Trial Outcomes & Findings for Immunogenicity and Safety of Booster Dose of PoliorixTM Vaccine in Previously Vaccinated Toddlers (NCT NCT01323647)

NCT ID: NCT01323647

Last Updated: 2019-02-11

Results Overview

A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 Effective Dose 50 (ED50). This outcome measure concerns subjects in the Poliorix Group only.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

957 participants

Primary outcome timeframe

One month after Poliorix™ booster vaccination.

Results posted on

2019-02-11

Participant Flow

During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms.

Participant milestones

Participant milestones
Measure
Poliorix Group
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Overall Study
STARTED
470
487
Overall Study
COMPLETED
461
487
Overall Study
NOT COMPLETED
9
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Poliorix Group
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Overall Study
Migrated/moved from study area
2
0
Overall Study
Withdrawal by Subject
5
0
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Immunogenicity and Safety of Booster Dose of PoliorixTM Vaccine in Previously Vaccinated Toddlers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Poliorix Group
n=470 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
n=487 Participants
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Total
n=957 Participants
Total of all reporting groups
Age, Continuous
18.7 Months
STANDARD_DEVIATION 0.93 • n=93 Participants
18.8 Months
STANDARD_DEVIATION 1.01 • n=4 Participants
18.75 Months
STANDARD_DEVIATION 0.97 • n=27 Participants
Sex: Female, Male
Female
234 Participants
n=93 Participants
227 Participants
n=4 Participants
461 Participants
n=27 Participants
Sex: Female, Male
Male
236 Participants
n=93 Participants
260 Participants
n=4 Participants
496 Participants
n=27 Participants
Race/Ethnicity, Customized
Asian - Chinese heritage
470 Participants
n=93 Participants
487 Participants
n=4 Participants
957 Participants
n=27 Participants

PRIMARY outcome

Timeframe: One month after Poliorix™ booster vaccination.

Population: The According-to-Protocol (ATP) cohort for immunogenicity included all evaluable subjects who did not receive a product or present a medical condition leading to exclusion from an ATP analysis as listed in protocol and for whom data concerning immunogenicity outcome variables were available.

A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 Effective Dose 50 (ED50). This outcome measure concerns subjects in the Poliorix Group only.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=456 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
Anti-poliovirus 1
456 Participants
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
Anti-poliovirus 2
456 Participants
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
Anti-poliovirus 3
456 Participants

PRIMARY outcome

Timeframe: Before booster vaccination.

Population: The ATP cohort for antibody persistence included all subjects who completed the full 3-dose primary vaccination course in the primary study and have not received an additional dose of Poliorix vaccine since the primary study.Those who had no history of poliovirus infection,and for whom serological results were available at the persistence timepoint

A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 ED50.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=470 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
n=484 Participants
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
Anti-poliovirus 1
462 Participants
479 Participants
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
Anti-poliovirus 2
445 Participants
482 Participants
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
Anti-poliovirus 3
446 Participants
465 Participants

PRIMARY outcome

Timeframe: One month after Poliorix™ booster vaccination.

Population: The ATP cohort for immunogenicity included all evaluable subjects who did not receive a product or present a medical condition leading to exclusion from an ATP analysis as listed in protocol and for whom data concerning immunogenicity outcome variables were available.

Antibody titers were summarized by geometric mean titers (GMTs) with their 95% confidence intervals (CIs). This outcome measure concerns subjects in the Poliorix Group only.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=456 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Antibody Titers Against Poliovirus Type 1, 2 and 3
Anti-poliovirus 1
3420.8 Titers
Interval 3153.8 to 3710.5
Antibody Titers Against Poliovirus Type 1, 2 and 3
Anti-poliovirus 2
1886.8 Titers
Interval 1732.7 to 2054.5
Antibody Titers Against Poliovirus Type 1, 2 and 3
Anti-poliovirus 3
5097 Titers
Interval 4706.8 to 5519.6

PRIMARY outcome

Timeframe: Before booster vaccination.

Population: The ATP cohort for antibody persistence included all subjects who completed the full 3-dose primary vaccination course in the primary study and have not received an additional dose of Poliorix vaccine since the primary study.Those who had no history of poliovirus infection,and for whom serological results were available at the persistence timepoint

Antibody titers were summarized by geometric mean titers (GMTs) with their 95% CIs.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=470 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
n=484 Participants
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Antibody Titers Against Poliovirus Type 1, 2 and 3.
Anti-poliovirus 3
109.7 Titers
Interval 94.2 to 127.8
85.0 Titers
Interval 76.1 to 95.0
Antibody Titers Against Poliovirus Type 1, 2 and 3.
Anti-poliovirus 1
97.6 Titers
Interval 87.3 to 109.2
533.0 Titers
Interval 468.0 to 607.0
Antibody Titers Against Poliovirus Type 1, 2 and 3.
Anti-poliovirus 2
87.8 Titers
Interval 75.4 to 102.2
205.5 Titers
Interval 185.6 to 227.5

SECONDARY outcome

Timeframe: Within 4-days (Days 0-3) post Poliorix™ booster vaccination.

Population: The Total Vaccinated cohort included all subjects, with booster dose administration documented, for whom data were available and who had their symptom sheets filled in.

Solicited local symptoms assessed were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = Cry when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site. This outcome measure concerns subjects in the Poliorix Group only.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=467 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Any Pain
49 Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Grade 3 Pain
3 Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Any Redness
22 Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Grade 3 Redness
0 Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Any Swelling
11 Participants
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Grade 3 Swelling
0 Participants

SECONDARY outcome

Timeframe: Within 4-days (Days 0-3) post Poliorix™ booster vaccination.

Population: The Total Vaccinated cohort included all subjects, with booster dose administration documented, for whom data were available and who had their symptom sheets filled in.

Solicited general symptoms assessed include drowsiness, irritability, loss of appetite and fever \[defined as axillary temperature ≥ 37.1 degrees Celsius (°C)\]. Any = occurence of any general symptom regardless of their intensity grade or relationship to study vaccine. Grade 3 drowsiness = drowsiness that prevented normal activities. Grade 3 fever = fever (axillary temperature) \>39.0°C. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = symptom assessed by the investigator as causally related to the vaccination. This outcome measure concerns subjects in the Poliorix Group only.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=467 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Any Drowsiness
59 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Grade 3 Drowsiness
1 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Related Drowsiness
59 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Any Irritability
86 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Grade 3 Irritability
2 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Related Irritability
84 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Any Loss of appetite
84 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Grade 3 Loss of appetite
1 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Related Loss of appetite
83 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Any temperature
156 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Grade 3 temperature
8 Participants
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Related temperature
153 Participants

SECONDARY outcome

Timeframe: Within the 31-day (Days 0-30) follow-up period after the Poliorix™ booster vaccination.

Population: The Total Vaccinated cohort included all subjects, with booster dose administration documented and for whom data were available.

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. Any was defined as an adverse event (AE) reported in addition to those solicited during the clinical study. Any solicited symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event. This outcome measure concerns subjects in the Poliorix Group only.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=470 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Number of Subjects Reporting Any Unsolicited Adverse Events (AEs)
22 Participants

SECONDARY outcome

Timeframe: During the entire study period (Day 0 to Month 1).

Population: The Total Cohort included all subjects enrolled in the study.

Serious adverse events (SAEs) assessed include medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity.

Outcome measures

Outcome measures
Measure
Poliorix Group
n=470 Participants
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
n=487 Participants
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Number of Subjects With Serious Adverse Events (SAEs)
0 Participants
1 Participants

Adverse Events

Poliorix Group

Serious events: 0 serious events
Other events: 202 other events
Deaths: 0 deaths

Control Group

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Poliorix Group
n=470 participants at risk
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
n=487 participants at risk
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
General disorders
Pyrexia
0.00%
0/470 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
0.21%
1/487 • Number of events 1 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.

Other adverse events

Other adverse events
Measure
Poliorix Group
n=470 participants at risk
Subjects previously primed with 3 doses of Poliorix™ vaccine in the primary study and who received a booster dose of Poliorix™ vaccine co-administered with Infanrix-Hib™ vaccine in the current study.
Control Group
n=487 participants at risk
Subjects previously primed with 3 doses of Chinese oral poliovirus vaccine (OPV) in the primary study and who received a dose of Infanrix-Hib™ vaccine in the current study.
Metabolism and nutrition disorders
Decreased appetite
17.9%
84/470 • Number of events 84 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
0/0 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
Psychiatric disorders
Irritability
18.3%
86/470 • Number of events 86 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
0/0 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
General disorders
Pain
10.4%
49/470 • Number of events 49 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
0/0 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
General disorders
Pyrexia
33.4%
157/470 • Number of events 158 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
0/0 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
Nervous system disorders
Somnolence
12.6%
59/470 • Number of events 59 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.
0/0 • Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).
Other (non-serious) adverse events were collected only for those subjects who had received a booster dose of Poliorix, i.e. Poliorix Group. No other (non-serious) adverse events data was collected for the Control Group.

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