The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product. Before prescribing any product mentioned in this Register, healthcare professionals should consult prescribing information for the product approved in their country. GSK Medicine: Combined Diphtheria, Tetanus, Acellular Pertussis, Hepatitis B, Poliovirus and Haemophilus influenzae type b Vaccine Study Number: 117119 (DTPA-HBV-IPV-135) Title: Immunogenicity and safety study of GSK Biologicals’ Infanrix hexa™ at 2, 4 and 6 months of age in healthy infants. Infanrix hexa™ (DTPa-HBV-IPV/Hib): GlaxoSmithKline (GSK) Biologicals’ combined diphtheria-tetanus-acellular pertussishepatitis B-Poliovirus and Haemophilus influenzae type b vaccine. Rationale: The purpose of this study was to generate pivotal immunogenicity and safety data demonstrating non-inferiority of the immune responses against pertussis antigens of DTPa-HBV-IPV/Hib compared to Pediarix. This study also provided descriptive information regarding the immune response to the components of DTPa-HBV-IPV/Hib and Pentacel following a 3 dose primary series and the safety profile of DTPa-HBV-IPV/Hib in US subjects. The intended duration of the study per subject was approximately 14-17 months: Primary Phase, starting at Visit 1 (Day 0) and ending at safety follow up contact (i.e. six months following the third dose, Month 10) and Booster Phase, starting at Visit 5 (Month 13-16) and ending at Visit 6 (Month 14-17). The safety data presented includes all data up to the Data Lock Point 19-June-2015, which was prior to the to the end of the safety follow up contact (i.e. six months following the third dose, Month 10). Pediarix® (DTPa-HBV-IPV): GSK Biologicals’ Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Hepatitis B (Recombinant) and Inactivated Poliovirus vaccine. Pentacel® (DTaP-IPV/HIB): Sanofi Pasteur SA’s Diphtheria and tetanus toxoids and acellular pertussis adsorbed, inactivated poliovirus and Haemophilus b conjugate (tetanus toxoid conjugate) vaccine Prevnar13® (13Pn): Pfizer’s Pneumoccocal 13-valent conjugate vaccine (diphtheria CRM197 protein) vaccine Rotarix® (HRV): GSK Biologicals’ Rotavirus Vaccine, Live, Oral ActHIB® (ActHIB): Sanofi Pasteur SA’s Haemophilus type b conjugate vaccine (tetanus toxoid conjugate) Engerix® (HBV): GSK Biologicals’ Hepatitis B vaccine (recombinant) Hiberix™ (Hib): GSK Biologicals’ Haemophilus b conjugate vaccine (tetanus toxoid conjugate) Infanrix® (DTPa) : GSK Biologicals’ Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine Adsorbed Phase: III Study Period: 16-Apr-2014 to 19-Jun-2015 Data Lock Point (prior to end of six-month follow up after the third dose) Study Design: Open-label, randomized, controlled, multi-centric, single-country study with five parallel groups. Centres: 44 centers in the United States. Indication: Diphtheria-Tetanus-Pertussis-Hepatitis B-Poliomyelitis-Haemophilus influenzae type b Treatment: The study groups were as follows: Primary Phase: DTPa-HBV/Hib Group: Subjects in this group received 3 doses of DTPa-HBV-IPV/Hib (lot A, lot B or lot C as per the group allocation) co-administered with 13Pn at 2, 4 and 6 months of age and HRV at 2 and 4 months of age. DTPa-HBV Group: Subjects in this group received 3 doses of DTPa-HBV-IPV and ActHIB co-administered with 13Pn at 2, 4 and 6 months of age and HRV at 2 and 4 months of age. DTaP/Hib Group: Subjects in this group received 3 doses of DTaP-IPV/Hib and HBV co-administered with 13Pn at 2, 4 and 6 months of age and HRV at 2 and 4 months of age. * Subjects in the DTaP/Hib Group who had received a dose of hepatitis B vaccine from birth up to 30 days prior to study vaccination did not receive HBV at 4 months of age. The injectable vaccines were administered by intramuscular injection in the anterolateral thigh (DTPa-HBV-IPV/Hib vaccine: right thigh; 13Pn vaccine: lower left thigh; DTPa-HBV-IPV vaccine: right thigh; ActHIB vaccine: upper left thigh; DTaP-IPV/HIB vaccine: right thigh; HBV: upper left thigh). HRV was administered orally Booster Phase: DTPa-HBV/Hib Group: Subjects in this group received a booster dose of DTPa and Hib vaccines at 15-18 months of age. DTPa-HBV Group: Subjects in this group received a booster dose of DTPa and ActHIB vaccines at 15-18 months of age. DTaP/Hib Group: Subjects in this group received a booster dose of DTaP-IPV/HIB at 15-18 months of age. The injectable vaccines were administered by intramuscular injection in the anterolateral thigh (DTPa vaccine: right thigh; Hib vaccine: left thigh; ActHIB vaccine: left thigh; DTaP-IPV/HIB vaccine: right thigh). Objectives: Primary Phase: To demonstrate the non-inferiority of DTPa-HBV-IPV/Hib to DTPa-HBV-IPV co-administered with ActHIB, in terms of antibody geometric mean concentrations (GMCs) for pertussis antigens [pertussis toxoid (PT), filamentous hemagglutinin (FHA) and pertactin (PRN)] 1 month after the third dose of the primary vaccination. Criteria for non-inferiority: Non-inferiority in terms of immune response to pertussis antigens will be demonstrated if, for each of the three antigens, the upper limit of the 95% confidence interval (CI) on the GMC ratio [DTPa Group divided by DTPa/Hib Group] is ≤ 1.5. Primary Outcome Variable(s): Primary Phase: Immunogenicity with respect to pertussis components of the study vaccines DTPa-HBV-IPV/Hib and DTPa-HBV-IPV*. Anti-PT, anti-FHA, anti-PRN antibody concentrations, 1 month after the third dose of the primary vaccination. * Immunogenicity results were not available at the time this summary was written. Missing data will be added when results become available. Secondary Outcome Variable(s): Primary Phase: Immunogenicity (other parameters) with respect to the pertussis component of the study vaccines DTPa-HBV-IPV/Hib, DTaP-IPV/HIB and DTPa-HBV-IPV*. Anti-PT, anti-FHA, anti-PRN seropositivity status, 1 month after the third dose of the primary vaccination. Anti-PT, anti-FHA, anti-PRN antibody concentrations, 1 month after the third dose of the primary vaccination (for DTaP-IPV/HIB only). Immunogenicity with respect to the other components of the study vaccines DTPa-HBV-IPV/Hib, DTPa-HBV-IPV, ActHIB, DTaP-IPV/HIB and HBV* Anti-diphtheria (anti-D), anti-tetanus (anti-T), anti-hepatitis B (anti-HBs), anti-poliovirus types 1, 2 and 3 and antipolyribosyl ribitol phosphate (anti-PRP) seroprotection status, anti-PRP antibody concentrations ≥1.0 µg/mL and antibody concentrations/titers, 1 month after the third dose of the primary vaccination. Solicited local and general symptoms. Occurrence of each solicited local symptom (any, ≥Grade 2, Grade 3 and symptoms requiring medical attention) within 4 days (Day 0 – Day 3) after each vaccination (DTPa-HBV-IPV/Hib, DTPa-HBV-IPV, ActHIB, DTaP-IPV/HIB and HBV). Occurrence of each solicited general symptom (any, ≥Grade 2, Grade 3, symptoms requiring medical attention, related and Grade 3 related) within 4 days (Day 0 – Day 3) after each vaccination. Unsolicited adverse events (AEs). Occurrence of unsolicited AEs within 31 days (Day 0 – Day 30) after each vaccination, according to the Medical Dictionary for Regulatory Activities (MedDRA) classification. Specific AEs. Occurrence of specific AEs, i.e., new onset chronic diseases (NOCD) (e.g. autoimmune disorders, asthma, type I diabetes and allergies) from Day 0 up to 6 months post primary vaccination. Serious adverse events (SAEs). Occurrence of SAEs from Day 0 up to 6 months post primary vaccination. Booster Phase#: Immunogenicity with respect to all study vaccines Anti-D, anti-T, anti- PT, anti-FHA and anti-PRN, anti-HBs, anti-PRP and anti-poliovirus 1, 2, 3 seroprotection/ seropositivity status, anti-PRP antibody concentrations ≥1 µg/mL and antibody concentrations/ titers before the booster dose. Immunogenicity with respect to the study vaccine DTaP-IPV/HIB. Anti-D, anti-T, anti- PT, anti-FHA and anti-PRN, anti-PRP seroprotection/ seropositivity status and antibody concentrations, one month after the booster dose. Anti-PT, anti-FHA and anti-PRN booster response one month after the booster dose. Anti-PRP antibody concentrations ≥1 µg/mL one month after the booster dose. Anti-D and anti-T antibody concentrations ≥1 IU/mL one month after the booster dose. Immunogenicity with respect to the study vaccine DTPa. Anti-D, anti-T, anti- PT, anti-FHA and anti-PRN seroprotection/ seropositivity status and antibody concentrations, one month after the booster dose. Anti-PT, anti-FHA and anti-PRN booster response one month after the booster dose. Anti-D and anti-T antibody concentrations ≥1 IU/mL one month after the booster dose. Immunogenicity with respect to the study vaccines ActHIB and HBV. Anti-PRP seroprotection status and antibody concentrations, one month after the booster dose. Anti-PRP antibody concentrations ≥1 µg/mL one month after the booster dose. Solicited local and general symptoms. Occurrence of each solicited local symptom (any, ≥Grade 2, Grade 3 and symptoms requiring medical attention) within 4 days (Day 0 – Day 3) after booster vaccination (DTPa, ActHIB, Hib and DTaP-IPV/HIB) Occurrence of each solicited general symptom (any, ≥Grade 2, Grade 3, symptoms requiring medical attention, related and Grade 3 related) within 4 days (Day 0 – Day 3) after booster vaccination. Unsolicited AEs. Occurrence of unsolicited AEs within 31 days (Day 0 – Day 30) after booster vaccination, according to the MedDRA classification. Specific AEs. Occurrence of specific AEs, i.e., new onset chronic diseases (e.g. autoimmune disorders, asthma, type I diabetes and allergies) from the booster dose up to one month after the booster vaccination. SAEs. Occurrence of SAEs from the booster dose up to one month after the booster vaccination. * Immunogenicity results were not available at the time this Summary was written. Missing data will be added when results become available. # Results for the Booster Phase (safety and immunogenicity) were not available at the time this Summary was written. Missing data will be added when results become available. Statistical Methods: The analyses were performed on the Primary Total Vaccinated cohort. The Primary Total Vaccinated cohort included all subjects with documented administration of the study vaccines. Analysis of safety The analysis of safety was performed on the Primary Total Vaccinated cohort The percentages of subjects reporting each individual solicited local symptom and general symptom during the 4-days (Days 0-3) after each study vaccination dose and across dose were tabulated with exact 95% CI. The same tabulation was performed for grade 3 symptoms and for solicited general symptoms assessed by the investigators as related to the study vaccination. The percentage of subjects with at least one report of unsolicited symptoms classified by the MedDRA preferred terms within the 31-days (Days 0-30) after each study vaccination dose was tabulated. SAEs and NOCDs reported till Data Base Freeze (DBF) date were tabulated. Study Population: Healthy male or female subjects between, and including, 6 and 12 weeks of age at the time of the vaccination were included in the study. Subjects were excluded from the study if they received any investigational or nonregistered product other than the study vaccine(s) within 30 days preceding the first dose of study vaccines, or planned receiving during the study period or vaccines to any of the antigens offered in the study, with the exception of a single dose of HBV at least 30 days prior to dose 1. Written informed consent obtained from the parent(s)/legally authorized representative(s) of the subjects. Number of subjects DTPa-HBV/Hib Group DTPa-HBV Group DTaP /HIB Group Planned, N 195 195 195 Randomised, N (Total Vaccinated cohort) 195 194 196 Completed, n (%) 178 (91.3) 182 (93.8) 178 (90.8) Total Number Subjects Withdrawn, n (%) 17 (8.7) 12 18 (9.2) Withdrawn due to AEs, n (%) 1 (0.5) 0 (0.0) 1 (0.5) Withdrawn due to Lack of Efficacy, n (%) Not applicable Not applicable Not applicable Withdrawn for other reasons, n (%) 16 (8.2) 0 (0.0) 17 (8.7) Demographics DTPa-HBV/Hib Group DTPa-HBV Group DTaP/HIB Group N (Total Vaccinated cohort) 195 194 196 Females: Males 101:94 80:114 95:101 Mean Age, weeks (SD) 8.5 (1.0) 8.6 (1.1) 8.6 (1.1) White - Caucasian / European Heritage, n 118 (60.5) 128 (66.0) 115 (58.7) (%) Mixed Origin, n (%) 29 (14.9) 27 (13.9) 32 (16.3) American Indian or Alaskan Native, n (%) 15 (7.7) 15 (7.7) 17 (8.7) Number of subjects vaccinated, completed and withdrawn with reasons of withdrawal up to Month 5 (Primary Total Vaccinated cohort) DTPaDTPa-HBV Group DTaP/HIB Group HBV/Hib Group Number of subjects vaccinated 195 194 196 Number of subjects completed 178 182 178 Number of subjects withdrawn 17 12 18 Reasons for withdrawal : Subject died 0 0 0 Serious Adverse Event 1 0 0 Non-Serious Adverse Event 0 0 1 Eligibility criteria not fulfilled (inclusion and exclusion criteria) 0 0 0 Protocol violation 1 0 4 Consent withdrawal (not due to an adverse event) 3 6 5 Migrated/moved from study area 2 3 0 Lost to follow-up (subjects with incomplete vaccination course) 2 0 2 Lost to follow-up (subjects with complete vaccination course) 4 0 0 Sponsor study termination 0 0 1 Other - loss of kaiser insurance 0 0 1 Other - lost health plan 1 2 0 Other - lost health plan at kaiser 0 1 0 Other - lost kaiser insurance 1 0 0 Other - lost kaiser permanente health insurance 0 0 1 Other - parent no show x3 1 0 0 Other - refuses blood draws 0 0 1 Other - subject was discontiued due to non-compliance 0 0 1 Other - terminated by pi due to non-compliance with 1 0 0 appointment schedules Other - traveling out of country and unable to meet visit window 0 0 1 Primary Outcome Results: Primary results were not available at the time of writing. The Summary will be updated when these results become available. Secondary Outcome Results: Number (%) of subjects reporting solicited local symptoms during the 4-day (Days 0-3) postvaccination period following each dose and across doses (Primary Total Vaccinated cohort) DTPa-HBV/Hib Group DTPa-HBV Group DTaP/HIB Group 95 % CI 95 % CI 95 % CI Symptom Product Intensity N n % LL UL N n % LL UL N n % LL UL Dose 1 Pain Total Any 185 94 50.8 43.4 58.2 189 128 67.7 60.6 74.3 188 119 63.3 56.0 70.2 ≥ Grade 2 185 40 21.6 15.9 28.3 189 75 39.7 32.7 47.0 188 56 29.8 23.4 36.9 Grade 3 185 8 4.3 1.9 8.3 189 24 12.7 8.3 18.3 188 12 6.4 3.3 10.9 Medical 185 1 0.5 0.0 3.0 189 1 0.5 0.0 2.9 188 0 0.0 0.0 1.9 advice ActHIB/HBV Any 189 123 65.1 57.8 71.9 188 100 53.2 45.8 60.5 ≥ Grade 2 189 66 34.9 28.1 42.2 188 45 23.9 18.0 30.7 Grade 3 189 22 11.6 7.4 17.1 188 10 5.3 2.6 9.6 Medical 189 1 0.5 0.0 2.9 188 0 0.0 0.0 1.9 advice DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Redness Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Swelling Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Pain Total ActHIB/HBV Any 185 94 50.8 43.4 58.2 189 113 59.8 52.4 66.8 188 115 61.2 53.8 68.2 ≥ Grade 2 Grade 3 Medical advice Any 185 40 21.6 15.9 28.3 189 65 34.4 27.6 41.6 188 51 185 8 4.3 1.9 8.3 189 17 9.0 5.3 14.0 188 12 185 1 0.5 0.0 3.0 189 0 0.0 0.0 1.9 188 0 27.1 6.4 0.0 20.9 34.1 3.3 10.9 0.0 1.9 185 47 25.4 19.3 32.3 189 73 38.6 31.6 46.0 188 67 35.6 28.8 42.9 > 5 mm 185 15 8.1 4.6 13.0 189 27 14.3 9.6 20.1 188 27 14.4 9.7 20.2 >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any 185 3 185 0 0.3 4.7 189 10 5.3 2.6 9.5 188 4 0.0 2.0 189 1 0.5 0.0 2.9 188 0 2.1 0.0 0.6 0.0 5.4 1.9 55 12 1 0 29.3 6.4 0.5 0.0 22.9 3.3 0.0 0.0 36.3 10.9 2.9 1.9 185 47 25.4 19.3 32.3 189 56 29.6 23.2 36.7 188 57 30.3 23.8 37.4 > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any 185 15 8.1 185 3 1.6 185 0 0.0 4.6 13.0 189 15 7.9 4.5 12.8 188 20 0.3 4.7 189 4 2.1 0.6 5.3 188 3 0.0 2.0 189 0 0.0 0.0 1.9 188 0 10.6 1.6 0.0 6.6 16.0 0.3 4.6 0.0 1.9 185 185 185 185 11.7 2.6 0.1 0.0 1.6 0.0 189 189 189 189 31 10 2 0 26.7 6.2 1.8 0.0 40.5 15.3 8.2 2.9 188 188 188 188 46 18 7 1 24.3 9.5 3.7 0.5 18.4 5.7 1.5 0.0 31.1 14.6 7.5 2.9 188 188 188 188 53 24 11 0 28.2 12.8 5.9 0.0 21.9 8.4 3.0 0.0 35.2 18.4 10.2 1.9 189 189 189 189 41 14 6 1 21.7 7.4 3.2 0.5 16.0 4.1 1.2 0.0 28.3 12.1 6.8 2.9 188 188 188 188 39 14 3 0 20.7 7.4 1.6 0.0 15.2 4.1 0.3 0.0 27.2 12.2 4.6 1.9 185 31 16.8 11.7 22.9 189 35 18.5 13.3 24.8 188 45 23.9 18.0 30.7 > 5 mm >20 mm Medical advice 185 10 5.4 185 2 1.1 185 0 0.0 2.6 9.7 189 14 7.4 4.1 12.1 188 24 0.1 3.9 189 3 1.6 0.3 4.6 188 11 0.0 2.0 189 0 0.0 0.0 1.9 188 0 12.8 5.9 0.0 8.4 18.4 3.0 10.2 0.0 1.9 Any ≥ Grade 2 Grade 3 Medical advice Any ≥ Grade 2 Grade 3 Medical advice 182 182 182 182 Dose 2 38.8 53.7 9.1 19.6 0.0 3.0 0.0 2.0 46.2 13.7 0.5 0.0 22.9 9.7 3.9 2.0 33.3 10.1 4.2 0.5 189 189 189 189 84 25 1 0 16.8 5.4 1.1 0.0 63 19 8 1 184 184 184 184 112 54 10 0 60.9 29.3 5.4 0.0 53.4 22.9 2.6 0.0 68.0 36.5 9.8 2.0 179 179 179 179 93 32 6 0 52.0 17.9 3.4 0.0 44.4 12.6 1.2 0.0 59.5 24.3 7.2 2.0 184 184 184 184 104 47 9 0 56.5 25.5 4.9 0.0 49.0 19.4 2.3 0.0 63.8 32.5 9.1 2.0 13 13 13 13 6 2 0 0 46.2 15.4 0.0 0.0 19.2 1.9 0.0 0.0 74.9 45.4 24.7 24.7 DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Redness Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Swelling Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Pain Total ActHIB/HBV Any 182 84 46.2 38.8 53.7 184 108 58.7 51.2 65.9 179 93 52.0 44.4 59.5 ≥ Grade 2 Grade 3 Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any 182 25 13.7 9.1 19.6 184 44 23.9 17.9 30.7 179 31 182 1 0.5 0.0 3.0 184 7 3.8 1.5 7.7 179 6 182 0 0.0 0.0 2.0 184 0 0.0 0.0 2.0 179 0 17.3 3.4 0.0 12.1 23.7 1.2 7.2 0.0 2.0 182 57 31.3 24.7 38.6 184 182 15 8.2 4.7 13.2 184 182 3 1.6 0.3 4.7 184 184 77 22 3 0 41.8 12.0 1.6 0.0 34.6 7.6 0.3 0.0 49.3 17.5 4.7 2.0 179 179 179 13 64 16 2 0 35.8 8.9 1.1 0.0 28.7 5.2 0.1 0.0 43.2 14.1 4.0 24.7 184 184 184 0.0 2.0 184 66 17 1 0 35.9 9.2 0.5 0.0 28.9 5.5 0.0 0.0 43.3 14.4 3.0 2.0 13 13 13 179 5 1 0 0 38.5 7.7 0.0 0.0 13.9 0.2 0.0 0.0 68.4 36.0 24.7 2.0 182 57 31.3 24.7 38.6 184 61 33.2 26.4 40.5 179 64 35.8 28.7 43.2 > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any 182 15 8.2 182 3 1.6 182 0 0.0 4.7 13.2 184 12 6.5 3.4 11.1 179 15 0.3 4.7 184 3 1.6 0.3 4.7 179 2 0.0 2.0 184 0 0.0 0.0 2.0 179 0 8.4 1.1 0.0 4.8 13.4 0.1 4.0 0.0 2.0 182 182 182 182 16.2 2.7 0.1 0.0 182 0 40 10 2 0 0.0 184 184 184 184 51 16 2 0 27.7 8.7 1.1 0.0 21.4 5.1 0.1 0.0 34.8 13.7 3.9 2.0 179 179 179 179 44 7 3 0 24.6 3.9 1.7 0.0 18.5 1.6 0.3 0.0 31.6 7.9 4.8 2.0 184 184 184 184 40 11 1 0 21.7 6.0 0.5 0.0 16.0 3.0 0.0 0.0 28.4 10.4 3.0 2.0 13 13 13 13 3 0 0 0 23.1 0.0 0.0 0.0 5.0 0.0 0.0 0.0 53.8 24.7 24.7 24.7 182 40 22.0 16.2 28.7 184 40 21.7 16.0 28.4 179 42 23.5 17.5 30.4 > 5 mm >20 mm Medical advice 182 10 5.5 182 2 1.1 182 0 0.0 2.7 9.9 184 12 6.5 3.4 11.1 179 7 0.1 3.9 184 2 1.1 0.1 3.9 179 3 0.0 2.0 184 0 0.0 0.0 2.0 179 0 3.9 1.7 0.0 1.6 0.3 0.0 7.9 4.8 2.0 Any ≥ Grade 2 Grade 3 Medical advice Any ≥ Grade 2 Grade 3 Medical advice 172 172 172 172 Dose 3 31.6 46.7 6.3 16.0 0.0 2.1 0.0 2.1 67 18 0 0 22.0 5.5 1.1 0.0 39.0 10.5 0.0 0.0 28.7 9.9 3.9 2.0 175 175 175 175 98 45 8 1 56.0 25.7 4.6 0.6 48.3 19.4 2.0 0.0 63.5 32.9 8.8 3.1 171 171 171 171 83 28 7 0 48.5 16.4 4.1 0.0 40.8 11.2 1.7 0.0 56.3 22.8 8.3 2.1 175 175 175 175 93 41 7 1 53.1 23.4 4.0 0.6 45.5 17.4 1.6 0.0 60.7 30.4 8.1 3.1 169 169 169 169 75 25 5 0 44.4 14.8 3.0 0.0 36.8 9.8 1.0 0.0 52.2 21.1 6.8 2.2 DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Redness Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Swelling Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Pain Total ActHIB/HBV Any 172 67 39.0 31.6 46.7 175 90 51.4 43.8 59.0 170 76 44.7 37.1 52.5 ≥ Grade 2 Grade 3 Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any 172 18 10.5 6.3 16.0 175 39 22.3 16.4 29.2 170 20 172 0 0.0 0.0 2.1 175 7 4.0 1.6 8.1 170 7 172 0 0.0 0.0 2.1 175 1 0.6 0.0 3.1 170 0 11.8 4.1 0.0 7.3 17.6 1.7 8.3 0.0 2.1 172 172 172 172 175 175 175 175 81 14 4 1 46.3 8.0 2.3 0.6 38.7 4.4 0.6 0.0 54.0 13.1 5.7 3.1 171 171 171 171 65 16 2 0 38.0 9.4 1.2 0.0 30.7 5.4 0.1 0.0 45.7 14.7 4.2 2.1 175 175 175 175 69 7 1 0 39.4 4.0 0.6 0.0 32.1 1.6 0.0 0.0 47.1 8.1 3.1 2.1 169 169 169 169 51 9 2 0 30.2 5.3 1.2 0.0 23.4 2.5 0.1 0.0 37.7 9.9 4.2 2.2 172 63 36.6 29.4 44.3 175 66 37.7 30.5 45.3 170 56 32.9 25.9 40.6 > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any 172 7 172 2 172 0 4.1 1.2 0.0 1.7 8.2 175 12 6.9 3.6 11.7 170 11 0.1 4.1 175 3 1.7 0.4 4.9 170 0 0.0 2.1 175 1 0.6 0.0 3.1 170 0 6.5 0.0 0.0 3.3 11.3 0.0 2.1 0.0 2.1 172 172 172 172 25.0 4.1 0.6 0.0 18.7 1.7 0.0 0.0 > 5 mm >20 mm Medical advice Any 63 7 2 0 43 7 1 0 36.6 4.1 1.2 0.0 29.4 1.7 0.1 0.0 44.3 8.2 4.1 2.1 175 175 175 175 53 12 3 1 30.3 6.9 1.7 0.6 23.6 3.6 0.4 0.0 37.7 11.7 4.9 3.1 171 171 171 171 44 8 0 0 25.7 4.7 0.0 0.0 19.4 2.0 0.0 0.0 33.0 9.0 2.1 2.1 175 175 175 175 42 7 1 0 24.0 4.0 0.6 0.0 17.9 1.6 0.0 0.0 31.0 8.1 3.1 2.1 169 169 169 169 37 7 0 0 21.9 4.1 0.0 0.0 15.9 1.7 0.0 0.0 28.9 8.3 2.2 2.2 172 43 25.0 18.7 32.2 175 44 25.1 18.9 32.2 170 35 20.6 14.8 27.5 172 7 172 1 172 0 2.4 0.0 0.0 0.6 0.0 0.0 Across doses 67.9 60.7 74.5 189 155 82.0 75.8 87.2 188 150 79.8 73.3 85.3 31.0 24.5 38.2 189 104 55.0 47.6 62.3 188 88 4.3 1.9 8.3 189 34 18.0 12.8 24.2 188 22 0.5 0.0 2.9 189 2 1.1 0.1 3.8 188 0 46.8 11.7 0.0 39.5 54.2 7.5 17.2 0.0 1.9 189 148 78.3 71.7 84.0 188 127 189 96 50.8 43.4 58.1 188 62 189 30 15.9 11.0 21.9 188 14 67.6 33.0 7.4 60.4 74.2 26.3 40.2 4.1 12.2 187 12 7 ≥ Grade 2 187 58 Grade 3 187 8 Medical 187 1 advice Any ≥ Grade 2 Grade 3 4.1 0.6 0.0 32.2 8.2 3.2 2.1 1.7 8.2 175 10 5.7 2.8 10.3 170 4 0.0 3.2 175 3 1.7 0.4 4.9 170 0 0.0 2.1 175 1 0.6 0.0 3.1 170 0 5.9 2.1 2.1 DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Redness Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Swelling Total ActHIB/HBV DTPa-HBVIPV/Hib/DTPaHBV-IPV/DTaPIPV/HIB Medical advice Any 189 2 1.1 0.1 3.8 188 0 0.0 0.0 1.9 187 12 7 ≥ Grade 2 187 58 Grade 3 187 8 Medical 187 1 advice Any 187 93 > 5 mm 187 27 >20 mm 187 7 Medical 187 0 advice Any > 5 mm >20 Medical advice Any 187 93 > 5 mm 187 27 >20 mm 187 7 67.9 60.7 74.5 189 151 79.9 73.5 85.4 188 147 78.2 71.6 83.9 31.0 24.5 38.2 189 93 49.2 41.9 56.6 188 80 4.3 1.9 8.3 189 27 14.3 9.6 20.1 188 22 0.5 0.0 2.9 189 1 0.5 0.0 2.9 188 0 42.6 11.7 0.0 35.4 50.0 7.5 17.2 0.0 1.9 49.7 14.4 3.7 0.0 Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm Medical advice Any > 5 mm >20 mm 189 189 189 189 120 49 15 2 63.5 25.9 7.9 1.1 56.2 19.8 4.5 0.1 70.4 32.8 12.8 3.8 188 188 188 188 106 45 8 0 56.4 23.9 4.3 0.0 49.0 18.0 1.9 0.0 63.6 30.7 8.2 1.9 189 189 189 189 108 38 10 1 57.1 20.1 5.3 0.5 49.8 14.6 2.6 0.0 64.3 26.5 9.5 2.9 188 188 188 188 77 20 3 0 41.0 10.6 1.6 0.0 33.9 6.6 0.3 0.0 48.3 16.0 4.6 1.9 49.7 42.4 57.1 189 98 51.9 44.5 59.2 188 97 14.4 9.7 20.3 189 32 16.9 11.9 23.1 188 37 3.7 1.5 7.6 189 9 4.8 2.2 8.8 188 5 51.6 19.7 2.7 44.2 58.9 14.3 26.1 0.9 6.1 187 0 0.0 0.0 2.0 189 1 0.5 0.0 2.9 188 0 0.0 0.0 1.9 187 187 187 187 38.5 10.7 2.1 0.0 31.5 6.7 0.6 0.0 72 20 4 0 42.4 9.7 1.5 0.0 57.1 20.3 7.6 2.0 45.9 16.0 5.4 2.0 189 189 189 189 88 34 11 2 46.6 18.0 5.8 1.1 39.3 12.8 2.9 0.1 53.9 24.2 10.2 3.8 188 188 188 188 81 29 12 0 43.1 15.4 6.4 0.0 35.9 10.6 3.3 0.0 50.5 21.4 10.9 1.9 189 189 189 189 78 25 7 1 41.3 13.2 3.7 0.5 34.2 8.7 1.5 0.0 48.6 18.9 7.5 2.9 188 188 188 188 64 18 3 0 34.0 9.6 1.6 0.0 27.3 5.8 0.3 0.0 41.3 14.7 4.6 1.9 187 72 38.5 31.5 45.9 189 70 37.0 30.1 44.3 188 72 187 20 10.7 6.7 16.0 189 26 13.8 9.2 19.5 188 26 187 4 2.1 0.6 5.4 189 7 3.7 1.5 7.5 188 12 38.3 13.8 6.4 31.3 45.7 9.2 19.6 3.3 10.9 Medical 187 0 0.0 0.0 2.0 189 1 0.5 0.0 2.9 188 0 0.0 0.0 1.9 advice N = number of subjects with at least one documented dose n/% = number/percentage of subjects reporting the symptom at least once95%CI = Exact 95% confidence interval; LL = lower limit, UL = upper limit Any = any reports of the specified symptom irrespective of intensity grade Grade 2 Pain = Moderate: Cries/protests on touch Grade 3 Pain = Severe: Cries when limb is moved/spontaneously painful. Grade 2 Redness/Swelling: > 5 mm Grade 3 Redness/Swelling: >20 mm Secondary Outcome Results: Number (%) of subjects reporting solicited general symptom during the 4-day (Days 0-3) postvaccination period following each dose and across doses (Primary Total Vaccinated cohort) DTPa-HBV/Hib Group DTPa-HBV Group DTaP/HIB Group 95 % CI 95 % CI 95 % CI Symptom Intensity/Relati N n % LL UL N n % LL UL N n % LL UL onship Dose 1 Drowsiness Any 185 114 61.6 54.2 68.7 189 143 75.7 68.9 81.6 188 149 79.3 72.8 84.8 Irritability / Fussiness Loss Of Appetite Temperature Drowsiness Irritability / Fussiness Loss Of Appetite Temperature ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice ≥ 38.0°C >39.0 °C >40.0°C Related >40.0 °C Related Medical advice 185 36 19.5 185 3 1.6 185 112 60.5 185 3 1.6 Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice ≥ 38.0°C >39.0°C >40.0°C Related >40.0°C Related Medical advice 182 182 182 182 182 14.0 0.3 53.1 0.3 25.9 4.7 67.6 4.7 189 56 29.6 189 8 4.2 189 136 72.0 189 7 3.7 23.2 1.8 65.0 1.5 36.7 8.2 78.2 7.5 188 53 28.2 188 12 6.4 188 141 75.0 188 12 6.4 21.9 3.3 68.2 3.3 35.2 10.9 81.0 10.9 185 1 0.5 0.0 3.0 189 0 0.0 0.0 1.9 188 0 0.0 0.0 1.9 185 115 62.2 54.8 69.2 189 165 87.3 81.7 91.7 188 153 81.4 75.1 86.7 185 42 22.7 16.9 29.4 189 79 41.8 34.7 49.2 188 68 36.2 29.3 43.5 185 9 4.9 2.2 9.0 189 17 9.0 5.3 14.0 188 15 8.0 4.5 12.8 185 113 61.1 53.7 68.1 189 163 86.2 80.5 90.8 188 147 78.2 71.6 83.9 185 9 4.9 2.2 9.0 189 17 9.0 5.3 14.0 188 15 8.0 4.5 12.8 185 185 185 185 185 185 1 0.5 0.0 3.0 189 53 28.6 22.3 35.7 189 8 4.3 1.9 8.3 189 0 0.0 0.0 2.0 189 48 25.9 19.8 32.9 189 0 0.0 0.0 2.0 189 0 0.0 0.0 1.9 188 76 40.2 33.2 47.6 188 13 6.9 3.7 11.5 188 1 0.5 0.0 2.9 188 73 38.6 31.6 46.0 188 1 0.5 0.0 2.9 188 0 0.0 0.0 1.9 80 42.6 35.4 50.0 26 13.8 9.2 19.6 4 2.1 0.6 5.4 77 41.0 33.9 48.3 4 2.1 0.6 5.4 185 185 185 185 185 185 0 0.0 0.0 2.0 189 22 11.9 7.6 17.4 189 0 0.0 0.0 2.0 189 0 0.0 0.0 2.0 189 15 8.1 4.6 13.0 189 0 0.0 0.0 2.0 189 0 0.0 0.0 1.9 188 34 18.0 12.8 24.2 188 0 0.0 0.0 1.9 188 0 0.0 0.0 1.9 188 31 16.4 11.4 22.5 188 0 0.0 0.0 1.9 188 0 0.0 0.0 1.9 29 15.4 10.6 21.4 2 1.1 0.1 3.8 0 0.0 0.0 1.9 27 14.4 9.7 20.2 0 0.0 0.0 1.9 185 0 0 0 0.0 0.0 2.0 Dose 2 97 53.3 45.8 60.7 31 17.0 11.9 23.3 8 4.4 1.9 8.5 94 51.6 44.1 59.1 7 3.8 1.6 7.8 189 0.0 0.0 1.9 188 0.0 0.0 1.9 184 132 71.7 64.6 78.1 179 109 60.9 53.3 68.1 184 43 23.4 17.5 30.2 179 39 21.8 16.0 28.6 184 7 3.8 1.5 7.7 179 4 2.2 0.6 5.6 184 126 68.5 61.2 75.1 179 108 60.3 52.8 67.6 184 7 3.8 1.5 7.7 179 3 1.7 0.3 4.8 182 0 0.0 0.0 2.0 184 0 0.0 0.0 2.0 179 0 0.0 0.0 2.0 182 128 70.3 63.1 76.9 184 147 79.9 73.4 85.4 179 136 76.0 69.0 82.0 182 53 29.1 22.6 36.3 184 70 38.0 31.0 45.5 179 61 34.1 27.2 41.5 182 6 3.3 1.2 7.0 184 14 7.6 4.2 12.4 179 11 6.1 3.1 10.7 182 125 68.7 61.4 75.3 184 143 77.7 71.0 83.5 179 133 74.3 67.2 80.5 182 6 3.3 1.2 7.0 184 13 7.1 3.8 11.8 179 11 6.1 3.1 10.7 182 182 182 182 182 182 0 0.0 0.0 2.0 184 56 30.8 24.2 38.0 184 17 9.3 5.5 14.5 184 1 0.5 0.0 3.0 184 52 28.6 22.1 35.7 184 1 0.5 0.0 3.0 184 0 0.0 0.0 2.0 179 55 29.9 23.4 37.1 179 15 8.2 4.6 13.1 179 1 0.5 0.0 3.0 179 51 27.7 21.4 34.8 179 1 0.5 0.0 3.0 179 2 1.1 0.1 4.0 56 31.3 24.6 38.6 15 8.4 4.8 13.4 2 1.1 0.1 4.0 55 30.7 24.1 38.0 2 1.1 0.1 4.0 182 182 182 182 182 182 0 0.0 0.0 2.0 184 47 25.8 19.6 32.8 184 2 1.1 0.1 3.9 184 0 0.0 0.0 2.0 184 37 20.3 14.7 26.9 184 0 0.0 0.0 2.0 184 0 0.0 0.0 2.0 179 36 19.6 14.1 26.0 179 3 1.6 0.3 4.7 179 0 0.0 0.0 2.0 179 32 17.4 12.2 23.7 179 0 0.0 0.0 2.0 179 1 0.6 0.0 3.1 34 19.0 13.5 25.5 2 1.1 0.1 4.0 0 0.0 0.0 2.0 32 17.9 12.6 24.3 0 0.0 0.0 2.0 182 0 0 0 0.0 0.0 2.0 184 0.0 0.0 2.0 179 0.0 0.0 2.0 Drowsiness Irritability / Fussiness Loss Of Appetite Temperature Drowsiness Irritability / Fussiness Loss Of Appetite Temperature Dose 3 86 50.0 42.3 57.7 175 108 61.7 54.1 68.9 170 24 14.0 9.1 20.0 175 37 21.1 15.3 27.9 170 3 1.7 0.4 5.0 175 5 2.9 0.9 6.5 170 82 47.7 40.0 55.4 175 106 60.6 52.9 67.9 170 3 1.7 0.4 5.0 175 5 2.9 0.9 6.5 170 Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice ≥ 38.0°C >39.0°C >40.0°C Related >40.0°C Related Medical advice 172 172 172 172 172 Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice Any ≥ Grade 2 Grade 3 Related Grade 3 Related Medical advice ≥ 38.0°C >39.0°C >40.0°C Related 187 148 187 67 187 11 187 145 187 11 88 51.8 44.0 59.5 25 14.7 9.7 20.9 9 5.3 2.4 9.8 86 50.6 42.8 58.3 9 5.3 2.4 9.8 172 0 0.0 0.0 2.1 175 2 1.1 0.1 4.1 170 1 0.6 0.0 3.2 172 126 73.3 66.0 79.7 175 135 77.1 70.2 83.1 170 122 71.8 64.4 78.4 172 46 26.7 20.3 34.0 175 58 33.1 26.2 40.6 170 58 34.1 27.0 41.8 172 6 3.5 1.3 7.4 175 15 8.6 4.9 13.7 170 11 6.5 3.3 11.3 172 121 70.3 62.9 77.1 175 130 74.3 67.1 80.6 170 120 70.6 63.1 77.3 172 6 3.5 1.3 7.4 175 13 7.4 4.0 12.4 170 11 6.5 3.3 11.3 172 172 172 172 172 172 0 0.0 0.0 2.1 175 46 26.7 20.3 34.0 175 11 6.4 3.2 11.2 175 1 0.6 0.0 3.2 175 44 25.6 19.2 32.8 175 1 0.6 0.0 3.2 175 3 1.7 0.4 4.9 170 58 33.1 26.2 40.6 170 13 7.4 4.0 12.4 170 2 1.1 0.1 4.1 170 57 32.6 25.7 40.1 170 2 1.1 0.1 4.1 170 1 0.6 0.0 3.2 53 31.2 24.3 38.7 15 8.8 5.0 14.1 2 1.2 0.1 4.2 52 30.6 23.8 38.1 2 1.2 0.1 4.2 172 172 172 172 172 172 0 0.0 0.0 2.1 175 40 23.3 17.2 30.3 175 4 2.3 0.6 5.8 175 0 0.0 0.0 2.1 175 35 20.3 14.6 27.1 175 0 0.0 0.0 2.1 175 1 0.6 0.0 3.1 170 45 25.7 19.4 32.9 170 11 6.3 3.2 11.0 170 2 1.1 0.1 4.1 170 39 22.3 16.4 29.2 170 2 1.1 0.1 4.1 170 0 0.0 0.0 2.1 37 21.8 15.8 28.7 7 4.1 1.7 8.3 0 0.0 0.0 2.1 35 20.6 14.8 27.5 0 0.0 0.0 2.1 172 1 0.6 0.0 3.2 175 2 1.1 0.1 4.1 170 1 0.6 0.0 3.2 Across doses 79.1 72.6 84.7 189 172 91.0 86.0 94.7 188 168 89.4 84.0 93.4 35.8 29.0 43.2 189 88 46.6 39.3 53.9 188 81 43.1 35.9 50.5 5.9 3.0 10.3 189 19 10.1 6.2 15.3 188 22 11.7 7.5 17.2 77.5 70.9 83.3 189 170 89.9 84.7 93.8 188 166 88.3 82.8 92.5 5.9 3.0 10.3 189 18 9.5 5.7 14.6 188 21 11.2 7.0 16.6 187 1 0.5 0.0 2.9 189 2 1.1 0.1 3.8 188 1 0.5 0.0 2.9 187 164 87.7 82.1 92.0 189 182 96.3 92.5 98.5 188 177 94.1 89.8 97.0 187 96 51.3 43.9 58.7 189 128 67.7 60.6 74.3 188 120 63.8 56.5 70.7 187 18 9.6 5.8 14.8 189 35 18.5 13.3 24.8 188 30 16.0 11.0 22.0 187 161 86.1 80.3 90.7 189 180 95.2 91.2 97.8 188 175 93.1 88.5 96.3 187 18 9.6 5.8 14.8 189 34 18.0 12.8 24.2 188 30 16.0 11.0 22.0 187 187 187 187 187 187 1 0.5 0.0 2.9 189 3 1.6 0.3 4.6 188 3 1.6 0.3 4.6 95 50.8 43.4 58.2 189 111 58.7 51.4 65.8 188 117 62.2 54.9 69.2 28 15.0 10.2 20.9 189 32 16.9 11.9 23.1 188 39 20.7 15.2 27.2 2 1.1 0.1 3.8 189 3 1.6 0.3 4.6 188 6 3.2 1.2 6.8 91 48.7 41.3 56.1 189 109 57.7 50.3 64.8 188 116 61.7 54.3 68.7 2 1.1 0.1 3.8 189 3 1.6 0.3 4.6 188 6 3.2 1.2 6.8 187 187 187 187 187 0 0.0 0.0 2.0 189 72 38.5 31.5 45.9 189 6 3.2 1.2 6.9 189 0 0.0 0.0 2.0 189 61 32.6 26.0 39.8 189 1 0.5 0.0 2.9 188 78 41.3 34.2 48.6 188 14 7.4 4.1 12.1 188 2 1.1 0.1 3.8 188 74 39.2 32.2 46.5 188 1 0.5 0.0 2.9 71 37.8 30.8 45.1 10 5.3 2.6 9.6 0 0.0 0.0 1.9 68 36.2 29.3 43.5 >40.0°C 187 0 0.0 0.0 2.0 189 2 1.1 0.1 3.8 188 0 0.0 0.0 1.9 Related Medical advice 187 1 0.5 0.0 2.9 189 2 1.1 0.1 3.8 188 1 0.5 0.0 2.9 N = number of subjects with at least one documented dose n/% = number/percentage of subjects reporting the symptom at least once 95%CI = Exact 95% confidence interval; LL = lower limit, UL = upper limit Any = any reports of the specified symptom irrespective of intensity grade Related = Symptoms which is assessed by the investigator as related to vaccination Grade 2 Drowsiness, Irritability/Fussiness: Moderate: Interfered with normal activity Grade 2 Loss of appetite: Moderate: Ate less than usual/interfered with normal activity Grade 3 Drowsiness: Severe: Drowsiness that prevents normal activity Grade 3 Irritability: Severe: Crying that cannot be comforted/prevents normal activity Grade 3 Loss of appetite: Severe: Not eating at all Grade 2 Temperature: >39.0°C Grade 3 Temperature: >40.0°C Secondary Outcome Results: Number (%) of subjects with NOCD events reported till Database Freeze date (19 Jun 2015) for Primary Epoch analysis (Primary Total Vaccinated cohort) Most frequent adverse events DTPa-HBV/Hib DTPa-HBV DTaP/HIB Group On-Therapy (up to the database freeze date) Group Group N = 196 N = 195 N = 194 Subjects with any AE(s), n (%) 4 (2.1) 2 (1.0) 3 (1.5) Dermatitis atopic 2 (1.0) 2 (1.0) Bronchial hyperreactivity 2 (1.0) Asthma 1 (0.5) Drug hypersensitivity 1 (0.5) Food allergy 1 (0.5) Hypersensitivity 1 (0.5) - : Adverse event absent Note: The data presented represents data up to the date of the database freeze, which was before the completion of the full 6 months of safety following up after dose 3. Safety Results: Number (%) of subjects with AEs reported during 31-day (Days 0-30) post-vaccination period (Primary Total Vaccinated cohort) Most frequent adverse events DTPa-HBV/Hib DTPa-HBV DTaP/HIB Group On-Therapy (occurring within day 0-30 following Group Group N = 196 vaccination) N = 195 N = 194 Subjects with any AE(s), n (%) 111 (56.9) 108 (55.7) 96 (49.0) Upper respiratory tract infection 29 (14.9) 23 (11.9) 26 (13.3) Pyrexia 11 (5.6) 5 (2.6) 15 (7.7) Cough 15 (7.7) 7 (3.6) 7 (3.6) Vomiting 9 (4.6) 8 (4.1) 10 (5.1) Otitis media 9 (4.6) 7 (3.6) 9 (4.6) Diarrhoea 6 (3.1) 5 (2.6) 10 (5.1) Teething 5 (2.6) 8 (4.1) 8 (4.1) Conjunctivitis 10 (5.1) 8 (4.1) Injection site pain 4 (2.1) 6 (3.1) 7 (3.6) Dermatitis diaper 9 (4.6) Eczema 4 (2.1) 5 (2.6) Gastrooesophageal reflux disease 8 (4.1) Constipation 6 (3.1) Nasal congestion 6 (3.1) Rash 6 (3.1) Injection site erythema 4 (2.1) Injection site swelling 4 (2.1) Irritability 4 (2.1) - Counting rule applied: As there were more than 30 subjects per treatment group and ≤ 3 groups, only the 10 most frequent events in each treatment group are to be listed. -: Implies that adverse event was not reported in the particular group or that the adverse event was reported in the particular group but did not fall within the pre-defined counting rule of 10 most frequent events for that group. Safety Results: Number (%) of subjects with SAEs reported till DBF date (19 Jun 2015) for Primary Epoch analysis (Primary Total Vaccinated cohort) Serious adverse event, n (%) [n considered by the investigator to be related to study medication] All SAEs DTPa-HBV/Hib DTPa-HBV DTaP/HIB Group Group Group N = 196 N = 195 N = 194 Subjects with any SAE(s), n (%) [n assessed by the investigator 7 (3.6) [2] 1 (0.5) [0] 7 (3.6) [0] as related] Gastroenteritis viral 1 (0.5) [0] 1 (0.5) [0] 0 (0.0) [0] Parainfluenzae virus infection 0 (0.0) [0] 0 (0.0) [0] 2 (1.0) [0] Respiratory distress 2 (1.0) [0] 0 (0.0) [0] 0 (0.0) [0] Respiratory syncytial virus bronchiolitis 1 (0.5) [0] 0 (0.0) [0] 1 (0.5) [0] Apparent life threatening event 1 (0.5) [1] 0 (0.0) [0] 0 (0.0) [0] Choking 1 (0.5) [0] 0 (0.0) [0] 0 (0.0) [0] Dehydration 0 (0.0) [0] 0 (0.0) [0] 1 (0.5) [0] Febrile convulsion 0 (0.0) [0] 0 (0.0) [0] 1 (0.5) [0] Gastrooesophageal reflux disease 1 (0.5) [0] 0 (0.0) [0] 0 (0.0) [0] Hypoxia 1 (0.5) [0] 0 (0.0) [0] 0 (0.0) [0] Lethargy 1 (0.5) [1] 0 (0.0) [0] 0 (0.0) [0] Leukocytosis 1 (0.5) [1] 0 (0.0) [0] 0 (0.0) [0] Meningitis viral 1 (0.5) [0] 0 (0.0) [0] 0 (0.0) [0] Mental status changes 0 (0.0) [0] 0 (0.0) [0] 1 (0.5) [0] Pneumonia 0 (0.0) [0] 0 (0.0) [0] 1 (0.5) [0] Respiratory syncytial virus infection 0 (0.0) [0] 0 (0.0) [0] 1 (0.5) [0] Road traffic accident 0 (0.0) [0] 0 (0.0) [0] 1 (0.5) [0] Seizure 1 (0.5) [0] 0 (0.0) [0] 0 (0.0) [0] Fatal SAEs DTPa/Hib Group DTPa Group DTaP-IPV/HIB Group N = 195 N = 194 N = 196 Subjects with fatal SAE(s), n (%) [n assessed by the investigator 0 (0.0) [0] 0 (0.0) [0] 0 (0.0) [0] as related] Conclusion: During the 31-day (Days 0-30) period following primary vaccination, at least one unsolicited symptom was reported for 111 (56.9%) subjects in the DTPa-HBV/Hib Group, 108 (55.7%) of subjects in the DTPa-HBV Group and 96 (49.0%) subjects in the DTaP/HIB Group. During the Primary Phase of the study (Months 0-10), SAEs were reported for 7, 1 and 7 subjects from the DTPa-HBV/Hib, DTPa-HBV and DTaP/HIB groups, respectively. SAEs that were assessed by the investigator to be causally related to study vaccination were reported for two subjects in the DTPa-HBV/Hib Group (Lethargy in one subject and Apparent life threatening event and Leukocytosis in the other subject). No fatal SAEs were reported. Date updated: 29-September-2015
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