A Phase 4 interventional study of Boostrix TM (new syringe presentation) and Boostrix TM (previous syringe presentation) in Diphtheria, Tetanus and Acellular Pertussis, sponsored by GlaxoSmithKline. Completed at 3 sites in 2 countries. Open to participants aged 10 Years to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-10.
Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Prevention
The purpose of the study is to compare the immunogenicity and safety of a booster dose of BoostrixTM administered in a new syringe presentation to that of BoostrixTM administered in the previous syringe presentation in healthy adolescents aged 10-15 years.
The protocol has been updated following Protocol amendment 1 date 03 August 2011 leading to the update of the exclusion criteria to allow subjects in Mexico to receive the flu vaccine in accordance with the local standard of care.
The protocol has been updated following Protocol amendment 2 dated 14 December 2011 due to the recruitment constraints as a result of the DT/dTpa vaccination campaign in the countries. The inclusion and exclusion criteria were amended to allow the participation of those who have already received the 6th dose of the diphtheria, tetanus and/or pertussis containing vaccine.
265 studies on the registry are indexed under Diphtheria; 16 are open to participants now.
This study's enrollment of 671 is above the median of 440 across 239 interventional studies indexed under Diphtheria.
Browse Diphtheria studies →GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.
Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.
Counted across the registry records on this site, refreshed daily.
Female subjects of childbearing potential may be enrolled in the study, if the subject:
Exclusion Criteria:
Occurrence of any of the following adverse event after a previous administration of a Boostrix vaccine :
Subjects, aged 10 to 15 years, received one dose of Boostrix™ vaccine administered using a new syringe presentation (prefilled syringes from a different manufacturer) in the deltoid of the non-dominant arm, at Day 0.
Biological: Boostrix TM (new syringe presentation)
Subjects, aged 10 to 15 years, received one dose of Boostrix™ vaccine administered using a previous syringe presentation (single dose vial or a prefilled disposable syringe without a needle) in the deltoid of the non-dominant arm, at Day 0.
Biological: Boostrix TM (previous syringe presentation)
Single dose, intramuscular administration in a new syringe presentation
Single dose, intramuscular administration in previous syringe presentation
Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations
Concentrations are presented as geometric mean concentrations (GMCs), expressed in international units per milliliter (IU/mL).
Time frame: At Month 1
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA), Anti-pertactin (Anti-PRN) Antibody Concentrations
Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter(EL.U/mL)
Time frame: At Month 1
Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibody Concentrations
Concentrations are presented as geometric mean concentrations (GMCs), expressed in international units per milliliter (IU/mL).
Time frame: At Day 0
Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA), Anti-pertactin (Anti-PRN) Antibody Concentrations
Concentrations are presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL).
Time frame: At Day 0
Number of Seropositive Subjects Against Diphtheria (D) and Tetanus (T) Antigens
A seroprotected subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 0.1. international units per milliliter (IU/mL), as assessed by the Enzyme Linked Immunosorbent Assay (ELISA).
Time frame: At Day 0 (PRE) and at Month 1 (POST)
Number of Seroprotected Subjects Against Diphtheria (D) and Tetanus (T) Antigens
A seroprotected subject is defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to ( ≥) 1 international units per milliliter (IU/mL).
Time frame: At Day 0 (PRE) vaccine and at Month 1 (POST)
Number of Seropositive Subjects With Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations)
A seroprotected subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 5 Enzyme Linked Immunosorbent Assay (ELISA) units per milliliter (EL.U/mL).
Time frame: At Day 0 (PRE) vaccine and at Month 1 (POST)
Number of Subjects With Booster Response to Diphtheria (D) and Tetanus (T) Antibodies
Booster response to the diphtheria and tetanus antigens, was defined as: for initially seronegative subjects (pre-vaccination concentration \<0.1 IU/mL): antibody concentrations at least 4 times the cut-off (post-vaccination concentration ≥ 0.4 IU/mL); for initially seropositive subjects (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least 4 times the pre-vaccination concentration.
Time frame: At Month 1
Number of Subjects With a Booster Response to Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA), Pertactin (PRN) Antigens.
Booster response to the PT, FHA and PRN antigens, was defined as: for initially seronegative subjects: antibody concentrations at least 4 times the cut-off (post-vaccination concentration ≥ 20 EL.U/mL); for initially seropositive subjects with pre-vaccination concentration ≥ 5 EL.U/mL and \< 20 EL.U/mL: an increase in antibody concentrations of at least 4 times the pre-vaccination concentration; and for initially seropositive subjects with pre-vaccination concentration ≥ 20 EL.U/mL: an increase in antibody concentrations of at least 2 times the pre-vaccination concentration.
Time frame: At Month 1
Number of Subjects With Any Solicited Local Symptoms
Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.
Time frame: Within 4 days (Days 0-3) post vaccination period
Number of Subjects With 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 and 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 was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Time frame: Within 31 days (Days 0-30) post
Number of Subjects With Any Solicited General Symptoms
Assessed solicited general symptoms were fatigue, temperature \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\], headache and gastrointestinal symptoms. Gastrointestinal symptoms included Nausea, Vomiting, Diarrhea and or Abdominal pain. Any = occurrence of the symptom regardless of intensity grade.
Time frame: Within 4 days (Days 0-3) post vaccination period
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 or result in disability/incapacity.
Time frame: During the entire study period (Day 0 - Month 1)
| Milestone | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Started | 335 | 336 |
| Completed | 330 | 329 |
| Not completed | 5 | 7 |
| Withdrew: Withdrawal by subject | 3 | 1 |
| Withdrew: Lost to follow-up | 2 | 6 |
Concentrations are presented as geometric mean concentrations (GMCs), expressed in international units per milliliter (IU/mL).
| IU/mL | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-D | 6.784 (6.178 to 7.45) | 6.493 (5.915 to 7.128) |
| Anti-T | 18.937 (17.313 to 20.713) | 18.515 (16.851 to 20.342) |
Concentrations are presented as geometric mean concentrations (GMCs), expressed in enzyme-linked immunosorbent assay (ELISA) units per milliliter(EL.U/mL)
| EL.U/mL | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-PT | 140.2 (126 to 156.1) | 125.9 (112.7 to 140.7) |
| Anti-FHA | 1080.2 (995.2 to 1172.5) | 1013.7 (940 to 1093.2) |
| Anti-PRN | 652.4 (572.1 to 743.9) | 619.2 (546 to 702.2) |
Concentrations are presented as geometric mean concentrations (GMCs), expressed in international units per milliliter (IU/mL).
| IU/mL | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-D | 0.472 (0.403 to 0.553) | 0.456 (0.392 to 0.53) |
| Anti-T | 0.956 (0.835 to 1.095) | 0.899 (0.789 to 1.026) |
Concentrations are presented as geometric mean concentrations (GMCs), expressed in ELISA units per milliliter (EL.U/mL).
| EL.U/mL | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-PT PRE | 7.5 (6.6 to 8.7) | 7.2 (6.3 to 8.2) |
| Anti-FHA PRE | 48.9 (43.3 to 55.2) | 49.4 (43.6 to 56) |
| Anti-PRN PRE | 14 (12.3 to 15.9) | 13.4 (11.9 to 15) |
A seroprotected subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 0.1. international units per milliliter (IU/mL), as assessed by the Enzyme Linked Immunosorbent Assay (ELISA).
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-D PRE | 284 | 286 |
| Anti-D POST | 320 | 319 |
| Anti-T PRE | 311 | 314 |
| Anti-T POST | 321 | 319 |
A seroprotected subject is defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to ( ≥) 1 international units per milliliter (IU/mL).
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-D PRE | 83 | 89 |
| Anti-D POST | 315 | 310 |
| Anti-T PRE | 151 | 143 |
| Anti-T POST | 321 | 319 |
A seroprotected subject was defined as a subject whose antibody concentration was greater than or equal to (≥) 5 Enzyme Linked Immunosorbent Assay (ELISA) units per milliliter (EL.U/mL).
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-PT PRE | 175 | 175 |
| Anti-PT POST | 316 | 315 |
| Anti-FHA PRE | 310 | 310 |
| Anti-FHA POST | 319 | 319 |
| Anti-PRN PRE | 269 | 272 |
| Anti-PRN POST | 321 | 318 |
Booster response to the diphtheria and tetanus antigens, was defined as: for initially seronegative subjects (pre-vaccination concentration \<0.1 IU/mL): antibody concentrations at least 4 times the cut-off (post-vaccination concentration ≥ 0.4 IU/mL); for initially seropositive subjects (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least 4 times the pre-vaccination concentration.
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-D | 257 | 252 |
| Anti-T | 266 | 270 |
Booster response to the PT, FHA and PRN antigens, was defined as: for initially seronegative subjects: antibody concentrations at least 4 times the cut-off (post-vaccination concentration ≥ 20 EL.U/mL); for initially seropositive subjects with pre-vaccination concentration ≥ 5 EL.U/mL and \< 20 EL.U/mL: an increase in antibody concentrations of at least 4 times the pre-vaccination concentration; and for initially seropositive subjects with pre-vaccination concentration ≥ 20 EL.U/mL: an increase in antibody concentrations of at least 2 times the pre-vaccination concentration.
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Anti-PT | 298 | 295 |
| Anti-FHA | 305 | 304 |
| Anti-PRN | 315 | 317 |
Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Any Pain | 237 | 248 |
| Any Redness | 113 | 94 |
| Any Swelling | 98 | 90 |
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 and 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 was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Number of Subjects With Unsolicited Adverse Events (AEs) | 44 | 45 |
Assessed solicited general symptoms were fatigue, temperature \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\], headache and gastrointestinal symptoms. Gastrointestinal symptoms included Nausea, Vomiting, Diarrhea and or Abdominal pain. Any = occurrence of the symptom regardless of intensity grade.
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Any Fatigue | 83 | 86 |
| Any Gastrointestinal symptoms | 32 | 42 |
| Any Headache | 88 | 108 |
| Any Temperature | 9 | 6 |
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
| Participants | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| Number of Subjects With Serious Adverse Events (SAEs) | 1 | 0 |
Collected over Solicited symptoms during the 4-day post-vaccination period (Day 0 - Day 3), Unsolicited AEs during the 31-day post-vaccination period (Day 0 - Day 30), SAEs during the entire period (Day 0 - Month 1).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Boostrix New Group | — | 1/335 (0.3%) | 263/335 (78.5%) |
| Boostrix Prev Group | — | 0/336 (0%) | 279/336 (83%) |
| Event | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| InjuryInjury, poisoning and procedural complications | 1/335 | 0/336 |
| Event | Boostrix New Group | Boostrix Prev Group |
|---|---|---|
| PainGeneral disorders | 237/335 | 248/336 |
| ErythemaSkin and subcutaneous tissue disorders | 113/335 | 94/336 |
| HeadacheNervous system disorders | 89/335 | 109/336 |
| SwellingGeneral disorders | 98/335 | 90/336 |
| FatigueGeneral disorders | 83/335 | 86/336 |
| Gastrointestinal disorderGastrointestinal disorders | 32/335 | 42/336 |
| Age, Continuous(Years) | Boostrix New Group | Boostrix Prev Group | Total |
|---|---|---|---|
| Mean | 11.9 ± 1.59 | 11.9 ± 1.61 | 11.9 ± 1.6 |
| Sex: Female, Male(Participants) | Boostrix New Group | Boostrix Prev Group | Total |
|---|---|---|---|
| Female | 179 | 178 | 357 |
| Male | 156 | 158 | 314 |
Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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