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NCT00950833

Long-term Follow-up Study of Children Previously Primed With GSK Pneumococcal Vaccine (GSK1024850A) and of Unprimed Children

Completed Phase 3 Results posted Last updated 20 September 2018
What this trial tests

Phase 3 trial testing Pneumococcal vaccine GSK1024850A in Infections, Streptococcal in 466 participants. Completed in 27 October 2010.

Timeline
10 August 2009
Primary endpoint
16 September 2010
27 October 2010

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment466
Start date10 August 2009
Primary completion16 September 2010
Estimated completion27 October 2010
Sites10 locations across Czechia

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 31 Months to 44 Months, 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.

Antibody Concentrations Against Vaccine Pneumococcal Serotypes Primary · At 7-10 days after the first vaccine dose

Antibody concentrations against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) have been assessed by 22F-inhibition enzyme linked immunosorbent assay (ELISA), presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off value of the assay was an antibody concentration greater than or equal to (≥) 0.05 μg/mL.

Anti-1
GroupValue95% CI
Synflorix III Group1.241.07 – 1.42
Pooled Synflorix I+II Group7.636.57 – 8.86
Anti-4
GroupValue95% CI
Synflorix III Group4.523.96 – 5.17
Pooled Synflorix I+II Group12.9511.37 – 14.75
Anti-5
GroupValue95% CI
Synflorix III Group0.720.63 – 0.84
Pooled Synflorix I+II Group9.768.44 – 11.29
Anti-6B
GroupValue95% CI
Synflorix III Group0.270.22 – 0.33
Pooled Synflorix I+II Group7.676.7 – 8.78
Anti-7F
GroupValue95% CI
Synflorix III Group1.371.19 – 1.58
Pooled Synflorix I+II Group6.515.69 – 7.46
Anti-9V
GroupValue95% CI
Synflorix III Group0.690.58 – 0.83
Pooled Synflorix I+II Group9.758.46 – 11.24
Anti-14
GroupValue95% CI
Synflorix III Group1.010.8 – 1.27
Pooled Synflorix I+II Group23.0720.03 – 26.57
Anti-18C
GroupValue95% CI
Synflorix III Group3.252.71 – 3.9
Pooled Synflorix I+II Group32.5428.15 – 37.61
Antibody Concentrations Against Vaccine Pneumococcal Serotypes Secondary · Prior to the first study vaccine dose (At Day 0)

Antibody concentrations against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) have been assessed by 22F-inhibition ELISA, presented as GMCs and expressed in μg/mL. The seropositivity cut-off value of the assay was an antibody concentration ≥ 0.05 μg/mL.

Anti-1
GroupValue95% CI
Synflorix III Group0.090.08 – 0.11
Pooled Synflorix I+II Group0.270.23 – 0.33
Anti-4
GroupValue95% CI
Synflorix III Group0.050.04 – 0.06
Pooled Synflorix I+II Group0.20.17 – 0.23
Anti-5
GroupValue95% CI
Synflorix III Group0.10.09 – 0.11
Pooled Synflorix I+II Group0.410.36 – 0.47
Anti-6B
GroupValue95% CI
Synflorix III Group0.10.08 – 0.12
Pooled Synflorix I+II Group0.80.61 – 1.05
Anti-7F
GroupValue95% CI
Synflorix III Group0.060.05 – 0.07
Pooled Synflorix I+II Group0.480.41 – 0.56
Anti-9V
GroupValue95% CI
Synflorix III Group0.070.06 – 0.09
Pooled Synflorix I+II Group0.50.41 – 0.61
Anti-14
GroupValue95% CI
Synflorix III Group0.280.22 – 0.36
Pooled Synflorix I+II Group1.210.97 – 1.5
Anti-18C
GroupValue95% CI
Synflorix III Group0.090.07 – 0.11
Pooled Synflorix I+II Group0.650.54 – 0.79
Opsonophagocytic Activity (OPA) Titers Against Vaccine Pneumococcal Serotypes Secondary · Prior to (Day 0) and 7-10 days after the first vaccine dose

Seropositivity status was defined as the opsonophagocytic activity (OPA) against pneumococcal serotypes ≥ the value of 8, presented as geometric mean titers (GMTs). The vaccine pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Opsono-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F).

Opsono-1, D0
GroupValue95% CI
Synflorix III Group5.44.7 – 6.2
Pooled Synflorix I+II Group10.28 – 12.9
Opsono-1, D7-10
GroupValue95% CI
Synflorix III Group632524.4 – 761.7
Pooled Synflorix I+II Group3106.52670 – 3614.5
Opsono-4, D0
GroupValue95% CI
Synflorix III Group9.16.8 – 12.1
Pooled Synflorix I+II Group18.113.1 – 24.9
Opsono-4, D7-10
GroupValue95% CI
Synflorix III Group13109.911080.6 – 15510.7
Pooled Synflorix I+II Group27273.322682.9 – 32792.6
Opsono-5, D0
GroupValue95% CI
Synflorix III Group44 – 4.1
Pooled Synflorix I+II Group8.97.6 – 10.5
Opsono-5, D7-10
GroupValue95% CI
Synflorix III Group145.8111.7 – 190.3
Pooled Synflorix I+II Group1020874 – 1190.2
Opsono-6B, D0
GroupValue95% CI
Synflorix III Group46.729.8 – 73.3
Pooled Synflorix I+II Group163.5108.5 – 246.4
Opsono-6B, D7-10
GroupValue95% CI
Synflorix III Group1472.21053.2 – 2057.8
Pooled Synflorix I+II Group5789.54637.3 – 7227.9
Antibody Concentrations Against Vaccine Pneumococcal Cross-reactive Serotypes 6A and 19A Secondary · Prior to (Day 0) and 7-10 days after the first vaccine dose

The vaccine pneumococcal cross-reactive serotypes 6A and 19A have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in μg/mL. The seropositivity cut-off of the assay was an antibody concentration ≥ 0.05 μg/mL.

Anti-6A, D0
GroupValue95% CI
Synflorix III Group0.110.09 – 0.13
Pooled Synflorix I+II Group0.390.3 – 0.5
Anti-6A, D7-10
GroupValue95% CI
Synflorix III Group0.20.17 – 0.25
Pooled Synflorix I+II Group2.42.01 – 2.85
Anti-19A, D0
GroupValue95% CI
Synflorix III Group0.220.18 – 0.28
Pooled Synflorix I+II Group0.520.41 – 0.67
Anti-19A, D7-10
GroupValue95% CI
Synflorix III Group0.650.52 – 0.82
Pooled Synflorix I+II Group6.755.41 – 8.41
Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Cross-reactive Serotypes 6A and 19A Secondary · Prior to (Day 0) and 7-10 days after the first vaccine dose

Seropositivity status was defined as the opsonophagocytic activity against pneumococcal cross-reactive serotypes 6A and 19A (Opsono-16A and opsono-19A) ≥ the value of 8, presented as geometric mean titers (GMTs).

Opsono-6A, D0
GroupValue95% CI
Synflorix III Group4932.4 – 74
Pooled Synflorix I+II Group95.265.3 – 138.7
Opsono-6A, D7-10
GroupValue95% CI
Synflorix III Group863.3619.3 – 1203.4
Pooled Synflorix I+II Group2408.41815.7 – 3194.5
Opsono-19A, D0
GroupValue95% CI
Synflorix III Group10.37.9 – 13.4
Pooled Synflorix I+II Group15.911.7 – 21.6
Opsono-19A, D7-10
GroupValue95% CI
Synflorix III Group880.5622.7 – 1245
Pooled Synflorix I+II Group2104.91560.9 – 2838.7
Antibody Concentrations Against Protein D (Anti-PD) Secondary · Prior to (Day 0) and 7-10 days after the first vaccine dose

Anti-protein D (anti-PD) concentrations were presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off value of the assay was an antibody concentration ≥ 100 EL.U/mL.

Anti-PD, D0
GroupValue95% CI
Synflorix III Group105.693.8 – 119
Pooled Synflorix I+II Group464.2401.6 – 536.5
Anti-PD, D7-10
GroupValue95% CI
Synflorix III Group374.3315.1 – 444.6
Pooled Synflorix I+II Group2673.72359.1 – 3030.2
Memory B-cell Detection for Vaccine Polysaccharides (PS) Secondary · Prior to (Day 0) and 7-10 days after the first vaccine dose

B-cell detection for the pneumococcal serotype specific polysaccharides (1, 5, 6B, 18C, 19F, 23F and C) was tabulated for a subset of subjects from each group. The results are expressed as the frequencies of antigen-specific memory B-cells within the total memory B-cell population.

1 PS, D0
GroupValue95% CI
Synflorix I Group288.6± 352.5
Synflorix II Group269.5± 432.2
Synflorix III Group254.8± 368.4
1 PS, D7-10
GroupValue95% CI
Synflorix I Group1488.8± 1584.2
Synflorix II Group1017.4± 1309.9
Synflorix III Group755.9± 1017.4
5 PS, D0
GroupValue95% CI
Synflorix I Group139.4± 214.7
Synflorix II Group141.9± 232.4
Synflorix III Group81.5± 109.2
5 PS, D7-10
GroupValue95% CI
Synflorix I Group233.5± 235.7
Synflorix II Group406.6± 447.8
Synflorix III Group152.6± 231
6B PS, D0
GroupValue95% CI
Synflorix I Group372± 545.5
Synflorix II Group327.2± 554.4
Synflorix III Group639.9± 846.5
6B PS, D7-10
GroupValue95% CI
Synflorix I Group629.1± 773.2
Synflorix II Group1265.8± 1738.6
Synflorix III Group526± 648.6
18C PS, D0
GroupValue95% CI
Synflorix I Group537.7± 641.8
Synflorix II Group530.9± 693.8
Synflorix III Group135.2± 200.6
18C PS, D7-10
GroupValue95% CI
Synflorix I Group3839± 5960.5
Synflorix II Group8308.4± 7166.9
Synflorix III Group2053.8± 2122.2
Antibody Concentrations Against Vaccine Pneumococcal Serotypes Secondary · At Month 12, one month after the second vaccine dose

The vaccine pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F). Antibody concentrations were measured by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs), expressed in μg/mL. The seropositivity cut-off of the assay was an antibody concentration ≥ 0.05 μg/mL.

Anti-1
GroupValue95% CI
Synflorix III Group2.332.13 – 2.54
Anti-4
GroupValue95% CI
Synflorix III Group6.265.73 – 6.84
Anti-5
GroupValue95% CI
Synflorix III Group2.692.44 – 2.96
Anti-6B
GroupValue95% CI
Synflorix III Group0.840.73 – 0.97
Anti-7F
GroupValue95% CI
Synflorix III Group3.633.33 – 3.95
Anti-9V
GroupValue95% CI
Synflorix III Group1.731.56 – 1.93
Anti-14
GroupValue95% CI
Synflorix III Group5.214.6 – 5.89
Anti-18C
GroupValue95% CI
Synflorix III Group13.5911.91 – 15.51
Opsonophagocytic Activity (OPA) Titers Against Vaccine Pneumococcal Serotypes Secondary · At Month 12, one month after the second vaccine dose

Seropositivity status was defined as the opsonophagocytic activity (OPA) against pneumococcal serotypes ≥ the value of 8, presented as geometric mean titers (GMTs). The vaccine pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Opsono-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F).

Opsono-1
GroupValue95% CI
Synflorix III Group125.6105 – 150.1
Opsono-4
GroupValue95% CI
Synflorix III Group2451.22203.6 – 2726.8
Opsono-5
GroupValue95% CI
Synflorix III Group57.247.3 – 69.1
Opsono-6B
GroupValue95% CI
Synflorix III Group13451066.8 – 1695.7
Opsono-7F
GroupValue95% CI
Synflorix III Group6527.25836.5 – 7299.6
Opsono-9V
GroupValue95% CI
Synflorix III Group6091.65328.7 – 6963.8
Opsono-14
GroupValue95% CI
Synflorix III Group4544.94030.2 – 5125.4
Opsono-18C
GroupValue95% CI
Synflorix III Group3827.53367.5 – 4350.4
Antibody Concentrations Against Vaccine Pneumococcal Cross-reactive Serotypes 6A and 19A Secondary · At Month 12, one month after the second vaccine dose

The vaccine pneumococcal cross-reactive serotypes 6A and 19A have been assessed by 22F-inhibition ELISA, presented as geometric mean concentrations (GMCs) and expressed in μg/mL. The seropositivity cut-off of the assay was an antibody concentration ≥ 0.05 μg/mL.

Anti-6A
GroupValue95% CI
Synflorix III Group0.510.43 – 0.6
Anti-19A
GroupValue95% CI
Synflorix III Group1.991.68 – 2.36
Opsonophagocytic Activity (OPA) Titers Against Pneumococcal Cross-reactive Serotypes 6A and 19A Secondary · At Month 12, one month after the second vaccine dose

Seropositivity status was defined as the opsonophagocytic activity against pneumococcal cross-reactive serotypes 6A and 19A (opsono-16A and opsono-19A) ≥ the value of 8, presented as geometric mean titers (GMTs).

Opsono-6A
GroupValue95% CI
Synflorix III Group918.6742.7 – 1136.1
Opsono-19A
GroupValue95% CI
Synflorix III Group597.6467.2 – 764.4
Antibody Concentrations Against Protein D (Anti-PD) Secondary · At Month 12, one month after the second vaccine dose

Anti-protein D (anti-PD) concentrations were presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off value of the assay was an antibody concentration ≥ 100 EL.U/mL.

GroupValue95% CI
Synflorix III Group785.9695.7 – 887.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited symptoms: during the 4-day (Days 0-3) follow-up periods after vaccination. Unsolicited AEs: within the 31-day (Days 0-30) follow-up periods after vaccination. SAEs: during the entire study period (from Day 0 up to Month 10/12).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Synflorix I Group
Serious: 0/112 (0%)
Deaths: 0/112
Synflorix II Group
Serious: 0/108 (0%)
Deaths: 0/108
Synflorix III Group
Serious: 0/223 (0%)
Deaths: 0/223
Other adverse events (7 terms — click to expand)

ReactionSystemSynflorix I GroupSynflorix II GroupSynflorix III Group
PainGeneral disorders
RednessGeneral disorders
DrowsinessGeneral disorders
SwellingGeneral disorders
IrritabilityGeneral disorders
Loss of appetiteGeneral disorders
Fever/(Axillary)General disorders

Data from ClinicalTrials.gov NCT00950833 adverse events section.

Sponsor's own description

The objective of this study is to evaluate the immune memory through the administration of an additional dose of GSK Biologicals' pneumococcal conjugate vaccine GSK1024850A, the antibody persistence and long-term effect on nasopharyngeal carriage of S. pneumoniae and H. influenzae in subjects primed and boosted with GSK Biologicals' pneumococcal conjugate vaccine GSK1024850A in previous primary and booster studies. For subjects that did not receive the investigational vaccine during the primary and booster study, the objective is to evaluate immunogenicity, safety and reactogenicity of a 2-dose catch-up vaccination with GSK Biologicals' pneumococcal conjugate vaccine GSK1024850A. This protocol posting deals with objectives \& outcome measures of the extension phase. The objectives \& outcome measures of the primary phase are presented in a separate protocol posting (NCT00370318). The objectives \& outcome measures of the booster phase are presented in a separate protocol posting (NCT00496015).

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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