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    Clinical Trial Results:
    A Phase 1 Open-label Study to Assess the Safety and Tolerability of a Single Dose of 13-valent Pneumococcal Conjugate Vaccine in Healthy Chinese Adults, Children and Infants

    Summary
    EudraCT number
    2014-004180-20
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    06 Jan 2012

    Results information
    Results version number
    v1(current)
    This version publication date
    29 Jun 2016
    First version publication date
    17 Jul 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    B1851046
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01531322
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Alias: 6096A1-1000
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    235 E 42nd Street, New York, United States, NY 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    24 Jul 2012
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    06 Jan 2012
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the safety and tolerability of a single dose of 13-valent pneumococcal conjugate vaccine (13vPnC) as measured by the incidence of solicited local reactions, systemic events, and unsolicited adverse events (AEs) in healthy Chinese subjects in 3 age groups: Group 1: Adults aged 18 through 55 years, Group 2: Children aged 3 through 5 years, Group 3: Infants aged approximately 2 months.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    19 Oct 2011
    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
    China: 72
    Worldwide total number of subjects
    72
    EEA total number of subjects
    0
    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)
    24
    Children (2-11 years)
    24
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    24
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    The study was started on 19 Oct 2011 and completed on 06 Jan 2012 in China.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    13vPnC Group 1
    Arm description
    Subjects aged 18 to 55 years received single 13vPnC dose on Day 1.
    Arm type
    Experimental

    Investigational medicinal product name
    13vPnC
    Investigational medicinal product code
    Other name
    Prevenar 13
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Single 0.5 milliliter (mL) dose of 13vPnC administered intramuscularly on Day 1.

    Arm title
    13vPnC Group 2
    Arm description
    Subjects aged 3 to 5 years received single 13vPnC dose on Day 1.
    Arm type
    Experimental

    Investigational medicinal product name
    13vPnC
    Investigational medicinal product code
    Other name
    Prevenar 13
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Single 0.5 mL dose of 13vPnC administered intramuscularly on Day 1.

    Arm title
    13vPnC Group 3
    Arm description
    Subjects aged 2 months (42 to 98 days) received single 13vPnC dose on Day 1.
    Arm type
    Experimental

    Investigational medicinal product name
    13vPnC
    Investigational medicinal product code
    Other name
    Prevenar 13
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Single 0.5 mL dose of 13vPnC administered intramuscularly on Day 1.

    Number of subjects in period 1
    13vPnC Group 1 13vPnC Group 2 13vPnC Group 3
    Started
    24
    24
    24
    Vaccinated
    24
    24
    24
    Completed
    24
    24
    24

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    13vPnC Group 1
    Reporting group description
    Subjects aged 18 to 55 years received single 13vPnC dose on Day 1.

    Reporting group title
    13vPnC Group 2
    Reporting group description
    Subjects aged 3 to 5 years received single 13vPnC dose on Day 1.

    Reporting group title
    13vPnC Group 3
    Reporting group description
    Subjects aged 2 months (42 to 98 days) received single 13vPnC dose on Day 1.

    Reporting group values
    13vPnC Group 1 13vPnC Group 2 13vPnC Group 3 Total
    Number of subjects
    24 24 24 72
    Age categorical
    Units: Subjects
        18 years - 55 years
    24 0 0 24
        3 years - 5 years
    0 24 0 24
        42 days - 98 days
    0 0 24 24
    Gender categorical
    Units: Subjects
        Female
    11 11 8 30
        Male
    13 13 16 42

    End points

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    End points reporting groups
    Reporting group title
    13vPnC Group 1
    Reporting group description
    Subjects aged 18 to 55 years received single 13vPnC dose on Day 1.

    Reporting group title
    13vPnC Group 2
    Reporting group description
    Subjects aged 3 to 5 years received single 13vPnC dose on Day 1.

    Reporting group title
    13vPnC Group 3
    Reporting group description
    Subjects aged 2 months (42 to 98 days) received single 13vPnC dose on Day 1.

    Primary: Number of Subjects With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

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    End point title
    Number of Subjects With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) [1]
    End point description
    An AE was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to one month after last dose that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs. The safety analysis population included all subjects who received at least 1 dose of investigational product.
    End point type
    Primary
    End point timeframe
    Within 1 month after 13vPnC Dose
    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: Only descriptive data was planned to be reported for this endpoint.
    End point values
    13vPnC Group 1 13vPnC Group 2 13vPnC Group 3
    Number of subjects analysed
    24
    24
    24
    Units: Subjects
        AE
    0
    0
    1
        SAE
    0
    0
    1
    No statistical analyses for this end point

    Primary: Percentage of Subjects Reporting Pre-Specified Local Reactions

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    End point title
    Percentage of Subjects Reporting Pre-Specified Local Reactions [2]
    End point description
    Local reactions reported by electronic diary(e­diary).Redness,swelling scaled as:any(present); mild(13vPnC Group1: 2.5­-5.0 centimeters[cm],13vPnC Group2,3: 0.5-­2.0 cm);moderate(Group1:more than[>]5.0-­10.0 cm,Group2,3:>2.0­-7.0 cm)and severe(Group1:>10.0 cm, Group2,3:>7.0 cm)and necrosis or exfoliative dermatitis.Pain assessed only for Group1 as:any(any pain);mild(does not interfere with activity);moderate(interferes with activity);severe(prevents daily activity) and emergency room(ER)or Hospitalized(required ER visit or hospitalization).ER visit for 1 subject due to pain at injection site was reported in error.Tenderness was assessed for Group2,3 and scaled as:any(any grade of tenderness);present(tenderness present)and interferes with limb movement.Subjects may be represented in more than 1 category.Safety analysis population analyzed.Here"99999"for number and"+/-­99999"for confidence interval signifies"not available"as data was not planned to be analyzed for that reporting arms
    End point type
    Primary
    End point timeframe
    Within 7 Days after 13vPnC Dose
    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: Only descriptive data was planned to be reported for this endpoint.
    End point values
    13vPnC Group 1 13vPnC Group 2 13vPnC Group 3
    Number of subjects analysed
    24
    24
    24
    Units: Percentage of Subjects
    number (confidence interval 95%)
        Redness: Any
    16.7 (4.7 to 37.4)
    16.7 (4.7 to 37.4)
    12.5 (2.7 to 32.4)
        Redness: Mild
    12.5 (2.7 to 32.4)
    8.3 (1 to 27)
    12.5 (2.7 to 32.4)
        Redness: Moderate
    12.5 (2.7 to 32.4)
    8.3 (1 to 27)
    0 (0 to 14.2)
        Redness: Severe
    0 (0 to 14.2)
    0 (0 to 14.2)
    0 (0 to 14.2)
        Redness: Necrosis or exfoliative dermatitis
    0 (0 to 14.2)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Swelling: Any
    16.7 (4.7 to 37.4)
    29.2 (12.6 to 51.1)
    25 (9.8 to 46.7)
        Swelling: Mild
    12.5 (2.7 to 32.4)
    20.8 (7.1 to 42.2)
    16.7 (4.7 to 37.4)
        Swelling: Moderate
    12.5 (2.7 to 32.4)
    20.8 (7.1 to 42.2)
    8.3 (1 to 27)
        Swelling: Severe
    0 (0 to 14.2)
    0 (0 to 14.2)
    0 (0 to 14.2)
        Swelling: Necrosis or exfoliative dermatitis
    0 (0 to 14.2)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Pain at injection site: Any
    95.8 (78.9 to 99.9)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Pain at injection site: Mild
    95.8 (78.9 to 99.9)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Pain at injection site: Moderate
    12.5 (2.7 to 32.4)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Pain at injection site: Severe
    0 (0 to 14.2)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Pain at injection site: ER or Hospitalized
    4.2 (0.1 to 21.1)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Tenderness: Any
    99999 (-99999 to 99999)
    75 (53.3 to 90.2)
    12.5 (2.7 to 32.4)
        Tenderness: Present
    99999 (-99999 to 99999)
    75 (53.3 to 90.2)
    12.5 (2.7 to 32.4)
        Tenderness: Interferes with limb movement
    99999 (-99999 to 99999)
    0 (0 to 14.2)
    0 (0 to 14.2)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Reporting Pre-Specified Systemic Events for 13vPnC Group 1

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    End point title
    Percentage of Subjects Reporting Pre-Specified Systemic Events for 13vPnC Group 1 [3] [4]
    End point description
    Systemic events involved any fever greater than or equal to (>=) 37.7 degrees Celsius (C) as per State Food and Drug Administration (SFDA) China or >=38.0 degrees C to >40.0 degrees C. Vomiting was scaled as= mild: 1 to 2 times in 24 hours (hrs), moderate: >2 times in 24 hrs, severe: required intravenous (IV) hydration, ER or hospitalized: required an ER visit or hospitalization. Diarrhea was scaled as= mild: 2 to 3 loose stools in 24 hrs, moderate: 4 to 5 loose stools in 24 hrs, severe: 6 or more loose stools in 24 hrs. Headache, fatigue, muscle pain and joint pain were scaled as= mild: does not interfere with activity; moderate: some interference with activity; severe: prevents daily routine activity. Use of antipyretic medication was collected using an e-diary. Antipyretic medications used by 2 subjects was reported in error. The safety analysis population included all subjects who received at least 1 dose of investigational product.
    End point type
    Primary
    End point timeframe
    Within 7 days after 13vPnC Dose
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    [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: Percentage of subjects reporting prepecified systemic events has been presented as separate endpoint for 13vPnC Group 1 and 13vPnC Group 2/13vPnC Group 3. 
    End point values
    13vPnC Group 1
    Number of subjects analysed
    24
    Units: Percentage of Subjects
    number (confidence interval 95%)
        Fever: >= 38.0 degrees C
    4.2 (0.1 to 21.1)
        Fever: >=38.0 degrees C but <=38.4 degrees C
    0 (0 to 14.2)
        Fever: >38.4 degrees C but <=38.9 degrees C
    4.2 (0.1 to 21.1)
        Fever: >38.9 degrees C but <=40.0 degrees C
    0 (0 to 14.2)
        Fever: >40.0 degrees C
    0 (0 to 14.2)
        Fever-SFDA: >=37.7 degrees C
    4.2 (0.1 to 21.1)
        Fever-SFDA: >=37.7 degrees C but <=38.5 degrees
    4.2 (0.1 to 21.1)
        Fever-SFDA: >=38.6 degrees C but <=39.5 degrees
    0 (0 to 14.2)
        Fever-SFDA: >=39.6 degrees C but <=40.5 degrees C
    0 (0 to 14.2)
        Fever-SFDA: >40.0 degrees C
    0 (0 to 14.2)
        Vomiting: Any
    0 (0 to 14.2)
        Vomiting: Mild
    0 (0 to 14.2)
        Vomiting: Moderate
    0 (0 to 14.2)
        Vomiting: Severe
    0 (0 to 14.2)
        Vomiting: ER or hospitalized
    0 (0 to 14.2)
        Diarrhea: Any
    0 (0 to 14.2)
        Diarrhea: Mild
    0 (0 to 14.2)
        Diarrhea: Moderate
    0 (0 to 14.2)
        Diarrhea: Severe
    0 (0 to 14.2)
        Diarrhea: ER or hospitalized
    0 (0 to 14.2)
        Headache: Any
    4.2 (0.1 to 21.1)
        Headache: Mild
    4.2 (0.1 to 21.1)
        Headache: Moderate
    0 (0 to 14.2)
        Headache: Severe
    0 (0 to 14.2)
        Headache: ER or hospitalized
    0 (0 to 14.2)
        Fatigue: Any
    12.5 (2.7 to 32.4)
        Fatigue: Mild
    12.5 (2.7 to 32.4)
        Fatigue: Moderate
    0 (0 to 14.2)
        Fatigue: Severe
    0 (0 to 14.2)
        Fatigue: ER or hospitalized
    0 (0 to 14.2)
        Muscle pain: Any
    20.8 (7.1 to 42.2)
        Muscle pain: Mild
    20.8 (7.1 to 42.2)
        Muscle pain: Moderate
    8.3 (1 to 27)
        Muscle pain: Severe
    0 (0 to 14.2)
        Muscle pain: ER or hospitalized
    0 (0 to 14.2)
        Joint pain: Any
    4.2 (0.1 to 21.1)
        Joint pain: Mild
    4.2 (0.1 to 21.1)
        Joint pain: Moderate
    0 (0 to 14.2)
        Joint pain: Severe
    0 (0 to 14.2)
        Joint pain: ER or hospitalized
    0 (0 to 14.2)
        Use of antipyretic medications
    8.3 (1 to 27)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Reporting Pre-Specified Systemic Events for 13vPnC Group 2 and 13vPnC Group 3

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    End point title
    Percentage of Subjects Reporting Pre-Specified Systemic Events for 13vPnC Group 2 and 13vPnC Group 3 [5] [6]
    End point description
    Systemic events included: any fever >=38.0 degrees C, decreased appetite, irritability, increased sleep and decreased sleep. These were reported on each day. The use of antipyretic medication was reported in e-diary. The safety analysis population included all subjects who received at least 1 dose of investigational product.
    End point type
    Primary
    End point timeframe
    Within 7 days after 13vPnC Dose
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be reported for this endpoint.
    [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: Percentage of subjects reporting prepecified systemic events has been presented as separate endpoint for 13vPnC Group 1 and 13vPnC Group 2/13vPnC Group 3. 
    End point values
    13vPnC Group 2 13vPnC Group 3
    Number of subjects analysed
    24
    24
    Units: Percentage of Subjects
    number (confidence interval 95%)
        Fever: >=38.0 degrees C
    0 (0 to 14.2)
    0 (0 to 14.2)
        Fever: >=38.0 degrees C but <=39.0 degrees C
    0 (0 to 14.2)
    0 (0 to 14.2)
        Fever: >39.0 degrees C but <=40.0 degrees C
    0 (0 to 14.2)
    0 (0 to 14.2)
        Fever: >40.0 degrees C
    0 (0 to 14.2)
    0 (0 to 14.2)
        Decreased appetite
    0 (0 to 14.2)
    0 (0 to 14.2)
        Irritability
    0 (0 to 14.2)
    12.5 (2.7 to 32.4)
        Increased sleep
    4.2 (0.1 to 21.1)
    12.5 (2.7 to 32.4)
        Decreased sleep
    0 (0 to 14.2)
    16.7 (4.7 to 37.4)
        Use of antipyretic medications
    0 (0 to 14.2)
    0 (0 to 14.2)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events (AEs)/serious AEs (SAEs): Within 1 month after 13vPnC Dose. Pre-specified AEs (local reactions, systemic events): Within 7 days after 13vPnC Dose
    Adverse event reporting additional description
    SAEs, AEs grouped by system organ class and summarized. AEs included AEs collected in e-diary (local, systemic reactions; systematic assessment), events collected on case report form (non-systematic assessment).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    13.1
    Reporting groups
    Reporting group title
    13vPnC Group 1
    Reporting group description
    Subjects aged 18 to 55 years received single 13vPnC dose on Day 1.

    Reporting group title
    13vPnC Group 3
    Reporting group description
    Subjects aged 2 months (42 to 98 days) received single 13vPnC dose on Day 1.

    Reporting group title
    13vPnC Group 2
    Reporting group description
    Subjects aged 3 to 5 years received single 13vPnC dose on Day 1.

    Serious adverse events
    13vPnC Group 1 13vPnC Group 3 13vPnC Group 2
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 24 (4.17%)
    0 / 24 (0.00%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Infections and infestations
    Bronchopneumonia
    alternative assessment type: Non-systematic
         subjects affected / exposed
    0 / 24 (0.00%)
    1 / 24 (4.17%)
    0 / 24 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    13vPnC Group 1 13vPnC Group 3 13vPnC Group 2
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    23 / 24 (95.83%)
    9 / 24 (37.50%)
    18 / 24 (75.00%)
    General disorders and administration site conditions
    Fever: >=38.0 degrees C
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Fever: >38.4 degrees C but <=38.9 degrees C
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Fever Grades by SFDA: >=37.7 degrees C
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Fever Grades by SFDA: >=37.7 degrees C but <=38.5 degrees C
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Headache: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Headache: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Fatigue: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    3 / 24 (12.50%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    3
    0
    0
    Fatigue: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    3 / 24 (12.50%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    3
    0
    0
    Muscle pain: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    5 / 24 (20.83%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    5
    0
    0
    Muscle pain: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    5 / 24 (20.83%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    5
    0
    0
    Muscle pain: Moderate
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e­-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    0
    Joint pain: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e­-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Joint pain: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e­-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Irritability
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e­-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 1.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 24 (12.50%)
    0 / 24 (0.00%)
         occurrences all number
    0
    3
    0
    Increased sleep
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e­-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 1.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 24 (12.50%)
    1 / 24 (4.17%)
         occurrences all number
    0
    3
    1
    Decreased sleep
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e­-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 1.
    alternative dictionary used: Systemic Events 0.0
         subjects affected / exposed
    0 / 24 (0.00%)
    4 / 24 (16.67%)
    0 / 24 (0.00%)
         occurrences all number
    0
    4
    0
    Skin and subcutaneous tissue disorders
    Redness: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as data collected through e-diaries cannot be used to distinguish one occurrence from another within a subject/vaccination.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    4 / 24 (16.67%)
    3 / 24 (12.50%)
    4 / 24 (16.67%)
         occurrences all number
    4
    3
    4
    Redness: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as data collected through e-diaries cannot be used to distinguish one occurrence from another within a subject/vaccination. Version not captured, here 0.0 is mentioned for dictionary version.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    3 / 24 (12.50%)
    3 / 24 (12.50%)
    2 / 24 (8.33%)
         occurrences all number
    3
    3
    2
    Redness: Moderate
    Additional description: Subjects affected and occurrences for LRs and SEs is same as data collected through e-diaries cannot be used to distinguish one occurrence from another within a subject/vaccination. Version not captured, here 0.0 is mentioned for dictionary version.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    2 / 24 (8.33%)
    0 / 24 (0.00%)
    2 / 24 (8.33%)
         occurrences all number
    3
    0
    2
    Swelling: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as data collected through e-diaries cannot be used to distinguish one occurrence from another within a subject/vaccination. Version not captured, here 0.0 is mentioned for dictionary version.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    4 / 24 (16.67%)
    6 / 24 (25.00%)
    7 / 24 (29.17%)
         occurrences all number
    4
    6
    7
    Swelling: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as data collected through e-diaries cannot be used to distinguish one occurrence from another within a subject/vaccination. Version not captured, here 0.0 is mentioned for dictionary version.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    3 / 24 (12.50%)
    4 / 24 (16.67%)
    5 / 24 (20.83%)
         occurrences all number
    3
    4
    5
    Pain at injection site: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    23 / 24 (95.83%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    23
    0
    0
    Pain at injection site: Mild
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    23 / 24 (95.83%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    23
    0
    0
    Pain at injection site: Moderate
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    3 / 24 (12.50%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    3
    0
    0
    Pain at injection site: ER or Hospitalized
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 2 and 3.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    1 / 24 (4.17%)
    0 / 24 (0.00%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    0
    Tenderness: Any
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 1.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 24 (12.50%)
    18 / 24 (75.00%)
         occurrences all number
    0
    3
    18
    Tenderness: Present
    Additional description: Subjects affected and occurrences for LRs and SEs is same as e-diaries could not distinguish 1 occurrence from another within a subject/vaccination. Dictionary version not captured, hence 0.0 is mentioned. This was not assessed for Group 1.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    0 / 24 (0.00%)
    3 / 24 (12.50%)
    18 / 24 (75.00%)
         occurrences all number
    0
    3
    18
    Swelling: Moderate
    Additional description: Subjects affected and occurrences for LRs and SEs is same as data collected through e-diaries cannot be used to distinguish one occurrence from another within a subject/vaccination. Version not captured, here 0.0 is mentioned for dictionary version.
    alternative dictionary used: Local Reactions 0.0
         subjects affected / exposed
    3 / 24 (12.50%)
    2 / 24 (8.33%)
    5 / 24 (20.83%)
         occurrences all number
    3
    2
    5

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    10 May 2011
    1. Increased the observation period following vaccination from 20 minutes to 30 minutes.
    18 Oct 2011
    1. Added a category in the pain assessment, wherein subjects of Group 1 were asked in the e-diary to report whether the pain at the injection site required an emergency room (ER) visit or hospitalization. 2. Corrected the safety reporting period upto 1 month after the vaccination.

    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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