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NCT00344318

Safety and Immunogenicity Study of GlaxoSmithKline (GSK) Biologicals' 10-valent Pneumococcal Conjugate Vaccine

Completed Phase 3 Results posted Last updated 7 December 2018
What this trial tests

Phase 3 trial testing Pneumococcal conjugate vaccine GSK1024850A in Infections, Streptococcal in 806 participants. Completed in 17 October 2007.

Timeline
7 August 2006
Primary endpoint
27 April 2007
17 October 2007

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment806
Start date7 August 2006
Primary completion27 April 2007
Estimated completion17 October 2007
Sites7 locations across Philippines, Poland

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 6 Weeks to 12 Weeks, any sex, with Infections, Streptococcal. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Subjects Reporting Rectal Temperature Above (>) 39.0 Degrees Celsius (°C) Primary · Within 4 day (Days 0-3) after each dose and across doses

Fever was measured as rectal temperature. Assessment of occurrences of fever \> 39.0 °C was performed post doses 1, 2 and 3 and across doses of Synflorix™ or Prevenar™ vaccine.

Fever > 39.0°C, post Dose 1
GroupValue95% CI
Synflorix Pooled Group31
Prevenar Pooled Group6
Fever > 39.0°C, post Dose 2
GroupValue95% CI
Synflorix Pooled Group30
Prevenar Pooled Group13
Fever > 39.0°C, post Dose 3
GroupValue95% CI
Synflorix Pooled Group42
Prevenar Pooled Group8
Fever > 39.0°C, across doses
GroupValue95% CI
Synflorix Pooled Group88
Prevenar Pooled Group23
Number of Subjects With Any and Any Grade 3 Solicited Local Symptoms Secondary · Within 4 day (Days 0-3) after each dose and across doses

Solicited local symptoms assessed include 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 larger than (\>) 30 millimeters (mm). "Any" is defined as incidence of the specified symptom regardless of intensity.

Any Pain, Post Dose 1
GroupValue95% CI
Synflorix 1 Group240
Synflorix 2 Group206
Prevenar 1 Group76
Prevenar 2 Group65
Grade 3 Pain, Post Dose 1
GroupValue95% CI
Synflorix 1 Group52
Synflorix 2 Group59
Prevenar 1 Group19
Prevenar 2 Group17
Any Redness, Post Dose 1
GroupValue95% CI
Synflorix 1 Group126
Synflorix 2 Group199
Prevenar 1 Group35
Prevenar 2 Group65
Grade 3 Redness, Post Dose 1
GroupValue95% CI
Synflorix 1 Group10
Synflorix 2 Group30
Prevenar 1 Group6
Prevenar 2 Group8
Any Swelling, Post Dose 1
GroupValue95% CI
Synflorix 1 Group142
Synflorix 2 Group153
Prevenar 1 Group39
Prevenar 2 Group56
Grade 3 Swelling, Post Dose 1
GroupValue95% CI
Synflorix 1 Group41
Synflorix 2 Group43
Prevenar 1 Group15
Prevenar 2 Group9
Any Pain, Post Dose 2
GroupValue95% CI
Synflorix 1 Group191
Synflorix 2 Group186
Prevenar 1 Group55
Prevenar 2 Group61
Grade 3 Pain, Post Dose 2
GroupValue95% CI
Synflorix 1 Group18
Synflorix 2 Group31
Prevenar 1 Group8
Prevenar 2 Group12
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms Secondary · Within 4-day (Days 0-3) after each dose and across doses

Solicited general symptoms assessed include drowsiness, fever (defined as rectal temperature ≥ 38.0°C), irritability, and loss of appetite. Grade 3 (G3) drowsiness was defined as drowsiness which prevented normal everyday activities. Grade 3 (G3) fever was defined as fever (rectal temperature) above (\>) 40.0 degree Celsius (°C). Grade 3 (G3) irritability was defined as crying that could not be comforted/preventing normal activity. Grade 3 (G3) loss of appetite was defined as the subject not eating at all. "Any" is defined as incidence of the specified symptom regardless of intensity or relati

Any Drowsiness, Dose 1
GroupValue95% CI
Synflorix 1 Group154
Synflorix 2 Group223
Prevenar 1 Group45
Prevenar 2 Group75
G3 Drowsiness, Dose 1
GroupValue95% CI
Synflorix 1 Group6
Synflorix 2 Group10
Prevenar 1 Group3
Prevenar 2 Group1
REL Drowsiness Dose 1
GroupValue95% CI
Synflorix 1 Group154
Synflorix 2 Group222
Prevenar 1 Group45
Prevenar 2 Group75
Any Fever, Dose 1
GroupValue95% CI
Synflorix 1 Group214
Synflorix 2 Group190
Prevenar 1 Group74
Prevenar 2 Group54
G3 Fever, Dose 1
GroupValue95% CI
Synflorix 1 Group0
Synflorix 2 Group0
Prevenar 1 Group0
Prevenar 2 Group0
REL Fever, Dose 1
GroupValue95% CI
Synflorix 1 Group214
Synflorix 2 Group190
Prevenar 1 Group74
Prevenar 2 Group54
Any Irritability, Dose 1
GroupValue95% CI
Synflorix 1 Group236
Synflorix 2 Group269
Prevenar 1 Group78
Prevenar 2 Group83
G3 Irritability, Dose 1
GroupValue95% CI
Synflorix 1 Group11
Synflorix 2 Group60
Prevenar 1 Group3
Prevenar 2 Group17
Number of Subjects With Unsolicited Adverse Events (AEs) Secondary · Within 31 days (Days 0-30) after each vaccination

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" is defined an incidence of an unsolicited AE regardless of intensity or relationship to study vaccination.

GroupValue95% CI
Synflorix 1 Group168
Synflorix 2 Group166
Prevenar 1 Group46
Prevenar 2 Group61
Number of Subjects With Serious Adverse Events (SAEs) Secondary · During the Active Phase: From Month 0 to Month 3 for Synflorix 1 Group and Prevenar 1 Group and from Month 0 to Month 5 for the Synflorix 2 Group and Prevenar 2 Group

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.

GroupValue95% CI
Synflorix 1 Group6
Synflorix 2 Group34
Prevenar 1 Group1
Prevenar 2 Group9
Number of Subjects With Serious Adverse (SAEs) Secondary · During the Extended Safety Follow-Up Phase: At Month 8 for Synflorix 1 Group and Prevenar 1 Group and at Month 10 for the Synflorix 2 Group and Prevenar 2 Group

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.

GroupValue95% CI
Synflorix 1 Group16
Synflorix 2 Group52
Prevenar 1 Group4
Prevenar 2 Group19
Concentrations of Antibodies Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Secondary · One month after the administration of the 3rd vaccine dose of Synflorix™ and Prevenar™

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).

Anti-1 POST
GroupValue95% CI
Synflorix 1 Group3.232.94 – 3.54
Synflorix 2 Group1.040.94 – 1.15
Prevenar 1 Group0.030.03 – 0.4
Prevenar 2 Group0.030.03 – 0.03
Anti-4 POST
GroupValue95% CI
Synflorix 1 Group4.964.46 – 5.51
Synflorix 2 Group1.641.49 – 1.8
Prevenar 1 Group5.684.94 – 6.53
Prevenar 2 Group2.141.88 – 2.44
Anti-5 POST
GroupValue95% CI
Synflorix 1 Group4.874.5 – 5.26
Synflorix 2 Group1.621.48 – 1.78
Prevenar 1 Group0.030.03 – 0.04
Prevenar 2 Group0.030.03 – 0.03
Anti-6B POST
GroupValue95% CI
Synflorix 1 Group1.191.02 – 1.38
Synflorix 2 Group0.730.64 – 0.84
Prevenar 1 Group1.060.8 – 1.4
Prevenar 2 Group1.230.96 – 1.58
Anti-7F POST
GroupValue95% CI
Synflorix 1 Group4.844.45 – 5.27
Synflorix 2 Group2.252.07 – 2.45
Prevenar 1 Group0.050.04 – 0.06
Prevenar 2 Group0.040.03 – 0.04
Anti-9V POST
GroupValue95% CI
Synflorix 1 Group4.043.66 – 4.46
Synflorix 2 Group1.511.37 – 1.66
Prevenar 1 Group5.074.32 – 5.96
Prevenar 2 Group2.72.32 – 3.14
Anti-14 POST
GroupValue95% CI
Synflorix 1 Group6.455.65 – 7.38
Synflorix 2 Group3.312.98 – 3.68
Prevenar 1 Group5.884.71 – 7.34
Prevenar 2 Group5.234.39 – 6.24
Anti-18C POST
GroupValue95% CI
Synflorix 1 Group11.5610.22 – 13.08
Synflorix 2 Group3.743.28 – 4.28
Prevenar 1 Group3.713.14 – 4.38
Prevenar 2 Group2.642.25 – 3.11
Number of Subjects With Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations Equal to or Above (≥) 0.2 Microgram Per Milliliter (µg/mL) Secondary · One month after the administration of the 3rd vaccine dose of Synflorix™ and Prevenar™

Cut-off values assessed were greater than or equal to 0.2 microgram per milliliter (µg/mL) in the sera of subjects.

Anti-1 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group280
Prevenar 1 Group3
Prevenar 2 Group3
Anti-4 POST
GroupValue95% CI
Synflorix 1 Group283
Synflorix 2 Group282
Prevenar 1 Group95
Prevenar 2 Group96
Anti-5 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group282
Prevenar 1 Group3
Prevenar 2 Group2
Anti-6B POST
GroupValue95% CI
Synflorix 1 Group260
Synflorix 2 Group244
Prevenar 1 Group82
Prevenar 2 Group91
Anti-7F POST
GroupValue95% CI
Synflorix 1 Group284
Synflorix 2 Group285
Prevenar 1 Group9
Prevenar 2 Group5
Anti-9V POST
GroupValue95% CI
Synflorix 1 Group284
Synflorix 2 Group285
Prevenar 1 Group95
Prevenar 2 Group96
Anti-14 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group95
Prevenar 2 Group96
Anti-18C POST
GroupValue95% CI
Synflorix 1 Group284
Synflorix 2 Group281
Prevenar 1 Group95
Prevenar 2 Group95
Number of Subjects With Anti-pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Antibody Concentrations Equal to or Above (≥) 0.05 Microgram Per Liter (µg/mL) Secondary · One month after the administration of the 3rd vaccine dose of Synflorix™ and Prevenar™

Cut-off values assessed were greater than or equal to 0.05 microgram per liter (µg/mL) in the sera of subjects.

Anti-1 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group20
Prevenar 2 Group13
Anti-4 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group95
Prevenar 2 Group96
Anti-5 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group19
Prevenar 2 Group13
Anti-6B POST
GroupValue95% CI
Synflorix 1 Group279
Synflorix 2 Group274
Prevenar 1 Group92
Prevenar 2 Group91
Anti-7F POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group37
Prevenar 2 Group22
Anti-9V POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group95
Prevenar 2 Group96
Anti-14 POST
GroupValue95% CI
Synflorix 1 Group285
Synflorix 2 Group285
Prevenar 1 Group95
Prevenar 2 Group96
Anti-18C POST
GroupValue95% CI
Synflorix 1 Group284
Synflorix 2 Group285
Prevenar 1 Group95
Prevenar 2 Group95
Opsonophagocytic Activity (OPA) Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Secondary · One month after the administration of the 3rd vaccine dose of Synflorix™ and Prevenar™

Seropositivity status, defined as Opsonophagocytic activity against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F ≥ 8

OPA Anti-1
GroupValue95% CI
Synflorix 1 Group93.768.2 – 128.7
Synflorix 2 Group14.811.2 – 19.6
Prevenar 1 Group4.23.8 – 4.5
Prevenar 2 Group44 – 4
OPA Anti-4
GroupValue95% CI
Synflorix 1 Group1008.7849.1 – 1198.4
Synflorix 2 Group602.9494.8 – 734.6
Prevenar 1 Group1229.9975.5 – 1550.7
Prevenar 2 Group513388.2 – 677.9
OPA Anti-5
GroupValue95% CI
Synflorix 1 Group209.3176.6 – 248
Synflorix 2 Group67.252.2 – 86.6
Prevenar 1 Group44 – 4
Prevenar 2 Group44 – 4
OPA Anti-6B
GroupValue95% CI
Synflorix 1 Group963.5714.7 – 1299
Synflorix 2 Group361.9255 – 513.7
Prevenar 1 Group1762.2975.3 – 3184
Prevenar 2 Group805436.9 – 1483.4
OPA Anti-7F
GroupValue95% CI
Synflorix 1 Group5196.44349.2 – 6208.6
Synflorix 2 Group2002.21543.1 – 2597.9
Prevenar 1 Group14.26.9 – 29.4
Prevenar 2 Group6.94.3 – 11.1
OPA Anti-9V
GroupValue95% CI
Synflorix 1 Group1631.91343.8 – 1981.9
Synflorix 2 Group1171.7966.1 – 1421.1
Prevenar 1 Group1713.31294.6 – 2267.5
Prevenar 2 Group1166782.6 – 1737.2
OPA Anti-14
GroupValue95% CI
Synflorix 1 Group1669.11267.7 – 2197.6
Synflorix 2 Group640520.2 – 787.5
Prevenar 1 Group2117.41210.9 – 3702.6
Prevenar 2 Group947.6658.6 – 1363.4
OPA Anti-18C
GroupValue95% CI
Synflorix 1 Group673.3569.7 – 795.8
Synflorix 2 Group174.9137.1 – 223.1
Prevenar 1 Group283.7209.6 – 384.1
Prevenar 2 Group12786.4 – 186.5
Number of Subjects With Opsonophagocytic Activity (OPA) Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Equal to or Above (≥) 8 Secondary · One month after the administration of the 3rd vaccine dose of Synflorix™ and Prevenar™

Seropositivity status, defined as Opsonophagocytic activity against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C , 19F and 23F ≥ 8.

OPA Anti-1
GroupValue95% CI
Synflorix 1 Group117
Synflorix 2 Group62
Prevenar 1 Group1
Prevenar 2 Group0
OPA Anti-4
GroupValue95% CI
Synflorix 1 Group137
Synflorix 2 Group143
Prevenar 1 Group43
Prevenar 2 Group49
OPA Anti-5
GroupValue95% CI
Synflorix 1 Group139
Synflorix 2 Group127
Prevenar 1 Group0
Prevenar 2 Group0
OPA Anti-6B
GroupValue95% CI
Synflorix 1 Group132
Synflorix 2 Group122
Prevenar 1 Group40
Prevenar 2 Group44
OPA Anti-7F
GroupValue95% CI
Synflorix 1 Group137
Synflorix 2 Group141
Prevenar 1 Group10
Prevenar 2 Group5
OPA Anti-9V
GroupValue95% CI
Synflorix 1 Group130
Synflorix 2 Group144
Prevenar 1 Group43
Prevenar 2 Group49
OPA Anti-14
GroupValue95% CI
Synflorix 1 Group138
Synflorix 2 Group142
Prevenar 1 Group43
Prevenar 2 Group48
OPA Anti-18C
GroupValue95% CI
Synflorix 1 Group138
Synflorix 2 Group137
Prevenar 1 Group45
Prevenar 2 Group48
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A Secondary · One month after the administration of the 3rd vaccine dose of Synflorix™ and Prevenar™

Seropositivity status, defined as Anti-pneumococcal cross-reactive serotypes 6A and 19A antibody concentrations ≥ 0.05 microgram per milliliter (µg/mL).

Anti-6A
GroupValue95% CI
Synflorix 1 Group0.30.26 – 0.35
Synflorix 2 Group0.170.15 – 0.2
Prevenar 1 Group0.230.18 – 0.3
Prevenar 2 Group0.260.2 – 0.33
Anti-19A
GroupValue95% CI
Synflorix 1 Group0.360.31 – 0.41
Synflorix 2 Group0.290.25 – 0.34
Prevenar 1 Group0.180.15 – 0.22
Prevenar 2 Group0.120.1 – 0.15

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited AEs: Within 4 day (Days 0-3) after each dose and across doses; Unsolicited AEs: Within 31 days (Days 0-30) after each vaccination. SAEs: From study Day 0 until the 6-month extended safety follow-up. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Synflorix 1 Group
Serious: 16/300 (5%)
Deaths: 0/300
Synflorix 2 Group
Serious: 52/303 (17%)
Deaths: 0/303
Prevenar 1 Group
Serious: 4/100 (4%)
Deaths: 0/100
Prevenar 2 Group
Serious: 19/103 (18%)
Deaths: 0/103

Serious adverse events (46 terms)

ReactionSystemSynflorix 1 GroupSynflorix 2 GroupPrevenar 1 GroupPrevenar 2 Group
BronchitisInfections and infestations
GastroenteritisInfections and infestations
PneumoniaInfections and infestations
EnterocolitisGastrointestinal disorders
Urinary tract infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Gastroenteritis rotavirusInfections and infestations
NasopharyngitisInfections and infestations
Otitis mediaInfections and infestations
Bronchitis chronicRespiratory, thoracic and mediastinal disorders
BronchopneumoniaInfections and infestations
Pyelonephritis acuteInfections and infestations
Respiratory tract infectionInfections and infestations
RhinitisInfections and infestations
DehydrationMetabolism and nutrition disorders
Febrile convulsionNervous system disorders
Bronchial hyperreactivityRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Microcytic anaemiaBlood and lymphatic system disorders
Thrombocytopenic purpuraBlood and lymphatic system disorders
Atrial septal defectCongenital, familial and genetic disorders
Double ureterCongenital, familial and genetic disorders
Aphthous stomatitisGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Other adverse events (18 terms — click to expand)

ReactionSystemSynflorix 1 GroupSynflorix 2 GroupPrevenar 1 GroupPrevenar 2 Group
IrritabilityPsychiatric disorders
ErythemaSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
PainGeneral disorders
SomnolenceNervous system disorders
SwellingGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Upper respiratory tract infectionInfections and infestations
RhinitisInfections and infestations
GastroenteritisInfections and infestations
PharyngitisInfections and infestations
Viral rhinitisInfections and infestations
HaematomaVascular disorders
Viral infectionInfections and infestations
NasopharyngitisInfections and infestations
BronchitisInfections and infestations
DiarrhoeaGastrointestinal disorders
Urinary tract infectionInfections and infestations

Most-reported serious reactions: Bronchitis, Gastroenteritis, Pneumonia, Enterocolitis, Urinary tract infection, Diarrhoea, Gastrooesophageal reflux disease, Gastroenteritis rotavirus.

Data from ClinicalTrials.gov NCT00344318 adverse events section.

Sponsor's own description

This study will evaluate safety, reactogenicity and immunogenicity of GSK Biologicals' pneumococcal conjugate vaccine compared to Prevenar™ when co-administered with DTPw-HBV/Hib and OPV or IPV vaccines, according to 2 different schedules: 6-10-14 weeks or 2-4-6 months of age. The study has 2 groups. * One group of subjects will receive a 3-dose primary vaccination with the GSK Biologicals' pneumococcal conjugate vaccine (three different lots will be used and randomly allocated). * The 2nd group of subjects will receive a 3-dose primary vaccination with Prevenar™. All children will receive concomitantly DTPw-HBV/Hib and OPV or IPV vaccines. This protocol posting deals with objectives \& outcome measures of the primary study. The objectives \& outcome measures of the Booster study are presented in a separate protocol posting (NCT number =00547248).

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) coadministered with DTPw-HBV/Hib and poliovirus vaccines: assessment of immunogenicity.
    Bermal N, Szenborn L, Chrobot A, Alberto E, et al · · 2009 · cited 67× · PMID 19325451 · DOI 10.1097/inf.0b013e318199f901
  2. Immunogenicity and seroefficacy of 10-valent and 13-valent pneumococcal conjugate vaccines: a systematic review and network meta-analysis of individual participant data.
    Feng S, McLellan J, Pidduck N, Roberts N, et al · · 2023 · cited 8× · PMID 37425373 · DOI 10.1016/j.eclinm.2023.102073
  3. Immunogenicity and seroefficacy of pneumococcal conjugate vaccines – a systematic review and network meta-analysis
    Feng S, McLellan J, Pidduck N, Roberts N, et al · · 2023 · DOI 10.1101/2023.01.13.23284388
  4. 13th International Congress on Infectious Diseases Abstracts (Oral Presentations)
    · 2008

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