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    Clinical Trial Results:
    Immunogenicity and Safety Study of GSK Biologicals' Quadrivalent Influenza Vaccine (GSK2282512A) When Administered in Children

    Summary
    EudraCT number
    2010-021073-36
    Trial protocol
    ES  
    Global end of trial date
    17 Aug 2011

    Results information
    Results version number
    v3(current)
    This version publication date
    02 Apr 2023
    First version publication date
    07 Mar 2015
    Other versions
    v1 , v2
    Version creation reason
    • Correction of full data set
    Correction of full data set and alignment between registries.

    Trial information

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    Trial identification
    Sponsor protocol code
    113314
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01198756
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline Biologicals
    Sponsor organisation address
    Rue de l'Institut 89, Rixensart, Belgium, 1330
    Public contact
    GlaxoSmithKline Biologicals, GlaxoSmithKline Biologicals, 044 2089904466, mmd10443@gsk.com
    Scientific contact
    GlaxoSmithKline Biologicals, GlaxoSmithKline Biologicals, 044 2089904466, mmd10443@gsk.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
    12 Oct 2011
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    11 Mar 2011
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Aug 2011
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To test the immunogenic non-inferiority (in terms of Geometric Mean Titer [GMT] and Seroconversion Rate [SCR]) for the shared viral strains of FLU Q-QIV versus Fluarix-VB (TIV containing Victoria B strain) and Fluarix-YB (TIV containing Yamagata B strain) in children 3 to 17 years old approximately 28 days after completion of dosing (approximately at Day 28 for primed subjects and approximately at Day 56 for unprimed subjects).
    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 vaccinee remained under medical supervision for 30 minutes after vaccination.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2010
    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
    Canada: 379
    Country: Number of subjects enrolled
    Mexico: 287
    Country: Number of subjects enrolled
    Taiwan: 295
    Country: Number of subjects enrolled
    United States: 1638
    Country: Number of subjects enrolled
    Spain: 510
    Worldwide total number of subjects
    3109
    EEA total number of subjects
    510
    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)
    0
    Children (2-11 years)
    3109
    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
    A total of 3109 subjects were enrolled, out of which solely 3094 subjects were vaccinated who constituted the analysed population in this study.

    Pre-assignment
    Screening details
    Unprimed Subjects – subjects aged 6 months to 8 years with no H1N1 vaccine or H1N1 infection in the last season, or with no seasonal influenza vaccine in the past or who had received only 1 dose for the first time in the last season – received a 2-dose vaccination course. Primed Subjects – all other subjects – received a 1-dose vaccination course.

    Pre-assignment period milestones
    Number of subjects started
    3109
    Number of subjects completed
    3094

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Did not receive vaccination: 15
    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    GSK2282512A 1 Group
    Arm description
    Subjects, 3 to 17 years old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
    Arm type
    Experimental

    Investigational medicinal product name
    Quadrivalent seasonal influenza vaccine GSK2282512A
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    For subject 3 to 8 years of age, single intramuscular dose for primed subjects, two doses for unprimed subjects. For subjects 9 to 17 years of age, single intramuscular dose.

    Arm title
    Victoria strain Fluarix Group
    Arm description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix VB vaccine containing the Victoria lineage B flu strain at Day 0 or 2 doses of Fluarix VB vaccine at Day 0 and Day 28. The Fluarix VB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
    Arm type
    Active comparator

    Investigational medicinal product name
    Fluarix VB
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    For subject 3 to 8 years of age, single intramuscular dose for primed subjects, two doses for unprimed subjects. For subjects of 9 to 17 years of age, single intramuscular dose.

    Arm title
    Yamagata strain Fluarix Group
    Arm description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix YB vaccine containing the Yamagata lineage B flu strain at Day 0 or 2 doses of Fluarix YB vaccine at Day 0 and Day 28. The Fluarix YB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
    Arm type
    Active comparator

    Investigational medicinal product name
    Fluarix YB
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    For subject 3 to 8 years of age, single intramuscular dose for primed subjects, two doses for unprimed subjects. For subjects of 9 to 17 years of age, single intramuscular dose

    Arm title
    GSK2282512A 2 Group
    Arm description
    Subjects, 6 to 35 months old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm for subjects ≥12 months of age and into the antero-lateral region of the left thigh for infants <12 months of age.
    Arm type
    Experimental

    Investigational medicinal product name
    Quadrivalent seasonal influenza vaccine GSK2282512A
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Single intramuscular dose for primed subjects, two doses for unprimed subjects.

    Number of subjects in period 1 [1]
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Started
    932
    929
    932
    301
    Completed
    894
    889
    902
    275
    Not completed
    38
    40
    30
    26
         Consent withdrawn by subject
    9
    -
    -
    -
         Adverse event, non-fatal
    -
    -
    -
    1
         Withdrawal by Subject
    -
    4
    7
    5
         Lost to follow-up
    29
    36
    23
    18
         Protocol deviation
    -
    -
    -
    2
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: A total of 3109 subjects were enrolled, out of which solely 3094 subjects were vaccinated who constituted the analysed population in this study.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    GSK2282512A 1 Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    Victoria strain Fluarix Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix VB vaccine containing the Victoria lineage B flu strain at Day 0 or 2 doses of Fluarix VB vaccine at Day 0 and Day 28. The Fluarix VB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    Yamagata strain Fluarix Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix YB vaccine containing the Yamagata lineage B flu strain at Day 0 or 2 doses of Fluarix YB vaccine at Day 0 and Day 28. The Fluarix YB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    GSK2282512A 2 Group
    Reporting group description
    Subjects, 6 to 35 months old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm for subjects ≥12 months of age and into the antero-lateral region of the left thigh for infants <12 months of age.

    Reporting group values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group Total
    Number of subjects
    932 929 932 301 3094
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 301 301
        Children (2-11 years)
    932 929 932 0 2793
        Adolescents (12-17 years)
    0 0 0 0 0
        Adults (18-64 years)
    0 0 0 0 0
        From 65-84 years
    0 0 0 0 0
        85 years and over
    0 0 0 0 0
    Age continuous
    Units: years
        geometric mean (standard deviation)
    8.9 ± 4.21 8.9 ± 4.23 8.9 ± 4.17 1.2 ± 0.73 -
    Gender categorical
    Units: Subjects
        Female
    434 455 464 143 1496
        Male
    498 474 468 158 1598

    End points

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    End points reporting groups
    Reporting group title
    GSK2282512A 1 Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    Victoria strain Fluarix Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix VB vaccine containing the Victoria lineage B flu strain at Day 0 or 2 doses of Fluarix VB vaccine at Day 0 and Day 28. The Fluarix VB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    Yamagata strain Fluarix Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix YB vaccine containing the Yamagata lineage B flu strain at Day 0 or 2 doses of Fluarix YB vaccine at Day 0 and Day 28. The Fluarix YB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    GSK2282512A 2 Group
    Reporting group description
    Subjects, 6 to 35 months old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm for subjects ≥12 months of age and into the antero-lateral region of the left thigh for infants <12 months of age.

    Subject analysis set title
    GSK2282512A 1 (3-8 years) Group
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects, 3 to 8 years old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Subject analysis set title
    GSK2282512A 1 (9-17 years) Group
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects, 9 to 17 years old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Subject analysis set title
    Victoria strain Fluarix (3-8 years) Group
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects, 3 to 8 years old, received 1 dose of Fluarix VB vaccine containing the Victoria lineage B flu strain at Day 0 or 2 doses of Fluarix VB vaccine at Day 0 and Day 28. The Fluarix VB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Subject analysis set title
    Victoria strain Fluarix (9-17 years) Group
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Victoria strain Fluarix (9-17 years) Group

    Subject analysis set title
    Yamagata strain Fluarix (3-8 years) Group
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects, 3 to 8 years old, received 1 dose of Fluarix YB vaccine containing the Yamagata lineage B flu strain at Day 0 or 2 doses of Fluarix YB vaccine at Day 0 and Day 28. The Fluarix YB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Subject analysis set title
    Yamagata strain Fluarix (9-17 years) Group
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects, 9 to 17 years old, received 1 dose of Fluarix YB vaccine containing the Yamagata lineage B flu strain at Day 0 or 2 doses of Fluarix YB vaccine at Day 0 and Day 28. The Fluarix YB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Primary: Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease

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    End point title
    Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease
    End point description
    Titers are presented as geometric mean titers (GMTs). The reference cut-off value was the seropositivity cut-off of 1:10. Antibodies assessed were antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains.
    End point type
    Primary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    878
    871
    878
    259
    Units: titre
    geometric mean (confidence interval 95%)
        H1N1, POST (N=878;871;878;259)
    362.7 (335.3 to 392.3)
    429.1 (396.5 to 464.3)
    420.2 (388.8 to 454)
    200.9 (166.6 to 242.2)
        H3N2, POST (N=878;871;878;259)
    143.7 (134.2 to 153.9)
    139.6 (130.5 to 149.3)
    151 (141 to 161.6)
    61.4 (53.8 to 70)
        Victoria, POST (N=878;871;877;259)
    250.5 (230.8 to 272)
    245.4 (226.9 to 265.4)
    68.1 (61.9 to 74.9)
    127.3 (109.4 to 148.1)
        Yamagata, POST (N=878;871;878;259)
    512.5 (477.6 to 549.9)
    197 (180.7 to 214.8)
    579 (541.2 to 619.3)
    192.7 (172.1 to 215.7)
    Statistical analysis title
    Adjusted GMT ratio A/California/7/2009 (H1N1)
    Statistical analysis description
    To assess the non-inferiority in terms of GMTs, the adjusted GMT ratio at post-vaccination with the 2-sided 95% CI for each strain was computed by fitting an Analysis of Covariance (ANCOVA) model including vaccine groups as fixed effect.
    Comparison groups
    Victoria strain Fluarix Group v GSK2282512A 1 Group v Yamagata strain Fluarix Group
    Number of subjects included in analysis
    2627
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    GMT ratio
    Point estimate
    1.15
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.06
         upper limit
    1.25
    Statistical analysis title
    Adjusted GMT A/Victoria/210/2009 (H3N2)
    Comparison groups
    GSK2282512A 1 Group v Victoria strain Fluarix Group v Yamagata strain Fluarix Group
    Number of subjects included in analysis
    2627
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Adjusted GMT ratio
    Point estimate
    0.99
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.92
         upper limit
    1.07
    Statistical analysis title
    Adjusted GMT ratio B/Brisbane/60/2008 (Victoria)
    Comparison groups
    GSK2282512A 1 Group v Victoria strain Fluarix Group
    Number of subjects included in analysis
    1749
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Adjusted GMT ratio
    Point estimate
    0.96
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.87
         upper limit
    1.07
    Statistical analysis title
    Adjusted GMT ratio B/Florida/4/2006 (Yamagata)
    Comparison groups
    GSK2282512A 1 Group v Yamagata strain Fluarix Group
    Number of subjects included in analysis
    1756
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Adjusted GMT ratio
    Point estimate
    1.08
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.99
         upper limit
    1.16
    Statistical analysis title
    Difference in SCR A/California/7/2009 (H1N1)
    Statistical analysis description
    A logistic regression model was fitted for the difference in SCR and the 2-sided 95% CI. The following contrasts were performed: for both A strains (California and Victoria), the SCR difference (Victoria strain Fluarix + Yamagata strains Fluarix pooled groups minus GSK2282512A Group)
    Comparison groups
    GSK2282512A 1 Group v Victoria strain Fluarix Group v Yamagata strain Fluarix Group
    Number of subjects included in analysis
    2627
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Difference in SCR (%)
    Point estimate
    1.79
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.04
         upper limit
    4.77
    Statistical analysis title
    Difference in SCR A/Victoria/210/2009 (H3N2)
    Statistical analysis description
    A logistic regression model was fitted for the difference in SCR and the 2-sided 95% CI. The following contrasts were performed: for both A strains (California and Victoria), the SCR difference (Victoris strain Fluarix + Yamagata straing Fluarix pooled groups minus GSK2282512A Group)
    Comparison groups
    GSK2282512A 1 Group v Victoria strain Fluarix Group v Yamagata strain Fluarix Group
    Number of subjects included in analysis
    2627
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Difference in SCR (%)
    Point estimate
    -1.36
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.05
         upper limit
    2.41
    Statistical analysis title
    Difference in SCR B/Brisbane/60/2008 (Victoria)
    Statistical analysis description
    A logistic regression model was fitted for the difference in SCR and the 2-sided 95% CI. The following contrasts were performed for the Victoria B strain, the seroconversion rate (SCR) difference (Victoria strain Fluarix Group minus GSK2282512A Group).
    Comparison groups
    GSK2282512A 1 Group v Victoria strain Fluarix Group
    Number of subjects included in analysis
    1749
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Difference in SCR (%)
    Point estimate
    -3.05
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.21
         upper limit
    1.12
    Statistical analysis title
    Difference in SCR B/Florida/4/2006 (Yamagata)
    Statistical analysis description
    A logistic regression model was fitted for the difference in SCR and the 2-sided 95% CI. The following contrasts were performed for the Yamagata B strain, the seroconversion rate (SCR) difference (Yamagata strain Fluarix Group minus GSK2282512A Group).
    Comparison groups
    GSK2282512A 1 Group v Yamagata strain Fluarix Group
    Number of subjects included in analysis
    1756
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    ANCOVA
    Parameter type
    Difference in SCR (%)
    Point estimate
    -1.8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -5.89
         upper limit
    2.3

    Primary: Number of subjects seroconverted against 4 strains of influenza disease

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    End point title
    Number of subjects seroconverted against 4 strains of influenza disease [1]
    End point description
    A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer < 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The vaccine strains assessed were the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains.
    End point type
    Primary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    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.
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    876
    870
    877
    259
    Units: Subjects
        H1N1, POST (N=876;870;877;259)
    739
    755
    750
    220
        H3N2, POST (N=876;870;876;259)
    614
    590
    610
    189
        Victoria, POST (N=876;870;876;259)
    653
    622
    262
    219
        Yamagata, POST (N=876;870;877;259)
    659
    359
    644
    243
    No statistical analyses for this end point

    Secondary: Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease

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    End point title
    Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease
    End point description
    Titers are presented as geometric mean titers (GMTs). The reference cut-off value was the seropositivity cut-off of 1:10. Antibodies assessed were antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains.
    End point type
    Secondary
    End point timeframe
    At Day 0 and at 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    878
    871
    878
    259
    Units: titre
    geometric mean (confidence interval 95%)
        H1N1, Day 0 (N=876;870;877;259)
    29.4 (26.8 to 32.2)
    32.2 (29.4 to 35.3)
    29.1 (26.6 to 31.8)
    16.8 (13.9 to 20.3)
        H1N1, POST (N=878;871;878;259)
    362.7 (335.3 to 392.3)
    429.1 (396.5 to 464.3)
    420.2 (388.8 to 454)
    200.9 (166.6 to 242.2)
        H3N2, Day 0 (N=876;870;876;259)
    18.1 (16.7 to 19.7)
    19 (17.4 to 20.6)
    19.4 (17.8 to 21.1)
    5.6 (5.3 to 6)
        H3N2, POST (N=878;871;878;259)
    143.7 (134.2 to 153.9)
    139.6 (130.5 to 149.3)
    151 (141 to 161.6)
    61.4 (53.8 to 70)
        Victoria, Day 0 (N=876;870;877;259)
    24.8 (22.5 to 27.3)
    25.8 (23.5 to 28.4)
    25.8 (23.5 to 28.4)
    8.7 (7.5 to 10)
        Victoria, POST (N=878;871;877;259)
    250.5 (230.8 to 272)
    245.4 (226.9 to 265.4)
    68.1 (61.9 to 74.9)
    127.3 (109.4 to 148.1)
        Yamagata, Day 0 (N=876;870;877;259)
    57.9 (52 to 64.4)
    58.4 (52.6 to 64.9)
    65.9 (59.3 to 73.2)
    7.7 (7 to 8.6)
        Yamagata, POST (N=878;871;878;259)
    512.5 (477.6 to 549.9)
    197 (180.7 to 214.8)
    579 (541.2 to 619.3)
    192.7 (172.1 to 215.7)
    No statistical analyses for this end point

    Secondary: Number of subjects seroprotected against 4 strains of influenza disease

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    End point title
    Number of subjects seroprotected against 4 strains of influenza disease
    End point description
    A seroprotected subject was defined as a vaccinated subject with serum Hemagglutination Inhibition titer ≥ 1:40. The 4 assessed influenza strains were the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 flu strains.
    End point type
    Secondary
    End point timeframe
    At Day 0 and at 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    878
    871
    878
    259
    Units: Subjects
        H1N1, Day 0 (N=876;870;877;259)
    480
    496
    477
    87
        H1N1, POST (N=878;871;878;259)
    850
    848
    848
    232
        H3N2, Day 0 (N=876;870;876;259)
    295
    301
    324
    7
        H3N2, POST (N=878;871;878;259)
    816
    808
    819
    193
        Victoria, Day 0 (N=876;870;877;259)
    388
    404
    400
    28
        Victoria, POST (N=878;871;877;259)
    838
    839
    643
    228
        Yamagata, Day 0 (N=876;870;877;259)
    578
    583
    622
    22
        Yamagata, POST (N=878;871;878;259)
    869
    805
    873
    250
    No statistical analyses for this end point

    Secondary: Seroconversion factor for Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease

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    End point title
    Seroconversion factor for Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease
    End point description
    The seroconversion factor (SCF) was defined as the fold increase in serum Hemagglutination Inhibition (HI) geometric mean titers (GMTs) post vaccination (at Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects (POST)) compared to Day 0 (i.e. the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination reciprocal HI titer). The 4 assessed influenza strains were the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains
    End point type
    Secondary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    876
    870
    877
    259
    Units: fold increase
    geometric mean (confidence interval 95%)
        H1N1, POST (N=876;870;877;259)
    12.31 (11.34 to 13.35)
    13.31 (12.28 to 14.43)
    14.42 (13.27 to 15.66)
    11.95 (10.52 to 13.59)
        H3N2, POST (N=876;870;876;259)
    7.94 (7.3 to 8.64)
    7.37 (6.78 to 8.02)
    7.78 (7.16 to 8.46)
    10.94 (9.64 to 12.42)
        Victoria, POST (N=876;870;876;259)
    10.12 (9.23 to 11.09)
    9.51 (8.64 to 10.45)
    2.63 (2.47 to 2.81)
    14.61 (12.84 to 16.63)
        Yamagata, POST (N=876;870;877;259)
    8.86 (8.12 to 9.66)
    3.37 (3.14 to 3.62)
    8.78 (8.05 to 9.58)
    24.92 (21.98 to 28.26)
    No statistical analyses for this end point

    Secondary: Number of subjects seroprotected against 4 strains of influenza disease - age strata

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    End point title
    Number of subjects seroprotected against 4 strains of influenza disease - age strata
    End point description
    End point type
    Secondary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 (3-8 years) Group GSK2282512A 1 (9-17 years) Group Victoria strain Fluarix (3-8 years) Group Victoria strain Fluarix (9-17 years) Group Yamagata strain Fluarix (3-8 years) Group Yamagata strain Fluarix (9-17 years) Group
    Number of subjects analysed
    425
    453
    424
    447
    424
    454
    Units: Subjects
        H1N1, Day 0 (N=423;453;423;447;424;453)
    209
    271
    218
    278
    207
    270
        H1N1, POST (N=425;453;424;447;424;454)
    405
    445
    412
    436
    405
    443
        H3N2, Day 0 (N=423;453;423;447;423;453)
    161
    134
    174
    127
    168
    156
        H3N2, POST (N=425;453;424;447;424;454)
    379
    437
    390
    418
    389
    430
        Victoria, Day 0 (N=423;453;423;447;424;453)
    144
    244
    163
    241
    150
    250
        Victoria, POST (N=425;453;424;447;423;454)
    398
    440
    406
    433
    271
    372
        Yamagata, Day 0 (N=423;453;423;447;424;453)
    205
    373
    209
    374
    220
    402
        Yamagata, POST (N=425;453;424;447;424;454)
    419
    450
    361
    444
    420
    453
    No statistical analyses for this end point

    Secondary: Number of subjects seroprotected against 4 strains of influenza disease - 6 to 35 Months old

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    End point title
    Number of subjects seroprotected against 4 strains of influenza disease - 6 to 35 Months old [2]
    End point description
    A seroprotected subject was defined as a vaccinated subject with serum Hemagglutination Inhibition titer ≥ 1:40. The 4 assessed influenza strains were the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 flu strains. Subjects were assessed according to 3 age categories, 3-8 years, 9-17 years and 6-35 months.
    End point type
    Secondary
    End point timeframe
    At Day 0 and at 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    Notes
    [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: The analysis was performed only on subjects between 6 and 35 months old, included in the Control Group.
    End point values
    GSK2282512A 2 Group
    Number of subjects analysed
    259
    Units: Subjects
        H1N1, Day 0 (N=423;453;423;447;424;453;259)
    87
        H1N1, POST (N=425;453;424;447;424;454;259)
    232
        H3N2, Day 0 (N=423;453;423;447;423;453;259)
    7
        H3N2, POST (N=425;453;424;447;424;454;259)
    193
        Victoria, Day 0 (N=423;453;423;447;424;453;259)
    28
        Victoria, POST (N=425;453;424;447;423;454;259)
    228
        Yamagata, Day 0 (N=423;453;423;447;424;453;259)
    22
        Yamagata, POST (N=425;453;424;447;424;454;259)
    250
    No statistical analyses for this end point

    Secondary: Seroconversion factor for Hemagglutination Inhibition antibodies against 4 strains of influenza disease - 6-35 Months

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    End point title
    Seroconversion factor for Hemagglutination Inhibition antibodies against 4 strains of influenza disease - 6-35 Months [3]
    End point description
    The seroconversion factor (SCF) was defined as the fold increase in serum Hemagglutination Inhibition (HI) geometric mean titers (GMTs) post vaccination compared to Day 0 (i.e. the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination reciprocal HI titer). The 4 assessed influenza strains were the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains.
    End point type
    Secondary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    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: The analysis was performed only on subjects between 6 and 35 months old, included in the Control Group.
    End point values
    GSK2282512A 2 Group
    Number of subjects analysed
    259
    Units: fold increase
    geometric mean (confidence interval 95%)
        H1N1, POST (N=876;870;877;259)
    11.95 (10.52 to 13.59)
        H3N2, POST (N=876;870;876;259)
    10.94 (9.64 to 12.42)
        Victoria, POST (N=876;870;876;259)
    14.61 (12.84 to 16.63)
        Yamagata, POST (N=876;870;877;259)
    24.92 (21.98 to 28.26)
    No statistical analyses for this end point

    Secondary: Number of subjects with any and grade 3 solicited local symptoms after vaccination

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    End point title
    Number of subjects with any and grade 3 solicited local symptoms after vaccination
    End point description
    Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity grade. Grade 3 pain for subjects < 5 years of age = Cried when limb was moved/spontaneously painful; Grade 3 pain for subjects ≥ 5 years of age = Significant pain at rest, pain that preventeded normal everyday activities. Grade 3 redness and swelling were defined as redness/swelling above 100 millimeters (mm).
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    913
    912
    916
    294
    Units: Subjects
        Any pain
    637
    538
    542
    148
        Grade 3 pain
    35
    21
    26
    6
        Any redness
    57
    38
    36
    24
        Grade 3 redness
    1
    0
    0
    2
        Any swelling
    64
    40
    39
    18
        Grade 3 swelling
    1
    0
    0
    1
    No statistical analyses for this end point

    Secondary: Number of days with solicited local symptoms after vaccination

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    End point title
    Number of days with solicited local symptoms after vaccination
    End point description
    Duration was assessed via tabulation of the number of days with local symptoms of any grade after vaccination with Dose 1 and Dose 2 respectively. Solicited local symptoms assessed for duration were pain, redness and swelling.
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    597
    497
    510
    131
    Units: Days
    median (inter-quartile range (Q1-Q3))
        Pain, Dose 1 (N=597;497;510;131)
    2 (1 to 3)
    2 (1 to 3)
    2 (1 to 3)
    1 (1 to 2)
        Pain, Dose 2 (N=169;151;141;76)
    2 (1 to 2)
    2 (1 to 2)
    2 (1 to 2)
    2 (1 to 2)
        Redness, Dose 1 (N=48;29;32;13)
    2 (1 to 3)
    1 (1 to 2)
    1 (1 to 2)
    1 (1 to 5)
        Redness, Dose 2 (N=13;11;10;14)
    2 (1 to 3)
    1 (1 to 3)
    1.5 (1 to 3)
    2.5 (1 to 4)
        Swelling, Dose 1 (N=57;30;35;10)
    2 (1 to 2)
    2 (1 to 2)
    2 (1 to 2)
    1.5 (1 to 3)
        Swelling, Dose 2 (N=12;15;7;11)
    2.5 (2 to 4)
    2 (1 to 2)
    2 (1 to 2)
    3 (2 to 4)
    No statistical analyses for this end point

    Secondary: Number of subjects below 5 years of age with any, grade 3 and related solicited general symptoms

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    End point title
    Number of subjects below 5 years of age with any, grade 3 and related solicited general symptoms
    End point description
    Symptoms assessed were drowsiness, irritability, loss of appetite and temperature. Any = Incidence of a particular symptom regardless of intensity grade or relationship to vaccination. Any temperature = Axillary temperature ≥ 38.0 degrees Celsius (°C). Grade 3 temperature = Axillary temperature ≥ 39.0°C. Grade 3 irritability = Crying that could not be comforted/ preventing normal activity. Grade 3 drowsiness = Drowsiness preventing normal activity. Grade 3 loss of appetite = Not eating at all. Related = A general symptom assessed by the investigator as causally related to vaccination.
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    185
    187
    189
    292
    Units: Subjects
        Any drowsiness
    46
    47
    51
    102
        Grade 3 drowsiness
    0
    3
    1
    7
        Related drowsiness
    34
    40
    42
    93
        Any irritability
    59
    44
    48
    141
        Grade 3 irritability
    3
    0
    3
    14
        Related irritability
    45
    36
    45
    130
        Any loss of appetite
    40
    41
    35
    93
        Grade 3 loss of appetite
    0
    6
    3
    5
        Related loss of appetite
    21
    28
    24
    73
        Any temperature
    15
    16
    15
    27
        Grade 3 temperature
    3
    5
    5
    6
        Related temperature
    6
    10
    6
    18
    No statistical analyses for this end point

    Secondary: Number of subjects 5 years of age and above with any, grade 3 and related solicited general symptoms

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    End point title
    Number of subjects 5 years of age and above with any, grade 3 and related solicited general symptoms [4]
    End point description
    Solicited general symptoms assessed were fatigue, gastrointestinal symptoms, headache, joint pain at other location, muscle aches, shivering and temperature. Any = Incidence of a particular symptom regardless of intensity grade or relationship to vaccination. Any temperature = axillary temperature ≥ 38.0 °C. Grade 3 temperature = axillary temperature ≥ 39.0°C. Grade 3 symptom = Symptom that prevented normal activity. Related = A general symptom assessed by the investigator as causally related to vaccination.
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    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: The analysis was done only on subjects above 5 years of age from the study pooled groups.
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group
    Number of subjects analysed
    727
    725
    726
    Units: Subjects
        Any fatigue
    173
    177
    177
        Grade 3 fatigue
    6
    13
    8
        Related fatigue
    143
    149
    134
        Any gastrointestinal symptoms
    80
    82
    72
        Grade 3 gastrointestinal symptoms
    9
    8
    6
        Related gastrointestinal symptoms
    55
    51
    37
        Any headache
    170
    171
    157
        Grade 3 headache
    8
    9
    10
        Related headache
    134
    134
    116
        Any joint pain at other location
    103
    95
    81
        Grade 3 joint pain at other location
    4
    5
    1
        Related joint pain at other location
    82
    80
    67
        Any muscle aches
    222
    194
    193
        Grade 3 muscle aches
    6
    5
    9
        Related muscle aches
    202
    178
    170
        Any shivering
    55
    51
    53
        Grade 3 shivering
    4
    10
    4
        Related shivering
    45
    35
    41
        Any temperature
    26
    33
    20
        Grade 3 temperature
    5
    8
    2
        Related temperature
    16
    18
    13
    No statistical analyses for this end point

    Secondary: Number of days with solicited general symptoms after vaccination in subjects below 5 years of age

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    End point title
    Number of days with solicited general symptoms after vaccination in subjects below 5 years of age
    End point description
    Duration was assessed via tabulation of the number of days with local symptoms of any grade after vaccination with Dose 1 and Dose 2, respectively. Solicited general symptoms assessed for duration in subjects below 5 years of age were drowsiness, irritability and loss of appetite.
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    48
    37
    44
    120
    Units: Days
    median (inter-quartile range (Q1-Q3))
        Drowsiness, Dose 1 (N=39;37;44;85)
    1 (1 to 2)
    2 (1 to 2)
    1 (1 to 2)
    2 (1 to 3)
        Drowsiness, Dose 2 (N=16;18;17;45)
    1 (1 to 1.5)
    1 (1 to 2)
    2 (1 to 3)
    2 (1 to 3)
        Irritability, Dose 1 (N=48;31;41;120)
    1 (1 to 2)
    2 (1 to 4)
    2 (1 to 3)
    2 (1 to 3)
        Irritability, Dose 2 (N=25;22;16;74)
    1 (1 to 2)
    2 (1 to 3)
    2 (1 to 3.5)
    2 (1 to 3)
        Loss of appetite, Dose 1 (N=32;30;25;64)
    1 (1 to 2)
    2 (1 to 3)
    1 (1 to 2)
    2 (1 to 3)
        Loss of appetite, Dose 2 (N=13;15;14;48)
    2 (1 to 3)
    2 (1 to 4)
    3 (1 to 5)
    2 (1 to 3)
    No statistical analyses for this end point

    Secondary: Number of days with solicited general symptoms after vaccination in subjects 5 years of age and above

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    End point title
    Number of days with solicited general symptoms after vaccination in subjects 5 years of age and above [5]
    End point description
    Duration was assessed via tabulation of the number of days with local symptoms of any grade after vaccination with Dose 1 and Dose 2, respectively. Solicited general symptoms assessed for duration in subjects 5 years of age and above were fatigue, gastrointestinal symptoms, headache, joint pain at other location, muscle aches and shivering.
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    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: The analysis was done on the four pooled groups of the study.
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group
    Number of subjects analysed
    207
    180
    179
    Units: Days
    median (inter-quartile range (Q1-Q3))
        Fatigue, Dose 1 (N=161;171;167)
    2 (1 to 3)
    1 (1 to 3)
    2 (1 to 3)
        Fatigue, Dose 2 (N=27;19;19)
    2 (1 to 3)
    2 (1 to 3)
    2 (1 to 3)
        Gastrointestinal symptoms, Dose 1 (N=70;70;65)
    1.5 (1 to 3)
    1 (1 to 3)
    1 (1 to 2)
        Gastrointestinal symptoms, Dose 2 (N=17;16;9)
    1 (1 to 2)
    1.5 (1 to 2)
    2 (1 to 2)
        Headache, Dose 1 (160;160;146)
    2 (1 to 2)
    1 (1 to 2)
    2 (1 to 3)
        Headache, Dose 2 (20;19;17)
    1.5 (1 to 2.5)
    1 (1 to 2)
    1 (1 to 2)
        Joint pain at other location, Dose 1 (N=94;86;76)
    2 (1 to 2)
    2 (1 to 3)
    1.5 (1 to 3)
        Joint pain at other location, Dose 2 (N=21;13;10)
    2 (1 to 2)
    1 (1 to 2)
    1 (1 to 2)
        Muscle aches, Dose 1 (N=207;180;179)
    2 (1 to 3)
    2 (1 to 3)
    2 (1 to 3)
        Muscle aches, Dose 2 (N=44;27;30)
    1 (1 to 2)
    1 (1 to 2)
    2 (1 to 2)
        Shivering, Dose 1 (N=51;50;50)
    1 (1 to 3)
    2 (1 to 2)
    1 (1 to 3)
        Shivering, Dose 2 (N=8;1;4)
    1.5 (1 to 2)
    1 (1 to 1)
    2 (1 to 2)
    No statistical analyses for this end point

    Secondary: Number of days with fever in all subjects regardless of their age after vaccination

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    End point title
    Number of days with fever in all subjects regardless of their age after vaccination
    End point description
    Duration for fever was assessed via tabulation of the number of days with local symptoms of fever (axillary temperature ≥ 38°C) after vaccination with Dose 1 and Dose 2, respectively.
    End point type
    Secondary
    End point timeframe
    During the 7-day follow-up period (Days 0-6) after vaccination
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    25
    43
    26
    16
    Units: Days
    median (inter-quartile range (Q1-Q3))
        Fever, Dose 1 (N=25;43;26;16)
    1 (1 to 1)
    1 (1 to 2)
    1.5 (1 to 2)
    1 (1 to 2)
        Fever, Dose 2 (N=17;7;9;12)
    2 (1 to 3)
    1 (1 to 2)
    1 (1 to 2)
    1.5 (1 to 2.5)
    No statistical analyses for this end point

    Secondary: Number of subjects with any, grade 3 and related unsolicited adverse events (AEs)

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    End point title
    Number of subjects with any, grade 3 and related unsolicited adverse events (AEs)
    End point description
    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any unsolicited AE(s) = Occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination. Grade 3 unsolicited AE = Occurrence of any unsolicited AE that prevented normal activities. Related unsolicited AE(s) = Occurrence of an unsolicited AE assessed by the investigator to be causally related to vaccination.
    End point type
    Secondary
    End point timeframe
    During the 28-day follow-up period (Day 0-27) after vaccination
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    932
    929
    932
    301
    Units: Subjects
        Any unsolicited AE(s)
    283
    291
    275
    160
        Grade 3 unsolicited AE(s)
    40
    41
    35
    24
        Related unsolicited AE(s)
    44
    47
    44
    43
    No statistical analyses for this end point

    Secondary: Number of subjects with any and related potential immune-mediated diseases (pIMDs) after vaccination

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    End point title
    Number of subjects with any and related potential immune-mediated diseases (pIMDs) after vaccination
    End point description
    Potential immune-mediated diseases (pIMDs) are a subset of adverse events that include both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology. Any pIMD(s) = Occurrence of any pIMD(s) regardless of intensity grade or relation to vaccination. Relationship to vaccination was not assessed for pIMDs.
    End point type
    Secondary
    End point timeframe
    During the entire study period (from Day 0 to Day 180)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    932
    929
    932
    301
    Units: Subjects
        Any pIMD(s)
    0
    1
    1
    0
    No statistical analyses for this end point

    Secondary: Number of subjects with any and related medically-attended adverse events (MAEs) after vaccination

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    End point title
    Number of subjects with any and related medically-attended adverse events (MAEs) after vaccination
    End point description
    Medically-attended adverse events (MAEs) were non-serious and serious events leading to an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits. If a medically-attended adverse event was leading to hospitalization (or met any other criterion for serious adverse event (SAE)), it was reported as SAE. Any MAE(s) = Occurrence of any MAE(s) regardless of intensity grade or relation to vaccination.Relationship to vaccination was not assessed for MAEs.
    End point type
    Secondary
    End point timeframe
    During the entire study period (from Day 0 to Day 180)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    932
    929
    932
    301
    Units: Subjects
        Any MAE(s)
    346
    335
    350
    147
    No statistical analyses for this end point

    Secondary: Number of subjects with any and related serious adverse events (SAEs)

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    End point title
    Number of subjects with any and related serious adverse events (SAEs)
    End point description
    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any SAE(s) = Occurrence of any SAE(s) regardless of intensity grade or relation to vaccination. Related SAE(s)= Occurrence of any SAE(s) assessed by the investigator as causally related to vaccination.
    End point type
    Secondary
    End point timeframe
    During the entire study period (from Day 0 to Day 180)
    End point values
    GSK2282512A 1 Group Victoria strain Fluarix Group Yamagata strain Fluarix Group GSK2282512A 2 Group
    Number of subjects analysed
    932
    929
    932
    301
    Units: Subjects
        Any SAE(s)
    3
    6
    5
    7
        Related SAE(s)
    0
    0
    1
    2
    No statistical analyses for this end point

    Secondary: Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease - 6 to 35 Months old

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    End point title
    Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease - 6 to 35 Months old [6]
    End point description
    Titers are presented as geometric mean titers (GMTs). The reference cut-off value was the seropositivity cut-off of 1:10. Antibodies assessed were antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains. Subjects were assessed according to 3 age categories, 3-8 years, and 6-35 months.
    End point type
    Secondary
    End point timeframe
    At Day 0 and at 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    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: The analysis was performed only on subjects between 6 and 35 months old, included in the Control Group.
    End point values
    GSK2282512A 2 Group
    Number of subjects analysed
    259
    Units: titer
    geometric mean (confidence interval 95%)
        H1N1, Day 0 (N=423;423;424;259)
    16.8 (13.9 to 20.3)
        H1N1, POST (N=425;424;424;259)
    200.9 (166.6 to 242.2)
        H3N2, Day 0 (N=423;423;423;259)
    5.6 (5.3 to 6)
        H3N2, POST (N=425;424;424;259)
    61.4 (53.8 to 70)
        Victoria, Day 0 (N=423;423;424;259)
    8.7 (7.5 to 10)
        Victoria, POST (N=425;424;423;259)
    127.3 (109.4 to 148.1)
        Yamagata, Day 0 (N=423;423;424;259)
    7.7 (7 to 8.6)
        Yamagata, POST (N=425;424;424;259)
    192.7 (172.1 to 215.7)
    No statistical analyses for this end point

    Secondary: Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease - age strata

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    End point title
    Titers for serum Hemagglutination Inhibition (HI) antibodies against 4 strains of influenza disease - age strata
    End point description
    Titers are presented as geometric mean titers (GMTs). The reference cut-off value was the seropositivity cut-off of 1:10. Antibodies assessed were antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Florida/4/2006 (Yamagata) flu strains. Subjects were assessed according to 3 age categories, 3-8 years, and 6-35 months.
    End point type
    Secondary
    End point timeframe
    At Day 0 and at 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 (3-8 years) Group GSK2282512A 1 (9-17 years) Group Victoria strain Fluarix (3-8 years) Group Victoria strain Fluarix (9-17 years) Group Yamagata strain Fluarix (3-8 years) Group Yamagata strain Fluarix (9-17 years) Group
    Number of subjects analysed
    425
    453
    424
    447
    424
    454
    Units: titre
    geometric mean (confidence interval 95%)
        H1N1, Day 0 (N=423;453;423;447;424;453)
    24.7 (21.6 to 28.3)
    34.6 (30.6 to 39.2)
    26.9 (23.5 to 30.9)
    38.2 (33.8 to 43.1)
    24.5 (21.5 to 27.8)
    34.2 (30.3 to 38.6)
        H1N1, POST (N=425;453;424;447;424;454)
    310.5 (274.9 to 350.6)
    419.5 (379.8 to 463.4)
    382.7 (339.4 to 431.6)
    478.2 (431.4 to 530)
    356.2 (316.5 to 400.8)
    490.3 (443.7 to 541.7)
        H3N2, Day 0 (N=423;453;423;447;423;453)
    19.7 (17.4 to 22.4)
    16.7 (15 to 18.7)
    21.2 (18.6 to 24.2)
    17 (15.3 to 19)
    20.2 (17.8 to 23)
    18.6 (16.6 to 20.9)
        H3N2, POST (N=425;453;424;447;424;454)
    138.2 (123.7 to 154.5)
    149.1 (137.3 to 162)
    144.4 (130.6 to 159.7)
    135.2 (123.5 to 148)
    147.9 (133.3 to 164.1)
    153.9 (140.7 to 168.4)
        Victoria, Day 0 (N=423;453;423;447;424;453)
    18.3 (15.8 to 21.1)
    32.9 (29 to 37.4)
    20.2 (17.6 to 23.3)
    32.5 (28.7 to 36.8)
    18.4 (16 to 21.1)
    35.4 (31.3 to 40.1)
        Victoria, POST (N=425;453;424;447;423;454)
    194.4 (171.3 to 220.7)
    317.8 (287.1 to 351.8)
    197.4 (175.9 to 221.6)
    301.7 (272.2 to 334.3)
    52.6 (45.2 to 61.2)
    86.6 (77.4 to 96.9)
        Yamagata, Day 0 (N=423;453;423;447;424;453)
    27.4 (23.8 to 31.7)
    116.2 (102.2 to 132.1)
    29.5 (25.6 to 34)
    111.6 (98.3 to 126.8)
    29.5 (25.5 to 34.1)
    139.6 (124.6 to 156.4)
        Yamagata, POST (N=425;453;424;447;424;454)
    363.4 (327.8 to 402.9)
    707.5 (648.7 to 771.5)
    103.2 (91.7 to 116.1)
    363.7 (330.4 to 400.3)
    416.7 (374.5 to 463.7)
    787.1 (731.3 to 847.2)
    No statistical analyses for this end point

    Secondary: Number of subjects seroconverted against 4 strains of influenza disease - 6-35 months old

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    End point title
    Number of subjects seroconverted against 4 strains of influenza disease - 6-35 months old [7]
    End point description
    End point type
    Secondary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    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: The analysis was performed only on subjects between 6 and 35 months old, included in the Control Group.
    End point values
    GSK2282512A 2 Group
    Number of subjects analysed
    259
    Units: Subjects
        H1N1, POST
    220
        H3N2, POST
    189
        Victoria, POST
    219
        Yamagata, POST
    243
    No statistical analyses for this end point

    Secondary: Seroconversion factor for Hemagglutination Inhibition antibodies against 4 strains of influenza disease - age strata

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    End point title
    Seroconversion factor for Hemagglutination Inhibition antibodies against 4 strains of influenza disease - age strata
    End point description
    End point type
    Secondary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 (3-8 years) Group GSK2282512A 1 (9-17 years) Group Victoria strain Fluarix (3-8 years) Group Victoria strain Fluarix (9-17 years) Group Yamagata strain Fluarix (3-8 years) Group Yamagata strain Fluarix (9-17 years) Group
    Number of subjects analysed
    423
    453
    423
    447
    424
    453
    Units: fold increase
    geometric mean (confidence interval 95%)
        H1N1, POST (N=423;453;423;447;424;453)
    12.5 (11.31 to 13.82)
    12.12 (10.67 to 13.77)
    14.2 (12.83 to 15.71)
    12.52 (11.07 to 14.17)
    14.56 (13.2 to 16.05)
    14.29 (12.52 to 16.31)
        H3N2, POST (N=423;453;423;447;423;453)
    7.02 (6.3 to 7.84)
    8.91 (7.85 to 10.11)
    6.82 (6.09 to 7.64)
    7.94 (7.02 to 8.97)
    7.29 (6.51 to 8.16)
    8.27 (7.32 to 9.34)
        Victoria, POST (N=423;453;423;447;423;453)
    10.64 (9.41 to 12.02)
    9.65 (8.42 to 11.07)
    9.75 (8.61 to 11.04)
    9.28 (8.04 to 10.71)
    2.85 (2.58 to 3.16)
    2.44 (2.25 to 2.65)
        Yamagata, POST (N=423;453;423;447;424;453)
    13.23 (11.74 to 14.9)
    6.09 (5.42 to 6.84)
    3.49 (3.18 to 3.84)
    3.26 (2.93 to 3.62)
    14.11 (12.57 to 15.84)
    5.63 (5.02 to 6.33)
    No statistical analyses for this end point

    Secondary: Number of subjects seroconverted against 4 strains of influenza disease - age strata

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    End point title
    Number of subjects seroconverted against 4 strains of influenza disease - age strata
    End point description
    End point type
    Secondary
    End point timeframe
    At 28 days after administration of the last vaccine dose (Day 28 for Primed Subjects and at Day 56 for Unprimed Subjects) (POST)
    End point values
    GSK2282512A 1 (3-8 years) Group GSK2282512A 1 (9-17 years) Group Victoria strain Fluarix (3-8 years) Group Victoria strain Fluarix (9-17 years) Group Yamagata strain Fluarix (3-8 years) Group Yamagata strain Fluarix (9-17 years) Group
    Number of subjects analysed
    423
    453
    423
    447
    424
    453
    Units: Subjects
        H1N1, POST (N=423;453;423;447;424;453)
    374
    365
    390
    365
    380
    370
        H3N2, POST (N=423;453;423;447;423;453)
    291
    323
    282
    308
    296
    314
        Victoria, POST (N=423;453;423;447;423;453)
    329
    324
    326
    296
    133
    129
        Yamagata, POST (N=423;453;423;447;424;453)
    366
    293
    181
    178
    372
    272
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Serious adverse events were assessed from Day 0 to Day 180. Systematically and non-systematically assessed frequent adverse events (AEs) were assessed during a 7-day and 28-day post-vaccination period, respectively.
    Adverse event reporting additional description
    For the systematically-assessed other non-serious AEs, the number of participants at risk included those from Total Vaccinated cohort whose symptom sheet had been completed.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10
    Reporting groups
    Reporting group title
    Victoria strain Fluarix Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix VB vaccine containing the Victoria lineage B flu strain at Day 0 or 2 doses of Fluarix VB vaccine at Day 0 and Day 28. The Fluarix VB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    GSK2282512A 2 Group
    Reporting group description
    Subjects, 6 to 35 months old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm for subjects ≥12 months of age and into the antero-lateral region of the left thigh for infants <12 months of age.

    Reporting group title
    Yamagata strain Fluarix Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of Fluarix YB vaccine containing the Yamagata lineage B flu strain at Day 0 or 2 doses of Fluarix YB vaccine at Day 0 and Day 28. The Fluarix YB vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Reporting group title
    GSK2282512A 1 Group
    Reporting group description
    Subjects, 3 to 17 years old, received 1 dose of GSK2282512A vaccine at Day 0 or 2 doses of GSK2282512A vaccine at Day 0 and Day 28. The GSK2282512A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.

    Serious adverse events
    Victoria strain Fluarix Group GSK2282512A 2 Group Yamagata strain Fluarix Group GSK2282512A 1 Group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    6 / 929 (0.65%)
    7 / 301 (2.33%)
    5 / 932 (0.54%)
    3 / 932 (0.32%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    Accidental overdose
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    1 / 932 (0.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Facial bones fracture
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Foreign body
         subjects affected / exposed
    0 / 929 (0.00%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Head injury
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Joint dislocation
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Traumatic brain injury
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Vitello-intestinal duct remnant
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    1 / 932 (0.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Febrile convulsion
         subjects affected / exposed
    0 / 929 (0.00%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Grand mal convulsion
         subjects affected / exposed
    0 / 929 (0.00%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    1 / 932 (0.11%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anxiety
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Suicidal ideation
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Lymphadenitis
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    1 / 932 (0.11%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Anaphylactic reaction
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hypersensitivity
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Conjunctivitis
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Biliary dyskinesia
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    0 / 929 (0.00%)
    3 / 301 (1.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Angioedema
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Urticaria
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Gastroenteritis
         subjects affected / exposed
    1 / 929 (0.11%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Bronchopneumonia
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis rotavirus
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Lobar pneumonia
         subjects affected / exposed
    0 / 929 (0.00%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 929 (0.11%)
    0 / 301 (0.00%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pneumonia viral
         subjects affected / exposed
    0 / 929 (0.00%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory syncytial virus infection
         subjects affected / exposed
    0 / 929 (0.00%)
    1 / 301 (0.33%)
    0 / 932 (0.00%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hypovolaemia
         subjects affected / exposed
    0 / 929 (0.00%)
    0 / 301 (0.00%)
    1 / 932 (0.11%)
    0 / 932 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Victoria strain Fluarix Group GSK2282512A 2 Group Yamagata strain Fluarix Group GSK2282512A 1 Group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    538 / 929 (57.91%)
    148 / 301 (49.17%)
    542 / 932 (58.15%)
    637 / 932 (68.35%)
    General disorders and administration site conditions
    Pain
    alternative assessment type: Systematic
         subjects affected / exposed [1]
    538 / 912 (58.99%)
    148 / 294 (50.34%)
    542 / 916 (59.17%)
    637 / 913 (69.77%)
         occurrences all number
    538
    148
    542
    637
    Swelling
    alternative assessment type: Systematic
         subjects affected / exposed [2]
    40 / 912 (4.39%)
    18 / 294 (6.12%)
    39 / 916 (4.26%)
    64 / 913 (7.01%)
         occurrences all number
    40
    18
    39
    64
    Drowsiness
    alternative assessment type: Systematic
         subjects affected / exposed [3]
    47 / 187 (25.13%)
    102 / 292 (34.93%)
    51 / 189 (26.98%)
    46 / 185 (24.86%)
         occurrences all number
    47
    102
    51
    46
    Irritability
    alternative assessment type: Systematic
         subjects affected / exposed [4]
    44 / 187 (23.53%)
    141 / 292 (48.29%)
    48 / 189 (25.40%)
    59 / 185 (31.89%)
         occurrences all number
    44
    141
    48
    59
    Loss of appetite
    alternative assessment type: Systematic
         subjects affected / exposed [5]
    41 / 187 (21.93%)
    93 / 292 (31.85%)
    35 / 189 (18.52%)
    40 / 185 (21.62%)
         occurrences all number
    41
    93
    35
    40
    Temperature
    alternative assessment type: Systematic
         subjects affected / exposed [6]
    16 / 187 (8.56%)
    27 / 292 (9.25%)
    15 / 189 (7.94%)
    15 / 185 (8.11%)
         occurrences all number
    16
    27
    15
    15
    Fatigue
    alternative assessment type: Systematic
         subjects affected / exposed [7]
    177 / 725 (24.41%)
    0 / 301 (0.00%)
    177 / 726 (24.38%)
    173 / 727 (23.80%)
         occurrences all number
    177
    0
    177
    173
    Gastrointestinal
    alternative assessment type: Systematic
         subjects affected / exposed [8]
    82 / 725 (11.31%)
    0 / 301 (0.00%)
    72 / 726 (9.92%)
    80 / 727 (11.00%)
         occurrences all number
    82
    0
    72
    80
    Headache
    alternative assessment type: Systematic
         subjects affected / exposed [9]
    171 / 725 (23.59%)
    0 / 301 (0.00%)
    157 / 726 (21.63%)
    170 / 727 (23.38%)
         occurrences all number
    171
    0
    157
    170
    Joint pain at other location
    alternative assessment type: Systematic
         subjects affected / exposed [10]
    95 / 725 (13.10%)
    0 / 301 (0.00%)
    81 / 726 (11.16%)
    103 / 727 (14.17%)
         occurrences all number
    95
    0
    81
    103
    Muscle aches
    alternative assessment type: Systematic
         subjects affected / exposed [11]
    194 / 725 (26.76%)
    0 / 301 (0.00%)
    193 / 726 (26.58%)
    222 / 727 (30.54%)
         occurrences all number
    194
    0
    193
    222
    Shivering
    alternative assessment type: Systematic
         subjects affected / exposed [12]
    51 / 725 (7.03%)
    0 / 301 (0.00%)
    53 / 726 (7.30%)
    55 / 727 (7.57%)
         occurrences all number
    51
    0
    53
    55
    Pyrexia
         subjects affected / exposed
    16 / 929 (1.72%)
    21 / 301 (6.98%)
    13 / 932 (1.39%)
    19 / 932 (2.04%)
         occurrences all number
    16
    21
    13
    19
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    10 / 929 (1.08%)
    20 / 301 (6.64%)
    7 / 932 (0.75%)
    11 / 932 (1.18%)
         occurrences all number
    10
    20
    7
    11
    Redness
    alternative assessment type: Systematic
         subjects affected / exposed [13]
    38 / 912 (4.17%)
    24 / 294 (8.16%)
    36 / 916 (3.93%)
    57 / 913 (6.24%)
         occurrences all number
    38
    24
    36
    57
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    38 / 929 (4.09%)
    34 / 301 (11.30%)
    49 / 932 (5.26%)
    53 / 932 (5.69%)
         occurrences all number
    38
    34
    49
    53
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    30 / 929 (3.23%)
    24 / 301 (7.97%)
    33 / 932 (3.54%)
    36 / 932 (3.86%)
         occurrences all number
    30
    24
    33
    36
    Nasopharyngitis
         subjects affected / exposed
    47 / 929 (5.06%)
    14 / 301 (4.65%)
    43 / 932 (4.61%)
    48 / 932 (5.15%)
         occurrences all number
    47
    14
    43
    48
    Rhinorrhoea
         subjects affected / exposed
    12 / 929 (1.29%)
    33 / 301 (10.96%)
    19 / 932 (2.04%)
    17 / 932 (1.82%)
         occurrences all number
    12
    33
    19
    17
    Notes
    [1] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [2] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [3] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [4] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [5] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [6] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [7] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [8] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [9] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [10] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [11] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [12] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.
    [13] - 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: The analysis was performed solely on subjects with symptom sheet completed for the reported specific symptom.

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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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