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DTPa-HBV-IPV/Hib vaccine

Phase 3

Diphtheria | Vaccine | Infectious Disease |GSK plc|Trials Updated: Jun 6, 2018

DTPa-HBV-IPV/Hib vaccine development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Aug 2005

DTPa-HBV-IPV/Hib vaccine target and mechanism

ModalityVaccine

Also known as Infanrix hexa ®

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials8
Total Enrollment2,434

FDA Designations

No designations recorded

DTPa-HBV-IPV/Hib vaccine clinical trials

DTPa-HBV-IPV/Hib vaccine · 8 trials · 8 indications

Phase 3 6Phase 2 2
NCT00320463Compare Immunogenicity & Safety of 2 Formulations of GSK Biologicals' DTPa-HBV-IPV/Hib Vaccine Given in Healthy InfantsDiphtheria
COMPLETED415 Analytics
NCT00316147Immunogenicity & Safety of GSK's Combined DTPa-HBV-IPV/Hib Vaccine in Indian Infants at 2 Diff Vaccination SchedulesDiphtheria
COMPLETED224 Analytics
NCT00325143Safety of DTPa-IPV/Hib & DTPa-HBV-IPV/Hib, Followed by DTPa-IPV/Hib Vaccine in Infants Who Received Hepatitis B VaccineHaemophilus Influenzae Type b
COMPLETED702 Analytics
NCT00880477Immunogenicity and Safety of Primary and Booster Vaccination With DTPa-HBV-IPV/Hib VaccineHepatitis B
COMPLETED140 Analytics
NCT01457560Immunogenicity and Reactogenicity of DTPa-HBV-IPV/Hib Vaccine Followed by the Same Vaccine and Oral Polio VaccineHepatitis B
COMPLETED80 Analytics
NCT01457508Immunogenicity and Reactogenicity of DTPa-HBV-IPV/Hib, Compared to DTPa-HBV-IPV and Hib Administered SeparatelyHepatitis B
COMPLETED440 Analytics
PHASE3COMPLETED
Compare Immunogenicity & Safety of 2 Formulations of GSK Biologicals' DTPa-HBV-IPV/Hib Vaccine Given in Healthy Infants
DiphtheriaUnlock trial analytics
PHASE3COMPLETED
Immunogenicity & Safety of GSK's Combined DTPa-HBV-IPV/Hib Vaccine in Indian Infants at 2 Diff Vaccination Schedules
DiphtheriaUnlock trial analytics
PHASE3COMPLETED
Safety of DTPa-IPV/Hib & DTPa-HBV-IPV/Hib, Followed by DTPa-IPV/Hib Vaccine in Infants Who Received Hepatitis B Vaccine
Haemophilus Influenzae Type bUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety of Primary and Booster Vaccination With DTPa-HBV-IPV/Hib Vaccine
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Reactogenicity of DTPa-HBV-IPV/Hib Vaccine Followed by the Same Vaccine and Oral Polio Vaccine
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Reactogenicity of DTPa-HBV-IPV/Hib, Compared to DTPa-HBV-IPV and Hib Administered Separately
Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

One month after vaccination, measurement of antibodies against all vaccine antigens.
1M post-dose 3, vaccine response for pertussis and anti-poliovirus types 1, 2, and 3 titers
Number of Subjects Reporting Any Solicited Local Symptoms
During the 4-day (Days 0-3) post-vaccination period following each dose and across doses

Assessed solicited local and general symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.

Number of Subjects Reporting Any Solicited General Symptoms
During the 4-day (Days 0-3) post-vaccination period following each dose and across doses

Assessed solicited general symptoms were drowsiness, fever \[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the symptom regardless of intensity grade.

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

Immunogenicity: One month after vaccination, vaccine response for the pertussis antigens.
Reactogenicity & safety: After each dose, solicited (day 0-3, local & general) & unsolicited (day 0-30) symptoms. Over the full course of the study: serious adverse events (SAEs)."
1M post-dose 3, antibody levels against all antigens
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Infanrix Hexa GroupEXPERIMENTALHealthy male or female subjects between and including 11 to 17 weeks of age, who were previously vaccinated with Rotarix™ in study 444563/028 (NCT00197210), additionally received 2 doses of Infanrix™-IPV/Hib vaccine (at 3 and 4 months of age), 2 doses of Rotarix™ vaccine (at 2 and 4 months of age) and one dose of Infanrix Hexa™ vaccine (at 5 months of age) as a primary vaccination course, followed by administration of a booster dose of Infanrix™-IPV/Hib vaccine (at 18 months of age). The Infanrix™-IPV/Hib and Infanrix Hexa™ vaccines were administered intramuscularly into the right antero-lateral thigh, while the Rotarix™ vaccine was given orally.
Group AEXPERIMENTAL -
Group BEXPERIMENTAL -
DTPa 1 GroupEXPERIMENTAL -
DTPa 2 GroupACTIVE_COMPARATOR -

Interventions

NameTypeDescription
DTPa-HBV-IPV/Hib vaccineBIOLOGICAL -
DTPa-HBV-IPV/HibBIOLOGICAL1 intramuscular injection (3rd study vaccine dose)
DTPa-IPV/Hib vaccineBIOLOGICAL3 intramuscular injections (1st, 2nd and 4th vaccine dose)
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/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 Range11 Weeks to 17 Weeks
SexALL
Healthy VolunteersYes
Study Sites4

"Inclusion criteria: * A healthy male or female infant between, and including, 11 and 17 weeks of age at the time of the first vaccination. * Infant born to known hepatitis B surface antigen (HBsAg) seronegative mother (documented laboratory result of HBsAg assay from the maternal blood sample is a...

Countries:RussiaIndiaSingaporeGermany
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Frequently asked questions about DTPa-HBV-IPV/Hib vaccine

What is the DTPa-HBV-IPV/Hib vaccine?

The DTPa-HBV-IPV/Hib vaccine is a combination vaccine developed by GSK plc for protection against multiple infectious diseases in infants. It is designed to immunize against diphtheria, Haemophilus influenzae type b, and hepatitis B, among other components indicated in its clinical program. It is a vaccine modality studied in Phase 3 clinical trials.

What is the DTPa-HBV-IPV/Hib vaccine used for?

The DTPa-HBV-IPV/Hib vaccine is used for immunization against diphtheria, Haemophilus influenzae type b, and hepatitis B. Clinical trials have also listed pertussis, tetanus, and poliomyelitis among the conditions studied. It is intended for infants, with trial enrollment starting at 6 to 12 weeks of age.

Who makes the DTPa-HBV-IPV/Hib vaccine?

The DTPa-HBV-IPV/Hib vaccine is developed by GSK plc, which trades under the ticker GSK. GSK is the sponsor of the clinical trials evaluating this combination vaccine. The vaccine is also known by the brand name Infanrix hexa.

What phase is the DTPa-HBV-IPV/Hib vaccine in?

The DTPa-HBV-IPV/Hib vaccine has been studied in Phase 3 clinical trials, with one Phase 2 trial also conducted. All five listed trials are completed, and none are currently active. It is an investigational combination vaccine in clinical development.

What clinical trials is the DTPa-HBV-IPV/Hib vaccine in?

The DTPa-HBV-IPV/Hib vaccine has been evaluated in completed trials including NCT01457560, NCT01457508, NCT01457495, and NCT00880477. These trials assessed immunogenicity and safety in infants, with total enrollment across the program of 1,093 participants. The studies were randomized and double-blind.

Is the DTPa-HBV-IPV/Hib vaccine the same as Infanrix hexa?

Yes, the DTPa-HBV-IPV/Hib vaccine is also known as Infanrix hexa. Other listed alternative names include DTPa-HBV-IPV+Hib and DTPa-HBV-IPV/Hib (Infanrix hexa). These names refer to the same GSK combination vaccine.