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 African Sub-Saharan infants with pneumococcal conjugate vaccine GSK 1024850A co-administered with a diphtheria, tetanus, whole cell pertussis (DTPw)-combined vaccine and oral polio vaccine in children during the first 4 months of life.
Vaccination course at 6, 10, 14 weeks of age.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
365
3 IM doses.
3 oral doses
3 IM doses.
GSK Investigational Site
Bamako, Mali
GSK Investigational Site
Ikeja / Lagos, Nigeria
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes
Pneumococcal serotypes assessed were vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Seropositivity cut-off for the assay was an anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) concentrations greater than or equal to (≥) 0.05 microgram per milliliter (μg/mL).
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Antibody Concentrations Against Protein D (Anti-PD Antibodies)
Anti-PD antibody concentrations were expressed in enzyme-linked immunsorbent assay (ELISA) units per milliliter (EL.U/mL). Seropositivity cut-off for the assay was an anti-PD antibody concentrations ≥ 100 EL.U/mL.
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A (Anti-6A and -19A)
Seropositivity status was defined as anti-pneumococcal cross-reactive serotypes 6A/19A antibody concentrations (Anti-6A/19A) ≥ 0.05 microgram per milliliter (μg/mL).
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Titers for Opsonophagocytic Activity (OPA) Against Vaccine Pneumococcal Serotypes
Pneumococcal serotypes assessed were vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Seropositivity status was defined as an opsonophagocytic activity against vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (OPA-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) ≥ 8.
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Titers for Opsonophagocytic Activity (OPA) Against Cross-reactive Pneumococcal Serotypes
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Pneumococcal serotypes assessed were cross-reactive pneumococcal serotypes 6A and 19A. Seropositivity status was defined as an opsonophagocytic activity against cross-reactive pneumococcal serotypes 6A and 19A (OPA-6A and 19A) ≥ 8.
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seropositive for Antibodies Against Vaccine Pneumococcal Serotypes
Pneumococcal serotypes assessed were vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Seropositivity cut-off for the assay was an anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) concentrations ≥ 0.05 microgram per milliliter (μg/mL).
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seroprotected Against Vaccine Pneumococcal Serotypes
Pneumococcal serotypes assessed were vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Seroprotection cut-off for the assay was an anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody (Anti-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) concentrations ≥ 0.2 microgram per milliliter (μg/mL).
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seropositive for Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A (Anti-6A and -19A)
Serotypes assessed were cross-reactive pneumococcal serotypes 6A and 19A. Seropositivity status was defined as anti-pneumococcal cross-reactive serotypes 6A/19A antibody concentrations (Anti-6A/19A) ≥ 0.05 microgram per milliliter (μg/mL).
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seroprotected Against Cross-reactive Pneumococcal Serotypes 6A and 19A (Anti-6A and -19A)
Serotypes assessed were cross-reactive pneumococcal serotypes 6A and 19 A. Seroprotection cut-off for the assay was an anti-6A/19A antibody concentrations ≥ 0.2 microgram per milliliter (μg/mL).
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seropositive for Antibodies Against Protein D (Anti-PD Antibodies)
Seropositivity cut-off for the assay was an anti-PD antibody concentrations ≥ 100 EL.U/mL.
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seropositive for Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes
Pneumococcal serotypes assessed were vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Seropositivity status was defined as an opsonophagocytic activity against vaccine pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (OPA-1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F) ≥ 8.
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seropositive for Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes
Pneumococcal serotypes assessed were cross-reactive pneumococcal serotypes 6A and 19A. Seropositivity status was defined as an opsonophagocytic activity against cross-reactive pneumococcal serotypes 6A and 19A (OPA-6A and 19A) ≥ 8.
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Anti-Bordetella Pertussis (Anti-BPT) Antibody Concentrations
Anti-BPT antibody concentrations were expressed in enzyme-linked immunosorbent assay (ELISA) unit per millilitre (EL.U/mL). Seropositivity cut-off for the assay was defined as an anti-BPT antibody concentrations ≥ 15 EL.U/mL
Time frame: At Month 3, one month after the administration of the third dose of Synflorix vaccine
Number of Subjects Seropositive for Antibodies Against Bordetella Pertussis (Anti-BPT)
Seropositivity cut-off for the assay was defined as an anti-BPT antibody concentration ≥ 15 enzyme-linked immunosorbent assay (ELISA) unit per milliliter (EL.U/mL).
Time frame: At Month 3, one month after the administration of the third dose of DTPw-HBV/Hib vaccine
Anti-diphtheria (Anti-D) and Anti-tetanus Toxoids (Anti-TT) Antibody Concentrations
The seroprotection cut-off for the assay was an anti-diphtheria toxoid or anti-tetanus toxoid antibody concentrations ≥ 0.1 international unit per milliliter (IU/mL).
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix -HepB/ Hiberix vaccine
Number of Subjects Seroprotected Against Diphtheria (D) and Tetanus Toxoids (TT) Antigens
A subject seroprotected against D/TT antigens was defined as a subject with an Anti-D/-TT antibody concentration ≥ 0.1 IU/mL.
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix -HepB/ Hiberix vaccine
Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibody Concentrations
Anti-PRP antibody concentrations were measured and tabulated in microgram per milliliter (μg/mL). Cut-off for the assay was ≥ 0.15 μg/mL.
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix -HepB/ Hiberix vaccine
Number of Subjects Seroprotected Against Polyribosyl-ribitol Phosphate (PRP)
Anti-PRP antibody concentrations were expressed in microgram per milliliter (μg/mL). The seroprotection cut-off applied for the assay was ≥ 0.15 μg/mL.
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix -HepB/ Hiberix vaccine
Number of Subjects Seroprotected Against Polyribosyl-ribitol Phosphate (PRP) Antigens
Anti-PRP antibody concentrations were expressed in microgram per milliliter (μg/mL). The seroprotection cut-off applied for the assay was ≥ 1 μg/mL.
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix -HepB/ Hiberix vaccine
Anti-hepatitis B Surface Antigen (HBs) Antibody Concentrations
The seroprotection cut-off for the endpoint was an anti-HBs antibody concentration ≥ 10 milli-international units per milliliter (mIU/mL).
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix -HepB /Hiberix vaccine
Number of Subjects Seroprotected Against Anti-Hepatitis B Surface Antigens (HBs).
The seroprotection cut-off values considered for this endpoint were an anti-HBs antibody concentration ≥ 10 and 100 milli-international units per milliliter (mIU/mL).
Time frame: At Month 3, one month after the administration of the third dose of Tritanrix HepB/ Hiberix vaccine
Number of Subjects With Any and Any Grade 3 Solicited Local Symptoms
Solicited local symptoms assessed included pain, redness and swelling. 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). "Any" was defined as incidence of the specified symptom regardless of intensity.
Time frame: Within the 4-day (Days 0 to 3) follow-up periods after each vaccination, across doses and across vaccines
Number of Subjects With Any and Any Grade 3 and Related Solicited General Symptoms
Solicited general symptoms assessed include drowsiness, fever (defined as rectal temperature ≥ 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) greater than (\>) 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 to 3) follow-up periods after each vaccination, across doses and across vaccines
Number of Subjects With Fever (Temperature Measured Rectally) > the Cut-off
The cut-off for the assay was \> 39.0°C.
Time frame: Within the 4-day (Days 0 to 3) follow-up periods after each vaccination, across doses and across vaccines
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) follow-up periods post vaccination, across doses and across vaccines
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 entire study period, from Month 0 to Month 3