Trial Outcomes & Findings for A Study in Adolescent Females to Explore Cytomegalovirus Infection (NCT NCT01691820)

NCT ID: NCT01691820

Last Updated: 2021-04-27

Results Overview

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV Immunoglobulin G (IgG) concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

369 participants

Primary outcome timeframe

At Month 4

Results posted on

2021-04-27

Participant Flow

Enrolment was terminated once approximately 240 seropositive subjects were included in the trial, to obtain approximately 200 evaluable seropositive subjects. The number of seronegative subjects enrolled depended on the seroprevalence of the participating countries.

Of the 369 enrolled subjects, 363 were female subjects and 6 were newborns of some subjects. Consent was signed for the newborns to allow testing for CMV disease. The objectives assessed the CMV infections in the adolescent females with a known serostatus (N=362); no demographics, outcome measures, or adverse events were assessed in newborns.

Participant milestones

Participant milestones
Measure
Group S+
Cytomegalovirus (CMV) seropositive subjects aged between 10-17 years at enrollment in the study.
Group S-
Cytomegalovirus (CMV) seronegative subjects aged between 10-17 years at enrollment in the study.
Overall Study
STARTED
210
152
Overall Study
COMPLETED
184
115
Overall Study
NOT COMPLETED
26
37

Reasons for withdrawal

Reasons for withdrawal
Measure
Group S+
Cytomegalovirus (CMV) seropositive subjects aged between 10-17 years at enrollment in the study.
Group S-
Cytomegalovirus (CMV) seronegative subjects aged between 10-17 years at enrollment in the study.
Overall Study
Consent withdrawal (not due to an AE)
9
15
Overall Study
Migrated/moved from study area
7
4
Overall Study
Lost to Follow-up
6
17
Overall Study
Other (unspecified)
4
1

Baseline Characteristics

A Study in Adolescent Females to Explore Cytomegalovirus Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group S+
n=210 Participants
CMV seropositive subjects, aged 10-17 years at enrollment in the study.
Group S-
n=152 Participants
CMV seronegative subjects, aged 10-17 years at enrollment in the study.
Total
n=362 Participants
Total of all reporting groups
Age, Continuous
13.5 Years
STANDARD_DEVIATION 2.1 • n=99 Participants
13.4 Years
STANDARD_DEVIATION 2.2 • n=107 Participants
13.5 Years
STANDARD_DEVIATION 2.1 • n=206 Participants
Sex: Female, Male
Female
210 Participants
n=99 Participants
152 Participants
n=107 Participants
362 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
African Heritage / African American
8 Participants
n=99 Participants
8 Participants
n=107 Participants
16 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian - South East Asian Heritage
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race/Ethnicity, Customized
White - Arabic / North African Heritage
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race/Ethnicity, Customized
White - Caucasian / European Heritage
64 Participants
n=99 Participants
93 Participants
n=107 Participants
157 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
137 Participants
n=99 Participants
50 Participants
n=107 Participants
187 Participants
n=206 Participants

PRIMARY outcome

Timeframe: At Month 4

Population: This analysis was performed on CMV seropositive subjects with available results at Month 4 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV Immunoglobulin G (IgG) concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=202 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
anti-Teg IgG - Two-fold and above increases
5 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
anti-Teg IgG -Four-fold and above increases
2 Participants

PRIMARY outcome

Timeframe: At Month 8

Population: This analysis was performed on CMV seropositive subjects with available results at Month 8 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=197 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
5 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
1 Participants

PRIMARY outcome

Timeframe: At Month 12

Population: This analysis was performed on CMV seropositive subjects with available results at Month 12 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=198 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
6 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
3 Participants

PRIMARY outcome

Timeframe: At Month 16

Population: This analysis was performed on CMV seropositive subjects with available results at Month 16 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=196 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
1 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
0 Participants

PRIMARY outcome

Timeframe: At Month 20

Population: This analysis was performed on CMV seropositive subjects with available results at Month 20 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=191 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
5 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
2 Participants

PRIMARY outcome

Timeframe: At Month 24

Population: This analysis was performed on CMV seropositive subjects with available results at Month 24 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=189 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
6 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
2 Participants

PRIMARY outcome

Timeframe: At Month 28

Population: This analysis was performed on CMV seropositive subjects with available results at Month 28 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=188 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
5 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
1 Participants

PRIMARY outcome

Timeframe: At Month 32

Population: This analysis was performed on CMV seropositive subjects with available results at Month 32 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=184 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
1 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
1 Participants

PRIMARY outcome

Timeframe: At Month 36

Population: This analysis was performed on CMV seropositive subjects with available results at Month 36 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. Two-fold and above increases" category = subjects that had two-fold and above increases of anti-CMV IgG concentration. "Four-fold and above increases" = subjects that had four-fold and above increases of anti-CMV IgG concentration. The cut-off of the assay = 1.136 ELISA unit (EU)/mL. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV.

Outcome measures

Outcome measures
Measure
Group S+
n=180 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Two-fold and above increases
3 Participants
Number of CMV Seropositive Subjects With Appearance or Increase of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Four-fold and above increases
0 Participants

PRIMARY outcome

Timeframe: At Month 0

Population: This analysis was performed on CMV seropositive subjects with available results at Month 0 from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL.

Outcome measures

Outcome measures
Measure
Group S+
n=206 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
5.4 EU/mL
Interval 4.9 to 6.1

PRIMARY outcome

Timeframe: At Month 4

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 4, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=5 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
32.2 EU/mL
Interval 14.4 to 72.0

PRIMARY outcome

Timeframe: At Month 8

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 8, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=5 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
10.3 EU/mL
Interval 2.8 to 38.0

PRIMARY outcome

Timeframe: At Month 12

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 12, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=6 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
9.8 EU/mL
Interval 2.7 to 34.9

PRIMARY outcome

Timeframe: At Month 16

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 16, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=1 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
26.5 EU/mL
No Upper or Lower limits could be computed since there was only 1 subject who met the criterion.

PRIMARY outcome

Timeframe: At Month 20

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 20, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=5 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
10.1 EU/mL
Interval 3.7 to 27.7

PRIMARY outcome

Timeframe: At Month 24

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 24, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=6 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
9.3 EU/mL
Interval 5.4 to 16.0

PRIMARY outcome

Timeframe: At Month 28

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 28, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point)

Outcome measures

Outcome measures
Measure
Group S+
n=5 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
8.3 EU/mL
Interval 2.4 to 28.9

PRIMARY outcome

Timeframe: At Month 32

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 32, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=1 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
14.4 EU/mL
No Upper or Lower limits could be computed since there was only 1 subject who met the criterion.

PRIMARY outcome

Timeframe: At Month 36

Population: This analysis was performed on CMV seropositive subjects with available results and meeting the two-fold increase or above, at Month 36, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. A seropositive subject is a subject for whom anti-CMV IgG antibodies were detected in serum sample collected at Month 0. CMV secondary infections are defined as either a viral reactivation or a re-infection with a new strain of CMV. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL. GMC was calculated on subjects meeting a two-fold increase or above (i.e.: subjects that had two-fold and above increases \[including four-fold\] of CMV anti-tegument IgG compared with previous time point).

Outcome measures

Outcome measures
Measure
Group S+
n=3 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration in Serum (ELISA).
6.9 EU/mL
Interval 2.0 to 23.8

PRIMARY outcome

Timeframe: At Month 4

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 4, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR), for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL") and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= "≥6720 copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=8 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV Deoxyribonucleic Acid (DNA) Copies (pp65 Gene) in Urine
> 0 Copies/mL
754.1 DNA copies/mL
Interval 144.6 to 3932.9
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV Deoxyribonucleic Acid (DNA) Copies (pp65 Gene) in Urine
≥ 6720 Copies/mL
8310.0 DNA copies/mL
No Upper or Lower limits could be computed since there was only 1 subject in this category.

PRIMARY outcome

Timeframe: At Month 8

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 8, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL") and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= "≥6720 copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=11 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
> 0 Copies/mL
361.5 DNA copies/mL
Interval 166.9 to 783.3
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
≥ 6720 Copies/mL
15386.0 DNA copies/mL
No Upper or Lower limits could be computed since there was only 1 subject in this category.

PRIMARY outcome

Timeframe: At Month 12

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 12, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=10 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
647.4 DNA copies/mL
Interval 213.1 to 1966.6

PRIMARY outcome

Timeframe: At Month 16

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 16, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=9 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
348.7 DNA copies/mL
Interval 129.8 to 936.9

PRIMARY outcome

Timeframe: At Month 20

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 20, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=3 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
199.4 DNA copies/mL
Interval 97.5 to 408.0

PRIMARY outcome

Timeframe: At Month 24

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 24,from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=8 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
322.1 DNA copies/mL
Interval 112.8 to 919.4

PRIMARY outcome

Timeframe: At Month 28

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 28,from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL") and for CMV seropositive subjects with increase of CMV DNA (≥6720 copies/mL) and 0\<DNA copies \<LLOQ (6720 copies/mL) in prior urine sample (category name= "≥6720 copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=7 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
> 0 Copies/mL
421.9 DNA copies/mL
Interval 71.3 to 2497.2
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
≥ 6720 Copies/mL
7369.0 DNA copies/mL
No Upper or Lower limits could be computed since there was only 1 subject in this category.

PRIMARY outcome

Timeframe: At Month 32

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 32, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=3 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
186.1 DNA copies/mL
Interval 15.0 to 2308.8

PRIMARY outcome

Timeframe: At Month 36

Population: This analysis was performed on the seropositive subjects with DNA copies data in prior urine sample and with CMV DNA copies above the specified cut-off, at Month 36, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures

This outcome was part of the assessment of occurrence of CMV secondary infections determined in all seropositive subjects. The concentration of DNA copies was assessed by quantitative Polymerase Chain Reaction (qPCR),for CMV seropositive subjects with appearance of CMV DNA (\>0 copies/mL) and DNA copies=0 in prior urine sample (category="\> 0 Copies/mL").

Outcome measures

Outcome measures
Measure
Group S+
n=7 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Geometric Mean CMVpp65 Antibody Concentration in Subjects Based on Number of CMV DNA Copies (pp65 Gene) in Urine
915.3 DNA copies/mL
Interval 123.0 to 6808.7

SECONDARY outcome

Timeframe: From study Month 0 to Month 36

Population: This analysis was performed on the seronegative subjects with available results at the specified timepoints, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome was part of the assessment of occurrence of CMV primary infections determined in all seronegative subjects, on samples collected during the 4-month site visits until study conclusion. A seronegative subject is a subject for whom anti-CMV IgG antibodies were not detected in serum sample collected at Month 0. CMV primary infection is defined as the first infection with CMV in subjects who were seronegative at enrollment.

Outcome measures

Outcome measures
Measure
Group S+
n=152 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 0
0 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 4
5 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 8
5 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 12
4 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 16
6 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 20
8 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 24
12 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 28
8 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 32
9 Participants
Number of CMV Seronegative Subjects With Appearance of Anti-CMV Tegument Protein IgG Antibodies in Serum.
Month 36
12 Participants

SECONDARY outcome

Timeframe: From study Month 0 to Month 36

Population: This analysis was performed on the seronegative subjects with available results at Month 0, or on the seronegative subjects with antibody concentration above 1.136 U/mL for the other time points, from the According-to-Protocol cohort, which included all subjects who met all inclusion criteria and no exclusion criteria for the study, who did not have any elimination criteria during the study and who complied with the study procedures.

This outcome is part of the assessment of occurrence of CMV primary infections determined in all seronegative subjects, on samples collected during the 4-month site visits until study conclusion. A seronegatve subject is a subject for whom anti-CMV IgG antibodies were not detected in serum sample collected at Month 0. CMV primary infection is defined as the first infection with CMV in subjects who were seronegative at enrollment. Antibody concentrations were tabulated as geometric mean concentrations (GMC) and expressed as ELISA units (EU)/mL. The cut-off of the assay = 1.136 EU/mL.

Outcome measures

Outcome measures
Measure
Group S+
n=152 Participants
CMV seropositive subjects aged between 10-17 years at enrollment in the study.
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 0
0.4 EU/mL
Interval 0.3 to 0.4
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 4
2.4 EU/mL
Interval 0.8 to 7.2
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 8
2.6 EU/mL
Interval 0.8 to 9.0
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 12
1.8 EU/mL
Interval 0.5 to 6.7
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 16
3.5 EU/mL
Interval 1.2 to 9.8
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 20
4.5 EU/mL
Interval 2.2 to 9.3
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 24
2.7 EU/mL
Interval 1.5 to 5.0
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 28
3.5 EU/mL
Interval 1.4 to 8.4
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 32
3.4 EU/mL
Interval 1.7 to 7.1
Anti-CMV Tegument Protein IgG Antibody Concentration of Seronegative Subjects
Month 36
4.5 EU/mL
Interval 2.1 to 9.6

Adverse Events

Group S+

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group S-

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee 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.
  • Publication restrictions are in place

Restriction type: OTHER