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NCT00985790

Immunogenicity and Safety Study of a GlaxoSmithKline Biologicals' Candidate Influenza Vaccine in Healthy Children

Completed Phase 2 Results posted Last updated 21 September 2018
What this trial tests

Phase 2 trial testing Influenza vaccine GSK2321138A in Influenza in 599 participants. Completed in 21 May 2010.

Timeline
8 October 2009
Primary endpoint
21 May 2010
21 May 2010

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment599
Start date8 October 2009
Primary completion21 May 2010
Estimated completion21 May 2010
Sites2 locations across Mexico

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 Months to 47 Months, any sex, with Influenza. 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.

Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the 3 Fluarix Vaccine Strains. Primary · At Day 0 [PRE] and at 28 days post last vaccination (Day 28 or Day 56) [POST]

Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 3 influenza strains assessed were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2) and Flu B/Brisbane/60/08 Victoria (VICT).The POST results were the primary outcome variables.

H1N1, PRE
GroupValue95% CI
GSK2321138A Group22.217.2 – 28.7
Fluarix Group21.616.7 – 28.0
H1N1, POST
GroupValue95% CI
GSK2321138A Group173.8141.4 – 213.5
Fluarix Group176.9143.3 – 218.5
H3N2, PRE
GroupValue95% CI
GSK2321138A Group18.614.9 – 23.2
Fluarix Group20.816.5 – 26.2
H3N2, POST
GroupValue95% CI
GSK2321138A Group120.7101.2 – 143.9
Fluarix Group130.4108.0 – 157.5
VICT, PRE
GroupValue95% CI
GSK2321138A Group8.77.3 – 10.2
Fluarix Group9.07.7 – 10.6
VICT, POST
GroupValue95% CI
GSK2321138A Group61.948.7 – 78.6
Fluarix Group66.652.4 – 84.7
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease. Secondary · At Days 0 and 28.

Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the primed groups.

H1N1. Day 0
GroupValue95% CI
GSK2321138A-Primed Group40.327.0 – 60.2
Fluarix-Primed Group36.524.3 – 54.9
H1N1. Day 28
GroupValue95% CI
GSK2321138A-Primed Group117.083.2 – 164.5
Fluarix-Primed Group124.489.8 – 172.4
H3N2, Day 0
GroupValue95% CI
GSK2321138A-Primed Group22.816.7 – 31.2
Fluarix-Primed Group21.716.0 – 29.5
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Primed Group85.264.8 – 112.0
Fluarix-Primed Group83.063.6 – 108.2
VICT, Day 0
GroupValue95% CI
GSK2321138A-Primed Group8.97.2 – 11.0
Fluarix-Primed Group9.77.7 – 12.4
VICT, Day 28
GroupValue95% CI
GSK2321138A-Primed Group38.726.2 – 57.1
Fluarix-Primed Group44.029.6 – 65.2
YAMA, Day 0
GroupValue95% CI
GSK2321138A-Primed Group29.323.0 – 37.4
Fluarix-Primed Group37.729.8 – 47.8
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Primed Group243.6198.1 – 299.6
Fluarix-Primed Group127.2106.1 – 152.3
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease. Secondary · At Days 0, 28 and Day 56

Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the unprimed groups.

H1N1, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group14.711.8 – 18.4
Fluarix-Unprimed Group12.810.5 – 15.7
H1N1, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group173.1113.1 – 264.8
Fluarix-Unprimed Group161.6103.9 – 251.4
H1N1, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group253.1203.4 – 314.8
Fluarix-Unprimed Group249.0192.5 – 321.9
H3N2, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group17.714.1 – 22.1
Fluarix-Unprimed Group17.914.1 – 22.6
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group99.364.8 – 152.2
Fluarix-Unprimed Group84.254.1 – 131.2
H3N2, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group168.1136.6 – 206.7
Fluarix-Unprimed Group202.1158.6 – 257.5
VICT, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group7.86.7 – 9.2
Fluarix-Unprimed Group8.77.5 – 10.3
VICT, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group26.517.7 – 39.7
Fluarix-Unprimed Group34.622.4 – 53.6
Number of Seropositive Subjects Against 4 Strains of Influenza Disease. Secondary · At Days 0 and 28

A seropositive subject was defined as a vaccinated subject with serum Hemagglutination Inhibition (HI) titer ≥ 1:10. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the primed groups.

H1N1, Day 0
GroupValue95% CI
GSK2321138A-Primed Group58
Fluarix-Primed Group54
H1N1, Day 28
GroupValue95% CI
GSK2321138A-Primed Group83
Fluarix-Primed Group87
H3N2, Day 0
GroupValue95% CI
GSK2321138A-Primed Group60
Fluarix-Primed Group59
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Primed Group88
Fluarix-Primed Group87
VICT, Day 0
GroupValue95% CI
GSK2321138A-Primed Group26
Fluarix-Primed Group28
VICT, Day 28
GroupValue95% CI
GSK2321138A-Primed Group62
Fluarix-Primed Group66
YAMA, Day 0
GroupValue95% CI
GSK2321138A-Primed Group73
Fluarix-Primed Group80
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Primed Group93
Fluarix-Primed Group94
Number of Seropositive Subjects Against 4 Strains of Influenza Disease. Secondary · At Days 0, 28 and 56

A seropositive subject was defined as a vaccinated subject with serum Hemagglutination Inhibition (HI) titer ≥ 1:10. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the unprimed groups.

H1N1, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group75
Fluarix-Unprimed Group71
H1N1, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group83
Fluarix-Unprimed Group84
H1N1, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group99
Fluarix-Unprimed Group96
H3N2, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group85
Fluarix-Unprimed Group82
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group74
Fluarix-Unprimed Group78
H3N2, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group99
Fluarix-Unprimed Group98
VICT, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group30
Fluarix-Unprimed Group42
VICT, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group51
Fluarix-Unprimed Group61
Number of Seroconverted Subjects Against 4 Strains of Influenza Disease. Secondary · At Day 28

A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the primed groups.

H1N1, Day 28
GroupValue95% CI
GSK2321138A-Primed Group30
Fluarix-Primed Group39
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Primed Group48
Fluarix-Primed Group46
VICT, Day 28
GroupValue95% CI
GSK2321138A-Primed Group46
Fluarix-Primed Group42
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Primed Group82
Fluarix-Primed Group40
Number of Seroconverted Subjects Against 4 Strains of Influenza Disease. Secondary · At Days 28 and 56

A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the unprimed groups.

H1N1, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group63
Fluarix-Unprimed Group74
H1N1, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group81
Fluarix-Unprimed Group89
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group55
Fluarix-Unprimed Group54
H3N2, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group79
Fluarix-Unprimed Group75
VICT, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group34
Fluarix-Unprimed Group40
VICT, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group77
Fluarix-Unprimed Group85
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group59
Fluarix-Unprimed Group40
YAMA, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group90
Fluarix-Unprimed Group42
Seroconversion Factor for Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease. Secondary · At Day 28

The seroconversion factor (SCF) was defined as the fold increase in serum Hemagglutination Inhibition (HI) geometric mean titers (GMTs) post vaccination compared to Day 0. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the primed groups.

H1N1, Day 28
GroupValue95% CI
GSK2321138A-Primed Group2.92.3 – 3.6
Fluarix-Primed Group3.42.7 – 4.2
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Primed Group3.73.1 – 4.5
Fluarix-Primed Group3.83.1 – 4.7
VICT, Day 28
GroupValue95% CI
GSK2321138A-Primed Group4.43.3 – 5.8
Fluarix-Primed Group4.53.4 – 6.0
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Primed Group8.36.8 – 10.1
Fluarix-Primed Group3.42.8 – 4.0
Seroconversion Factor for Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease. Secondary · At Days 28 and 56

The seroconversion factor (SCF) was defined as the fold increase in serum Hemagglutination Inhibition (HI) geometric mean titers (GMTs) post vaccination compared to Day 0. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the unprimed groups.

H1N1, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group9.97.0 – 14.1
Fluarix-Unprimed Group12.79.1 – 17.7
H1N1, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group19.815.4 – 25.6
Fluarix-Unprimed Group19.215.2 – 24.2
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group4.93.7 – 6.3
Fluarix-Unprimed Group5.13.9 – 6.7
H3N2, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group11.19.0 – 13.7
Fluarix-Unprimed Group10.38.3 – 12.9
VICT, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group3.62.7 – 5.0
Fluarix-Unprimed Group3.82.9 – 5.0
VICT, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group11.39.4 – 13.6
Fluarix-Unprimed Group12.19.8 – 14.8
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group9.96.9 – 14.0
Fluarix-Unprimed Group3.42.5 – 4.5
YAMA, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group35.127.6 – 44.6
Fluarix-Unprimed Group3.72.9 – 4.8
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease. Secondary · At Days 0 and 28

A seroprotected subject was defined as a vaccinated subject with serum Hemagglutination Inhibition (HI) titer ≥ 1:40. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the primed groups.

H1N1, Day 0
GroupValue95% CI
GSK2321138A-Primed Group48
Fluarix-Primed Group45
H1N1, Day 28
GroupValue95% CI
GSK2321138A-Primed Group73
Fluarix-Primed Group78
H3N2, Day 0
GroupValue95% CI
GSK2321138A-Primed Group39
Fluarix-Primed Group36
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Primed Group75
Fluarix-Primed Group80
VICT, Day 0
GroupValue95% CI
GSK2321138A-Primed Group16
Fluarix-Primed Group20
VICT, Day 28
GroupValue95% CI
GSK2321138A-Primed Group50
Fluarix-Primed Group52
YAMA, Day 0
GroupValue95% CI
GSK2321138A-Primed Group56
Fluarix-Primed Group62
YAMA, Day 28
GroupValue95% CI
GSK2321138A-Primed Group91
Fluarix-Primed Group90
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease. Secondary · At Days 0, 28 and 56

A seroprotected subject was defined as a vaccinated subject with serum Hemagglutination Inhibition (HI) titer ≥ 1:40. The 4 assessed influenza strains were the FLU A/Brisbane/59/07 (H1N1), Flu A/Uruguay/716/07 (H3N2), Flu B/Brisbane/60/08 Victoria (VICT) and Flu B/Brisbane/3/07 Yamagata (YAMA). This outcome only covers the results for the unprimed groups.

H1N1, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group58
Fluarix-Unprimed Group54
H1N1, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group76
Fluarix-Unprimed Group78
H1N1, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group95
Fluarix-Unprimed Group94
H3N2, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group74
Fluarix-Unprimed Group70
H3N2, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group64
Fluarix-Unprimed Group61
H3N2, Day 56
GroupValue95% CI
GSK2321138A-Unprimed Group96
Fluarix-Unprimed Group94
VICT, Day 0
GroupValue95% CI
GSK2321138A-Unprimed Group25
Fluarix-Unprimed Group35
VICT, Day 28
GroupValue95% CI
GSK2321138A-Unprimed Group36
Fluarix-Unprimed Group41
Number of Subjects With Any and Grade 3 Solicited Local Symptoms. Secondary · During the 7-day follow-up period (Days 0 to 6) after any vaccination

Assessed solicited local symptoms were pain, redness and swelling at the injection site. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

Any Pain
GroupValue95% CI
GSK2321138A Group125
Fluarix Group116
Grade 3 Pain
GroupValue95% CI
GSK2321138A Group4
Fluarix Group1
Any Redness
GroupValue95% CI
GSK2321138A Group31
Fluarix Group34
Redness >50 mm
GroupValue95% CI
GSK2321138A Group0
Fluarix Group0
Any Swelling
GroupValue95% CI
GSK2321138A Group27
Fluarix Group24
Swelling >50 mm
GroupValue95% CI
GSK2321138A Group0
Fluarix Group0

Adverse events — posted to ClinicalTrials.gov

Time frame: SAE(s): during the entire study period (Day 0 - Day 180); Unsolicited AE(s): during the 28-day follow-up period (Days 0 to 27) after any vaccination; Solicited local and general symptoms: during the 7-day (Days 0-6) follow-up period after any vaccination.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK2321138A Group
Serious: 0/298 (0%)
Deaths:
Fluarix Group
Serious: 2/301 (1%)
Deaths:

Serious adverse events (2 terms)

ReactionSystemGSK2321138A GroupFluarix Group
BronchopneumoniaInfections and infestations
UrticariaSkin and subcutaneous tissue disorders
Other adverse events (9 terms — click to expand)

ReactionSystemGSK2321138A GroupFluarix Group
PainGeneral disorders
IrritabilityGeneral disorders
Loss of appetiteGeneral disorders
TemperatureGeneral disorders
NasopharyngitisInfections and infestations
DrowsinessGeneral disorders
RednessGeneral disorders
SwellingGeneral disorders
PharyngitisInfections and infestations

Most-reported serious reactions: Bronchopneumonia, Urticaria.

Data from ClinicalTrials.gov NCT00985790 adverse events section.

Sponsor's own description

The purpose of the present study is to assess the immunogenicity and safety of vaccine GSK2321138A in children.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Immunogenicity and safety of inactivated quadrivalent and trivalent influenza vaccines in children 18-47 months of age.
    Rodriguez Weber MA, Claeys C, Aranza Doniz C, Feng Y, et al · · 2014 · cited 17× · PMID 25386965 · DOI 10.1097/inf.0000000000000463

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Other trials of Influenza vaccine GSK2321138A

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