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Hexaxim: DTaP-IPV-HB-PRP-T Combined Vaccine

Phase 3

Diphtheria | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: Apr 5, 2022

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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment53
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02817451DTaP-IPV-HB-PRP-T Combined Vaccine as a Primary Series and a Second Year of Life Booster in HIV-Exposed Infected and Uninfected InfantsPHASE3 COMPLETED 53Jul 14, 2016Feb 22, 2019Apr 5, 20221 South Africa
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Study Endpoints
Primary Endpoints
Number of Participants with Anti-Pertussis Toxoid (PT) and Anti-Filamentous Hemagglutinin (FHA) Antibody (Ab) Concentrations >= Lower Limit of Quantification (LLOQ) and >=4*LLOQ at Baseline
Day 0 (baseline)

Anti-PT and anti-FHA Ab concentrations are determined in terms of endotoxin units per millilitre (EU/mL).

Geometric Means of Anti-Pertussis Toxoid and Anti-Filamentous Hemagglutinin Antibody Concentrations at Baseline
Day 0 (baseline)

Anti-PT and anti-FHA Ab levels are measured by electrochemiluminescence immunoassay (ECL) and anti-PT and anti-FHA Ab concentrations are determined in terms of EU/mL.

Geometric Means of Antibody Titers/Concentrations After Primary Series Vaccination
Day 90 (1 month after third dose)

Anti-diphtheria, anti-tetanus, anti-PT and anti-FHA Ab levels are measured by ECL. Anti-poliovirus types 1, 2, and 3 Ab levels are measured by neutralisation assay. Anti-Hep B Ab levels are measured by VITROS ECi/ECiQ Immunodiagnostic system using chemiluminescence detection technology. Anti-polyribosylribitol phosphate (PRP) Ab levels are measured using a Farr-type radioimmunoassay (RIA). Ab concentrations are determined as: anti-diphtheria \>=0.01 international units (IU)/mL, \>=0.1 IU/mL, 1.0 IU/mL, anti-tetanus \>=0.01 IU/mL, \>=0.1 IU/mL, and \>=1.0 IU/mL, anti-PT and anti-FHA EU/mL, anti-PRP \>=0.15 microgram (mcg)/mL, \>=1.0 mcg/mL, anti-Poliovirus types 1, 2, and 3 Ab titers \>=8 (1/dilution \[dil\]), Anti-Hep B \>=10 milli (m) IU/mL, and \>=100 mIU/mL.

Number of Participants With Seroprotection After Primary Series Vaccination
Day 90 (1 month after third dose)

Seroprotection is determined as: anti-diptheria Ab concentrations \>=0.01 IU/mL, \>=0.1 IU/mL, and \>=1.0 IU/mL, anti-tetanus Ab concentrations \>=0.01 IU/mL, \>=0.1 IU/mL, and \>=1.0 IU/mL, anti-PT and anti-FHA Ab concentrations EU/mL (\>=LLOQ and \>=4\*LLOQ), anti-PRP Ab concentrations \>=0.15 mcg/mL and \>=1.0 mcg/mL, anti-poliovirus 1, 2, and 3 Ab titers \>=8 (1/dil), anti-Hep B Ab concentrations \>=10 mIU/mL and \>=100 mIU/mL.

Number of Participants with Vaccine Response or Seroconversion After Primary Series Vaccination
Day 0 (baseline), Day 90 (1 month after third dose)

Vaccine response is defined for anti-PT and anti-FHA as Ab post-Dose 3 concentrations \>=4\*LLOQ, if pre-Dose (Day 0) Ab concentration is \<4\*LLOQ or 1 month after third dose (Day 90) concentrations \>= pre-Dose Ab concentrations if pre-Dose (Day 0) concentrations \>=4\*LLOQ. Seroconversion for anti-PT and anti-FHA is defined as \>=4-fold Ab concentrations increase from pre-Dose (Day 0) to 1 month after third dose (Day 90).

Geometric Means of Antibody Titers/Concentrations After Booster Vaccination
Day 420 (1 month after booster vaccination)

Anti-diphtheria, anti-tetanus, anti-PT, and anti-FHA Ab levels are measured by ECL. Anti-poliovirus types 1, 2, and 3 Ab levels are measured by neutralisation assay. Anti-Hep B Ab levels are measured by VITROS ECi/ECiQ Immunodiagnostic system using chemiluminescence detection technology. Anti-PRP Ab levels are measured using a Farr-type RIA. Ab concentrations: anti-diphtheria \>=0.01 IU/mL, \>=0.1 IU/mL, \>=1.0 IU/mL, anti-tetanus \>=0.01 IU/mL, \>=0.1 IU/mL, and \>=1.0 IU/mL, anti-PT and anti-FHA EU/mL, anti-PRP \>=0.15 mcg/mL, \>=1.0 mcg/mL, anti-poliovirus 1, 2, and 3 Ab titers \>=8 (1/dil), anti-Hep B \>=10 mIU/mL, and \>=100 mIU/mL.

Number of Participants With Seroprotection After Booster Vaccination
Day 420 (1 month after booster vaccination)

Seroprotection: anti-diphtheria Ab concentrations \>=0.01 IU/mL, \>=0.1 IU/mL, and \>=1.0 IU/mL, anti-tetanus Ab concentrations \>=0.01 IU/mL, \>=0.1 IU/mL, and \>=1.0 IU/mL, anti-PT and anti-FHA Ab concentrations EU/mL (\>=LLOQ and \>=4\*LLOQ), anti-PRP Ab concentrations \>=0.15 mcg/mL and \>=1.0 mcg/mL, anti-poliovirus 1, 2, and 3 Ab titers \>=8 (1/dil), and anti-Hep B Ab concentrations \>=10 mIU/mL and \>=100 mIU/mL.

Number of Participants With Vaccine Response or Seroconversion After Booster Vaccination
Day 0 (baseline), Day 420 (1 month after booster vaccination)

Vaccine response is defined for anti-PT and anti-FHA as \>=4 fold Ab concentrations increase from pre-dose (Day 0) to 1 month after booster dose (Day 420), if pre-Dose (Day 0) Ab concentrations \<4\*LLOQ; or \>=2 fold Ab concentrations increase from pre- dose (Day 0) to 1 month after booster dose (Day 420), if pre-dose (Day 0) Ab concentrations \>=4\*LLOQ. Seroconversion is defined for anti-PT and anti-FHA as \>=4 fold Ab concentrations increase from pre-dose (Day 0) to 1 month after booster dose.

Number of Participants With Booster Response After Booster Vaccination
Day 390 (pre-booster), Day 420 (1 month after booster dose)

Booster response is defined for anti-PT and anti-FHA as \>=4 fold Ab concentrations increase from pre-booster (Day 390) to 1 month after booster dose (Day 420), if pre-booster Ab concentrations \<4\*LLOQ; or \>=2 fold Ab concentrations increase from pre-booster (Day 390) to 1 month after booster dose (Day 390) if pre-Booster Ab concentrations \>=4\*LLOQ.

Secondary Endpoints
Number of Participants With Immediate Unsolicited Adverse Events (AE) After Primary Series Vaccination
Within 30 minutes after vaccination
Number of Participants With Solicited Injections Site or Systemic Reactions After Primary Series Vaccination
Within 7 days after vaccination
Number of Participants With Unsolicited Adverse Events After Primary Series Vaccination
Within 30 days after vaccination
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Study Group AEXPERIMENTALHIV exposed and infected infants
Study Group BEXPERIMENTALHIV exposed and uninfected infants
Interventions
NameTypeDescription
Hexaxim®: DTaP-IPV-HB-PRP-T Combined VaccineBIOLOGICAL0.5 mL, Intramuscular at 6, 10, and 14 weeks of age + a booster at age 15 to 18 months
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Eligibility Criteria
Age Range5 Weeks — 8 Weeks
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: (Screening Criteria for the participants mother) * At least 18 years of age at the time of the Screening blood sample draw * Self-reported or maternity-reported HIV infection in the mother Inclusion Criteria: * Born to an adult mother and aged 35 to 56 days (between 5 and 8 w...

Countries:South Africa
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