Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Combined Measles-mumps-rubella (MMR) Vaccine in Subjects Four to Six Years of Age

NCT ID: NCT01621802

Last Updated: 2019-11-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

4011 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-21

Study Completion Date

2015-11-09

Brief Summary

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The purpose of this study is to support licensure of GSK Biologicals' MMR vaccine (Priorix®) in the US by generating immunogenicity and safety data in contrast to the US standard of care, Merck's MMR vaccine (M-M-R®II), when given as a second dose to children four to six years of age.

Detailed Description

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The GSK Biologicals' MMR vaccine (Priorix®) and Merck's MMR vaccine (M-M-R®II) are referred to as Inv\_MMR vaccine and Com\_MMR vaccine respectively. 2 lots of the comparator vaccine (Com\_MMR\_L1 and Com\_MMR\_L2) will be used, but the 2 lots will be analysed as a pool.

The Inv\_MMR vaccine will be administered as a second dose to children who already received a first dose Com\_MMR vaccine. Since the second dose of a MMR vaccine in the US is routinely co-administered with DTaP-IPV vaccine (Kinrix®) and varicella vaccine (VV) (ProQuad® or Varivax®), some children will receive one dose of these vaccines along with either of the MMR vaccines.

Conditions

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Measles-Mumps-Rubella

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Inv _MMR_CO Group

Subjects received one dose of the study vaccine Priorix along with Kinrix and ProQuad vaccines at Visit 1 (Day 0).

Group Type EXPERIMENTAL

Priorix

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the right arm.

Kinrix

Intervention Type BIOLOGICAL

One dose administered by deep intramuscular injection in the upper left deltoid.

ProQuad

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the left arm.

Com_MMR_CO Group

Subjects received one dose of the licensed vaccine M-M-R II (also known as M-M-R Vax Pro) Lot 1 or Lot 2 along with Kinrix and ProQuad vaccines at Visit 1 (Day 0).

Group Type ACTIVE_COMPARATOR

M-M-R II

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the right arm.

Kinrix

Intervention Type BIOLOGICAL

One dose administered by deep intramuscular injection in the upper left deltoid.

ProQuad

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the left arm.

Inv_MMR_I Group

Subjects received one dose of Priorix at Visit 1 (Day 0).

Group Type EXPERIMENTAL

Priorix

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the right arm.

Com_MMR_I Group

Subjects received one dose of M-M-R II (also known as M-M-R Vax Pro) vaccine from Lot 1 or Lot 2 at Visit 1 (Day 0).

Group Type ACTIVE_COMPARATOR

M-M-R II

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the right arm.

Inv _MMR_S Group

Subjects in this safety cohort received one dose of Priorix at Visit 1 (Day 0).

Group Type EXPERIMENTAL

Priorix

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the right arm.

Com_MMR_S Group

Subjects in this safety cohort received one dose of M-M-R II (also known as M-M-R Vax Pro) vaccine from Lot 1 or Lot 2 at Visit 1 (Day 0).

Group Type ACTIVE_COMPARATOR

M-M-R II

Intervention Type BIOLOGICAL

One dose administered subcutaneously in the triceps region of the right arm.

Interventions

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Priorix

One dose administered subcutaneously in the triceps region of the right arm.

Intervention Type BIOLOGICAL

M-M-R II

One dose administered subcutaneously in the triceps region of the right arm.

Intervention Type BIOLOGICAL

Kinrix

One dose administered by deep intramuscular injection in the upper left deltoid.

Intervention Type BIOLOGICAL

ProQuad

One dose administered subcutaneously in the triceps region of the left arm.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Subjects who the investigator believes that they and/or their parent(s) or LAR/s can and will comply with the requirements of the protocol.
* Male or female subjects 4 to 6 years of age at the time of vaccination.
* Written informed consent is obtained from the parent(s)/LAR(s) of the subject (assent will be obtained from subjects in line with local rules and regulations).
* Subjects in stable health as determined by investigator's physical examination and assessment of subjects' medical history.
* Subjects received either a single dose of M-M-R II, M-M-R VaxPro or ProQuad in the second year of life.
* For subjects enrolled in the sub-cohort receiving co-administered DTaP-IPV and VV:

* subjects received previous DTaP vaccine doses with INFANRIX® and/or PEDIARIX® for the first three doses and INFANRIX® for the fourth dose of the DTaP-containing vaccine.
* subjects received a first dose of VV in the second year of life.

Exclusion Criteria

* Child in care.
* Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before the day of study vaccination/s or planned during the entire study period.
* Previous vaccination with a second dose of measles, mumps, rubella containing vaccine/s.
* Chronic administration of immunosuppressants or other immune-modifying drugs during the period starting 180 days prior to Day 0 or any planned administration of immunosuppressive and immune-modifying drugs during the entire study. Inhaled and topical steroids are allowed.
* Administration of immunoglobulins and/or any blood products during the period starting 180 days before entering the study or planned administration from the date of vaccination through the immunogenicity evaluation at Visit 2.
* Planned administration/ administration of a vaccine not foreseen by the study protocol during the period starting 30 days prior to the study vaccination/s and ending 42 days after the vaccination/s (at Visit 2), with the exception of live intranasal or inactivated influenza (flu) vaccine, which may be given at any time during the study, including the day of study vaccination/s. Inactivated influenza vaccine must be administered at a different location from the study vaccine. Any age appropriate vaccine may be given starting at Visit 2, and anytime thereafter.
* 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.
* History of measles, mumps, and/or rubella disease.
* Known exposure to measles, mumps and/or rubella during the period starting 30 days prior to enrollment.
* Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
* History of allergic disease or reactions likely to be exacerbated by any component of the vaccine(s), including systemic hypersensitivity to neomycin or gelatin.
* Blood dyscrasias, leukemia, lymphomas of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems.
* Acute disease at the time of enrollment. Acute disease is defined as the presence of a moderate or severe illness with or without fever. Fever is defined as temperature ≥38°C (100.4°F) measured by any age appropriate route. All vaccines can be administered to persons with a minor illness such as diarrhea, mild upper respiratory infection without fever.
* Active untreated tuberculosis according to the subject's medical history.
* Any other condition which, in the opinion of the investigator, prevents the subject from participating in the study.

In addition, for subjects enrolled in the sub-cohort receiving co-administered DTaP-IPV+VV:

* Previous vaccination with a second dose of varicella-containing vaccine.
* Receipt of any varicella-containing vaccine during the period starting 90 days before the day of study vaccination.
* History of varicella/zoster disease.
* Known exposure to varicella/zoster during the period starting 30 days prior to enrollment.
* History of diphtheria, tetanus, pertussis, and/or poliomyelitis disease.
* Vaccination against diphtheria, tetanus, pertussis or polio given after the second year of life.
* Occurrence of transient thrombocytopenia or neurological complications following an earlier immunization against diphtheria and/or tetanus toxoids.
* Following a previous administration of DTP vaccine: temperature ≥40.6°C (\>105°F) during the period starting 48 hours not due to another identifiable cause, collapse or shock-like state during the period starting 48 hours, persistent, inconsolable crying lasting three hours or more within 48 hours, seizures with or without fever occurring during the period starting three days, or encephalopathy of unknown aetiology occurring during the period starting 7 days of a previous administration of DTP vaccine.
* Hypersensitivity reaction to any component of the DTaP-IPV and/or varicella vaccines.
Minimum Eligible Age

4 Years

Maximum Eligible Age

6 Years

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 (for GlaxoSmithKline; Human Genome Sciences Inc., a GSK Company; Sirtris, a GSK Company; Stiefel, a GSK Company; ViiV Healthcare)

Locations

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GSK Investigational Site

Birmingham, Alabama, United States

Site Status

GSK Investigational Site

Tucson, Arizona, United States

Site Status

GSK Investigational Site

Tucson, Arizona, United States

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GSK Investigational Site

Benton, Arkansas, United States

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GSK Investigational Site

Fayetteville, Arkansas, United States

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GSK Investigational Site

Little Rock, Arkansas, United States

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GSK Investigational Site

Anaheim, California, United States

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GSK Investigational Site

Baldwin Park, California, United States

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GSK Investigational Site

Daly City, California, United States

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GSK Investigational Site

Fresno, California, United States

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GSK Investigational Site

Hayward, California, United States

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GSK Investigational Site

Oakland, California, United States

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GSK Investigational Site

Pleasanton, California, United States

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GSK Investigational Site

Sacramento, California, United States

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GSK Investigational Site

Sacramento, California, United States

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GSK Investigational Site

Santa Clara, California, United States

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GSK Investigational Site

Walnut Creek, California, United States

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GSK Investigational Site

Colorado Springs, Colorado, United States

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GSK Investigational Site

Altamonte Springs, Florida, United States

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GSK Investigational Site

Marietta, Georgia, United States

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GSK Investigational Site

Woodstock, Georgia, United States

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GSK Investigational Site

Nampa, Idaho, United States

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GSK Investigational Site

Indianapolis, Indiana, United States

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GSK Investigational Site

Augusta, Kansas, United States

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GSK Investigational Site

Newton, Kansas, United States

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GSK Investigational Site

Bardstown, Kentucky, United States

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GSK Investigational Site

Columbia, Maryland, United States

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GSK Investigational Site

Fall River, Massachusetts, United States

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GSK Investigational Site

The Bronx, New York, United States

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GSK Investigational Site

Asheboro, North Carolina, United States

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GSK Investigational Site

Raleigh, North Carolina, United States

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GSK Investigational Site

Cincinnati, Ohio, United States

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GSK Investigational Site

Cleveland, Ohio, United States

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GSK Investigational Site

Dayton, Ohio, United States

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GSK Investigational Site

Dayton, Ohio, United States

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GSK Investigational Site

Gresham, Oregon, United States

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GSK Investigational Site

Erie, Pennsylvania, United States

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GSK Investigational Site

Charleston, South Carolina, United States

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GSK Investigational Site

Cheraw, South Carolina, United States

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GSK Investigational Site

Rapid City, South Dakota, United States

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GSK Investigational Site

Houston, Texas, United States

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GSK Investigational Site

Tomball, Texas, United States

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GSK Investigational Site

Provo, Utah, United States

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GSK Investigational Site

Salt Lake City, Utah, United States

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GSK Investigational Site

South Jordan, Utah, United States

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GSK Investigational Site

St. George, Utah, United States

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GSK Investigational Site

Burke, Virginia, United States

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GSK Investigational Site

Charlottesville, Virginia, United States

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GSK Investigational Site

Huntington, West Virginia, United States

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GSK Investigational Site

Monroe, Wisconsin, United States

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GSK Investigational Site

Ansan, , South Korea

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GSK Investigational Site

Daegu, , South Korea

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GSK Investigational Site

Daejeon, , South Korea

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GSK Investigational Site

Gyeonggi-do, , South Korea

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GSK Investigational Site

GyeongSangNam-do, , South Korea

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GSK Investigational Site

Iksan, , South Korea

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GSK Investigational Site

Jeollabukdo, , South Korea

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GSK Investigational Site

Seoul, , South Korea

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GSK Investigational Site

Seoul, , South Korea

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GSK Investigational Site

Seoul, , South Korea

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GSK Investigational Site

Seoul, , South Korea

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GSK Investigational Site

Wonju-si Kangwon-do, , South Korea

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GSK Investigational Site

New Taipei City, , Taiwan

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GSK Investigational Site

Taichung, , Taiwan

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GSK Investigational Site

Taipei, , Taiwan

Site Status

GSK Investigational Site

Taipei, , Taiwan

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GSK Investigational Site

Taoyuan District, , Taiwan

Site Status

Countries

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United States South Korea Taiwan

References

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MMR-158 Study Group. A second dose of a measles-mumps-rubella vaccine administered to healthy four-to-six-year-old children: a phase III, observer-blind, randomized, safety and immunogenicity study comparing GSK MMR and MMR II with and without DTaP-IPV and varicella vaccines co-administration. Hum Vaccin Immunother. 2019;15(4):786-799. doi: 10.1080/21645515.2018.1554971. Epub 2019 Feb 20.

Reference Type BACKGROUND
PMID: 30785357 (View on PubMed)

Other Identifiers

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2011-004638-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

115158

Identifier Type: -

Identifier Source: org_study_id

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