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Infanrix hexa.

Phase 3

Infections, Streptococcal | Monoclonal antibody | Other |GSK plc|Last Updated: Jun 26, 2019

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 Enrollment1,597
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00808444Primary Vaccination Study With a Pneumococcal Conjugate Vaccine in Healthy Children 6-12wks of AgePHASE3 COMPLETED 466Jan 5, 2009Nov 2, 2009Aug 17, 20185 Malaysia, Singapore
NCT00652951Co-administration of Pneumococcal Conjugate Vaccine With DTPa-IPV-Hib Versus Co-administration With DTPa-HBV-IPV/HibPHASE3 COMPLETED 780Apr 1, 2008Dec 1, 2010Jun 26, 20191 Netherlands
NCT00307034Safety & Immunogenicity Study of 10-Valent Pneumococcal Conjugate Vaccine When Administered as a 2-Dose SchedulePHASE3 COMPLETED 351Jan 1, 2006Jan 25, 2007Jun 8, 20188 Denmark, Norway +2
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Study Endpoints
Primary Endpoints
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.

Secondary Endpoints
Number of Subjects With Anti-pneumococcal Vaccine Serotype Antibody Concentrations Equal to or Above 0.20 µg/mL
One month after primary immunization (month 4)
Number of Subjects With Anti-pneumococcal Cross-reactive Serotype Concentrations Equal to or Above 0.20 µg/mL
One month after primary immunization (month 4)
Number of Subjects With Opsonophagocytic Activity Against Vaccine Pneumococcal Serotypes
One month after primary immunization (month 4)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
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.
Interventions
NameTypeDescription
Pneumococcal conjugate vaccine GSK1024850A (different lots)BIOLOGICALIntramuscular injection, 3 doses
Infanrix hexaBIOLOGICALIntramuscular injection, 3 doses in Malaysia and 2 doses in Singapore
Infanrix-IPV/HibBIOLOGICALIntramuscular injection, only for Visit 2 in Singapore
RotarixBIOLOGICALOral, 2 doses
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).
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Eligibility Criteria
Age Range6 Weeks — 12 Weeks
SexALL
Healthy VolunteersYes
Study Sites5

Inclusion Criteria: * Male or female subjects between, and including 6-12 weeks of age at the time of the first vaccination. * Subjects for whom the investigator believes that their parent(s)/guardian(s) can and will comply with the requirements of the protocol. * Written or oral, signed or thumb-p...

Countries:MalaysiaSingaporeNetherlandsDenmarkNorwaySlovakiaSweden
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