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Phase 2 N=601 Randomized Prevention

Study of the Safety and Immune Response of a Meningococcal Vaccine Administered to Healthy Infants

Prevention of Meningococcal Disease

Enrolled (actual)
601
Serious AEs
12.2%
Results posted
Jun 2014
Primary outcome: Primary: Percentages of Subjects With hSBA Titers ≥ 1:4 Against N. Meningitidis Serogroups A, C, W, and Y Following 3 Doses of MenACWY Ad+ Vaccine — 6; 0; 93; 81 percentages of subjects

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
MenACWY Ad- (MenACWY-CRM, non adjuvanted formulation) (Biological); MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation) (Biological); MenACWY PS (MenACWY-CRM, polysaccharide vaccine) (Biological); HBV (Hepatitis B vaccine) (Biological); Prevnar (pneumococcal polysaccharide serotypes 4, 9V, 14, 18C, 19F, 23F & 6B conjugated to the CRM197) (Biological); MMR (Measles, Mumps and Rubella vaccine) (Biological); DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine) (Biological); Menjugate (Men C conjugated vaccine) (Biological)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
Novartis Vaccines
Primary completion
Jul 2005

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentages of Subjects With hSBA Titers ≥ 1:4 Against N. Meningitidis Serogroups A, C, W, and Y Following 3 Doses of MenACWY Ad+ Vaccine
6; 0; 93; 81; 18; 15
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:8 Against N. Meningitidis Serogroups A, C, W, and Y Following 3 Doses of MenACWY Ad+ Conjugate Vaccine
4; 0; 88; 76; 9; 5
SECONDARY
Geometric Mean hSBA Titers (GMTs) Following 3 Doses of MenACWY Ad+ Conjugate Vaccine
2.2; 2; 53; 21; 2.79; 2.64
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:4 or ≥ 1:8 Against N. Meningitidis Serogroups A, C, W, and Y Following 2 Doses of Novartis MenACWY Ad+ or Novartis MenACWY Ad- Conjugate Vaccines
4; 3; 3; 4; 60; 66
SECONDARY
Geometric Mean hSBA Titer (GMTs) Following 2 Doses of MenACWY Ad+ and MenACWY Ad- Conjugate Vaccines
2.17; 2.07; 2.05; 2.08; 12; 11
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:4 or ≥ 1:8 Against N. Meningitidis Serogroups A, C, W & Y After a Booster Dose of MenACWY Ad+ or Ad- Vaccine in a Subgroup of Subjects Following 2 or 3 Doses or MenACWY Ad+ or 2 Doses of MenACWY Ad- Vaccine
8; 7; 21; 5; 3; 86
SECONDARY
Geometric Mean hSBA Titers (GMT) After a Booster Dose of MenACWY Ad+ or Ad- Vaccine Conjugate in a Subgroup of Subjects Following Either 2 or 3 Doses of MenACWY Ad+ Vaccine or 2 Doses of MenACWY Ad- Conjugate Vaccines
2.31; 2.22; 2.97; 2.18; 2.07; 47
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:4 and ≥ 1:8 Against N. Meningitidis Serogroups A, C, W and Y Following 2 Doses of Novartis MenACWY Ad+ Vaccine, Novartis MenACWY Ad- Vaccine or Novartis Menjugate Vaccine
0; 8; 6; 8; 5; 0
SECONDARY
Geometric Mean hSBA Titers (GMTs) After 2 Doses of Novartis MenACWY Ad+ Vaccines, Novartis MenACWY Ad- Vaccine, or Novartis Menjugate Vaccine.
2; 2.32; 2.2; 2.29; 2.18; 27
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:4 and ≥ 1:8 Against N. Meningitidis Serogroup A, C, W and Y Following 3 Doses of Novartis MenACWY Ad+ Conjugate Vaccine
21; 35; 16; 29; 59; 75
SECONDARY
Geometric Mean hSBA Titers (GMTs) Following 3 Doses of Novartis MenACWY Ad+ Conjugate Vaccine
3.02; 3.93; 7.56; 14; 15; 20
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:4 or ≥ 1:8 in Subjects Challenged With a Reduced Dose of Licensed Meningococcal ACWY PS Vaccine Following 3 Doses of Novartis MenACWY Ad+ Conjugate Vaccine
27; 89; 23; 86; 74; 95
SECONDARY
Geometric Mean hSBA Titers (GMTs) in Subjects Challenged With a Reduced Dose of Licensed Meningococcal ACWY PS Vaccine Following 3 Doses of Novartis MenACWY Ad+ Conjugate Vaccine
3.4; 32; 12; 82; 17; 249
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 1:4 or ≥ 1:8 in Subjects Challenged With a Reduced Dose of Licensed Meningococcal ACWY PS Vaccine Following Two Doses of Novartis MenACWY Ad+ or MenACWY Ad- Conjugate Vaccine
8; 8; 78; 92; 5; 5
SECONDARY
Geometric Mean hSBA Titers (GMTs) in Subjects Challenged With a Reduced Dose of Licensed Meningococcal ACWY PS Vaccine Following Two Doses of Novartis MenACWY Ad+ or MenACWY Ad- Conjugate Vaccine
2.22; 2.31; 28; 55; 5.21; 5.07
SECONDARY
Percentages of Subjects With hSBA ≥ 1:4 and ≥ 1:8 of MenACWY Ad+ Conjugate Vaccine
6; 0; 4; 3; 93; 81
SECONDARY
Percentages of Subjects With hSBA ≥ 1:4 and ≥ 1:8 in Subjects Challenged With a Reduced Dose of a Licensed Meningococcal ACWY PS Vaccine Following 2 or 3 Doses of MenACWY Ad+ Conjugate Vaccine
27; 8; 89; 78; 23; 5
SECONDARY
Percentages of Subjects With Antibody Response to Routine Vaccines (Hib, Diphtheria, Tetanus, Hepatitis B) When Routine Vaccines Are Given Concomitantly With Novartis MenACWY Ad+ or Novartis MenACWY Ad- Conjugate Vaccines
75; 79; 70; 93; 87; 71
SECONDARY
ELISA GMT Concentrations for Routine Vaccines (Hib, Diphtheria, Tetanus, Hepatitis B) When Given Concomitantly With Novartis MenACWY Ad+ or Novartis MenACWY Ad- Conjugate Vaccines for Hib, Diphtheria, Tetanus, Hepatitis B
0.32; 0.31; 0.23; 0.28; 0.25; 0.18
SECONDARY
Percentages of Subjects With hSBA ≥ 1:4 and ≥ 1:8 Against N. Meningitidis Serogroup C Following 2 Doses of MenACWY Ad+ or Ad- Conjugate Vaccine (Containing 5 μg of MenC Oligosaccharide) or 2 Doses of Menjugate (Containing 10 μg of MenC Oligosaccharide)
23; 13; 15; 20; 20; 98
SECONDARY
Number of Subjects Reporting Solicited Local and Systemic Adverse Events After 2 or 3 Dose Primary Vaccination Series With MenACWY Ad+ or MenACWY Ad-
40; 31; 18; 46; 32; 41
SECONDARY
Number of Subjects Reporting Solicited Local and Systemic Adverse Events After MenACWY Ad+ and MenACWY Ad- Booster or Polysaccharide Challenge Administered at 12 Months of Age
7; 11; 10; 0; 10; 7

Summary

The purpose of this study is to evaluate the safety, immunogenicity and induction of immune memory after two or three doses of Novartis (Formerly Chiron) Meningococcal ACWY Conjugate Vaccine administered to healthy infants.

Eligibility Criteria

Inclusion Criteria

Individuals eligible for enrollment in this study were male, and female infants:

  • Who were healthy 2-month old infants (55-89 days, inclusive) born after full term pregnancy with an estimated gestational age ≥ 37 weeks, and a birth weight ≥ 2.5 kg;
  • For whom a parent/legal guardian has given written informed consent after the nature of the study has been explained;
  • Who were available for all the visits scheduled in the study;
  • Who were in good health as determined by:
  • Medical history;
  • Physical examination;
  • Clinical judgment of the investigator.

Exclusion Criteria

Ineligible for the study were infants:

  • Whose parents/legal guardians were unwilling, or unable to give written informed consent for the subject to participate in the study;
  • Who previously received any meningococcal vaccine;
  • Who received prior vaccination with D, T, P (acellular, or whole cell), IPV, or OPV, HBV, H influenzae type b (Hib), or Pneumococcus;
  • Who had a previously ascertained or suspected disease caused by N meningitidis, C diphtheriae, C tetani, Poliovirus, Hepatitis B, Hib, Pneumococcus, or B pertussis (history of laboratory-confirmed or clinical condition of spasmodic cough for a period ≥ 2 weeks associated with apnea or whooping cough);
  • Who had household contact with and/or intimate exposure to an individual with laboratory-confirmed N meningitis (serogroups A, C, W-135, or Y), B pertussis, Hib, C diphtheriae, Polio, or pneumococcal infection since birth;
  • Who had a history of any anaphylactic shock, asthma, urticaria, or other allergic reaction after previous vaccinations, or known hypersensitivity to any vaccine component;
  • Who had experienced significant acute or chronic infection within the previous 7 days, or fever (≥ 38.0°C) within the previous 3 days;
  • Who had any present, or suspected serious, acute (e.g., leukemia, lymphomas), or chronic disease (e.g., with signs of cardiac, renal failure, or severe malnutrition, or insulin-dependent diabetes); or progressive neurological disease; or a genetic anomaly or known cytogenic disorders (e.g., Downs syndrome);
  • Who had a known or suspected autoimmune disease or impairment /alteration of immune function resulting from (for example):
  • receipt of any immunosuppressive therapy since birth;
  • receipt of immunostimulant since birth;
  • receipt of any systemic corticosteroid since birth.
  • Who had a suspected or known HIV infection, or HIV-related disease;
  • Who had ever received blood, blood products and/or plasma derivatives, or any parenteral immunoglobulin preparation;
  • Who had a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time;
  • Who had a history of seizure disorder:
  • Febrile seizure;
  • Any other seizure disorder.
  • Who had taken systemic antibiotics (either oral or parenteral) within the previous 14 days (EXCEPTION: subjects who received an oral or parenteral β-lactam antibiotic [examples: penicillin, amoxicillin, ceftriaxone, cefuroxime, cephalexin, etc.] may be enrolled 7 days following the last dose);
  • Who with their parents/legal guardians were planning to leave the area of the study site before the end of the study period;
  • Who had any condition that, in the opinion of the investigator, might interfere with the evaluation of the study objectives;
  • Who had taken any antipyretic medication in the previous 6 hours.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00262002). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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