mumps-like illness), # other systemic AEs. AEs at injection sites were always considered as related to vaccine (ISRs). The investigator had to assess whether systemic AEs were vaccine-related systemic AEs or not. Analysis was done on the Post-Dose 2 Safety set.
    End point type
    Primary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 2nd dose or ProQuad rHA.
    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: Objectives were only descriptive. Thus, no formal statistical hypothesis was tested in this study.
    End point values
    All subjects
    Number of subjects analysed
    3342 [2]
    Units: Percentage of subjects
    number (confidence interval 95%)
        At least 1 AE
    57.66 (55.96 to 59.34)
        At least 1 vaccine-related AE
    41.77 (40.09 to 43.47)
        At least 1 ISR
    34.23 (32.62 to 35.87)
        At least 1 systemic AE
    40.42 (38.76 to 42.11)
        At least 1 vaccine-related systemic AE
    13.44 (12.3 to 14.64)
    Notes
    [2] - Post-Dose 2 Safety set
    No statistical analyses for this end point

    Primary: Proportion of subjects reporting solicited injection-site reactions (ISR) from D0 to D4 following the 2nd dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting solicited injection-site reactions (ISR) from D0 to D4 following the 2nd dose of ProQuad rHA [3]
    End point description
    The immediate injection-site adverse reactions (within 20 minutes following vaccination) were recorded directly by the investigator into the CRF and in the subject’s source documents. Solicited injection-site reactions (ISRs) (injection-site erythema, injection-site swelling and injection-site pain) occurring from 20 minutes (Day 0 (D0)) to D4 after vaccination were then reported on the Diary Card by the parent(s) or legal representative. Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions (ISRs)). Analysis was done on the Post-Dose 2 Safety set.
    End point type
    Primary
    End point timeframe
    Day 0 (D0) to D4 after injection of the 2nd dose or ProQuad rHA.
    Notes
    [3] - 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: Objectives were only descriptive. Thus, no formal statistical hypothesis was tested in this study.
    End point values
    All subjects
    Number of subjects analysed
    3342 [4]
    Units: Percentage of subjects
    number (confidence interval 95%)
        At least 1 solicited ISR
    33.72 (32.12 to 35.35)
        Injection-site erythema
    30.46 (28.9 to 32.05)
        Injection-site swelling
    13.23 (12.09 to 14.42)
        Injection-site pain
    11.49 (10.43 to 12.62)
    Notes
    [4] - Post-Dose 2 Safety set
    No statistical analyses for this end point

    Primary: Proportion of subjects reporting unsolicited injection-site reactions (ISR) from D0 to D28 following the 2nd dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting unsolicited injection-site reactions (ISR) from D0 to D28 following the 2nd dose of ProQuad rHA [5]
    End point description
    The immediate injection-site adverse reactions (within 20 minutes following vaccination) were recorded directly by the investigator into the CRF and in the subject’s source documents. Unsolicited injection-site reactions (ISRs) occurring from 20 minutes (Day 0 (D0)) to D28 after vaccination as well as injection-site erythema, injection-site swelling and injection-site pain starting from D5 were then reported on the Diary Card by the parent(s) or legal representative. Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions (ISRs)). Analysis was done on the Post-Dose 2 Safety set.
    End point type
    Primary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 2nd dose or ProQuad rHA.
    Notes
    [5] - 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: Objectives were only descriptive. Thus, no formal statistical hypothesis was tested in this study.
    End point values
    All subjects
    Number of subjects analysed
    3342 [6]
    Units: Percentage of subjects
    number (not applicable)
        At least 1 unsolicited ISR
    1.65
        Injection-site bruising
    0.06
        Injection-site eczema
    0.09
        Injection-site erythema
    0.24
        Injection-site haematoma
    0.81
        Injection-site haemorrhage
    0.03
        Injection-site induration
    0.09
        Injection-site pruritus
    0.03
        Injection-site rash
    0.24
        Injection-site swelling
    0.15
        Injection-site vesicles
    0.03
    Notes
    [6] - Post-Dose 2 Safety set
    No statistical analyses for this end point

    Primary: Proportion of subjects reporting adverse events of interest from D0 to D28 following the 2nd dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting adverse events of interest from D0 to D28 following the 2nd dose of ProQuad rHA [7]
    End point description
    The immediate injection-site adverse reactions and systemic adverse events (AEs) were recorded directly by the investigator into the CRF and in the subject’s source documents following 20 minutes after vaccination. Systemic AEs of interest (injection-site and non-injection site rashes of interest (measles-like rash, rubella-like rash, varicella-like rash and zoster-like rash) as well as mumps-like illness) were then reported on the Diary Card by the parent(s) or legal representative from 20 minutes (D0) to D28 to 42 after vaccination. Analysis was done on the Post-Dose 2 Safety set.
    End point type
    Primary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 2nd dose or ProQuad rHA.
    Notes
    [7] - 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: Objectives were only descriptive. Thus, no formal statistical hypothesis was tested in this study.
    End point values
    All subjects
    Number of subjects analysed
    3342 [8]
    Units: Percentage of subjects
    number (confidence interval 95%)
        At least 1 injection-site rash of interest
    0.03 (0 to 0.17)
        At least 1 non-injection-site rash of interest
    2.78 (2.25 to 3.4)
        Measles / Measles-like rash
    1.62 (1.22 to 2.1)
        Rubella / Rubella-like rash
    0.57 (0.34 to 0.89)
        Varicella / Varicella-like rash
    0.63 (0.39 to 0.96)
        Zoster / Zoster-like rash
    0.03 (0 to 0.17)
        Mumps / Mumps-like illness
    0.03 (0 to 0.17)
    Notes
    [8] - Post-Dose 2 Safety set
    No statistical analyses for this end point

    Primary: Proportion of subjects reporting rectal (or equivalent) temperature ≥38.0°C from D0 to D28 following the 2nd dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting rectal (or equivalent) temperature ≥38.0°C from D0 to D28 following the 2nd dose of ProQuad rHA [9]
    End point description
    The parent(s) or legal representative were instructed to measure the temperature from the day of vaccination to Day 28 following vaccination using a digital thermometer supplied by Sanofi Pasteur MSD, each time the subject was febrile (or felt feverish) and until resolution of fever (or feverish feeling). In case of several measurements of the temperature during the day, the daily highest temperature had to be recorded in the Diary Card. For the analysis of the numeric values of temperature, any axillary value was converted to rectal equivalent by adding +0.9°C (according to thermometer instructions). Analysis was done on the Post-Dose 2 Safety set.
    End point type
    Primary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 2nd dose or ProQuad rHA.
    Notes
    [9] - 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: Objectives were only descriptive. Thus, no formal statistical hypothesis was tested in this study.
    End point values
    All subjects
    Number of subjects analysed
    3342 [10]
    Units: Percentage of subjects
    number (not applicable)
        At least 1 temperature ≥38.0°C
    26.12
        At least 1 temperature ≥39.4°C
    12.06
    Notes
    [10] - Post-Dose 2 Safety set
    No statistical analyses for this end point

    Secondary: Global safety from D0 to D28 following the 1st dose of ProQuad rHA

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    End point title
    Global safety from D0 to D28 following the 1st dose of ProQuad rHA
    End point description
    Adverse events (AEs) occurring after injection of the 1st dose of ProQuad rHA were recorded as follows. 1/ From D0 to D4: # solicited injection-site adverse reactions (ISRs) (erythema, swelling, and pain), 2/ From D0 to D28: # unsolicited ISRs (including erythema, swelling, and pain from D5 to D28), # numeric values of temperature, # AEs of interest (a/ injection-site rashes of interest, b/ non-injection site rashes of interest (measles-like rash, rubella-like rash, varicella-like rash and zoster-like rash), c/ mumps-like illness), # other systemic AEs. AEs at injection sites were always considered as related to vaccine (ISRs). The investigator had to assess whether systemic AEs were vaccine-related systemic AEs or not. Analysis was done on the Post-Dose 1 Safety set.
    End point type
    Secondary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 1st dose or ProQuad rHA.
    End point values
    All subjects
    Number of subjects analysed
    3376 [11]
    Units: Percentage of subjects
    number (confidence interval 95%)
        At least 1 AE
    71.62 (70.07 to 73.14)
        At least 1 vaccine-related AE
    50.62 (48.92 to 52.32)
        At least 1 ISR
    26.27 (24.8 to 27.79)
        At least 1 systemic AE
    64.1 (62.45 to 65.72)
        At least 1 vaccine-related systemic AE
    34.86 (33.26 to 36.5)
    Notes
    [11] - Post-Dose 1 Safety set
    No statistical analyses for this end point

    Secondary: Proportion of subjects reporting solicited injection-site reactions (ISR) from D0 to D4 following the 1st dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting solicited injection-site reactions (ISR) from D0 to D4 following the 1st dose of ProQuad rHA
    End point description
    The immediate injection-site adverse reactions (within 20 minutes following vaccination) were recorded directly by the investigator into the CRF and in the subject’s source documents. Solicited injection-site reactions (ISRs) (injection-site erythema, injection-site swelling and injection-site pain) occurring from 20 minutes (Day 0 (D0)) to D4 after vaccination were then reported on the Diary Card by the parent(s) or legal representative. Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions (ISRs)). Analysis was done on the Post-Dose 1 Safety set.
    End point type
    Secondary
    End point timeframe
    Day 0 (D0) to D4 after injection of the 1st dose or ProQuad rHA.
    End point values
    All subjects
    Number of subjects analysed
    3376 [12]
    Units: Percentage of subjects
    number (confidence interval 95%)
        At least 1 solicited ISR
    21.42 (20.04 to 22.84)
        Injection-site erythema
    14.31 (13.14 to 15.53)
        Injection-site swelling
    5.57 (4.82 to 6.4)
        Injection-site pain
    10.31 (9.3 to 11.38)
    Notes
    [12] - Post-Dose 1 Safety set
    No statistical analyses for this end point

    Secondary: Proportion of subjects reporting unsolicited injection-site reactions (ISR) from D0 to D28 following the 1st dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting unsolicited injection-site reactions (ISR) from D0 to D28 following the 1st dose of ProQuad rHA
    End point description
    The immediate injection-site adverse reactions (within 20 minutes following vaccination) were recorded directly by the investigator into the CRF and in the subject’s source documents. Unsolicited injection-site reactions (ISRs) occurring from 20 minutes (Day 0 (D0)) to D28 to 42 after vaccination, as well as injection-site erythema, injection-site swelling and injection-site pain starting from D5 were then reported on the Diary Card by the parent(s) or legal representative. Adverse events at injection sites were always considered as related to vaccine (Injection-Site Reactions (ISRs)). Analysis was done on the Post-Dose 1 Safety set.
    End point type
    Secondary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 1st dose or ProQuad rHA.
    End point values
    All subjects
    Number of subjects analysed
    3376 [13]
    Units: Percentage of subjects
    number (not applicable)
        At least 1 unsolicited ISR
    7.43
        Injection-site bruising
    0.12
        Injection-site dermatitis
    0.03
        Injection-site erythema
    5.21
        Injection-site haematoma
    0.71
        Injection-site haemorrhage
    0.09
        Injection-site induration
    0.09
        Injection-site macule
    0.06
        Injection-site mass
    0.09
        Injection-site pain
    0.09
        Injection-site papule
    0.18
        Injection-site pustule
    0.03
        Injection-site rash
    0.83
        Injection-site swelling
    1.18
        Injection-site urticaria
    0.06
        Injection-site vesicles
    0.09
    Notes
    [13] - Post-Dose 1 Safety set
    No statistical analyses for this end point

    Secondary: Proportion of subjects reporting adverse events of interest from D0 to D28 following the 1st dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting adverse events of interest from D0 to D28 following the 1st dose of ProQuad rHA
    End point description
    The immediate injection-site adverse reactions and systemic adverse events (AEs) were recorded directly by the investigator into the CRF and in the subject’s source documents following 20 minutes after vaccination. Systemic AEs of interest (injection-site and non-injection site rashes of interest (measles-like rash, rubella-like rash, varicella-like rash and zoster-like rash) as well as mumps-like illness) were then reported on the Diary Card by the parent(s) or legal representative from 20 minutes (D0) to D28 to 42 after vaccination. Analysis was done on the Post-Dose 1 Safety set.
    End point type
    Secondary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 1st dose or ProQuad rHA.
    End point values
    All subjects
    Number of subjects analysed
    3376 [14]
    Units: Percentage of subjects
    number (confidence interval 95%)
        At least 1 injection-site rash of interest
    0.47 (0.27 to 0.77)
        At least 1 non-injection-site rash of interest
    11.4 (10.35 to 12.52)
        Measles / Measles-like rash
    6.9 (6.07 to 7.81)
        Rubella / Rubella-like rash
    2.9 (2.36 to 3.53)
        Varicella / Varicella-like rash
    2.1 (1.65 to 2.65)
        Zoster / Zoster-like rash
    0.03 (0 to 0.16)
        Mumps / Mumps-like illness
    0.21 (0.08 to 0.43)
    Notes
    [14] - Post-Dose 1 Safety set
    No statistical analyses for this end point

    Secondary: Proportion of subjects reporting rectal (or equivalent) temperature ≥38.0°C from D0 to D28 following the 1st dose of ProQuad rHA

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    End point title
    Proportion of subjects reporting rectal (or equivalent) temperature ≥38.0°C from D0 to D28 following the 1st dose of ProQuad rHA
    End point description
    The parent(s) or legal representative were instructed to measure the temperature from the day of vaccination to Day 28 following vaccination using a digital thermometer supplied by Sanofi Pasteur MSD, each time the subject was febrile (or felt feverish) and until resolution of fever (or feverish feeling). In case of several measurements of the temperature during the day, the daily highest temperature had to be recorded in the Diary Card. For the analysis of the numeric values of temperature, any axillary value was converted to rectal equivalent by adding +0.9°C (according to thermometer instructions). Analysis was done on the Post-Dose 1 Safety set.
    End point type
    Secondary
    End point timeframe
    Day 0 (D0) to D28 after injection of the 1st dose or ProQuad rHA.
    End point values
    All subjects
    Number of subjects analysed
    3376 [15]
    Units: Percentage of subjects
    number (not applicable)
        At least 1 temperature ≥38.0°C
    56.1
        At least 1 temperature ≥39.4°C
    25.24
    Notes
    [15] - Post-Dose 1 Safety set
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Unsolicited adverse events (AEs) were collected from D0 to D28 after vaccination with the 1st (Post-Dose 1) and the 2nd (Post-Dose 2) dose of ProQuad rHA. Serious AEs were collected from the 1st vaccination to the last visit of the subjects.
    Adverse event reporting additional description
    Analysis of adverse events was done on the Safety sets (i.e., all subjects who received the study vaccine and who have safety follow-up data). # Post-Dose 1 Safety set, N= 3376. # Post-Dose 2 Safety set, N= 3342.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10.0
    Reporting groups
    Reporting group title
    All subjects
    Reporting group description
    # Subjects in the study received 2 doses of ProQuad rHA vaccine: the 1st dose at 12 to 22 months of age, and the 2nd dose 28 to 42 days later. Both doses were administered subcutaneously in the deltoid region (2nd dose in the contralateral arm). Analysis of adverse events (AEs) was done on the Post-Dose 1 and Post-Dose 2 Safety sets (SSs) (i.e., all subjects who received the study vaccine and who have safety follow-up data). # Subjects exposed (i.e. vaccinated), N= 3388; Post-Dose 1 SS, N= 3376; Post-Dose 2 SS, N= 3342. # The number of subjects reporting at least 1 unsolicited non-serious ISR or AE with incidence ≥1% are presented hereafter. In the Post-Dose 1 SS, 2418 reported at least 1 AE; in the Post-Dose 2 SS, 1927 reported at least 1 AE (by convention, this number was reported below for "number of subjects affected by non-serious AEs" as only 1 number could be reported, and the primary objective of this study was to describe the safety profile of a 2nd dose of ProQuad rHA).

    Serious adverse events
    All subjects
    Total subjects affected by serious adverse events
         subjects affected / exposed
    62 / 3388 (1.83%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Post-Dose 1, Respiratory fume inhalation disorder
    Additional description: 1 subject experienced respiratory fume inhalation disorder of moderate intensity 12 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 2 days and was assessed as not related to vaccine.
         subjects affected / exposed [1]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Thermal burn
    Additional description: 1 subject experienced thermal burn of moderate intensity 21 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 16 days and was assessed as not related to vaccine.
         subjects affected / exposed [2]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Tongue injury
    Additional description: 1 subject experienced tongue injury of mild intensity 34 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 1 day and was assessed as not related to vaccine.
         subjects affected / exposed [3]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Burns second degree
    Additional description: 1 subject experienced burns second degree of moderate intensity 1 day after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 4 days and was assessed as not related to vaccine.
         subjects affected / exposed [4]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Concussion
    Additional description: 1 subject experienced concussion of mild intensity 10 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 3 days and was assessed as not related to vaccine.
         subjects affected / exposed [5]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Head injury
    Additional description: 2 subjects experienced head injury of mild to moderate intensity 9 to 10 days after injection of the 2nd dose of ProQuad rHA. These serious AEs lasted 2 to 4 days and were assessed as not related to vaccine.
         subjects affected / exposed [6]
    2 / 3342 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Traumatic brain injury
    Additional description: 1 subject experienced traumatic brain injury of mild intensity 8 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 3 days and was assessed as not related to vaccine.
         subjects affected / exposed [7]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Post-Dose 2, Cyanosis
    Additional description: 1 subject experienced cyanosis of moderate intensity 9 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 1 day and was assessed as possibly related to vaccine.
         subjects affected / exposed [8]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Post-Dose 1, Febrile convulsion
    Additional description: 10 subjects experienced febrile convulsion or febrile seizure of mild to severe intensity 3 to 34 days after injection of the 1st dose of ProQuad rHA. 8 of these serious AEs were assessed as possibly related to vaccine.
         subjects affected / exposed [9]
    10 / 3376 (0.30%)
         occurrences causally related to treatment / all
    8 / 10
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Loss of consciousness
    Additional description: 1 subject experienced loss of consciousness of moderate intensity 10 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 1 day and was assessed as possibly related to vaccine.
         subjects affected / exposed [10]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Facial paresis
    Additional description: 1 subject experienced facial paresis of moderate intensity 12 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 6 days and was assessed as not related to vaccine.
         subjects affected / exposed [11]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Febrile convulsion
    Additional description: 6 subjects experienced febrile convulsion or febrile seizure of mild to severe intensity 6 to 23 days after injection of the 2nd dose of ProQuad rHA. 4 of these serious AEs were assessed as possibly related to vaccine.
         subjects affected / exposed [12]
    6 / 3342 (0.18%)
         occurrences causally related to treatment / all
    4 / 6
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Post-Dose 1, Pyrexia
    Additional description: 2 subjects experienced pyrexia after injection of the 1st dose of ProQuad rHA: # 1 moderate, 35 days post-vaccination, lasting 5 days, not vaccine-related, # 1 severe, 1 day post-vaccination, lasting 13 days, possibly related to vaccine.
         subjects affected / exposed [13]
    2 / 3376 (0.06%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Pyrexia
    Additional description: 1 subject experienced pyrexia of severe intensity 12 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 17 days and was assessed as possibly related to vaccine.
         subjects affected / exposed [14]
    1 / 3346 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Post-Dose 1, Vomiting
    Additional description: 1 subject experienced vomiting of severe intensity 8 days after injection of the 1st dose of ProQuad rHA. This serious AEs lasted 4 days and was assessed as not related to vaccine.
         subjects affected / exposed [15]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Post-Dose 1, Asthma
    Additional description: 1 subject experienced asthma of severe intensity 11 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 5 days, was assessed as possibly related to vaccine, and led to premature withdrawal.
         subjects affected / exposed [16]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Asthma
    Additional description: 1 subject experienced asthma of severe intensity 9 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 4 days and was assessed as not related to vaccine.
         subjects affected / exposed [17]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Post-Dose 1, Dermatitis allergic
    Additional description: 1 subject experienced dermatitis allergic of moderate intensity 29 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 3 days and was assessed as not related to vaccine.
         subjects affected / exposed [18]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Rash
    Additional description: 1 subject experienced rash of severe intensity 1 day after injection of the 1st dose of ProQuad rHA. This serious AE lasted 20 days and was assessed as possibly related to vaccine.
         subjects affected / exposed [19]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Post-Dose 2, Sleep terror
    Additional description: 1 subject experienced sleep terror of severe intensity 16 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 7 days and was assessed as not related to vaccine.
         subjects affected / exposed [20]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Post-Dose 1, Acute tonsillitis
    Additional description: 1 subject experienced acute tonsillitis of moderate intensity 6 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 9 days and was assessed as possibly related to vaccine.
         subjects affected / exposed [21]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Appendicitis
    Additional description: 1 subject experienced appendicitis of severe intensity 36 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 19 days and was assessed as not related to vaccine.
         subjects affected / exposed [22]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Bronchitis
    Additional description: 2 subjects experienced bronchitis of severe intensity 4 to 6 days after injection of the 1st dose of ProQuad rHA. These serious AEs lasted 9 to 15 days and were assessed as not related to vaccine.
         subjects affected / exposed [23]
    2 / 3376 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Gastroenteritis
    Additional description: 6 subjects experienced gastroenteritis of moderate to severe intensity 4 to 29 days after injection of the 1st dose of ProQuad rHA. These serious AEs lasted 2 to 13 days and 1 of severe intensity was assessed as possibly related to vaccine.
         subjects affected / exposed [24]
    6 / 3376 (0.18%)
         occurrences causally related to treatment / all
    1 / 6
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Gastroenteritis Norwalk virus
    Additional description: 1 subject experienced gastroenteritis Norwalk virus of severe intensity 17 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 7 days and was assessed as not related to vaccine.
         subjects affected / exposed [25]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Gastroenteritis rotavirus
    Additional description: 2 subjects experienced rotavirus gastroenteritis of severe intensity 23 to 27 days after injection of the 1st dose of ProQuad rHA. These serious AEs lasted 9 to 13 days and were assessed as not related to vaccine.
         subjects affected / exposed [26]
    2 / 3376 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Oral herpes
    Additional description: 1 subject experienced oral herpes of moderate intensity 12 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 7 days and was assessed as not related to vaccine.
         subjects affected / exposed [27]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Pneumonia
    Additional description: 2 subjects experienced pneumonia of mild to moderate intensity 3 to 16 days after injection of the 1st dose of ProQuad rHA. These serious AEs lasted 7 to 17 days and 1 of them was assessed as possibly related to vaccine.
         subjects affected / exposed [28]
    2 / 3376 (0.06%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Pseudocroup
    Additional description: 1 subject experienced pseudocroup of severe intensity 13 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 2 days and was assessed as not related to vaccine.
         subjects affected / exposed [29]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Respiratory tract infection
    Additional description: 1 subject experienced respiratory tract infection of severe intensity 6 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 8 days and was assessed as not related to vaccine.
         subjects affected / exposed [30]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Tonsillitis
    Additional description: 2 subjects experienced tonsillitis of moderate to severe intensity 5 to 29 days after injection of the 1st dose of ProQuad rHA. These serious AEs lasted 3 to 8 days and were assessed as not related to vaccine.
         subjects affected / exposed [31]
    2 / 3376 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Upper respiratory tract infection
    Additional description: 2 subjects experienced upper respiratory tract infection of moderate to severe intensity 1 to 16 days after injection of the 1st dose of ProQuad rHA. These serious AEs lasted 4 to 13 days and were assessed as not related to vaccine.
         subjects affected / exposed [32]
    2 / 3376 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 1, Viral infection
    Additional description: 1 subject experienced viral infection of moderate intensity 24 days after injection of the 1st dose of ProQuad® rHA. This serious AE lasted 13 days and was assessed as possibly related to vaccine.
         subjects affected / exposed [33]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Bronchitis
    Additional description: 2 subjects experienced bronchitis of moderate intensity 1 to 5 days after injection of the 2nd dose of ProQuad rHA. These serious AEs lasted 3 to 5 days and 1 of them was assessed as possibly related to vaccine.
         subjects affected / exposed [34]
    2 / 3342 (0.06%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Gastroenteritis
    Additional description: 2 subjects experienced gastroenteritis of moderate to severe intensity 0 to 6 days after injection of the 2nd dose of ProQuad rHA. These serious AEs lasted 4 to 11 days and were assessed as not related to vaccine.
         subjects affected / exposed [35]
    2 / 3342 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Gastroenteritis rotavirus
    Additional description: 2 subjects experienced gastroenteritis rotavirus of severe intensity 17 to 18 days after injection of the 2nd dose of ProQuad rHA. These serious AEs lasted 7 to 8 days and were assessed as not related to vaccine.
         subjects affected / exposed [36]
    2 / 3342 (0.06%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Upper respiratory tract infection
    Additional description: 1 subject experienced upper respiratory tract infection of moderate intensity 10 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 4 days and was assessed as not related to vaccine.
         subjects affected / exposed [37]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Post-Dose 1, Dehydration
    Additional description: 1 subject experienced dehydration of severe intensity 6 days after injection of the 1st dose of ProQuad rHA. This serious AE lasted 8 days and was assessed as not related to vaccine.
         subjects affected / exposed [38]
    1 / 3376 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Dehydration
    Additional description: 1 subject experienced dehydration of severe intensity 1 day after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 2 days and was assessed as not related to vaccine.
         subjects affected / exposed [39]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Dose 2, Diabetes mellitus insulin-dependent
    Additional description: 1 subject experienced diabetes mellitus insulin-dependent of severe intensity 2 days after injection of the 2nd dose of ProQuad rHA. This serious AE lasted 26 days and was assessed as not related to vaccine.
         subjects affected / exposed [40]
    1 / 3342 (0.03%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: In this study, 3388 subjects were exposed (received at least 1 dose of the vaccine). Analysis of AEs was done on the Post-Dose 1 Safety set (i.e., all subjects who received the 1st dose of study vaccine and who have safety data, N= 3376).
    [2] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [3] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [4] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: In this study, 3388 subjects were exposed (received at least 1 dose of the vaccine). Analysis of AEs was done on the Post-Dose 2 Safety set (i.e., all subjects who received the 2nd dose of study vaccine and who have safety data, N= 3342).
    [5] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [6] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [7] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [8] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [9] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [10] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [11] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [12] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [13] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [14] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [15] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [16] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [17] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [18] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [19] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [20] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [21] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [22] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [23] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [24] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [25] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [26] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [27] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [28] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [29] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [30] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [31] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [32] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [33] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [34] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [35] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [36] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [37] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [38] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [39] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [40] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed to this adverse event. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    All subjects
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1927 / 3388 (56.88%)
    General disorders and administration site conditions
    Post-Dose 1, Pyrexia
         subjects affected / exposed [41]
    1124 / 3376 (33.29%)
         occurrences all number
    1276
    Post-Dose 2, Pyrexia
         subjects affected / exposed [42]
    527 / 3342 (15.77%)
         occurrences all number
    593
    Eye disorders
    Post-Dose 1, Conjunctivitis
         subjects affected / exposed [43]
    63 / 3376 (1.87%)
         occurrences all number
    66
    Post-Dose 2, Conjunctivitis
         subjects affected / exposed [44]
    50 / 3342 (1.50%)
         occurrences all number
    50
    Gastrointestinal disorders
    Post-Dose 1, Diarrhoea
         subjects affected / exposed [45]
    191 / 3376 (5.66%)
         occurrences all number
    207
    Post-Dose 1, Vomiting
         subjects affected / exposed [46]
    107 / 3376 (3.17%)
         occurrences all number
    111
    Post-Dose 2, Diarrhoea
         subjects affected / exposed [47]
    111 / 3342 (3.32%)
         occurrences all number
    120
    Post-Dose 2, Vomiting
         subjects affected / exposed [48]
    54 / 3342 (1.62%)
         occurrences all number
    57
    Respiratory, thoracic and mediastinal disorders
    Post-Dose 1, Cough
         subjects affected / exposed [49]
    199 / 3376 (5.89%)
         occurrences all number
    211
    Post-Dose 2, Cough
         subjects affected / exposed [50]
    166 / 3342 (4.97%)
         occurrences all number
    178
    Skin and subcutaneous tissue disorders
    Post-Dose 1, Dermatitis diaper
         subjects affected / exposed [51]
    71 / 3376 (2.10%)
         occurrences all number
    74
    Post-Dose 1, Eczema
         subjects affected / exposed [52]
    41 / 3376 (1.21%)
         occurrences all number
    42
    Post-Dose 1, Heat rash
         subjects affected / exposed [53]
    37 / 3376 (1.10%)
         occurrences all number
    37
    Post-Dose 1, Rash
         subjects affected / exposed [54]
    227 / 3376 (6.72%)
         occurrences all number
    236
    Post-Dose 1, Rash morbilliform
         subjects affected / exposed [55]
    232 / 3376 (6.87%)
         occurrences all number
    236
    Post-Dose 1, Rash rubelliform
         subjects affected / exposed [56]
    96 / 3376 (2.84%)
         occurrences all number
    97
    Post-Dose 1, Rash vesicular
         subjects affected / exposed [57]
    66 / 3376 (1.95%)
         occurrences all number
    67
    Post-Dose 2, Dermatitis diaper
         subjects affected / exposed [58]
    43 / 3342 (1.29%)
         occurrences all number
    44
    Post-Dose 2, Rash
         subjects affected / exposed [59]
    101 / 3342 (3.02%)
         occurrences all number
    103
    Post-Dose 2, Rash morbilliform
         subjects affected / exposed [60]
    54 / 3342 (1.62%)
         occurrences all number
    55
    Infections and infestations
    Post-Dose 1, Bronchitis
         subjects affected / exposed [61]
    49 / 3376 (1.45%)
         occurrences all number
    52
    Post-Dose 1, Ear infection
         subjects affected / exposed [62]
    73 / 3376 (2.16%)
         occurrences all number
    75
    Post-Dose 1, Gastroenteritis
         subjects affected / exposed [63]
    67 / 3376 (1.98%)
         occurrences all number
    70
    Post-Dose 1, Nasopharyngitis
         subjects affected / exposed [64]
    183 / 3376 (5.42%)
         occurrences all number
    196
    Post-Dose 1, Otitis media
         subjects affected / exposed [65]
    53 / 3376 (1.57%)
         occurrences all number
    55
    Post-Dose 1, Pharyngitis
         subjects affected / exposed [66]
    36 / 3376 (1.07%)
         occurrences all number
    38
    Post-Dose 1, Respiratory tract infection
         subjects affected / exposed [67]
    36 / 3376 (1.07%)
         occurrences all number
    37
    Post-Dose 1, Rhinitis
         subjects affected / exposed [68]
    181 / 3376 (5.36%)
         occurrences all number
    198
    Post-Dose 1, Tonsillitis
         subjects affected / exposed [69]
    63 / 3376 (1.87%)
         occurrences all number
    64
    Post-Dose 1, Upper respiratory tract infection
         subjects affected / exposed [70]
    75 / 3376 (2.22%)
         occurrences all number
    78
    Post-Dose 2, Bronchitis
         subjects affected / exposed [71]
    58 / 3342 (1.74%)
         occurrences all number
    60
    Post-Dose 2, Ear infection
         subjects affected / exposed [72]
    42 / 3342 (1.26%)
         occurrences all number
    42
    Post-Dose 2, Gastroenteritis
         subjects affected / exposed [73]
    57 / 3342 (1.71%)
         occurrences all number
    57
    Post-Dose 2, Nasopharyngitis
         subjects affected / exposed [74]
    174 / 3342 (5.21%)
         occurrences all number
    184
    Post-Dose 2, Otitis media
         subjects affected / exposed [75]
    35 / 3342 (1.05%)
         occurrences all number
    35
    Post-Dose 2, Rhinitis
         subjects affected / exposed [76]
    142 / 3342 (4.25%)
         occurrences all number
    148
    Post-Dose 2, Upper respiratory tract infection
         subjects affected / exposed [77]
    46 / 3342 (1.38%)
         occurrences all number
    50
    Notes
    [41] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [42] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [43] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [44] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [45] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [46] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [47] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [48] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [49] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [50] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [51] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [52] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [53] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [54] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [55] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [56] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [57] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [58] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [59] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [60] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [61] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [62] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [63] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [64] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [65] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [66] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [67] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [68] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [69] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [70] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [1]
    [71] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [72] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [73] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [74] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [75] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [76] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]
    [77] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Idem justification note [4]

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    26 Jun 2008
    # Administrative changes. # Extension of the recruitment period from July 2008 to October 2008 to reach the recruitment target of 3,000 evaluable subjects, and extension of the Clinical Study Report delivery date from May 2009 to September 2009. # Update of the list of investigational sites.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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