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Active, not recruitingNCT07596199Updated Sep 8, 2026

A Study on the Immune Response and Safety of a Combined Vaccine Against Diphtheria, Tetanus and Acellular Pertussis (dTpa) in Japanese Healthy Pregnant Women

A Phase 3 interventional study of dTpa in Diphtheria-Tetanus-acellular Pertussis Vaccines, sponsored by GlaxoSmithKline. Active, not recruiting at 21 sites in Japan. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
102
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The purpose of this Phase 3, non-randomized, single-arm, open-label study is to evaluate the immune response, reactogenicity and safety of GSKs dTpa vaccine in Japanese pregnant women between 27 weeks and less than 37 weeks of pregnancy. Both the pregnant women and their neonates born during the study will be evaluated for specific analyses.

02

Conditions studied

  • Diphtheria-Tetanus-acellular Pertussis Vaccines

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Keywords

  • Diphtheria
  • tetanus and acellular pertussis (dTpa) vaccine
  • Pregnant women
  • Neonates
  • Immune response
  • Reactogenicity
  • Safety
03

In context

Diphtheria

267 studies on the registry are indexed under Diphtheria; 17 are open to participants now.

This study's enrollment of 102 is below the median of 448 across 241 interventional studies indexed under Diphtheria.

Browse Diphtheria studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 241 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  2. Participants and Legally acceptable representative(s) [LAR(s)] who give physical or digital after the study has been explained according to local regulatory requirements, and before any study-specific procedures are performed. The informed consent given at screening should include consent for both the maternal participant's participation and participation of the infant after the infant's birth.
  3. Healthy participants as established by medical history and clinical examination at screening.
  4. Participants between and including 18 and 45 years of age at the time of the study intervention administration (Visit 1/Day 1).
  5. Pre-pregnancy (BMI) (based on participant's report) between 17.0 and 39.9 kg/m\^2, inclusive.
  6. Pregnant female at 27,0/7 to 36,6/7 weeks of gestation (completed week 27 but not week 37) at the time of vaccination (Visit 1/Day 1), as established or confirmed by ultrasound examination.
  7. No significant fetal abnormalities, as observed by the fetal morphological abnormality screening test conducted after 18 weeks of gestation and the most recent ultrasound testing (no more than 6 weeks before enrollment).
  8. Nuchal translucency scan, serum testing and any other prenatal tests, if conducted, should suggest normal pregnancy.
  9. Participants who are willing to provide cord blood and/or infant blood.
  10. Participants who are willing to have them and their newborns followed-up until 1 month post-delivery.
  11. Participants who do not plan to give their child for adoption.
  12. Japanese ethnic origin.

Exclusion criteria

Exclusion Criteria:

Medical conditions:

  1. Participants diagnosed with multiple pregnancies.
  2. Women with co-morbid medical or obstetric conditions that in the opinion of the investigator have the potential to complicate the pregnancy course and outcomes such as;

    • Gestational hypertension (defined as systolic blood pressure >=140 mmHg and/or diastolic blood pressure >=90 mmHg) at >=20 weeks of gestation in a woman with a previously normal blood pressure. Women with gestational hypertension who maintain blood pressure in the normal range (\<140 mmHg and \<90 mmHg) through diet and/or on antihypertensive medications would be eligible except for eclampsia/pre-eclampsia.
    • Hemodynamically significant cardiac disorders (previously corrected patent ductus arteriosis is allowed).
    • Gestational diabetes which is not controlled by medication, diet and/or exercise as determined by glucose challenge/tolerance test conducted after 20 weeks of gestation or as per local recommendations of the country (Gestational diabetes is defined as absence of pre-gestational diabetes and hyperglycemia during pregnancy, which is not due to other known causes).
    • Any other conditions that in the opinion of the investigator have the potential to complicate the pregnancy course and outcomes
  3. Acute or unstable chronic conditions, chronic abnormality, poorly controlled pre-existent co-morbidities or any other clinical conditions, as determined by physical examination and/or laboratory tests.
  4. Any confirmed or suspected or immunodeficient condition, based on medical history and physical examination.
  5. Recurrent history or uncontrolled neurological disorders or any neuroinflammatory, congenital neurological conditions, encephalopathies, or seizures.
  6. Condition that in the judgment of the investigator would make intramuscular injection unsafe.
  7. Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant and/or to the unborn infant due to participation in the clinical study.
  8. Prior major congenital anomalies or early onset (\<34 weeks of gestation) of eclampsia/pre-eclampsia in previous pregnancy, or stillbirth or neonatal death, or multiple (>=2) spontaneous abortions, or pre-term delivery (\<=34 weeks gestation) or having ongoing intervention (medical/surgical) in current pregnancy to prevent pre-term delivery.
  9. Family history (first degree relatives only) of congenital anomalies, recurrent pregnancy losses (two or more consecutive losses) and unexplained neonatal death(s) in the participant.
  10. History of an encephalopathy of unknown etiology, occurring within 7 days following previous vaccination with pertussis-containing vaccine.
  11. History of transient thrombocytopenia or neurological complications (for convulsions or hypotonic-hyporesponsive episodes) following an earlier immunisation against diphtheria and/or tetanus.
  12. History of any reaction or likely to be exacerbated by any component of the study intervention or having shown signs of hypersensitivity after previous administration of diphtheria, tetanus or pertussis vaccines.
  13. History of physician-diagnosed or laboratory-confirmed pertussis within the past 5 years.
  14. Lymphoproliferative disorder or within 5 years before the study dose administration (excluding effectively treated non melanoma skin cancer).

    Prior/Concomitant therapy:

  15. Previous vaccination containing diphtheria, tetanus or pertussis antigens, or diphtheria and tetanus toxoids at any time during the current pregnancy and within 5 years from study participation.
  16. Use of any or non-registered product other than the study intervention(s) during the current pregnancy or their planned use during the study period.
  17. Chronic administration of immune-modifying drugs (defined as more than 14 consecutive days in total) and/or planned use of long-acting immune-modifying treatments or planned administration through delivery.

    • Up to 6 months prior to the study intervention administration:

    For , this will mean prednisone equivalent >=20 mg/day for adult participants. Inhaled, intra-articular/intra-bursal and topical steroids are allowed.

    • Up to 6 months prior to the study intervention administration:

    long-acting immune-modifying drugs including among others immunotherapy monoclonal antibodies, antitumoral medication.

  18. Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the dose and planned administration through delivery (Visit 3/Day of delivery), except:

    • Seasonal influenza vaccines, RSV vaccines, vaccines, and SARS-CoV-2, all of which may be administered according to standard of care >=14 days before or after study vaccination.
  19. Administration of immunoglobulins or other blood products or plasma derivatives during the period starting 3 months before the study intervention or planned administration through delivery with the exception of anti-D (Rh)-immunoglobulin.
  20. Planned administration of any prophylactic medication (e.g., analgesics, antipyretics) in the absence of any symptom and in anticipation of a reaction to the study intervention administration.

    Prior/Concurrent clinical study participation:

  21. Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational intervention drug/vaccine/invasive medical device.

    Other exclusion criteria:

  22. History of chronic alcohol consumption and/or drug abuse, based on investigator's judgment.
  23. Any study personnel or their immediate dependents, family, or household members.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
102 participants (actual)

Study arms

  • Experimental
    dTpa Group

    Healthy pregnant women at 27 to 36 weeks of gestation receive one dose of the investigational dTpa vaccine at Day 1 (representing the day of vaccination).

    Biological: dTpa

Interventions

  • BiologicaldTpa

    1 dose of dTpa vaccine is administered intramuscularly.

    Also known as: Boostrix

06

What researchers measure

Primary outcomes

  1. Number of seropositive healthy pregnant women for anti-pertussis toxin (PT), anti-filamentous hemagglutinin (FHA) and anti-pertactin (PRN) antibodies

    Seropositivity is defined as antibody concentrations (anti-PT, anti-FHA and anti-PRN) are greater than or equal to the assessed assay cut-offs. The considered cut-off values are: anti-PT: 2.693 International Units per milliliter (IU/mL), anti-FHA: 2.046 IU/mL, anti-PRN: 2.187 IU/mL, as measured by Enzyme-Linked Immunosorbent assay (ELISA).

    Time frame: At Month 1 post-vaccination

  2. Number of seropositive participants for anti-PT, anti-FHA and anti-PRN antibodies from samples in cord blood sample at birth

    Time frame: On the Day of birth

Secondary outcomes

  1. Booster response to pertussis (PT, FHA and PRN) antigens in healthy pregnant women

    Booster response to PT, FHA and PRN antigens is defined as: for participants with pre-vaccination antibody concentration below the assay cut-off, post-vaccination antibody concentration \>=4 times the assay cut-off; for participants with pre-vaccination antibody concentration between the assay cut-off and below 4 times the assay cut-off, post-vaccination antibody concentration \>= 4 times the pre-vaccination antibody concentration; for participants with pre-vaccination antibody concentration \>=4 times the assay cut-off, post-vaccination antibody concentration \>=2 times the pre-vaccination antibody concentration.

    Time frame: At Month 1

  2. Antibody concentration for antibodies against pertussis (PT, FHA, PRN) in healthy pregnant women

    Time frame: On Day 1 (day of vaccination) and at Month 1 post-vaccination

  3. Antibody concentration for anti-diphtheria and anti-tetanus antibodies in healthy pregnant women

    Time frame: On Day 1 (day of vaccination) and at Month 1 post-vaccination

  4. Number of seroprotected healthy pregnant women for anti-diphtheria and anti-tetanus antibodies

    Seroprotection is defined as antibody concentrations (anti-diphtheria and anti-tetanus) are greater than or equal to 0.1 IU/mL by ELISA test.

    Time frame: On Day 1 (day of vaccination) and at Month 1 post-vaccination

  5. Antibody concentration for antibodies against pertussis (PT, FHA, PRN) in the cord blood of the neonates born to mothers that received dTpa vaccine during pregnancy

    Time frame: On the Day of birth

  6. Antibody concentration for anti-diphtheria and anti-tetanus antibodies in cord blood of the neonates born to mothers that received dTpa vaccine during pregnancy

    Time frame: On the Day of birth

  7. Number of seroprotected neonates for anti-diphtheria and anti-tetanus antibodies, from samples in cord blood

    Time frame: On the Day of birth

  8. Number of healthy pregnant women with solicited administration site adverse events

    The assessed events are pain, redness and swelling.

    Time frame: From Day 1 (day of vaccination) to Day 7 post-vaccination

  9. Number of healthy pregnant women with solicited systemic adverse events (AEs)

    The assessed events are arthralgia, gastrointestinal symptoms, fatigue, fever, headache and myalgia. Fever is defined as temperature \>=37.5 degrees Celsius.

    Time frame: From Day 1 (day of vaccination) to Day 7 post-vaccination

  10. Number of healthy pregnant women with unsolicited adverse events

    An unsolicited AE is an AE that was either not included in the list of solicited AEs or could be included in the list of solicited AEs but with an onset outside the specified period of follow-up for solicited AEs. Unsolicited AEs include both serious and non-serious AEs.

    Time frame: From Day 1 (day of vaccination) to Day 30 post-vaccination

  11. Number of healthy pregnant women with serious adverse events (SAEs)

    An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, abnormal pregnancy outcomes, is a suspected transmission of any infectious agent via an authorized medicinal product, or other situations as per investigator's judgment.

    Time frame: From Day 1 (day of vaccination) and up to 1-month post-delivery (study end)

  12. Number of healthy pregnant women with AEs and SAEs leading to study withdrawal

    Time frame: From the Day 1 (day of vaccination) and up to 1-month post-delivery (study end)

  13. Number of healthy pregnant women with pregnancy outcomes at delivery

    The assessed pregnancy outcomes are: live birth with congenital anomalies, still birth with no congenital anomalies, still birth with congenital anomalies, elective termination with no congenital anomalies, elective termination with congenital anomalies.

    Time frame: On the Day of delivery

  14. Number of healthy pregnant women with pregnancy-related AEs

    The assessed pregnancy-related AEs are (but not limited to): gestational diabetes, pregnancy-related hypertension, pre-eclampsia, eclampsia, premature rupture of membranes, preterm premature rupture of membranes, premature labor, threatened premature labor, fetal growth restriction, obstetrical hemorrhage, maternal death.

    Time frame: From Day 1 (day of vaccination) and up to 1-month post-delivery

  15. Number of neonates, born to mothers that received dTpa vaccine during pregnancy, with neonatal AEs

    The assessed neonatal AEs are (but not limited to): preterm birth, neonatal death, small for gestational age, neonatal hypoxic ischemic encephalopathy, failure to thrive/growth deficiency.

    Time frame: From the Day of birth and up to 1-month post-birth

  16. Number of neonates, born to mothers that received dTpa vaccine during pregnancy, participants with SAEs

    Time frame: From the Day of birth and up to 1-month post-birth

  17. Number of neonates, born to mothers that received dTpa vaccine during pregnancy, with AEs and SAEs leading to study withdrawal

    Time frame: From the Day of birth and up to 1-month post-birth

07

Study locations

21 sites
  • GSK Investigational Site
    Aichi, 464-0026, Japan
  • GSK Investigational Site
    Chiba, 279-0001, Japan
  • GSK Investigational Site
    Chiba, 286-8520, Japan
  • GSK Investigational Site
    Fukui, 910-0833, Japan
  • GSK Investigational Site
    Fukuoka, 820-8505, Japan
  • GSK Investigational Site
    Fukushima, 965-8585, Japan
  • GSK Investigational Site
    Hokkaido, 085-8512, Japan
  • GSK Investigational Site
    Kanagawa, 236-0004, Japan
  • GSK Investigational Site
    Kanagawa, 251-8550, Japan
  • GSK Investigational Site
    Kyoto, 604-8845, Japan
  • GSK Investigational Site
    Nagano, 390-8601, Japan
  • GSK Investigational Site
    Nara, 630-8581, Japan
  • GSK Investigational Site
    Osaka, 556-0005, Japan
  • GSK Investigational Site
    Osaka, 583-8588, Japan
  • GSK Investigational Site
    Saitama, 330-0855, Japan
  • GSK Investigational Site
    Saitama, 336-8522, Japan
  • GSK Investigational Site
    Shizuoka, 420-8527, Japan
  • GSK Investigational Site
    Shizuoka, 424-8636, Japan
  • GSK Investigational Site
    Tokyo, 113-8519, Japan
  • GSK Investigational Site
    Tokyo, 152-8902, Japan
  • GSK Investigational Site
    Tokyo, 162-8655, Japan
08

References and documents

Individual participant data

Plan to share: Yes — Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications.

Access criteria: Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months, but an extension may be granted, when justified, for up to 6 months.

Data sharing details ↗ · www.gsk-studyregister.com

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for Nov 2026, 4 months after the start.

Of 46 industry-sponsored phase 3 interventional studies under Diphtheria, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 21. This study's planned 4 months is below that.

Counting every sponsor, half of 46 studies reached it within 13 months; a quarter within 7 and three quarters within 21.

How these figures are worked out, and which studies are left out of them.

Registered
May 13, 2026
First posted
May 19, 2026
StartActual
Jun 29, 2026
Primary completionEst.
Nov 23, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07596199
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 19, 2026
Start date
Jun 29, 2026
Primary completion
Nov 23, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 8, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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