The purpose of this observer blind study is to assess the safety in terms of fever \>39°C (rectal temperature) and the immunogenicity in terms of antibody response following a booster vaccination with pneumococcal vaccine GSK 1024850A at 12 to 18 months of age in children previously primed with the same vaccines including a pneumococcal conjugate vaccine co-administered with a diphtheria, tetanus, whole cell pertussis (DTPw)-combined vaccine and OPV or IPV vaccines. Subjects participating in this study should have received three doses of pneumococcal conjugate vaccine in the primary study. This protocol posting deals with objectives \& outcome measures of the booster phase. The objectives \& outcome measures of the primary phase are presented in a separate protocol posting (NCT number = NCT00344318)
The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
756
Intramuscular injection, 1 dose
Intramuscular injection, 1 dose
Reconstituted with Tritanrix-Hep B before injection
Oral, 1 dose
Intramuscular injection, 1 dose
Intramuscular injection, 1 dose
GSK Investigational Site
City of Muntinlupa, Philippines
GSK Investigational Site
Gdansk, Poland
GSK Investigational Site
Lodz, Poland
GSK Investigational Site
Trzebnica, Poland
GSK Investigational Site
Tuchola, Poland
GSK Investigational Site
Wroclaw, Poland
GSK Investigational Site
Wroclaw, Poland
Number of Subjects Reporting Rectal Temperature Greater Than (>) the Cut-off
Fever was measured as rectal temperature. The cut-off was 39.0 degree Celsius (°C). Assessment of occurrences of fever \> 39.0 (°C) was performed after booster vaccination with Synflorix™ or Prevenar™ vaccines.
Time frame: Within the 4-day (Days 0-3) period after booster vaccination
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Solicited local symptoms assessed included pain, redness and swelling. "Any" was defined as incidence of the specified symptom regardless of intensity. Grade 3 pain was defined as crying when limb was moved/ spontaneously painful. Grade 3 swelling/ redness was defined as swelling/ redness greater than (\>) 30 millimeters (mm).
Time frame: Within the 4-day (Days 0-3) period after booster vaccination
Number of Subjects With Any and Grade 3 Solicited General Symptoms
Solicited general symptoms assessed include drowsiness, fever (defined as rectal temperature greater than or equal to (≥) 38.0°C), irritability, and loss of appetite."Any" was defined as incidence of the specified symptom regardless of intensity or relationship to study vaccination. Grade 3 drowsiness was defined as drowsiness which prevented normal everyday activities. Grade 3 fever was defined as fever (rectal temperature) \>40.0 degree Celsius (°C). Grade 3 irritability was defined as crying that could not be comforted/ preventing normal activity. Grade 3 loss of appetite was defined as the subject not eating at all.
Time frame: Within the 4-day (Days 0-3) period after booster vaccination
Number of Subjects With Unsolicited Adverse Events (AEs)
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. "Any" was defined an incidence of an unsolicited AE regardless of intensity or relationship to study vaccination.
Time frame: Within the 31-day (Days 0-30) period after booster vaccination
Number of Subjects With Serious Adverse Events (SAEs)
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/ incapacity.
Time frame: Throughout the active phase of the study (Month 0 to Month 1)
Number of Subjects With Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations ≥ the Cut-off
The cut-off was 0.20 microgram per milliliter (μg/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations
Seropositivity status, defined as anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations ≥ 0.05 microgram per milliliter (μg/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F
Seropositivity status, defined as Opsonophagocytic activity against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ 8.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Antibody Concentrations to Protein D (Anti-PD)
Seropositivity status, defined as anti-PD antibody concentrations ≥100 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Antibody Concentrations Against Pneumococcal Cross-reactive Serotypes 6A and 19A
Seropositivity status, defined as anti-pneumococcal cross-reactive serotypes 6A and 19A antibody concentrations ≥ 0.05 microgram per milliliter (μg/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Opsonophagocytic Activity (OPA) Against Pneumococcal Cross-reactive Serotypes 6A and 19A
Seropositivity status, defined as Opsonophagocytic activity against pneumococcal cross-reactive serotypes 6A and 19A ≥ 8.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations ≥ the Cut-off
The cut-off of the assay was 0.05 μg/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ the Cut-off
The cut-off for the assay was 8.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A ≥ the Cut-off
The cut-of for the assay was 0.05 μg/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Opsonophagocytic Activity (OPA) Against Pneumococcal Cross-reactive Serotypes 6A and 19A ≥ the Cut-off
The cut-off for the assay was 8.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Antibody Concentrations Against Protein D (Anti-PD) ≥ the Cut-off
The cut-off for the assay was 100 ELISA units per milliliter (EL.U/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Anti-diphtheria (Anti-DT) and Anti-tetanus Toxoids (Anti-TT) Antibody Concentrations
Seroprotection status, defined as anti-diphtheria toxoid or anti-tetanus toxoid antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibody Concentrations
Seroprotection status, defined as anti-PRP antibody concentrations ≥ 0.15 μg/mL and ≥ 1.0 μg/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Anti-Bordetella Pertussis (BPT) Antibody Concentrations
Seropositivity status, defined as anti-BPT antibody concentrations ≥ 15 EL.U/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations
Seroprotection status, defined as anti-HBs antibody concentrations ≥ 10 milli international units per milliliter (mIU/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Anti-polio Type 1, 2 and 3 Antibody Titers
Seroprotection status, defined as anti-polio type 1, anti-polio type 2 and anti-polio type 3 antibody titers ≥ 8.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-Bordetella Pertussis (BPT) With Concentrations ≥ the Cut-off
The cut-off for the assay was 15 EL.U/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-diphtheria (Anti-DT) and Anti-tetanus Toxoids (Anti-TT) Antibody Concentrations ≥ the Cut-off
The cut-off for the assay was 0.1 milli-international units per milliliter (mIU/mL).
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-polyribosyl-ribitol Phosphate (Anti-PRP) Antibody Concentration ≥ the Cut-off
The cut-off for the assay was 0.15 μg/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-PRP Antibody Concentration ≥ the Cut-off
The cut-off for the assay was 1.0 μg/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations ≥ the Cut-off
The cut-off for the assay was 10 mIU/mL.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Anti-polio Type 1, 2 and 3 (Anti-Polio 1, 2 and 3) Antibody Titers ≥ the Cut-off
The cut-off for the assay was 8.
Time frame: Prior to (Month 0) and one month after booster vaccination (Month 1)
Number of Subjects With Vaccine Response to Anti-Bordetella Pertussis (BPT)
Vaccine response for anti-BPT, defined as the appearance of antibodies in subjects seronegative at pre-vaccination, or at least 2-fold increase of pre-vaccination antibody concentrations in those who were initially seropositive at pre-vaccination.
Time frame: One month after booster vaccination (Month 1)
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