The purpose of this study is to assess the safety, reactogenicity and immunogenicity of the investigational GSK RSV vaccine in pregnant women aged 18 to 40 years and infants born to the vaccinated women
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm
Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm
Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm
GSK Investigational Site
Newton, Kansas, United States
GSK Investigational Site
Syracuse, New York, United States
GSK Investigational Site
Ellensburg, Washington, United States
Number of subjects with solicited local adverse events (AEs)
Assessed solicited local symptoms are pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevents normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.
Time frame: During a 7-day follow-up period after vaccination (i.e. the day of vaccination and 6 subsequent days)
Number of subjects with solicited general AEs
Assessed solicited general symptoms are fatigue, fever \[defined as oral/axillary/tympanic route temperature equal to or above 37.5 degrees Celsius (°C) or ≥ 38 °C for rectal route\], gastrointestinal symptoms \[nausea, vomiting, diarrhoea and/or abdominal pain\] and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevents normal activity. Grade 3 fever = fever \> 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination
Time frame: During the 7-day follow-up period after vaccination (i.e. the day of vaccination and 6 subsequent days)
Number of subjects with unsolicited AEs
An unsolicited AE covers 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 and 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. Any is defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevents normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.
Time frame: During a 30-day follow-up period after vaccination (i.e. the day of vaccination and 29 subsequent days)
Number of subjects with haematological abnormalities
Haematological laboratory abnormalities include haemoglobin level, white blood cell count \[WBC\], lymphocyte, neutrophil, eosinophil, platelet count, red blood cell count and mean corpuscular volume.
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Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm
GSK Investigational Site
Oulu, Finland
GSK Investigational Site
Seinäjoki, Finland
GSK Investigational Site
Aravaca, Spain
GSK Investigational Site
Burgos, Spain
GSK Investigational Site
Madrid, Spain
GSK Investigational Site
Majadahonda (Madrid), Spain
GSK Investigational Site
Santiago, Spain
...and 2 more locations
Time frame: At Day 0
Number of subjects with haematological abnormalities
Haematological laboratory abnormalities include haemoglobin level, white blood cell count \[WBC\], lymphocyte, neutrophil, eosinophil, platelet count, red blood cell count and mean corpuscular volume.
Time frame: At Day 7
Number of subjects with biochemical abnormalities
Biochemical laboratory abnormalities include alanine amino-transferase \[ALT\], aspartate amino-transferase \[AST\], creatinine and blood urea nitrogen.
Time frame: At Day 0
Number of subjects with biochemical abnormalities
Biochemical laboratory abnormalities include alanine amino-transferase \[ALT\], aspartate amino-transferase \[AST\], creatinine and blood urea nitrogen.
Time frame: At Day 7
Number of subjects with any serious adverse events (SAEs)
SAEs are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time frame: From study start (Day 0) up to 6 months after delivery
Number of infant subjects with any SAEs
SAEs are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time frame: From birth up to 6 months after birth
Number of subjects with pregnancy outcomes
Pregnancy outcomes include live birth with no congenital anomalies, live birth with congenital anomalies, foetal death/still birth with no congenital anomalies, foetal death/still birth with congenital anomalies, elective/therapeutic termination with no congenital anomalies and elective/therapeutic termination with congenital anomalies.
Time frame: From study start (Day 0) up to delivery
Number of subjects with pregnancy-related AEs of specific interest
Pregnancy-related adverse events of specific interest include: gestational diabetes, gestational liver disease (including obstetric cholestasis and acute fatty liver of pregnancy), chorioamnionitis, labour protraction and arrest disorders, maternal sepsis, pregnancy-related hypertension, preterm premature rupture of membranes, premature labour, intrauterine growth restriction/poor foetal growth, pre-eclampsia and eclampsia, vaginal or intrauterine haemorrhage, medical conditions necessitating early delivery (induced labour or urgent C-section) (placenta abruption, uterine infection, oligohydramnios, etc), maternal death.
Time frame: From study start (Day 0) up to delivery
Number of infant subjects with AEs of specific interest
Infant-related AEs of specific interest include preterm birth, neonatal death, low birth weight and/or small for gestational age, neonatal sepsis, foetal/perinatal distress or asphyxia, failure to thrive/growth deficiency, congenital anomalies and neurodevelopmental delay.
Time frame: From birth up to 6 months after birth
Number of infant subjects with SAEs
SAEs are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time frame: From birth and up to study end (Year 2)
Number of infant subjects with AEs potentially related to maternal vaccination
Related infant AEs = AEs occurring in the infant assessed by the investigator as potentially related to the vaccination of the mother.
Time frame: From birth up to study end (Year 2)
Number of infant subjects with neuro-developmental delays
Infant subjects with Ages and Stages Questionnaires version 3 (ASQ-3) scores in the grey and black zones for any of the 5 developmental areas or domains (communication, gross motor skills, fine motor skills, problem solving and personal-social) : Grey zone (i.e. Monitoring zone) score means that the child's score falls ≥ 1 but \<2 standard deviations below the mean score in any developmental area. Black zone (i.e. Referral zone) score means that the child's score falls below the cut-off (i.e. 2 standard deviations below the mean score) in any developmental area. Infant subjects scoring in the black zone in any of the 5 domains of the ASQ-3 will be referred for formal neurological evaluation
Time frame: At Year 1 and Year 2
Number of infant subjects referred for formal neurological evaluation
Neuro-developmental formal evaluation will be performed, for infants with ASQ3 black zone scores, using the Bayley Scale for Infant Development, Version III (BSID-III) or an equivalent.
Time frame: At Year 1 and Year 2
Number of infant subjects with confirmed developmental delay
Infants confirmed as having neuro-developmental delay following formal evaluation using the Bayley Scale for Infant Development, Version III (BSID-III) or an equivalent.
Time frame: At Year 1 and Year 2
Neutralizing antibody titres against RSV-A, for all vaccinated mothers
Titres will be expressed as geometric mean titres (GMTs)
Time frame: At pre-vaccination (Day 0), Day 30 and Day 60 post vaccination and at delivery
Neutralizing antibody titres against RSV-B, for all vaccinated mothers
Titres will be expressed as geometric mean titres (GMTs)
Time frame: At pre-vaccination (Day 0), Day 30 and Day 60 post vaccination and at delivery
Palivizumab competing antibody (PCA) concentrations, for all vaccinated mothers.
Concentrations will be expressed as geometric mean concentrations (GMCs)
Time frame: At pre-vaccination (Day 0), Day 30 and Day 60 post-vaccination and at delivery
Neutralizing antibody titres against RSV-A, for all infants born to vaccinated mothers
Titres will be expressed as geometric mean titres (GMTs). Infants will be allocated to one of the 2 defined sub-cohorts (Month 3 or Month 6) and have the blood sample for immunogenicity obtained at the corresponding sub-cohort timepoint.
Time frame: At birth, at Month 3 and at Month 6
Neutralizing antibody titres against RSV-B, for all infants born to vaccinated mothers
Titres will be expressed as geometric mean titres (GMTs). Infants will be allocated to one of the 2 defined sub-cohorts (Month 3 or Month 6) and have the blood sample for immunogenicity obtained at the corresponding sub-cohort timepoint.
Time frame: At birth, at Month 3 and at Month 6
PCA concentrations, for all infants born to vaccinated mothers
Concentrations will be expressed as geometric mean concentrations (GMCs). Infants will be allocated to one of the 2 defined sub-cohorts (Month 3 or Month 6) and have the blood sample for immunogenicity obtained at the corresponding sub-cohort timepoint.
Time frame: At birth, at Month 3 and at Month 6
Number of infant subjects with lower respiratory tract infection (LRTI), severe LRTI and respiratory tract infection (RTI) with parental concern (according to the case definitions) associated with a respiratory syncytial virus (RSV) infection
Occurrence of RSV-LRTI, severe RSV-LRTI, RSV-RTI with parental concern
Time frame: From birth up to study end (Year 2)
Number of subjects (vaccinated mothers) with medically-attended (MA) RTI associated with an RSV infection
Occurrence of RSV associated MA-RTI. A MA-RTI is defined as a visit of the mother to a health care professional for any respiratory symptom, including cough, sputum production and difficulty breathing
Time frame: From Day 0 up to Month 6 post delivery