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Phase 3 N=1,409 Randomized Prevention

A Phase 3B, Open Label, Multi-Center Study to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered Alone to Healthy Infants According to Different Immunization Schedules and to Healthy Children Aged 2 to 10 Years

Meningococcal Disease · Meningococcal Meningitis

Enrolled (actual)
1,409
Serious AEs
4.1%
Results posted
Jan 2016
Primary outcome: Primary: Percentages of Subjects With Serum Bactericidal Activity Using Human Serum (hSBA) Titers ≥ 4 or hSBA Titers ≥ 5 (Strain M10713) Following a 2-dose Primary Series of rMenB+OMV Vaccination. — 100; 100; 100; 100 Percentages of subjects

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
rMenB + OMV NZ vaccine (Biological); Meningococcal C oligosaccharide conjugated vaccine (Biological); Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed. (Biological)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
Novartis Vaccines
Primary completion
Jan 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentages of Subjects With Serum Bactericidal Activity Using Human Serum (hSBA) Titers ≥ 4 or hSBA Titers ≥ 5 (Strain M10713) Following a 2-dose Primary Series of rMenB+OMV Vaccination.
100; 100; 100; 100; 98; 99
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 4, hSBA Titers ≥ 5 (Strain M10713) and hSBA ≥ 8 Following a 3-dose Primary Series of rMenB+OMV Vaccination
100; 100; 99; 55; 98; 100
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 4 or hSBA Titers ≥ 5 (Strain M10713) and hSBA ≥ 8 Following a 2-dose Catch-up Series of rMenB+OMV Vaccination
99; 99; 99; 94; 98; 99
SECONDARY
Percentages of Subjects Achieving Four-fold Rise Over Baseline hSBA Titers Following a 2-dose Catch-up Series of rMenB+OMV Vaccination
96; 99; 93; 46
SECONDARY
Geometric Mean hSBA Titers (GMTs) Following 2 or 3 Dose Primary Series of Vaccination With rMenB+OMV
109; 132; 240; 121; 795; 605
SECONDARY
Geometric Mean hSBA Titers (GMTs) After First Infant Vaccination With rMenB+OMV.
4.19; 5.7; 9.83; 20; 30; 37
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 4 or hSBA Titers ≥ 5 and hSBA ≥ 8 After First Infant Vaccination With rMenB+OMV
62; 72; 82; 91; 95; 92
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 4 or hSBA Titers ≥ 5 and hSBA ≥ 8 Following a Booster Dose of rMenB+OMV Vaccination
100; 100; 100; 100; 100; 100
SECONDARY
Antibody Persistence in Terms of Percentages of Subjects With hSBA Titers ≥ 4 or hSBA Titers ≥ 5 (M10713) and hSBA ≥ 8 Following 2 or 3-dose Primary Series of Vaccination With rMenB+OMV NZ
87; 86; 100; 100; 93; 100
SECONDARY
Antibody Persistence in Terms of Geometric Mean Titers Following 2 or 3-dose Primary Series of Vaccination With rMenB+OMV NZ
1.31; 1.34; 1.58; 12; 12; 67
SECONDARY
Geometric Mean ELISA Concentrations Against Vaccine Antigen 287-953 Following 2 or 3-dose Primary Series and Booster Dose of Vaccination With rMenB+OMV NZ
4688; 3152; 4682; 474; 291; 1270
SECONDARY
Geometric Mean ELISA Concentrations Against Vaccine Antigen 287-953 After a Two Dose Catch-up rMenB+OMV NZ Immunization Series in Children 2-10 Years of Age
2333
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 8 Against Serogroup C Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM or MenC-CRM Alone
99; 100; 100; 100
SECONDARY
GMTs Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM or MenC-CRM Alone
568; 905; 36; 56; 1201; 1724
SECONDARY
GMTs Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM or MenC-CRM Alone - Persistence
36; 56
SECONDARY
Percentages of Subjects With hSBA Titers ≥ 4 or hSBA Titers ≥ 5 (M10713) and hSBA ≥ 8 Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM
97; 100; 96; 97; 95; 97
SECONDARY
GMTs Against N. Meningitidis Serogroup B Strains Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM
226; 16; 239; 555; 55; 1623
SECONDARY
Geometric Mean ELISA Concentrations Against Vaccine Antigen 287-953 Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM
2125; 194; 4281
SECONDARY
Geometric Mean ELISA Concentrations Against Vaccine Antigen 287-953 Following Concomitant Administration of rMenB+OMV NZ With MenC-CRM - Persistence
196
SECONDARY
Number of Subjects Who Reported Immediate Reactions Within 30 Minutes After Any Vaccination With rMenB+OMV NZ
13; 9; 9; 19; 19; 7
SECONDARY
Number of Subjects With Solicited Local and Systemic Adverse Events (AEs) Following a 3 or 4-dose Regimen of rMenB+OMV NZ
226; 213; 202; 200; 174; 166
SECONDARY
Number of Subjects Who Reported Immediate Reactions Within 30 Minutes After Any Vaccination - Groups B_02_2_5 and B_02_6_10
6; 17; 6; 2; 1; 3
SECONDARY
Number of Subjects With Solicited Local and Systemic AEs in Groups B_02_2_5 and B_02_6_10
99; 287; 98; 287; 58; 179
SECONDARY
Number of Subjects Who Reported Immediate Reactions Within 30 Minutes After Any rMenB+OMV NZ or MenC-CRM Vaccination
7; NA; 3; NA; 1; NA
SECONDARY
Number of Subjects With Solicited Local and Systemic AEs in Groups BC_35_12 and C_35_12 After Any rMenB+OMV NZ or MenC-CRM Vaccination
107; NA; 104; 79; 123; 106
SECONDARY
Number of Subjects Reporting Unsolicited AEs Following Any Vaccination With rMenB+OMV NZ in Groups B_2h3h5_11, B_3h5_11 and B_68_11
200; 186; 196; 88; 41; 62
SECONDARY
Number of Subjects Reporting Unsolicited AEs Following Any Vaccination With rMenB+OMV NZ in Groups B_02_2_5 and B_02_6_10
58; 101; 16; 24; 1; 2
SECONDARY
Number of Subjects Reporting Unsolicited AEs Following Any Vaccination With rMenB+OMV NZ in Group BC_35_12 and C_35_12
103; 90; 14; 12; 5; 7

Summary

The proposed study is aimed at assessing the safety and immunogenicity of rMenB+OMV NZ when administered alone without routine infant vaccines to healthy infants in their first year of life according to different two and three dose immunization schedules, which are suitable to be adopted by various national programs. This study will also investigate antibody persistence post primary series and administration of a subsequent booster dose of rMenB+OMV NZ at 11 months of age. In addition, this study will assess the safety and immunogenicity of two catch-up doses of rMenB+OMV NZ when administered to healthy children 2 to 10 years of age. This study will also evaluate the safety and immunogenicity of the concomitant administration of rMenB+OMV NZ with meningococcal C conjugate vaccine (MenC-CRM) according to a 3, 5 and 12-month schedule.

Eligibility Criteria

Inclusion Criteria

  • Healthy infants and children according to the following age groups:
  • Healthy infants 2½ months of age (71 -79 days, inclusive), (only applicable to group I)
  • Healthy infants 3½ months of age (101 -109 days, inclusive), (only applicable to group II)
  • Healthy infants 6 months of age (only applicable to group III) (The age window is defined as the first day the subject turns 6 months of age up to the day before the subject turns 7 months of age).
  • Healthy children 2 to 5 years of age (only applicable to group IVa) (The age window is defined as the first day the subject turns 2 years of age up to the day before the subject turns 6 years of age).
  • Healthy children 6 to 10 years of age (only applicable to group IVb) (The age window is defined as the first day the subject turns 6 years of age up to the day before the subject turns 11 years of age).
  • Healthy infants 3 months of age (83-104 days, inclusive), (only applicable to Group V and VI).
  • For whom parent(s)/legal guardian(s) have given written informed consent according to local regulations after the nature of the study has been explained;
  • Available for all the visits scheduled in the study;
  • Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.

Exclusion Criteria

  • Individuals whose parent(s)/legal guardian(s) are unwilling or unable to give written informed consent to participate in the study;
  • Children's parents or legal guardian who are not able to comprehend and to follow all required study procedures for the whole period of the study.
  • History of any meningococcal B vaccine administration;
  • Previous ascertained or suspected disease caused by N. meningitidis;
  • Household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis;
  • History of severe allergic reaction after previous vaccinations or hypersensitivity to any vaccine component
  • Significant acute or chronic infection within the previous 7 days or temperature 38° C within the previous day of receiving the study vaccine;
  • Antibiotics treatment within 6 days prior to enrollment;
  • Individuals with history of allergy to vaccine components.
  • Any serious chronic or progressive disease according to the judgment of the investigator (e.g., neoplasm, diabetes mellitus Type I, cardiac disease, hepatic disease, neurological disease or seizure, either associated with fever or as part of an underlying neurological disorder or syndrome, autoimmune disease, HIV infection or 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, use of high dose systemic corticosteroids or chronic use of inhaled high-potency corticosteroids within 14 days prior to enrollment (use of low or moderate doses of inhaled steroids is not an exclusion);
  • Receipt of blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation within 90 days prior to enrollment.
  • Receipt of, or intent to immunize with, any other vaccine(s) within 7 days prior to enrollment.
  • Individuals participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
  • Family members and household members of research staff
  • Individuals with history or any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study.
  • History of any meningococcal C vaccine administration (Only applicable to group V and VI).
  • History of any Pneumococcal vaccine administration (Only applicable to group V and VI).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01339923). 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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