Last reviewed · How we verify

NCT00985465

Immunization of Children Previously Primed With GSK Pneumococcal Vaccine GSK1024850A and of Unprimed Children in Mali

Completed Phase 3 Results posted Last updated 14 December 2018
What this trial tests

Phase 3 trial testing Pneumococcal vaccine GSK1024850A in Infections, Streptococcal in 218 participants. Completed in 26 July 2010.

Timeline
12 November 2009
Primary endpoint
26 June 2010
26 July 2010

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment218
Start date12 November 2009
Primary completion26 June 2010
Estimated completion26 July 2010
Sites1 location across Mali

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 15 Months to 21 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.

Number of Subjects With Grade 3 Adverse Events (Solicited and Unsolicited) Primary · Within 31 days (Day 0-Day 30) after booster vaccination

The incidence and nature of Grade 3 symptoms (solicited and unsolicited), reported during the 31-day (Days 0-30) post-vaccination are presented.

Any symptom
GroupValue95% CI
Synflorix Primed Group3
General symptoms
GroupValue95% CI
Synflorix Primed Group1
Local symptoms
GroupValue95% CI
Synflorix Primed Group2
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Secondary · Within 4 days (Day 0-Day 3) after the booster dose

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site.

Any Pain
GroupValue95% CI
Synflorix Primed Group40
Grade 3 Pain
GroupValue95% CI
Synflorix Primed Group0
Any Redness
GroupValue95% CI
Synflorix Primed Group17
Grade 3 Redness
GroupValue95% CI
Synflorix Primed Group2
Any Swelling
GroupValue95% CI
Synflorix Primed Group67
Grade 3 Swelling
GroupValue95% CI
Synflorix Primed Group0
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms Secondary · Within 4 days (Day 0-Day 3) after the booster dose

Assessed solicited general symptoms were drowsiness, fatigue, fever \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the symptom regardless of intensity grade. Grade 3 Drowsiness and Irritability = symptom that prevented normal activity. Grade 3 Loss of appetite = not eating at all. Grade 3 fever = fever \> 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination.

Any Drowsiness
GroupValue95% CI
Synflorix Primed Group0
Grade 3 Drowsiness
GroupValue95% CI
Synflorix Primed Group0
Related Drowsiness
GroupValue95% CI
Synflorix Primed Group0
Any Fever
GroupValue95% CI
Synflorix Primed Group34
Grade 3 Fever
GroupValue95% CI
Synflorix Primed Group0
Related Fever
GroupValue95% CI
Synflorix Primed Group31
Any Irritability
GroupValue95% CI
Synflorix Primed Group8
Grade 3 Irritability
GroupValue95% CI
Synflorix Primed Group0
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Secondary · Within 4 days (Day 0-Day 3) after each vaccine dose

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site.

Any Pain, Dose 1
GroupValue95% CI
Synflorix Unprimed Group22
Grade 3 Pain, Dose 1
GroupValue95% CI
Synflorix Unprimed Group0
Any Redness, Dose 1
GroupValue95% CI
Synflorix Unprimed Group6
Grade 3 Redness, Dose 1
GroupValue95% CI
Synflorix Unprimed Group0
Any Swelling, Dose 1
GroupValue95% CI
Synflorix Unprimed Group46
Grade 3 Swelling, Dose 1
GroupValue95% CI
Synflorix Unprimed Group1
Any Pain, Dose 2
GroupValue95% CI
Synflorix Unprimed Group7
Grade 3 Pain, Dose 2
GroupValue95% CI
Synflorix Unprimed Group0
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms Secondary · Within 4 days (Day 0-Day 3) after each vaccine dose

Assessed solicited general symptoms were drowsiness, fatigue, fever \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the symptom regardless of intensity grade. Grade 3 Drowsiness and Irritability = symptom that prevented normal activity. Grade 3 Loss of appetite = not eating at all. Grade 3 fever = fever \> 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination.

Any Drowsiness, Dose 1
GroupValue95% CI
Synflorix Unprimed Group1
Grade 3 Drowsiness, Dose 1
GroupValue95% CI
Synflorix Unprimed Group0
Related Drowsiness, Dose 1
GroupValue95% CI
Synflorix Unprimed Group1
Any Fever, Dose 1
GroupValue95% CI
Synflorix Unprimed Group21
Grade 3 Fever, Dose 1
GroupValue95% CI
Synflorix Unprimed Group0
Related Fever, Dose 1
GroupValue95% CI
Synflorix Unprimed Group19
Any Irritability, Dose 1
GroupValue95% CI
Synflorix Unprimed Group3
Grade 3 Irritability, Dose 1
GroupValue95% CI
Synflorix Unprimed Group0
Number of Subjects With Any Unsolicited Adverse Events (AEs) Secondary · Within 31 days (Day 0-Day 30) after each vaccine dose

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 was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

GroupValue95% CI
Synflorix Primed Group95
Synflorix Unprimed Group57
Number of Subjects With Serious Adverse Events (SAEs) Secondary · From the first vaccination up to one month (31 days) after the last vaccination for each subject

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 Primed Group0
Synflorix Unprimed Group0
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Secondary · Prior to (PRE) and one month after (POST) the booster immunization in the Synflorix Primed Group and prior to (PRE) the first dose and one month after (POST) the second dose of the catch-up vaccination in the Synflorix Unprimed Group

Vaccine pneumococcal serotypes assessed were serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F. Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per milliliter (μg/mL). Pneumococcal serotype specific total immunoglobuline G (IgG) antibodies were measured by 22F-inhibition Enzyme-linked immunosorbent assay (ELISA). The cut-off of the assay was ≥ 0.05 μg/mL.

Anti-1, PRE
GroupValue95% CI
Synflorix Primed Group0.280.23 – 0.35
Synflorix Unprimed Group0.040.03 – 0.05
Anti-1, POST
GroupValue95% CI
Synflorix Primed Group5.855.07 – 6.76
Synflorix Unprimed Group3.22.68 – 3.84
Anti-4, PRE
GroupValue95% CI
Synflorix Primed Group0.320.26 – 0.38
Synflorix Unprimed Group0.060.04 – 0.09
Anti-4, POST
GroupValue95% CI
Synflorix Primed Group10.449.31 – 11.71
Synflorix Unprimed Group6.545.47 – 7.82
Anti-5, PRE
GroupValue95% CI
Synflorix Primed Group0.370.32 – 0.43
Synflorix Unprimed Group0.040.03 – 0.05
Anti-5, POST
GroupValue95% CI
Synflorix Primed Group6.075.2 – 7.1
Synflorix Unprimed Group3.052.4 – 3.87
Anti-6B, PRE
GroupValue95% CI
Synflorix Primed Group0.660.55 – 0.8
Synflorix Unprimed Group0.030.03 – 0.04
Anti-6B, POST
GroupValue95% CI
Synflorix Primed Group4.443.69 – 5.33
Synflorix Unprimed Group0.780.57 – 1.08
Opsonophagocytic Activity Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F Secondary · Prior to (PRE) and one month after (POST) the booster immunization in the Synflorix Primed Group and prior to (PRE) the first dose and one month after (POST) the second dose of the catch-up vaccination in the Synflorix Unprimed Group

OPA titers against pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Opsono-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) were calculated, expressed as geometric mean titers (GMTs) and tabulated. The seropositivity cut-off for the assay was ≥ 8.

Opsono-1, PRE
GroupValue95% CI
Synflorix Primed Group9.37.3 – 11.8
Synflorix Unprimed Group5.84.3 – 7.8
Opsono-1, POST
GroupValue95% CI
Synflorix Primed Group661.7513.5 – 852.6
Synflorix Unprimed Group108.779.5 – 148.6
Opsono-4, PRE
GroupValue95% CI
Synflorix Primed Group2416.7 – 34.6
Synflorix Unprimed Group11.86.3 – 22.1
Opsono-4, POST
GroupValue95% CI
Synflorix Primed Group6541.75468.5 – 7825.6
Synflorix Unprimed Group2716.72149 – 3434.2
Opsono-5, PRE
GroupValue95% CI
Synflorix Primed Group97.4 – 10.9
Synflorix Unprimed Group4.33.7 – 5
Opsono-5, POST
GroupValue95% CI
Synflorix Primed Group340.5272.2 – 426
Synflorix Unprimed Group71.951.8 – 99.7
Opsono-6B, PRE
GroupValue95% CI
Synflorix Primed Group82.650.5 – 135.1
Synflorix Unprimed Group38.716.2 – 92
Opsono-6B, POST
GroupValue95% CI
Synflorix Primed Group17291361.9 – 2194.9
Synflorix Unprimed Group1202.9701.3 – 2063
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes 6A and 19A Secondary · Prior to (PRE) and one month after (POST) the booster immunization in the Synflorix Primed Group and prior to (PRE) the first dose and one month after (POST) the second dose of the catch-up vaccination in the Synflorix Unprimed Group

Cross-reactive pneumococcal serotypes assessed were serotypes 6A and 19A. Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per milliliter (μg/mL). The antibody concentrations against the cross-reactive pneumococcal serotypes 6A and 19A were determined by 22F-inhibition Enzyme-linked immunosorbent assay (ELISA). The cut-off of the assay was ≥ 0.05 μg/mL.

Anti-6A, PRE
GroupValue95% CI
Synflorix Primed Group0.130.11 – 0.17
Synflorix Unprimed Group0.040.03 – 0.05
Anti-6A, POST
GroupValue95% CI
Synflorix Primed Group0.550.42 – 0.73
Synflorix Unprimed Group0.10.07 – 0.14
Anti-19A, PRE
GroupValue95% CI
Synflorix Primed Group0.160.13 – 0.22
Synflorix Unprimed Group0.060.04 – 0.09
Anti-19A, POST
GroupValue95% CI
Synflorix Primed Group1.130.83 – 1.53
Synflorix Unprimed Group1.360.91 – 2.03
Opsonophagocytic Activity Against Cross-reactive Pneumococcal Serotypes 6A and 19A Secondary · Prior to (PRE) and one month after (POST) the booster immunization in the Synflorix Primed Group and prior to (PRE) the first dose and one month after (POST) the second dose of the catch-up vaccination in the Synflorix Unprimed Group

OPA titers against pneumococcal serotypes 6A and 19A (Opsono-6A and Opsono-19A) were calculated, expressed as geometric mean titers (GMTs) and tabulated. The seropositivity cut-off for the assay was ≥ 8.

Opsono-6A, PRE
GroupValue95% CI
Synflorix Primed Group18.712.2 – 28.6
Synflorix Unprimed Group2412.5 – 46.3
Opsono-6A, POST
GroupValue95% CI
Synflorix Primed Group100.760.4 – 168
Synflorix Unprimed Group106.346.3 – 244
Opsono-19A, PRE
GroupValue95% CI
Synflorix Primed Group6.25.1 – 7.6
Synflorix Unprimed Group5.94.2 – 8.3
Opsono-19A, POST
GroupValue95% CI
Synflorix Primed Group91.560.4 – 138.5
Synflorix Unprimed Group171.294.2 – 311.3
Concentrations of Antibodies Against Protein D (PD) Secondary · Prior to (PRE) and one month after (POST) the booster immunization in the Synflorix Primed Group and prior to (PRE) the first dose and one month after (POST) the second dose of the catch-up vaccination in the Synflorix Unprimed Group

Concentrations of antibodies against protein D (PD) were determined by ELISA assay. Concentrations were expressed as geometric mean concentrations (GMCs) in ELISA units per milliliter (EL.U/mL). Concentration of specific PD antibodies was determined, using a standard reference serum. The cut-off of the assay is ≥ 100 ELISA units per milliliter (EL.U/mL).

Anti-PD, PRE
GroupValue95% CI
Synflorix Primed Group301.1257.7 – 351.8
Synflorix Unprimed Group62.154.9 – 70.3
Anti-PD, POST
GroupValue95% CI
Synflorix Primed Group3710.13109 – 4427.4
Synflorix Unprimed Group839.3643.5 – 1094.6

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited AEs: within 4 days (Day 0-Day 3) after each vaccine dose; Unsolicited AEs: within 31 days (Day 0-Day 30) after each vaccine dose; SAEs: from the first vaccination up to one month (31 days) after the last vaccination for each subject.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Synflorix Primed Group
Serious: 0/141 (0%)
Deaths:
Synflorix Unprimed Group
Serious: 0/69 (0%)
Deaths:
Other adverse events (13 terms — click to expand)

ReactionSystemSynflorix Primed GroupSynflorix Unprimed Group
SwellingGeneral disorders
PainGeneral disorders
Allergic bronchitisRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
RhinitisInfections and infestations
ErythemaSkin and subcutaneous tissue disorders
GastroenteritisInfections and infestations
Injection site indurationGeneral disorders
Skin infectionInfections and infestations
EnteritisGastrointestinal disorders
IrritabilityPsychiatric disorders
WoundInjury, poisoning and procedural complications
CircumcisionSurgical and medical procedures

Data from ClinicalTrials.gov NCT00985465 adverse events section.

Sponsor's own description

The purpose of this trial is to assess the safety, reactogenicity and immunogenicity of GSK Biologicals' pneumococcal conjugate vaccine GSK1024850A when administered either as a booster dose or as a two dose catch-up vaccination in the second year of life to the Malian subjects previously enrolled in the primary vaccination study NCT00678301. This protocol posting deals with objectives \& outcome measures of the booster phase. The objectives \& outcome measures of the primary phase are presented in a separate protocol posting (NCT number = NCT00678301).

Publications & conference data

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

  1. Safety, reactogenicity and immunogenicity of a booster dose of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in Malian children.
    Dicko A, Santara G, Mahamar A, Sidibe Y, et al · · 2013 · cited 8× · PMID 23291945 · DOI 10.4161/hv.22692
  2. Safety and immunogenicity of 10-valent pneumococcal nontypeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in Nigerian children: Booster dose and 2-dose catch-up regimens in the second year of life.
    Odusanya OO, Kuyinu YA, Kehinde OA, Shafi F, et al · · 2014 · cited 7× · PMID 24356787 · DOI 10.4161/hv.27276
  3. Safety, reactogenicity and immunogenicity of 2-dose catch-up vaccination with 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in Malian children in the second year of life: Results from an open study.
    Dicko A, Dicko Y, Barry A, Sidibe Y, et al · · 2015 · cited 1× · PMID 26020101 · DOI 10.1080/21645515.2015.1016679

Verify or expand the search:

Other trials of Pneumococcal vaccine GSK1024850A

Trials testing the same drug.

Other GlaxoSmithKline trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00985465.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing