Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Combined Measles-mumps-rubella (MMR) Vaccine in Subjects Four to Six Years of Age

Measles-Mumps-Rubella Clinical Trial

Official title:

Immunogenicity and Safety Study of GSK Biologicals' Combined Measles-mumps-rubella Vaccine in Subjects Four to Six Years of Age (209762)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01621802
• Other study ID #: 115158
• Secondary ID: 2011-004638-32
• Status: Completed
• Phase: Phase 3
• Start date: June 21, 2012
• Est. completion date: November 9, 2015

Study information

• Verified date: November 2019
• Source: GlaxoSmithKline
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to support licensure of GSK Biologicals' MMR vaccine (Priorix®) in the US by generating immunogenicity and safety data in contrast to the US standard of care, Merck's MMR vaccine (M-M-R®II), when given as a second dose to children four to six years of age.

Description:

The GSK Biologicals' MMR vaccine (Priorix®) and Merck's MMR vaccine (M-M-R®II) are referred to as Inv_MMR vaccine and Com_MMR vaccine respectively. 2 lots of the comparator vaccine (Com_MMR_L1 and Com_MMR_L2) will be used, but the 2 lots will be analysed as a pool.

The Inv_MMR vaccine will be administered as a second dose to children who already received a first dose Com_MMR vaccine. Since the second dose of a MMR vaccine in the US is routinely co-administered with DTaP-IPV vaccine (Kinrix®) and varicella vaccine (VV) (ProQuad® or Varivax®), some children will receive one dose of these vaccines along with either of the MMR vaccines.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 4011
• Est. completion date: November 9, 2015
• Est. primary completion date: July 6, 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 4 Years to 6 Years

Eligibility

Inclusion Criteria:

• Subjects who the investigator believes that they and/or their parent(s) or LAR/s can and will comply with the requirements of the protocol.

• Male or female subjects 4 to 6 years of age at the time of vaccination.

• Written informed consent is obtained from the parent(s)/LAR(s) of the subject (assent will be obtained from subjects in line with local rules and regulations).

• Subjects in stable health as determined by investigator's physical examination and assessment of subjects' medical history.

• Subjects received either a single dose of M-M-R II, M-M-R VaxPro or ProQuad in the second year of life.

• For subjects enrolled in the sub-cohort receiving co-administered DTaP-IPV and VV:

• subjects received previous DTaP vaccine doses with INFANRIX® and/or PEDIARIX® for the first three doses and INFANRIX® for the fourth dose of the DTaP-containing vaccine.

• subjects received a first dose of VV in the second year of life.

Exclusion Criteria:

• Child in care.

• Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before the day of study vaccination/s or planned during the entire study period.

• Previous vaccination with a second dose of measles, mumps, rubella containing vaccine/s.

• Chronic administration of immunosuppressants or other immune-modifying drugs during the period starting 180 days prior to Day 0 or any planned administration of immunosuppressive and immune-modifying drugs during the entire study. Inhaled and topical steroids are allowed.

• Administration of immunoglobulins and/or any blood products during the period starting 180 days before entering the study or planned administration from the date of vaccination through the immunogenicity evaluation at Visit 2.

• Planned administration/ administration of a vaccine not foreseen by the study protocol during the period starting 30 days prior to the study vaccination/s and ending 42 days after the vaccination/s (at Visit 2), with the exception of live intranasal or inactivated influenza (flu) vaccine, which may be given at any time during the study, including the day of study vaccination/s. Inactivated influenza vaccine must be administered at a different location from the study vaccine. Any age appropriate vaccine may be given starting at Visit 2, and anytime thereafter.

• Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.

• History of measles, mumps, and/or rubella disease.

• Known exposure to measles, mumps and/or rubella during the period starting 30 days prior to enrollment.

• Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.

• History of allergic disease or reactions likely to be exacerbated by any component of the vaccine(s), including systemic hypersensitivity to neomycin or gelatin.

• Blood dyscrasias, leukemia, lymphomas of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems.

• Acute disease at the time of enrollment. Acute disease is defined as the presence of a moderate or severe illness with or without fever. Fever is defined as temperature =38°C (100.4°F) measured by any age appropriate route. All vaccines can be administered to persons with a minor illness such as diarrhea, mild upper respiratory infection without fever.

• Active untreated tuberculosis according to the subject's medical history.

• Any other condition which, in the opinion of the investigator, prevents the subject from participating in the study.

In addition, for subjects enrolled in the sub-cohort receiving co-administered DTaP-IPV+VV:

• Previous vaccination with a second dose of varicella-containing vaccine.

• Receipt of any varicella-containing vaccine during the period starting 90 days before the day of study vaccination.

• History of varicella/zoster disease.

• Known exposure to varicella/zoster during the period starting 30 days prior to enrollment.

• History of diphtheria, tetanus, pertussis, and/or poliomyelitis disease.

• Vaccination against diphtheria, tetanus, pertussis or polio given after the second year of life.

• Occurrence of transient thrombocytopenia or neurological complications following an earlier immunization against diphtheria and/or tetanus toxoids.

• Following a previous administration of DTP vaccine: temperature =40.6°C (>105°F) during the period starting 48 hours not due to another identifiable cause, collapse or shock-like state during the period starting 48 hours, persistent, inconsolable crying lasting three hours or more within 48 hours, seizures with or without fever occurring during the period starting three days, or encephalopathy of unknown aetiology occurring during the period starting 7 days of a previous administration of DTP vaccine.

• Hypersensitivity reaction to any component of the DTaP-IPV and/or varicella vaccines.

Related Conditions & MeSH terms

• Measles
• Measles-Mumps-Rubella
• Mumps
• Rubella

Intervention

Biological:
• Priorix
One dose administered subcutaneously in the triceps region of the right arm.
• M-M-R II
One dose administered subcutaneously in the triceps region of the right arm.
• Kinrix
One dose administered by deep intramuscular injection in the upper left deltoid.
• ProQuad
One dose administered subcutaneously in the triceps region of the left arm.

Locations

Country	Name	City	State
Korea, Republic of	GSK Investigational Site	Ansan
Korea, Republic of	GSK Investigational Site	Daegu
Korea, Republic of	GSK Investigational Site	Daejeon
Korea, Republic of	GSK Investigational Site	Gyeonggi-do
Korea, Republic of	GSK Investigational Site	GyeongSangNam-do
Korea, Republic of	GSK Investigational Site	Iksan
Korea, Republic of	GSK Investigational Site	Jeollabukdo
Korea, Republic of	GSK Investigational Site	Seoul
Korea, Republic of	GSK Investigational Site	Seoul
Korea, Republic of	GSK Investigational Site	Seoul
Korea, Republic of	GSK Investigational Site	Seoul
Korea, Republic of	GSK Investigational Site	Wonju-si Kangwon-do
Taiwan	GSK Investigational Site	New Taipei
Taiwan	GSK Investigational Site	Taichung
Taiwan	GSK Investigational Site	Taipei
Taiwan	GSK Investigational Site	Taipei
Taiwan	GSK Investigational Site	Taoyuan
United States	GSK Investigational Site	Altamonte Springs	Florida
United States	GSK Investigational Site	Anaheim	California
United States	GSK Investigational Site	Asheboro	North Carolina
United States	GSK Investigational Site	Augusta	Kansas
United States	GSK Investigational Site	Baldwin Park	California
United States	GSK Investigational Site	Bardstown	Kentucky
United States	GSK Investigational Site	Benton	Arkansas
United States	GSK Investigational Site	Birmingham	Alabama
United States	GSK Investigational Site	Bronx	New York
United States	GSK Investigational Site	Burke	Virginia
United States	GSK Investigational Site	Charleston	South Carolina
United States	GSK Investigational Site	Charlottesville	Virginia
United States	GSK Investigational Site	Cheraw	South Carolina
United States	GSK Investigational Site	Cincinnati	Ohio
United States	GSK Investigational Site	Cleveland	Ohio
United States	GSK Investigational Site	Colorado Springs	Colorado
United States	GSK Investigational Site	Columbia	Maryland
United States	GSK Investigational Site	Daly City	California
United States	GSK Investigational Site	Dayton	Ohio
United States	GSK Investigational Site	Dayton	Ohio
United States	GSK Investigational Site	Erie	Pennsylvania
United States	GSK Investigational Site	Fall River	Massachusetts
United States	GSK Investigational Site	Fayetteville	Arkansas
United States	GSK Investigational Site	Fresno	California
United States	GSK Investigational Site	Gresham	Oregon
United States	GSK Investigational Site	Hayward	California
United States	GSK Investigational Site	Houston	Texas
United States	GSK Investigational Site	Huntington	West Virginia
United States	GSK Investigational Site	Indianapolis	Indiana
United States	GSK Investigational Site	Little Rock	Arkansas
United States	GSK Investigational Site	Marietta	Georgia
United States	GSK Investigational Site	Monroe	Wisconsin
United States	GSK Investigational Site	Nampa	Idaho
United States	GSK Investigational Site	Newton	Kansas
United States	GSK Investigational Site	Oakland	California
United States	GSK Investigational Site	Pleasanton	California
United States	GSK Investigational Site	Provo	Utah
United States	GSK Investigational Site	Raleigh	North Carolina
United States	GSK Investigational Site	Rapid City	South Dakota
United States	GSK Investigational Site	Sacramento	California
United States	GSK Investigational Site	Sacramento	California
United States	GSK Investigational Site	Saint George	Utah
United States	GSK Investigational Site	Salt Lake City	Utah
United States	GSK Investigational Site	Santa Clara	California
United States	GSK Investigational Site	South Jordan	Utah
United States	GSK Investigational Site	Tomball	Texas
United States	GSK Investigational Site	Tucson	Arizona
United States	GSK Investigational Site	Tucson	Arizona
United States	GSK Investigational Site	Walnut Creek	California
United States	GSK Investigational Site	Woodstock	Georgia

Sponsors (1)

Lead Sponsor	Collaborator
GlaxoSmithKline

Countries where clinical trial is conducted

United States,  Korea, Republic of,  Taiwan, 

References & Publications (1)

MMR-158 Study Group. A second dose of a measles-mumps-rubella vaccine administered to healthy four-to-six-year-old children: a phase III, observer-blind, randomized, safety and immunogenicity study comparing GSK MMR and MMR II with and without DTaP-IPV and varicella vaccines co-administration. Hum Vaccin Immunother. 2019;15(4):786-799. doi: 10.1080/21645515.2018.1554971. Epub 2019 Feb 20. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Subjects With Anti-measles Virus Antibody Concentration Equal to or Above the Cut-off-value	Seroresponse was defined as post-vaccination anti-measles virus antibody concentration equal to or above (=) 200 milli-international Units per milliliter (mIU/mL). Analysis was done in sub-cohorts 1 and 2 only.	42 days post vaccination (At Day 42)
Primary	Number of Subjects With Anti-mumps Virus Antibody Concentration Equal to or Above the Cut-off-value	Seroresponse was defined as post-vaccination anti-mumps virus antibody concentration = 10 ELISA Units per milliliter (EU/mL). Analysis was done in sub-cohorts 1 and 2 only.	42 days post vaccination (At Day 42)
Primary	Number of Subjects With Anti-rubella Virus Antibody Concentration Equal to or Above the Cut-off-value	Seroresponse was defined as post-vaccination anti-rubella virus antibody concentration = 10 International Units per milliliter (IU/mL). Analysis was done in sub-cohorts 1 and 2 only.	42 days post vaccination (At Day 42)
Primary	Evaluation of Immunogenicity in Terms of Anti-measles Virus Antibody Concentrations	Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs) in mIU/mL. Analysis was done in sub-cohorts 1 and 2 only.	42 days after vaccination (At Day 42)
Primary	Evaluation of Immunogenicity in Terms of Anti-mumps Virus Antibody Concentrations	Antibody concentrations were expressed as GMCs in EU/mL. Analysis was done in sub-cohorts 1 and 2 only.	42 days post vaccination (At Day 42)
Primary	Evaluation of Immunogenicity in Terms of Anti-rubella Virus Antibody Concentrations	Antibody concentrations were expressed as GMCs in IU/mL. Analysis was done in sub-cohorts 1 and 2 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Anti-varicella Zoster Virus (VZV) Antibody Concentration Equal to or Above the Cut-off-value	Seroresponse was defined as post-vaccination anti-VZV antibody concentration = 75 mIU/mL. Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Evaluation of Immunogenicity in Terms of Anti-VZV Antibody Concentrations	Antibody concentrations were expressed as GMCs in mIU/mL. Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Antibody Booster Response to Diphtheria Toxin (Anti-D) and Tetanus Toxin (Anti-T)	Booster response was defined as: For subjects with pre-vaccination antibody concentration less than (<) 0.1 IU/mL, antibody concentration = 0.4 IU/ml at Day 42.; For subjects with pre-vaccination antibody concentration = 0.1 IU/mL: antibody concentration at Day 42 = 4 fold the pre-vaccination antibody concentration.; Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Antibody Booster Response to Pertussis Toxin (PT)	Booster response was defined as: For initially seronegative subjects, antibody concentration = 10.772 IU/mL at Day 42.; For initially seropositive subjects with pre-vaccination antibody concentration < 10.772 IU/mL: antibody concentration at Day 42 = 4 fold the pre-vaccination antibody concentration.; For initially seropositive subjects with pre-vaccination antibody concentration = 10.772 IU/mL: antibody concentration at Day 42 = 2 fold the pre-vaccination antibody concentration.; Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Antibody Booster Response to Filamentous Hemagglutinin (FHA)	Booster response was defined as: For initially seronegative subjects, antibody concentration = 8.184 IU/ml at Day 42.; For initially seropositive subjects with pre-vaccination antibody concentration < 8.184 IU/mL: antibody concentration at Day 42 = 4 fold the pre-vaccination antibody concentration.; For initially seropositive subjects with pre-vaccination antibody concentration = 8.184 IU/mL: antibody concentration at Day 42 = 2 fold the pre-vaccination antibody concentration.; Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Antibody Booster Response to Pertactin (PRN)	Booster response was defined as: For initially seronegative subjects, antibody concentration = 8.748 IU/mL at Day 42.; For initially seropositive subjects with pre-vaccination antibody concentration < 8.748 IU/mL: antibody concentration at Day 42 = 4 fold the pre-vaccination antibody concentration.; For initially seropositive subjects with pre-vaccination antibody concentration = 8.748 IU/mL: antibody concentration at Day 42 = 2 fold the pre-vaccination antibody concentration.; Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Evaluation of Immunogenicity in Terms of Anti-D and Anti-T Antibody Concentrations	Antibody concentrations were expressed as GMCs in IU/mL. Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Evaluation of Immunogenicity in Terms of Anti-PT, Anti-FHA and Anti-PRN Antibody Concentrations	Antibody concentrations were expressed as GMCs in EU/mL. Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Anti-D and Anti-T Antibody Concentrations = 0.1 IU/mL	Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Anti-D and Anti-T Antibody Concentrations = 1.0 IU/mL	Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Evaluation of Immunogenicity in Terms of Anti-polio Virus Types 1, 2 and 3 Antibody Titers	Antibody titers were expressed as Geometric Mean Titers (GMTs) in ED50. Analysis was done in sub-cohort 1 only.	42 days post vaccination (At Day 42)
Secondary	Number of Subjects With Solicited Local Symptoms	Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 Pain = Cried when limb was moved/spontaneously painful. Grade 3 redness and swelling = greater than 50 millimeters (m m ) i.e . > 50mm.	During the 4-day (Days 0-3) post-vaccination period
Secondary	Number of Subjects With Solicited General Symptoms	Assessed solicited general symptoms were drowsiness and loss of appetite. Any = occurrence of the symptom regardless of intensity grade. Grade 3 Drowsiness = Drowsiness that prevented normal activity, Grade 3 Loss of appetite = Not eating at all. Related = symptom assessed by the investigator as causally related to study vaccination.; Analysis was done for sub-cohort 1 only.	During the 4-day (Days 0-3) post-vaccination period
Secondary	Number of Subjects Reporting Fever	Any fever = fever = 38°C; Grade 3 fever = fever > 39.5°C; Related = fever assessed by the investigator as causally related to study vaccination.	During the 43-day (Days 0-42) post-vaccination period
Secondary	Number of Subjects Reporting MMR Specific Solicited General Symptoms	Assessed MMR specific symptoms were parotid gland swelling and any suspected signs of meningism including febrile convulsions. Any = occurrence of any general symptoms regardless of their intensity grade or relationship to vaccination. Grade 3 Parotid/salivary gland swelling = Swelling accompanied with general symptoms. Grade 3 Sign of meningism (any suspected signs including febrile convulsions) = An event which prevented normal, everyday activities. Related = symptom assessed by the investigator as causally related to study vaccination.	During the 43-day (Days 0-42) post-vaccination period
Secondary	Number of Subjects Reporting Investigator-confirmed Rash	Assessed any rash, varicella-like rash, measles/rubella-like rash, Grade 3, related. Any= occurrence of rash regardless of intensity grade. Grade 3 measles/rubella/varicella-like rash = Rash with more than 150 lesions. Other Grade 3 Rash = Rash that prevented normal, everyday activities. Related= Rash assessed by the investigator as causally related to study vaccination.	During the 43-day (Days 0-42) post-vaccination period
Secondary	Number of Subjects With New Onset Chronic Diseases (NOCDs)	NOCDs include autoimmune disorders, asthma, type I diabetes, allergies.	During the entire study period (from Day 0 up to Day 180)
Secondary	Number of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) Visits	The number of subjects reporting adverse events resulting in Emergency Room (ER) visits is reported.	During the entire study period (from Day 0 up to Day 180)
Secondary	Number of Subjects With Unsolicited Adverse Events (AEs)	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. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.	During the 43-day (Days 0-42) post-vaccination period
Secondary	Number of Subjects With Serious Adverse Events (SAEs)	Serious adverse events (SAEs) assessed included medical occurrences that resulted in death, were life-threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. Any SAE = occurrence of SAE regardless of intensity grade or relation to vaccination.	During the entire study period (from Day 0 up to Day 180)