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NCT01086423

Immunogenicity and Safety Study of GSK Biologicals' Infanrix-IPV+Hib™ Vaccine

Completed Phase 3 Results posted Last updated 6 June 2018
What this trial tests

Phase 3 trial testing Infanrix-IPV/Hib™ in Tetanus in 985 participants. Completed in 19 November 2010.

Timeline
1 March 2010
Primary endpoint
19 November 2010
19 November 2010

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment985
Start date1 March 2010
Primary completion19 November 2010
Estimated completion19 November 2010
Sites2 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 60 Days to 90 Days, any sex, with Tetanus or Poliomyelitis. 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 Seroprotected Subjects Against Diphtheria (D) and Tetanus (T) Antigens Primary · One month after the third vaccine dose (Month 3 or Month 4)

A seroprotected subject was defined as a subject with anti-D and anti-T antibody concentrations greater than or equal to (≥) 0.1 international units per milliliter (IU/mL).

Anti-D
GroupValue95% CI
Infanrix-IPV+Hib 1 Group146
Infanrix-IPV+Hib 2 Group156
Infanrix-Hib+Poliorix Group147
Anti-T
GroupValue95% CI
Infanrix-IPV+Hib 1 Group147
Infanrix-IPV+Hib 2 Group156
Infanrix-Hib+Poliorix Group147
Number of Seroprotected Subjects Against Polyribosyl-ribitol-phosphate (PRP) Antigen Primary · One month after the third vaccine dose (Month 3 or Month 4)

A seroprotected subject was defined as a subject with anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (μg/mL).

GroupValue95% CI
Infanrix-IPV+Hib 1 Group142
Infanrix-IPV+Hib 2 Group155
Infanrix-Hib+Poliorix Group133
Number of Seroprotected Subjects Against Poliovirus Types 1, 2 and 3 Antigens Primary · One month after the third vaccine dose (Month 3 or Month 4)

A seroprotected subject was defined as a subject with anti-poliovirus (anti-polio) types 1, 2 and 3 antibody titres ≥ the value of 8.

Anti-polio 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group147
Infanrix-IPV+Hib 2 Group157
Infanrix-Hib+Poliorix Group150
Anti-polio 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group147
Infanrix-IPV+Hib 2 Group157
Infanrix-Hib+Poliorix Group150
Anti-polio 3
GroupValue95% CI
Infanrix-IPV+Hib 1 Group147
Infanrix-IPV+Hib 2 Group157
Infanrix-Hib+Poliorix Group150
Number of Subjects With a Vaccine Response to Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN) Antigens Primary · One month after the third vaccine dose (Month 3 or Month 4)

Vaccine response was defined as: For PT and FHA response, antibody concentration ≥ 20 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL) at post-vaccination. For PRN response: for initially seronegative subjects \[antibody concentration lower than (\<) 5 EL.U/mL\], post-vaccination antibody concentration ≥ 20 EL.U/mL; for initially seropositive subjects (antibody concentration ≥ 5 EL.U/mL), at least a 4-fold increase in antibody concentration from pre to post-vaccination.

Anti-PT
GroupValue95% CI
Infanrix-IPV+Hib 1 Group147
Infanrix-IPV+Hib 2 Group155
Infanrix-Hib+Poliorix Group147
Anti-FHA
GroupValue95% CI
Infanrix-IPV+Hib 1 Group147
Infanrix-IPV+Hib 2 Group155
Infanrix-Hib+Poliorix Group144
Anti-PRN
GroupValue95% CI
Infanrix-IPV+Hib 1 Group145
Infanrix-IPV+Hib 2 Group156
Infanrix-Hib+Poliorix Group145
Anti-D and Anti-T Antibody Concentrations Secondary · Before the first dose (Month 0) and one month after the third dose of vaccination (Month 3 or Month 4)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in IU/mL.

Anti-D, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group0.0520.05 – 0.053
Infanrix-IPV+Hib 2 Group0.0510.05 – 0.052
Infanrix-Hib+Poliorix Group0.0510.049 – 0.052
Anti-D, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group0.7190.661 – 0.782
Infanrix-IPV+Hib 2 Group0.7530.699 – 0.812
Infanrix-Hib+Poliorix Group0.6130.565 – 0.666
Anti-T, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group0.0510.05 – 0.052
Infanrix-IPV+Hib 2 Group0.0520.05 – 0.054
Infanrix-Hib+Poliorix Group0.050.05 – 0.05
Anti-T, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group4.1183.779 – 4.488
Infanrix-IPV+Hib 2 Group4.1243.796 – 4.479
Infanrix-Hib+Poliorix Group3.6183.339 – 3.921
Anti-PRP Antibody Concentrations Secondary · Before the first dose (Month 0) and one month after the third dose of study vaccine (Month 3 or Month 4)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in µg/mL.

Anti-PRP, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group0.1270.104 – 0.154
Infanrix-IPV+Hib 2 Group0.1350.112 – 0.163
Infanrix-Hib+Poliorix Group0.150.122 – 0.185
Anti-PRP, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group5.6014.676 – 6.709
Infanrix-IPV+Hib 2 Group9.3968.032 – 10.992
Infanrix-Hib+Poliorix Group2.8262.235 – 3.572
Anti-polio Types 1, 2 and 3 Antibody Titers Secondary · Before the first dose (Month 0) and one month after the third dose of study vaccine (Month 3 or Month 4)

Antibody titers were presented as geometric mean titers (GMTs).

Anti-polio 1, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group9.47.7 – 11.5
Infanrix-IPV+Hib 2 Group7.16.2 – 8.2
Infanrix-Hib+Poliorix Group9.27.7 – 11
Anti-polio 1, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group1143.7952.7 – 1372.9
Infanrix-IPV+Hib 2 Group1328.91137.6 – 1552.4
Infanrix-Hib+Poliorix Group533.6469.5 – 606.4
Anti-polio 2, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group6.35.5 – 7.2
Infanrix-IPV+Hib 2 Group54.6 – 5.5
Infanrix-Hib+Poliorix Group6.96 – 8
Anti-polio 2, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group416.2344.5 – 502.8
Infanrix-IPV+Hib 2 Group458.6385.6 – 545.5
Infanrix-Hib+Poliorix Group186.4160.4 – 216.5
Anti-polio 3, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group5.85 – 6.8
Infanrix-IPV+Hib 2 Group4.94.3 – 5.6
Infanrix-Hib+Poliorix Group5.75.1 – 6.4
Anti-polio 3, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group1478.81210.6 – 1806.5
Infanrix-IPV+Hib 2 Group1411.61175.3 – 1695.3
Infanrix-Hib+Poliorix Group820.7820.7 – 964.4
Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations Secondary · Before (Month 0) and one month after the third dose of study vaccine (Month 3 or Month 4)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in EL.U/mL.

Anti-PT, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group2.92.8 – 3.1
Infanrix-IPV+Hib 2 Group2.72.6 – 2.8
Infanrix-Hib+Poliorix Group2.82.6 – 2.9
Anti-PT, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group108.799.2 – 119.1
Infanrix-IPV+Hib 2 Group114.7105.4 – 124.8
Infanrix-Hib+Poliorix Group97.188.3 – 106.8
Anti-FHA, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group2.92.7 – 3.1
Infanrix-IPV+Hib 2 Group2.62.5 – 2.7
Infanrix-Hib+Poliorix Group2.92.7 – 3.1
Anti-FHA, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group87.779.9 – 96.3
Infanrix-IPV+Hib 2 Group87.679.6 – 96.4
Infanrix-Hib+Poliorix Group76.368.5 – 85
Anti-PRN, M0
GroupValue95% CI
Infanrix-IPV+Hib 1 Group2.62.5 – 2.7
Infanrix-IPV+Hib 2 Group2.62.5 – 2.6
Infanrix-Hib+Poliorix Group2.52.5 – 2.6
Anti-PRN, M3/M4
GroupValue95% CI
Infanrix-IPV+Hib 1 Group44.842 – 47.9
Infanrix-IPV+Hib 2 Group43.741.3 – 46.3
Infanrix-Hib+Poliorix Group43.239.8 – 47
Number of Subjects With Any Solicited Local Symptoms Secondary · During the 4-day (Days 0-3) post-vaccination period after each vaccine dose and across doses

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.

Any Pain, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group65
Infanrix-IPV+Hib 2 Group64
Infanrix-Hib+Poliorix Group83
Any Redness, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group16
Infanrix-IPV+Hib 2 Group19
Infanrix-Hib+Poliorix Group15
Any Swelling, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group8
Infanrix-IPV+Hib 2 Group9
Infanrix-Hib+Poliorix Group9
Any Pain, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group43
Infanrix-IPV+Hib 2 Group50
Infanrix-Hib+Poliorix Group58
Any Redness, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group14
Infanrix-IPV+Hib 2 Group19
Infanrix-Hib+Poliorix Group13
Any Swelling, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group6
Infanrix-IPV+Hib 2 Group8
Infanrix-Hib+Poliorix Group8
Any Pain, Dose 3
GroupValue95% CI
Infanrix-IPV+Hib 1 Group39
Infanrix-IPV+Hib 2 Group41
Infanrix-Hib+Poliorix Group39
Any Redness, Dose 3
GroupValue95% CI
Infanrix-IPV+Hib 1 Group10
Infanrix-IPV+Hib 2 Group11
Infanrix-Hib+Poliorix Group8
Number of Subjects With Any Solicited General Symptoms Secondary · During the 4-day (Days 0-3) post-vaccination period after each vaccine dose and across doses

Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and fever \[defined as axillary temperature equal to or above 37.0 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade or relationship to study vaccination.

Any Drowsiness, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group95
Infanrix-IPV+Hib 2 Group80
Infanrix-Hib+Poliorix Group69
Any Irritability, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group123
Infanrix-IPV+Hib 2 Group120
Infanrix-Hib+Poliorix Group116
Any Loss of appetite, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group77
Infanrix-IPV+Hib 2 Group86
Infanrix-Hib+Poliorix Group76
Any Fever/Axillary, Dose 1
GroupValue95% CI
Infanrix-IPV+Hib 1 Group137
Infanrix-IPV+Hib 2 Group152
Infanrix-Hib+Poliorix Group103
Any Drowsiness, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group53
Infanrix-IPV+Hib 2 Group47
Infanrix-Hib+Poliorix Group53
Any Irritability, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group96
Infanrix-IPV+Hib 2 Group100
Infanrix-Hib+Poliorix Group103
Any Loss of appetite, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group69
Infanrix-IPV+Hib 2 Group72
Infanrix-Hib+Poliorix Group59
Any Fever/Axillary, Dose 2
GroupValue95% CI
Infanrix-IPV+Hib 1 Group131
Infanrix-IPV+Hib 2 Group144
Infanrix-Hib+Poliorix Group102
Number of Subjects With Unsolicited Adverse Events (AEs) Secondary · During the 31-day (Days 0-30) post-vaccination period after any 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
Infanrix-IPV+Hib 1 Group98
Infanrix-IPV+Hib 2 Group114
Infanrix-Hib+Poliorix Group110
Number of Subjects With Serious Adverse Events (SAEs) Secondary · During the entire study period (from Month 0 to Month 4/5)

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
Infanrix-IPV+Hib 1 Group6
Infanrix-IPV+Hib 2 Group3
Infanrix-Hib+Poliorix Group4

Adverse events — posted to ClinicalTrials.gov

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

Infanrix-IPV+Hib 1 Group
Serious: 6/330 (2%)
Deaths: 1/330
Infanrix-IPV+Hib 2 Group
Serious: 3/324 (1%)
Deaths: 0/324
Infanrix-Hib+Poliorix Group
Serious: 4/330 (1%)
Deaths: 0/330

Serious adverse events (10 terms)

ReactionSystemInfanrix-IPV+Hib 1 GroupInfanrix-IPV+Hib 2 GroupInfanrix-Hib+Poliorix Group
BronchopneumoniaInfections and infestations
BronchitisInfections and infestations
EnteritisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Hepatitis neonatalHepatobiliary disorders
HypokalaemiaMetabolism and nutrition disorders
MalnutritionMetabolism and nutrition disorders
PharyngitisInfections and infestations
PneumoniaInfections and infestations
Septic shockInfections and infestations
Other adverse events (10 terms — click to expand)

ReactionSystemInfanrix-IPV+Hib 1 GroupInfanrix-IPV+Hib 2 GroupInfanrix-Hib+Poliorix Group
Fever (Axillary)General disorders
IrritabilityGeneral disorders
Loss of appetiteGeneral disorders
DrowsinessGeneral disorders
PainGeneral disorders
NasopharyngitisGeneral disorders
RednessGeneral disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
SwellingGeneral disorders

Most-reported serious reactions: Bronchopneumonia, Bronchitis, Enteritis, Diarrhoea, Hepatitis neonatal, Hypokalaemia, Malnutrition, Pharyngitis.

Data from ClinicalTrials.gov NCT01086423 adverse events section.

Sponsor's own description

The purpose of the study is to evaluate the immunogenicity and reactogenicity of Infanrix-IPV/Hib™ vaccine when administered to healthy Chinese infants at 2, 3 and 4 or 3, 4 and 5 months of age.

Publications & conference data

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

  1. Safety, immunogenicity and persistence of immune response to the combined diphtheria, tetanus, acellular pertussis, poliovirus and Haemophilus influenzae type b conjugate vaccine (DTPa-IPV/Hib) administered in Chinese infants.
    Li Y, Li RC, Ye Q, Li C, et al · · 2017 · cited 12× · PMID 27768515 · DOI 10.1080/21645515.2016.1239670

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