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NCT00586612

Primary & Booster Study to Evaluate the Immunogenicity and Safety of Menitorix Vaccine in Preterm Infants

Completed Phase 3 Results posted Last updated 27 August 2018
What this trial tests

Phase 3 trial testing Menitorix™ in Haemophilus Influenzae Type b in 313 participants. Completed in 30 December 2008.

Timeline
1 December 2007
Primary endpoint
30 December 2008
30 December 2008

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment313
Start date1 December 2007
Primary completion30 December 2008
Estimated completion30 December 2008
Sites8 locations across Spain

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 8 Weeks to 12 Weeks, any sex, with Haemophilus Influenzae Type b or Neisseria Meningitidis. 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 With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 0.15 Micrograms Per Milliliter (µg/mL) Primary · One month after the third vaccination

Anti-PRP antibody concentration greater than or equal to 0.15 µg/mL is indicative of protection.

GroupValue95% CI
Preterm Group139
Full-term Group141
Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titer Greater Than or Equal to 1:8 Primary · One month after the third vaccination

rSBA-MenC titer greater than or equal to 1:8 is indicative of protection.

GroupValue95% CI
Preterm Group142
Full-term Group140
Number of Subjects With Anti-Polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to the Cut-off Values Secondary · Before vaccination (at Day 0)

Anti-PRP antibody cut-off values assessed include 0.15 micrograms per milliliter (µg/mL) and 1 µg/mL.

≥ 0.15 µg/mL
GroupValue95% CI
Preterm Group38
Full-term Group43
≥ 1.0 µg/mL
GroupValue95% CI
Preterm Group5
Full-term Group9
Number of Subject With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 1 Microgram Per Milliliter Secondary · One month after the third vaccination

Anti-PRP antibody cut-off value assessed include 1 microgram per milliliter (µg/mL).

GroupValue95% CI
Preterm Group133
Full-term Group134
Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titer Greater Than or Equal to the Cut-off Values Secondary · Before vaccination (at Day 0)

rSBA-MenC titer cut-off values assessed include 1:8, 1:32 and 1:128.

≥ 1:8
GroupValue95% CI
Preterm Group16
Full-term Group23
≥ 1:32
GroupValue95% CI
Preterm Group5
Full-term Group11
≥ 1:128
GroupValue95% CI
Preterm Group0
Full-term Group3
Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titer Greater Than or Equal to the Cut-off Values Secondary · One month after the third vaccination

rSBA-MenC titer cut-off values assessed include 1:32 and 1:128.

≥ 1:32
GroupValue95% CI
Preterm Group142
Full-term Group139
≥ 1:128
GroupValue95% CI
Preterm Group135
Full-term Group136
Number of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Greater Than or Equal to (≥) the Cut-off Values Secondary · Before vaccination (at Day 0)

Anti-PSC antibody cut-off values assessed include 0.3 micrograms per milliliter (µg/mL) and 2 µg/mL.

≥ 0.3 µg/mL
GroupValue95% CI
Preterm Group23
Full-term Group36
≥ 2.0 µg/mL
GroupValue95% CI
Preterm Group3
Full-term Group8
Number of Subjects With Anti-polysaccharide C (Anti-PSC) Antibody Concentration Greater Than or Equal to (≥) the Cut-off Values Secondary · One month after the third dose

Anti-PSC antibody cut-off values assessed include 0.3 micrograms per milliliter (µg/mL) and 2 µg/mL.

≥ 0.3 µg/mL
GroupValue95% CI
Preterm Group140
Full-term Group141
≥ 2.0 µg/mL
GroupValue95% CI
Preterm Group127
Full-term Group136
Number of Subjects With Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentration Greater Than or Equal to (≥) the Cut-off Values Secondary · Before vaccination (at Day 0)

Anti-HBs antibody cut-off values assessed include 10 milli-international units per milliliter (mIU/mL) and 100 mIU/mL.

≥ 10 mIU/mL
GroupValue95% CI
Preterm Group89
Full-term Group78
≥ 100 mIU/mL
GroupValue95% CI
Preterm Group3
Full-term Group8
Number of Subjects With Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentration Greater Than or Equal to (≥) the Cut-off Values Secondary · One month after the third dose

Anti-HBs antibody cut-off values assessed include 10 milli-international units per milliliter (mIU/mL) and 100 mIU/mL.

≥ 10 mIU/mL
GroupValue95% CI
Preterm Group128
Full-term Group129
≥ 100 mIU/mL
GroupValue95% CI
Preterm Group109
Full-term Group117
Anti-polyribosylribitol Phosphate (Anti-PRP) and Anti-polysaccharide C (Anti-PSC) Concentration Secondary · Before vaccination (at Day 0)

Anti-PRP and anti-PSC concentrations are given as geometric mean concentrations (GMCs) expressed micrograms per milliliter (µg/mL).

Anti-PRP (n=140, 138)
GroupValue95% CI
Preterm Group0.1160.101 – 0.133
Full-term Group0.1400.117 – 0.167
Anti-PSC (n=142, 137)
GroupValue95% CI
Preterm Group0.190.17 – 0.22
Full-term Group0.250.21 – 0.30
Anti-polyribosylribitol Phosphate (Anti-PRP) and Anti-polysaccharide C (Anti-PSC) Concentration Secondary · One month after the third dose

Anti-PRP and anti-PSC concentrations are given as geometric mean concentrations (GMCs) expressed micrograms per milliliter (µg/mL).

Anti-PRP (n= 140, 142)
GroupValue95% CI
Preterm Group10.4378.398 – 12.970
Full-term Group10.4738.547 – 12.833
Anti-PSC (n= 140, 141)
GroupValue95% CI
Preterm Group6.345.57 – 7.22
Full-term Group7.466.67 – 8.34

Adverse events — posted to ClinicalTrials.gov

Time frame: For SAEs: the whole study period (Day 0 - Month 15); For frequent adverse events: solicited adverse events a 4-day period after vaccination, unsolicited adverse events a 31-day period after vaccination.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Preterm Group
Serious: 22/163 (13%)
Deaths:
Full-term Group
Serious: 10/150 (7%)
Deaths:

Serious adverse events (25 terms)

ReactionSystemPreterm GroupFull-term Group
BronchiolitisInfections and infestations
PneumoniaInfections and infestations
BronchospasmRespiratory, thoracic and mediastinal disorders
Upper respiratory tract infectionInfections and infestations
Gastroenteritis rotavirusInfections and infestations
Respiratory syncytial virus bronchiolitisInfections and infestations
ApnoeaRespiratory, thoracic and mediastinal disorders
CandidiasisInfections and infestations
ConjunctivitisEye disorders
Escherichia urinary tract infectionInfections and infestations
GastroenteritisInfections and infestations
Lower respiratory tract infectionInfections and infestations
MalnutritionMetabolism and nutrition disorders
Meningococcal sepsisInfections and infestations
OsteomyelitisInfections and infestations
Pyelonephritis acuteInfections and infestations
Streptococcal sepsisInfections and infestations
Urinary tract infectionInfections and infestations
CellulitisInfections and infestations
BronchitisInfections and infestations
BronchopneumoniaInfections and infestations
HypoxiaRespiratory, thoracic and mediastinal disorders
Otitis media acuteInfections and infestations
Respiratory tract infectionInfections and infestations
Arthritis bacterialInfections and infestations
Other adverse events (18 terms — click to expand)

ReactionSystemPreterm GroupFull-term Group
Irritability/fussinessGeneral disorders
RednessGeneral disorders
SwellingGeneral disorders
DrowsinessGeneral disorders
RednessGeneral disorders
PainGeneral disorders
Loss of appetiteGeneral disorders
PainGeneral disorders
SwellingGeneral disorders
FeverGeneral disorders
Irritability/fussinessGeneral disorders
FeverGeneral disorders
Loss of appetiteGeneral disorders
DrowsinessGeneral disorders
Injection site noduleGeneral disorders
Upper respiratory tract infectionInfections and infestations
VomitingGastrointestinal disorders
Injection site haematomaGeneral disorders

Most-reported serious reactions: Bronchiolitis, Pneumonia, Bronchospasm, Upper respiratory tract infection, Gastroenteritis rotavirus, Respiratory syncytial virus bronchiolitis, Apnoea, Candidiasis.

Data from ClinicalTrials.gov NCT00586612 adverse events section.

Sponsor's own description

The purpose of this Phase IIIb study is to evaluate the immunogenicity, reactogenicity \& safety of GSK Biologicals' Hib-MenC vaccine (Menitorix™) when co-administered with GSK Biologicals' DTPa-HBV-IPV vaccine (Infanrix™ penta) \& Wyeth's 7-valent pneumococcal conjugate vaccine (Prevenar™) in preterm infants as a 3-dose primary vaccination course during the first 6 months of life (at 2, 4, 6 months of age) and of a booster dose of Menitorix™ when co-administered with GSK Biologicals' DTPa-IPV vaccine (Infanrix IPV) and Wyeth's Prevenar in the second year of life (16-18 months of age). The control is a group of full-term infants receiving the same vaccines. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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