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INFANRIX HEXA

Phase 3

Hepatitis B | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Jul 17, 2020

Target and mechanism

ModalityMonoclonal antibody

Also known as Infanrix hexa™, Infanrix hexa ®, Infanrix hexa Vaccine, Infanrix™ hexa, Infanrix-Hexa, Infanrix™ hexa., Infanrix hexa.

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials1
Total Enrollment150

FDA Designations

No designations recorded

Clinical trial landscape

INFANRIX HEXA · 7 trials · 7 indications

Phase 3 3Phase 2 4
NCT02096263Study to Determine the Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals; Infanrix Hexa at 2, 4 and 6 Months of Age in Healthy InfantsPoliomyelitis
COMPLETED585 Analytics
NCT01353703Immunogenicity and Safety Study in Infants of GlaxoSmithKline Biologicals' Infanrix Hexa™ (DTPa-HBV-IPV/Hib) VaccinePoliomyelitis
COMPLETED224 Analytics
NCT00366366To Evaluate Immunogenicity & Safety of GSK Bio's DTPa-HBV-IPV/Hib (Mixed Vaccine) and DTPa-IPV/Hib + HBV VaccinesHepatitis B
COMPLETED150 Analytics
PHASE3COMPLETED
Study to Determine the Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals; Infanrix Hexa at 2, 4 and 6 Months of Age in Healthy Infants
PoliomyelitisUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety Study in Infants of GlaxoSmithKline Biologicals' Infanrix Hexa™ (DTPa-HBV-IPV/Hib) Vaccine
PoliomyelitisUnlock trial analytics
PHASE3COMPLETED
To Evaluate Immunogenicity & Safety of GSK Bio's DTPa-HBV-IPV/Hib (Mixed Vaccine) and DTPa-IPV/Hib + HBV Vaccines
Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Antibody Concentrations for Pertussis Toxoid (Anti-PT), Filamentous Hemagglutinin (Anti-FHA) and Pertactin (Anti-PRN).
At Month 5, one month after the third dose of the primary vaccination.

Concentrations were expressed as geometric mean concentrations (GMCs) for the following cut-offs:2.693 IU/mL for anti-PT, 2.046 IU/mL for anti-FHA, and 2.187 IU/mL for anti-PRN. The results for the Infanrix hexa Group and Pediarix Group were the primary outcome variables.

Number of Seroprotected Subjects Against Diphteria (D) and Tetanus (T) Antigens
One month post Dose 3 (Month 3 or Month 5)

A seroprotected subject was 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 Seroprotected Subjects Against Hepatitis B (HBs)
One month post Dose 3 (Month 3 or Month 5)

A seroprotected subject was defined as a vaccinated subject with anti-HBS antibody concentration ≥ 10 milli-international units per milliliter (mIU/mL).

Number of Seroprotected Subjects Against Poliovirus (Polio) Types 1,2,3 Antigens
One month post Dose 3 (Month 3 or Month 5)

A seroprotected subject was defined as a subject with anti-Poliovirus 1,2 and 3 antibody titers ≥ 8 effective dose, for 50% of people receiving the vaccine (ED50).

Number of Seroprotected Subjects Against Polyribosyl-ribitol Phosphate (PRP) Antigens
One month post Dose 3 (Month 3 or Month 5)

A seroprotected subject was defined as a subject with anti-PRP antibody concentration ≥ 0.15 micrograms per milliliter (µg/mL).

Number of Subjects With Vaccine Response for Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN)
One month post Dose 3 (Month 3 or Month 5)

Vaccine response was defined as : For initially seronegative subjects (S-), antibody concentration ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL) at 1 month after the third dose; For initially seropositive subjects (S+): antibody concentration at 1 month after the third dose ≥ 1 fold increase in the pre-vaccination antibody concentration.

Anti-HBs conc >=10 mIU/ml, 1 month after the last vaccine dose
Number of Seroprotected Subjects for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies
1 month post booster vaccination (POST) (subjects enrolled before protocol amendment 2)

A seroprotected subject was defined as a vaccinated subject who had anti-D and anti-T antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).

Number of Seroprotected Subjects for Anti-D and Anti-T Antibodies
1 month post booster vaccination (POST) (subjects enrolled after protocol amendment 2)

A seroprotected subject was defined as a vaccinated subject who had anti-D and anti-T antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).

Number of Seroprotected Subjects Against Anti-Hepatitis B (Anti-HBs) Antigens
1 month post booster vaccination (POST) (subjects enrolled before protocol amendment 2)

A seroprotected subject was a subject whose antibody concentration was greater than or equal to the level defining clinical protection of 10 milli-international units per millilitre (mIU/mL).

Number of Seroprotected Subjects Against Anti-HBs Antigens
1 month post booster vaccination (POST) (subjects enrolled after protocol amendment 2)

A seroprotected subject was a subject whose antibody concentration was greater than or equal to the level defining clinical protection of 10 milli-international units per millilitre (mIU/mL).

Number of Seroprotected Subjects for Anti-poliovirus Types 1, 2 and 3
1 month post booster vaccination (POST) (subjects enrolled before protocol amendment 2)

A seroprotected subject was a subject whose antibody titre was greater than or equal to the level defining clinical protection of 8.

Number of Seroprotected Subjects for Anti-poliovirus Type 1, 2 and 3
1 month post booster vaccination (POST) (subjects enrolled after protocol amendment 2)

A seroprotected subject was a subject whose antibody titre was greater than or equal to the level defining clinical protection of 8.

Number of Seroprotected Subjects for Anti-polyribosyl-ribitol Phosphate (Anti-PRP)
1 month post booster vaccination (POST) (subjects enrolled before protocol amendment 2)

A seroprotected subject was defined as a vaccinated subject who had anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (µg/mL).

Number of Seroprotected Subjects for Anti-PRP
1 month post booster vaccination (POST) (subjects enrolled after protocol amendment 2)

A seroprotected subject was defined as a vaccinated subject who had anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (µg/mL).

Concentrations for Anti-Pertussis Toxoid (Anti-PT), Anti-Filamentous Haemagglutinin (Anti-FHA), Anti-Pertactin (Anti-PRN)
1 month post booster vaccination (POST) (subjects enrolled before protocol amendment 2)

Concentrations were expressed as geometric mean concentrations (GMCs). Seropositivity cut-off assay was 5 EL.U/mL.

Concentrations for Anti-PT, Anti-FHA and Anti-PRN
1 month post booster vaccination (subjects enrolled after protocol amendment 2)

Concentrations were expressed as geometric mean concentrations (GMCs). Seropositivity cut-off assay was 5 EL.U/mL.

Number of Seroprotected Subjects for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies.
At Month 0

A seroprotected subject was defined as a vaccinated subject who had anti-D and anti-T antibody concentrations ≥ 0.1 international units per milliliter (IU/mL).

Concentrations for Anti-pertussis Toxoid (Anti-PT) and Anti-pertactin (Anti-PRN) Antibodies.
At Month 0

Concentrations were expressed as geometric mean concentrations (GMCs). The seroprotection cut-off of the assay was ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliters (EL.U/mL).

Number of Seroprotected Subjects for Anti-polyribosyl-ribitol-phosphate (Anti-PRP) Antibodies.
At Month 3

A seroprotected subject was defined as a vaccinated subject who had anti-PRP antibody concentrations ≥ 0.15 micrograms per milliliter (µg/mL).

Number of Subjects With Anti-hepatitis B (Anti-HBs) Antibody Concentration Equal to or Above (≥) 10 and 100 Milli-International Units Per Milliliter (mIU/mL)
At Month 3

A seroprotected subject was defined as a vaccinated subject who had anti-HBs antibody concentrations ≥ 10 mIU/mL. A decrease in the specificity of the anti-HB enzyme-linked immunosorbent assay (ELISA) had been observed in some studies for low levels of antibody (10-100 mIU/mL). All the available blood samples initially tested with ELISA were re-tested using the Chemi Luminescence Immuno Assay (CLIA) approved by the US Food and Drug Administration (FDA). The table shows updated results following partial or complete retesting/reanalysis.

Concentrations for Anti-HBs Antibodies ≥ 10 and 100 mIU/mL
At Month 3

A decrease in the specificity of the anti-HB enzyme-linked immunosorbent assay (ELISA) had been observed in some studies for low levels of antibody (10-100 mIU/mL). All the available blood samples initially tested with ELISA were re-tested using the Chemi Luminescence Immuno Assay (CLIA) approved by the US Food and Drug Administration (FDA). The table shows updated results following partial or complete retesting/reanalysis. Concentrations were expressed as geometric mean concentrations (GMCs) in milli-International units per milliliter (mIU/mL).

Number of Seroprotected Subjects Against Diphtheria (D) and Tetanus (T) Toxoids
Before the booster administration (At Month 0)

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

Number of Seroprotected Subjects Against Hepatitis B Surface Antigen (HBs)
Before the booster vaccination (At Month 0)

A seroprotected subject was defined as a subject with anti-HBs antibody concentrations ≥ 10 milli international units per milliliter (mIU/mL). Also reported are the number of participants with anti-HBs antibody concentrations ≥ 100 mIU/mL.

Number of Seroprotected Subjects Against Poliovirus Type 1, Type 2 and Type 3
Before the booster vaccination (At Month 0)

A seroprotected subject was defined as a subject with anti-Polio 1, 2 and 3 antibody titers ≥ the value of 8.

Number of Seroprotected Subjects Against Pertussis Toxoid (PT), Filamentous Haemagglutinin (FHA) and Pertactin (PRN)
Before the booster vaccination (At Month 0)

A seroprotected subject was defined as a subject with anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5 enzyme-linked immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

Number of Seroprotected Subjects Against Polyribosyl-ribitol-phosphate (PRP)
Before the booster vaccination (At Month 0)

A seroprotected subject was defined as a subject with anti-PRP antibody concentrations greater than or equal to (≥) 0.15 micrograms per milliliter (µg/mL). Also reported are the number of participants with anti-PRP antibody concentrations ≥ 1.0 µg/mL.

Number of Subjects With a Vaccine Response to PT, FHA and PR
One month after the booster vaccination (At Month 1)

Vaccine response was defined as the appearance of antibodies in subjects who were initially seronegative (S-) \[i.e. with concentrations lower than (\<) the cut-off value\] or at least doubling of pre-vaccination antibody concentrations in subjects who were initially seropositive (S+) \[i.e. with concentrations greater than (\>) the cut-off value).

Anti-D and Anti-T Antibody Concentrations
Before the booster vaccination (At Month 0)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in IU/mL.

Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations
Before the booster vaccination (At Month 0)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in EL.U/mL.

Anti-HBs Antibody Concentrations
Before the booster vaccination (At Month 0)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in mIU/mL.

Anti-poliovirus Type 1, Type 2 and Type 3 Antibody Titers
Before the booster vaccination (At Month 0)

Antibody titers were presented as geometric mean titers (GMTs).

Anti-PRP Antibody Concentrations
Before the booster vaccination (At Month 0)

Antibody concentrations were presented as geometric mean concentrations (GMCs), expressed in micrograms per milliliter (µg/mL).

Antibody concentration/response to all vaccine antigens after vaccination

Secondary Endpoints

Number of Seropositive Subjects for Anti-PT, Anti-FHA and Anti-PRN.
At Month 5, one month after the third dose of the primary vaccination.
Number of Seroprotected Subjects Against Tetanus (T).
At Month 5, one month after the third dose of the primary vaccination.
Number of Seroprotected Subjects Against Diphtheria (D).
At Month 5, one month after the third dose of the primary vaccination.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Infanrix hexa GroupEXPERIMENTALSubjects between, and including, 6 and 12 weeks of age at the time of the vaccination received, in the Primary Phase of the study, 3 doses of Infanrix hexa (lot A, lot B or lot C as per the group allocation) co-administered with Prevnar13 at 2, 4 and 6 months of age and Rotarix at 2 and 4 months of age. The injectable vaccines were administered by intramuscular injection in the anterolateral thigh, while Rotarix was administered orally. Subjects received a booster dose of Infanrix and Hiberix at 15-18 months of age by intramuscular injection in the anterolateral thigh.
Pediarix GroupACTIVE_COMPARATORSubjects between, and including, 6 and 12 weeks of age at the time of the vaccination received, in the Primary Phase of the study, 3 doses of Pediarix and ActHIB co-administered with Prevnar13 at 2, 4 and 6 months of age and Rotarix at 2 and 4 months of age. The injectable vaccines were administered by intramuscular injection in the anterolateral thigh, while Rotarix was administered orally. Subjects received a booster dose of Infanrix and ActHIB at 15-18 months of age by intramuscular injection in the anterolateral thigh.
Pentacel GroupACTIVE_COMPARATORSubjects between, and including, 6 and 12 weeks of age at the time of the vaccination received, in the Primary Phase of the study, 3 doses of Pentacel and Engerix co-administered with Prevnar13 at 2, 4 and 6 months of age and Rotarix at 2 and 4 months of age. The injectable vaccines were administered by intramuscular injection in the anterolateral thigh, while Rotarix was administered orally. Subjects received a booster dose of Pentacel at 15-18 months of age by intramuscular injection in the anterolateral thigh.
INFANRIX HEXA 6-10-14 GROUPEXPERIMENTALHealthy male or female subjects, aged between and including 6 and 10 weeks of age at the time of first vaccination, who received 3 doses of Infanrix hexa™ vaccine at 6, 10 and 14 weeks of age, administered intramuscularly in the right side of the thigh.
INFANRIX HEXA 2-4-6 GROUPACTIVE_COMPARATORHealthy male or female subjects, aged between and including 6 and 10 weeks of age at the time of first vaccination, who received 3 doses of Infanrix hexa™ vaccine at 2, 4 and 6 months of age, administered intramuscularly in the right side of the thigh.
GSK217744 Group 1EXPERIMENTALSubjects aged between and including 12 and 15 months at the time of booster vaccination who received the GSK217744 formulation A vaccine in the primary study and a booster dose of either GSK217744 formulation A vaccine (for subjects vaccinated before Protocol Amendment 2) or Infanrix hexa vaccine (for subjects vaccinated after Protocol Amendment 2) in this study, coadministered with a booster dose of Prevenar 13. The Infanrix hexa/GSK217744 and Prevenar 13 vaccines were administered intramuscularly into the right and left sides of the thigh, respectively.
GSK217744 Group 2EXPERIMENTALSubjects aged between and including 12 and 15 months at the time of booster vaccination who received the GSK217744 formulation B vaccine in the primary study and a booster dose of either GSK217744 formulation B vaccine (for subjects vaccinated before Protocol Amendment 2) or Infanrix hexa vaccine (for subjects vaccinated after Protocol Amendment 2) in this study, coadministered with a booster dose of Prevenar 13. The Infanrix hexa/GSK217744 and Prevenar 13 vaccines were administered intramuscularly into the right and left sides of the thigh, respectively.
INFANRIX HEXA PF GROUPEXPERIMENTALHealthy male and female subjects between, and including 16 and 20 months of age at the time of booster vaccination, who were given the preservative-free (PF) formulation of Infanrix Hexa™ in the primary vaccination study 106786, additionally received a single booster dose of Infanrix Hexa™ vaccine, administered intramuscularly into the anterolateral quadrant of the right thigh.
INFANRIX HEXA PC GROUPEXPERIMENTALHealthy male and female subjects between, and including 16 and 20 months of age at the time of booster vaccination, who were given the preservative-containing (PC) formulation of Infanrix Hexa™ in the primary vaccination study 106786, additionally received a single booster dose of Infanrix Hexa™ vaccine, administered intramuscularly into the anterolateral quadrant of the right thigh.
CONTROL GROUPACTIVE_COMPARATORHealthy male and female subjects between, and including 16 and 20 months of age at the time of booster vaccination, who were given the licensed formulation of Infanrix Hexa™ in the primary vaccination study 106786, additionally received a single booster dose of Infanrix Hexa™ vaccine, administered intramuscularly into the anterolateral quadrant of the right thigh.

Interventions

NameTypeDescription
Infanrix hexaBIOLOGICAL3 doses administered intramuscularly in the right thigh.
PediarixBIOLOGICAL3 doses administered intramuscularly in the right thigh
ActHIBBIOLOGICAL4 doses administered intramuscularly in the upper left thigh
PentacelBIOLOGICAL4 doses administered intramuscularly in the right thigh
Engerix-BBIOLOGICAL2 or 3 doses administered intramuscularly in the upper left thigh
InfanrixBIOLOGICAL1 dose administered intramuscularly in the right thigh
HiberixBIOLOGICAL1 dose administered intramuscularly in the left thigh
Prevnar13BIOLOGICAL3 doses administered intramuscularly in the lower left thigh
RotarixBIOLOGICAL2 doses administered orally
Infanrix hexa™BIOLOGICALIntramuscular, three doses
Infanrix-HexaBIOLOGICAL -
Prevenar 13BIOLOGICALSingle co-administered dose, intramuscular into left thigh
GSK217744BIOLOGICALSingle dose, investigational formulation A or B, intramuscular into right thigh
Prevenar 13®BIOLOGICAL3 co-administered doses, intramuscular into right thigh
Infanrix hexa VaccineBIOLOGICAL -
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Eligibility Criteria

Age Range6 Weeks to 12 Weeks
SexALL
Healthy VolunteersYes
Study Sites43

Inclusion Criteria: * Subjects' parent(s)/ Legally Acceptable Representative(s) (LARs) who, in the opinion of the investigator, can and will comply, with the requirements of the protocol. * A male or female between, and including, 6 and 12 weeks of age at the time of the first vaccination. * Born f...

Countries:United StatesIndiaDominican RepublicFinland
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Frequently asked questions about INFANRIX HEXA

What is Infanrix hexa used for?

Infanrix hexa is a vaccine used for immunization against hepatitis B, tetanus, acellular pertussis, poliomyelitis, and infections caused by Streptococcus. It is being studied in infants as young as 6 weeks of age for the prevention of these infectious diseases.

Who makes Infanrix hexa?

Infanrix hexa is developed by GSK plc, a global biopharma company listed on the stock exchange under the ticker GSK. The vaccine is being investigated in Phase 3 clinical trials for use in pediatric populations.

What phase is Infanrix hexa in?

Infanrix hexa is in Phase 3 clinical development. It is an investigational vaccine and has not been approved by regulatory authorities. All completed trials for Infanrix hexa are Phase 3 studies, with no active trials currently ongoing.

What clinical trials is Infanrix hexa in?

Infanrix hexa has been studied in three completed Phase 3 trials. NCT01353703 evaluated its immunogenicity and safety in infants in India. Other trials, including NCT00307034 and NCT00652951, assessed co-administration with pneumococcal conjugate vaccines in European countries.

How does Infanrix hexa work?

Infanrix hexa is a vaccine that works by stimulating the immune system to produce antibodies against several infectious agents. It contains antigens for hepatitis B, tetanus, acellular pertussis, poliovirus, and Haemophilus influenzae type b, providing protection against these diseases.

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

Yes, Infanrix hexa is also known as DTPa-HBV-IPV/Hib, which refers to its combination of diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliovirus, and Haemophilus influenzae type b antigens. This combination vaccine is designed for primary immunization of infants.