Recent Updates
Recently added Catalysts

Pneumococcal vaccine GSK2189242A

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment2,263
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01545375Evaluation of a Vaccine for Reducing Ear and Lung Infections in ChildrenPHASE2 COMPLETED 1,806May 21, 2012Jul 26, 2016Dec 27, 20195 United States
NCT00985751Safety & Immunogenicity of Pneumococcal Vaccine 2189242A in Children Aged 12-23 Months at the Time of First VaccinationPHASE2 COMPLETED 257Nov 24, 2009Mar 2, 2011Nov 5, 202010 Czechia
NCT00896064Evaluation of a Booster Dose of Pneumococcal Vaccine Formulations in Young AdultsPHASE2 COMPLETED 43May 18, 2009Aug 5, 2009Aug 17, 20181 Belgium
NCT00707798Evaluation of Pneumococcal Vaccine Formulations in Young AdultsPHASE1 COMPLETED 157Jun 30, 2008Jan 15, 2009May 10, 20171 Belgium
Unlock Drug Trial Details
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
Unlock Study Endpoints
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
Unlock Study Design Details
Eligibility Criteria
Age Range6 Weeks — 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
Unlock Eligibility Criteria