A Phase 3 interventional study of Influenza vaccine GSK2321138A and FluarixTM in Influenza, sponsored by GlaxoSmithKline. Completed at 59 sites in 5 countries. Open to participants aged 6 Months to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-09-21.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention
This study is designed to assess the safety and immunogenicity of GlaxoSmithKline (GSK) Biologicals' investigational vaccine GSK2321138A in children aged 3 to 17 years, and to describe safety and immunogenicity of the GSK Biologicals' investigational vaccine GSK2321138A in children aged 6 to 35 months.
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Exclusion Criteria:
Subjects aged 3-17 years received if primed, 1 dose of GSK2321138A at Day 0 and if unprimed, 2 doses of GSK2321138A at Day 0 and Day 28. The vaccine was administered intramuscularly into the deltoid for subjects aged 12 months or above or into the anterolateral region of the thigh for subjects below 12 month of age. The vaccine was administered in the non-dominant side of the body at Day 0 and in the opposite side at Day 28.
Biological: Influenza vaccine GSK2321138A
Subjects aged 3-17 years received if primed, 1 dose of Fluarix at Day 0 and if unprimed, 2 doses of Fluarix at Day 0 and Day 28. The vaccine was administered intramuscularly into the deltoid for subjects aged 12 months or above or into the anterolateral region of the thigh for subjects below 12 month of age. The vaccine was administered in the non-dominant side of the body at Day 0 and in the opposite side at Day 28.
Biological: FluarixTM
Subjects aged 3-17 years received if primed, 1 dose of GSK2604409A at Day 0 and if unprimed, 2 doses of GSK2604409A at Day 0 and Day 28. The vaccine was administered intramuscularly into the deltoid for subjects aged 12 months or above or into the anterolateral region of the thigh for subjects below 12 month of age. The vaccine was administered in the non-dominant side of the body at Day 0 and in the opposite side at Day 28.
Biological: Influenza vaccine GSK2604409A
Subjects aged 6-35 months received if primed, 1 dose of GSK2321138A at Day 0 and if unprimed, 2 doses of GSK2321138A at Day 0 and Day 28. The vaccine was administered intramuscularly into the deltoid for subjects aged 12 months or above or into the anterolateral region of the thigh for subjects below 12 month of age. The vaccine was administered in the non-dominant side of the body at Day 0 and in the opposite side at Day 28.
Biological: Influenza vaccine GSK2321138A
intramuscular injections
intramuscular injections
intramuscular injections
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease.
Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroconverted Subjects Against 4 Strains of Influenza Disease.
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \< 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
Time frame: At Day 28 (for primed subjects) and Day 56 (for unprimed subjects)
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease by Age Strata.
Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease by Age Strata.
Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroconverted Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \< 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
Time frame: At Day 28 (for primed subjects) and Day 56 (for unprimed subjects)
Number of Seroconverted Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \< 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
Time frame: At Day 28 (for primed subjects) and Day 56 (for unprimed subjects)
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:80. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:80. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:80. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:120. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:120. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Number of Seroprotected Subjects Against 4 Strains of Influenza Disease by Age Strata.
A seroprotected subject was defined as as a vaccinated subject who had a serum HI titer ≥ 1:120. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6 -17 months and 18-35 months.
Time frame: At Day 0 [PRE] and at Day 28 (for primed subjects) and Day 56 (for unprimed subjects) [POST]
Mean Geometric Increase (MGI) Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease.
MGI is defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
Time frame: At Day 28 (for primed subjects) and Day 56 (for unprimed subjects)
Mean Geometric Increase (MGI) Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease by Age Strata.
MGI is defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
Time frame: At Day 28 (for primed subjects) and Day 56 (for unprimed subjects)
Mean Geometric Increase (MGI) Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease by Age Strata.
MGI is defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6 -17 months and 18-35 months.
Time frame: At Day 28 (for primed subjects) and Day 56 (for unprimed subjects)
Number of Subjects With Any and Grade 3 Solicited Local Symptoms.
Assessed solicited local symptoms were pain, redness and swelling at the injection site. Any = incidence of a particular symptom regardless of intensity grade. Grade 3 pain = Cried when limb was moved/spontaneously painful (Child \<6 years) or pain that prevented normal activity (Child \>6 years). Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of the injection site.
Time frame: During the 7-day (Days 0-6) follow-up period after any vaccination.
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms in Subjects Younger Than 6 Years Old.
Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and temperature \[axillary temperature equal to or above 37.5 degrees Celsius (°C)\]. Any = occurrence of any solicited general symptom regardless of intensity grade or relation to vaccination. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = general symptom assessed by the investigator as causally related to the study vaccination. Grade 3 temperature = temperature \>39.0°C.
Time frame: During the 7-day (Days 0-6) follow-up period after any vaccination.
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms in Subjects Aged 6 Years or Older.
Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and temperature \[axillary temperature equal to or above 37.5 degrees Celsius (°C)\]. Any = occurrence of any solicited general symptom regardless of intensity grade or relation to vaccination. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = general symptom assessed by the investigator as causally related to the study vaccination. Grade 3 temperature = temperature \>39.0°C.
Time frame: During the 7-day (Days 0-6) follow-up period after any vaccination.
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs).
Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any = any unsolicited AE regardless of intensity or relationship to vaccination. Grade 3 = unsolicited AE that prevented normal activity Related = unsolicited AE assessed by the investigator as related to the vaccination.
Time frame: During the 28-day (Days 0-27) follow-up period after any vaccination.
Number of Subjects With Any, Grade 3 and Related Medically Attended Adverse Events (MAEs).
MAEs were defined as AEs that resulted in medical attention (defined as hospitalization, an emergency room visit or a visit to or from medical personnel for any reason). Any = any MAE regardless of intensity or relationship to vaccination. Grade 3 MAE = MAE which prevented normal, everyday activities. Related = MAE assessed by the investigator as related to the vaccination. Assessment of intensity for MAEs was not performed.
Time frame: During the entire study period (Day 0 - Day 180)
Number of Subjects With Any and Related Potential Immune-Mediated Diseases (pIMDs).
pIMDs were defined as a subset of AEs that included both clearly autoimmune diseases (AID) and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology.
Time frame: During the entire study period (Day 0 - Day 180)
Number of Subjects With Any and Related 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 are a congenital anomaly/birth defect in the offspring of a study subject.
Time frame: During the entire study period (Day 0 - Day 180)
Number of Days With Solicited Local Symptoms.
The number of days with any grade of local symptoms after Dose 1 and Dose 2 vaccination respectively was tabulated. Assessed solicited local symptoms for duration were pain, redness and swelling at the injection site.
Time frame: During the 7-day (Days 0-6) follow-up period after vaccination.
Number of Days With Solicited General Symptoms
The number of days with any grade of local symptoms after Dose 1 and Dose 2 vaccination respectively was tabulated. Assessed solicited general symptoms for duration were drowsiness, fatigue, gastrointestinal symptoms (Gastro.), headache, irritability, loss of appetite, muscle aches, shivering and temperature \[axillary temperature equal to or above 37.5 degrees Celsius (°C)\].
Time frame: During the 7-day (Days 0-6) follow-up period after vaccination.
Subjects were differentiated according to their priming status. Primed subjects had received at least 1 dose of an influenza A (H1N1) 2009 monovalent vaccine and had received 2 doses of seasonal influenza in the last season or had received at least 1 dose prior to last season. Unprimed subjects had not.
| Milestone | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Started | 915 | 912 | 911 | 277 |
| Completed | 891 | 880 | 886 | 276 |
| Not completed | 24 | 32 | 25 | 1 |
| Withdrew: Adverse event | 1 | 2 | 0 | 0 |
| Withdrew: Withdrawal by subject | 5 | 1 | 4 | 0 |
| Withdrew: Lost to follow-up | 16 | 29 | 21 | 1 |
| Withdrew: Other | 2 | 0 | 0 | 0 |
Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
| titers | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| FLU A/Cal/7/09, PRE | 21.6 (19.7 to 23.7) | 24.9 (22.8 to 27.3) | 22.1 (20.1 to 24.2) | 12.3 (10.2 to 14.8) |
| FLU A/Cal/7/09, POST | 386.2 (357.3 to 417.4) | 433.2 (401.0 to 468.0) | 422.3 (390.5 to 456.5) | 140.0 (113.7 to 172.3) |
| FLU A/Vic/210/09, PRE | 29.0 (26.6 to 31.6) | 31.4 (28.8 to 34.2) | 31.2 (28.6 to 34.2) | 8.6 (7.4 to 9.9) |
| FLU A/Vic/210/09, POST | 228.8 (215.0 to 243.4) | 227.3 (213.3 to 242.3) | 234.0 (219.1 to 249.9) | 87.5 (73.8 to 103.7) |
| FLU B/Bri/60/08, PRE | 30.9 (28.2 to 33.9) | 31.0 (28.2 to 34.0) | 33.2 (30.2 to 36.6) | 9.0 (7.9 to 10.4) |
| FLU B/Bri/60/08, POST | 244.2 (227.5 to 262.1) | 245.6 (229.2 to 263.2) | 88.4 (81.5 to 95.8) | 86.4 (72.6 to 102.9) |
| FLU B/Bri/3/07, PRE | 77.3 (70.0 to 85.3) | 77.2 (70.0 to 85.2) | 84.7 (76.6 to 93.6) | 13.1 (11.4 to 15.2) |
| FLU B/Bri/3/07, POST | 569.6 (533.6 to 608.1) | 224.7 (207.9 to 242.9) | 643.3 (603.2 to 686.1) | 167.7 (144.1 to 195.3) |
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \< 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| FLU A/California/7/09 | 722 | 735 | 733 | 181 |
| FLU A/Victoria/210/09 | 571 | 578 | 575 | 159 |
| FLU B/Brisbane/60/08 | 553 | 560 | 237 | 158 |
| FLU B/Brisbane/3/07 | 573 | 303 | 566 | 191 |
Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
| titers | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| FLU A/Cal/7/09, PRE, 3-8 years | 20.7 (18.3 to 23.3) | 22.2 (19.8 to 24.9) | 22.4 (19.8 to 25.3) |
| FLU A/Cal/7/09, POST, 3-8 years | 353.4 (319.9 to 390.3) | 382.1 (345.4 to 422.7) | 381.3 (345.0 to 421.5) |
| FLU A/Cal/7/09, PRE, 9-17 years | 23.2 (20.2 to 26.6) | 30.2 (26.1 to 34.9) | 21.5 (18.6 to 24.8) |
| FLU A/Cal/7/09, POST, 9-17 years | 445.8 (393.9 to 504.7) | 533.3 (474.9 to 599.0) | 502.0 (444.1 to 567.5) |
| FLU A/Vic/210/09, PRE, 3-8 years | 29.3 (26.1 to 32.9) | 32.9 (29.2 to 37.0) | 31.5 (28.0 to 35.5) |
| FLU A/Vic/210/09, POST, 3-8 years | 245.5 (226.4 to 266.2) | 242.0 (222.9 to 262.8) | 244.4 (224.1 to 266.5) |
| FLU A/Vic/210/09, PRE, 9-17 years | 28.5 (25.1 to 32.3) | 29.0 (25.8 to 32.7) | 30.8 (27.0 to 35.1) |
| FLU A/Vic/210/09, POST, 9-17 years | 204.1 (185.5 to 224.5) | 204.9 (185.4 to 226.6) | 217.5 (196.9 to 240.2) |
| FLU B/Bri/60/08, PRE, 3-8 years | 27.1 (24.0 to 30.6) | 25.1 (22.3 to 28.3) | 27.9 (24.6 to 31.6) |
| FLU B/Bri/60/08, POST, 3-8 years | 236.3 (215.4 to 259.2) | 222.3 (202.8 to 243.7) | 79.2 (71.2 to 88.2) |
| FLU B/Bri/60/08, PRE, 9-17 years | 38.3 (33.4 to 43.9) | 43.9 (38.2 to 50.6) | 44.7 (38.6 to 51.7) |
| FLU B/Bri/60/08, POST, 9-17 years | 257.5 (230.7 to 287.5) | 289.8 (262.1 to 320.4) | 106.4 (94.6 to 119.8) |
| FLU B/Bri/3/07, PRE, 3-8 years | 54.9 (48.7 to 61.9) | 51.9 (45.9 to 58.7) | 57.6 (50.9 to 65.1) |
| FLU B/Bri/3/07, POST, 3-8 years | 481.3 (443.2 to 522.8) | 163.5 (148.4 to 180.1) | 566.7 (522.9 to 614.1) |
| FLU B/Bri/3/07, PRE, 9-17 years | 134.3 (115.2 to 156.5) | 149.3 (130.3 to 171.1) | 162.8 (140.4 to 188.6) |
| FLU B/Bri/3/07, POST, 9-17 years | 748.1 (676.9 to 826.8) | 380.6 (342.1 to 423.4) | 797.9 (719.5 to 885.0) |
Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
| titers | GSK2321138A 2 Group |
|---|---|
| FLU A/Cal/7/09, PRE, 6-17 months | 7.1 (5.5 to 9.1) |
| FLU A/Cal/7/09, POST, 6-17 months | 56.2 (39.9 to 79.2) |
| FLU A/Cal/7/09, PRE, 18-35 months | 15.6 (12.3 to 19.8) |
| FLU A/Cal/7/09, POST, 18-35 months | 208.3 (164.6 to 263.4) |
| FLU A/Vic/210/09, PRE, 6-17 months | 6.2 (5.1 to 7.6) |
| FLU A/Vic/210/09, POST, 6-17 months | 43.8 (33.7 to 57.0) |
| FLU A/Vic/210/09, PRE, 18-35 months | 9.8 (8.1 to 11.9) |
| FLU A/Vic/210/09, POST, 18-35 months | 118.2 (96.8 to 144.4) |
| FLU B/Bri/60/08, PRE, 6-17 months | 5.9 (5.3 to 6.6) |
| FLU B/Bri/60/08, POST, 6-17 months | 40.2 (31.2 to 51.6) |
| FLU B/Bri/60/08, PRE, 18-35 months | 10.8 (9.0 to 13.1) |
| FLU B/Bri/60/08, POST, 18-35 months | 120.7 (98.2 to 148.4) |
| FLU B/Bri/3/07, PRE, 6-17 months | 10.0 (7.9 to 12.7) |
| FLU B/Bri/3/07, POST, 6-17 months | 93.5 (73.5 to 119.0) |
| FLU B/Bri/3/07, PRE, 18-35 months | 14.8 (12.4 to 17.7) |
| FLU B/Bri/3/07, POST, 18-35 months | 216.3 (180.9 to 258.7) |
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \< 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| FLU A/California/7/09, 3-8 years | 447 | 468 | 457 |
| FLU A/California/7/09, 9-17 years | 275 | 267 | 276 |
| FLU A/Victoria/210/09, 3-8 years | 367 | 365 | 376 |
| FLU A/Victoria/210/09, 9-17 years | 204 | 213 | 199 |
| FLU B/Brisbane/60/08, 3-8 years | 364 | 367 | 154 |
| FLU B/Brisbane/60/08, 9-17 years | 189 | 193 | 83 |
| FLU B/Brisbane/3/07, 3-8 years | 376 | 203 | 403 |
| FLU B/Brisbane/3/07, 9-17 years | 197 | 100 | 163 |
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \< 1:10 and a post-vaccination titer ≥1:40, or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
| Participants | GSK2321138A 2 Group |
|---|---|
| FLU A/California/7/09, 6-17 months | 43 |
| FLU A/California/7/09, 18-35 months | 138 |
| FLU A/Victoria/210/09, 6-17 months | 37 |
| FLU A/Victoria/210/09, 18-35 months | 122 |
| FLU B/Brisbane/60/08, 6-17 months | 36 |
| FLU B/Brisbane/60/08, 18-35 months | 122 |
| FLU B/Brisbane/3/07, 6-17 months | 52 |
| FLU B/Brisbane/3/07, 18-35 months | 139 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| FLU A/California/7/09, PRE | 343 | 404 | 353 | 60 |
| FLU A/California/7/09, POST | 764 | 793 | 778 | 187 |
| FLU A/Victoria/210/09, PRE | 381 | 412 | 409 | 34 |
| FLU A/Victoria/210/09, POST | 775 | 800 | 773 | 169 |
| FLU B/Brisbane/60/08, PRE | 381 | 396 | 399 | 28 |
| FLU B/Brisbane/60/08, POST | 770 | 790 | 639 | 167 |
| FLU B/Brisbane/3/07, PRE | 565 | 575 | 593 | 48 |
| FLU B/Brisbane/3/07, POST | 785 | 772 | 798 | 212 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| FLU A/Cal/7/09, PRE, 3-8 years | 206 | 234 | 230 |
| FLU A/Cal/7/09, POST, 3-8 years | 469 | 491 | 487 |
| FLU A/Cal/7/09, PRE, 9-17 years | 137 | 170 | 123 |
| FLU A/Cal/7/09, POST, 9-17 years | 295 | 302 | 291 |
| FLU A/Vic/210/09, PRE, 3-8 years | 253 | 277 | 269 |
| FLU A/Vic/210/09, POST, 3-8 years | 477 | 496 | 481 |
| FLU A/Vic/210/09, PRE, 9-17 years | 128 | 135 | 140 |
| FLU A/Vic/210/09, POST, 9-17 years | 298 | 304 | 292 |
| FLU B/Bri/60/08, PRE, 3-8 years | 217 | 218 | 232 |
| FLU B/Bri/60/08, POST, 3-8 years | 478 | 489 | 378 |
| FLU B/Bri/60/08, PRE, 9-17 years | 164 | 178 | 167 |
| FLU B/Bri/60/08, POST, 9-17 years | 292 | 301 | 261 |
| FLU B/Bri/3/07, PRE, 3-8 years | 315 | 309 | 329 |
| FLU B/Bri/3/07, POST, 3-8 years | 485 | 465 | 503 |
| FLU B/Bri/3/07, PRE, 9-17 years | 250 | 266 | 264 |
| FLU B/Bri/3/07, POST, 9-17 years | 300 | 307 | 295 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
| Participants | GSK2321138A 2 Group |
|---|---|
| FLU A/Cal/7/09, PRE, 6-17 months | 6 |
| FLU A/Cal/7/09, POST, 6-17 months | 45 |
| FLU A/Cal/7/09, PRE, 18-35 months | 54 |
| FLU A/Cal/7/09, POST, 18-35 months | 142 |
| FLU A/Vic/210/09, PRE, 6-17 months | 4 |
| FLU A/Vic/210/09, POST, 6-17 months | 39 |
| FLU A/Vic/210/09, PRE, 18-35 months | 30 |
| FLU A/Vic/210/09, POST, 18-35 months | 130 |
| FLU B/Bri/60/08, PRE, 6-17 months | 1 |
| FLU B/Bri/60/08, POST, 6-17 months | 38 |
| FLU B/Bri/60/08, PRE, 18-35 months | 27 |
| FLU B/Bri/60/08, POST, 18-35 months | 129 |
| FLU B/Bri/3/07, PRE, 6-17 months | 11 |
| FLU B/Bri/3/07, POST, 6-17 months | 61 |
| FLU B/Bri/3/07, PRE, 18-35 months | 37 |
| FLU B/Bri/3/07, POST, 18-35 months | 151 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:80. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| FLU A/California/7/09, PRE | 201 | 218 | 202 | 49 |
| FLU A/California/7/09, POST | 732 | 763 | 744 | 155 |
| FLU A/Victoria/210/09, PRE | 228 | 245 | 267 | 27 |
| FLU A/Victoria/210/09, POST | 721 | 748 | 721 | 125 |
| FLU B/Brisbane/60/08, PRE | 244 | 258 | 269 | 18 |
| FLU B/Brisbane/60/08, POST | 708 | 733 | 488 | 140 |
| FLU B/Brisbane/3/07, PRE | 454 | 462 | 476 | 24 |
| FLU B/Brisbane/3/07, POST | 779 | 692 | 784 | 175 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:80. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| FLU A/Cal/7/09, PRE, 3-8 years | 130 | 128 | 141 |
| FLU A/Cal/7/09, POST, 3-8 years | 453 | 471 | 464 |
| FLU A/Cal/7/09, PRE, 9-17 years | 71 | 90 | 61 |
| FLU A/Cal/7/09, POST, 9-17 years | 279 | 292 | 280 |
| FLU A/Vic/210/09, PRE, 3-8 years | 156 | 177 | 190 |
| FLU A/Vic/210/09, POST, 3-8 years | 446 | 462 | 446 |
| FLU A/Vic/210/09, PRE, 9-17 years | 72 | 68 | 77 |
| FLU A/Vic/210/09, POST, 9-17 years | 275 | 286 | 275 |
| FLU B/Bri/60/08, PRE, 3-8 years | 145 | 140 | 150 |
| FLU B/Bri/60/08, POST, 3-8 years | 430 | 441 | 286 |
| FLU B/Bri/60/08, PRE, 9-17 years | 99 | 118 | 119 |
| FLU B/Bri/60/08, POST, 9-17 years | 278 | 292 | 202 |
| FLU B/Bri/3/07, PRE, 3-8 years | 233 | 227 | 248 |
| FLU B/Bri/3/07, POST, 3-8 years | 480 | 395 | 493 |
| FLU B/Bri/3/07, PRE, 9-17 years | 221 | 235 | 228 |
| FLU B/Bri/3/07, POST, 9-17 years | 299 | 297 | 291 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:80. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6-17 months and 18-35 months.
| Participants | GSK2321138A 2 Group |
|---|---|
| FLU A/California/7/09, PRE, 6-17 months | 6 |
| FLU A/California/7/09, POST, 6-17 months | 31 |
| FLU A/California/7/09, PRE, 18-35 months | 43 |
| FLU A/California/7/09, POST, 18-35 months | 124 |
| FLU A/Victoria/210/09, PRE, 6-17 months | 4 |
| FLU A/Victoria/210/09, POST, 6-17 months | 18 |
| FLU A/Victoria/210/09, PRE, 18-35 months | 23 |
| FLU A/Victoria/210/09, POST, 18-35 months | 107 |
| FLU B/Brisbane/60/08, PRE, 6-17 months | 0 |
| FLU B/Brisbane/60/08, POST, 6-17 months | 25 |
| FLU B/Brisbane/60/08, PRE, 18-35 months | 18 |
| FLU B/Brisbane/60/08, POST, 18-35 months | 115 |
| FLU B/Brisbane/3/07, PRE, 6-17 months | 4 |
| FLU B/Brisbane/3/07, POST, 6-17 months | 43 |
| FLU B/Brisbane/3/07, PRE, 18-35 months | 20 |
| FLU B/Brisbane/3/07, POST, 18-35 months | 132 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:120. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| FLU A/California/7/09, PRE | 71 | 92 | 79 | 28 |
| FLU A/California/7/09, POST | 669 | 720 | 690 | 122 |
| FLU A/Victoria/210/09, PRE | 103 | 124 | 121 | 15 |
| FLU A/Victoria/210/09, POST | 597 | 597 | 599 | 82 |
| FLU B/Brisbane/60/08, PRE | 123 | 126 | 148 | 9 |
| FLU B/Brisbane/60/08, POST | 578 | 607 | 300 | 83 |
| FLU B/Brisbane/3/07, PRE | 300 | 324 | 327 | 7 |
| FLU B/Brisbane/3/07, POST | 730 | 564 | 756 | 129 |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:120. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| FLU A/Cal/7/09, PRE, 3-8 years | 47 | 56 | 57 |
| FLU A/Cal/7/09, POST, 3-8 years | 410 | 442 | 428 |
| FLU A/Cal/7/09, PRE, 9-17 years | 24 | 36 | 22 |
| FLU A/Cal/7/09, POST, 9-17 years | 259 | 278 | 262 |
| FLU A/Vic/210/09, PRE, 3-8 years | 70 | 92 | 87 |
| FLU A/Vic/210/09, POST, 3-8 years | 380 | 385 | 390 |
| FLU A/Vic/210/09, PRE, 9-17 years | 33 | 32 | 34 |
| FLU A/Vic/210/09, POST, 9-17 years | 217 | 212 | 209 |
| FLU B/Bri/60/08, PRE, 3-8 years | 75 | 66 | 82 |
| FLU B/Bri/60/08, POST, 3-8 years | 349 | 357 | 174 |
| FLU B/Bri/60/08, PRE, 9-17 years | 48 | 60 | 66 |
| FLU B/Bri/60/08, POST, 9-17 years | 229 | 250 | 126 |
| FLU B/Bri/3/07, PRE, 3-8 years | 135 | 155 | 150 |
| FLU B/Bri/3/07, POST, 3-8 years | 444 | 301 | 473 |
| FLU B/Bri/3/07, PRE, 9-17 years | 165 | 169 | 177 |
| FLU B/Bri/3/07, POST, 9-17 years | 286 | 263 | 283 |
A seroprotected subject was defined as as a vaccinated subject who had a serum HI titer ≥ 1:120. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6 -17 months and 18-35 months.
| Participants | GSK2321138A 2 Group |
|---|---|
| FLU A/California/7/09, PRE, 6-17 months | 5 |
| FLU A/California/7/09, POST, 6-17 months | 18 |
| FLU A/California/7/09, PRE, 18-35 months | 23 |
| FLU A/California/7/09, POST, 18-35 months | 104 |
| FLU A/Victoria/210/09, PRE, 6-17 months | 3 |
| FLU A/Victoria/210/09, POST, 6-17 months | 11 |
| FLU A/Victoria/210/09, PRE, 18-35 months | 12 |
| FLU A/Victoria/210/09, POST, 18-35 months | 71 |
| FLU B/Brisbane/60/08, PRE, 6-17 months | 0 |
| FLU B/Brisbane/60/08, POST, 6-17 months | 7 |
| FLU B/Brisbane/60/08, PRE, 18-35 months | 9 |
| FLU B/Brisbane/60/08, POST, 18-35 months | 76 |
| FLU B/Brisbane/3/07, PRE, 6-17 months | 1 |
| FLU B/Brisbane/3/07, POST, 6-17 months | 25 |
| FLU B/Brisbane/3/07, PRE, 18-35 months | 6 |
| FLU B/Brisbane/3/07, POST, 18-35 months | 104 |
MGI is defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata).
| fold change | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| FLU A/California/7/09 | 18.0 (16.6 to 19.5) | 17.4 (16.0 to 18.8) | 19.2 (17.7 to 20.9) | 11.7 (10.2 to 13.4) |
| FLU A/Victoria/210/09 | 7.9 (7.3 to 8.6) | 7.2 (6.7 to 7.8) | 7.5 (6.9 to 8.1) | 10.4 (9.0 to 11.9) |
| FLU B/Brisbane/60/08 | 7.9 (7.3 to 8.6) | 7.9 (7.2 to 8.6) | 2.7 (2.5 to 2.9) | 9.7 (8.5 to 11.2) |
| FLU B/Brisbane/3/07 | 7.4 (6.8 to 8.0) | 2.9 (2.7 to 3.1) | 7.6 (7.0 to 8.3) | 12.9 (11.0 to 15.3) |
MGI is defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 3-8 years and 9-17 years.
| fold change | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| FLU A/California/7/09, 3-8 years | 17.2 (15.6 to 19.0) | 17.2 (15.6 to 18.9) | 17.2 (15.6 to 18.9) |
| FLU A/California/7/09, 9-17 years | 19.2 (16.7 to 22.2) | 17.7 (15.2 to 20.5) | 23.3 (20.3 to 26.9) |
| FLU A/Victoria/210/09, 3-8 years | 8.4 (7.6 to 9.3) | 7.3 (6.6 to 8.1) | 7.8 (7.1 to 8.5) |
| FLU A/Victoria/210/09, 9-17 years | 7.2 (6.2 to 8.2) | 7.1 (6.2 to 8.1) | 7.1 (6.2 to 8.1) |
| FLU B/Brisbane/60/08, 3-8 years | 8.8 (7.9 to 9.8) | 8.8 (7.9 to 9.8) | 2.8 (2.6 to 3.1) |
| FLU B/Brisbane/60/08, 9-17 years | 6.7 (5.8 to 7.8) | 6.6 (5.7 to 7.6) | 2.4 (2.1 to 2.7) |
| FLU B/Brisbane/3/07, 3-8 years | 8.8 (7.9 to 9.8) | 3.1 (2.9 to 3.4) | 9.9 (8.9 to 11.0) |
| FLU B/Brisbane/3/07, 9-17 years | 5.6 (4.9 to 6.3) | 2.5 (2.3 to 2.8) | 4.9 (4.3 to 5.6) |
MGI is defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer. The 4 influenza strains assessed were the FLU A/California/7/09 (H1N1), FLU A/Victoria/210/09 (H3N2), FLU B/Brisbane/60/08 (Victoria) and FLU B/Brisbane/3/07 (Yamagata). Subjects were assessed according to 2 age strata: 6 -17 months and 18-35 months.
| fold change | GSK2321138A 2 Group |
|---|---|
| FLU A/California/7/09, 6-17 months | 8.2 (6.4 to 10.6) |
| FLU A/California/7/09, 18-35 months | 13.7 (11.7 to 16.0) |
| FLU A/Victoria/210/09, 6-17 months | 7.3 (5.9 to 9.0) |
| FLU A/Victoria/210/09, 18-35 months | 12.1 (10.2 to 14.3) |
| FLU B/Brisbane/60/08, 6-17 months | 6.9 (5.4 to 8.9) |
| FLU B/Brisbane/60/08, 18-35 months | 11.3 (9.6 to 13.2) |
| FLU B/Brisbane/3/07, 6-17 months | 9.5 (7.0 to 12.8) |
| FLU B/Brisbane/3/07, 18-35 months | 14.8 (12.2 to 18.0) |
Assessed solicited local symptoms were pain, redness and swelling at the injection site. Any = incidence of a particular symptom regardless of intensity grade. Grade 3 pain = Cried when limb was moved/spontaneously painful (Child \<6 years) or pain that prevented normal activity (Child \>6 years). Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of the injection site.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Any Pain | 444 | 425 | 416 | 116 |
| Grade 3 Pain | 20 | 21 | 13 | 5 |
| Any Redness | 225 | 214 | 206 | 100 |
| Grade 3 Redness | 12 | 3 | 6 | 1 |
| Any Swelling | 196 | 193 | 160 | 67 |
| Grade 3 Swelling | 11 | 10 | 3 | 0 |
Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and temperature \[axillary temperature equal to or above 37.5 degrees Celsius (°C)\]. Any = occurrence of any solicited general symptom regardless of intensity grade or relation to vaccination. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = general symptom assessed by the investigator as causally related to the study vaccination. Grade 3 temperature = temperature \>39.0°C.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Any Drowsiness | 67 | 55 | 59 | 84 |
| Grade 3 Drowsiness | 5 | 3 | 2 | 7 |
| Related Drowsiness | 44 | 31 | 36 | 57 |
| Any Irritability | 65 | 56 | 53 | 119 |
| Grade 3 Irritability | 4 | 2 | 3 | 11 |
| Related Irritability | 44 | 37 | 31 | 81 |
| Any Loss of appetite | 59 | 40 | 47 | 83 |
| Grade 3 Loss of appetite | 3 | 3 | 3 | 12 |
| Related Loss of appetite | 37 | 24 | 25 | 50 |
| Temperature ≥37.5°C | 50 | 51 | 41 | 81 |
| Temperature >39°C | 4 | 2 | 3 | 18 |
| Related Temperature | 24 | 29 | 16 | 37 |
Assessed solicited general symptoms were drowsiness, irritability, loss of appetite and temperature \[axillary temperature equal to or above 37.5 degrees Celsius (°C)\]. Any = occurrence of any solicited general symptom regardless of intensity grade or relation to vaccination. Grade 3 drowsiness = drowsiness that prevented normal activity. Grade 3 irritability = crying that could not be comforted/prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = general symptom assessed by the investigator as causally related to the study vaccination. Grade 3 temperature = temperature \>39.0°C.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group |
|---|---|---|---|
| Any Fatigue | 129 | 118 | 114 |
| Grade 3 Fatigue | 9 | 8 | 4 |
| Related Fatigue | 95 | 81 | 76 |
| Any Gastro. | 66 | 62 | 52 |
| Grade 3 Gastro. | 7 | 4 | 2 |
| Related Gastro. | 31 | 29 | 26 |
| Any Headache | 110 | 125 | 114 |
| Grade 3 Headache | 8 | 4 | 5 |
| Related Headache | 66 | 75 | 71 |
| Any Joint Pain | 69 | 63 | 51 |
| Grade 3 Joint Pain | 2 | 4 | 2 |
| Related Joint Pain | 44 | 43 | 36 |
| Any Muscle aches | 116 | 106 | 106 |
| Grade 3 Muscle aches | 4 | 8 | 3 |
| Related Muscle aches | 84 | 81 | 87 |
| Any Shivering | 44 | 31 | 37 |
| Grade 3 Shivering | 3 | 3 | 1 |
| Related Shivering | 27 | 23 | 22 |
| Temperature ≥37.5°C | 48 | 60 | 47 |
| Temperature >39°C | 7 | 5 | 3 |
| Related Temperature | 25 | 30 | 32 |
Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any = any unsolicited AE regardless of intensity or relationship to vaccination. Grade 3 = unsolicited AE that prevented normal activity Related = unsolicited AE assessed by the investigator as related to the vaccination.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Subjects with any AE(s) | 284 | 305 | 308 | 167 |
| Subjects with grade 3 AE(s) | 20 | 37 | 26 | 20 |
| Subjects with related AE(s) | 18 | 19 | 23 | 5 |
MAEs were defined as AEs that resulted in medical attention (defined as hospitalization, an emergency room visit or a visit to or from medical personnel for any reason). Any = any MAE regardless of intensity or relationship to vaccination. Grade 3 MAE = MAE which prevented normal, everyday activities. Related = MAE assessed by the investigator as related to the vaccination. Assessment of intensity for MAEs was not performed.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Subjects with any MAE(s) | 271 | 278 | 303 | 171 |
| Subjects with related MAE(s) | 2 | 4 | 4 | 2 |
| Subjects with Grade 3 MAE(s) | NA | NA | NA | NA |
pIMDs were defined as a subset of AEs that included both clearly autoimmune diseases (AID) and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Subjects with any pIMD(s) | 0 | 0 | 2 | 0 |
| Subjects with related pIMD(s) | 0 | 0 | 0 | 0 |
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 are a congenital anomaly/birth defect in the offspring of a study subject.
| Participants | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Subjects with any SAE(s) | 8 | 6 | 7 | 9 |
| Subjects with related SAE(s) | 0 | 0 | 0 | 0 |
The number of days with any grade of local symptoms after Dose 1 and Dose 2 vaccination respectively was tabulated. Assessed solicited local symptoms for duration were pain, redness and swelling at the injection site.
| days | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Pain, Dose 1 | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 1.0 (1.0 to 2.0) |
| Pain, Dose 2 | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) |
| Redness, Dose 1 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.5 to 4.0) |
| Redness, Dose 2 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) |
| Swelling, Dose 1 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) |
| Swelling, Dose 2 | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 4.0) |
The number of days with any grade of local symptoms after Dose 1 and Dose 2 vaccination respectively was tabulated. Assessed solicited general symptoms for duration were drowsiness, fatigue, gastrointestinal symptoms (Gastro.), headache, irritability, loss of appetite, muscle aches, shivering and temperature \[axillary temperature equal to or above 37.5 degrees Celsius (°C)\].
| days | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| Drowsiness, Dose 1 | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 3.0) | 1.0 (1.0 to 3.0) |
| Drowsiness, Dose 2 | 2.0 (1.0 to 3.0) | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 3.0) |
| Fatigue, Dose 1 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | NA (NA to NA) |
| Fatigue, Dose 2 | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | NA (NA to NA) |
| Gastro., Dose 1 | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | NA (NA to NA) |
| Gastro., Dose 2 | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | NA (NA to NA) |
| Headache, Dose 1 | 1.0 (1.0 to 2.5) | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | NA (NA to NA) |
| Headache, Dose 2 | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | NA (NA to NA) |
| Irritability, Dose 1 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) |
| Irritability, Dose 2 | 2.0 (1.0 to 3.0) | 1.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) |
| Joint pain, Dose 1 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 2.0) | NA (NA to NA) |
| Joint pain, Dose 2 | 1.0 (1.0 to 2.0) | 1.0 (1.0 to 2.0) | 1.5 (1.0 to 2.0) | NA (NA to NA) |
| Loss of appetite, Dose 1 | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 4.0) | 3.0 (1.0 to 4.5) |
| Loss of appetite, Dose 2 | 3.0 (1.0 to 4.0) | 1.0 (1.0 to 3.0) | 2.0 (1.0 to 2.0) | 3.0 (2.0 to 4.0) |
| Muscle aches, Dose 1 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | NA (NA to NA) |
| Muscle aches, Dose 2 | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 2.0) | 2.0 (1.0 to 2.0) | NA (NA to NA) |
| Shivering, Dose 1 | 1.0 (1.0 to 2.0) | 2.0 (1.0 to 5.0) | 1.0 (1.0 to 2.0) | NA (NA to NA) |
| Shivering, Dose 2 | 1.0 (1.0 to 3.0) | 1.5 (1.0 to 3.0) | 2.0 (1.0 to 2.0) | NA (NA to NA) |
| Temperature, Dose 1 | 1.0 (1.0 to 2.0) | 1.5 (1.0 to 3.0) | 2.0 (1.0 to 3.0) | 1.0 (1.0 to 2.0) |
| Temperature, Dose 2 | 1.5 (1.0 to 2.0) | 1.5 (1.0 to 2.0) | 2.0 (1.0 to 3.0) | 2.0 (1.0 to 3.0) |
Collected over SAE(s): during the entire study period (Day 0 - Day 180); Solicited local and general symptoms: during the 7-day (Days 0-6) follow-up period after any vaccination, Unsolicited AE(s): during the 28-day follow-up period (Days 0 to 27) after any vaccination.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| GSK2321138A 1 Group | — | 8/915 (0.9%) | 630/915 (68.9%) |
| Fluarix Group | — | 6/912 (0.7%) | 616/912 (67.5%) |
| GSK2604409A Group | — | 7/911 (0.8%) | 620/911 (68.1%) |
| GSK2321138A 2 Group | — | 9/277 (3.2%) | 237/277 (85.6%) |
| Event | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| BronchitisInfections and infestations | 0/915 | 0/912 | 0/911 | 3/277 |
| BronchopneumoniaInfections and infestations | 0/915 | 0/912 | 0/911 | 2/277 |
| GastroenteritisInfections and infestations | 0/915 | 0/912 | 0/911 | 2/277 |
| Febrile convulsionNervous system disorders | 0/915 | 0/912 | 0/911 | 2/277 |
| AmoebiasisInfections and infestations | 0/915 | 0/912 | 0/911 | 1/277 |
| BronchiolitisInfections and infestations | 0/915 | 0/912 | 0/911 | 1/277 |
| Gastroenteritis viralInfections and infestations | 0/915 | 0/912 | 0/911 | 1/277 |
| Pneumococcal sepsisInfections and infestations | 0/915 | 0/912 | 0/911 | 1/277 |
| Respiratory syncytial virus infectionInfections and infestations | 0/915 | 0/912 | 0/911 | 1/277 |
| TonsillitisInfections and infestations | 1/915 | 0/912 | 0/911 | 1/277 |
| Event | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group |
|---|---|---|---|---|
| PainGeneral disorders | 444/903 | 425/902 | 416/906 | 116/277 |
| IrritabilityGeneral disorders | 65/291 | 56/314 | 53/280 | 119/277 |
| RednessGeneral disorders | 225/903 | 214/902 | 206/906 | 100/277 |
| DrowsinessGeneral disorders | 67/291 | 55/314 | 59/280 | 84/277 |
| Loss of appetiteGeneral disorders | 59/291 | 40/314 | 47/280 | 83/277 |
| Temperature (Axillary)General disorders | 50/291 | 51/314 | 41/280 | 81/277 |
| SwellingGeneral disorders | 196/903 | 193/902 | 160/906 | 67/277 |
| HeadacheGeneral disorders | 110/613 | 125/589 | 114/626 | 0/277 |
| FatigueGeneral disorders | 129/613 | 118/589 | 114/626 | 0/277 |
| Muscle achesGeneral disorders | 116/613 | 106/589 | 106/626 | 0/277 |
| Age, Continuous(Months) | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group | Total |
|---|---|---|---|---|---|
| Mean | 98.5 ± 44.40 | 98.2 ± 45.50 | 99.6 ± 44.20 | 22.1 ± 8.02 | 79.6 ± 35.53 |
| Sex: Female, Male(Participants) | GSK2321138A 1 Group | Fluarix Group | GSK2604409A Group | GSK2321138A 2 Group | Total |
|---|---|---|---|---|---|
| Female | 443 | 439 | 440 | 118 | 1440 |
| Male | 472 | 473 | 471 | 159 | 1575 |
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