A Phase 3 interventional study of Havrix™ and Infanrix™ in Hepatitis A, sponsored by GlaxoSmithKline. Completed at 22 sites in United States. Open to participants aged 12 Months to 13 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-20.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention
This is a study to evaluate the immune response and safety of GSK Biologicals 2-dose inactivated hepatitis A vaccine when administered with a diphtheria, tetanus and pertussis combination (DTaP) vaccine and a Haemophilus influenza type B (Hib) vaccine in children 15 months of age. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
An open, controlled comparison of Havrix™ administered alone or with Infanrix™ and ActHIB. The three groups evaluated are: 1) Havrix™ alone, 2) Havrix™ + Infanrix™ and ActHIB and 3) Infanrix™ and ActHIB followed by Havrix™ one month later.
2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.
This study's enrollment of 468 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.
Browse Hepatitis A studies →GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.
Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Subjects received one dose of Havrix at Day 0 followed by a second dose of Havrix at Month 6-9.
Biological: Havrix™
Subjects received Infanrix co-administered with ActHIB at Day 0, followed by one dose of Havix at Day 30 and a second dose of Havrix at Month 7-10.
Biological: Havrix™ · Biological: Infanrix™ · Biological: ActHIB™
Subjects received one dose of Havrix co-administered with Infanrix and ActHIB vaccines at Day 0 followed by a second dose of Havrix at Month 6-9.
Biological: Havrix™ · Biological: Infanrix™ · Biological: ActHIB™
2 intramuscular injections, 6 months apart
1 intramuscular injection
1 intramuscular injection
Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the Second Dose of Havrix
Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).
Time frame: 31 days following the second dose of Havrix™
Number of Anti-diphtheria, Anti-tetanus and Anti-polyribosylribitol Phosphate (PRP) Seroprotected Subjects
Subjects are defined as being anti-diphtheria, anti-tetanus and anti-PRP seroprotected if their anti-diphtheria and anti-tetanus antibody concentration is ≥ 0.1 International Units per milliliter (IU/mL) and if their anti-PRP antibody concentration is ≥ 1 microgram per milliliter (μg/mL), respectively.
Time frame: 31 days following the administration of Infanrix™ and ActHIB
Number of Vaccine Responders for Anti-pertussis Toxoid (PT), Anti-filamentous Hemagglutinin (FHA) and Anti-pertactin (PRN)
Subjects are considered as being vaccine responders if they were initially seronegative and become seropositive (≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL)), or were initially seropositive and have a 2-fold increase above pre-study concentrations.
Time frame: 31 days following the administration of Infanrix™ and ActHIB
Anti-diphtheria and Anti-tetanus Antibody Geometric Mean Concentrations (GMC)
GMCs are expressed as International Units per milliliter (IU/mL).
Time frame: 31 days following the administration of Infanrix™ and ActHIB
Anti-polyribosylribitol Phosphate (PRP) Antibody Geometric Mean Concentrations (GMC)
GMCs are expressed as microgram/milliliter (µg/mL).
Time frame: 31 days following the administration of Infanrix™ and ActHIB
Number of Subjects Seropositive for Anti-pertussis Toxoid (PT), Anti-filamentous Hemagglutinin (FHA), Anti-pertactin (PRN) and Anti-polyribosylribitol Phosphate (PRP)
Seropositivity is defined as antibody concentrations ≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL) for anti-PT, anti-FHA and anti-PRN antibodies and as antibody concentrations ≥ 0.15 microgram/milliliter (µg/mL) for anti-PRP antibodies.
Time frame: 31 days following the administration of Infanrix™ and ActHIB
Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the First Dose of Havrix
Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).
Time frame: 31 days following the first dose of Havrix™
Anti-hepatitis A Virus (HAV) Antibody Geometric Mean Concentrations (GMC) Following the First Dose of Havrix
Anti-hepatitis A (HAV) antibody geometric mean concentrations (GMC) are expressed as milli-International Units per milliliter (mIU/mL).
Time frame: 31 days following the first dose of Havrix™
Anti-hepatitis Virus A (HAV) Antibody Geometric Mean Concentrations (GMC) Following the Second Dose of Havrix
Anti-hepatitis A (HAV) antibody geometric mean concentrations (GMC) are expressed as milli-International Units per milliliter (mIU/mL).
Time frame: 31 days following the second dose of Havrix™
Number of Subjects With Vaccine Response to Havrix™.
Vaccine response to Havrix is defined as post-vaccination anti-HAV antibody concentrations ≥ 15 mIU/mL in initially seronegative subjects or a ≥ 2-fold increase above the pre-vaccination anti-HAV antibody concentration in initially seropositive subjects.
Time frame: 31 days following the second dose
Number of Subjects Reporting Solicited Local Adverse Events (AEs)
Solicited local AEs assessed include pain, redness and swelling. Data across doses are presented in the table.
Time frame: 4-day period following each dose of study vaccine(s)
Number of Subjects Reporting Solicited General Adverse Events (AEs)
Solicited general AEs assessed include drowsiness, axillary fever ≥ 37.5°C, irritability and loss of appetite. Data across doses are presented in the table.
Time frame: 4-day period following each dose of study vaccine(s)
Number of Subjects Reporting Unsolicited Adverse Events (AEs)
An Adverse Event is 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.
Time frame: 31-day period following each dose of study vaccine(s)
Number of Subjects Reporting Serious Adverse Events (SAEs), New Chronic Illnesses and Medically Significant Events
Since the related information about medically significant events was not specifically collected and new chronic illnesses were only collected in the extended safety follow-up phase, all unsolicited adverse events (AEs) throughout the study are reported in the table without identifying which event was a medically significant or new chronic illness.
Time frame: Active Phase and the 6-months Extended Safety Follow-up (ESFU) Phase.
| Milestone | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Started | 135 | 127 | 132 |
| Completed | 121 | 110 | 109 |
| Not completed | 14 | 17 | 23 |
| Withdrew: Adverse event | 1 | 0 | 1 |
| Withdrew: Lost to follow-up | 5 | 14 | 6 |
| Withdrew: Protocol violation | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 7 | 3 | 11 |
| Withdrew: Study drug/medication expiration | 1 | 0 | 3 |
| Withdrew: Returned out of specified time window | 0 | 0 | 1 |
Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the Second Dose of Havrix | 88 | 84 | 77 |
Subjects are defined as being anti-diphtheria, anti-tetanus and anti-PRP seroprotected if their anti-diphtheria and anti-tetanus antibody concentration is ≥ 0.1 International Units per milliliter (IU/mL) and if their anti-PRP antibody concentration is ≥ 1 microgram per milliliter (μg/mL), respectively.
| Participants | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Havrix Group |
|---|---|---|---|
| Anti-diphtheria | 89 | 80 | — |
| Anti-tetanus | 88 | 80 | — |
| Anti-PRP | 90 | 77 | — |
Subjects are considered as being vaccine responders if they were initially seronegative and become seropositive (≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL)), or were initially seropositive and have a 2-fold increase above pre-study concentrations.
| Participants | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Havrix Group |
|---|---|---|---|
| Anti-PT | 87 | 71 | — |
| Anti-FHA | 85 | 75 | — |
| Anti-PRN | 86 | 74 | — |
GMCs are expressed as International Units per milliliter (IU/mL).
| IU/mL | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Havrix Group |
|---|---|---|---|
| Anti-diphtheria | 11.3 (9.8 to 13.1) | 10.3 (8.7 to 12.3) | — |
| Anti-tetanus | 7.0 (5.9 to 8.2) | 7.3 (6.0 to 8.8) | — |
GMCs are expressed as microgram/milliliter (µg/mL).
| µg/mL | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Havrix Group |
|---|---|---|---|
| Anti-polyribosylribitol Phosphate (PRP) Antibody Geometric Mean Concentrations (GMC) | 60.8 (45.9 to 80.4) | 41.0 (30.0 to 55.9) | — |
Seropositivity is defined as antibody concentrations ≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL) for anti-PT, anti-FHA and anti-PRN antibodies and as antibody concentrations ≥ 0.15 microgram/milliliter (µg/mL) for anti-PRP antibodies.
| Participants | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Havrix Group |
|---|---|---|---|
| Anti-PT | 89 | 80 | — |
| Anti-FHA | 89 | 80 | — |
| Anti-PRN | 89 | 80 | — |
| Anti-PRP | 90 | 79 | — |
Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the First Dose of Havrix | 82 | 77 | — |
Anti-hepatitis A (HAV) antibody geometric mean concentrations (GMC) are expressed as milli-International Units per milliliter (mIU/mL).
| mIU/mL | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Anti-hepatitis A Virus (HAV) Antibody Geometric Mean Concentrations (GMC) Following the First Dose of Havrix | 51.5 (41.7 to 63.7) | 51.5 (41.8 to 63.5) | — |
Anti-hepatitis A (HAV) antibody geometric mean concentrations (GMC) are expressed as milli-International Units per milliliter (mIU/mL).
| mIU/mL | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Anti-hepatitis Virus A (HAV) Antibody Geometric Mean Concentrations (GMC) Following the Second Dose of Havrix | 1700.4 (1306.0 to 2213.7) | 1904.4 (1552.7 to 2335.7) | 1625.1 (1378.2 to 1916.3) |
Vaccine response to Havrix is defined as post-vaccination anti-HAV antibody concentrations ≥ 15 mIU/mL in initially seronegative subjects or a ≥ 2-fold increase above the pre-vaccination anti-HAV antibody concentration in initially seropositive subjects.
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Number of Subjects With Vaccine Response to Havrix™. | 86 | 83 | 74 |
Solicited local AEs assessed include pain, redness and swelling. Data across doses are presented in the table.
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Pain | 44 | 60 | 70 |
| Redness | 34 | 54 | 63 |
| Swelling | 21 | 38 | 46 |
Solicited general AEs assessed include drowsiness, axillary fever ≥ 37.5°C, irritability and loss of appetite. Data across doses are presented in the table.
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Drowsiness | 44 | 50 | 53 |
| Fever | 16 | 26 | 31 |
| Irritability | 56 | 62 | 70 |
| Loss of appetite | 33 | 40 | 48 |
An Adverse Event is 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.
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Number of Subjects Reporting Unsolicited Adverse Events (AEs) | 75 | 69 | 71 |
Since the related information about medically significant events was not specifically collected and new chronic illnesses were only collected in the extended safety follow-up phase, all unsolicited adverse events (AEs) throughout the study are reported in the table without identifying which event was a medically significant or new chronic illness.
| Participants | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| SAEs | 5 | 2 | 4 |
| AEs during Active Phase | 80 | 74 | 72 |
| AEs during ESFU | 11 | 10 | 7 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Havrix Group | — | — | 95/135 (70.4%) |
| Havrix + Infanrix + ActHIB Group | — | — | 105/127 (82.7%) |
| Infanrix + ActHIB→Havrix Group | — | — | 107/132 (81.1%) |
| Event | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| DehydrationMetabolism and nutrition disorders | 2/135 | 0/127 | 1/132 |
| GastroenteritisInfections and infestations | 1/135 | 1/127 | 0/132 |
| PyrexiaGeneral disorders | 0/135 | 1/127 | 0/132 |
| TachycardiaCardiac disorders | 0/135 | 1/127 | 0/132 |
| Developmental delayGeneral disorders | 1/135 | 0/127 | 1/132 |
| Expressive language disorderPsychiatric disorders | 1/135 | 0/127 | 1/132 |
| Bronchial hyperreactivityRespiratory, thoracic and mediastinal disorders | 0/135 | 0/127 | 1/132 |
| Respiratory distressRespiratory, thoracic and mediastinal disorders | 0/135 | 0/127 | 1/132 |
| Tonsillar hypertrophyRespiratory, thoracic and mediastinal disorders | 0/135 | 0/127 | 1/132 |
| Arthritis bacterialInfections and infestations | 1/135 | 0/127 | 0/132 |
| Event | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group |
|---|---|---|---|
| Pain at the injection siteGeneral disorders | 44/135 | 60/127 | 70/132 |
| IrritabilityGeneral disorders | 56/135 | 62/127 | 70/132 |
| Redness at the injection siteGeneral disorders | 34/135 | 54/127 | 63/132 |
| DrowsinessGeneral disorders | 44/135 | 50/127 | 53/132 |
| Loss of appetiteGeneral disorders | 33/135 | 40/127 | 48/132 |
| Swelling at the injection siteGeneral disorders | 21/135 | 38/127 | 46/132 |
| FeverGeneral disorders | 16/135 | 26/127 | 31/132 |
| Otitis mediaInfections and infestations | 13/135 | 11/127 | 22/132 |
| Upper respiratory tract infectionInfections and infestations | 18/135 | 18/127 | 16/132 |
| CoughRespiratory, thoracic and mediastinal disorders | 8/135 | 4/127 | 14/132 |
| Age, Continuous(months) | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Total |
|---|---|---|---|---|
| Mean | 15.1 ± 0.36 | 15.1 ± 0.3 | 15.0 ± 0.21 | 15.1 ± 0.30 |
| Sex: Female, Male(Participants) | Havrix Group | Havrix + Infanrix + ActHIB Group | Infanrix + ActHIB→Havrix Group | Total |
|---|---|---|---|---|
| Female | 55 | 64 | 67 | 186 |
| Male | 80 | 63 | 65 | 208 |
Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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