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DTPa-HBV-IPV/Hib

Phase 3

Hepatitis B | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Jun 16, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials5
Total Enrollment1,093
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00880477Immunogenicity and Safety of Primary and Booster Vaccination With DTPa-HBV-IPV/Hib VaccinePHASE3 COMPLETED 140Jan 1, 2001Nov 1, 2002Sep 7, 2016 -
NCT01457560Immunogenicity and Reactogenicity of DTPa-HBV-IPV/Hib Vaccine Followed by the Same Vaccine and Oral Polio VaccinePHASE3 COMPLETED 80Feb 1, 2000Apr 1, 2001Aug 5, 2016 -
NCT01457508Immunogenicity and Reactogenicity of DTPa-HBV-IPV/Hib, Compared to DTPa-HBV-IPV and Hib Administered SeparatelyPHASE3 COMPLETED 440Jan 1, 1999Mar 1, 2000Jun 16, 2017 -
NCT00289796Assess Feasibility of an Acellular Pertussis Vaccine (Pa) Given Soon After Birth, Followed by 3-dose Primary Vaccination With the DTPa-HBV-IPV/Hib VaccinePHASE2 COMPLETED 121Jul 1, 2004Dec 1, 2006Feb 8, 20171 Germany
NCT01457495Immunogenicity and Safety of DTPa-HBV-IPV/Hib Compared to DTPa-IPV/Hib and HBV Administered ConcomitantlyPHASE2 COMPLETED 312Sep 1, 1998Sep 1, 1999Jun 16, 2017 -
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Study Endpoints
Primary Endpoints
Seroprotective anti-HBs antibody titres above protocol specified cut-off value
At the time of the second dose of combined vaccination, one month after the 3rd dose of combined vaccination and one month after the booster dose.
Immunogenicity with respect to the components of the study vaccine in terms of number of subjects with antibody titres greater than or equal to cut off values
One month after the second dose and one month after the third dose of the primary vaccination course ( Month 3 and Month 9)
Immunogenicity with respect to the components of the study vaccine in terms of number of subjects with antibody titres greater than or equal to cut off value
One month after the 2nd dose of the primary vaccination course ( Month 3)
Number of seropositive subjects for anti-pertussis toxoids (PT), anti-filamentous hemagglutinin (FHA) and anti-pertactin (PRN) antibodies
At Month 0

A seropositive subject was defined a subject with antibody concentrations ≥ 5 EL.U/mL.

Antibody concentrations for anti-pertussis toxoids (PT), anti-filamentous hemagglutinin (FHA) and anti-pertactin (PRN) antibodies
At Month 0

Concentrations were expressed as geometric mean concentrations (GMCs) for the seropositivity cut-off of ≥ 5 EL.U/mL.

Modified vaccine response for anti-pertussis toxoids (PT), anti-filamentous hemagglutinin (FHA) and anti-pertactin (PRN) antibodies
At Month 7

Modified vaccine response was defined as: For initially seronegative subjects, antibody concentration 5 EL.U/mL at one month after the third dose of Infanrix hexa™. For initially seropositive subjects: antibody concentration at one month post vaccination 0.25 fold the pre-vaccination antibody concentration.

Number of seroprotected subjects for anti-Hepatitis B surface antigen (anti-HBs) antibodies
At Month 7

A seroprotected subject was defined as a subject with anti-HBs antibody concentrations ≥ 10 mIU/mL.

Antibody concentrations for anti-Hepatitis B surface antigen (anti-HBs) antibodies
At Month 7

Concentrations were expressed as geometric mean concentrations (GMCs) for the seroprotection cut-off of ≥ 10 mIU/mL.

Number of seroprotected subjects for anti-diphtheria (anti-D) and anti-tetanus (anti-T) antibodies
At Month 7

A seroprotected subject was defined as a subject with anti-D and anti-T antibody concentrations ≥ 0.1 IU/mL.

Antibody concentrations for anti-diphtheria (anti-D) and anti-tetanus (anti-T) antibodies
At Month 7

Concentrations were expressed as geometric mean concentrations (GMCs) for the seroprotection cut-off of ≥ 0.1 IU/mL.

Number of seroprotected subjects for anti-polyribosyl ribitol phosphate (anti-PRP)
At Month 7

A seroprotected subject was defined as a subject with anti-D and anti-T antibody concentrations ≥ 0.15 g/mL.

Antibody concentrations for anti-polyribosyl ribitol phosphate (anti-PRP)
At Month 7

Concentrations were expressed as geometric mean concentrations (GMCs) for the seroprotection cut-off of ≥ 0.15 g/mL.

Number of subjects with solicited general symptoms
During the 8-day (Day 0-Day 7) follow-up period after the any dose and booster vaccination

The solicited local symptoms assessed were Drowsiness, Temperature (Fever), Irritability and Loss of appetite. Temperature = Fever ≥ 38.0 °C. 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; Grade 3 Temperature = \> 39.5 °C. Related = symptoms considered by the investigator to have a causal relationship to vaccination.

Number of subjects with unsolicited adverse events (AES)
Occurring within Day 0-30 following primary and booster vaccination

An AE was defined as 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.

Number of subjects with antibody titers equal to or greater than cut-off value.
One month after the 2nd dose of the primary vaccination course (month 3)
Secondary Endpoints
Antibody titres against all investigational vaccine antigen components
One month after first combined vaccine dose, two months after Dose 1, one month after third combined vaccine dose prior to booster vaccination and one month post-booster vaccination.
Occurrence of solicited symptoms
During the 4-day follow-up period after each dose
Occurrence of unsolicited symptoms
During the 30-day follow-up period after each dose of study vaccine
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group AEXPERIMENTAL -
Group BEXPERIMENTAL -
Infanrix hexa GroupACTIVE_COMPARATORSubjects received a dose of hepatitis B vaccine at birth followed by immunization with 3 doses of Infanrix hexa™ (2, 4 and 6 months of age) and one booster dose of Infanrix hexa™ between 12 and 23 months of age. All vaccines were administered by deep intramuscular injection into the left anterolateral thigh.
DTPa 1 GroupEXPERIMENTAL -
DTPa 2 GroupACTIVE_COMPARATOR -
Interventions
NameTypeDescription
DTPa-HBV-IPV/Hib vaccineBIOLOGICALVaccination according to a 3-dose schedule at 1 ½, 3 ½ and 6 months of age with booster at 15-18 months of age.
DTPa-IPV/Hib vaccineBIOLOGICALVaccination according to a 3-dose schedule at at 1 ½, 3 ½ and 6 months of age with booster at 15-18 months of age.
EngerixTM-BBIOLOGICALThe vaccine was administered according to a 2-dose schedule at 1½ and 6 months of age with booster at 15-18 months of age.
DTPa-HBV-IPV/Hib (Infanrix hexa™)BIOLOGICALThree doses administered intramuscularly
OPVBIOLOGICALOne dose administered orally
DTPa-HBV-IPV (Infanrix penta™)BIOLOGICALThree doses administered intramuscularly
Hib (Hiberix™)BIOLOGICALThree doses administered intramuscularly
DTPa-HBV-IPV/HibBIOLOGICALGSK Biologicals' combined diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliovirus and Haemophilus influenzae type b conjugate vaccine
DTPa-HBV-IPV/Hib (Infanrix-hexa™)BIOLOGICAL3 doses administered intramuscularly into the right thigh at study month 0, 2 and 8
DTPa-IPV/Hib (Infanrix-IPV/Hib™)BIOLOGICAL3 doses administered intramuscularly into the right thigh at study month 0, 2 and 8
HBV (Engerix™-B)BIOLOGICAL3 doses administered intramuscularly into the left thigh at study month 0, 2 and 8
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Eligibility Criteria
Age Range6 Weeks — 8 Weeks
SexALL
Healthy VolunteersYes

Inclusion Criteria: Inclusion criteria for enrolment at birth * Written informed consent obtained from the parents or guardians of the subject. * A male or female infant born after a normal gestation period (between 36 and 42 weeks). * Born to a mother seronegative for HBsAg. * Free of obvious hea...

Countries:Germany
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