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CompletedNCT00969436Updated Jun 8, 2018Results posted

Comparison of GSK Measles-mumps-rubella-varicella (MMRV) Vaccine Versus PriorixTM

A Phase 3 interventional study of GSK Biological's investigational MMRV vaccine 208136 and Priorix™ in Varicella, Rubella and Mumps, sponsored by GlaxoSmithKline. Completed at 6 sites in India. Open to participants aged 9 Months to 10 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-06-08.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
9 Months to 10 Months
Sex
All
01

Study summary

The purpose of this study is to assess non-inferiority of two different vaccination regimens using GSK Biological's MMRV vaccine (two doses at 9 and 15 months) or Priorix™ (9 months) and one dose of MMRV vaccine (15 months) to the current standard of care which is Priorix™ administered at 9 months of age followed by concomitant administration of Priorix™ with Varilrix™ at 15 months of age in a measles endemic environment such as India.

02

Conditions studied

  • Varicella
  • Rubella
  • Mumps
  • Measles

Keywords

  • Mumps
  • Immunogenicity
  • Vaccines
  • Safety
  • Rubella
  • Combined Vaccine
  • Varicella Vaccine
  • Children
  • Measles
  • Humans
03

Who can participate

Ages eligible
9 Months to 10 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subjects who the investigator believes that their parents/guardians can and will comply with the requirements of the protocol should be enrolled in the study.
  • Male or female subjects between and including 9 and 10 months of age at the time of the first vaccination.
  • Written informed consent obtained from the the parent or guardian of the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.

Exclusion criteria

Exclusion Criteria:

  • Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
  • Planned administration/administration of a vaccine not foreseen by the study protocol starting 30 days prior to administration of any dose of the study vaccine, up to 42 days after the vaccine dose with the exception of hepatitis A vaccine and oral poliovirus vaccine .
  • 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-registered product.
  • Previous vaccination against measles, mumps, rubella and varicella.
  • History of measles, mumps, rubella and/or varicella diseases.
  • Known exposure to measles, mumps, rubella and/or varicella within 30 days prior to the start of the study.
  • 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 neomycin.
  • Major congenital defects or serious chronic illness.
  • History of any neurologic disorders or seizures.
  • Acute disease at the time of enrolment.
  • Axillary temperature > 37.5°C (99.5°F) / Rectal temperature > 38°C (100.4°F).
  • Administration of immunoglobulins and/or any blood products during the six months before entering the study or planned administration during the study period.
  • Presence of a susceptible high-risk person in the same household during the study period.
04

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
450 participants (actual)

Study arms

  • Experimental
    Priorix-Tetra Group

    Subjects received 2 doses of Priorix-Tetra® vaccine, 1 at Day 0 and 1 at Month 6, administered subcutaneously in the left anterolateral thigh.

    Biological: GSK Biological's investigational MMRV vaccine 208136

  • Experimental
    Priorix/ Priorix-Tetra Group

    Subjects received 1 dose of Priorix™ vaccine at Day 0 and 1 dose of Priorix-Tetra® vaccine at Month 6, both administered subcutaneously in the left anterolateral thigh.

    Biological: GSK Biological's investigational MMRV vaccine 208136 · Biological: Priorix™

  • Active comparator
    Control Group

    Subjects received 1 dose of Priorix™ vaccine at Day 0 and 1 dose of Priorix™ vaccine co-administered with Varilirix™ vaccine at Month 6, administered subcutaneously in the left and right anterolateral thigh.

    Biological: Priorix™ · Biological: Varilrix™

Interventions

  • BiologicalGSK Biological's investigational MMRV vaccine 208136

    Subcutaneous injection

  • BiologicalPriorix™

    Subcutaneous injection

  • BiologicalVarilrix™

    Subcutaneous injection

05

What researchers measure

Primary outcomes

  1. Number of Subjects Seroconverted for Measles, Mumps, Rubella and Varicella Antibodies

    Seroconversion was defined as the appearance of antibodies \[i.e. concentration/titre greater than or equal to (≥) the cut-off value\] in the serum of subjects seronegative before vaccination. The cut-off values for seroconversion were 150 milli-international units per milliliter (mIU/mL), 231 units per milliliter (U/mL), 4 international units per milliliter (IU/mL) and for immunoglobulin G (IgG) varicella antibodies 1:4 dilution for measles, mumps, rubella and varicella, respectively.

    Time frame: At 42 - 56 days after the second vaccination dose at week 30

Secondary outcomes

  1. Number of Seroconverted Subjects for Measles, Mumps, Rubella and Varicella Antibodies

    Seroconversion was defined as the appearance of antibodies (i.e. concentration/titre ≥ the cut-off value) in the serum of subjects seronegative before vaccination. The cut-off values for seroconversion were 150 mIU/mL, 231 U/mL, 4 IU/mL and for IgG varicella antibodies 1:4 dilution for measles, mumps, rubella and varicella, respectively.

    Time frame: Approximately 42 to 56 days after the first vaccine dose at week 6

  2. Antibody Concentrations Against Measles, Mumps, Rubella and Varicella Viruses

    Antibody concentrations were summarized by geometric mean concentrations (GMCs) with their 95% confidence intervals (CIs).

    Time frame: At 42 - 56 days after the first (at Week 6) and second (at Week 30) vaccination dose

  3. Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.

    Time frame: During the 4-day (Days 0-3) post-vaccination period following each dose (Dose 1 and Dose 2)

  4. Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were meningism and parotid gland swelling. Any = occurrence of the symptom regardless of intensity grade or relationship to vaccination. Grade 3 meningism and parotid gland swelling = meningism/parotid gland swelling which prevented normal everyday activities. Related = symptom assessed by the investigator as related to the vaccination.

    Time frame: During the 43-day (Days 0-42) post-vaccination period following each dose (Dose 1 and Dose 2)

  5. Number of Subjects Reporting Any, Grade 3 and Related Fever

    Any fever was defined as fever ≥ 38.0°C and grade 3 fever was defined as fever \> 39.5°C after vaccination. Related fever was defined as fever assessed by the investigator as related to the vaccination.

    Time frame: During the 43-day (Days 0-42) post-vaccination period following each dose (Dose 1 and Dose 2)

  6. Number of Subjects Reporting Any, Grade 3 and Related Rash

    Any rash was defined as incidence of a rash regardless of intensity grade or relationship to vaccination and grade 3 rash greater than (\>) 150 lesions. Related rash was defined as rash assessed by the investigator as causally related to the vaccination

    Time frame: During the 43-day (Days 0-42) post-vaccination period following each dose (Dose 1 and Dose 2)

  7. Number of Subjects Reporting Any Unsolicited Adverse Event

    An unsolicited Adverse Event (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 AE reported in addition to those solicited during the clinical study. Also any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event.

    Time frame: Within 43-day (Days 0-42) after the first and second vaccination dose

  8. Number of Subjects With Serious Adverse Events (SAEs)

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or congenital anomaly/birth defect in the offspring of a study subject.

    Time frame: From the first study dose up to study end (Month 0 to Month 7.5 approximately)

06

Results

Posted Sep 25, 2017

Participant flow

Participant flow — Overall Study
MilestonePriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Started18018090
Completed15515979
Not completed252111
Withdrew: Protocol violation130
Withdrew: Migrated/moved from study area12102
Withdrew: Father - serious health problem001
Withdrew: Parents personal problem001
Withdrew: Subject eliminated (other vaccine)100
Withdrew: Withdrawal by subject302
Withdrew: Lost to follow-up885

Outcome measures

PrimaryNumber of Subjects Seroconverted for Measles, Mumps, Rubella and Varicella Antibodies

Seroconversion was defined as the appearance of antibodies \[i.e. concentration/titre greater than or equal to (≥) the cut-off value\] in the serum of subjects seronegative before vaccination. The cut-off values for seroconversion were 150 milli-international units per milliliter (mIU/mL), 231 units per milliliter (U/mL), 4 international units per milliliter (IU/mL) and for immunoglobulin G (IgG) varicella antibodies 1:4 dilution for measles, mumps, rubella and varicella, respectively.

Time frame:
At 42 - 56 days after the second vaccination dose at week 30
Reported as:
Count of participants · Participants
Number of Subjects Seroconverted for Measles, Mumps, Rubella and Varicella Antibodies
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Anti-measles ≥ 150 mIU/mL14915372
Anti-mumps ≥ 231 U/ML14915272
Anti-rubella ≥ 4 IU/mL15015273
IgG varicella antibodies ≥ 1:413814169
Statistical analysis
  • Priorix-Tetra Group vs Control Group · Difference in percentage: 0 · 95% CI -2.52 to 5.09
  • Priorix-Tetra Group vs Control Group · Difference in percentage: 0 · 95% CI -2.52 to 5.09
  • Priorix-Tetra Group vs Control Group · Difference in percentage: 0 · 95% CI -2.51 to 5.02
  • Priorix-Tetra Group vs Control Group · Difference in percentage: 4.17 · 95% CI 1.37 to 11.57
  • Priorix/ Priorix-Tetra Group vs Control Group · Difference in percentage: 0 · 95% CI -2.46 to 5.09
  • Priorix/ Priorix-Tetra Group vs Control Group · Difference in percentage: 0 · 95% CI -2.48 to 5.09
  • Priorix/ Priorix-Tetra Group vs Control Group · Difference in percentage: 0 · 95% CI -2.48 to 5.02
  • Priorix/ Priorix-Tetra Group vs Control Group · Difference in percentage: 2.77 · 95% CI -1.59 to 10.29
SecondaryNumber of Seroconverted Subjects for Measles, Mumps, Rubella and Varicella Antibodies

Seroconversion was defined as the appearance of antibodies (i.e. concentration/titre ≥ the cut-off value) in the serum of subjects seronegative before vaccination. The cut-off values for seroconversion were 150 mIU/mL, 231 U/mL, 4 IU/mL and for IgG varicella antibodies 1:4 dilution for measles, mumps, rubella and varicella, respectively.

Time frame:
Approximately 42 to 56 days after the first vaccine dose at week 6
Reported as:
Count of participants · Participants
Number of Seroconverted Subjects for Measles, Mumps, Rubella and Varicella Antibodies
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Anti-measles ≥ 150 mIU/mL13813563
Anti-mumps ≥ 231 U/ML12412860
Anti-rubella ≥ 4 IU/mL14715173
IgG varicella antibodies ≥ 1:413041
SecondaryAntibody Concentrations Against Measles, Mumps, Rubella and Varicella Viruses

Antibody concentrations were summarized by geometric mean concentrations (GMCs) with their 95% confidence intervals (CIs).

Time frame:
At 42 - 56 days after the first (at Week 6) and second (at Week 30) vaccination dose
Reported as:
Geometric mean · mIU/mL
Antibody Concentrations Against Measles, Mumps, Rubella and Varicella Viruses
mIU/mLPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Anti-measles; Week 62013.6 (1662.2 to 2439.3)1180.4 (963 to 1446.7)1200 (887.9 to 1621.8)
Anti-mumps; Week 6991.9 (819.7 to 1200.3)746.6 (628 to 887.6)775.1 (600.9 to 999.7)
Anti-rubella; Week 645.4 (38.3 to 53.7)63.8 (55.9 to 72.8)62 (51.3 to 74.9)
IgG varicella antibodies; Week 6120.5 (90.8 to 160)2.2 (2 to 2.4)2.2 (1.8 to 2.6)
Anti-measles; Week 304471.3 (3975.3 to 5029.2)3358.7 (3017.5 to 3738.4)2495 (2064.5 to 3015.2)
Anti-mumps; Week 306428 (5774.9 to 7154.9)10108.5 (9223.9 to 11078)4925.3 (4200.9 to 5774.7)
Anti-rubella; Week 30148.4 (136.1 to 161.8)164.8 (152.1 to 178.6)173 (153 to 195.6)
IgG varicella antibodies; Week 305318.5 (4318.7 to 6549.8)198 (158.2 to 247.7)128 (91.7 to 178.7)
SecondaryNumber of Subjects Reporting Any and Grade 3 Solicited Local Symptoms

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = cried when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 20 millimeters (mm) of injection site.

Time frame:
During the 4-day (Days 0-3) post-vaccination period following each dose (Dose 1 and Dose 2)
Reported as:
Count of participants · Participants
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Any Pain; Dose 120129
Grade 3 Pain; Dose 1000
Any Redness; Dose 11583
Grade 3 Redness; Dose 1000
Any Swelling; Dose 1853
Grade 3 Swelling; Dose 1000
Any Pain; Dose 29103
Grade 3 Pain; Dose 2000
Any Redness; Dose 21060
Grade 3 Redness; Dose 2300
Any Swelling; Dose 2960
Grade 3 Swelling; Dose 2000
SecondaryNumber of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms

Assessed solicited general symptoms were meningism and parotid gland swelling. Any = occurrence of the symptom regardless of intensity grade or relationship to vaccination. Grade 3 meningism and parotid gland swelling = meningism/parotid gland swelling which prevented normal everyday activities. Related = symptom assessed by the investigator as related to the vaccination.

Time frame:
During the 43-day (Days 0-42) post-vaccination period following each dose (Dose 1 and Dose 2)
Reported as:
Count of participants · Participants
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Any Meningism; Dose 1000
Grade 3 Meningism; Dose 1000
Related Meningism; Dose 1000
Any Parotid gland swelling; Dose 1000
Grade 3 Parotid gland swelling; Dose 1000
Related Parotid gland swelling; Dose 1000
Any Meningism; Dose 2000
Grade 3 Meningism; Dose 2000
Related Meningism; Dose 2000
Any Parotid gland swelling; Dose 2000
Grade 3 Parotid gland swelling; Dose 2000
Related Parotid gland swelling; Dose 2000
SecondaryNumber of Subjects Reporting Any, Grade 3 and Related Fever

Any fever was defined as fever ≥ 38.0°C and grade 3 fever was defined as fever \> 39.5°C after vaccination. Related fever was defined as fever assessed by the investigator as related to the vaccination.

Time frame:
During the 43-day (Days 0-42) post-vaccination period following each dose (Dose 1 and Dose 2)
Reported as:
Count of participants · Participants
Number of Subjects Reporting Any, Grade 3 and Related Fever
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Any temperature; Dose 1767027
Grade 3 temperature; Dose 11151
Related temperature; Dose 1534815
Any temperature; Dose 2413722
Grade 3 temperature; Dose 2262
Related temperature; Dose 2222110
SecondaryNumber of Subjects Reporting Any, Grade 3 and Related Rash

Any rash was defined as incidence of a rash regardless of intensity grade or relationship to vaccination and grade 3 rash greater than (\>) 150 lesions. Related rash was defined as rash assessed by the investigator as causally related to the vaccination

Time frame:
During the 43-day (Days 0-42) post-vaccination period following each dose (Dose 1 and Dose 2)
Reported as:
Count of participants · Participants
Number of Subjects Reporting Any, Grade 3 and Related Rash
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Any Rash; Dose 1121
Grade 3 Rash; Dose 1000
Related Rash; Dose 1100
Any Rash; Dose 2010
Grade 3 Rash; Dose 2000
Related Rash; Dose 2000
SecondaryNumber of Subjects Reporting Any Unsolicited Adverse Event

An unsolicited Adverse Event (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 AE reported in addition to those solicited during the clinical study. Also any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event.

Time frame:
Within 43-day (Days 0-42) after the first and second vaccination dose
Reported as:
Count of participants · Participants
Number of Subjects Reporting Any Unsolicited Adverse Event
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Any AE(s); Dose 1373918
Any AE(s); Dose 2191811
SecondaryNumber of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or congenital anomaly/birth defect in the offspring of a study subject.

Time frame:
From the first study dose up to study end (Month 0 to Month 7.5 approximately)
Reported as:
Count of participants · Participants
Number of Subjects With Serious Adverse Events (SAEs)
ParticipantsPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Number of Subjects With Serious Adverse Events (SAEs)760

Adverse events

Collected over Solicited local and general symptoms were collected during the 4-day and 43-day after each vaccination dose respectively. Unsolicited AEs were collected during the 43-day after each vaccination dose. SAEs were collected from Month 0 to Month 7.5.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Priorix-Tetra Group0/180 (0%)7/180 (3.9%)114/180 (63.3%)
Priorix/ Priorix-Tetra Group0/180 (0%)6/180 (3.3%)116/180 (64.4%)
Control Group0/90 (0%)0/90 (0%)55/90 (61.1%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
GastroenteritisInfections and infestations2/1803/1800/90
Lower respiratory tract infectionInfections and infestations2/1801/1800/90
PneumonitisRespiratory, thoracic and mediastinal disorders1/1800/1800/90
Upper respiratory tract inflammationRespiratory, thoracic and mediastinal disorders0/1801/1800/90
WheezingRespiratory, thoracic and mediastinal disorders1/1800/1800/90
Febrile convulsionNervous system disorders0/1801/1800/90
PyrexiaGeneral disorders1/1800/1800/90
DehydrationMetabolism and nutrition disorders0/1801/1800/90
Viral infectionInfections and infestations1/1801/1800/90
BronchiolitisInfections and infestations0/1801/1800/90
Most frequent other events
Showing 10 of 12
Most frequent other events
EventPriorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl Group
Fever; Dose 1General disorders76/17470/17227/83
Fever; Dose 2General disorders41/15537/15922/79
Pain; Dose 1General disorders20/18012/1809/90
Redness; Dose 1General disorders15/1748/1723/84
Cough; Dose 1Respiratory, thoracic and mediastinal disorders6/18010/1806/90
Rhinitis; Dose 1Infections and infestations7/1809/1806/90
Nasopharyngitis; Dose 1Infections and infestations4/1808/1806/90
Redness; Dose 2General disorders10/1556/1590/79
Pain; Dose 2General disorders9/15510/1593/79
Swelling; Dose 2General disorders9/1556/1590/79

Baseline characteristics

Age, Continuous
Age, Continuous(Months)Priorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl GroupTotal
Mean9 ± 09 ± 0.119 ± 09 ± 0.07
Sex: Female, Male
Sex: Female, Male(Participants)Priorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl GroupTotal
Female798949217
Male1019141233
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Priorix-Tetra GroupPriorix/ Priorix-Tetra GroupControl GroupTotal
Asian - central/ south Asian heritage17717588440
Asian - south east Asian heritage2529
American Indian or Alaskan native1001
07

Study locations

6 sites
  • GSK Investigational Site
    Bangalore, 560034, India
  • GSK Investigational Site
    Chennai, India
  • GSK Investigational Site
    Goa, 403202, India
  • GSK Investigational Site
    Kolkata, 700073, India
  • GSK Investigational Site
    Pune, 411 011, India
  • GSK Investigational Site
    Pune, India
08

References and documents

Publications

  • Lalwani S, Chatterjee S, Balasubramanian S, Bavdekar A, Mehta S, Datta S, Povey M, Henry O. Immunogenicity and safety of early vaccination with two doses of a combined measles-mumps-rubella-varicella vaccine in healthy Indian children from 9 months of age: a phase III, randomised, non-inferiority trial. BMJ Open. 2015 Sep 11;5(9):e007202. doi: 10.1136/bmjopen-2014-007202. PubMed 26362659 ↗

Individual participant data

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.

09

Registry details

Key details

Study ID
NCT00969436
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Sep 1, 2009
Start date
Nov 9, 2009
Primary completion
Feb 21, 2011
Completion
Feb 21, 2011
Results posted
Sep 25, 2017
Last update
Jun 8, 2018

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline
View the source record on ClinicalTrials.gov ↗

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