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Havrix

Phase 3

Hepatitis A | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Aug 20, 2018

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
RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment1,942
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00197236Immunogenicity and Safety of Havrix™ Co-Administered With a Diphtheria, Tetanus and Pertussis and a Haemophilus b Vaccine in Children Aged 15 MonthsPHASE3 COMPLETED 468Nov 11, 2003Dec 3, 2007Aug 20, 201822 United States
NCT00197015Immunogenicity & Safety of Hepatitis A Vaccine Co-admin With a Measles/Mumps/Rubella & a Varicella Vaccine in ChildrenPHASE3 COMPLETED 1,474Oct 6, 2003Jun 9, 2009Jul 31, 201842 United States
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Study Endpoints
Primary Endpoints
Number of Seropositive Subjects for Anti-hepatitis A Virus (HAV) Antibodies Following the Second Dose of Havrix
31 days following the second dose of Havrix™

Subjects are defined as being anti-HAV seropositive if their anti-HAV antibody concentration is ≥ 15 milli-International Units per milliliter (mIU/mL).

Number of Anti-diphtheria, Anti-tetanus and Anti-polyribosylribitol Phosphate (PRP) Seroprotected Subjects
31 days following the administration of Infanrix™ and ActHIB

Subjects are defined as being anti-diphtheria, anti-tetanus and anti-PRP seroprotected if their anti-diphtheria and anti-tetanus antibody concentration is ≥ 0.1 International Units per milliliter (IU/mL) and if their anti-PRP antibody concentration is ≥ 1 microgram per milliliter (μg/mL), respectively.

Number of Vaccine Responders for Anti-pertussis Toxoid (PT), Anti-filamentous Hemagglutinin (FHA) and Anti-pertactin (PRN)
31 days following the administration of Infanrix™ and ActHIB

Subjects are considered as being vaccine responders if they were initially seronegative and become seropositive (≥ 5 Enzyme Linked Immunosorbent Assay Units per Milliliter (EL.U/mL)), or were initially seropositive and have a 2-fold increase above pre-study concentrations.

Anti-hepatitis A Virus (HAV) Antibody Concentrations in HAV and HAV+MMR+V Groups.
31 days following the second dose of Havrix®

Concentrations are given as geometric mean concentrations (GMCs) expressed as milli-international units per milliliter (mIU/mL).

Number of Subjects With Anti-hepatitis A Virus (HAV) Antibody Concentration Equal or Above the Cut-off Value in HAV and HAV+MMR+V Groups
31 days following the second dose of Havrix®

Anti-HAV antibody cut-off value assessed include 15 milli-international units per milliliter (mIU/mL).

Number of Subjects Seroconverted for Anti-measle, Anti-mumps and Anti-varicella Antibodies in HAV+MMR+V and MMR+V→HAV Groups
42 days following the administration of M-M-R®II and VARIVAX®

Seroconversion is defined as the appearance of antibodies with titers greater than or equal to the predefined cut-off value in the serum of subject seronegative before vaccination. Cut-off values assessed include 150 milli-international units per milliliter (mIU/mL) for anti-measles antibodies, 28 Effective Dose 50 (ED50) for anti-mumps antibodies and 1:5 for anti-varicella antibodies.

Number of Subjects With Vaccine Response for Anti-rubella Antibodies in HAV+MMR+V and MMR+V→HAV Groups
42 days following administration of M-M-R®II and VARIVAX®

Vaccine response is defined as the appearance of antibodies with titers greater than or equal to the predefined cut-off value in the serum of subject seronegative before vaccination. Cut-off value assessed include 10 milli-international units per milliliter (mIU/mL).

Secondary Endpoints
Anti-diphtheria and Anti-tetanus Antibody Geometric Mean Concentrations (GMC)
31 days following the administration of Infanrix™ and ActHIB
Anti-polyribosylribitol Phosphate (PRP) Antibody Geometric Mean Concentrations (GMC)
31 days following the administration of Infanrix™ and ActHIB
Number of Subjects Seropositive for Anti-pertussis Toxoid (PT), Anti-filamentous Hemagglutinin (FHA), Anti-pertactin (PRN) and Anti-polyribosylribitol Phosphate (PRP)
31 days following the administration of Infanrix™ and ActHIB
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Havrix GroupACTIVE_COMPARATORSubjects received one dose of Havrix at Day 0 followed by a second dose of Havrix at Month 6-9.
Infanrix + ActHIB→Havrix GroupEXPERIMENTALSubjects received Infanrix co-administered with ActHIB at Day 0, followed by one dose of Havix at Day 30 and a second dose of Havrix at Month 7-10.
Havrix + Infanrix + ActHIB GroupACTIVE_COMPARATORSubjects received one dose of Havrix co-administered with Infanrix and ActHIB vaccines at Day 0 followed by a second dose of Havrix at Month 6-9.
HAV GroupACTIVE_COMPARATORSubjects received 2 doses of Havrix® (1 dose at Day 0 and 1 dose between Month 6 and Month 9)
HAV+MMR+V GroupEXPERIMENTALSubjects received 1 dose of Havrix®, coadministered with M-M-R®II and VARIVAX®, at Day 0 and 1 dose of Havrix® between Month 6 and Month 9
MMR+V→HAV GroupACTIVE_COMPARATORSubjects received 1 dose of M-M-R®II and VARIVAX® at Day 0 and then 2 doses of Havrix® (1 dose at Day 42 and 1 dose between Month 7.5 and Month 10.5)
Interventions
NameTypeDescription
Havrix™BIOLOGICAL2 intramuscular injections, 6 months apart
Infanrix™BIOLOGICAL1 intramuscular injection
ActHIB™BIOLOGICAL1 intramuscular injection
Havrix®BIOLOGICAL2 doses administered intramuscularly
M-M-R®IIBIOLOGICAL1 dose administered subcutaneously
VARIVAX®BIOLOGICAL1 dose administered subcutaneously
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Eligibility Criteria
Age Range12 Months — 13 Months
SexALL
Healthy VolunteersYes
Study Sites22

Inclusion Criteria: * Subjects whose parents/guardians are believed by the investigator to be willing to comply with the requirements of the protocol * A male or female child 12 or 13 months of age at the time of entry into the Enrolment Phase, * Subjects must have previously received three doses e...

Countries:United States
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