Phase 3
N=300
Immunogenicity and Safety of Menactra® Vaccine in Subjects Aged 9 to 23 Months in India and in the Russian Federation
Meningitis · Meningococcal Infection
Bottom Line
View on ClinicalTrials.gov: NCT01890759 ↗Enrolled (actual)
300
Serious AEs
1.3%
Results posted
Aug 2017
Primary outcome: Primary: Percentage of Participants Achieving Seroprotection Using a Serum Bactericidal Assay Human Complement With Antibody Titers ≥ 1:8 for Meningococcal Serogroups A, C, Y, and W-135 Before and Following Vaccination With Menactra® — 45.5; 55.0; 98.7; 97.6 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Meningococcal Diphtheria Toxoid Vaccine (Biological)
- Age
- Pediatric · 0+ yrs
- Sex
- All
- Sponsor
- Sanofi Pasteur, a Sanofi Company
- Primary completion
- Apr 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Achieving Seroprotection Using a Serum Bactericidal Assay Human Complement With Antibody Titers ≥ 1:8 for Meningococcal Serogroups A, C, Y, and W-135 Before and Following Vaccination With Menactra® |
45.5; 55.0; 98.7; 97.6; 6.5; 4.7 | — |
| SECONDARY Percentage of Participants Achieving the Threshold Using a Serum Bactericidal Assay Human Complement With Antibody Titers ≥ 1:4 for Meningococcal Serogroups A, C, Y, and W-135 Before and Following Vaccination With Menactra® |
88.3; 97.6; 100.0; 99.4; 19.5; 14.2 | — |
| SECONDARY Percentage of Participants With At Least Four-Fold Rise in Threshold in Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers by Serum Bactericidal Assay Using Human Complement Following Vaccination With Menactra® |
90.9; 84.9; 76.6; 92.3; 90.9; 92.3 | — |
| SECONDARY Percentage of Participants Achieving the Threshold in Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers ≥ 1:8 by Serum Bactericidal Assay Using Human Complement Before and Following Vaccination With Menactra® |
45.5; 55.0; 98.7; 97.6; 6.5; 4.7 | — |
| SECONDARY Percentage of Participants Achieving the Threshold in Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers ≥ 1:8 by Serum Bactericidal Assay Using Baby Rabbit Complement Before and Following Vaccination With Menactra® |
25.3; 4.8; 100.0; 98.8; 5.3; 10.8 | — |
| SECONDARY Percentage of Participants Achieving the Threshold in Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers ≥ 1:4 by Serum Bactericidal Assay Using Human Complement Before and Following Vaccination With Menactra® |
88.3; 97.6; 100.0; 99.4; 19.5; 14.2 | — |
| SECONDARY Percentage of Participants Achieving the Threshold in Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers ≥ 1:4 by Serum Bactericidal Assay Using Baby Rabbit Complement Before and Following Vaccination With Menactra® |
26.7; 5.5; 100.0; 98.8; 5.3; 11.4 | — |
| SECONDARY Percentage of Participants With At Least Four-Fold Rise in Threshold Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers by Serum Bactericidal Assay Using Human Complement Following Vaccination With Menactra® |
90.9; 84.9; 76.6; 92.3; 90.9; 92.3 | — |
| SECONDARY Percentage of Participants With At Least Four-Fold Rise in Meningococcal Serogroups A, C, Y, and W-135 Antibody Titers by Serum Bactericidal Assay Using Baby Rabbit Complement Following Vaccination With Menactra® |
96.0; 96.8; 94.7; 92.0; 68.4; 66.5 | — |
| SECONDARY Serum Bactericidal Assay Using Human Complement Antibody Geometric Mean Titers of Meningococcal Serogroups A, C, Y, and W-135 Before and Following Vaccination With Menactra® |
5.73; 6.82; 171; 95.2; 2.46; 2.50 | — |
| SECONDARY Serum Bactericidal Assay Using Baby Rabbit Complement Geometric Mean Titers of Meningococcal Serogroups A, C, Y, and W-135 Before and Following Vaccination With Menactra® |
6.47; 2.55; 1940; 1426; 2.38; 3.27 | — |
| SECONDARY Serum Bactericidal Assay Using Human Complement Antibody Geometric Mean Titer Ratios of Meningococcal Serogroups A, C, Y, and W-135 Following Vaccination With Menactra® |
29.8; 13.9; 20.0; 51.3; 23.4; 41.9 | — |
| SECONDARY Serum Bactericidal Assay Using Baby Rabbit Complement Geometric Mean Titer Ratios of Meningococcal Serogroups A, C, Y, and W-135 Before and Following Vaccination With Menactra® |
305; 540; 140; 240; 8.45; 8.50 | — |
| SECONDARY Percentage of Participants Reporting Solicited Injection Site or Systemic Reactions Following Each Vaccination With Menactra® |
13.0; 14.6; 0; 0.5; 28.0; 4.5 | — |
Summary
The purpose of this study is to assess the immunogenicity and safety of Menactra® vaccine given as a two-dose series in infants and toddlers.
Primary Objectives:
* To assess the seroprotection rate (percentage of subjects with a serum bactericidal assay using human complement [SBA-HC] titer ≥ 1:8) 28 days after the second of 2 doses of Menactra® administered 3 to 6 months apart.
Secondary Objectives:
* To assess the immune responses to meningococcal antigens (serogroups A, C, Y, and W-135) 28 days following the second vaccination with Menactra® using SBA-HC and SBA-BR titers.
* To assess the safety profile of Menactra® after each and any vaccination.
Eligibility Criteria
Inclusion Criteria
- Male and female subjects aged 9 to 17 months on the day of inclusion
- Informed consent form has been signed and dated by the parent(s) or other legally acceptable representative(s) (if applicable)
- Subject and parent/legally acceptable representative (if applicable) able to attend all scheduled visits and to comply with all trial procedures.
Exclusion Criteria
- Participation in the 4 weeks preceding inclusion or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
- Receipt of any vaccine in the 4 weeks preceding each trial vaccination or planned receipt of any vaccine in the 4 weeks following each trial vaccination, except for:
- (i) influenza vaccination, which may be received at least 2 weeks before study vaccines.
- (ii) measles (M) or measles, mumps, rubella (MMR) routine vaccination, which can be administered concomitantly with the first dose of study vaccine as per routine immunization schedule
- (iii) for subjects enrolled at Indian sites: oral poliomyelitis vaccine (OPV) received during National Immunization Days (NIDs) and supplementary immunization activity days (SIADs)
- Previous vaccination against meningococcal disease with either the study vaccine or another meningococcal vaccine
- Receipt of immune globulins, blood or blood-derived products in the past 3 months
- Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
- History of meningococcal diseases, confirmed either clinically, serologically, or microbiologically
- At high risk, in the opinion of the Investigator, for meningococcal disease during the trial
- Known or suspected systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances
- Known thrombocytopenia, contraindicating intramuscular vaccination
- Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination
- In an emergency setting, or hospitalized involuntarily
- Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion
- For subjects enrolled at Indian sites: Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0°C).
- For subjects enrolled at Russian sites: Acute disease of any severity on the day of vaccination or febrile illness (axillary temperature ≥ 37.0°C).
A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided.
- Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
- Identified as a natural or adopted child of the Investigator or employee with direct involvement in the proposed study
- Personal history of Guillain-Barré Syndrome.
Data sourced from ClinicalTrials.gov (NCT01890759). 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.