Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Combined Measles-mumps-rubella (MMR) Vaccine in Children in Their Second Year of Life

NCT ID: NCT01681992

Last Updated: 2021-01-07

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

PHASE3

Total Enrollment

4538 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-10

Study Completion Date

2015-08-18

Brief Summary

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The purpose of this study is to evaluate end of shelf-life potency in terms of the immunogenicity and safety of GSK Biologicals' trivalent MMR vaccine, by comparing it to Merck \& Co., Inc.'s MMR vaccine, which is approved for use in the United States (US).

Detailed Description

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This trial is a Phase IIIA, randomized, observer-blind, controlled, multi-center, multi-country study with four parallel groups. This study will evaluate the immunogenicity and safety of GSK Biologicals' trivalent investigational MMR vaccine (referred to as Inv\_MMR vaccine, throughout this document) in contrast to the US standard of care comparator vaccine (M-M-R II, Merck and Co., Inc., referred to as Com\_MMR throughout this document) in children during their second year of life. The first dose of this two-dose study is designed to establish the end of shelf-life potency of Inv\_MMR vaccine. The Inv\_MMR vaccine will be given as one of two lots; one of a minimum potency, designated Inv\_MMR\_Min; and the other at a mid-range or medium potency designated Inv\_MMR\_Med to two groups. The second dose for both of these Inv\_MMR groups will have a potency within the release range of the marketed vaccine. The Com\_MMR vaccine will consist of two lots designated Com\_MMR\_L1 and Com\_MMR\_L2 and will be analyzed as pooled lots within the study. The first MMR vaccine dose will be co-administered with Varivax, Havrix and (in the US sub-cohort only) Prevnar 13 which are routinely administered to children of this age in the US.

Conditions

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Measles Mumps Rubella Measles-Mumps-Rubella Vaccine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Inv_MMR_Min Group

Subjects receive one dose of GlaxoSmithKline (GSK) Biologicals' measles, mumps, rubella (MMR) vaccine, Priorix (Inv\_MMR), from a minimum potency lot (Inv\_MMR\_Min), co-administered with Varivax (VV) and Havrix (HAV) vaccines at Day 0. All US subjects are also co-administered Prevnar 13 (PCV-13) vaccine. Approximately 6 weeks later, at Day 42, subjects are administered a dose from a separate lot of the Inv\_MMR vaccine (Inv\_MMR\_Release), for the second dose. Inv\_MMR and VV vaccines are administered subcutaneously in the triceps region of the left and right arm, respectively. HAV and PCV-13 vaccines are administered intramuscularly in the anterolateral region of the right and left thigh, respectively.

Group Type EXPERIMENTAL

Priorix

Intervention Type BIOLOGICAL

Subjects receive one dose of either minimum (Inv\_MMR\_Min) or medium (Inv\_MMR\_Med) potency lot at Day 0 and a dose of separate potency lot (Inv\_MMR\_Release) at Day 42, administered subcutaneously in the triceps region of the left arm.

Varivax

Intervention Type BIOLOGICAL

Subjects receive one dose co-administered subcutaneously with the study vaccines (Priorix and M-M-R II), in the triceps region of right arm, at Day 0.

Havrix

Intervention Type BIOLOGICAL

Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the right thigh, at Day 0.

Prevnar 13

Intervention Type BIOLOGICAL

US Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the left thigh, at Day 0.

Inv_MMR_Med Group

Subjects receive one dose of GlaxoSmithKline (GSK) Biologicals' measles, mumps, rubella (MMR) vaccine, Priorix (Inv\_MMR), from a mid-range or medium potency lot (Inv\_MMR\_Med), co-administered with Varivax (VV) and Havrix (HAV) vaccines at Day 0. All US subjects are also co-administered Prevnar 13 (PCV-13) vaccine. Approximately 6 weeks later, at Day 42, subjects are administered a dose from a separate lot of the Inv\_MMR vaccine (Inv\_MMR\_Release), for the second dose. Inv\_MMR and VV vaccines are administered subcutaneously in the triceps region of the left and right arm, respectively. HAV and PCV-13 vaccines are administered intramuscularly in the anterolateral region of the right and left thigh, respectively.

Group Type EXPERIMENTAL

Priorix

Intervention Type BIOLOGICAL

Subjects receive one dose of either minimum (Inv\_MMR\_Min) or medium (Inv\_MMR\_Med) potency lot at Day 0 and a dose of separate potency lot (Inv\_MMR\_Release) at Day 42, administered subcutaneously in the triceps region of the left arm.

Varivax

Intervention Type BIOLOGICAL

Subjects receive one dose co-administered subcutaneously with the study vaccines (Priorix and M-M-R II), in the triceps region of right arm, at Day 0.

Havrix

Intervention Type BIOLOGICAL

Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the right thigh, at Day 0.

Prevnar 13

Intervention Type BIOLOGICAL

US Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the left thigh, at Day 0.

Com_MMR Group

Subjects receive one dose of M-M-R II (Com\_MMR) vaccine (Lot 1 or Lot 2), co-administered with Varivax (VV) and Havrix (HAV) vaccines at Day 0. All US subjects are also co-administered Prevnar 13 (PCV-13) vaccine. Approximately 6 weeks later, at Day 42, subjects are administered a dose of Com\_MMR vaccine (Lot 1 or Lot 2), for the second dose. Com\_MMR and VV vaccines are administered subcutaneously in the triceps region of the left and right arm, respectively. HAV and PCV-13 vaccines are administered intramuscularly in the anterolateral region of the right and left thigh, respectively.

Group Type ACTIVE_COMPARATOR

M-M-R II

Intervention Type BIOLOGICAL

Subjects receive two doses of either Lot 1 or Lot 2, one at Day 0 and one at Day 42, administered subcutaneously in the triceps region of the left arm.

Varivax

Intervention Type BIOLOGICAL

Subjects receive one dose co-administered subcutaneously with the study vaccines (Priorix and M-M-R II), in the triceps region of right arm, at Day 0.

Havrix

Intervention Type BIOLOGICAL

Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the right thigh, at Day 0.

Prevnar 13

Intervention Type BIOLOGICAL

US Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the left thigh, at Day 0.

Interventions

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Priorix

Subjects receive one dose of either minimum (Inv\_MMR\_Min) or medium (Inv\_MMR\_Med) potency lot at Day 0 and a dose of separate potency lot (Inv\_MMR\_Release) at Day 42, administered subcutaneously in the triceps region of the left arm.

Intervention Type BIOLOGICAL

M-M-R II

Subjects receive two doses of either Lot 1 or Lot 2, one at Day 0 and one at Day 42, administered subcutaneously in the triceps region of the left arm.

Intervention Type BIOLOGICAL

Varivax

Subjects receive one dose co-administered subcutaneously with the study vaccines (Priorix and M-M-R II), in the triceps region of right arm, at Day 0.

Intervention Type BIOLOGICAL

Havrix

Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the right thigh, at Day 0.

Intervention Type BIOLOGICAL

Prevnar 13

US Subjects receive one dose co-administered intramuscularly with the study vaccines (Priorix and M-M-R II), in the anterolateral region of the left thigh, at Day 0.

Intervention Type BIOLOGICAL

Other Intervention Names

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GSK Biologicals' live attenuated measles mumps rubella vaccine Merck & Co. Inc.'s measles mumps rubella virus vaccine live Merck & Co. Inc.'s varicella virus vaccine live GSK Biologicals' hepatitis A vaccine inactivated Pfizer Inc.'s pneumococcal 13-valent conjugate vaccine (diphtheria CRM197 protein)

Eligibility Criteria

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Inclusion Criteria

* Male or female child between 12 and 15 months of age at the time of vaccination.
* The investigator believes that the parent(s) or Legally Acceptable Representative(s) (LAR(s)) of the child, can, and will comply with the requirements of the protocol.
* Written informed consent obtained from the parent(s)/LAR(s) of the child.
* Child is in stable health as determined by investigator's clinical examination and assessment of child's medical history.

For US children only:

• Child that previously received a 3-dose series of Prevnar 13 with last dose at least 60 days prior to study entry.

Exclusion Criteria

* Child in care.
* Use of any investigational or non-registered product other than the study vaccine(s) during the period starting 30 days before the day of study vaccination or planned use during the entire study period.
* Concurrently participating in another clinical study, in which the child has been or will be exposed to an investigational or a non-investigational product. Chronic administration of immunosuppressants, or other immune-modifying drugs during the period starting 180 days prior to the first vaccine dose or any planned administration of immunosuppressive and immune-modifying drugs during the entire study.

* Inhaled and topical steroids are allowed.
* Planned administration / administration of a vaccine not foreseen by the study protocol during the period starting 30 days prior to study vaccination at Visit 1 and ending at Visit 2 (or ending at Visit 3 for the US post-dose 2 sub-cohort). Please Note:

* Inactivated influenza (Flu) vaccine and Haemophilus influenzae type b conjugate vaccine (Hib) vaccines may be given at any time during the study, including the day of study vaccination (Flu and Hib vaccines must be administered at a different location than the study vaccine/s).
* Any age appropriate vaccine may be given starting at Visit 2 (or starting at Visit 3 for the US post-dose 2 sub-cohort), and anytime thereafter.
* Administration of immunoglobulins and/or any blood products during the period starting 180 days prior to study vaccination at Visit 1 or planned administration from the date of vaccination through the immunogenicity evaluation at Visit 2, or at Visit 3 for the US post-dose 2 sub-cohort.
* History of measles, mumps, rubella, varicella/zoster and/or hepatitis A diseases.
* Known exposure to measles, mumps, rubella and/or varicella/zoster during the period starting 30 days prior to the first study vaccination.
* Previous vaccination against measles, mumps, rubella, hepatitis A and/or varicella virus.
* Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
* A family history of congenital or hereditary immunodeficiency.
* History of allergic disease or reactions likely to be exacerbated by any component of the vaccines, including hypersensitivity to neomycin, latex 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 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 based on medical history.
* Any other condition which, in the opinion of the Investigator, prevents the child from participating in the study.

For US children only:

• A child that previously received a fourth dose of any pneumococcal conjugate vaccine.
Minimum Eligible Age

12 Months

Maximum Eligible Age

15 Months

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

Birmingham, Alabama, United States

Site Status

GSK Investigational Site

Phoenix, Arizona, United States

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GSK Investigational Site

Phoenix, Arizona, United States

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Jonesboro, Arkansas, United States

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GSK Investigational Site

Little Rock, Arkansas, United States

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GSK Investigational Site

West Covina, California, United States

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GSK Investigational Site

Altamonte Springs, Florida, United States

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GSK Investigational Site

Miami, Florida, United States

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GSK Investigational Site

Miami Lakes, Florida, United States

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GSK Investigational Site

Naples, Florida, United States

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Tampa, Florida, United States

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Muncie, Indiana, United States

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GSK Investigational Site

New Albany, Indiana, United States

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GSK Investigational Site

West Des Moines, Iowa, United States

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GSK Investigational Site

Wichita, Kansas, United States

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Louisville, Kentucky, United States

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Annapolis, Maryland, United States

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Baltimore, Maryland, United States

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Frederick, Maryland, United States

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Kansas City, Missouri, United States

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Lincoln, Nebraska, United States

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Lincoln, Nebraska, United States

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Omaha, Nebraska, United States

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Clyde, North Carolina, United States

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Cleveland, Ohio, United States

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Dayton, Ohio, United States

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Dayton, Ohio, United States

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Toledo, Ohio, United States

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Youngstown, Ohio, United States

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Gresham, Oregon, United States

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Johnstown, Pennsylvania, United States

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Charleston, South Carolina, United States

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Charleston, South Carolina, United States

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Houston, Texas, United States

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Layton, Utah, United States

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Springville, Utah, United States

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St. George, Utah, United States

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Midlothian, Virginia, United States

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Richmond, Virginia, United States

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Ellensburg, Washington, United States

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Benešov, , Czechia

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Chlumec nad Cidlinou, , Czechia

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Děčín, , Czechia

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Jindřichův Hradec, , Czechia

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Kladno, , Czechia

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Liberec, , Czechia

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Lipník nad Bečvou, , Czechia

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Náchod, , Czechia

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Odolena Voda, , Czechia

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Ostrava - Poruba, , Czechia

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Pardubice, , Czechia

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Prague, , Czechia

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Helsinki, , Finland

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Helsinki, , Finland

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Järvenpää, , Finland

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Oulu, , Finland

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Tampere, , Finland

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Turku, , Finland

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Kuala Terengganu, , Malaysia

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Kuching, , Malaysia

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Sibu, , Malaysia

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Guayama, , Puerto Rico

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Ponce, , Puerto Rico

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San Juan, , Puerto Rico

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Antequera/Málaga, , Spain

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Barcelona, , Spain

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Centelles (Barcelona), , Spain

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L'Eliana, Valencia, , Spain

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Manlleu, , Spain

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Quart de Poblet, Valencia, , Spain

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Santiago de Compostela, , Spain

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Seville, , Spain

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Valencia, , Spain

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Valencia, , Spain

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Valencia, , Spain

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GSK Investigational Site

Vic, , Spain

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GSK Investigational Site

Bangkok, , Thailand

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GSK Investigational Site

Bangkok, , Thailand

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GSK Investigational Site

Bangkok, , Thailand

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GSK Investigational Site

Chiang Mai, , Thailand

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GSK Investigational Site

Pathum Thani, , Thailand

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Countries

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United States Czechia Finland Malaysia Puerto Rico Spain Thailand

References

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MMR-161 Study Group. Immunogenicity and safety of measles-mumps-rubella vaccine at two different potency levels administered to healthy children aged 12-15 months: A phase III, randomized, non-inferiority trial. Vaccine. 2018 Sep 11;36(38):5781-5788. doi: 10.1016/j.vaccine.2018.07.076. Epub 2018 Aug 10.

Reference Type BACKGROUND
PMID: 30104117 (View on PubMed)

Other Identifiers

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2011-004905-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

115649

Identifier Type: -

Identifier Source: org_study_id

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