The purpose of the present study is to demonstrate that the changes in the manufacturing process for the commercial lot of the pneumococcal conjugate vaccine GSK1024850A have no clinical impact and that the immune responses are non-inferior to the immune responses induced by the clinical lot. The study will be conducted in Singapore and Malaysia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
466
Intramuscular injection, 3 doses
Intramuscular injection, 3 doses in Malaysia and 2 doses in Singapore
Intramuscular injection, only for Visit 2 in Singapore
GSK Investigational Site
Kuala Lumpur, Malaysia
GSK Investigational Site
Seremban, Negeri Sembilan, Malaysia
GSK Investigational Site
Singapore, Singapore
GSK Investigational Site
Singapore, Singapore
Concentrations of Antibodies Against Vaccine Components of the Pneumococcal Vaccine
Concentrations are given as Geometric Mean Concentrations (GMCs) in microgram per milliliter (μg/mL). Vaccine pneumococcal serotypes assessed included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.
Time frame: One month after primary immunization (month 4)
Concentration of Antibody Against Protein D (PD)
Concentration was expressed as GMC in GSK's 22F enzyme-linked-immunosorbent assay (ELISA) units per milliliter (EL.U/mL).
Time frame: One month after primary immunization (month 4)
Number of Subjects With Anti-pneumococcal Vaccine Serotype Antibody Concentrations Equal to or Above 0.20 µg/mL
Vaccine pneumococcal serotypes included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.
Time frame: One month after primary immunization (month 4)
Number of Subjects With Anti-pneumococcal Cross-reactive Serotype Concentrations Equal to or Above 0.20 µg/mL
Anti-pneumococcal cross-reactive serotypes were 6A and 19A.
Time frame: One month after primary immunization (month 4)
Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes
Vaccine pneumococcal serotypes included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F. Opsonophagocytic activity was defined as the dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. The cut-off of the assay was an opsonic titer equal to or greater than 8.
Time frame: One month after primary immunization (month 4)
Number of Subjects With Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes
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Oral, 2 doses
GSK Investigational Site
Singapore, Singapore
Cross-reactive pneumococcal serotypes were 6A and 19A. Opsonophagocytic activity was defined as the dilution of serum (opsonic titer) able to sustain 50% killing of live pneumococci under the assay conditions. The cut-off of the assay was an opsonic titer equal to or greater than 8.
Time frame: One month after primary immunization (month 4)
Opsonophagocytic Titers of Cross-reactive Pneumococcal Serotypes
Opsonophagocytic titers were expressed as GMTs. Cross-reactive pneumococcal serotypes included 6A and 19A.
Time frame: One month after primary immunization (month 4)
Poliovirus Types 1, 2 and 3 Titers
Titers were given as Geometric Mean Titers (GMTs).
Time frame: One month after primary immunization (month 4)
Concentrations of Antibodies Against Diphteria Toxoid (DT) and Tetanus Toxoid (TT)
Concentrations were defined as GMCs in international units per milliter (IU/mL)
Time frame: One month after primary immunization (month 4)
Concentration of Antibody Against Hepatitis B Surface Antigen (HBs) by Enzyme Linked ImmunoSorbent Assay (ELISA).
Concentration was given as GMC in milli international units per milliliter (mIU/mL). As a decrease in the specificity of the anti-HB ELISA assay had been observed in some studies for low levels of antibody (10-100 mIU/mL), the table shows results following partial or complete reanalysis.
Time frame: One month after primary immunization (month 4)
Concentration of Antibody Against Rotavirus Immunoglobulin A (IgA)
Concentration was expressed as GMC in units per milliliter (U/mL).
Time frame: 3 months after primary immunization (month 4)
Occurrence of Serious Adverse Events
SAEs assessed include medical occurrences that result in death, is 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: Following vaccination and throughout the entire study period (Month 0 to Month 4)
Opsonophagocytic Titers of Vaccine Pneumococcal Serotypes
Titers are presented as Geometric Mean Titers (GMTs). Pneumococcal serotypes included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.
Time frame: One month after primary immunization (month 4)
Number of Subjects With Solicited Local and General Symptoms.
Solicited local symptoms were pain, redness and swelling. Solicited general symptoms were drowsiness, fever, irritability, loss of appetite, diarrhoea and vomiting.
Time frame: Within 4 days (day 0-3) after vaccination
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA), Pertactin (PRN)
Concentrations are expressed as GMCs in EL.U/mL.
Time frame: One month after primary immunization (month 4)
Concentration of Antibody Against Polyribosyl-ribitol Phosphate (PRP)
Concentrain was expressed as GMC in µg/mL.
Time frame: One month after primary immunization (month 4)
Occurrence of Unsolicited Adverse Events
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.
Time frame: Within 31 days (day 0-30) after vaccination