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Boostrix

Phase 3

Acellular Pertussis | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Oct 27, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment4,291

FDA Designations

No designations recorded

Clinical trial landscape

Boostrix · 9 trials · 4 indications

Phase 3 9
NCT03311659Evaluation of Immunogenicity, Safety and Reactogenicity of GSK Biologicals' Boostrix Vaccine Administered as a Booster Dose in Healthy Russian SubjectsDiphtheria-Tetanus-acellular Pertussis Vaccines
COMPLETED448 Analytics
NCT01988857Safety of a Booster Dose of GlaxoSmithKline (GSK) Biologicals' Boostrix™ Vaccine in Healthy Vietnamese ChildrenDiphtheria
COMPLETED302 Analytics
NCT01738477Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Boostrix™ Vaccine in Previously Boosted Young AdultsTetanus
COMPLETED165 Analytics
NCT00835237Evaluation of GlaxoSmithKline Biologicals' Boostrix® Vaccine in Comparison With Decavac™ Vaccine.Tetanus
COMPLETED1,332 Analytics
NCT00489970Persistence Study of GSK Biologicals' Tdap Vaccine 1, 3, 5 and 9 Years Following Administration as an Initial Single Dose in Healthy Young Adults and to Evaluate the Immunogenicity and Safety of Boostrix as a Second Dose of Tdap, When Administered at Year 9Acellular Pertussis
COMPLETED1,954 Analytics
NCT00452686Study to Assess Safety & Immunogenicity of GSK Biologicals' Boostrix (dTpa) Vaccine vs. Chinese DT VaccineDiphtheria
COMPLETED660 Analytics
NCT00406562Study to Assess the Safety & Reactogenicity of GSK Biologicals' dTpa Vaccine (Boostrix) When Given at 6-8 Years of Age.Tetanus
COMPLETED30 Analytics
NCT00346073Safety and Immunogenicity of GSK's Tdap Vaccine (Boostrix) in Adults Aged 19 to 64 YearsAcellular Pertussis
COMPLETED2,337 Analytics
NCT01277705Comparison of GSK Biologicals' Reduced Antigen Diphtheria and Tetanus Toxoids and Acellular Pertussis- Inactivated Poliovirus Vaccine, to BoostrixTM and Inactivated Poliovirus Vaccine Administered Separately and With Revaxis®Tetanus
COMPLETED806 Analytics
PHASE3COMPLETED
Evaluation of Immunogenicity, Safety and Reactogenicity of GSK Biologicals' Boostrix Vaccine Administered as a Booster Dose in Healthy Russian Subjects
Diphtheria-Tetanus-acellular Pertussis VaccinesUnlock trial analytics
PHASE3COMPLETED
Safety of a Booster Dose of GlaxoSmithKline (GSK) Biologicals' Boostrix™ Vaccine in Healthy Vietnamese Children
DiphtheriaUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Boostrix™ Vaccine in Previously Boosted Young Adults
TetanusUnlock trial analytics
PHASE3COMPLETED
Evaluation of GlaxoSmithKline Biologicals' Boostrix® Vaccine in Comparison With Decavac™ Vaccine.
TetanusUnlock trial analytics
PHASE3COMPLETED
Persistence Study of GSK Biologicals' Tdap Vaccine 1, 3, 5 and 9 Years Following Administration as an Initial Single Dose in Healthy Young Adults and to Evaluate the Immunogenicity and Safety of Boostrix as a Second Dose of Tdap, When Administered at Year 9
Acellular PertussisUnlock trial analytics
PHASE3COMPLETED
Study to Assess Safety & Immunogenicity of GSK Biologicals' Boostrix (dTpa) Vaccine vs. Chinese DT Vaccine
DiphtheriaUnlock trial analytics
PHASE3COMPLETED
Study to Assess the Safety & Reactogenicity of GSK Biologicals' dTpa Vaccine (Boostrix) When Given at 6-8 Years of Age.
TetanusUnlock trial analytics
PHASE3COMPLETED
Safety and Immunogenicity of GSK's Tdap Vaccine (Boostrix) in Adults Aged 19 to 64 Years
Acellular PertussisUnlock trial analytics
PHASE3COMPLETED
Comparison of GSK Biologicals' Reduced Antigen Diphtheria and Tetanus Toxoids and Acellular Pertussis- Inactivated Poliovirus Vaccine, to BoostrixTM and Inactivated Poliovirus Vaccine Administered Separately and With Revaxis®
TetanusUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Seroprotected Subjects for Anti-diphtheria (Anti-D).
At Day 31

A seroprotected subject was a subject whose anti-D concentrations were greater than or equal to (≥) 0.1 International units per milliliter (IU/ml). Seroprotection was assessed by enzyme-linked immunosorbent assay (ELISA) method. In addition, sera with ELISA concentrations \<0.1 IU/ml were tested for neutralising antibodies using a Vero-cell neutralisation assay. Both the ELISA test (antibody concentrations ≥ 0.1 IU/ml) and Vero-cell test (antibody concentration ≥ 0.01 IU/ml) defined the seroprotection status for the primary endpoint.

Number of Seroprotected Subjects for Anti-tetanus (Anti-T).
At Day 31

A seroprotected subject was a subject whose anti-T concentrations were ≥ 0.1 IU/ml. Seroprotection was assessed by ELISA method.

Number of Seropositive Subjects for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN).
At Day 31

A seropositive subject was a subject whose antibody concentration was greater than or equal to the assay cut-off value. Assay cut-off was 2.693 IU/mL for anti-PT, 2.046 IU/mL for anti-FHA and 2.187 IU/mL for anti-PRN respectively.

Numbers of Subjects With Any and Grade 3 Solicited Local Symptoms
Within 4 days (Days 0-3) post vaccination period

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site. Relationship analysis was not performed.

Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Within 4 days (Days 0-3) post vaccination period

Assessed solicited general symptoms were fatigue, gastrointestinal symptoms, headache and temperature \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.0 °C. Related = symptom assessed by the investigator as related to the vaccination.

Number of Subjects With Unsolicited Adverse Events (AEs)
Within 31 days (Days 0-30) post vaccination period

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.

Number of Subjects With Serious Adverse Events (SAEs)
During the entire study period (From Day 0 to Day 30)

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.

Number of Seroprotected Subjects for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T).
At Month 1

A seroprotected subject was defined as a subject with anti-D/anti-T antibody concentrations above or equal (≥) to 0.1 IU/mL (international units per milliliter)

Antibody Concentrations Against Pertussis Toxoid (Anti-PT), Against Filamentous Hemagglutinin (Anti-FHA) and Against Pertactin (Anti-PRN).
At Month 1

Concentrations were expressed in geometric mean concentrations (GMCs).

Number of Subjects With Antibody Concentration Against Vaccine Antigens, Above a Protocol Defined Cut-off Value
One month after vaccination.

Antibodies against vaccine antigens assessed were: anti-diphtheria (anti-D) and anti-tetanus (anti-T). Anti-D antibody cut-off value assessed was ≥ 0.1 International Unit per milliliter (IU/mL) Anti-T antibody cut-off values assessed were ≥ 0.1 IU/mL and ≥ 1.0 IU/mL

Anti-pertussis Toxoid (PT), Anti-filamentous Haemagglutinin (FHA) and Anti-pertactin (PRN) Antibodies Concentration
Before (PRE) and one month after vaccination (POST)

Concentration for anti-PT, anti-FHA and anti-PRN antibodies given as geometric mean concentration (GMC) in Enzyme-Linked Immuno Sorbent Assay (ELISA) units per millilitre (EL.U/mL)

Number of Subjects With Anti-diphtheria (Anti-D) Antibody Concentrations Greater Than or Equal to (≥) Protocol Specified Cut-off
At year 1 after the vaccination in primary study (NCT00346073)

Anti-D cut-off was defined as ≥ 0.1 International Units per milliliter (IU/mL) determined with Enzyme-linked Immunosorbent Assay (ELISA)

Number of Subjects With Anti-D Antibody Concentrations ≥ Protocol Specified Cut-off
At year 3 after the vaccination in primary study (NCT00346073)

Anti-D cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA

Number of Subjects With Anti-tetanus (Anti-T) Antibody Concentrations ≥ Protocol Specified Cut-off
At year 1 after the vaccination in primary study (NCT00346073)

Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.

Number of Subjects With Anti-T Antibody Concentrations ≥ Protocol Specified Cut-off
At year 3 after the vaccination in primary study (NCT00346073)

Anti-T cut-off was defined as ≥ 0.1 IU/mL as assessed by ELISA.

Number of Subjects With Anti-D and Anti-T Concentrations ≥ 0.1 IU/mL and 1 IU/mL
At Year 9, one month after the booster vaccination.

Number of subjects with anti-D and anti-T concentrations ≥ 0.1 IU/mL and 1 IU/mL were tabulated

Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibody Concentrations
At Year 9, one month before booster vaccination

Anti-PT, anti-FHA and anti-PRN antibody concentrations were measured by ELISA, tabulated as GMCs and expressed in IU/mL.

Booster Response to D and T Antigens
At Year 9, one month after the booster vaccination.

A booster response was defined as: for initially seronegative subjects (S-) (pre-vaccination concentration below cut-off: \< 0.1 IU/mL) antibody concentrations at least four times the cut-off (post vaccination concentration ≥ 0.4 IU/mL); for initially seropositive subjects (S+) (pre-vaccination concentration ≥ 0.1 IU/mL): an increase in antibody concentrations of at least four times the pre-vaccination concentration; Total = subjects either seropositive or seronegative.

Booster Response to PT, FHA and PRN Antigens
At Year 9, one month after the booster vaccination.

Booster response was defined as: for subjects with pre-vaccination antibody concentration \< 5 EL.U/mL (S-): antibody concentration ≥ 20 EL.U/mL; for subjects with pre-vaccination antibody concentration ≥ 5 EL.U/mL and \< 20 EL.U/mL (S+, \<4\*cut-off): antibody concentration at least four times the pre-vaccination concentration; for subjects with pre-vaccination antibody concentration ≥ 20 EL.U/mL (S+, ≥4\*cut-off): antibody concentration at least two times the pre-vaccination concentration; Total = subjects either seropositive or seronegative

Anti-diphtheria, anti-tetanus, anti-PT, anti-PRN & anti-FHA antibody concentration.
Occurrence of solicited symptoms during 4 days following vaccination, unsolicited symptoms during the 31 days following vaccination and serious adverse events
Number of Seroprotected Subjects With Anti-diphteria (Anti-D) and Anti-tetanus (Anti-T) Antibodies
At Month 1

A seroprotected subject is defined as a vaccinated subject with anti-D and anti-T antibody concentration greater than or equal to ( ≥) 0.1 international units per milliliter (IU/mL).

Number of Seropositive Subjects With Anti-tetanus (Anti-T) Antibodies
At Month 1

A seropositive subject was a subject whose antibody concentration was greater than or equal to the cut-off value. Cut-off values assessed were greater than or equal to 1.0 international units per milliliter (IU/mL).

Number of Subjects With Booster Responses for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Hemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN) Antibodies
At Month 1

Booster responses for anti-PT, anti-FHA and anti-PRN antibodies were defined as: for initially seronegative subjects (pre-vaccination concentration below cut-off: smaller than (\<) 5 EU/mL): antibody concentrations at least four times the cut-off (post-vaccination concentration greater than or equal to (≥) 20 EU/mL), one month after vaccination; for initially seropositive subjects with pre-vaccination concentration ≥ 5 EU/mL and \< 20 EU/mL: an increase in antibody concentrations of at least four times the pre-vaccination concentration one month after vaccination; and for initially seropositive subjects with pre-vaccination concentration ≥ 20 EU/mL: an increase in antibody concentrations of at least two times the pre-vaccination concentration, one month after vaccination.

Immunogenicity with respect to components of the study vaccines
One month after vaccination (Month 1)

Secondary Endpoints

Number of Subjects With a Booster Response to the Diphtheria and Tetanus Antigens
At Day 31
Number of Subjects With a Booster Response to the PT, FHA and PRN Antigens.
At Day 31
Anti-D, Anti-T, Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations , One Month After Vaccination.
At Day 31
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
dTpa groupEXPERIMENTALHealthy female and male subjects with age 4 years and above and who received a single dose of Boostrix vaccine at Day 1.
Boostrix Group 2EXPERIMENTALHealthy male of female subjects, aged 19 to 30 years of age at the time of booster vaccination, who were randomized to the Lot A, Lot B or Lot C groups in study NCT00109330, received a second dose of Boostrix in this study.
Boostrix Group 1ACTIVE_COMPARATORHealthy male of female subjects, aged 19 to 30 years of age at the time of booster vaccination, who received Massachusetts Public Health Biologic Laboratories combined tetanus and diphtheria vaccine in study NCT00109330, received the first dose of Boostrix in this study.
Boostrix GroupEXPERIMENTALSubjects received a single dose of Boostrix™ (tetanus toxoids, reduced diphtheria toxoids and acellular pertussis vaccine)
Decavac GroupACTIVE_COMPARATORSubjects received a single dose of Decavac™ (tetanus and diphtheria toxoids vaccine)
Adacel GroupACTIVE_COMPARATORSubjects received in the primary study (NCT00346073) a single dose of Adacel vaccine intramuscularly in the deltoid region of the non-dominant upper arm and in this study at Year 9 received a dose of Boostrix vaccine \[Tdap\](GSK776423).
Control groupACTIVE_COMPARATORSubjects received the first dose of Boostrix vaccine \[Tdap\](GSK776423) in this study at Year 9.
Group AEXPERIMENTAL -
Group BEXPERIMENTAL -
Group CACTIVE_COMPARATOR -

Interventions

NameTypeDescription
BoostrixBIOLOGICALOne dose administered intramuscularly in the deltoid muscle of the non-dominant arm in dTap group.
Boostrix™BIOLOGICALSingle-dose administered intramuscularly in the deltoid region of non-dominant arm.
Boostrix®BIOLOGICALIntramuscular, single dose.
Decavac™BIOLOGICALIntramuscular, single dose.
Taking of blood samplesPROCEDURENo treatment is planned to be given in this study. Blood samples will be collected at the following time points: 1 year, 3 years, 5 years and 9 years after the dose of vaccination.
AdacelBIOLOGICALA single dose of Adacel was administered in the primary study (NCT00346073). No treatment was given in this study.
Chinese DT vaccineBIOLOGICAL -
ADACEL®BIOLOGICALSanofi Pasteur
GSK Biologicals' reduced antigen diphtheria and tetanus toxoids and acellular pertussis- inactivated poliovirus vaccineBIOLOGICALIntramuscular, single
GSK Biologicals' IPV vaccineBIOLOGICALIntramuscular, single dose
Revaxis®BIOLOGICALIntramuscular, single dose
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Eligibility Criteria

Age Range4 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites8

Inclusion Criteria: * Subjects or subjects' parent(s)/adoptive parent(s) who, in the opinion of the investigator, can and will comply with the requirements of the protocol. * A male or female four years of age and older. * Written informed consent obtained from the subject/from the parent(s)/adopti...

Countries:RussiaVietnamUnited StatesChina
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Frequently asked questions about Boostrix

What is Boostrix used for?

Boostrix is a vaccine used for the prevention of diphtheria, tetanus, and acellular pertussis (whooping cough). It is indicated for booster immunization against these diseases in individuals, typically administered to older children, adolescents, and adults. The vaccine is developed by GSK plc and is currently in Phase 3 clinical development.

Who makes Boostrix?

Boostrix is developed by GSK plc, a global biopharma company listed on the stock exchange under the ticker GSK. GSK is conducting clinical trials to evaluate the safety and immunogenicity of Boostrix in various populations, including children, adolescents, and adults, across multiple countries.

What phase is Boostrix in?

Boostrix is in Phase 3 clinical development. All four completed clinical trials for Boostrix are Phase 3 studies, which are designed to assess the vaccine's safety, immunogenicity, and efficacy in preventing diphtheria, tetanus, and acellular pertussis. The vaccine is investigational and not yet approved for public use.

What clinical trials is Boostrix in?

Boostrix has been studied in four completed Phase 3 clinical trials, including NCT00452686, NCT01277705, NCT01988857, and NCT03311659. These trials evaluated the vaccine's safety and immunogenicity in healthy children, adolescents, and adults in countries such as China, Vietnam, and Russia, with a total enrollment of 4,291 participants.

Is Boostrix FDA approved?

Boostrix is not FDA approved. It is an investigational vaccine currently in Phase 3 clinical development. While the clinical trials have been completed, the vaccine has not yet received regulatory approval from the FDA or other health authorities. It remains under evaluation for safety and efficacy.