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Phase 4 N=1,345 Randomized Quadruple-blind Prevention

Study of Menactra® in US Adolescents When Administered Concomitantly With Tdap Vaccine

Meningitis · Meningococcemia · Pertussis · Tetanus · Diphtheria

Enrolled (actual)
1,345
Serious AEs
0.3%
Results posted
Dec 2009
Primary outcome: Primary: Percentage of Participants With at Least a 4-fold Rise in Meningococcal Antibody Titer From Baseline (Day 0) to Day 28 Post-vaccination With Menactra® Vaccine. — 92; 94; 93; 80 Percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
T dap + Meningococcal Polysaccharide Diphtheria Toxoid Conj. (Biological); Tdap + Meningococcal Polysaccharide Diphtheria Toxoid Conj. (Biological); Meningococcal Polysaccharide Diphtheria Toxoid Conj. + T dap (Biological)
Age
Pediatric · 11+ yrs
Sex
All
Sponsor
Sanofi Pasteur, a Sanofi Company
Primary completion
Mar 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With at Least a 4-fold Rise in Meningococcal Antibody Titer From Baseline (Day 0) to Day 28 Post-vaccination With Menactra® Vaccine.
92; 94; 93; 80; 84; 87
PRIMARY
Geometric Mean Concentrations (GMCs) of Diphtheria and Tetanus Antibodies at Baseline and on Day 28 Post-vaccination With Tdap Vaccine.
0.2; 0.3; 56.2; 7.9; 49.8; 38.2
PRIMARY
Geometric Mean Concentrations (GMCs) of Pertussis Antibodies at Baseline and on Day 28 Post-vaccination With Tdap Vaccine.
15.3; 14.0; 20.7; 88.0; 73.4; 107.4
SECONDARY
Percentage of Participants Reporting Solicited Injections Site and Systemic Reactions Following Concomitant Administration of Tdap With Placebo; Menactra® With Tdap; and Menactra® With Placebo, Respectively.
87; 84; 0; 10; 9; 0

Summary

The purpose of this study was to evaluate the immunogenicity and safety of the concomitant administration of Menactra® vaccine and Tdap vaccine in adolescents aged 11 to 17 years. Primary Objective: To determine whether concomitant administration of two vaccines, Tdap and Menactra®, induces antibody responses that are similar to those observed when each vaccine is given separately. Secondary Objective: To compare the rates of injection site reactions at the Tdap injection site after Tdap and Menactra® vaccines are administered concomitantly to the corresponding rates of reactions when Tdap vaccine is administered alone.

Eligibility Criteria

Inclusion Criteria

  • Healthy as determined by medical history and physical examination.
  • Aged ≥ 11 to 17 years at the time of study vaccination on Day 0.
  • Informed consent form that has been approved by the Institutional Review Board (IRB) signed by the parent or legal guardian.
  • Informed assent form that has been approved by the IRB signed by the subject.
  • Subject (female) agrees to use measures to prevent pregnancy during the study.

Exclusion Criteria

  • Serious chronic disease (i.e. cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric, etc.).
  • Known or suspected impairment of immunologic function.
  • Acute medical illness with or without fever within the last 72 hours or an oral temperature ≥ 100.4°F (≥ 38.0°C) at the time of enrolment.
  • History of documented invasive meningococcal disease or previous meningococcal vaccination.
  • History of documented infection with Bordetella pertussis, Clostridium tetani, or Corynebacterium diphtheriae or vaccination with any tetanus, diphtheria or pertussis vaccine within the previous 5 years.
  • Received either immune globulin or other blood products within the last 3 months; or received injected or oral corticosteroids, or other immunomodulator therapy, within 6 weeks of the study vaccines. Individuals on a tapering dose schedule of oral steroids lasting <7 days and individuals (e.g., asthmatics) on a short schedule of oral steroids lasting 3 to 4 days may be included in the trial as long as they have not received more than one course within the last 2 weeks prior to enrolment.
  • Received antibiotic therapy within the 72 hours prior to vaccination on Day 0.
  • Received any vaccine 28 days prior to the 1st study vaccination or scheduled to receive any vaccination during the course of the study.
  • Suspected or known hypersensitivity to either of the two study vaccines or their components.
  • Unavailable for the entire study period, or unable to attend the scheduled visits or to comply with the study procedures.
  • Enrolled in another clinical trial.
  • Diagnosed with any condition, which, in the opinion of the investigator, would pose a health risk to the subject or interfere with the evaluation of the vaccine.
  • For all females, a positive or equivocal urine pregnancy test at time of study vaccination.
  • Nursing mothers.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00777257). 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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