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    Clinical Trial Results:
    A phase III, single group, open study to assess the immunogenicity, safety and reactogenicity of GlaxoSmithKline (GSK) Biologicals’ 10-valent pneumococcal conjugate vaccine in Taiwan when co-administered with GSK Biologicals’ Infanrix hexa (DTPa-HBV-IPV/Hib) vaccine as a 3-dose primary immunization course at 1.5; 3 and 6 months of age and GSK Biologicals’ Rotarix vaccine (HRV) as a 2-dose primary immunization course at 1.5 and 3 months of age.

    Summary
    EudraCT number
    2015-001511-12
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    06 Jun 2008

    Results information
    Results version number
    v2(current)
    This version publication date
    09 Apr 2021
    First version publication date
    29 Jul 2015
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Minor correction in safety section.

    Trial information

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    Trial identification
    Sponsor protocol code
    109861
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00533507
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline Biologicals
    Sponsor organisation address
    Rue de l’Institut 89, Rixensart, Belgium, B-1330
    Public contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
    Scientific contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@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
    17 Oct 2008
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    06 Jun 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the immunogenicity of GSK Biologicals’ 10-valent pneumococcal conjugate vaccine in Taiwan, one month post dose 3, when co-administered with GSK Biologicals’ Infanrix hexa and GSK Biologicals’ Rotarix vaccines
    Protection of trial subjects
    All subjects were supervised closely for at least 30 minutes following vaccination with appropriate medical treatment readily available. Vaccines were administered by qualified and trained personnel. Vaccines were administered only to eligible subjects that had no contraindications to any components of the vaccines. Subjects were followed-up from the time the subject consents to participate in the study until she/he is discharged.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    18 Sep 2007
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Taiwan: 230
    Worldwide total number of subjects
    230
    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)
    230
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms.

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

    Arms
    Arm title
    Synflorix group
    Arm description
    Subjects receiving Synflorix co-administered with Infanrix™ hexa at 1.5, 3 and 6 months of age, and co-administered with Rotarix™ at 1.5 and 3 months of age.
    Arm type
    Experimental

    Investigational medicinal product name
    Synflorix
    Investigational medicinal product code
    Other name
    10Pn-PD-DiT, Pneumococcal conjugate vaccine GSK1024850A
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    The vaccine was injected intramuscularly in the right thigh at 1.5, 3 and 6 months of age.

    Investigational medicinal product name
    Infanrix hexa
    Investigational medicinal product code
    Other name
    DTPa-HBV-IPV/Hib
    Pharmaceutical forms
    Powder and suspension for suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    The vaccine was injected intramuscularly in the left thigh, at 1.5, 3 and 6 months of age.

    Investigational medicinal product name
    Rotarix
    Investigational medicinal product code
    Other name
    HRV vaccine
    Pharmaceutical forms
    Powder and solvent for oral suspension
    Routes of administration
    Oral use
    Dosage and administration details
    The vaccine was administered orally at 1.5 and 3 months of age.

    Number of subjects in period 1
    Synflorix group
    Started
    230
    Completed
    229
    Not completed
    1
         Consent withdrawn by subject
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Synflorix group
    Reporting group description
    Subjects receiving Synflorix co-administered with Infanrix™ hexa at 1.5, 3 and 6 months of age, and co-administered with Rotarix™ at 1.5 and 3 months of age.

    Reporting group values
    Synflorix group Total
    Number of subjects
    230 230
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: weeks
        arithmetic mean (standard deviation)
    6.4 ± 0.6 -
    Gender categorical
    Units: Subjects
        Female
    115 115
        Male
    115 115

    End points

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    End points reporting groups
    Reporting group title
    Synflorix group
    Reporting group description
    Subjects receiving Synflorix co-administered with Infanrix™ hexa at 1.5, 3 and 6 months of age, and co-administered with Rotarix™ at 1.5 and 3 months of age.

    Primary: Concentration of Anti-Protein D Antibodies

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    End point title
    Concentration of Anti-Protein D Antibodies [1]
    End point description
    Concentrations are given as geometric mean concentrations (GMC) and expressed in Enzyme-Linked Immuno Sorbent Assay (ELISA) units per milliliter (EL.U/mL).
    End point type
    Primary
    End point timeframe
    One month after the third 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: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed.
    End point values
    Synflorix group
    Number of subjects analysed
    219
    Units: EL.U/mL
    geometric mean (confidence interval 95%)
        Concentration of Anti-Protein D Antibodies
    2277.6 (2048.7 to 2532.1)
    No statistical analyses for this end point

    Primary: Concentration of Anti-Pneumococcal Antibodies

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    End point title
    Concentration of Anti-Pneumococcal Antibodies [2]
    End point description
    Concentrations are given as geometric mean titers (GMC) and expressed in microgram per milliliter (µg/mL). The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
    End point type
    Primary
    End point timeframe
    One month after the third 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: The analysis of the primary endpoint was descriptive i.e. no statistical hypothesis test was performed.
    End point values
    Synflorix group
    Number of subjects analysed
    219
    Units: µg/mL
    geometric mean (confidence interval 95%)
        Anti-1
    2.92 (2.65 to 3.22)
        Anti-4
    3.79 (3.42 to 4.19)
        Anti-5
    4.5 (4.11 to 4.93)
        Anti-6B
    1.69 (1.47 to 1.94)
        Anti-7F
    4.07 (3.72 to 4.46)
        Anti-9V
    3.9 (3.51 to 4.32)
        Anti-14
    5.69 (5.1 to 6.35)
        Anti-18C
    7.28 (6.43 to 8.25)
        Anti-19F
    8.04 (7.37 to 8.78)
        Anti-23F
    2.81 (2.44 to 3.22)
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-Protein D Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-Protein D Antibody Concentrations Above the Cut-Off Value
    End point description
    Anti-protein D antibody cut-off value assessed was greater than or equal to 100 Enzyme-Linked Immuno Sorbent Assay (ELISA) units per milliliter (EL.U/mL).
    End point type
    Secondary
    End point timeframe
    Before the first dose (pre) and one month after (post) the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    219
    Units: Subjects
        Pre (N=217)
    38
        Post (N=219)
    218
    No statistical analyses for this end point

    Secondary: Number of Subjects With Vaccine Pneumococcal Serotype Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Vaccine Pneumococcal Serotype Antibody Concentrations Above the Cut-Off Value
    End point description
    Anti-pneumococcal antibody cut-off value assessed was 0.05 microgram per milliliter (μg/mL). The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
    End point type
    Secondary
    End point timeframe
    Before the first dose (pre) and one month after (post) the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    219
    Units: Subjects
        Anti-1 Pre (N=217)
    111
        Anti-1 Post (N=219)
    219
        Anti-4 Pre (N=217)
    85
        Anti-4 Post (N=219)
    219
        Anti-5 Pre (N=217)
    149
        Anti-5 Post (N=219)
    219
        Anti-6B Pre (N=217)
    107
        Anti-6B Post (N=219)
    215
        Anti-7F Pre (N=218)
    138
        Anti-7F Post (N=219)
    219
        Anti-9V Pre (N=218)
    123
        Anti-9V Post (N=219)
    219
        Anti-14 Pre (N=218)
    203
        Anti-14 Post (N=219)
    219
        Anti-18C Pre (N=219)
    153
        Anti-18C Post (N=219)
    219
        Anti-19F Pre (N=219)
    172
        Anti-19F Post (N=219)
    219
        Anti-23F Pre (N=219)
    91
        Anti-23F Post (N=219)
    216
    No statistical analyses for this end point

    Secondary: Number of Subjects With Cross-Reactive Pneumococcal Serotype Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Cross-Reactive Pneumococcal Serotype Antibody Concentrations Above the Cut-Off Value
    End point description
    Number of Subjects With Cross-Reactive Pneumococcal Serotype Antibody Concentrations Above the Cut-Off Value
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    219
    Units: Subjects
        Anti-6A (N=219)
    210
        Anti-19A (N=218)
    200
    No statistical analyses for this end point

    Secondary: Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes Above the Cut-Off Value

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    End point title
    Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes Above the Cut-Off Value
    End point description
    Cut-off value for opsonophagocytic activity against pneumococcal antibody assessed was greater than or equal to 1:8 titer.
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    103
    Units: Subjects
        Opsono-1 (N=102)
    98
        Opsono-4 (N=103)
    103
        Opsono-5 (N=102)
    101
        Opsono-6B (N=102)
    89
        Opsono-7F (N=103)
    103
        Opsono-9V (N=98)
    98
        Opsono-14 (N=102)
    101
        Opsono-18C (N=101)
    99
        Opsono-19F (N=103)
    101
        Opsono-23F (N=102)
    98
    No statistical analyses for this end point

    Secondary: Number of Subjects With Opsonophagocytic Activity Against Cross-Reactive Pneumococcal Serotypes Above the Cut-Off Value

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    End point title
    Number of Subjects With Opsonophagocytic Activity Against Cross-Reactive Pneumococcal Serotypes Above the Cut-Off Value
    End point description
    Cut-off value for opsonophagocytic activity against pneumococcal antibody assessed was greater than or equal to 1:8 titer.
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    97
    Units: Subjects
        Opsono-6A
    87
        Opsono-19A
    38
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-Polyribosyl-Ribitol Phosphate Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-Polyribosyl-Ribitol Phosphate Antibody Concentrations Above the Cut-Off Value
    End point description
    Anti-polyribosyl-ribitol phosphate antibody cut-off value assessed was greater than or equal to 0.15 microgram per milliliter (μg/mL).
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    58
    Units: Subjects
        Anti-Polyribosyl-Ribitol Phosphate
    58
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-Diphteria and Anti-Tetanus Toxoids Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-Diphteria and Anti-Tetanus Toxoids Antibody Concentrations Above the Cut-Off Value
    End point description
    Anti-diphteria and anti-tetanus toxoids antibody cut-off values assessed were greater than or equal to 0.10 International Units per milliliter (IU/mL).
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    58
    Units: Subjects
        Anti-diphteria toxoid
    58
        Anti-tetanus toxoid
    58
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-Pertussis (PT), Anti-Filamentous Hemagglutinin (FHA) and Anti-Pertactin (PRN) Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-Pertussis (PT), Anti-Filamentous Hemagglutinin (FHA) and Anti-Pertactin (PRN) Antibody Concentrations Above the Cut-Off Value
    End point description
    Anti-PT, anti-FHA and anti-PRN cut-off values assessed were greater than or equal to 5 Enzyme-Linked Immuno Sorbent Assay (ELISA) units per milliliter (EL.U/mL).
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    58
    Units: Subjects
        Anti-PT (N=58)
    58
        Anti-FHA (N=58)
    58
        Anti-PRN (N=57)
    57
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-Hepatitis B Surface Antigen (HBs) Antibody Concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-Hepatitis B Surface Antigen (HBs) Antibody Concentrations Above the Cut-Off Value
    End point description
    Anti-HBs antibody cut-off value assessed was greater than or equal to 10 milli-International Units per milliliter (mIU/mL).
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    32
    Units: Subjects
        Anti-Hepatitis B Surface Antigen (HBs)
    32
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-Poliovirus 1, 2 and 3 Antibody Titers Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-Poliovirus 1, 2 and 3 Antibody Titers Above the Cut-Off Value
    End point description
    Anti-poliovirus 1, 2 and 3 antibody cut-off value assessed was greater than or equal to 1:8 titer.
    End point type
    Secondary
    End point timeframe
    One month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    44
    Units: Subjects
        Anti-poliovirus 1
    44
        Anti-poliovirus 2
    44
        Anti-poliovirus 3
    44
    No statistical analyses for this end point

    Secondary: Number of Subjects With Anti-rotavirus Immunoglobulin A antibody concentrations Above the Cut-Off Value

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    End point title
    Number of Subjects With Anti-rotavirus Immunoglobulin A antibody concentrations Above the Cut-Off Value
    End point description
    Anti-rotavirus IgA antibody cut-off value assessed was greater than or equal to 20 Units per milliliter (U/mL).
    End point type
    Secondary
    End point timeframe
    Four months after the administration of the second dose of Rotarix™ vaccine
    End point values
    Synflorix group
    Number of subjects analysed
    51
    Units: Subjects
        Anti-rotavirus Immunoglobulin A
    44
    No statistical analyses for this end point

    Secondary: Number of subjects reporting solicited local symptoms

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    End point title
    Number of subjects reporting solicited local symptoms
    End point description
    Solicited local symptoms assessed include pain, redness and swelling.
    End point type
    Secondary
    End point timeframe
    During the 4-day (Day 0-3) period after any dose
    End point values
    Synflorix group
    Number of subjects analysed
    230
    Units: Subjects
        Pain
    146
        Redness
    144
        Swelling
    139
    No statistical analyses for this end point

    Secondary: Number of subjects reporting unsolicited adverse events (AE)

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    End point title
    Number of subjects reporting unsolicited adverse events (AE)
    End point description
    An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product
    End point type
    Secondary
    End point timeframe
    During the 31-day (Day 0-30) period after each dose
    End point values
    Synflorix group
    Number of subjects analysed
    230
    Units: Subjects
        AEs
    95
    No statistical analyses for this end point

    Secondary: Number of subjects reporting serious adverse events (SAE)

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    End point title
    Number of subjects reporting serious adverse events (SAE)
    End point description
    An SAE is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.
    End point type
    Secondary
    End point timeframe
    Up to one month after the third dose
    End point values
    Synflorix group
    Number of subjects analysed
    230
    Units: Subjects
        SAEs
    15
    No statistical analyses for this end point

    Secondary: Number of subjects with solicited general symptoms

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    End point title
    Number of subjects with solicited general symptoms
    End point description
    Solicited general symptoms assessed include diarrhoea, drowsiness, fever, irritability, loss of appetite, and vomiting
    End point type
    Secondary
    End point timeframe
    During the 4-day (Day 0-3) period after any dose
    End point values
    Synflorix group
    Number of subjects analysed
    230
    Units: Subjects
        Diarrhoea
    7
        Drowsiness
    190
        Fever
    153
        Irritability
    203
        Loss of appetite
    159
        Vomiting
    55
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Solicited symptoms: during the 4 days (Day 0-Day 3) following vaccination. Unsolicited AEs: during the 31 days (Day 0-Day 30) following vaccination. SAEs: during the entire study.
    Adverse event reporting additional description
    The occurrence of reported AEs (all/related) was not available and is encoded as equal to the number of subjects affected.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    11.0
    Reporting groups
    Reporting group title
    Synflorix Group
    Reporting group description
    Subjects receiving Synflorix co-administered with Infanrix™ hexa at 1.5, 3 and 6 months of age, and co-administered with Rotarix™ at 1.5 and 3 months of age.

    Serious adverse events
    Synflorix Group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    15 / 230 (6.52%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    2 / 230 (0.87%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Enterocolitis
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Bronchial hyperreactivity
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis atopic
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Dermatitis diaper
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Vesicoureteric reflux
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    6 / 230 (2.61%)
         occurrences causally related to treatment / all
    0 / 6
         deaths causally related to treatment / all
    0 / 0
    Bronchiolitis
         subjects affected / exposed
    4 / 230 (1.74%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    2 / 230 (0.87%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Bronchopneumonia
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastroenteritis bacterial
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Kawasaki's disease
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Meningitis aseptic
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    1 / 230 (0.43%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Synflorix Group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    224 / 230 (97.39%)
    General disorders and administration site conditions
    Pain
    alternative assessment type: Systematic
         subjects affected / exposed
    146 / 230 (63.48%)
         occurrences all number
    146
    Redness
    alternative assessment type: Systematic
         subjects affected / exposed
    144 / 230 (62.61%)
         occurrences all number
    144
    Swelling
    alternative assessment type: Systematic
         subjects affected / exposed
    139 / 230 (60.43%)
         occurrences all number
    139
    Drowsiness
    alternative assessment type: Systematic
         subjects affected / exposed
    190 / 230 (82.61%)
         occurrences all number
    190
    Fever
    alternative assessment type: Systematic
         subjects affected / exposed
    153 / 230 (66.52%)
         occurrences all number
    153
    Irritability
    alternative assessment type: Systematic
         subjects affected / exposed
    203 / 230 (88.26%)
         occurrences all number
    203
    Loss of appetite
    alternative assessment type: Systematic
         subjects affected / exposed
    159 / 230 (69.13%)
         occurrences all number
    159
    Vomiting
    alternative assessment type: Systematic
         subjects affected / exposed
    55 / 230 (23.91%)
         occurrences all number
    55
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    54 / 230 (23.48%)
         occurrences all number
    54

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    28 Nov 2007
    This amendment is made following the request from the country to perform immunogenicity analyses of the co-administered vaccines in a subset of subjects.

    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
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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