Trial Outcomes & Findings for Immunological Persistence After Priming With GSK1024850A Vaccine and Safety& Immunogenicity After Booster Dose (NCT NCT01119625)

NCT ID: NCT01119625

Last Updated: 2018-09-20

Results Overview

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 millilitre (µg/mL). Pneumococcal serotype specific total imunoglobuline G (IgG) antibodies were measured by 22F-inhibition Enzyme-linked immunosorbent assay (ELISA). The cut-off of the assay was 0.05 µg/mL.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

238 participants

Primary outcome timeframe

Before booster vaccination at Month 0

Results posted on

2018-09-20

Participant Flow

This booster study was conducted in Singapore only wheras the primary vaccination phase (NCT00808444) was conducted in Singapore and Malaysia.

Participant milestones

Participant milestones
Measure
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Overall Study
STARTED
118
120
Overall Study
COMPLETED
115
116
Overall Study
NOT COMPLETED
3
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Overall Study
Lost to Follow-up
1
2
Overall Study
Withdrawal by Subject
2
1
Overall Study
Other
0
1

Baseline Characteristics

Immunological Persistence After Priming With GSK1024850A Vaccine and Safety& Immunogenicity After Booster Dose

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=118 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=120 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Total
n=238 Participants
Total of all reporting groups
Age, Continuous
18.8 Months
STANDARD_DEVIATION 0.84 • n=5 Participants
18.9 Months
STANDARD_DEVIATION 0.87 • n=7 Participants
18.9 Months
STANDARD_DEVIATION 0.86 • n=5 Participants
Sex: Female, Male
Female
62 Participants
n=5 Participants
49 Participants
n=7 Participants
111 Participants
n=5 Participants
Sex: Female, Male
Male
56 Participants
n=5 Participants
71 Participants
n=7 Participants
127 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

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 millilitre (µg/mL). Pneumococcal serotype specific total imunoglobuline G (IgG) antibodies were measured by 22F-inhibition Enzyme-linked immunosorbent assay (ELISA). The cut-off of the assay was 0.05 µg/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=112 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=111 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-1 [Pre-booster]
0.35 µg/mL
Interval 0.3 to 0.41
0.48 µg/mL
Interval 0.4 to 0.57
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-4 [Pre-booster]
0.48 µg/mL
Interval 0.4 to 0.58
0.56 µg/mL
Interval 0.48 to 0.67
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-5 [Pre-booster]
0.54 µg/mL
Interval 0.47 to 0.63
0.76 µg/mL
Interval 0.65 to 0.89
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-6B [Pre-booster]
0.32 µg/mL
Interval 0.25 to 0.41
0.34 µg/mL
Interval 0.29 to 0.4
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-7F [Pre-booster]
0.91 µg/mL
Interval 0.78 to 1.07
0.88 µg/mL
Interval 0.75 to 1.03
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-9V [Pre-booster]
0.73 µg/mL
Interval 0.62 to 0.85
0.90 µg/mL
Interval 0.77 to 1.06
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-14 [Pre-booster]
0.91 µg/mL
Interval 0.75 to 1.11
1.06 µg/mL
Interval 0.86 to 1.31
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-18C [Pre-booster]
0.78 µg/mL
Interval 0.65 to 0.93
0.83 µg/mL
Interval 0.69 to 1.01
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-19F [Pre-booster]
0.96 µg/mL
Interval 0.82 to 1.13
1.10 µg/mL
Interval 0.87 to 1.4
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-23F [Pre-booster]
0.47 µg/mL
Interval 0.38 to 0.58
0.66 µg/mL
Interval 0.51 to 0.84

PRIMARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

Anti-PD antibodies were determined using an ELISA assay. Concentration of specific PD antibodies was determined, using a standard reference serum. The cut-off of the assay is 100 ELISA units per millilitre (EU/mL).

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=118 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=116 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Protein D (PD).
619.7 EU/mL
Interval 530.1 to 724.3
801.6 EU/mL
Interval 693.1 to 927.1

SECONDARY outcome

Timeframe: Within 4 days (Days 0-3) after booster vaccination.

Population: The analysis of safety was performed on the Total vaccinated cohort which included all subjects with booster dose administration documented. The analysis of the solicited symptoms based on the Total Vaccinated cohort included subjects with documented safety data.

Solicited AEs = AEs to be recorded as endpoints in the clinical study. The presence/occurrence/intensity of these events is actively solicited from the subject or an observer during a specified post-vaccination follow-up period. Solicited local symptoms assessed were pain, redness and swelling. Any = occurrence of any local symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling above 30 millimetre (mm).

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=117 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=117 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs).
Any swelling
49 Participants
45 Participants
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs).
Any pain
70 Participants
61 Participants
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs).
Grade 3 pain
13 Participants
8 Participants
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs).
Any redness
61 Participants
66 Participants
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs).
Grade 3 redness
0 Participants
0 Participants
Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs).
Grade 3 swelling
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Within 4 days (Days 0-3) after booster vaccination.

Population: The analysis of safety was performed on the Total vaccinated cohort which included all subjects with booster dose administration documented. The analysis of the solicited symptoms based on the Total Vaccinated cohort included subjects with documented safety data.

Solicited general symptoms assessed were drowsiness, irritability, loss of appetite and fever (= axillary temperature equal to or above 37.5 degrees Celsius (°C)). Any= occurrence of any general symptom regardless of intensity grade or relationship to vaccination Grade 3 drowsiness = drowsiness which prevented normal activity. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Grade 3 fever = temperature \>39.5°C. Related = solicited symptom assessed by the investigator as causally related to study vaccination.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=117 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=117 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Grade 3 drowsiness
2 Participants
2 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Related drowsiness
48 Participants
38 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Fever >= 37.5°C
75 Participants
56 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Fever > 39.5°C
1 Participants
1 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Related fever
72 Participants
55 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Any irritability
67 Participants
51 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Grade 3 irritability
5 Participants
3 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Related irritability
67 Participants
50 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Grade 3 loss of appetite
1 Participants
1 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Any drowsiness
49 Participants
38 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Any loss of appetite
49 Participants
42 Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs).
Related loss of appetite
47 Participants
41 Participants

SECONDARY outcome

Timeframe: Within 31 days (Days 0-30) after booster vaccination

Population: The analysis of safety was performed on the Total vaccinated cohort which included all subjects with booster dose administration documented.

Unsolicited AEs = Any AE (i.e. any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product) reported in addition to those solicited during the clinical study. Also any "solicited" symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=120 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=118 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Number of Subjects Reporting Unsolicited Adverse Events (AEs).
25 Participants
18 Participants

SECONDARY outcome

Timeframe: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1

Population: The analysis of safety was performed on the Total vaccinated cohort which included all subjects with booster dose administration documented.

SAEs assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization, results in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subjects.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=120 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=118 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Number of Subjects Reporting Serious Adverse Events (SAEs).
4 Participants
0 Participants

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Opsonophagocytic activity (OPA) testing was not performed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Opsonophagocytic activity (OPA) testing was not performed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

Cross-reactive pneumococcal serotypes assessed were serotypes 6A and 19A. Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per millilitre (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.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=111 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=112 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes.
Anti-6A [pre-booster]
0.21 µg/mL
Interval 0.16 to 0.26
0.23 µg/mL
Interval 0.18 to 0.28
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes.
Anti-19A [pre-booster]
0.19 µg/mL
Interval 0.15 to 0.24
0.18 µg/mL
Interval 0.14 to 0.22

SECONDARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

Concentrations were expressed as geometric mean concentrations (GMCs) in International units per millilitre (IU/mL). The cut-off of the assay was 0.1 IU/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=49 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=43 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Diphtheria and Tetanus.
Anti-diphtheria [pre-booster]
0.30 IU/mL
Interval 0.24 to 0.39
0.32 IU/mL
Interval 0.25 to 0.39
Concentrations of Antibodies Against Diphtheria and Tetanus.
Anti-tetanus [pre-booster]
0.47 IU/mL
Interval 0.38 to 0.59
0.51 IU/mL
Interval 0.43 to 0.61

SECONDARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

Concentrations were expressed as geometric mean concentrations (GMCs) in ELISA units per millilitre (EU/mL). The cut-off of the assay was 5 EU/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=47 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=42 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-PT [pre-booster]
6.5 EU/mL
Interval 4.7 to 8.9
5.7 EU/mL
Interval 4.5 to 7.2
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-FHA [pre-booster]
29.2 EU/mL
Interval 21.5 to 39.6
19.5 EU/mL
Interval 15.1 to 25.3
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-PRN [pre-booster]
15.1 EU/mL
Interval 11.1 to 20.5
14.8 EU/mL
Interval 10.7 to 20.6

SECONDARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per millilitre (µg/mL). The cut-off of the assay was 0.15 µg/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=57 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=52 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Polyribosyl-ribitol Phosphate (PRP).
0.85 µg/mL
Interval 0.65 to 1.11
0.68 µg/mL
Interval 0.5 to 0.92

SECONDARY outcome

Timeframe: Before booster vaccination at Month 0

Population: The analysis was performed on the According-To-Protocol cohort for analysis of antibody persistence which included subjects primed in the primary study (NCT00808444) and for whom assay results were available for antibodies against at least 1 vaccine antigen component for the blood sampling taken before the administration of the booster dose.

Titers were expresses as geometric mean titers (GMTs). The cut-off of the assay was 8.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=25 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=29 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 1 [pre-booster]
32.8 Titers
Interval 19.1 to 56.3
40.7 Titers
Interval 23.2 to 71.3
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 2 [pre-booster]
34.9 Titers
Interval 18.8 to 64.7
38.7 Titers
Interval 26.5 to 56.7
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 3 [pre-booster]
43.3 Titers
Interval 24.0 to 78.0
40.7 Titers
Interval 24.4 to 67.8

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

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 millilitre (µg/mL). Pneumococcal serotype specific total imunoglobuline G (IgG) antibodies were measured by 22F-inhibition Enzyme-linked immunosorbent assay (ELISA). The cut-off of the assay was 0.05 µg/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=111 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=109 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-23F [post-booster]
6.83 µg/mL
Interval 5.77 to 8.07
7.19 µg/mL
Interval 5.94 to 8.71
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-1 [pre-booster]
0.35 µg/mL
Interval 0.3 to 0.41
0.48 µg/mL
Interval 0.4 to 0.57
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-1 [post-booster]
6.29 µg/mL
Interval 5.38 to 7.35
7.14 µg/mL
Interval 6.12 to 8.32
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-4 [pre-booster]
0.48 µg/mL
Interval 0.4 to 0.58
0.56 µg/mL
Interval 0.47 to 0.67
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-4 [post-booster]
7.43 µg/mL
Interval 6.33 to 8.71
7.53 µg/mL
Interval 6.44 to 8.8
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-5 [pre-booster]
0.54 µg/mL
Interval 0.46 to 0.62
0.77 µg/mL
Interval 0.65 to 0.9
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-5 [post-booster]
7.16 µg/mL
Interval 6.25 to 8.2
7.91 µg/mL
Interval 6.91 to 9.06
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-6B [pre-booster]
0.32 µg/mL
Interval 0.25 to 0.41
0.34 µg/mL
Interval 0.29 to 0.4
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-6B [post-booster]
3.12 µg/mL
Interval 2.59 to 3.76
3.30 µg/mL
Interval 2.85 to 3.81
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-7F [pre-booster]
0.93 µg/mL
Interval 0.8 to 1.08
0.88 µg/mL
Interval 0.75 to 1.04
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-7F [post-booster]
9.25 µg/mL
Interval 8.04 to 10.64
9.02 µg/mL
Interval 7.77 to 10.47
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-9V [pre-booster]
0.72 µg/mL
Interval 0.62 to 0.84
0.90 µg/mL
Interval 0.77 to 1.06
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-9V [post-booster]
10.42 µg/mL
Interval 8.94 to 12.14
9.36 µg/mL
Interval 8.15 to 10.75
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-14 [pre-booster]
0.93 µg/mL
Interval 0.76 to 1.14
1.05 µg/mL
Interval 0.85 to 1.31
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-14 [post-booster]
13.28 µg/mL
Interval 11.06 to 15.95
13.03 µg/mL
Interval 10.95 to 15.5
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-18C [pre-booster]
0.78 µg/mL
Interval 0.66 to 0.94
0.83 µg/mL
Interval 0.69 to 1.01
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-18C [post-booster]
24.19 µg/mL
Interval 20.66 to 28.33
19.80 µg/mL
Interval 17.02 to 23.03
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-19F [pre-booster]
0.97 µg/mL
Interval 0.82 to 1.14
1.11 µg/mL
Interval 0.87 to 1.41
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-19F [post-booster]
20.55 µg/mL
Interval 17.62 to 23.98
19.68 µg/mL
Interval 17.22 to 22.51
Concentrations of Antibodies Against Vaccine Pneumococcal Serotypes.
Anti-23F [pre-booster]
0.47 µg/mL
Interval 0.38 to 0.59
0.65 µg/mL
Interval 0.5 to 0.83

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

Cross-reactive pneumococcal serotypes assessed were serotypes 6A and 19A. Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per millilitre (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.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=109 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=110 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes.
Anti-6A [pre-booster]
0.21 µg/mL
Interval 0.16 to 0.26
0.23 µg/mL
Interval 0.18 to 0.28
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes.
Anti-6A [post-booster]
1.99 µg/mL
Interval 1.6 to 2.49
2.13 µg/mL
Interval 1.7 to 2.66
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes.
Anti-19A [pre-booster]
0.20 µg/mL
Interval 0.15 to 0.25
0.18 µg/mL
Interval 0.14 to 0.22
Concentrations of Antibodies Against Cross-reactive Pneumococcal Serotypes.
Anti-19A [post-booster]
2.96 µg/mL
Interval 2.26 to 3.87
2.13 µg/mL
Interval 1.65 to 2.76

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

Anti-PD antibodies were determined using an ELISA assay. Concentration of specific PD antibodies was determined, using a standard reference serum. The cut-off of the assay is 100 ELISA units per millilitre (EU/mL).

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=115 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=113 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Protein D (PD).
Anti-PD [post-booster]
3115.9 EU/mL
Interval 2634.7 to 3685.1
3631.3 EU/mL
Interval 3149.2 to 4187.2
Concentrations of Antibodies Against Protein D (PD).
Anti-PD [pre-booster]
618.4 EU/mL
Interval 527.8 to 724.6
794.9 EU/mL
Interval 686.3 to 920.7

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

Concentrations were expressed as geometric mean concentrations (GMCs) in International units per millilitre (IU/mL). The cut-off of the assay was 0.1 IU/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=55 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=52 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Diphtheria and Tetanus.
Anti-diphtheria [pre-booster]
0.29 IU/mL
Interval 0.23 to 0.37
0.31 IU/mL
Interval 0.25 to 0.39
Concentrations of Antibodies Against Diphtheria and Tetanus.
Anti-diphtheria [post-booster]
10.89 IU/mL
Interval 9.16 to 12.94
8.17 IU/mL
Interval 6.72 to 9.94
Concentrations of Antibodies Against Diphtheria and Tetanus.
Anti-tetanus [pre-booster]
0.46 IU/mL
Interval 0.37 to 0.58
0.52 IU/mL
Interval 0.43 to 0.62
Concentrations of Antibodies Against Diphtheria and Tetanus.
Anti-tetanus [post-booster]
14.73 IU/mL
Interval 12.75 to 17.01
14.35 IU/mL
Interval 12.41 to 16.6

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

Concentrations were expressed as geometric mean concentrations (GMCs) in ELISA units per millilitre (EU/mL). The cut-off of the assay was 5 EU/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=55 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=52 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-FHA [post-booster]
484.3 EU/mL
Interval 418.9 to 559.9
358.3 EU/mL
Interval 290.5 to 442.0
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-PT [pre-booster]
6.8 EU/mL
Interval 4.9 to 9.3
5.8 EU/mL
Interval 4.5 to 7.3
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-PT [post-booster]
86.0 EU/mL
Interval 67.9 to 108.9
80.8 EU/mL
Interval 65.6 to 99.4
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-FHA [pre-booster]
29.6 EU/mL
Interval 21.5 to 40.7
19.3 EU/mL
Interval 14.8 to 25.2
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-PRN [pre-booster]
15.4 EU/mL
Interval 11.3 to 21.0
15.0 EU/mL
Interval 10.7 to 20.9
Concentrations of Antibodies Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN).
Anti-PRN [post-booster]
509.5 EU/mL
Interval 387.0 to 670.9
314.3 EU/mL
Interval 229.6 to 430.2

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

Concentrations were expressed as geometric mean concentrations (GMCs) in microgram per millilitre (µg/mL). The cut-off of the assay was 0.15 µg/mL.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=55 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=53 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Concentrations of Antibodies Against Polyribosyl-ribitol Phosphate (PRP).
Anti-PRP [pre-booster]
0.84 µg/mL
Interval 0.64 to 1.12
0.66 µg/mL
Interval 0.48 to 0.9
Concentrations of Antibodies Against Polyribosyl-ribitol Phosphate (PRP).
Anti-PRP [post-booster]
49.36 µg/mL
Interval 37.4 to 65.15
58.26 µg/mL
Interval 43.71 to 77.66

SECONDARY outcome

Timeframe: Before and one month after booster vaccination (at Month 0 and Month 1)

Population: The ATP cohort for immunogenicity included evaluable subjects for whom assay results were available for antibodies against at least 1 study vaccine antigen component after booster vaccination.

Titers were expresses as geometric mean titers (GMTs). The cut-off of the assay was 8.

Outcome measures

Outcome measures
Measure
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=27 Participants
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=28 Participants
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 2 [pre-booster]
34.9 Titers
Interval 18.8 to 64.7
38.0 Titers
Interval 25.7 to 56.4
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 1 [pre-booster]
32.8 Titers
Interval 19.1 to 56.3
44.2 Titers
Interval 25.3 to 77.1
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 1 [post-booster]
985.2 Titers
Interval 627.9 to 1546.0
982.2 Titers
Interval 688.0 to 1402.3
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 2 [post-booster]
823.4 Titers
Interval 553.5 to 1224.8
1144.1 Titers
Interval 773.7 to 1691.7
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 3 [pre-booster]
43.3 Titers
Interval 24.0 to 78.0
41.0 Titers
Interval 24.2 to 69.7
Titers of Antibodies Against Poliovirus Types 1, 2 and 3.
Anti-polio 3 [post-booster]
1527.4 Titers
Interval 1016.6 to 2294.7
1350.8 Titers
Interval 857.4 to 2128.2

Adverse Events

Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group

Serious events: 0 serious events
Other events: 98 other events
Deaths: 0 deaths

Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group

Serious events: 4 serious events
Other events: 108 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=118 participants at risk
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=120 participants at risk
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Infections and infestations
Upper respiratory tract infection
0.00%
0/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
1.7%
2/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
Infections and infestations
Bronchiolitis
0.00%
0/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
0.83%
1/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
Injury, poisoning and procedural complications
Laceration
0.00%
0/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
0.83%
1/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
Blood and lymphatic system disorders
Leukopenia
0.00%
0/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
0.83%
1/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
0.83%
1/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.

Other adverse events

Other adverse events
Measure
Synflorix™ Clinical-Commercial + Infanrix™-IPV/Hib Group
n=118 participants at risk
children primed with 3 doses of clinical lot of Synflorix™ + Rotarix™ co-administered with Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Synflorix™ Commercial-Commercial + Infanrix™-IPV/Hib Group
n=120 participants at risk
children primed with 3 doses of commercial lot of Synflorix™ co-administered with Rotarix™ and Infanrix™-hexa in the primary phase of the study (NCT00808444) and boosted with commercial lot of Synflorix™ co-administered with Infanrix™-IPV/Hib. The Synflorix™ vaccine (clinical and commercial lots) was administered intramuscularly in the right deltoid or anterolateral thigh and the Infanrix™-IPV/Hib vaccine was administered intramuscularly in the left deltoid or anterolateral thigh.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
5.9%
7/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
4.2%
5/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
Infections and infestations
Upper respiratory tract infection
3.4%
4/118 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
5.0%
6/120 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Pain
52.1%
61/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
59.8%
70/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Redness
56.4%
66/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
52.1%
61/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Swelling
38.5%
45/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
41.9%
49/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Drowsiness
32.5%
38/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
41.9%
49/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Fever
47.9%
56/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
64.1%
75/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Irritability
43.6%
51/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
57.3%
67/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
General disorders
Loss of appetite
35.9%
42/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.
41.9%
49/117 • Solicited AEs: Within 4 days (Days 0-3) after booster vaccination. SAEs: During the entire study period, from the booster vaccination, at Month 0, up to the study end, at Month 1. Unsolicited AEs:Within 31 days (Days 0-30) after booster vaccination.
Systematically assessed Other Adverse Events are reported only for those participants who completed their symptoms sheet.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER