Clinical Trial Results:
Antibody persistence in 11 to 13-year-old children previously vaccinated at 6 years old with either REVAXIS® or DT Polio®, and immune response to a booster dose of TETRAVAC-ACELLULAIRE®
Summary
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EudraCT number |
2011-004458-25 |
Trial protocol |
FR |
Global end of trial date |
17 Dec 2012
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Results information
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Results version number |
v1(current) |
This version publication date |
27 Apr 2016
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First version publication date |
03 Jun 2015
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
RVX01C
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01546909 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Sanofi Pasteur MSD S.N.C.
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Sponsor organisation address |
162 avenue Jean Jaurès - CS 50712, Lyon Cedex 07, France, 69367
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Public contact |
Clinical Trials Disclosure, Sanofi Pasteur MSD, ClinicalTrialsDisclosure@spmsd.com
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Scientific contact |
Clinical Trials Disclosure, Sanofi Pasteur MSD, ClinicalTrialsDisclosure@spmsd.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
17 Dec 2012
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
17 Dec 2012
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
# To describe in 11 to 13-year-old children who received 1 dose of either REVAXIS® or DT Polio® at 6 years of age the antibody persistence in terms of proportions of subjects with antibody concentrations ≥0.01 IU/mL against diphtheria and tetanus, and antibody titres ≥8 (1/dilution) against poliovirus types 1, 2 & 3.
# To describe 1 month after a booster dose of TETRAVAC-ACELLULAIRE® when given to 11 to 13-year-old children who received 1 dose of either REVAXIS® or DT Polio® at 6 years of age the immune responses in terms of proportions of subjects with antibody concentrations ≥0.1 IU/mL against diphtheria and tetanus, and antibody titres ≥8 (1/dilution) against poliovirus types 1, 2 & 3.
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Protection of trial subjects |
Children in the study received a single booster dose of TETRAVAC-ACELLULAIRE supplied in a pre-filled 0.5 mL syringe. Children with known true hypersensitity to at least 1 of the components of the vaccine components were not vaccinated.
The sheduled administration was in accordance with the European Summary of Product Characteristics and French recommendations.
Vaccine was administered by qualified study personnel. After each vaccination, children were kept under observation for 20 minutes.
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Background therapy |
The present study was a 5-year follow-up of study F05-TdI-301. Children (11 to 13 years of age) were therefore vaccinated with either REVAXIS (diphtheria, tetanus and polio 1, 2 & 3 (inactivated) vaccine (adsorbed, reduced antigen(s) content)) or DT Polio (diphtheria, tetanus and polio 1, 2 & 3 (inactivated) vaccine) at 6 years of age. | ||
Evidence for comparator |
Children received 1 dose of TETRAVAC-ACELLULAIRE. No comparator product was thus used during study RVX01C. However, children were previously vaccinated with either REVAXIS or DT Polio at 6 years of age in study F05-TdI-301. There were thus 2 groups of subjects in the present study: REVAXIS group and DT Polio group. | ||
Actual start date of recruitment |
22 Feb 2012
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
France: 274
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Worldwide total number of subjects |
274
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EEA total number of subjects |
274
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
270
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Adolescents (12-17 years) |
4
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
The present study was a follow-up of study F05-TdI-301. Study participants were recruited among the participants of the F05-TdI-301 study between 22 February 2012 and 30 June 2012 in 44 active centres in France. | ||||||||||||||||||
Pre-assignment
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Screening details |
277 subjects were screened out. 274 subjects who met all the inclusion criteria but none of the exclusion criteria were included. 272 subjects had blood serological results for blood sample 1 (i.e., before TETRAVAC-ACELLULAIRE administration). 274 subjects were vaccinated with TETRAVAC-ACELLULAIRE. | ||||||||||||||||||
Period 1
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Period 1 title |
Overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||
Blinding implementation details |
This is not applicable, as this study was an open-label study and all subjects received the same vaccine, TETRAVAC-ACELLULAIRE. Serology tests were performed by laboratory staffs that were blinded to which group each subject was allocated to (previous vaccination with REVAXIS or DT Polio at 6 years of age).
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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REVAXIS Group | ||||||||||||||||||
Arm description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of REVAXIS (diphtheria, tetanus and poliovirus (inactivated) vaccine (adsorbed, reduced antigen(s) content)), given at 6 years of age. | ||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||
Investigational medicinal product name |
TETRAVAC-ACELLULAIRE®
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Investigational medicinal product code |
DTaP-IPV
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Other name |
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Pharmaceutical forms |
Suspension for injection in pre-filled syringe
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One 0.5 mL dose (intramuscular, deltoid) at 11-13 years of age.
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Arm title
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DT Polio Group | ||||||||||||||||||
Arm description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of DT Polio (diphtheria, tetanus and inactivated poliovirus vaccine), given at 6 years of age. | ||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||
Investigational medicinal product name |
TETRAVAC-ACELLULAIRE®
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Investigational medicinal product code |
DTaP-IPV
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Other name |
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Pharmaceutical forms |
Suspension for injection in pre-filled syringe
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One 0.5 mL dose (intramuscular, deltoid) at 11-13 years of age.
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Baseline characteristics reporting groups
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Reporting group title |
REVAXIS Group
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Reporting group description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of REVAXIS (diphtheria, tetanus and poliovirus (inactivated) vaccine (adsorbed, reduced antigen(s) content)), given at 6 years of age. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
DT Polio Group
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Reporting group description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of DT Polio (diphtheria, tetanus and inactivated poliovirus vaccine), given at 6 years of age. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
REVAXIS Group
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Reporting group description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of REVAXIS (diphtheria, tetanus and poliovirus (inactivated) vaccine (adsorbed, reduced antigen(s) content)), given at 6 years of age. | ||
Reporting group title |
DT Polio Group
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Reporting group description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of DT Polio (diphtheria, tetanus and inactivated poliovirus vaccine), given at 6 years of age. |
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End point title |
Antibody persistence # Proportion of subjects with anti-diphtheria and anti-tetanus concentrations ≥0.01 IU/mL and anti-polio 1, 2 & 3 titres ≥8 (1/dil) approximately 5 years after vaccination with either REVAXIS or DT Polio at 6 years of age [1] | |||||||||||||||||||||||||||
End point description |
Percentage of subjects with an anti-diphtheria concentration ≥0.01 IU/mL (measured by seroneutralisation (SN)), an anti-tetanus concentration ≥0.01 IU/mL (measured by Enzyme-Linked ImmunoSorbent Assay (ELISA)), and anti-poliomyelitis types 1, 2 & 3 (IPV1, 2 & 3) titres ≥8 (1/dilution (1/dil)) (measured by SN), approximately 5 years after vaccination with 1 dose of either REVAXIS or DT Polio.
Analysis was done on the Antibody Persistence Full Analysis set (i.e., all subjects with pre-vaccination immunogenicity evaluation, N= 272).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Primary
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End point timeframe |
Approximately 5 years after vaccination with 1 dose of either REVAXIS or DT Polio, given at 6 years of age.
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No hypothesis was defined as this study was only descriptive. |
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No statistical analyses for this end point |
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End point title |
Post-booster immune response # Proportion of subjects with anti-diphtheria and anti-tetanus concentrations ≥0.1 IU/mL and anti-polio 1, 2 & 3 titres ≥8 (1/dil) 1 month after a booster dose of TETRAVAC-ACELLULAIRE [2] | |||||||||||||||||||||||||||
End point description |
Percentage of subjects with an anti-diphtheria concentration ≥0.1 IU/mL (measured by seroneutralisation (SN)), an anti-tetanus concentration ≥0.1 IU/mL (measured by Enzyme-Linked ImmunoSorbent Assay (ELISA)), and anti-poliomyelitis types 1, 2 & 3 (IPV1, 2 & 3) titres ≥8 (1/dilution (1/dil)) (measured by SN), 1 month after a booster dose of TETRAVAC-ACELLULAIRE in 11-13 years of age children who received 1 dose of either REVAXIS or DT Polio at 6 years of age.
Analysis was done on the Post-Booster Per Protocol set (i.e., all included subjects excluding subjects with protocol violation which may interfere with the immunogenicity evaluation of the study vaccine, N= 255).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Primary
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End point timeframe |
One month after a booster dose of TETRAVAC-ACELLULAIRE, given approximately 5 years after 1 dose of either REVAXIS or DT Polio.
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Notes [2] - 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: No hypothesis was defined as this study was only descriptive. |
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No statistical analyses for this end point |
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End point title |
Antibody persistence # Proportion of subjects with anti-diphtheria and anti-tetanus concentrations ≥0.1 IU/mL approximately 5 years after vaccination with either REVAXIS or DT Polio at 6 years of age | |||||||||||||||||||||
End point description |
Percentage of subjects with an anti-diphtheria concentration ≥0.1 IU/mL (measured by seroneutralisation (SN) and Enzyme-Linked ImmunoSorbent Assay (ELISA)), and an anti-tetanus concentration ≥0.1 IU/mL (measured by ELISA), approximately 5 years after vaccination with 1 dose of either REVAXIS or DT Polio, given at 6 years of age.
Analysis was done on the Antibody Persistence Full Analysis set (i.e., all subjects with pre-vaccination immunogenicity evaluation, N= 272).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Secondary
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End point timeframe |
Approximately 5 years after vaccination with 1 dose of either REVAXIS or DT Polio, given at 6 years of age.
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No statistical analyses for this end point |
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End point title |
Antibody persistence # Geometric Mean Concentrations (GMCs) or Titres (GMTs) of anti-diphtheria, anti-tetanus, and anti-polio 1, 2 & 3 antibodies approximately 5 years after vaccination with either REVAXIS or DT Polio at 6 years of age | ||||||||||||||||||||||||||||||
End point description |
Antibody concentrations (diphtheria and tetanus) or titres (poliovirus types 1, 2 & 3) were measured for diphtheria by seroneutralisation (SN) and Enzyme-Linked ImmunoSorbent Assay (ELISA), for tetanus by ELISA, and for poliomyelitis types 1, 2 & 3 (IPV1, 2 & 3) by SN, approximately 5 years after vaccination with 1 dose of either REVAXIS or DT Polio, given at 6 years of age.
Analysis was done on the Antibody Persistence Full Analysis set (i.e., all subjects with pre-vaccination immunogenicity evaluation, N= 272).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Secondary
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End point timeframe |
Approximately 5 years after vaccination with 1 dose of either REVAXIS or DT Polio, given at 6 years of age.
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No statistical analyses for this end point |
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End point title |
Post-booster immune response # Proportion of subjects with anti-diphtheria concentration ≥0.1 IU/mL, and anti-diphtheria and anti-tetanus concentrations ≥1.0 IU/mL 1 month after a booster dose of TETRAVAC-ACELLULAIRE | ||||||||||||||||||||||||
End point description |
Percentage of subjects with an anti-diphtheria concentration ≥0.1 IU/mL (measured by Enzyme-Linked ImmunoSorbent Assay (ELISA)), an anti-diphtheria concentration ≥1.0 IU/mL (measured by Seroneutralisation (SN) and ELISA), and an anti-tetanus concentration ≥1.0 IU/mL (measured by ELISA), 1 month after a booster dose of TETRAVAC-ACELLULAIRE in 11-13 years of age children who received 1 dose of either REVAXIS or DT Polio at 6 years of age.
Analysis was done on the Post-Booster Per Protocol set (i.e., all included subjects excluding subjects with protocol violation which may interfere with the immunogenicity evaluation of the study vaccine, N= 255).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Secondary
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End point timeframe |
One month after a booster dose of TETRAVAC-ACELLULAIRE, given approximately 5 years after 1 dose of either REVAXIS or DT Polio.
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No statistical analyses for this end point |
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End point title |
Post-booster immune response # Geometric Mean Concentrations (GMCs) or Titres (GMTs) of anti-diphtheria, anti-tetanus, and anti-polio 1, 2 & 3 antibodies 1 month after a booster dose of TETRAVAC-ACELLULAIRE | ||||||||||||||||||||||||||||||
End point description |
Antibody concentrations (diphtheria and tetanus) or titres (poliovirus types 1, 2 & 3) were measured for diphtheria by Seroneutralisation (SN) and Enzyme-Linked ImmunoSorbent Assay (ELISA), for tetanus by ELISA, and for poliomyelitis types 1, 2 & 3 (IPV1,2 & I) by SN, 1 month after a booster dose of TETRAVAC-ACELLULAIRE in 11-13 years of age children who received 1 dose of either REVAXIS or DT Polio at 6 years of age.
Analysis was done on the Post-Booster Per Protocol set (i.e., all included subjects excluding subjects with protocol violation which may interfere with the immunogenicity evaluation of the study vaccine, N= 255).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Secondary
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End point timeframe |
One month after a booster dose of TETRAVAC-ACELLULAIRE, given approximately 5 years after 1 dose of either REVAXIS or DT Polio.
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No statistical analyses for this end point |
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End point title |
Post-booster immune response # Geometric Mean of individual post/pre-booster Concentration (GMC) or Titre (GMT) Ratios of anti-diphtheria, anti-tetanus, and anti-polio 1, 2 & 3 antibodies 1 month after a booster dose of TETRAVAC-ACELLULAIRE | ||||||||||||||||||||||||||||||
End point description |
Study participants were blood sampled between Day -7 (D-7) and D0 before receiving 1 dose of TETRAVAC-ACELLULAIRE. One month later (D28 to D35, i.e., post-vaccination), study participants were blood sampled again.
Antibody concentrations (diphtheria and tetanus) or titres (poliovirus types 1, 2 & 3) were measured for diphtheria by Seroneutralisation (SN) and Enzyme-Linked ImmunoSorbent Assay (ELISA), for tetanus by ELISA, and for poliomyelitis types 1, 2 & 3 (IPV1, 2 & 3) by SN.
Individual post- (D28-D35) / pre-booster (D0) antibody concentrations or titres ratios were measured for diphtheria, tetanus and poliomyelitis types 1, 2 & 3.
Analysis was done on the Post-Booster Per Protocol set (i.e., all included subjects excluding subjects with protocol violation which may interfere with the immunogenicity evaluation of the study vaccine, N= 255).
Note: (N=***, ***) represents the number of assessed subjects in the REVAXIS and DT Polio groups, respectively.
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End point type |
Secondary
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End point timeframe |
One month after a booster dose of TETRAVAC-ACELLULAIRE, given approximately 5 years after 1 dose of either REVAXIS or DT Polio.
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No statistical analyses for this end point |
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End point title |
Proportion of subjects reporting solicited injection-site reactions from D0 to D7 after 1 booster dose of TETRAVAC-ACELLULAIRE | ||||||||||||||||||||||||
End point description |
The subject’s parent(s)/legal representative recorded all adverse events (AEs) on the diary card.
Solicited Injection-Site Reactions (ISRs) (injection-site erythema, injection-site pain and injection-site swelling) were collected from Day 0 to Day 7 following vaccination with TETRAVAC-ACELLULAIRE.
AEs at injection sites were always considered as related to vaccine (Injection-Site Reactions (ISRs)).
Analysis was done on the Safety set (i.e., all subjects who received the study vaccine and who have safety follow-up data, N= 272).
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End point type |
Secondary
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End point timeframe |
From D0 to D7 following vaccination with 1 booster dose of TETRAVAC-ACELLULAIRE, received approximately 5 years after 1 dose of either REVAXIS or DT Polio.
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No statistical analyses for this end point |
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End point title |
Proportion of subjects reporting solicited systemic reactions from D0 to D7 after 1 booster dose of TETRAVAC-ACELLULAIRE | |||||||||||||||||||||||||||
End point description |
The subject’s parent(s)/legal representative recorded all adverse events (AEs) on the diary card.
Solicited systemic reactions (headache, malaise, myalgia and pyrexia) were collected from Day 0 to Day 7 following vaccination with TETRAVAC-ACELLULAIRE.
Pyrexia was defined in this study as a temperature of 38.0°C or over. The highest temperature was recorded in the diary card.
All of these solicited systemic reactions (headache, malaise, myalgia and pyrexia) were assessed as vaccine-related by the investigator.
Analysis was done on the Safety set (i.e., all subjects who received the study vaccine and who have safety follow-up data, N= 272).
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End point type |
Secondary
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End point timeframe |
From D0 to D7 following vaccination with 1 booster dose of TETRAVAC-ACELLULAIRE, received approximately 5 years after 1 dose of either REVAXIS or DT Polio.
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Unsolicited adverse events were collected in the diary card from D0 to D28 after vaccination with TETRAVAC-ACELLULAIRE, in subjects previously vaccinated with either REVAXIS or DT Polio at 6 years of age (i.e. approximately 5 years before).
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Adverse event reporting additional description |
Pyrexia was defined in this study as a temperature of 38.0°C or over.
Analysis of adverse events was done on the Safety set (i.e., all subjects who received the study vaccine and who have safety follow-up data, N= 272).
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
14.1
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Reporting groups
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Reporting group title |
REVAXIS Group
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Reporting group description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of REVAXIS (diphtheria, tetanus and poliovirus (inactivated) vaccine (adsorbed, reduced antigen(s) content)), given at 6 years of age. The number of subjects reporting at least 1 unsolicited non-serious ISR or AE with incidence ≥1% are presented hereafter. If each unsolicited ISR or AE with incidence ≥1% was reported by a different subject, the number of subjects reporting at least 1 unsolicited ISR or AE with incidence ≥1% would have been 19. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
DT Polio Group
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Reporting group description |
Participants received a single dose of booster TETRAVAC-ACELLULAIRE approximately 5 years after vaccination with 1 dose of DT Polio (diphtheria, tetanus and inactivated poliovirus vaccine), given at 6 years of age. The number of subjects reporting at least 1 unsolicited non-serious ISR or AE with incidence ≥1% are presented hereafter. If each unsolicited ISR or AE with incidence ≥1% was reported by a different subject, the number of subjects reporting at least 1 unsolicited ISR or AE with incidence ≥1% would have been 19. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 1% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |