The purpose of this study is to assess the immunogenicity in terms of antibody response and the safety/reactogenicity in terms of solicited and unsolicited symptoms and serious adverse events following primary vaccination of Mexican infants with pneumococcal conjugate vaccine GSK 1024850A co-administered with a diphtheria, tetanus, acellular pertussis (DTPa)-combined vaccine (Infanrix hexa) and rotavirus vaccine (Rotarix) in children during the first 6 months of age.
The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
230
Intramuscular injection, 3 doses.
Intramuscular injection, 3 doses.
Oral, 2 doses.
GSK Investigational Site
Mexico City, Mexico
GSK Investigational Site
México, Mexico
Antibody Concentrations Against Pneumococcal Vaccine Serotypes
Concentrations were expressed as geometric mean concentration (GMC). The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Antibody Concentrations Against Protein D
Concentrations were given as geometric mean concentration (GMC) expressed as enzyme-linked immuno-sorbent assay (ELISA) units per milliliter.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Opsonophagocytic Titer Against Pneumococcal Vaccine Serotypes
The results were presented as the geometric mean dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects With Anti-pneumococcal Vaccine Serotypes Antibody Concentrations Greater Than or Equal to 0.2 Microgram Per Milliliter
The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes
Antibody concentrations were expressed as Geometric Mean Concentrations against pneumococcal cross-reactive serotypes 6A and 19A.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Opsonophagocytic Titer Against Pneumococcal Cross-reactive Serotypes
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The results were presented as the geometric mean dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. The cross-reactive pneumococcal serotypes assessed include 6A and 19A.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects Seropositive Against Vaccine Pneumococcal Serotypes
Seropositivity was defined as anti-pneumococcal antibody concentration greater than or equal to 0.05 microgram per milliliter. The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects Seropositive for Opsonic Titer Against Vaccine Pneumococcal Serotypes
Seropositivity was defined as an opsonic titer greater than or equal to 8. The vaccine pneumococcal serotypes assessed include 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects Seropositive Against Cross-reactive Pneumococcal Serotypes
Seropositivity was defined as anti-pneumococcal antibody concentration greater than or equal to 0.05 microgram per milliliter. The cross-reactive pneumococcal serotypes assessed include 6A and 19A.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects Seropositive for Opsonic Titer Against Cross-reactive Pneumococcal Serotypes
Seropositivity was defined as anti-pneumococcal antibody opsonic titer greater than or equal to 8. The vaccine pneumococcal cross-reactive serotypes assessed include 6A and 19A.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects Seropositive for Anti-Protein D Antibodies
Seropositivity was defined as antibody concentration greater than or equal to 100 Enzyme-Linked Immuno Sorbent Assay (ELISA) units per milliliter.
Time frame: One month after the administration of the 3rd vaccine dose i.e. Month 5
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs)
Grade 3 redness and swelling was \> 30 millimeter (mm) and grade 3 pain was subjects crying when limb was moved/spontaneously painful. Any was occurrence of any local symptom regardless of grade and whatever the number of injections.
Time frame: Within 4 days following any vaccine dose
Number of Subjects Reporting Any, Grade 3 and Related Solicited General AEs
Any fever was defined as axillary temperature ≥ 37.5 degree centigrade (°C), grade 3 fever was axillary temperature \> 39.5°C. Grade 3 drowsiness, irritability, and loss of appetite was general symptom which prevented normal everyday activities. Grade 3 diarrhea was ≥ 6 looser than normal stools/day and Grade 3 vomiting was ≥ 3 episodes of vomiting/day. Related was solicited general symptom considered by the investigator to have a causal relationship to study vaccination.
Time frame: Within 4 days following any vaccine dose
Number of Subjects Reporting Any Unsolicited AEs
Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.
Time frame: Within 31 days after any vaccine dose
Number of Subjects Reporting Any Serious Adverse Events (SAEs)
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.
Time frame: Up to Month 5