Primary and Booster Vaccination Study With Pneumococcal Vaccine GSK1024850A and Prophylactic Antipyretic Treatment

NCT ID: NCT01235949

Last Updated: 2019-05-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

850 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-12

Study Completion Date

2012-12-08

Brief Summary

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The aim of the current study is to determine whether ibuprofen, given as immediate or delayed prophylactic antipyretic treatment in a standardized manner, significantly impacts the immune response in children receiving primary vaccination with GlaxoSmithKline (GSK) Biologicals' 10-valent pneumococcal conjugate vaccine, co-administered with DTPa-combined vaccines, at 3, 4 and 5 months of age.

In addition, this study will further evaluate the impact of prophylactic administration of paracetamol following primary vaccination with immediate or delayed administration or when given in an immediate manner at the time of the booster dose.

Detailed Description

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Conditions

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Infections, Streptococcal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Group IIBU

Immediate ibuprofen group: subjects receiving immediate ibuprofen treatment after each primary vaccine dose

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group DIBU

Delayed ibuprofen group: subjects receiving delayed ibuprofen treatment after each primary vaccine dose

Group Type ACTIVE_COMPARATOR

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group NIBU

No ibuprofen group: subjects receiving no prophylactic ibuprofen treatment after each primary vaccine dose

Group Type ACTIVE_COMPARATOR

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Group IPARA

Immediate paracetamol group: subjects receiving immediate paracetamol treatment after each primary vaccine dose

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Paracetamol

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group DPARA

Delayed paracetamol group: subjects receiving delayed paracetamol treatment after each primary vaccine dose

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Paracetamol

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group NPARA

No paracetamol group: subjects receiving no prophylactic paracetamol treatment after each primary vaccine dose

Group Type ACTIVE_COMPARATOR

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Group IIBU-IIBU

1/3 of the subjects from the primary IIBU group receiving immediate ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group IIBU-DIBU

1/3 of the subjects from the primary IIBU group receiving delayed ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Group IIBU-NIBU

1/3 of the subjects from the primary IIBU group receiving no prophylactic ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group DIBU-IIBU

1/3 of the subjects from the primary DIBU group receiving immediate ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group DIBU-DIBU

1/3 of the subjects from the primary DIBU group receiving delayed ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group DIBU-NIBU

1/3 of the subjects from the primary DIBU group receiving no prophylactic ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Group NIBU-IIBU

1/3 of the subjects from the primary NIBU group receiving immediate ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group NIBU-DIBU

1/3 of the subjects from the primary NIBU group receiving delayed ibuprofen treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Ibuprofen

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group NIBU-NIBU

1/3 of the subjects from the primary NIBU group receiving no prophylactic ibuprofen treatment after booster vaccination

Group Type ACTIVE_COMPARATOR

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Group IPARA-NPARA

subjects from the primary IPARA group receiving no paracetamol treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Group DPARA-IPARA

subjects from the primary DPARA group receiving immediate paracetamol treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Paracetamol

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Group NPARA-IPARA

subjects from the primary NPARA group receiving immediate paracetamol treatment after booster vaccination

Group Type EXPERIMENTAL

GSK1024850A (SynflorixTM)

Intervention Type BIOLOGICAL

Intramuscular injection, 4 doses

Infanrix hexa

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Infanrix-IPV/Hib

Intervention Type BIOLOGICAL

Intramuscular injection, 1 dose

Paracetamol

Intervention Type DRUG

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Interventions

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GSK1024850A (SynflorixTM)

Intramuscular injection, 4 doses

Intervention Type BIOLOGICAL

Infanrix hexa

Intramuscular injection, 3 doses

Intervention Type BIOLOGICAL

Infanrix-IPV/Hib

Intramuscular injection, 1 dose

Intervention Type BIOLOGICAL

Ibuprofen

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Intervention Type DRUG

Paracetamol

Oral administration, 3 doses in the 24 hours following vaccination with an interval of 6-8 hours between doses and with dosage based on the subject's body weight

Intervention Type DRUG

Other Intervention Names

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Nurofen for Children Panadol Baby

Eligibility Criteria

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Inclusion Criteria

* Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative(s) (LAR) can and will comply with the requirements of the protocol.
* A male or female between, and including, 12 and 16 weeks (84-118 days) of age at the time of the first vaccination.
* Written informed consent obtained from the parent(s)/LAR(s) of the subject.
* Free of obvious health problems as established by medical history and clinical examination before entering into the study.
* Born after a gestation period of 36 to 42 weeks inclusive.

Exclusion Criteria

* Use of any investigational or non-registered product other than the study vaccines/products within 30 days preceding the first dose of study vaccine/product, or planned use during the study period.
* Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product (.
* Indication, other than specified in the protocol, for prophylactic or therapeutic antipyretic treatment during the study period.
* Treatment with antipyretics in the 24 hours before study vaccination or planned administration of antipyretics in the 24 hours after study vaccination.
* Chronic administration of immunosuppressants or other immune-modifying drugs since birth.
* Planned administration/administration of a vaccine not foreseen by the study protocol during the period starting 30 days before each dose of study vaccine and ending 30 days after with the exception of locally recommended (pandemic) influenza vaccines, and those should be documented in the eCRF.
* Previous vaccination against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b and/or Streptococcus pneumoniae with the exception of the vaccines where the first dose may be given within the first two weeks of life according to the national recommendations.
* History of intercurrent diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae type b disease.
* History of any allergic disease or reaction likely to be exacerbated by any component of the vaccines or prophylactic antipyretic treatment, i.e. ibuprofen or paracetamol, as specified in the protocol.
* History of any seizures or progressive neurological disease.
* Acute disease and/or fever at the time of enrolment. The study entry should be delayed until the illness has improved.
* Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination .
* A family history of congenital or hereditary immunodeficiency.
* Major congenital defects or serious chronic illness.
* Administration of immunoglobulins and/or any blood products since birth or planned administration during entire study period.
* Any contraindication to treatment with ibuprofen as described in the ibuprofen summary of product characteristics (SPC).
* Any contraindication to treatment with paracetamol as described in the paracetamol SPC.
* Body weight \< 5 kg at the time of enrolment.
* Child in care.
Minimum Eligible Age

12 Weeks

Maximum Eligible Age

16 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Bacau, , Romania

Site Status

GSK Investigational Site

Brasov, , Romania

Site Status

GSK Investigational Site

Brasov, , Romania

Site Status

GSK Investigational Site

Brasov, , Romania

Site Status

GSK Investigational Site

Brăila, , Romania

Site Status

GSK Investigational Site

Brăila, , Romania

Site Status

GSK Investigational Site

Bucharest, , Romania

Site Status

GSK Investigational Site

Bucharest, , Romania

Site Status

GSK Investigational Site

Bucharest, , Romania

Site Status

GSK Investigational Site

Bucharest, , Romania

Site Status

GSK Investigational Site

Călăraşi, , Romania

Site Status

GSK Investigational Site

Cluj-Napoca, , Romania

Site Status

GSK Investigational Site

Constanța, , Romania

Site Status

GSK Investigational Site

Constanța, , Romania

Site Status

GSK Investigational Site

Galati, , Romania

Site Status

GSK Investigational Site

Galati, , Romania

Site Status

GSK Investigational Site

Galati, , Romania

Site Status

GSK Investigational Site

Galati, , Romania

Site Status

GSK Investigational Site

Galati, , Romania

Site Status

GSK Investigational Site

Iași, , Romania

Site Status

GSK Investigational Site

Pantelimon, , Romania

Site Status

GSK Investigational Site

Sibiu, , Romania

Site Status

GSK Investigational Site

Timișoara, , Romania

Site Status

Countries

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Romania

References

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Falup-Pecurariu O, Man SC, Neamtu ML, Chicin G, Baciu G, Pitic C, Cara AC, Neculau AE, Burlea M, Brinza IL, Schnell CN, Sas V, Lupu VV, Francois N, Swinnen K, Borys D. Effects of prophylactic ibuprofen and paracetamol administration on the immunogenicity and reactogenicity of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugated vaccine (PHiD-CV) co-administered with DTPa-combined vaccines in children: An open-label, randomized, controlled, non-inferiority trial. Hum Vaccin Immunother. 2017 Mar 4;13(3):649-660. doi: 10.1080/21645515.2016.1223001. Epub 2016 Aug 19.

Reference Type BACKGROUND
PMID: 27541270 (View on PubMed)

Study Documents

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Document Type: Informed Consent Form

For additional information about this study please refer to the GSK Clinical Study Register

View Document

Document Type: Individual Participant Data Set

For additional information about this study please refer to the GSK Clinical Study Register

View Document

Document Type: Statistical Analysis Plan

For additional information about this study please refer to the GSK Clinical Study Register

View Document

Document Type: Clinical Study Report

For additional information about this study please refer to the GSK Clinical Study Register

View Document

Document Type: Dataset Specification

For additional information about this study please refer to the GSK Clinical Study Register

View Document

Document Type: Study Protocol

For additional information about this study please refer to the GSK Clinical Study Register

View Document

Related Links

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https://www.clinicalstudydatarequest.com

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Other Identifiers

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2010-019761-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

112921

Identifier Type: -

Identifier Source: org_study_id

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