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    Clinical Trial Results:
    A Phase 4, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, and Immunogenicity of Vaxelis™ in Healthy Children Previously Vaccinated With a 2-Dose Primary Infant Series of Either Vaxelis™ or Hexyon™

    Summary
    EudraCT number
    2021-004053-23
    Trial protocol
    ES   DE   IT  
    Global end of trial date
    17 Jan 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Jul 2023
    First version publication date
    08 Jul 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    V419-016
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05289271
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Merck Sharp & Dohme LLC
    Sponsor organisation address
    126 East Lincoln Avenue, Rahway, NJ, United States, P.O. Box 2000
    Public contact
    Clinical Trials Disclosure, Merck Sharp & Dohme LLC, ClinicalTrialsDisclosure@merck.com
    Scientific contact
    Clinical Trials Disclosure, Merck Sharp & Dohme LLC, ClinicalTrialsDisclosure@merck.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 Jan 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Aug 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Jan 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objectives of this study were to evaluate the safety, tolerability, and immunogenicity of a booster dose of Vaxelis™ (V419) given at ~11 to 13 months of age in healthy participants who were previously vaccinated with a 2-dose primary infant series of either Vaxelis™ or Hexyon™
    Protection of trial subjects
    This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding ethical committee review, informed consent, and the protection of human subjects participating in biomedical research.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    25 Mar 2022
    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
    Germany: 53
    Country: Number of subjects enrolled
    Spain: 104
    Country: Number of subjects enrolled
    Italy: 11
    Worldwide total number of subjects
    168
    EEA total number of subjects
    168
    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)
    168
    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
    Healthy participants approximately 11 to 13 months of age, (≥327 days to ≤396 days inclusive).were enrolled in this study.

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Group 1: V, V, V
    Arm description
    Participants who received a 2-dose regimen of Vaxelis™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.
    Arm type
    Experimental

    Investigational medicinal product name
    Vaxelis™
    Investigational medicinal product code
    Other name
    V419
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    0.5 mL sterile suspension in prefilled syringe for intramuscular administration.

    Arm title
    Group 2: H, H, V
    Arm description
    Participants who received a 2-dose regimen of Hexyon™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.
    Arm type
    Experimental

    Investigational medicinal product name
    Vaxelis™
    Investigational medicinal product code
    Other name
    V419
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    0.5 mL sterile suspension in prefilled syringe for intramuscular administration.

    Number of subjects in period 1
    Group 1: V, V, V Group 2: H, H, V
    Started
    86
    82
    Treated
    85
    82
    Completed
    85
    82
    Not completed
    1
    0
         Mistakenly allocated, untreated
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Group 1: V, V, V
    Reporting group description
    Participants who received a 2-dose regimen of Vaxelis™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.

    Reporting group title
    Group 2: H, H, V
    Reporting group description
    Participants who received a 2-dose regimen of Hexyon™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.

    Reporting group values
    Group 1: V, V, V Group 2: H, H, V Total
    Number of subjects
    86 82 168
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    86 82 168
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    0 0 0
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age Continuous
    Units: Days
        arithmetic mean (standard deviation)
    348.8 ( 18.8 ) 344.7 ( 16.4 ) -
    Sex: Female, Male
    Units:
        Female
    44 33 77
        Male
    42 49 91
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0
        Asian
    1 0 1
        Native Hawaiian or Other Pacific Islander
    0 0 0
        Black or African American
    0 0 0
        White
    85 82 167
        More than one race
    0 0 0
        Unknown or Not Reported
    0 0 0
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    45 60 105
        Not Hispanic or Latino
    34 21 55
        Unknown or Not Reported
    7 1 8

    End points

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    End points reporting groups
    Reporting group title
    Group 1: V, V, V
    Reporting group description
    Participants who received a 2-dose regimen of Vaxelis™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.

    Reporting group title
    Group 2: H, H, V
    Reporting group description
    Participants who received a 2-dose regimen of Hexyon™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.

    Primary: Percentage of participants with a solicited injection-site adverse event (AE)

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    End point title
    Percentage of participants with a solicited injection-site adverse event (AE) [1]
    End point description
    Solicited injection-site AEs are predefined local (at the injection/administration site) events for which the participant’s legally authorized representative was specifically questioned. Participant’s legally acceptable representative used a Vaccination Report Card (VRC) to report the following solicited injection-site AEs : swelling, redness (erythema), and pain/tenderness. 95% confidence intervals (CIs) were calculated based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all participants who received study vaccination.
    End point type
    Primary
    End point timeframe
    Up to 5 days postvaccination
    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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    85
    82
    Units: Percentage of participants
    number (confidence interval 95%)
        Injection site erythema
    52.9 (41.8 to 63.9)
    50.0 (38.7 to 61.3)
        Injection site pain
    74.1 (63.5 to 83.0)
    56.1 (44.7 to 67.0)
        Injection site swelling
    52.9 (41.8 to 63.9)
    40.2 (29.6 to 51.7)
    No statistical analyses for this end point

    Primary: Percentage of participants with a solicited systemic AE

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    End point title
    Percentage of participants with a solicited systemic AE [2]
    End point description
    Solicited systemic AE are predefined systemic events for which the participant’s legally authorized representative was specifically questioned. Participant’s legally acceptable representative used a VRC to report the following solicited systemic AEs: vomiting, drowsiness (somnolence), loss of appetite, and irritability. 95% CIs were calculated based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all participants who received study vaccination.
    End point type
    Primary
    End point timeframe
    Up to 5 days postvaccination
    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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    85
    82
    Units: Percentage of participants
    number (confidence interval 95%)
        Decreased appetite
    43.5 (32.8 to 54.7)
    36.6 (26.2 to 48.0)
        Irritability
    77.6 (67.3 to 86.0)
    58.5 (47.1 to 69.3)
        Somnolence
    64.7 (53.6 to 74.8)
    47.6 (36.4 to 58.9)
        Vomiting
    3.5 (0.7 to 10.0)
    8.5 (3.5 to 16.8)
    No statistical analyses for this end point

    Primary: Percentage of participants with unsolicited AEs

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    End point title
    Percentage of participants with unsolicited AEs [3]
    End point description
    An unsolicited AE is an AE that was not solicited using a VRC and that is communicated by a participant’s legally authorized representative who has signed the informed consent. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 95% CIs were calculated based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all participants who received study vaccination.
    End point type
    Primary
    End point timeframe
    Up to 15 days postvaccination
    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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    85
    82
    Units: Percentage of participants
        number (confidence interval 95%)
    97.6 (91.8 to 99.7)
    92.7 (84.8 to 97.3)
    No statistical analyses for this end point

    Primary: Percentage of participants with a serious AE (SAE)

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    End point title
    Percentage of participants with a serious AE (SAE) [4]
    End point description
    An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an other important medical event. 95% CIs were calculated based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all participants who received study vaccination.
    End point type
    Primary
    End point timeframe
    Up to 40 days postvaccination
    Notes
    [4] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    85
    82
    Units: Percentage of participants
        number (confidence interval 95%)
    0.0 (0.0 to 4.2)
    1.2 (0.0 to 6.6)
    No statistical analyses for this end point

    Primary: Percentage of participants with diphtheria toxoid antibodies ≥0.1 IU/mL

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    End point title
    Percentage of participants with diphtheria toxoid antibodies ≥0.1 IU/mL [5]
    End point description
    Human antibodies to diphtheria toxoid were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with the lower limit of quantitation (LLOQ) for diphtheria antibody of 0.005 IU/mL. The percentage of participants with diphtheria toxoid antibodies ≥0.1 international units per milliliter (IU/mL) one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    69
    74
    Units: Percentage of participants
        number (confidence interval 95%)
    100.0 (94.8 to 100.0)
    98.6 (92.7 to 100.0)
    No statistical analyses for this end point

    Primary: Percentage of participants with tetanus toxoid antibodies ≥0.1 IU/mL

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    End point title
    Percentage of participants with tetanus toxoid antibodies ≥0.1 IU/mL [6]
    End point description
    Human antibodies to tetanus toxoid were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for tetanus antibody of 0.01 IU/mL. The percentage of participants with tetanus toxoid antibodies ≥0.1 IU/mL one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [6] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    69
    74
    Units: Percentage of participants
        number (confidence interval 95%)
    98.6 (92.2 to 100.0)
    98.6 (92.7 to 100.0)
    No statistical analyses for this end point

    Primary: Percentage of participants with pertussis toxoid (PT) vaccine response

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    End point title
    Percentage of participants with pertussis toxoid (PT) vaccine response [7]
    End point description
    Human antibodies to pertussis toxoid were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for pertussis antibody of 2.00 EU/mL. The percentage of participants meeting response criteria for PT is based on pre-vaccination level of PT is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    64
    71
    Units: Percentage of participants
        number (confidence interval 95%)
    98.4 (91.6 to 100.0)
    94.4 (86.2 to 98.4)
    No statistical analyses for this end point

    Primary: Percentage of participants with filamentous hemagglutinin (FHA) vaccine response

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    End point title
    Percentage of participants with filamentous hemagglutinin (FHA) vaccine response [8]
    End point description
    Human antibodies to FHA were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for FHA antibody of 2.00 EU/mL. The percentage of participants meeting response criteria for FHA response will be based on pre-vaccination level of FHA. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [8] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    64
    71
    Units: Percentage of participants
        number (confidence interval 95%)
    98.4 (91.6 to 100.0)
    90.1 (80.7 to 95.9)
    No statistical analyses for this end point

    Primary: Percentage of participants with Haemophilus influenzae type b polyribosylribitol phosphate (Hib-PRP) antibodies ≥1.0 µg/mL

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    End point title
    Percentage of participants with Haemophilus influenzae type b polyribosylribitol phosphate (Hib-PRP) antibodies ≥1.0 µg/mL [9]
    End point description
    Human antibodies to Hib-PRP were quantified using the Vacczyme™ Human Anti-Haemophilus influenzae Type b Enzyme Immunoassay Kit. Levels of anti-Hib IgG were quantified by interpolation from a standard curve that has been calibrated to the FDA lot 1983 reference serum. The percentage of participants with Hib-PRP antibodies ≥0.1 IU/mL one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    73
    76
    Units: Percentage of participants
        number (confidence interval 95%)
    89.0 (79.5 to 95.1)
    90.8 (81.9 to 96.2)
    No statistical analyses for this end point

    Primary: Percentage of participants with hepatitis B surface antigen (HBsAg) antibodies ≥10 mIU/mL

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    End point title
    Percentage of participants with hepatitis B surface antigen (HBsAg) antibodies ≥10 mIU/mL [10]
    End point description
    Human antibodies to HBsAg were quantified using an Enhanced Chemiluminescence (ECi) assay, with the hepatitis B WHO International reference standard at 10 mIU/mL as a control in every assay, and the LLOQ of the assay is 5 mIU/mL. The percentage of participants with HBsAg antibodies ≥10 milli-international per liter (mIU/mL) one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [10] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    56
    69
    Units: Percentage of participants
        number (confidence interval 95%)
    100.0 (93.6 to 100.0)
    94.2 (85.8 to 98.4)
    No statistical analyses for this end point

    Primary: Percentage of participants with poliovirus serotype 1 neutralizing antibodies (Nab) ≥1:8 dilution

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    End point title
    Percentage of participants with poliovirus serotype 1 neutralizing antibodies (Nab) ≥1:8 dilution [11]
    End point description
    Human antibodies to poliovirus serotype 1 were quantified with a neutralization assay by utilizing Vero cells and wild type poliovirus strain 1 as the challenge virus. The Karber method was used to determine the serum dilution that neutralized 50% of the challenge virus, with results expressed as titers (1:dilution), and the LLOQ was 1:4. dilution. The percentage of participants with poliovirus serotype 1 Nab ≥1:8 dilution one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [11] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    66
    69
    Units: Percentage of participants
        number (confidence interval 95%)
    100.0 (94.6 to 100.0)
    95.7 (87.8 to 99.1)
    No statistical analyses for this end point

    Primary: Percentage of participants with poliovirus serotype 2 neutralizing antibodies (Nab) ≥1:8 dilution

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    End point title
    Percentage of participants with poliovirus serotype 2 neutralizing antibodies (Nab) ≥1:8 dilution [12]
    End point description
    Human antibodies to poliovirus serotype 2 were quantified with a neutralization assay by utilizing Vero cells and wild type poliovirus strain 2 as the challenge virus. The Karber method was used to determine the serum dilution that neutralized 50% of the challenge virus, with results expressed as titers (1:dilution), and the LLOQ was 1:4. dilution. The percentage of participants with poliovirus serotype 2 Nab ≥1:8 dilution one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [12] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    66
    69
    Units: Percentage of participants
        number (confidence interval 95%)
    100.0 (94.6 to 100.0)
    100.0 (94.8 to 100.0)
    No statistical analyses for this end point

    Primary: Percentage of participants with poliovirus serotype 3 neutralizing antibodies (Nab) ≥1:8 dilution

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    End point title
    Percentage of participants with poliovirus serotype 3 neutralizing antibodies (Nab) ≥1:8 dilution [13]
    End point description
    Human antibodies to poliovirus serotype 3 were quantified with a neutralization assay by utilizing Vero cells and wild type poliovirus strain 3 as the challenge virus. The Karber method was used to determine the serum dilution that neutralized 50% of the challenge virus, with results expressed as titers (1:dilution), and the LLOQ was 1:4. dilution. The percentage of participants with poliovirus serotype 3 Nab ≥1:8 dilution one month after Vaxelis™ as the 3rd dose of a vaccination series is presented. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Primary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    Notes
    [13] - 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: Statistical comparisons between treatment groups were neither planned nor performed for this primary endpoint.
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    66
    69
    Units: Percentage of participants
        number (confidence interval 95%)
    97.0 (89.5 to 99.6)
    100.0 (94.8 to 100.0)
    No statistical analyses for this end point

    Secondary: Percentage of participants with pertactin (PRN) vaccine response

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    End point title
    Percentage of participants with pertactin (PRN) vaccine response
    End point description
    Human antibodies to PRN were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for PRN of 2.00 EU/mL.The percentage of participants meeting response criteria for PRN was based on pre-vaccination level of PRN. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Secondary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    64
    71
    Units: Percentage of participants
        number (confidence interval 95%)
    92.2 (82.7 to 97.4)
    22.5 (13.5 to 34.0)
    No statistical analyses for this end point

    Secondary: Percentage of participants with fimbriae 2/3 (FIM 2/3) vaccine response

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    End point title
    Percentage of participants with fimbriae 2/3 (FIM 2/3) vaccine response
    End point description
    Human antibodies to FIM 2/3 were quantified using the Meso Scale Discovery Electrochemiluminescence serological assay based on an established reference standard sample curve with a LLOQ for pertussis antibody of 2.00 EU/mL. The percentage of participants meeting response criteria for FIM 2/3 was based on pre-vaccination level of FIM 2/3. The 95% CIs are based on the exact binomial method proposed by Clopper and Pearson. The population analyzed was all enrolled participants without deviations from the protocol that may substantially affect the results of the immunogenicity endpoint.
    End point type
    Secondary
    End point timeframe
    30 days postvaccination (at ~12 months of age)
    End point values
    Group 1: V, V, V Group 2: H, H, V
    Number of subjects analysed
    64
    71
    Units: Percentage of participants
        number (confidence interval 95%)
    95.3 (86.9 to 99.0)
    69.0 (56.9 to 79.5)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events (AEs): from vaccination up to 40 days post-vaccination; All-cause mortality (ACM): From allocation up to 40 days post-vaccination
    Adverse event reporting additional description
    AE population: All participants who received study vaccination. ACM population: all allocated participants.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.1
    Reporting groups
    Reporting group title
    Group 2: H, H, V
    Reporting group description
    Participants who received a 2-dose regimen of Hexyon™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.

    Reporting group title
    Group 1: V, V, V
    Reporting group description
    Participants who received a 2-dose regimen of Vaxelis™ as infants prior to enrollment received a Vaxelis™ booster at ~11 months of age.

    Serious adverse events
    Group 2: H, H, V Group 1: V, V, V
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 82 (1.22%)
    0 / 85 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Infections and infestations
    Gastroenteritis adenovirus
         subjects affected / exposed
    1 / 82 (1.22%)
    0 / 85 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Group 2: H, H, V Group 1: V, V, V
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    75 / 82 (91.46%)
    83 / 85 (97.65%)
    Nervous system disorders
    Somnolence
         subjects affected / exposed
    39 / 82 (47.56%)
    55 / 85 (64.71%)
         occurrences all number
    42
    55
    General disorders and administration site conditions
    Injection site erythema
         subjects affected / exposed
    41 / 82 (50.00%)
    45 / 85 (52.94%)
         occurrences all number
    41
    45
    Injection site induration
         subjects affected / exposed
    6 / 82 (7.32%)
    0 / 85 (0.00%)
         occurrences all number
    6
    0
    Injection site swelling
         subjects affected / exposed
    33 / 82 (40.24%)
    45 / 85 (52.94%)
         occurrences all number
    33
    45
    Pyrexia
         subjects affected / exposed
    40 / 82 (48.78%)
    34 / 85 (40.00%)
         occurrences all number
    47
    35
    Injection site pain
         subjects affected / exposed
    46 / 82 (56.10%)
    63 / 85 (74.12%)
         occurrences all number
    46
    63
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    6 / 82 (7.32%)
    1 / 85 (1.18%)
         occurrences all number
    6
    1
    Vomiting
         subjects affected / exposed
    8 / 82 (9.76%)
    5 / 85 (5.88%)
         occurrences all number
    8
    5
    Psychiatric disorders
    Irritability
         subjects affected / exposed
    48 / 82 (58.54%)
    66 / 85 (77.65%)
         occurrences all number
    49
    66
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    30 / 82 (36.59%)
    37 / 85 (43.53%)
         occurrences all number
    31
    38

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    02 Aug 2022
    Amendment 01: The sponsor Merck Sharp & Dohme Corp. underwent an entity name and address change to Merck Sharp & Dohme LLC, Rahway, NJ, USA.

    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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