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Haemophilus influenzae type b- and meningococcal

Phase 3

Haemophilus Influenzae Type b | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Aug 24, 2018

Target and mechanism

ModalityMonoclonal antibody

Also known as Haemophilus influenzae type b- and meningococcal (vaccine), Haemophilus influenzae type b- and meningococcal serogroup C, Haemophilus influenzae type b and meningococcal serogroup C

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials4
Total Enrollment1,438

FDA Designations

No designations recorded

Clinical trial landscape

Haemophilus influenzae type b- and meningococcal · 6 trials · 2 indications

Phase 3 6
NCT00326118Study in Toddlers to Demonstrate Non-inferiority of GSK Biologicals' Hib-MenC & to Evaluate Persistence up to 5 Years.Haemophilus Influenzae Type b
COMPLETED433 Analytics
NCT00322335Long-term Persistence Study to Assess a Booster Dose of GSK Biologicals' Hib-MenCHaemophilus Influenzae Type b
COMPLETED230 Analytics
NCT00327184Primary & Booster Study in Infants to Demonstrate Non-inferiority, Persistence & Immunogenicity of Hib-MenC VaccineNeisseria Meningitidis
COMPLETED709 Analytics
NCT00263653Safety, Reactogenicity & Immunogenicity Study to Evaluate a Booster Dose of GSK Biologicals' Hib-MenC Given With Priorix™ in Toddlers (13-14 m) Primed With 3 Doses of Hib and MenC-CRM197Haemophilus Influenzae Type b
COMPLETED297 Analytics
NCT00258700Primary & Booster Immunogenicity Study of GSK Biologicals' Hib-MenC Versus a Licensed Men-C VaccineHaemophilus Influenzae Type b
COMPLETED478 Analytics
NCT00323050Study of a Booster Dose of Hib-MenC Conjugate Vaccine vs Infanrix Hexa When Given to 14 Month Old SubjectsNeisseria Meningitidis
COMPLETED468 Analytics
PHASE3COMPLETED
Study in Toddlers to Demonstrate Non-inferiority of GSK Biologicals' Hib-MenC & to Evaluate Persistence up to 5 Years.
Haemophilus Influenzae Type bUnlock trial analytics
PHASE3COMPLETED
Long-term Persistence Study to Assess a Booster Dose of GSK Biologicals' Hib-MenC
Haemophilus Influenzae Type bUnlock trial analytics
PHASE3COMPLETED
Primary & Booster Study in Infants to Demonstrate Non-inferiority, Persistence & Immunogenicity of Hib-MenC Vaccine
Neisseria MeningitidisUnlock trial analytics
PHASE3COMPLETED
Safety, Reactogenicity & Immunogenicity Study to Evaluate a Booster Dose of GSK Biologicals' Hib-MenC Given With Priorix™ in Toddlers (13-14 m) Primed With 3 Doses of Hib and MenC-CRM197
Haemophilus Influenzae Type bUnlock trial analytics
PHASE3COMPLETED
Primary & Booster Immunogenicity Study of GSK Biologicals' Hib-MenC Versus a Licensed Men-C Vaccine
Haemophilus Influenzae Type bUnlock trial analytics
PHASE3COMPLETED
Study of a Booster Dose of Hib-MenC Conjugate Vaccine vs Infanrix Hexa When Given to 14 Month Old Subjects
Neisseria MeningitidisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Greater Than or Equal to 0.15 Micrograms Per Milliliter (µg/mL)
1 month after vaccination

Anti-PRP antibody concentration greater than or equal to 0.15 µg/mL is indicative of short-term protection.

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Greater Than or Equal to 1:8 Titer
1 month after vaccination

rSBA-MenC titers greater than or equal to 1:8 titer are indicative of seroprotection.

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Equal to or Above Cut-off Value of 1:8
18, 30, 42, 54 and 66 months after booster dose (day 0)

The cut-off value for the rSBA-MenC titers was equal to or above 1:8. 0 has been put as an arbitrary value for Month 18 in the Infanrix Hexa/Meningitec Group, as it was not addressed for reasons explained in the participant flow section.

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Equal to or Above Cut-off Value of 1:32
18, 30, 42, 54 and 66 months after booster dose (day 0)

The cut-off value for the rSBA-MenC titers was equal to or above 1:32. 0 has been put as an arbitrary value for Month 18 in the Infanrix Hexa/Meningitec Group, as it was not addressed for reasons explained in the participant flow section.

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Equal to or Above Cut-off Value of 1:128
18, 30, 42, 54 and 66 months after booster dose (day 0)

The cut-off value for the rSBA-MenC titers was equal to or above 1:128. 0 has been put as an arbitrary value for Month 18 in the Infanrix Hexa/Meningitec Group, as it was not addressed for reasons explained in the participant flow section.

rSBA-MenC Titers
18, 30, 42, 54 and 66 months after booster dose (day 0)

Titers are expressed as Geometric Mean Titers (GMTs). 0 has been put as an arbitrary value for Month 18 in the Infanrix Hexa/Meningitec Group, as it was not addressed for reasons explained in the participant flow section.

Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Concentrations Equal to or Above Cut-off Value of 0.15 µg/mL (Microgram Per Milliliter)
18, 30, 42, 54 and 66 months after the booster dose (day 0)

The cut-off value was an anti-PRP concentration equal to or above 0.15 µg/mL (microgram per milliliter).

Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Concentrations Equal to or Above Cut-off Value of 1.0 µg/mL (Microgram Per Milliliter)
18, 30, 42, 54 and 66 months after the booster dose (day 0)

The cut-off value was an anti-PRP concentration equal to or above 1.0 µg/mL (microgram per milliliter).

Anti-PRP Concentrations
18, 30, 42, 54 and 66 months after the booster dose (day 0)

Concentrations are expressed as Geometric Mean Concentrations (GMCs) in µg/mL (microgram per milliliter).

Number of Subjects With Anti-polysaccharide C (Anti-PSC) Concentrations Equal to or Above Cut-off Value of 0.3 µg/mL (Microgram Per Milliliter)
18, 30, 42, 54 and 66 months after the booster dose (day 0)

The cut-off value was an anti-PSC concentration equal to or above 0.3 µg/mL (microgram per milliliter). 0 has been put as an arbitrary value for Month 18 in the Infanrix Hexa/Meningitec Group, as it was not addressed for reasons explained in the participant flow section.

Number of Subjects With Anti-polysaccharide C (Anti-PSC) Concentrations Equal to or Above Cut-off Value of 2.0 µg/mL (Microgram Per Milliliter)
18, 30, 42, 54 and 66 months after the booster dose (day 0)

The cut-off value was an anti-PSC concentration equal to or above 2.0 µg/mL (microgram per milliliter). 0 has been put as an arbitrary value for Month 18 in the Infanrix Hexa/Meningitec Group, as it was not addressed for reasons explained in the participant flow section.

Anti-PSC Concentrations
18, 30, 42, 54 and 66 months after the booster dose (day 0)

Concentrations for anti-PSC antibody were expressed as GMCs.

Number of Subjects With Serious Adverse Events
From last study contact of the booster study (NCT00323050) to Month 66 after booster dose (day 0)

Serious adverse events assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

SBA-MenC titre
One month after the second dose of the Primary Vaccination Phase.
Anti-PRP concentration
One month after the second dose of the Primary Vaccination Phase
Any grade 3 solicited symptoms (d 0 - 3)
1 m after the 3rd dose of primary vaccination: SBA-MenC titre ≥ 1:8 (seroprotection status), anti-PRP concentration ≥ 0.15 µg/ml. 42 d after the booster vaccination: SBA-MenC titre ≥ 1:128, anti-PRP concentration ≥ 1 μg/ml
Percentage (%) of subjects with anti-PRP antibody concentrations (conc) ≥1µg/ml and % of subjects with SBA-MenC titers ≥ 128 one month post vaccination.

Secondary Endpoints

Number of Subjects With Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers Above the Cut-off Values
Prior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination
Meningococcal Serogroup C Serum Bactericidal Assay Using Rabbit Complement (rSBA-MenC) Titers
Prior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination.
Number of Subjects With Anti-polyribosylribitol Phosphate (Anti-PRP) Antibody Concentration Above Cut-off Values
Prior to, 1 month, 1 year, 2 years, 3 years and 4 years after vaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Meningitec + Hiberix GroupACTIVE_COMPARATORSubjects received a single dose of Meningitec™ vaccine co-administered with Hiberix™ and Priorix™ vaccines. The Meningitec vaccine was administered intramuscularly in the left deltoid region, the Hiberix vaccine was administered intramuscularly in the left thigh region and the Priorix vaccine was administered subcutaneously in the right upper arm.
Menitorix GroupEXPERIMENTALSubjects received a single dose of Menitorix™ vaccine co-administered with Priorix™ vaccine. Menitorix vaccine was administered intramuscularly in the left deltoid region and the Priorix vaccine was administered subcutaneously in the right upper arm.
Menitorix/Pediarix GroupEXPERIMENTALSubjects were primed with 3 doses of Pediarix™ co-administered intramuscularly with Menitorix™ in the right and left thigh respectively in the primary study (NCT00352963) at 2, 4 and 6 months of age. This was followed by a booster dose of Menitorix™ administered intramuscularly in the left thigh between 13 and 14 months of age in study NCT00323050. No vaccines were administered during this long-term persistence phase of the study.
Infanrix hexa (or IPV/Hib)/NeisVac-C/Engerix-B/Menitorix GroupACTIVE_COMPARATORSubjects were either primed in the primary study (NCT00352963) with 3 doses of Infanrix™ hexa administered intramuscularly in the right thigh at 2, 4 and 6 months of age and 2 doses of NeisVac-C™ administered intramuscularly in the left thigh at 2 and 4 months of age or with Engerix-B at birth intramuscularly in the right thigh, Infanrix™ hexa intramusculary in the right thigh at 2 and 6 months of age and NeisVac-C™ intramuscularly in the left thigh at 2 and 4 months of age, Infanrix™ IPV/Hib was administered intramuscularly in the right thigh at 4 months of age. All subjects were boosted with Menitorix™ administered intramuscularly in the left thigh between 13 and 14 months of age in study NCT00323050. No vaccines were administered during this long-term persistence phase of the study.
Infanrix hexa/Meningitec GroupACTIVE_COMPARATORSubjects were primed with Infanrix™ hexa co-administered intramuscularly with Meningitec™ in the right and left thigh respectively at 2, 4 and 6 months of age during the primary study (NCT00352963), followed by a booster dose of Infanrix™ hexa intramuscularly in the right thigh between 13 and 14 months of age in study (NCT00323050). No vaccines were administered during this long-term persistence phase of the study.
Group Hib-MenCEXPERIMENTALSubjects receive 2 primary vaccination doses at 3 and 5 months of age and a booster dose at 11 months of age of Hib-MenC + Infanrix™ penta vaccines.
Group NeisVac-CACTIVE_COMPARATORSubjects receive 2 primary vaccination doses at 3 and 5 months of age and a booster dose at 11 months of age of NeisVac-C™ + Infanrix™ hexa vaccines.

Interventions

NameTypeDescription
Haemophilus influenzae type b and meningococcal serogroup C (vaccine)BIOLOGICALOne intramuscular dose at 12-18 months of age
Priorix™BIOLOGICALOne subcutaneous dose at 12-18 months of age
Hiberix™BIOLOGICALOne intramuscular dose at 12-18 months of age.
Meningitec™BIOLOGICALOne intramuscular dose at 12-18 months of age
Haemophilus influenzae type b- and meningococcal (vaccine)BIOLOGICALIntramuscular injection into the thigh as primary vaccination at 2, 4 and 6 months of age (group HibMenC) and as booster dose at 14 months of age (groups HibMenC and group NeisPoo).
Infanrix™ pentaBIOLOGICALIntramuscular injection into the thigh as primary vaccination at 2, 4 and 6 months of age
Infanrix™ hexaBIOLOGICALIntramuscular injection into the thigh as primary vaccination at 2, 4 and/or 6 months of age (groups NeisPoo and MenCCRM) and/or as booster dose at 14 months of age (group MenCCRM).
Engerix-BBIOLOGICALIntramuscular injection into the thigh as a birth dose
NeisVac-C™BIOLOGICALIntramuscular injection into the thigh as primary vaccination at 2 and 4 months of age.
Infanrix™ IPV/HIBBIOLOGICALIntramuscular injection into the thigh as primary vaccination at 4 months of age
Haemophilus influenzae type b- and meningococcal serogroup C (vaccine)BIOLOGICALTwo primary vaccination doses at 3 and 5 months of age and a booster dose at 11 months of age.
Infanrix PentaBIOLOGICALTwo primary vaccination doses at 3 and 5 months of age and a booster dose at 11 months of age.
Infanrix hexaBIOLOGICALTwo primary vaccination doses at 3 and 5 months of age and a booster dose at 11 months of age
Neis-Vac-CBIOLOGICALTwo primary vaccination doses at 3 and 5 months of age and a booster dose at 11 months of age
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Eligibility Criteria

Age Range12 Months to 18 Months
SexALL
Healthy VolunteersYes
Study Sites7

Inclusion Criteria: Primary phase: * Subjects whom the investigator believes that their parents/guardians can and will comply with the requirements of the protocol. * A male or female between, and including, 12 and 18 months of age at the time of vaccination. * Written informed consent obtained fr...

Countries:AustraliaSpainFinlandItalyPolandUnited Kingdom
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