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Infanrix hexa Vaccine

Phase 2

Acellular Pertussis | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Jul 17, 2020

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
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials3
Total Enrollment1,510
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01453998Safety and Immunogenicity of a Booster Dose of New Formulations of GlaxoSmithKline Biologicals' DTPa-HBV-IPV/Hib Vaccine (GSK217744)PHASE2 COMPLETED 657Oct 14, 2011Nov 12, 2012Jul 17, 202016 Dominican Republic, Finland
NCT00627458Immunogenicity and Reactogenicity of a Booster Dose of GSK Bio's DTPa-HBV-IPV/Hib VaccinePHASE2 COMPLETED 403Feb 1, 2008Aug 18, 2008Jun 6, 20186 Finland
NCT00376779Immunogenicity and Safety of a DTPa-HBV-IPV/Hib Vaccine Given at 2, 3 and 4 Months of AgePHASE2 COMPLETED 450Oct 1, 2006May 1, 2007Nov 4, 20166 Finland
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Study Endpoints
Primary Endpoints
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 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
Concentrations for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies
Before (PRE) and 1 month post booster vaccination (POST) (subjects enrolled before protocol amendment 2)
Concentrations for Anti-D and Anti-T Antibodies
Before (PRE) 1 month post booster vaccination (POST) (subjects enrolled after protocol amendment 2)
Number of Seroprotected Subjects for Anti-diphtheria (Anti-D) and Anti-tetanus (Anti-T) Antibodies
Before (PRE) booster vaccination (subjects enrolled before protocol amendment 2)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
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 GroupACTIVE_COMPARATORSubjects aged between and including 12 and 15 months at the time of booster vaccination who received the Infanrix hexa vaccine in the primary study and a booster dose of Infanrix hexa in this study, co-administered with a booster dose of Prevenar 13. The Infanrix hexa 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 hexaBIOLOGICALSingle dose, licensed formulation, intramuscular into right thigh
Prevenar 13BIOLOGICALSingle co-administered dose, intramuscular into left thigh
GSK217744BIOLOGICALSingle dose, investigational formulation A or B, intramuscular into right thigh
Infanrix hexa VaccineBIOLOGICAL -
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Eligibility Criteria
Age Range12 Months — 15 Months
SexALL
Healthy VolunteersYes
Study Sites16

Inclusion Criteria: * Subjects who participated in the study 113948 (NCT01248884) and received three doses of the new or licensed DTPa-HBV-IPV/Hib study vaccine. * A male or female child between, and including, 12 and 15 months of age at the time of the booster vaccination. * Subjects who the inves...

Countries:Dominican RepublicFinland
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