Recent Updates
Recently added Catalysts

Twinrix

Phase 4

Hepatitis B | Monoclonal antibody | Infectious Disease |GSK plc|Trials Updated: Aug 17, 2018

Twinrix development status

Highest phase Phase 4 (NCT00603252)
Phase scored for GSKPhase 3
Registered trials 5 across 2 sponsors since Oct 2006

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment661

FDA Designations

No designations recorded

Twinrix clinical trials

Twinrix · 2 trials · 3 indications

Phase 3 2
NCT00465816Primary Study to Demonstrate Non-inferiority and Immunogenicity of GSK Biologicals' Meningococcal Vaccine 134612Infections, Meningococcal
COMPLETED611 Analytics
NCT00289770Long-term Immune Persistence of GSK Biologicals' Combined Hepatitis A & B Vaccine Injected According to a 0,1,6 Mth Schedule in Healthy AdultsHepatitis B
COMPLETED50 Analytics
PHASE3COMPLETED
Primary Study to Demonstrate Non-inferiority and Immunogenicity of GSK Biologicals' Meningococcal Vaccine 134612
Infections, MeningococcalUnlock trial analytics
PHASE3COMPLETED
Long-term Immune Persistence of GSK Biologicals' Combined Hepatitis A & B Vaccine Injected According to a 0,1,6 Mth Schedule in Healthy Adults
Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Meningococcal Polysaccharide A Serum Bactericidal Antibodies/Assay, Using Baby Rabbit Complement for Assay (rSBA-MenA), rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Titers
At 1 month after vaccination with Nimenrix vaccine (Month 1)

The rSBA titers were expressed as geometric mean titers (GMTs).

Number of Subjects Seroconverted for Hepatitis A
At 1 month after the third dose of Twinrix vaccine (Month 7)

A seroconverted subject was defined as a subject with anti-Hepatitis A virus (HAV) antibody concentration greater than or equal to 15 milli-International Units per Milliliter (mIU/mL) in previously seronegative subjects.

Number of Subjects Seroprotected for Hepatitis B
At 1 month after the third dose of Twinrix vaccine (Month 7)

A seroprotected subject was defined as a subject with anti-Hepatitis B surface antigen (HBs) antibody concentration greater than or equal to 10 milli-International Units per Milliliter (mIU/mL).

Number of Subjects With Anti-hepatitis A (Anti-HAV) Antibody Concentrations Equal to or Above Cut-off Value
Years 11, 12, 13, 14 and 15

Cut-off value was defined as 15 milli-international units per milliliter (mIU/mL). This was considered as seropositivity.

Number of Subjects With Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Equal to or Above Cut-off Values
Years 11, 12, 13, 14 and 15

Cut-off values were defined 3.3 mIU/mL for the in-house anti-HBs assay and 6.2 mIU/mL for the ChemiLuminescence ImmunoAssay, which was also considered as seropositivity, and 10 mIU/mL.

Anti-HAV and Anti-HBs Antibody Concentrations
Years 11, 12, 13, 14 and 15

Concentrations are expressed as geometric mean concentrations (GMCs) in mIU/mL. The laboratory assay was changed from Year 13 to Year 14 to in-house ELISA and at Year 15 to CLIA for anti-HBs GMCs.Thus for the sake of bridging, blood samples corresponding to Year 14 previously tested with ELISA were re-tested with CLIA (Year 14\*).

Anti-HBs Antibody Concentrations
at Year 11, pre-additional vaccine, after additional dose of Engerix

Subjects who lost seroprotective concentrations for anti-HBs (\< 10 mIU/mL) at any of the LT follow-up timepoints received an additional dose of Engerix after year 15. Two subjects were eligible for this after Year 11. 3.29 in the table means a concentration of \< 3.3 mIU/mL. As the concentration was calculated per subject no mean concentration was calculated and also no measure of dispersion.

Number of Subjects, Receiving an Additional Vaccination of Engerix, With an Anamnestic Response
30 days post additional dose of Engerix

Anamnestic response was assessed in subjects receiving an additional vaccine dose of Engerix. Two subjects were found eligible at Year 11 for this additional vaccine dose. Anamnestic response was defined as: * post-additional vaccination anti-HBs concentration \>= 10 mIU/mL in subject seronegative before additional dose. * 4-fold increase post-additional dose compared to pre-additional vaccine time point.

Number of Subjects With Solicited Local and General Symptoms Assessed
During the 4-day follow-up period after additional vaccination with Engerix

Solicited local symptoms were pain, redness and swelling. Solicited general symptoms were fatigue, fever, gastrointestinal, headache.

Number of Subjects With Unsolicited Symptoms
During the 30-day follow-up period after additional Engerix vaccination

Unsolicited AE covers any AE 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.

Number of Subjects With Serious Adverse Events (SAEs)
During the 30-day follow-up period after additional Engerix vaccination

SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject

Number of Subjects With Serious Adverse Events (SAEs) Determined by the Investigator to Have a Causal Relationship to Primary Vaccination or Due to Lack of Vaccine Efficacy
up to Year 11, 12, 13, 14, 15

SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

Secondary Endpoints

Number of Subjects With a Vaccine Response to MenA, MenC, MenY and MenW-135
At 1 month after vaccination with Nimenrix vaccine (Month 1)
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Titers Above Predefined Cut-off Values
Prior to and 1 month after vaccination with Nimenrix vaccine (Months 0 and 1)
Anti-PSA (Polysaccharide A), Anti-PSC (Polysaccharide C), Anti-PSW-135 (Polysaccharide W-135), and Anti-PSY (Polysaccharide Y) Antibody Concentrations
Prior to and 1 month after vaccination with Nimenrix vaccine (Months 0 and 1)
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Nimenrix + Twinrix GroupEXPERIMENTALSubjects received 1 dose of Nimenrix™ vaccine at Month 0 and 1 dose of Twinrix™ vaccine at Months 0, 1 and 6.
Nimenrix GroupACTIVE_COMPARATORSubjects received 1 dose of Nimenrix™ vaccine at Month 0.
Twinrix GroupACTIVE_COMPARATORSubjects received 1 dose of Twinrix™ vaccine at Months 0, 1 and 6.
Group AEXPERIMENTALWas vaccinated with Lot A in the primary study.
Group BEXPERIMENTALWas vaccinated with Lot B in the primary study.
Group CEXPERIMENTALWas vaccinated with Lot C in the primary study.

Interventions

NameTypeDescription
Nimenrix (Meningococcal vaccine 134612)BIOLOGICALSingle dose intramuscular injection
TwinrixBIOLOGICAL3-dose intramuscular injection. Twinrix Adult will be administered to subjects aged 16 years and above and Twinrix Junior will be administered to subjects aged from 11 years up to and including 15 years of age.
Twinrix™BIOLOGICALIntramuscular injection, 3 doses
Unlock Study Design Details

Eligibility Criteria

Age Range11 Years to 17 Years
SexALL
Healthy VolunteersYes
Study Sites6

Inclusion Criteria: * Subjects who the investigator believes that they and/or their parents/guardians can and will comply with the requirements of the protocol * A male or female between, and including, 11 and 17 years of age at the time of the first dose of vaccine. * Written informed consent obta...

Countries:DenmarkSwedenBelgium
Unlock Eligibility Criteria

Frequently asked questions about Twinrix

What is Twinrix used for?

Twinrix is a combined vaccine developed by GSK plc for protection against hepatitis A and hepatitis B. It is studied in healthy adults and adolescents, including long-term immune persistence after a 0, 1, 6 month schedule. GSK's related meningococcal vaccine program 134612 has also been studied in Phase 3 trials in Denmark and Sweden.

Who makes Twinrix?

Twinrix is developed and manufactured by GSK plc, which trades under the ticker GSK. GSK conducted the Phase 3 hepatitis A and B vaccine persistence study NCT00289770 in Belgium, as well as the Phase 3 meningococcal vaccine study NCT00465816 in Denmark and Sweden.

What phase is Twinrix in?

Twinrix has been evaluated in Phase 3 clinical trials. The completed Phase 3 study NCT00289770 assessed long-term immune persistence of the combined hepatitis A and B vaccine in healthy adults in Belgium. A separate completed Phase 3 study, NCT00465816, enrolled 611 participants for a meningococcal vaccine.

What clinical trials is Twinrix in?

Twinrix has been studied in completed Phase 3 trials. NCT00289770 evaluated long-term immune persistence of the combined hepatitis A and B vaccine in 50 healthy adults in Belgium. NCT00465816 was a randomized, controlled Phase 3 study of GSK's meningococcal vaccine 134612 in 611 participants in Denmark and Sweden.

Is Twinrix the same as Twinrix™?

Yes, Twinrix and Twinrix™ refer to the same GSK plc vaccine product. The trademark symbol is simply a stylized form of the same name. Both refer to the combined hepatitis A and B vaccine developed by GSK.