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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-003535-30 | EudraCT Number |
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The purpose of this study is to evaluate the safety and immunogenicity of 2 formulations of GSK Biologicals' varicella vaccines given as a 2-dose course in the second year of life.
GSK Biologicals has removed human serum albumin (a stabilizer) from its varicella vaccine to minimize as much as possible the use of animal or human-derived products in the production of vaccines. The study is intended to provide information on the safety and immunogenicity of GlaxoSmithKline (GSK) Biologicals' candidate varicella vaccine formulated without human serum albumin (HSA) in contrast to Varilrixâ„¢ (GSK) which contains HSA when both are used in a two-dose schedule, with the first and second doses given approximately 42 days apart in the second year of life.
The immunogenicity sub-cohort will be comprised of approximately 400 subjects, representing approximately 100 subjects enrolled in each of the participating countries.
Rationale for amendment 1: Sites in the UK can perform home visits. For subjects participating through home visits, the subject's parent(s) / Legally Acceptable Representative(s) [LAR(s)] will be requested to sign a Recruitment/Randomisation agreement to provide personal information and to agree to have their child randomised before providing written consent to participate in the study (to be provided at the 1st home visit).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VAR_HSA_F Group | Experimental | 2 doses of Varilrix HSA-free vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), will be given to the subjects in this group. The vaccine will be administered subcutaneously in the triceps region of the left arm |
|
| VAR Group | Active Comparator | 2 doses of Varilrixâ„¢ vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), will be given to the subjects in this group. The vaccine will be administered subcutaneously in the triceps region of the left arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Varilrix HSA-free | Biological | 2 doses will be administered, one at Day 0 and the other at Day 42 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Reporting Fever | Fever was defined as axillary temperature above (>) 39.0 °C (> 102.2°F) | 15-days (Days 0-14) post Dose 1 of varicella vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Reporting Fever | Fever was defined as axillary temperature greater than or equal to (≥) 38.0°C (≥ 100.4°F) | 15 days post each dose of varicella vaccination |
| Evaluation of Immune Response to Varicella Vaccine With Respect to Anti Varicella Zoster Virus (Anti-VZV) Antibody Concentrations (Immuno-sub Cohort) |
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Inclusion Criteria:
Exclusion Criteria:
Child in care.
Use of any investigational or non-registered product other than the study vaccines during the period starting 30 days before the day of study vaccination (i.e., 30 days prior to Visit 1/Day 0) or planned use during the entire study period.
Concurrently participating in another clinical study, in which the child has been or will be exposed to an investigational or a non-investigational product.
Chronic administration (defined as 14 or more consecutive days) of immunosuppressants, or other immune-modifying drugs during the period starting 180 days prior to the first vaccine dose or any planned administration of immunosuppressive and immune-modifying drugs during the entire study.
Planned administration/ administration of a live viral vaccine not foreseen by the study protocol during the period starting 30 days prior to study vaccination at Visit 1/Day 0 until study end. Non study live viral vaccines can be administered at Visit 3 (Day 84) after completion of study procedures.
Planned administration/ administration of an inactivated vaccine not foreseen by the study protocol during the period starting 7 days prior to each vaccination (at Visit 1/Day 0 and Visit 2/Day 42) and ending 14 days after each vaccination. Outside of this period, non-study inactivated vaccines can be administered as per standard of care.
Administration of immunoglobulins and/or any blood products during the period starting 180 days prior to the first vaccine dose or planned administration from the date of first study vaccination through the entire study.
History of varicella or zoster.
Known exposure to varicella/zoster during the period starting within 30 days prior to first study vaccination.
Previous vaccination against varicella.
Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
Subjects with blood dyscrasias, leukemia, and lymphomas of any type.
A family history of congenital or hereditary immunodeficiency
History of allergic disease or reactions likely to be exacerbated by any component of the vaccines, including hypersensitivity to neomycin or latex.
Major congenital defects or serious chronic illness.
Acute disease and/or fever at the time of enrolment.
Active untreated tuberculosis based on medical history.
Any other condition which, in the opinion of the investigator, prevents the child from participating in the study.
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Tallinn | 10617 | Estonia | |||
| GSK Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30732648 | Background | Faust SN, Le Roy M, Pancharoen C, Weber MAR, Cathie K, Behre U, Bernatoniene J, Snape MD, Helm K, Medina Pech CE, Henry O, Baccarini C, Povey M, Gillard P. Safety and immunogenicity of a varicella vaccine without human serum albumin (HSA) versus a HSA-containing formulation administered in the second year of life: a phase III, double-blind, randomized study. BMC Pediatr. 2019 Feb 7;19(1):50. doi: 10.1186/s12887-019-1425-7. |
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IPD is available via the Clinical Study Data Request site (click on the link provided below)
IPD is available via the Clinical Study Data Request site (click on the link provided below)
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
Five vaccinated subjects for whom the data could not be used due to invalid informed consent were excluded.
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| ID | Title | Description |
|---|---|---|
| FG000 | VAR_HSA_F Group | 2 doses of Varilrix HSA-free vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), were given to the subjects in this group. The vaccine was administered subcutaneously in the triceps region of the left arm |
| FG001 | VAR Group |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Varilrixâ„¢ | Biological | 2 doses will be administered, one at Day 0 and the other at Day 42 |
|
Anti-VZY antibody concentrations were expressed in terms of Geometric Mean Concentrations (GMCs) |
| At Day 42 and Day 84 post vaccination |
| Number of Subjects With a Seroresponse to VZV (Immuno Sub Cohort) | For VZV, seroresponse was defined as, post-vaccination anti-VZV antibody concentration ≥ 50 mIU/mL among subjects who were seronegative (antibody concentration below (< ) 25 mIU/mL) before vaccination | At Day 42 and Day 84 post vaccination |
| Number of Subjects Reporting Solicited Local Symptoms | Solicited local symptoms assessed were pain, injection site redness and swelling. Any = occurrence of the specified solicited local symptom regardless of its intensity. Grade 3 pain = subject crying when limb was moved or as spontaneously painful. Grade 3 redness and swelling = above (>) 20 mm | 4-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
| Number of Subjects Reporting Fever | Any fever (≥ 38°C) = occurrence of any fever regardless of its intensity grade or relationship to vaccination. Grade 3 fever = temperature > 39.5°C. Related fever = assessed by the investigator as causally related to study vaccination | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
| Number of Subjects Reporting Rash | Any rash = occurrence of the specified solicited general symptom regardless of its intensity. Grade 3 rash = rash which prevented normal, everyday activities. Related rash = assessed by the investigator as causally related to study vaccination | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
| Number of Subjects Reporting Febrile Convulsions | Any febrile convulsion = occurrence of the specified solicited general symptom regardless of its intensity. Grade 3 febrile convulsion = febrile convulsion which prevented normal, everyday activities. Related febrile convulsion = assessed by the investigator as causally related to study vaccination | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
| Number of Subjects Reporting Unsolicited Adverse Events (AEs) | 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. Any = occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
| Number of Subjects Reporting Serious Adverse Events (SAEs) | SAEs assessed included medical occurrences that resulted in death, were life threatening, required hospitalisation or prolongation of hospitalisation or resulted in disability/incapacity. Any SAE = occurrence of SAE regardless of intensity grade or relation to vaccination | From Day 0 through the end of study (Day 84) |
| Tallinn |
| Estonia |
| GSK Investigational Site | Tartu | 50106 | Estonia |
| GSK Investigational Site | Kehl | Baden-Wurttemberg | 77694 | Germany |
| GSK Investigational Site | Stuttgart | Baden-Wurttemberg | 70469 | Germany |
| GSK Investigational Site | Stuttgart | Baden-Wurttemberg | 70499 | Germany |
| GSK Investigational Site | Tauberbischofsheim | Baden-Wurttemberg | 97941 | Germany |
| GSK Investigational Site | Aschaffenburg | Bavaria | 63739 | Germany |
| GSK Investigational Site | Schönau am Königssee | Bavaria | 83471 | Germany |
| GSK Investigational Site | Vellmar | Hesse | 34246 | Germany |
| GSK Investigational Site | Detmold | North Rhine-Westphalia | 32756 | Germany |
| GSK Investigational Site | Solingen | North Rhine-Westphalia | 42719 | Germany |
| GSK Investigational Site | Frankenthal | Rhineland-Palatinate | 67227 | Germany |
| GSK Investigational Site | Wurzen | Saxony | 04808 | Germany |
| GSK Investigational Site | Berlin | 13055 | Germany |
| GSK Investigational Site | Neumünster | 24534 | Germany |
| GSK Investigational Site | Mérida | Yucatán | 97070 | Mexico |
| GSK Investigational Site | Mexico City | 04530 | Mexico |
| GSK Investigational Site | Bangkok | 10330 | Thailand |
| GSK Investigational Site | Bristol | BS2 8AE | United Kingdom |
| GSK Investigational Site | London | SW17 0RE | United Kingdom |
| GSK Investigational Site | Oxford | OX3 7LJ | United Kingdom |
| GSK Investigational Site | Southampton | SO16 6YD | United Kingdom |
2 doses of Varilrixâ„¢ vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), were given to the subjects in this group. The vaccine was administered subcutaneously in the triceps region of the left arm |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | VAR_HSA_F Group | 2 doses of Varilrix HSA-free vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), were given to the subjects in this group. The vaccine was administered subcutaneously in the triceps region of the left arm |
| BG001 | VAR Group | 2 doses of Varilrixâ„¢ vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), were given to the subjects in this group. The vaccine was administered subcutaneously in the triceps region of the left arm |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Months |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Number of Subjects Reporting Fever | Fever was defined as axillary temperature above (>) 39.0 °C (> 102.2°F) | Analysis was performed on the Total Vaccinated cohort which included all vaccinated subjects with administration of either Varilrix HSA-free or Varilrix™vaccine documented. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with documented dose 15-days (Days 0-14) post Dose 1 of varicella vaccination | Posted | Number | Subjects | 15-days (Days 0-14) post Dose 1 of varicella vaccination |
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| Secondary | Number of Subjects Reporting Fever | Fever was defined as axillary temperature greater than or equal to (≥) 38.0°C (≥ 100.4°F) | Analysis was performed on the Total Vaccinated cohort. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with documented dose 15-days post each dose of varicella vaccination for each of the 2 groups (VAR_HSA_F Group and VAR Group) | Posted | Number | Subjects | 15 days post each dose of varicella vaccination |
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| Secondary | Evaluation of Immune Response to Varicella Vaccine With Respect to Anti Varicella Zoster Virus (Anti-VZV) Antibody Concentrations (Immuno-sub Cohort) | Anti-VZY antibody concentrations were expressed in terms of Geometric Mean Concentrations (GMCs) | Immunogenicity analyses were performed on the According-to-protocol (ATP) cohort for immunogenicity. Immune response (in terms of GMC) was assessed in sub cohort of the ATP cohort for immunogenicity for each group (immuno sub cohort) who had blood taken and tested for anti-varicella antibodies at Day 0, Day 42, and Day 84 | Posted | Geometric Mean | 95% Confidence Interval | mIU/mL | At Day 42 and Day 84 post vaccination |
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| Secondary | Number of Subjects With a Seroresponse to VZV (Immuno Sub Cohort) | For VZV, seroresponse was defined as, post-vaccination anti-VZV antibody concentration ≥ 50 mIU/mL among subjects who were seronegative (antibody concentration below (< ) 25 mIU/mL) before vaccination | Immunogenicity analyses were performed on the According-to-protocol (ATP) cohort for immunogenicity. Seropositivity was assessed in sub cohort of the ATP cohort for immunogenicity for each group (immuno sub cohort) who had blood taken and tested for anti-varicella antibodies at Day 0, Day 42, and Day 84 | Posted | Number | Subjects | At Day 42 and Day 84 post vaccination |
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| Secondary | Number of Subjects Reporting Solicited Local Symptoms | Solicited local symptoms assessed were pain, injection site redness and swelling. Any = occurrence of the specified solicited local symptom regardless of its intensity. Grade 3 pain = subject crying when limb was moved or as spontaneously painful. Grade 3 redness and swelling = above (>) 20 mm | Analysis was performed on the Total Vaccinated cohort. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with at least one documented dose 4 days following each vaccination and across doses for each of the 2 groups (VAR_HSA_F Group and VAR Group) | Posted | Number | Subjects | 4-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
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| Secondary | Number of Subjects Reporting Fever | Any fever (≥ 38°C) = occurrence of any fever regardless of its intensity grade or relationship to vaccination. Grade 3 fever = temperature > 39.5°C. Related fever = assessed by the investigator as causally related to study vaccination | Analysis was performed on the Total Vaccinated cohort. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with the documented dose 43 days following each vaccination and across doses for each of the 2 groups (VAR_HSA_F Group and VAR Group) | Posted | Number | Subjects | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
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| Secondary | Number of Subjects Reporting Rash | Any rash = occurrence of the specified solicited general symptom regardless of its intensity. Grade 3 rash = rash which prevented normal, everyday activities. Related rash = assessed by the investigator as causally related to study vaccination | Analysis was performed on the Total Vaccinated cohort. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with at least one documented dose 43 days following each vaccination and across doses for each of the 2 groups (VAR_HSA_F Group and VAR Group) | Posted | Number | Subjects | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
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| Secondary | Number of Subjects Reporting Febrile Convulsions | Any febrile convulsion = occurrence of the specified solicited general symptom regardless of its intensity. Grade 3 febrile convulsion = febrile convulsion which prevented normal, everyday activities. Related febrile convulsion = assessed by the investigator as causally related to study vaccination | Analysis was performed on the Total Vaccinated cohort. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with at least one documented dose 43 days following each vaccination and across doses for each of the 2 groups (VAR_HSA_F Group and VAR Group) | Posted | Number | Subjects | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
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| Secondary | Number of Subjects Reporting Unsolicited Adverse Events (AEs) | 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. Any = occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination | Analysis was performed on the Total Vaccinated cohort. Number of participants analysed corresponds to the subjects in the Total Vaccinated cohort with the administered dose 43 days following each vaccination and across doses for each of the 2 groups (VAR_HSA_F Group and VAR Group) | Posted | Number | Subjects | 43-day post vaccination period following Dose 1 (Day 0) and Dose 2 (Day 42) |
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| Secondary | Number of Subjects Reporting Serious Adverse Events (SAEs) | SAEs assessed included medical occurrences that resulted in death, were life threatening, required hospitalisation or prolongation of hospitalisation or resulted in disability/incapacity. Any SAE = occurrence of SAE regardless of intensity grade or relation to vaccination | Posted | Number | Subjects | From Day 0 through the end of study (Day 84) |
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Solicited local AEs: During the 4-day post vaccination period after each dose. Solicited general and unsolicited AEs: During the 43-day post vaccination period after each dose. Serious adverse events: From Day 0 through the end of study (Day 84)
For the systematically assessed other (non-serious) adverse events, the number of participants at risk included those from Total Vaccinated Cohort who had the symptom sheet completed
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | VAR_HSA_F Group | 2 doses of Varilrix HSA-free vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), were given to the subjects in this group. The vaccine was administered subcutaneously in the triceps region of the left arm | 0 | 615 | 13 | 615 | 489 | 615 |
| EG001 | VAR Group | 2 doses of Varilrixâ„¢ vaccine, one at Visit 1 (Day 0) and the other at Visit 2 (Day 42), were given to the subjects in this group. The vaccine was administered subcutaneously in the triceps region of the left arm | 0 | 616 | 15 | 616 | 491 | 616 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hydrocele | Congenital, familial and genetic disorders | MedDRA 19.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Food poisoning | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Croup infectious | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Ear infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Hand-foot-and-mouth disease | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Herpangina | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Otitis media acute | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Pharyngitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Pneumonia viral | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Pseudocroup | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Respiratory syncytial virus infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Tonsillitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Viral infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Febrile convulsion | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
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| Asthmatic crisis | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Injection site erythema | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Injection site swelling | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Teething | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 |
| ID | Term |
|---|---|
| D002644 | Chickenpox |
| ID | Term |
|---|---|
| D000073618 | Varicella Zoster Virus Infection |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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| Male |
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| Asian - Central/South Asian Heritage |
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| Asian - East Asian Heritage |
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| Asian - South East Asian Heritage |
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| Other |
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| White - Arabic / North African Heritage |
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| White - Caucasian / European Heritage |
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Criterion for the Varilrix HSA-free vaccine as compared to Varilrix™ vaccine, the upper limit (UL) of the 2-sided standardised asymptotic 95% confidence interval (CI) for the group difference (VAR_HSA_F minus VAR) in incidence of fever > 39.0°C (> 102.2°F) within 0-14 days after Dose 1 was to be equal to or below 5%
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