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Infanrix

Phase 3

Acellular Pertussis | Monoclonal antibody | Other |GSK plc|Last Updated: Jun 6, 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_CONTROLLEDBiomarker
Total Trials2
Total Enrollment1,298
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01449812Immunogenicity and Safety Study of Booster Dose of GSK Biologicals' IPV (Poliorix™) and DTPa/Hib (Infanrix+Hib™) VaccinePHASE3 COMPLETED 831Oct 1, 2011Jan 16, 2012Jun 6, 20182 China
NCT00696423Immunogenicity and Safety of GSK Biologicals' Infanrix/Hib in ChildrenPHASE3 COMPLETED 467Jun 7, 2008Jul 26, 2008Jun 6, 20183 China
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Study Endpoints
Primary Endpoints
Number of Seroprotected Subjects Against Diphtheria (D) and Tetanus (T) Toxoids
Before the booster vaccination (At Day 0)

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

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

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

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

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

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

Antibody concentrations were presented as geometric mean concentrations (GMCs) for the seroprotection cut-off of ≥ 0.15 µg/mL.

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

A seroprotected subject was defined as a vaccinated subject with anti-polio type 1, 2 and 3 antibody concentrations ≥ the cut-off value of 8 Estimated Dose 50% (ED50). ED50 is the estimated serum dilution reducing the signal generated by viral infection with 50%.

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

Antibody titers were presented as geometric mean titers (GMTs) for the seroprotection cut-off of ≥ 8.

Number of Seropositive Subjects for Anti-pertussis Toxoid (Anti-PT), Anti-filamentous Haemagglutinin (Anti-FHA) and Anti-pertactin (Anti-PRN)
Before the booster vaccination (At Day 0)

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

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

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

Number of Seroprotected Subjects Against Diphteria (D) and Tetanus (T) Toxoids
Before the booster vaccination (At Day 0)

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

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

A seroprotected subject was defined as a vaccinated subject with anti-PRP antibody concentration ≥ 0.15 µg/mL.

Number of Seroprotected Subjects Against PRP
One month after the booster vaccination (At Month 1)

A seroprotected subject was defined as a vaccinated subject with anti-PRP antibody concentrations ≥ 0.15 µg/mL.

Number of Seroprotected Subjects for Anti-polio Type 1, 2 and 3
Before the booster vaccination (At Day 0)

A seroprotected subject was defined as a vaccinated subject with anti-polivirus antibody concentration ≥ 8 ED50. ED50 is the estimated serum dilution reducing the signal generated by viral infection with 50%.

Number of Seropositive Subjects for Anti-PT, Anti-FHA and Anti-PRN
Before the booster vaccination (At Day 0)

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

Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrattions
One month after the booster vaccination (At Month 1)

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

Number of Subjects With a Booster Response to Anti-PT, Anti-FHA and Anti-PRN
One month after the booster vaccination (At Month 1)

Booster response was defined as the appearance of antibodies in subjects who were initially seronegative (i.e. with concentrations \< cut-off value) or at least maintenance of pre-vaccination antibody concentrations in subjects who were initially seropositive (i.e. with concentrations ≥ cut-off value), taking into consideration the decreasing maternal antibodies.

Anti-polyribosyl-ribitol-phosphate (PRP) Antibody Concentrations
One month after booster vaccination

Geometric mean concentrations are given in microgram per milliliter (μg/mL).

Anti-diphtheria Toxoid Antibody Concentrations
One month after booster vaccination

Geometric mean concentrations are given in international Unit per milliliter (IU/mL).

Anti-tetanus Toxoid Antibody Concentrations
One month after booster vaccination

Geometric mean concentrations are given in IU/mL.

Anti-pertussis Toxoid (PT), Anti-filamentous Haemagglutinin (FHA) and Anti-pertactin (PRN) Antibody Concentrations
One month after booster vaccination

Geometric mean concentrations are given in Enzyme-Linked Immuno Sorbent Assay (ELISA) unit per milliliter (EL.U/mL).

The Number of Subjects Seroprotected for Anti-PRP, Anti-diphtheria and Anti-tetanus Antibodies and Seropositive for Anti-PT, Anti-FHA and Anti-PRN Antibodies
One month after booster vaccination

Assay cut-offs indicating seroprotection or seropositivity for the different antigens were the following: anti-PRP antibody concentrations ≥ 0.15 µg/mL, anti-diphtheria and anti-tetanus antibody concentrations ≥ 0.1 IU/mL, anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 20 EL.U/mL.

Secondary Endpoints
Number of Subjects With Any Solicited Local Symptoms
During the 4-day (Days 0-3) post-vaccination period
Number of Subjects With Any Solicited General Symptoms
During the 4-day (Days 0-3) post-vaccination period
Number of Subjects With Any Unsolicited Adverse Events (AEs)
During the 31-day (Days 0-30) post-vaccination period
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
INFANRIX+HIB/POLIORIX 1 GROUPEXPERIMENTALHealthy male or female children between, and including, 18 and 24 months of age at the time of booster vaccination, who were primed with 3 doses of the Infanrix-IPV/Hib™ vaccine at 2, 3 and 4 months of age in the DTPA-IPV-056 (112584) primary study, additionally received 1 dose of Poliorix™ and of Infanrix+Hib™ vaccines, administered intramuscularly into the upper sides of the left and right thighs, respectively.
INFANRIX+HIB/POLIORIX 2 GROUPEXPERIMENTALHealthy male or female children between, and including, 18 and 24 months of age at the time of booster vaccination, who were primed with 3 doses of the Infanrix-IPV/Hib™ vaccine at 3, 4 and 5 months of age in the DTPA-IPV-056 (112584) primary study, additionally received 1 dose of Poliorix™ and of Infanrix+Hib™ vaccines, administered intramuscularly into the upper sides of the left and right thighs, respectively.
CONTROL GROUPACTIVE_COMPARATORHealthy male or female children between, and including, 18 and 24 months of age at the time of booster vaccination, who were primed with 3 doses of the Infanrix+Hib™ and of Poliorix™ vaccines at 2, 3 and 4 months of age in the DTPA-IPV-056 (112584) primary study, additionally received 1 dose of Poliorix™ and of Infanrix+Hib™ vaccines, administered intramuscularly into the upper sides of the left and right thighs, respectively.
Infanrix/Hib Single Injection GroupEXPERIMENTALSubjects received 1 dose of Infanrix™ extemporaneously mixed with Hiberix™.
Infanrix + Hiberix Separate Injection GroupACTIVE_COMPARATORSubjects received two separate injections, one of Infanrix™ and one of Hiberix™.
Interventions
NameTypeDescription
Infanrix+Hib™BIOLOGICALIntramuscular, one dose
Poliorix™BIOLOGICALIntramuscular, one dose
Infanrix™BIOLOGICALIntramuscular injection, one dose
Hiberix™BIOLOGICALIntramuscular injection, one dose
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Eligibility Criteria
Age Range18 Months — 24 Months
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * A male or female child between, and including, 18 and 24 months of age at the time of the booster vaccination. * Subjects who completed the full three-dose primary vaccination course in study NCT01086423. * Subjects who the investigator believes that their parent(s)/ Legally A...

Countries:China
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