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Pneumococcal vaccine GSK2189242A

Phase 2

Infections, Streptococcal | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Nov 5, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment2,263

FDA Designations

No designations recorded

Clinical trial landscape

Pneumococcal vaccine GSK2189242A · 4 trials · 1 indication

Phase 2 3Phase 1 1
NCT01545375Evaluation of a Vaccine for Reducing Ear and Lung Infections in ChildrenInfections, Streptococcal
COMPLETED1,806 Analytics
NCT00985751Safety & Immunogenicity of Pneumococcal Vaccine 2189242A in Children Aged 12-23 Months at the Time of First VaccinationInfections, Streptococcal
COMPLETED257 Analytics
NCT00896064Evaluation of a Booster Dose of Pneumococcal Vaccine Formulations in Young AdultsInfections, Streptococcal
COMPLETED43 Analytics
PHASE2COMPLETED
Evaluation of a Vaccine for Reducing Ear and Lung Infections in Children
Infections, StreptococcalUnlock trial analytics
PHASE2COMPLETED
Safety & Immunogenicity of Pneumococcal Vaccine 2189242A in Children Aged 12-23 Months at the Time of First Vaccination
Infections, StreptococcalUnlock trial analytics
PHASE2COMPLETED
Evaluation of a Booster Dose of Pneumococcal Vaccine Formulations in Young Adults
Infections, StreptococcalUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Occurrence of Any Acute Otitis Media (AOM) Diagnosed and Verified Against American Academic of Pediatrics (AAP) Criteria
Any time from 2 weeks after the administration of dose 3 up to Month 22

Time to occurrence of any episode of AOM is expressed in terms of rate: Person-year rate = number of episodes (n)/sum of follow-up expressed in years (T\[year)\]). Definition of clinical AOM diagnosed and verified against AAP criteria required meeting three criteria based on the guidelines from the AAP \[AAP, 2004\], as per the judgment of a treating physician or equivalent licensed medical professional: A history of acute (recent, usually abrupt) onset of signs and symptoms of middle-ear inflammation and middle-ear effusion (MEE).AND The presence of MEE indicated by any of the following: a) Bulging of tympanic membrane; b) Limited or absent mobility of tympanic membrane; c) Air-fluid level behind tympanic membrane; d) Otorrhea AND Signs or symptoms of middle-ear inflammation as indicated by either: a) Distinct erythema of tympanic membrane or b) Distinct otalgia (discomfort clearly referable to the ear\[s\] that resulted in interference with or precluded normal activity or sleep).

Number of Subjects With Fever > 40.0°C (Rectal Temperature)
Within 7 days (Day 0-Day 6) following at least one dose of the primary vaccination

The number of subjects with rectal temperature higher (\>) than 40.0 degrees Celsius (°C) is reported.

Number of Subjects With Grade 3 Solicited Local Symptoms
During the 7-day (Days 0-6) post-booster vaccination period

Assessed solicited local symptoms were pain, redness and swelling. Grade 3 pain = significant pain at rest, pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

Number of Subjects With Grade 3 and Vaccine-related Solicited General Symptoms
During the 7-day (Days 0-6) post-booster vaccination period

Assessed solicited general symptoms were fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhoea and/or abdominal pain), headache, malaise, myalgia and fever \[defined as oral temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.5 °C. Related = general symptom assessed by the investigator to be casually related to the study vaccination.

Number of Subjects With Grade 3 and Vaccine-related Unsolicited Adverse Events (AEs)
During the 31-day (Days 0-30) post-booster vaccination period

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

Number of Subjects With Any Vaccine-related Serious Adverse Events (SAEs)
During the entire study period (from Day 0 to Day 30)

SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Number of Subjects With Grade 3 Haematological or Biochemical Abnormalities
At Days 1 and 6 post-booster vaccination

Among haematological or biochemical abnormalities assessed were: Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Cholesterol, Creatine Phosphokinase (CRP), Hemoglobin decrease, Haemoglobin, Lactate dehydrogenase (LDH), Neutrophils, Red blood cells (RBC), Reticulocytes, White blood cells (WBC) and Overall parameters. Assessment of intensity: Grading of the haematological and biochemical parameters was performed using the standard Food and Drug Administration (FDA) Toxicity Grading Scale. Changes compared to normal reference ranges were graded: Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening

Occurrence of any vaccine related and grade 3 solicited local and general adverse events
During a 7-day follow up period after each vaccine dose
Occurrence of any vaccine related and grade 3 unsolicited adverse events
During a 31-day follow up period after each vaccine dose
Occurrence of any vaccine related serious adverse events (SAE)
From Visit 1 to study conclusion
Occurrence of any grade 3 laboratory abnormalities
During a 7-day follow up period after each vaccine dose

Secondary Endpoints

Time to Occurrence of Any Episodes of AOM Diagnosed by Healthcare-provider
Any time from 2 weeks after the administration of dose 3 up to Month 22
Time to Occurrence of Any Clinical Acute Otitis Media (AOM) Diagnosed and Verified Against Modified American Academic of Pediatrics (AAP) Criteria
Any time from 2 weeks after the administration of dose 3 up to Month 22
Number of Subjects With Any Recurrent Healthcare Provider Diagnosed Acute Otitis Media (AOM)
From the administration of dose 1 up to Month 22
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
dPly-PhtD GroupEXPERIMENTALHealthy Native American infants between, and including, 6 and 12 weeks (42-90 days) of age at the time of the first vaccination, receiving GSK2189242A (dPly-PhtD) vaccine co-administered with Prevenar13™: 3 primary doses at 2, 4, 6 months of age and a booster dose at 12-15 months of age. PedvaxHIB was given as study vaccine to a subset of subjects at 2, 4 and 12-15 months. At the primary epoch, the dPly-PhtD vaccine was administered intramuscularly into the right anterolateral thigh and at the booster epoch, the dPly-PhtD vaccine was administered into the right deltoid or anterolateral thigh if the deltoid muscle size was not adequate. At the primary epoch, the co-administered Prevenar13™ and PedvaxHIB vaccines were administered intramuscularly into the left anterolateral thigh and at the booster epoch, the Prevenar13™ and PedvaxHIB vaccines were administered into the left deltoid or anterolateral thigh if the deltoid muscle size was not adequate.
Control GroupPLACEBO_COMPARATORHealthy Native American infants between, and including, 6 and 12 weeks (42-90 days) of age at the time of the first vaccination, receiving Placebo vaccine co-administered with Prevenar13™: 3 primary doses at 2, 4, 6 months of age and a booster dose at 12-15 months of age. PedvaxHIB was given as study vaccine to a subset of subjects at 2, 4 and 12-15 months. At the primary epoch, the Placebo vaccine was administered intramuscularly into the right anterolateral thigh and at the booster epoch, the Placebo vaccine was administered into the right deltoid or anterolateral thigh if the deltoid muscle size was not adequate. At the primary epoch, the co-administered Prevenar13™ and PedvaxHIB vaccines were administered intramuscularly into the left anterolateral thigh and at the booster epoch, the Prevenar13™ and PedvaxHIB vaccines were administered into the left deltoid or anterolateral thigh if the deltoid muscle size was not adequate.
Group 1EXPERIMENTAL -
Group 2EXPERIMENTAL -
Group 3EXPERIMENTAL -
Group 4EXPERIMENTAL -
Formulation 1EXPERIMENTAL -
Formulation 2EXPERIMENTAL -
Formulation 3EXPERIMENTAL -
Formulation 4EXPERIMENTAL -
Formulation 5EXPERIMENTAL -
Formulation 6EXPERIMENTAL -
23 valent pneumococcal vaccineACTIVE_COMPARATOR -

Interventions

NameTypeDescription
Pneumococcal vaccine GSK2189242ABIOLOGICAL4 doses administered intramuscularly
PlaceboBIOLOGICAL4 doses administered intramuscularly
Prevnar 13®BIOLOGICAL4 doses administered intramuscularly
PedvaxHIB®BIOLOGICAL4 doses administered intramuscularly
Pneumococcal vaccine GSK2189242A (formulation 1)BIOLOGICALThree doses will be administered intramuscularly, at Month 0, 2 and 6.
Pneumococcal vaccine GSK2189242A (formulation 2)BIOLOGICALThree doses will be administered intramuscularly, at Month 0, 2 and 6
Pneumococcal vaccine GSK2189242A combined with pneumococcal vaccine GSK1024850A (formulation 3)BIOLOGICALThree doses will be administered intramuscularly, at Month 0, 2 and 6
Pneumococcal vaccine GSK2189242A combined with pneumococcal vaccine GSK1024850A (formulation 4)BIOLOGICALThree doses will be administered intramuscularly, at Month 0, 2 and 6
Pneumococcal vaccine GSK1024850ABIOLOGICALThree doses will be administered intramuscularly, at Month 0, 2 and 6
Pneumo 23™BIOLOGICALOne dose of 0.5 ml will be administered intramuscularly at Month 0, and a placebo dose to keep the blinding at Month 2
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Eligibility Criteria

Age Range6 Weeks to 12 Weeks
SexALL
Healthy VolunteersYes
Study Sites5

Inclusion Criteria: * Subject who the investigator believes that their parent(s)/Legally Authorized Representative(s) (LARs) can and will comply with the requirements of the protocol. * A male or female American Indian infant between, and including, 6 and 12 weeks (42-90 days) of age at the time of...

Countries:United StatesCzechiaBelgium
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Frequently asked questions about Pneumococcal vaccine GSK2189242A

What is Pneumococcal vaccine GSK2189242A used for?

Pneumococcal vaccine GSK2189242A is an investigational vaccine being developed for infections caused by Streptococcus bacteria. It is intended to prevent streptococcal infections, including ear and lung infections, and is being studied in healthy adults and children.

Who makes Pneumococcal vaccine GSK2189242A?

Pneumococcal vaccine GSK2189242A is being developed by GSK plc, a global biopharma company listed on the stock exchange under the ticker GSK. The company is conducting clinical trials to evaluate the vaccine's safety and immunogenicity.

What phase is Pneumococcal vaccine GSK2189242A in?

Pneumococcal vaccine GSK2189242A is currently in Phase 2 clinical development. It has completed four clinical trials, including Phase 1 and Phase 2 studies, but is not yet approved and remains investigational.

What clinical trials is Pneumococcal vaccine GSK2189242A in?

Pneumococcal vaccine GSK2189242A has completed four clinical trials: NCT00707798 in young adults, NCT00896064 evaluating a booster dose, NCT00985751 in children aged 12-23 months, and NCT01545375 in children from 6 weeks of age. All trials were completed.

Is Pneumococcal vaccine GSK2189242A the same as other pneumococcal vaccines?

Pneumococcal vaccine GSK2189242A is a distinct investigational vaccine candidate developed by GSK. It is not identified as being the same as any other named pneumococcal vaccine in the available data.