A Phase 3 interventional study of PoliorixTM and Infanrix+Hib in Poliomyelitis, sponsored by GlaxoSmithKline. Completed at 2 sites in China. Open to participants aged 18 Months to 24 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-11.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention
This study aims to evaluate the persistence of anti-poliovirus antibodies in toddlers aged 18 months who were primed with oral polio vaccine (OPV) or inactivated polio vaccine (IPV) in the primary study. The study will also assess the immunogenicity and reactogenicity of a booster dose of IPV in subjects primed with three doses of IPV.
All subjects will also receive a booster dose of GSK Biologicals' DTPa/Hib vaccine (Infanrix+Hib) at Day 0. This vaccine will be provided as part of the local standard of care and will not be associated with any study endpoint.
227 studies on the registry are indexed under Poliomyelitis; 12 are open to participants now.
This study's enrollment of 957 is above the median of 456 across 203 interventional studies indexed under Poliomyelitis.
Browse Poliomyelitis studies →GlaxoSmithKline is the lead sponsor of 3,647 studies on the registry; 118 are open to participants now.
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Exclusion Criteria:
Subjects in this group will receive the GSK Biologicals' IPV vaccine at 18 months of age. Subjects will also receive a dose of DTPa/Hib (Infanrix+Hib) as part of the local standard of care.
Biological: PoliorixTM · Biological: Infanrix+Hib
Subjects in this group will receive only a booster dose of GSK Biologicals' DTPa/Hib vaccine (Infanrix+Hib) as part of the local standard of care and will not be associated with any study endpoint.
Biological: Infanrix+Hib
Single dose, intramuscular administration
Single dose, intramuscular injection. Part of the local standard of care. No outcome measures associated.
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 Effective Dose 50 (ED50). This outcome measure concerns subjects in the Poliorix Group only.
Time frame: One month after Poliorix™ booster vaccination.
Number of Subjects Seroprotected for Poliovirus Types 1, 2 and 3 Antibodies Above the Cut-off Value
A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 ED50.
Time frame: Before booster vaccination.
Antibody Titers Against Poliovirus Type 1, 2 and 3
Antibody titers were summarized by geometric mean titers (GMTs) with their 95% confidence intervals (CIs). This outcome measure concerns subjects in the Poliorix Group only.
Time frame: One month after Poliorix™ booster vaccination.
Antibody Titers Against Poliovirus Type 1, 2 and 3.
Antibody titers were summarized by geometric mean titers (GMTs) with their 95% CIs.
Time frame: Before booster vaccination.
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Solicited local symptoms assessed were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = Cry when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site. This outcome measure concerns subjects in the Poliorix Group only.
Time frame: Within 4-days (Days 0-3) post Poliorix™ booster vaccination.
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Solicited general symptoms assessed include drowsiness, irritability, loss of appetite and fever \[defined as axillary temperature ≥ 37.1 degrees Celsius (°C)\]. Any = occurence of any general symptom regardless of their intensity grade or relationship to study vaccine. Grade 3 drowsiness = drowsiness that prevented normal activities. Grade 3 fever = fever (axillary temperature) \>39.0°C. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = symptom assessed by the investigator as causally related to the vaccination. This outcome measure concerns subjects in the Poliorix Group only.
Time frame: Within 4-days (Days 0-3) post Poliorix™ booster vaccination.
Number of Subjects Reporting Any Unsolicited Adverse Events (AEs)
An unsolicited 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 adverse event (AE) reported in addition to those solicited during the clinical study. Any solicited symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event. This outcome measure concerns subjects in the Poliorix Group only.
Time frame: Within the 31-day (Days 0-30) follow-up period after the Poliorix™ booster vaccination.
Number of Subjects With Serious Adverse Events (SAEs)
Serious adverse events (SAEs) assessed include medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity.
Time frame: During the entire study period (Day 0 to Month 1).
| Milestone | Poliorix Group | Control Group |
|---|---|---|
| Started | 470 | 487 |
| Completed | 461 | 487 |
| Not completed | 9 | 0 |
| Withdrew: Migrated/moved from study area | 2 | 0 |
| Withdrew: Withdrawal by subject | 5 | 0 |
| Withdrew: Lost to follow-up | 2 | 0 |
A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 Effective Dose 50 (ED50). This outcome measure concerns subjects in the Poliorix Group only.
| Participants | Poliorix Group |
|---|---|
| Anti-poliovirus 1 | 456 |
| Anti-poliovirus 2 | 456 |
| Anti-poliovirus 3 | 456 |
A seroprotected subject was defined as a vaccinated subject whose antibody titer is greater than or equal to (≥) 8 ED50.
| Participants | Poliorix Group | Control Group |
|---|---|---|
| Anti-poliovirus 1 | 462 | 479 |
| Anti-poliovirus 2 | 445 | 482 |
| Anti-poliovirus 3 | 446 | 465 |
Antibody titers were summarized by geometric mean titers (GMTs) with their 95% confidence intervals (CIs). This outcome measure concerns subjects in the Poliorix Group only.
| Titers | Poliorix Group |
|---|---|
| Anti-poliovirus 1 | 3420.8 (3153.8 to 3710.5) |
| Anti-poliovirus 2 | 1886.8 (1732.7 to 2054.5) |
| Anti-poliovirus 3 | 5097 (4706.8 to 5519.6) |
Antibody titers were summarized by geometric mean titers (GMTs) with their 95% CIs.
| Titers | Poliorix Group | Control Group |
|---|---|---|
| Anti-poliovirus 1 | 97.6 (87.3 to 109.2) | 533.0 (468.0 to 607.0) |
| Anti-poliovirus 2 | 87.8 (75.4 to 102.2) | 205.5 (185.6 to 227.5) |
| Anti-poliovirus 3 | 109.7 (94.2 to 127.8) | 85.0 (76.1 to 95.0) |
Solicited local symptoms assessed were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = Cry when limb was moved/spontaneously painful. Grade 3 redness/swelling = redness/swelling spreading beyond 30 millimeters (mm) of injection site. This outcome measure concerns subjects in the Poliorix Group only.
| Participants | Poliorix Group |
|---|---|
| Any Pain | 49 |
| Grade 3 Pain | 3 |
| Any Redness | 22 |
| Grade 3 Redness | 0 |
| Any Swelling | 11 |
| Grade 3 Swelling | 0 |
Solicited general symptoms assessed include drowsiness, irritability, loss of appetite and fever \[defined as axillary temperature ≥ 37.1 degrees Celsius (°C)\]. Any = occurence of any general symptom regardless of their intensity grade or relationship to study vaccine. Grade 3 drowsiness = drowsiness that prevented normal activities. Grade 3 fever = fever (axillary temperature) \>39.0°C. Grade 3 irritability = crying that could not be comforted/ prevented normal activity. Grade 3 loss of appetite = not eating at all. Related = symptom assessed by the investigator as causally related to the vaccination. This outcome measure concerns subjects in the Poliorix Group only.
| Participants | Poliorix Group |
|---|---|
| Any Drowsiness | 59 |
| Grade 3 Drowsiness | 1 |
| Related Drowsiness | 59 |
| Any Irritability | 86 |
| Grade 3 Irritability | 2 |
| Related Irritability | 84 |
| Any Loss of appetite | 84 |
| Grade 3 Loss of appetite | 1 |
| Related Loss of appetite | 83 |
| Any temperature | 156 |
| Grade 3 temperature | 8 |
| Related temperature | 153 |
An unsolicited 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 adverse event (AE) reported in addition to those solicited during the clinical study. Any solicited symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event. This outcome measure concerns subjects in the Poliorix Group only.
| Participants | Poliorix Group |
|---|---|
| Number of Subjects Reporting Any Unsolicited Adverse Events (AEs) | 22 |
Serious adverse events (SAEs) assessed include medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity.
| Participants | Poliorix Group | Control Group |
|---|---|---|
| Number of Subjects With Serious Adverse Events (SAEs) | 0 | 1 |
Collected over Solicited local and general symptoms: during the 4-day (Days 0-3) post-Poliorix™ booster vaccination period; Unsolicited symptoms: during the 31-day (Days 0-30) post-Poliorix™ booster vaccination period. Serious Adverse Events (SAEs): during the entire study period (Day 0 to Month 1).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Poliorix Group | 0/470 (0%) | 0/470 (0%) | 202/470 (43%) |
| Control Group | 0/487 (0%) | 1/487 (0.2%) | — |
| Event | Poliorix Group | Control Group |
|---|---|---|
| PyrexiaGeneral disorders | 0/470 | 1/487 |
| Event | Poliorix Group | Control Group |
|---|---|---|
| PyrexiaGeneral disorders | 157/470 | — |
| IrritabilityPsychiatric disorders | 86/470 | — |
| Decreased appetiteMetabolism and nutrition disorders | 84/470 | — |
| SomnolenceNervous system disorders | 59/470 | — |
| PainGeneral disorders | 49/470 | — |
| Age, Continuous(Months) | Poliorix Group | Control Group | Total |
|---|---|---|---|
| Mean | 18.7 ± 0.93 | 18.8 ± 1.01 | 18.75 ± 0.97 |
| Sex: Female, Male(Participants) | Poliorix Group | Control Group | Total |
|---|---|---|---|
| Female | 234 | 227 | 461 |
| Male | 236 | 260 | 496 |
| Race/Ethnicity, Customized(Participants) | Poliorix Group | Control Group | Total |
|---|---|---|---|
| Asian - Chinese heritage | 470 | 487 | 957 |
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.
The record gives a start of Apr 2011, a primary completion of Sep 2011 and a completion of Sep 2011. It does not say whether these dates are actual or estimated.
Results were first posted in Dec 2016, 5 years 2 months after primary completion. A results delay was requested in Jul 2012.
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