Trial Outcomes & Findings for Phase III Study of Intramuscular TAK-816 in Healthy Infants (NCT NCT02074345)

NCT ID: NCT02074345

Last Updated: 2016-04-26

Results Overview

Adverse events are defined as unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product, regardless of relationship to the medicinal product. Among these, events which are considered possibly associated with a medicinal product are defined as adverse reactions.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

31 participants

Primary outcome timeframe

For 64 Weeks

Results posted on

2016-04-26

Participant Flow

Participants took part in the study at 4 investigative sites in Japan from 13 March 2014 to 25 March 2015.

Participants received open-label TAK-816 0.5 mL vaccinations, 3 initial doses and 1 booster.

Participant milestones

Participant milestones
Measure
TAK-816 0.5 mL
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Overall Study
STARTED
31
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase III Study of Intramuscular TAK-816 in Healthy Infants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Age, Continuous
2.54 months
STANDARD_DEVIATION 0.587 • n=5 Participants
Age, Customized
<2 months
0 participants
n=5 Participants
Age, Customized
≥2 - <3 months
22 participants
n=5 Participants
Age, Customized
≥3 - <4 months
8 participants
n=5 Participants
Age, Customized
≥4 - <5 months
1 participants
n=5 Participants
Age, Customized
≥5 months
0 participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Region of Enrollment
Japan
31 participants
n=5 Participants
Height
58.2 cm
STANDARD_DEVIATION 2.38 • n=5 Participants
Weight
5.62 kg
STANDARD_DEVIATION 0.551 • n=5 Participants
Anti-Polyribosylribitol Phosphate (PRP) Antibody Titer Before Primary Immunization
<0.15 µg/mL
4 participants
n=5 Participants
Anti-Polyribosylribitol Phosphate (PRP) Antibody Titer Before Primary Immunization
≥0.15 µg/mL
27 participants
n=5 Participants
Simultaneous Vaccination of Pneumococcal Vaccine
Yes
0 participants
n=5 Participants
Simultaneous Vaccination of Pneumococcal Vaccine
No
31 participants
n=5 Participants
Simultaneous Vaccination of Diphtheria, Tetanus, Pertussis-Inactivated Polio Vaccine (DPT-IPV)
Yes
0 participants
n=5 Participants
Simultaneous Vaccination of Diphtheria, Tetanus, Pertussis-Inactivated Polio Vaccine (DPT-IPV)
No
31 participants
n=5 Participants
Simultaneous Vaccination of Rotavirus Vaccine
Yes
27 participants
n=5 Participants
Simultaneous Vaccination of Rotavirus Vaccine
No
4 participants
n=5 Participants
Simultaneous Vaccination of Measles-Rubella (MR) Vaccine
Yes
0 participants
n=5 Participants
Simultaneous Vaccination of Measles-Rubella (MR) Vaccine
No
31 participants
n=5 Participants

PRIMARY outcome

Timeframe: For 64 Weeks

Population: Full Analysis Set (FAS) included all participants who received at least 1 dose of the study vaccination.

Adverse events are defined as unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product, regardless of relationship to the medicinal product. Among these, events which are considered possibly associated with a medicinal product are defined as adverse reactions.

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Number of Participants With Adverse Events
31 participants

PRIMARY outcome

Timeframe: For 64 Weeks

Population: FAS included all participants who received at least 1 dose of the study vaccination.

Body temperature was assessed for 14 days after each vaccination and was recorded by the caregiver in a diary. Adverse reactions related body temperature was reported as pyrexia.

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Number of Participants With Adverse Reactions Related to Body Temperature (Pyrexia)
6 participants

PRIMARY outcome

Timeframe: For 64 Weeks

Population: FAS included all participants who received at least 1 dose of the study vaccination.

Local Reactions were assessed 14 days after each vaccination and were recorded by the caregiver in a diary. Local reactions (injection site) were erythema, swelling, induration and pain (tenderness).

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Number of Participants With Adverse Reactions Related to Local Reactions
Injection site erythema
5 participants
Number of Participants With Adverse Reactions Related to Local Reactions
Injection site swelling
1 participants
Number of Participants With Adverse Reactions Related to Local Reactions
Injection site induration
1 participants
Number of Participants With Adverse Reactions Related to Local Reactions
Injection site pain
0 participants

PRIMARY outcome

Timeframe: For 64 Weeks

Population: FAS included all participants who received at least 1 dose of the study vaccination.

Systemic Reactions were assessed 14 days after each vaccination and were recorded by the caregiver in a diary. Systemic reactions were rash, irritability, crying, decreased appetite, vomiting, diarrhoea, somnolence (sleepiness) and insomnia (sleeplessness).

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Number of Participants With Adverse Reactions Related to Systemic Reactions
Rash
0 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Vomiting
1 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Diarrhoea
5 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Irritability
0 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Crying
3 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Decreased appetite
0 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Somnolence
3 participants
Number of Participants With Adverse Reactions Related to Systemic Reactions
Insomnia
2 participants

SECONDARY outcome

Timeframe: For 64 weeks

Population: FAS, all participants who received at least 1 dose of the study vaccination, with available data.

Blood was collected and was sent to a central laboratory for the evaluation of anti-PRP antibody titer against Haemophilus influenzae type b (Hib) as an assessment of immunogenicity.

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Percentage of Participant With Anti-PRP Antibody Titer ≥ 1.0 μg/mL
Before Primary Immunization (n=31)
16.1 percentage of participants
Interval 5.452 to 33.727
Percentage of Participant With Anti-PRP Antibody Titer ≥ 1.0 μg/mL
At 4 Weeks after Primary Immunization (n=30)
100 percentage of participants
Interval 88.43 to 100.0
Percentage of Participant With Anti-PRP Antibody Titer ≥ 1.0 μg/mL
Before Booster Vaccination (n=31)
77.4 percentage of participants
Interval 58.904 to 90.406
Percentage of Participant With Anti-PRP Antibody Titer ≥ 1.0 μg/mL
At 4 Weeks after Booster Vaccination (n=31)
100 percentage of participants
Interval 88.781 to 100.0

SECONDARY outcome

Timeframe: For 64 weeks

Population: FAS, all participants who received at least 1 dose of the study vaccination, with available data.

Blood was collected and was sent to a central laboratory for the evaluation of anti-PRP antibody titer against Hib as an assessment of immunogenicity.

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Percentage of Participant With Anti-PRP Antibody Titer ≥ 0.15 μg/mL
Before Primary Immunization (n=31)
87.1 percentage of participants
Interval 70.166 to 96.37
Percentage of Participant With Anti-PRP Antibody Titer ≥ 0.15 μg/mL
At 4 Weeks after Primary Immunization (n=30)
100 percentage of participants
Interval 88.43 to 100.0
Percentage of Participant With Anti-PRP Antibody Titer ≥ 0.15 μg/mL
Before Booster Vaccination (n=31)
100 percentage of participants
Interval 88.781 to 100.0
Percentage of Participant With Anti-PRP Antibody Titer ≥ 0.15 μg/mL
At 4 Weeks after Booster Vaccination (n=31)
100 percentage of participants
Interval 88.781 to 100.0

SECONDARY outcome

Timeframe: For 64 weeks

Population: FAS, all participants who received at least 1 dose of the study vaccination, with available data.

Blood was collected and was sent to a central laboratory for the evaluation of anti-PRP antibody titer against Hib as an assessment of immunogenicity.

Outcome measures

Outcome measures
Measure
TAK-816 0.5 mL
n=31 Participants
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Geometric Mean Titer (GMT) of Anti-PRP Antibody
Before Primary Immunization (n=31)
0.354 μg/mL
Interval 0.2583 to 0.4843
Geometric Mean Titer (GMT) of Anti-PRP Antibody
At 4 Weeks after Primary Immunization (n=30)
19.682 μg/mL
Interval 11.3094 to 34.2544
Geometric Mean Titer (GMT) of Anti-PRP Antibody
Before Booster Vaccination (n=31)
3.087 μg/mL
Interval 2.0482 to 4.6518
Geometric Mean Titer (GMT) of Anti-PRP Antibody
At 4 Weeks after Booster Vaccination (n=31)
51.334 μg/mL
Interval 31.0689 to 84.8159

Adverse Events

TAK-816 0.5 mL

Serious events: 4 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TAK-816 0.5 mL
n=31 participants at risk
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Gastrointestinal disorders
Inguinal hernia
3.2%
1/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Pneumonia
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Pneumonia bacterial
3.2%
1/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Respiratory syncytial virus bronchiolitis
3.2%
1/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Respiratory syncytial virus infection
3.2%
1/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Other adverse events

Other adverse events
Measure
TAK-816 0.5 mL
n=31 participants at risk
Primary immunization: TAK-816 0.5 mL, intramuscular injection, once on Day 1 and every 28 days for 2 intervals (Days 29 and 57). Booster immunization: TAK-816 0.5 mL, intramuscular injection, once, 52 weeks after the third dose of primary immunization.
Gastrointestinal disorders
Diarrhoea
35.5%
11/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Vomiting
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Pyrexia
45.2%
14/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Injection site erythema
16.1%
5/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Crying
12.9%
4/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Injection site swelling
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Nasopharyngitis
48.4%
15/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Gastroenteritis
12.9%
4/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Bronchitis
9.7%
3/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Conjunctivitis bacterial
9.7%
3/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Exanthema subitum
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Molluscum contagiosum
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Somnolence
9.7%
3/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Insomnia
12.9%
4/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract inflammation
16.1%
5/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Eczema
19.4%
6/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Dermatitis diaper
9.7%
3/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Miliaria
9.7%
3/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Eczema asteatotic
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Rash
6.5%
2/31 • For 64 weeks
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director, Clinical Science

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER