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Phase 3 N=2,954 Randomized Single-blind Prevention

Novartis Vaccine and Diagnostics Carriage Trial

N. Meningitidis Carriage

Enrolled (actual)
2,954
Serious AEs
2.6%
Results posted
Jan 2014
Primary outcome: Primary: Percentages of Subjects With Carriage of Virulent Sequence Types (ST) of Neisseria Meningitidis Group B, One Month After Completion of rMenB+OMV NZ Vaccination — 8; 7; 9; 8 Percentages of subjects — p=0.3828

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Meningococcal B Recombinant + Outer Membrane Vesicle vaccine (rMenB+OMV NZ) (Biological); MenACWY-CRM conjugate vaccine (Biological); Japanese Encephalitis vaccine (Biological)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Novartis Vaccines
Primary completion
Jan 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentages of Subjects With Carriage of Virulent Sequence Types (ST) of Neisseria Meningitidis Group B, One Month After Completion of rMenB+OMV NZ Vaccination
8; 7; 9; 8 0.3828
PRIMARY
Percentages of Subjects With Combined Carriage of N. Meningitidis Serogroups A, C, W and Y, One Month After MenACWY-CRM Vaccination
6; 5; 6; 6
SECONDARY
Percentages of Subjects With Carriage of All ST Types of N. Meningitidis B (Genogroupable) at Different Time Points Following rMenB+OMV NZ Vaccination
9; 9; 9; 9; 11; 10
SECONDARY
Percentages of Subjects With Carriage of Virulent ST Types of N. Meningitidis Group B at Any Time Point After rMenB+OMV NZ Vaccination
8; 7; 8; 8; 9; 8
SECONDARY
Percentages of Subjects With Carriage of Nonvirulent ST Types of N. Meningitidis Group B at Any Time Point After rMenB+OMV NZ Vaccination
1; 1; 1; 1; 1; 2
SECONDARY
Percentages of Subjects With Carriage of All N.Meningitidis Strain at Different Time Points After rMenB+OMV NZ Vaccination
33; 31; 34; 32; 38; 36
SECONDARY
Percentages of Subjects With Carriage of N.Meningitidis ABCWY Genogroups at Different Time Points After rMenB+OMV NZ Vaccination
19; 17; 19; 19; 22; 22
SECONDARY
Percentages of Subjects With Carriage of N.Meningitidis ACWY Genogroups at Different Time Points After rMenB+OMV NZ Vaccination
10; 8; 11; 10; 11; 12
SECONDARY
Percentages of Subjects With Carriage of N.Meningitidis Serogroups A,C,W or Y at Different Time Points After rMenB+OMV NZ Vaccination
7; 5; 7; 6; 7; 8
SECONDARY
Percentages of Subjects With Carriage of N.Meningitidis Genogroup Y at Different Time Points After rMenB+OMV NZ Vaccination
7; 7; 9; 8; 9; 10
SECONDARY
Percentages of Subjects With Carriage of N.Meningitidis Serogroup Y at Different Time Points After rMenB+OMV NZ Vaccination
6; 5; 6; 5; 5; 7
SECONDARY
Percentages of Subject With Carriage of N. Meningitidis Genogroups ACWY at Different Time Points After MenACWY-CRM Vaccination
9; 8; 10; 10; 9; 12
SECONDARY
Percentages of Subjects With Carriage of N. Meningitidis Serogroups ACWY at Different Time Points After MenACWY-CRM Vaccination
6; 5; 6; 6; 5; 8
SECONDARY
Percentages of Subjects With Carriage of N. Meningitidis Genogroup Y at Different Time Points After MenACWY-CRM Vaccination
7; 7; 7; 8; 7; 10
SECONDARY
Percentages of Subjects With Carriage of N. Meningitidis Serogroup Y at Different Time Points After MenACWY-CRM Vaccination
4; 5; 5; 5; 4; 7
SECONDARY
Percentages of Subjects With New Acquisition of Pharyngeal Carriage of All ST Types of N. Meningitidis Genogroup B at Different Time Points Following rMenB+OMV NZ Vaccination
90; 91; 3; 4; 3; 2
SECONDARY
Percentages of Subjects With New Acquisition of Pharyngeal Carriage of Virulent ST Types of N. Meningitidis Genogroup B at Different Time Points Following rMenB+OMV NZ Vaccination
91; 92; 3; 3; 3; 2
SECONDARY
Percentages of Subjects With New Acquisition of Pharyngeal Carriage of All N. Meningitidis at Different Time Points Following rMenB+OMV NZ Vaccination
77; 80; 17; 18; 14; 12
SECONDARY
Percentages of Subjects With New Acquisition of Pharyngeal Carriage of N. Meningitidis Genogroups ABCWY at Different Time Points Following rMenB+OMV NZ Vaccination
82; 84; 9; 10; 6; 7
SECONDARY
Percentages of Subjects With New Acquisition of Pharyngeal Carriage of N. Meningitidis Serogroups ACWY at Different Time-points After MenACWY-CRM Vaccination
94; 95; 4; 5; 2; 4
SECONDARY
Percentages of Subjects With New Acquisition of Pharyngeal Carriage of N. Meningitidis Serogroup Y at Different Time-points After MenACWY-CRM Vaccination
95; 95; 4; 4; 1; 4
SECONDARY
The Duration of Any Carriage of N.Meningitidis Strains After Vaccination With rMenB+OMV
127; 146; 122; 147; 193; 202
SECONDARY
The Duration of Carriage of Any N. Meningitidis Strain After Vaccination With MenACWY-CRM
88; 113; 86; 117
SECONDARY
The Duration of Carriage After New Acquisition N.Meningitidis Strains Following Vaccination With rMenB+OMV Vaccine
82; 107; 80; 107; 158; 165
SECONDARY
The Duration of Carriage After New Acquisition N.Meningitidis Strains Following Vaccination With MenACWY Vaccine
90; 120; 87; 120
SECONDARY
Percentages of Subjects With N. Meningitidis Carriage of Virulent ST of Group B, Stratified by Pre-vaccination hSBA Titer After rMenB+OMV NZ Vaccination
0; 0; 3; 0; 7; 0
SECONDARY
Percentages of Subjects With N. Meningitidis Carriage of Serogroup Y After MenACWY-CRM Vaccination, Stratified by Pre-vaccination hSBA Titers
0; 0; 0; 3; 0; 0
SECONDARY
Percentages of Subjects With hSBA Titers ≥1:4 Against N. Meningitidis Serogroup B After rMenB+OMV NZ or MenACWY-CRM Vaccination Compared to Control Group
69; 71; 62; 100; 76; 63
SECONDARY
The hSBA Geometric Mean Titers Against N. Meningitidis Serogroup B, After rMenB+OMV NZ or MenACWY-CRM Vaccination Compared to Control Group.
11; 11; 9.42; 229; 11; 10
SECONDARY
Percentages of Subjects With hSBA Titers ≥1:8 Against N. Meningitidis Serogroup C and Y, After rMenB+OMV NZ or MenACWY-CRM Vaccination Compared to Control Group.
90; 87; 80; 98; 99; 88
SECONDARY
The hSBA Geometric Mean Titers Against N. Meningitidis Serogroup C and Y, After rMenB+OMV NZ or MenACWY-CRM Vaccination Compared to Control Group.
43; 50; 32; 83; 1302; 37
SECONDARY
Percentages of Subjects With hSBA Seroresponse Against N. Meningitidis Serogroups C and Y After Vaccination With rMenB+OMV NZ or MenACWY-CRM Compared to Control Group.
8; 81; 4; 12; 44; 7
SECONDARY
The hSBA Geometric Mean Titers Against N. Meningitidis Serogroups C and Y in Subjects (Who Have Received a Prior Dose of MenC Vaccine) After Vaccination With MenACWY-CRM in This Study Compared to Control Group
91; 157; 1905; 154; 691; 125
SECONDARY
Percentages of Subjects (Who Have Received a Prior Dose of MenC Vaccine) With hSBA Titers ≥1:8 Against N. Meningitidis Serogroups C and Y After Vaccination With MenACWY-CRM in This Study Compared to Control Group.
93; 100; 100; 100; 100; 100
SECONDARY
Number of Subjects Reporting Solicited Local and Systemic Adverse Events After Vaccination With rMenB+OMV NZ or MenACWY-CRM Compared to Control Group
184; 158; 139; 181; 143; 117

Summary

The purpose of this trial was to evaluate the effect of Novartis Vaccine's Meningococcal vaccines on carriage of Neisseria meningitidis in a young adult population.

Eligibility Criteria

Inclusion Criteria

  • Healthy subjects, 18-24 years of age who provided written informed consent at the time of enrollment;
  • Subjects who were available for all the visits scheduled in the study;
  • Subjects who were in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.

Exclusion Criteria

  • History of any serogroup B meningococcal vaccine administration;
  • Current or previous, confirmed or suspected disease caused by N. meningitidis;
  • Household contact with and/or intimate exposure to an individual with any laboratory confirmed N. meningitidis infection within 60 days of enrollment;
  • Significant acute or chronic infection within the previous 7 days or fever (defined as oral temperature ≥38ºC) within the previous day;
  • Antibiotics within 3 days (72 hours) prior to enrollment;
  • Pregnancy or nursing (breastfeeding) mothers;
  • Females of childbearing age who had not used or did not plan to use acceptable birth control measures, for the 12 months duration of the study. Oral, injected or implanted hormonal contraceptive, diaphragm, condom, intrauterine device or sexual abstinence were considered acceptable forms of birth control. If sexually active the subject must have been using one of the accepted birth control methods for at least 30 days prior to study entry;
  • Any serious chronic or progressive disease (e.g., neoplasm, diabetes, cardiac disease, hepatic disease, progressive neurological disease or seizure disorder; autoimmune disease, human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS), or blood dyscrasias or diathesis, signs of cardiac or renal failure or severe malnutrition);
  • Known or suspected impairment/alteration of the immune system, immunosuppressive therapy, including use of corticosteroids in immunosuppressive doses or chronic use of inhaled high-potency corticosteroids within the previous 60 days. [Use of topical corticosteroids administered during the study in limited areas (i.e., eczema on knees or face or elbows) of the body were allowed]; use of immunostimulants;
  • Receipt of blood, blood products and/or plasma derivatives, or a parenteral immunoglobulin preparation within the previous 90 days;
  • History of severe allergic reactions after previous vaccinations or hypersensitivity to any vaccine component;
  • Participation in another clinical trial within the last 90 days or planned for during study;
  • Family members and household members of research staff;
  • Any condition which in the opinion of the investigator and/or the Regional MD may interfere with the evaluation of the study objectives.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01214850). 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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