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Infanrix hexa

Phase 3

Infections, Streptococcal | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Jan 2, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment1,597

FDA Designations

No designations recorded

Clinical trial landscape

Infanrix hexa · 6 trials · 8 indications

Phase 3 5Phase 2 1
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
NCT00808444Primary Vaccination Study With a Pneumococcal Conjugate Vaccine in Healthy Children 6-12wks of AgeInfections, Streptococcal
COMPLETED466 Analytics
NCT00652951Co-administration of Pneumococcal Conjugate Vaccine With DTPa-IPV-Hib Versus Co-administration With DTPa-HBV-IPV/HibInfections, Streptococcal
COMPLETED780 Analytics
NCT00307034Safety & Immunogenicity Study of 10-Valent Pneumococcal Conjugate Vaccine When Administered as a 2-Dose ScheduleInfections, Streptococcal
COMPLETED351 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
Primary Vaccination Study With a Pneumococcal Conjugate Vaccine in Healthy Children 6-12wks of Age
Infections, StreptococcalUnlock trial analytics
PHASE3COMPLETED
Co-administration of Pneumococcal Conjugate Vaccine With DTPa-IPV-Hib Versus Co-administration With DTPa-HBV-IPV/Hib
Infections, StreptococcalUnlock trial analytics
PHASE3COMPLETED
Safety & Immunogenicity Study of 10-Valent Pneumococcal Conjugate Vaccine When Administered as a 2-Dose Schedule
Infections, StreptococcalUnlock 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.

Concentrations of Antibodies Against Vaccine Components of the Pneumococcal Vaccine
One month after primary immunization (month 4)

Concentrations are given as Geometric Mean Concentrations (GMCs) in microgram per milliliter (μg/mL). Vaccine pneumococcal serotypes assessed included 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F.

Concentration of Antibody Against Protein D (PD)
One month after primary immunization (month 4)

Concentration was expressed as GMC in GSK's 22F enzyme-linked-immunosorbent assay (ELISA) units per milliliter (EL.U/mL).

Antibody Concentrations Against Pneumococcal Serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) - Primary Vaccination
At Month 3, one month after the administration of the third dose of pneumococcal conjugate vaccine

Anti-pneumococcal serotypes 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F and 23F antibody concentrations (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F) were measured by 22F-inhibition Enzyme-Linked ImmunSorbent Assay (ELISA); presented as geometric mean concentrations (GMCs) and expressed in micrograms per milliliter (μg/mL). The seropositivity cut-off for the assay was greater than or equal to (≥) 0.05 μg/mL.

Antibody Concentration Against Protein D (PD) - Primary Vaccination
At Month 3, one month after the administration of the third dose of pneumococcal conjugate vaccine

Anti-PD antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EL.U/mL). The seropositivity cut-off for the assay was ≥ 100 EL.U/mL.

Number of Seroprotected Subjects Against Pneumococcal Serotypes
One month post-dose 2 (Month 3) administration of Synflorix™ vaccine

A seroprotected subject was defined as a subject who had anti-pneumococcal serotypes antibody concentrations greater than or equal to (≥) the threshold value of 0.20 micrograms per milliliter (μg/mL). The vaccine pneumococcal serotypes assessed were 1, 4, 5, 6B, 7F, 9V, 14, 18C,19F and 23F (Anti-1, -4, -5, -6B, -7F, -9V, -14, -18C, -19F and -23F). Antibody concentrations were measured by 22F enzyme-linked immunosorbent assay (ELISA), expressed as geometric mean concentrations (GMCs). The results presented for the Group 1 correspond to the primary outcome.

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).

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.
Synflorix Clinical Lot & Infanrix GroupEXPERIMENTALSubjects received 3 doses of the clinical lot of Synflorix TM (GSK1024850A) intramuscularly in the right thigh at 2-3-5 months of age (= study month 0, 1, 3) co-administered with a DTPa-combined vaccine (Infanrix hexa TM (at 2, 3 and 5 months of age in Malaysia or 2 and 5 months of age in Singapore) or Infanrix-IPV/Hib TM (at 3 months of age in Singapore)) intramuscularly in the left thigh and Rotarix TM orally at 2-3 months of age (= study month 0, 1).
Synflorix Commercial Lot Infanrix GroupEXPERIMENTALSubjects received 3 doses of the commercial lot of Synflorix TM (GSK1024850A) intramuscularly in the lright thigh at 2-3-5 months of age (= study month 0, 1, 3) co-administered with a DTPa-combined vaccine (Infanrix hexa TM (at 2, 3 or 5 months of age in Malaysia or 2 and 5 months in Singapore) or Infanrix-IPV/Hib TM (at 3 months of age in Singapore)) intramuscularly in the left thigh and Rotarix TM orally at 2-3 months of age (= study month 0, 1).
Synflorix + Infanrix hexa GroupACTIVE_COMPARATORSubjects received 3 doses of SynflorixTM vaccine co-administered with Infanrix hexaTM at 2, 3 and 4 months of age (Study Months 0, 1, 2) and received a booster dose of each vaccine between 11 and 13 months of age (Study Month 9). All vaccines were administered intramuscularly in the right (SynflorixTM) or left (Infanrix hexaTM) thigh or deltoid.
Synflorix + Pediacel GroupEXPERIMENTALSubjects received 3 doses of SynflorixTM vaccine co-administered with PediacelTM at 2, 3 and 4 months of age (Study Months 0, 1, 2) and received a booster dose of each vaccine between 11 and 13 months of age (Study Month 9). All vaccines were administered intramuscularly in the right (SynflorixTM) or left (PediacelTM) thigh or deltoid.thigh or deltoid.
Prevenar + Pediacel GroupACTIVE_COMPARATORSubjects received 3 doses of PrevenarTM co-administered with PediacelTM vaccine at 2, 3 and 4 months of age (Study Months 0, 1, 2) and received a booster dose of each vaccine between 11 and 13 months of age (Study Month 9). All vaccines were administered intramuscularly in the right (PrevenarTM) or left (PediacelTM) thigh or deltoid.
2-dose groupEXPERIMENTALSubjects receiving GSK Biologicals' 10-valent pneumococcal conjugate vaccine at 2-4-11 months of age, co-administered with DTPa-combined vaccine (Infanrix hexa or Infanrix IPV/Hib) at 2-4-11 months of age.
Comparator groupEXPERIMENTALSubjects receiving GSK Biologicals' 10-valent pneumococcal conjugate vaccine at 2-3-4-11 months of age, co-administered with DTPa-combined vaccine (Infanrix hexa or Infanrix IPV/Hib) at 2-4-11 months of age.
GSK217744 Group 1EXPERIMENTALSubjects aged between and including 60 and 90 days of age at the time of first vaccination received 3 doses of GSK217744 formulation A vaccine, co-administered with Prevenar 13® at 2, 3 and 4 months of age. The GSK217744 and Prevenar 13® vaccines were administered intramuscularly into the left and right sides of the thigh, respectively.
GSK217744 Group 2EXPERIMENTALSubjects aged between and including 60 and 90 days of age at the time of first vaccination received 3 doses of GSK217744 formulation B vaccine, co-administered with Prevenar 13® at 2, 3 and 4 months of age. The GSK217744 and Prevenar 13® vaccines were administered intramuscularly into the left and right sides of the thigh, respectively.

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
Pneumococcal conjugate vaccine GSK1024850A (different lots)BIOLOGICALIntramuscular injection, 3 doses
Infanrix-IPV/HibBIOLOGICALIntramuscular injection, only for Visit 2 in Singapore
GSK Biologicals´ Pneumococcal Conjugate Vaccine GSK1024850A (Synflorix™)BIOLOGICALIntramuscular injection, 3 doses in the primary vaccination and 1 dose in the booster vaccination
Infanrix™ hexa.BIOLOGICALIntramuscular injection, , 3 doses in the primary vaccination and 1 dose in the booster vaccination
Pediacel™BIOLOGICALIntramuscular injection, , 3 doses in the primary vaccination and 1 dose in the booster vaccination
Prevenar™BIOLOGICALIntramuscular injection, , 3 doses in the primary vaccination and 1 dose in the booster vaccination
GSK Biologicals' 10-valent pneumococcal conjugate vaccine.BIOLOGICALIntramuscular injection, 3 or 4 doses (2-4-11 or 2-3-4-11 months of age schedule).
Infanrix hexa.BIOLOGICALIntramuscular injection, 3 doses (2-4-11 months of age schedule).
Infanrix-IPV/Hib.BIOLOGICALIntramuscular injection, 3 doses (2-4-11 months of age schedule).
Prevenar 13®BIOLOGICAL3 co-administered doses, intramuscular into right thigh
GSK217744BIOLOGICAL3 doses, intramuscular into left thigh
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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 StatesIndiaMalaysiaSingaporeNetherlandsDenmarkNorwaySlovakiaSwedenDominican RepublicFinland
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Frequently asked questions about Infanrix hexa

What is Infanrix hexa used for?

Infanrix hexa is a vaccine used to protect against tetanus, acellular pertussis, streptococcal infections, poliomyelitis, and hepatitis B. It is administered to infants to provide immunity against these infectious diseases. The vaccine is developed by GSK plc and is currently in Phase 3 clinical development.

Who makes Infanrix hexa?

Infanrix hexa is developed by GSK plc, a biopharmaceutical company listed on the stock exchange under the ticker GSK. The company is conducting clinical trials to evaluate the vaccine's safety and immunogenicity in infants.

What phase is Infanrix hexa in?

Infanrix hexa is in Phase 3 clinical development. It is an investigational vaccine and has not yet been approved by regulatory authorities. GSK plc is conducting multiple Phase 3 trials to assess its safety and effectiveness in preventing infectious diseases.

What clinical trials is Infanrix hexa in?

Infanrix hexa has been studied in several completed clinical trials, including NCT00366366, NCT01248884, NCT01353703, and NCT02096263. These trials evaluated the vaccine's immunogenicity and safety in infants across different countries, with a total enrollment of 1,597 participants.

How does Infanrix hexa work?

Infanrix hexa is a vaccine that works by stimulating the immune system to produce antibodies against the antigens for tetanus, acellular pertussis, streptococcal infections, poliomyelitis, and hepatitis B. This helps protect infants from these infectious diseases.

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

Infanrix hexa is also known as the DTPa-HBV-IPV/Hib vaccine, which combines diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliovirus, and Haemophilus influenzae type b antigens. Clinical trials refer to it by this alternative name.