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
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.
Exclusion Criteria:
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
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™
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™
Subcutaneous injection
Subcutaneous injection
Subcutaneous injection
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
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
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
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)
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)
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)
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)
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
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)
| Milestone | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Started | 180 | 180 | 90 |
| Completed | 155 | 159 | 79 |
| Not completed | 25 | 21 | 11 |
| Withdrew: Protocol violation | 1 | 3 | 0 |
| Withdrew: Migrated/moved from study area | 12 | 10 | 2 |
| Withdrew: Father - serious health problem | 0 | 0 | 1 |
| Withdrew: Parents personal problem | 0 | 0 | 1 |
| Withdrew: Subject eliminated (other vaccine) | 1 | 0 | 0 |
| Withdrew: Withdrawal by subject | 3 | 0 | 2 |
| Withdrew: Lost to follow-up | 8 | 8 | 5 |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Anti-measles ≥ 150 mIU/mL | 149 | 153 | 72 |
| Anti-mumps ≥ 231 U/ML | 149 | 152 | 72 |
| Anti-rubella ≥ 4 IU/mL | 150 | 152 | 73 |
| IgG varicella antibodies ≥ 1:4 | 138 | 141 | 69 |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Anti-measles ≥ 150 mIU/mL | 138 | 135 | 63 |
| Anti-mumps ≥ 231 U/ML | 124 | 128 | 60 |
| Anti-rubella ≥ 4 IU/mL | 147 | 151 | 73 |
| IgG varicella antibodies ≥ 1:4 | 130 | 4 | 1 |
Antibody concentrations were summarized by geometric mean concentrations (GMCs) with their 95% confidence intervals (CIs).
| mIU/mL | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Anti-measles; Week 6 | 2013.6 (1662.2 to 2439.3) | 1180.4 (963 to 1446.7) | 1200 (887.9 to 1621.8) |
| Anti-mumps; Week 6 | 991.9 (819.7 to 1200.3) | 746.6 (628 to 887.6) | 775.1 (600.9 to 999.7) |
| Anti-rubella; Week 6 | 45.4 (38.3 to 53.7) | 63.8 (55.9 to 72.8) | 62 (51.3 to 74.9) |
| IgG varicella antibodies; Week 6 | 120.5 (90.8 to 160) | 2.2 (2 to 2.4) | 2.2 (1.8 to 2.6) |
| Anti-measles; Week 30 | 4471.3 (3975.3 to 5029.2) | 3358.7 (3017.5 to 3738.4) | 2495 (2064.5 to 3015.2) |
| Anti-mumps; Week 30 | 6428 (5774.9 to 7154.9) | 10108.5 (9223.9 to 11078) | 4925.3 (4200.9 to 5774.7) |
| Anti-rubella; Week 30 | 148.4 (136.1 to 161.8) | 164.8 (152.1 to 178.6) | 173 (153 to 195.6) |
| IgG varicella antibodies; Week 30 | 5318.5 (4318.7 to 6549.8) | 198 (158.2 to 247.7) | 128 (91.7 to 178.7) |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Any Pain; Dose 1 | 20 | 12 | 9 |
| Grade 3 Pain; Dose 1 | 0 | 0 | 0 |
| Any Redness; Dose 1 | 15 | 8 | 3 |
| Grade 3 Redness; Dose 1 | 0 | 0 | 0 |
| Any Swelling; Dose 1 | 8 | 5 | 3 |
| Grade 3 Swelling; Dose 1 | 0 | 0 | 0 |
| Any Pain; Dose 2 | 9 | 10 | 3 |
| Grade 3 Pain; Dose 2 | 0 | 0 | 0 |
| Any Redness; Dose 2 | 10 | 6 | 0 |
| Grade 3 Redness; Dose 2 | 3 | 0 | 0 |
| Any Swelling; Dose 2 | 9 | 6 | 0 |
| Grade 3 Swelling; Dose 2 | 0 | 0 | 0 |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Any Meningism; Dose 1 | 0 | 0 | 0 |
| Grade 3 Meningism; Dose 1 | 0 | 0 | 0 |
| Related Meningism; Dose 1 | 0 | 0 | 0 |
| Any Parotid gland swelling; Dose 1 | 0 | 0 | 0 |
| Grade 3 Parotid gland swelling; Dose 1 | 0 | 0 | 0 |
| Related Parotid gland swelling; Dose 1 | 0 | 0 | 0 |
| Any Meningism; Dose 2 | 0 | 0 | 0 |
| Grade 3 Meningism; Dose 2 | 0 | 0 | 0 |
| Related Meningism; Dose 2 | 0 | 0 | 0 |
| Any Parotid gland swelling; Dose 2 | 0 | 0 | 0 |
| Grade 3 Parotid gland swelling; Dose 2 | 0 | 0 | 0 |
| Related Parotid gland swelling; Dose 2 | 0 | 0 | 0 |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Any temperature; Dose 1 | 76 | 70 | 27 |
| Grade 3 temperature; Dose 1 | 11 | 5 | 1 |
| Related temperature; Dose 1 | 53 | 48 | 15 |
| Any temperature; Dose 2 | 41 | 37 | 22 |
| Grade 3 temperature; Dose 2 | 2 | 6 | 2 |
| Related temperature; Dose 2 | 22 | 21 | 10 |
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
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Any Rash; Dose 1 | 1 | 2 | 1 |
| Grade 3 Rash; Dose 1 | 0 | 0 | 0 |
| Related Rash; Dose 1 | 1 | 0 | 0 |
| Any Rash; Dose 2 | 0 | 1 | 0 |
| Grade 3 Rash; Dose 2 | 0 | 0 | 0 |
| Related Rash; Dose 2 | 0 | 0 | 0 |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Any AE(s); Dose 1 | 37 | 39 | 18 |
| Any AE(s); Dose 2 | 19 | 18 | 11 |
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.
| Participants | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Number of Subjects With Serious Adverse Events (SAEs) | 7 | 6 | 0 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Priorix-Tetra Group | 0/180 (0%) | 7/180 (3.9%) | 114/180 (63.3%) |
| Priorix/ Priorix-Tetra Group | 0/180 (0%) | 6/180 (3.3%) | 116/180 (64.4%) |
| Control Group | 0/90 (0%) | 0/90 (0%) | 55/90 (61.1%) |
| Event | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| GastroenteritisInfections and infestations | 2/180 | 3/180 | 0/90 |
| Lower respiratory tract infectionInfections and infestations | 2/180 | 1/180 | 0/90 |
| PneumonitisRespiratory, thoracic and mediastinal disorders | 1/180 | 0/180 | 0/90 |
| Upper respiratory tract inflammationRespiratory, thoracic and mediastinal disorders | 0/180 | 1/180 | 0/90 |
| WheezingRespiratory, thoracic and mediastinal disorders | 1/180 | 0/180 | 0/90 |
| Febrile convulsionNervous system disorders | 0/180 | 1/180 | 0/90 |
| PyrexiaGeneral disorders | 1/180 | 0/180 | 0/90 |
| DehydrationMetabolism and nutrition disorders | 0/180 | 1/180 | 0/90 |
| Viral infectionInfections and infestations | 1/180 | 1/180 | 0/90 |
| BronchiolitisInfections and infestations | 0/180 | 1/180 | 0/90 |
| Event | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group |
|---|---|---|---|
| Fever; Dose 1General disorders | 76/174 | 70/172 | 27/83 |
| Fever; Dose 2General disorders | 41/155 | 37/159 | 22/79 |
| Pain; Dose 1General disorders | 20/180 | 12/180 | 9/90 |
| Redness; Dose 1General disorders | 15/174 | 8/172 | 3/84 |
| Cough; Dose 1Respiratory, thoracic and mediastinal disorders | 6/180 | 10/180 | 6/90 |
| Rhinitis; Dose 1Infections and infestations | 7/180 | 9/180 | 6/90 |
| Nasopharyngitis; Dose 1Infections and infestations | 4/180 | 8/180 | 6/90 |
| Redness; Dose 2General disorders | 10/155 | 6/159 | 0/79 |
| Pain; Dose 2General disorders | 9/155 | 10/159 | 3/79 |
| Swelling; Dose 2General disorders | 9/155 | 6/159 | 0/79 |
| Age, Continuous(Months) | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group | Total |
|---|---|---|---|---|
| Mean | 9 ± 0 | 9 ± 0.11 | 9 ± 0 | 9 ± 0.07 |
| Sex: Female, Male(Participants) | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group | Total |
|---|---|---|---|---|
| Female | 79 | 89 | 49 | 217 |
| Male | 101 | 91 | 41 | 233 |
| Race/Ethnicity, Customized(Participants) | Priorix-Tetra Group | Priorix/ Priorix-Tetra Group | Control Group | Total |
|---|---|---|---|---|
| Asian - central/ south Asian heritage | 177 | 175 | 88 | 440 |
| Asian - south east Asian heritage | 2 | 5 | 2 | 9 |
| American Indian or Alaskan native | 1 | 0 | 0 | 1 |
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