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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-002733-30 | EudraCT Number |
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Study was canceled due to instability of the PreF antigen during manufacturing. No safety concern has been identified in past or ongoing studies.
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The purpose of this study is to assess the safety, reactogenicity and immunogenicity of the investigational GSK RSV vaccine in pregnant women aged 18 to 40 years and infants born to the vaccinated women
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GSK3003891A vaccine formulation 1 mother Group | Experimental | Subjects in this group will receive a single 30µg dose of the GSK3003891A investigational vaccine, by intramuscular injection into the deltoid region of the non-dominant arm. |
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| GSK3003891A vaccine formulation 2 mother Group | Experimental | Subjects in this group will receive a single 60µg dose of the GSK3003891A investigational vaccine, by intramuscular injection into the deltoid region of the non-dominant arm. |
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| GSK3003891A vaccine formulation 3 mother Group | Experimental | Subjects in this group will receive a single 120µg dose of the GSK3003891A investigational vaccine, by intramuscular injection into the deltoid region of the non-dominant arm. |
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| Control group | Placebo Comparator | Subjects in this group will receive a single placebo injection, intramuscularly into the deltoid region of the non-dominant arm. |
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| GSK3003891A vaccine formulation 1 infant Group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RSV vaccine (GSK3003891A) formulation 1 | Biological | Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with solicited local adverse events (AEs) | Assessed solicited local symptoms are pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevents normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site. | During a 7-day follow-up period after vaccination (i.e. the day of vaccination and 6 subsequent days) |
| Number of subjects with solicited general AEs | Assessed solicited general symptoms are fatigue, fever [defined as oral/axillary/tympanic route temperature equal to or above 37.5 degrees Celsius (°C) or ≥ 38 °C for rectal route], gastrointestinal symptoms [nausea, vomiting, diarrhoea and/or abdominal pain] and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevents normal activity. Grade 3 fever = fever > 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination | During the 7-day follow-up period after vaccination (i.e. the day of vaccination and 6 subsequent days) |
| Number of subjects with unsolicited 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 is defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevents normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination. | During a 30-day follow-up period after vaccination (i.e. the day of vaccination and 29 subsequent days) |
| Number of subjects with haematological abnormalities | Haematological laboratory abnormalities include haemoglobin level, white blood cell count [WBC], lymphocyte, neutrophil, eosinophil, platelet count, red blood cell count and mean corpuscular volume. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of infant subjects with SAEs | SAEs are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. | From birth and up to study end (Year 2) |
| Number of infant subjects with AEs potentially related to maternal vaccination |
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Inclusion Criteria:
Inclusion Criteria infants:
• Re-signed written informed consent for study participation of the infant obtained from the infant's mother and/or father, as applicable by local law, or LAR.
Exclusion Criteria:
Hypertension during current pregnancy is defined as:
a blood pressure systolic > 140 and/or diastolic 90 mmHg, documented in at least 2 separate measurements .
Subjects with haematological/ biochemical values out of normal range which are expected to be temporary may be re-screened at a later date within the allowed time interval.
• Acute disease and/or fever within 3 days prior to enrolment .
Fever is defined as temperature ≥ 37.5°C/99.5°F for oral, axillary or tympanic route, or ≥ 38.0°C/100.4°F for rectal route.
Subjects with a minor illness without fever may be enrolled at the discretion of the investigator.
For subjects with acute disease and/ or fever at the time of enrolment, Visit 1 may be scheduled at a later date within the allowed time interval and gestational age.
Exclusion Criteria infants:
• Any condition which, in the investigator's opinion, would increase the risks of study participation to the infant.
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Newton | Kansas | 67114 | United States | ||
| GSK Investigational Site |
Patient-level data for this study will be made available through https://www.clinicalstudydatarequest.com/ following the timelines and process described on this site.
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Infants born to mothers vaccinated with a single 30µg dose of the investigational GSK3003891A vaccine
| GSK3003891A vaccine formulation 2 infant Group | No Intervention | Infants born to mothers vaccinated with a single 60µg dose of the investigational GSK3003891A vaccine |
| GSK3003891A vaccine formulation 3 infant Group | No Intervention | Infants born to mothers vaccinated with a single 120µg dose of the investigational GSK3003891A vaccine |
| Control infant Group | No Intervention | Infants born to mothers who received a single placebo injection |
| RSV vaccine (GSK3003891A) formulation 2 | Biological | Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm |
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| RSV vaccine (GSK3003891A) formulation 3 | Biological | Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm |
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| Placebo (Formulation buffer S9b) | Drug | Single dose administered intramuscularly at Day 0 in the deltoid region of the non-dominant arm |
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| At Day 0 |
| Number of subjects with haematological abnormalities | Haematological laboratory abnormalities include haemoglobin level, white blood cell count [WBC], lymphocyte, neutrophil, eosinophil, platelet count, red blood cell count and mean corpuscular volume. | At Day 7 |
| Number of subjects with biochemical abnormalities | Biochemical laboratory abnormalities include alanine amino-transferase [ALT], aspartate amino-transferase [AST], creatinine and blood urea nitrogen. | At Day 0 |
| Number of subjects with biochemical abnormalities | Biochemical laboratory abnormalities include alanine amino-transferase [ALT], aspartate amino-transferase [AST], creatinine and blood urea nitrogen. | At Day 7 |
| Number of subjects with any serious adverse events (SAEs) | SAEs are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. | From study start (Day 0) up to 6 months after delivery |
| Number of infant subjects with any SAEs | SAEs are defined as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity. | From birth up to 6 months after birth |
| Number of subjects with pregnancy outcomes | Pregnancy outcomes include live birth with no congenital anomalies, live birth with congenital anomalies, foetal death/still birth with no congenital anomalies, foetal death/still birth with congenital anomalies, elective/therapeutic termination with no congenital anomalies and elective/therapeutic termination with congenital anomalies. | From study start (Day 0) up to delivery |
| Number of subjects with pregnancy-related AEs of specific interest | Pregnancy-related adverse events of specific interest include: gestational diabetes, gestational liver disease (including obstetric cholestasis and acute fatty liver of pregnancy), chorioamnionitis, labour protraction and arrest disorders, maternal sepsis, pregnancy-related hypertension, preterm premature rupture of membranes, premature labour, intrauterine growth restriction/poor foetal growth, pre-eclampsia and eclampsia, vaginal or intrauterine haemorrhage, medical conditions necessitating early delivery (induced labour or urgent C-section) (placenta abruption, uterine infection, oligohydramnios, etc), maternal death. | From study start (Day 0) up to delivery |
| Number of infant subjects with AEs of specific interest | Infant-related AEs of specific interest include preterm birth, neonatal death, low birth weight and/or small for gestational age, neonatal sepsis, foetal/perinatal distress or asphyxia, failure to thrive/growth deficiency, congenital anomalies and neurodevelopmental delay. | From birth up to 6 months after birth |
Related infant AEs = AEs occurring in the infant assessed by the investigator as potentially related to the vaccination of the mother. |
| From birth up to study end (Year 2) |
| Number of infant subjects with neuro-developmental delays | Infant subjects with Ages and Stages Questionnaires version 3 (ASQ-3) scores in the grey and black zones for any of the 5 developmental areas or domains (communication, gross motor skills, fine motor skills, problem solving and personal-social) : Grey zone (i.e. Monitoring zone) score means that the child's score falls ≥ 1 but <2 standard deviations below the mean score in any developmental area. Black zone (i.e. Referral zone) score means that the child's score falls below the cut-off (i.e. 2 standard deviations below the mean score) in any developmental area. Infant subjects scoring in the black zone in any of the 5 domains of the ASQ-3 will be referred for formal neurological evaluation | At Year 1 and Year 2 |
| Number of infant subjects referred for formal neurological evaluation | Neuro-developmental formal evaluation will be performed, for infants with ASQ3 black zone scores, using the Bayley Scale for Infant Development, Version III (BSID-III) or an equivalent. | At Year 1 and Year 2 |
| Number of infant subjects with confirmed developmental delay | Infants confirmed as having neuro-developmental delay following formal evaluation using the Bayley Scale for Infant Development, Version III (BSID-III) or an equivalent. | At Year 1 and Year 2 |
| Neutralizing antibody titres against RSV-A, for all vaccinated mothers | Titres will be expressed as geometric mean titres (GMTs) | At pre-vaccination (Day 0), Day 30 and Day 60 post vaccination and at delivery |
| Neutralizing antibody titres against RSV-B, for all vaccinated mothers | Titres will be expressed as geometric mean titres (GMTs) | At pre-vaccination (Day 0), Day 30 and Day 60 post vaccination and at delivery |
| Palivizumab competing antibody (PCA) concentrations, for all vaccinated mothers. | Concentrations will be expressed as geometric mean concentrations (GMCs) | At pre-vaccination (Day 0), Day 30 and Day 60 post-vaccination and at delivery |
| Neutralizing antibody titres against RSV-A, for all infants born to vaccinated mothers | Titres will be expressed as geometric mean titres (GMTs). Infants will be allocated to one of the 2 defined sub-cohorts (Month 3 or Month 6) and have the blood sample for immunogenicity obtained at the corresponding sub-cohort timepoint. | At birth, at Month 3 and at Month 6 |
| Neutralizing antibody titres against RSV-B, for all infants born to vaccinated mothers | Titres will be expressed as geometric mean titres (GMTs). Infants will be allocated to one of the 2 defined sub-cohorts (Month 3 or Month 6) and have the blood sample for immunogenicity obtained at the corresponding sub-cohort timepoint. | At birth, at Month 3 and at Month 6 |
| PCA concentrations, for all infants born to vaccinated mothers | Concentrations will be expressed as geometric mean concentrations (GMCs). Infants will be allocated to one of the 2 defined sub-cohorts (Month 3 or Month 6) and have the blood sample for immunogenicity obtained at the corresponding sub-cohort timepoint. | At birth, at Month 3 and at Month 6 |
| Number of infant subjects with lower respiratory tract infection (LRTI), severe LRTI and respiratory tract infection (RTI) with parental concern (according to the case definitions) associated with a respiratory syncytial virus (RSV) infection | Occurrence of RSV-LRTI, severe RSV-LRTI, RSV-RTI with parental concern | From birth up to study end (Year 2) |
| Number of subjects (vaccinated mothers) with medically-attended (MA) RTI associated with an RSV infection | Occurrence of RSV associated MA-RTI. A MA-RTI is defined as a visit of the mother to a health care professional for any respiratory symptom, including cough, sputum production and difficulty breathing | From Day 0 up to Month 6 post delivery |
| Syracuse |
| New York |
| 13210 |
| United States |
| GSK Investigational Site | Ellensburg | Washington | 98926 | United States |
| GSK Investigational Site | Oulu | 90220 | Finland |
| GSK Investigational Site | Seinäjoki | 60100 | Finland |
| GSK Investigational Site | Aravaca | 28023 | Spain |
| GSK Investigational Site | Burgos | 09006 | Spain |
| GSK Investigational Site | Madrid | 28040 | Spain |
| GSK Investigational Site | Majadahonda (Madrid) | 28222 | Spain |
| GSK Investigational Site | Santiago | 15705 | Spain |
| GSK Investigational Site | Santiago de Compostela | 15706 | Spain |
| GSK Investigational Site | Seville | 41014 | Spain |
| ID | Term |
|---|---|
| D018357 | Respiratory Syncytial Virus Infections |
| ID | Term |
|---|---|
| D018186 | Pneumovirus Infections |
| D018184 | Paramyxoviridae Infections |
| D018701 | Mononegavirales Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D022261 | Respiratory Syncytial Virus Vaccines |
| ID | Term |
|---|---|
| D014765 | Viral Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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