Phase 3
N=3,638
Effectiveness of GlaxoSmithKline Biologicals S.A's Meningococcal Group B and Combined ABCWY Vaccines in Healthy Adolescents and Young Adults
Infections, Meningococcal
Bottom Line
View on ClinicalTrials.gov: NCT04502693 ↗Enrolled (actual)
3,638
Serious AEs
2.0%
Results posted
Mar 2024
Primary outcome: Primary: Percentage of Blood Samples Without Bactericidal Serum Activity Against Each of the Endemic US N. Meningitidis Serogroup B Strains at 1 Month After the 3-dose (0,2,6-M), 2-dose(0,6-M) Vaccination Schedule of rMenB+OMV and 1 Dose of MenACWY — 13.3; 14.4; 79 Percentage of blood samples
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- rMenB+OMV NZ vaccine (Combination_product); Meningococcal Groups A, C, W and Y Conjugate Vaccine (MenACWY) (Biological); Placebo (Combination_product); MenABCWY-1 (Combination_product); MenABCWY-2 (Combination_product); MenABCWY-3 (Combination_product)
- Age
- Pediatric, Adult · 10+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Sep 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Blood Samples Without Bactericidal Serum Activity Against Each of the Endemic US N. Meningitidis Serogroup B Strains at 1 Month After the 3-dose (0,2,6-M), 2-dose(0,6-M) Vaccination Schedule of rMenB+OMV and 1 Dose of MenACWY |
13.3; 14.4; 79 | — |
| PRIMARY Percentage of Blood Samples Without Bactericidal Serum Activity Against Each of the Endemic US N. Meningitidis Serogroup B Strains at 1 Month After the 2-dose (0,2-M) Vaccination Schedule of rMenB+OMV and 1 Dose of MenACWY |
16.8; 79 | — |
| PRIMARY Percentage of Participants Whose Sera Kill Greater Than or Equal to (>=) 70% of the Strains Tested Using Enc-hSBA at 1 Month After the 3-dose (0,2,6-M) Schedule of rMenB+OMV and 2-dose(0,6-M) Schedule of rMenB+OMV |
93.4; 89.8 | — |
| PRIMARY Percentage of Participants Whose Sera Kill >=70% of the Strains Tested Using Enc-hSBA at 1 Month After the 2-dose (0,2-M) Schedule of rMenB+OMV |
84.8 | — |
| PRIMARY Geometric Mean Titers (GMTs) Against Serogroups A, C, W and Y for Each Lot (ABCWY-1 Group, ABCWY-2 Group and ABCWY-3 Group) at 1 Month After the Last Vaccination of MenABCWY |
336.4; 349.9; 390.4; 1036.7; 1130.2; 888.4 | — |
| PRIMARY Percentage of Participants With 4-fold Rise in hSBA Titers Against N. Meningitidis Serogroups A, C, W and Y at 1 Month After Last MenABCWY Vaccination (Pooled Lots) and MenACWY Vaccination (for the ACWY Group), Relative to Baseline |
97.0; 85.7; 97.2; 50.0; 97.0; 61.7 | — |
| PRIMARY Percentage of Blood Samples Without Bactericidal Serum Activity Against Each of the Endemic U.S N. Meningitidis Serogroup B Strains at 1 Month After Last MenABCWY Vaccination (Pooled Lots) and MenACWY Vaccination (for the ACWY Group) |
17.4; 79 | — |
| PRIMARY Percentage of Blood Samples With Bactericidal Serum Activity Against Each of the Endemic U.S N. Meningitidis Serogroup B Strains at 1 Month After the Last MenABCWY Dose (Pooled Lots) and 2-dose(0,2-M) Schedule of rMenB+OMV |
83.1; 82.5 | — |
| PRIMARY Percentage of Participants Whose Sera Kill >=70% of the Strains Tested Using Enc-hSBA at 1 Month After the Last Vaccination in the ABCWY Group (Pooled Lots) |
84.1 | — |
| PRIMARY Number of Participants With Any Solicited Local Adverse Events (AEs) After the First Study Intervention Administration |
807; 819; 1503; 67; 90; 86 | — |
| PRIMARY Number of Participants With Any Solicited Local Adverse Events (AEs) After the Second Study Intervention Administration |
714; 224; 205; 30; 89; 26 | — |
| PRIMARY Number of Participants With Any Solicited Local Adverse Events (AEs) After the Third Study Intervention Administration |
677; 676; 1258; 126; 118; 87 | — |
| PRIMARY Number of Participants With Any Solicited Systemic AEs After the First Study Intervention Administration |
423; 414; 828; 78; 112; 111 | — |
| PRIMARY Number of Participants With Any Solicited Systemic AEs After the Second Study Intervention Administration |
372; 228; 345; 36; 104; 56 | — |
| PRIMARY Number of Participants With Any Solicited Systemic AEs After the Third Study Intervention Administration |
374; 341; 602; 56; 94; 84 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs After the First Study Intervention Administration |
90; 124; 217; 29 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs After the Second Study Intervention Administration |
106; 88; 160; 15 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs After the Third Study Intervention Administration |
96; 94; 183; 19 | — |
| PRIMARY Number of Participants With SAEs, AEs Leading to Withdrawal, AESIs and Medically Attended AEs |
20; 22; 25; 5; 6; 4 | — |
| SECONDARY Percentage of Participants With 4-fold Rise in hSBA Titers Against N.Meningitidis Group B Strains at 1 Month After Last MenABCWY Dose(ABCWY Group-pooled Lots) and 1 Month After 2-dose(0,2-M) Schedule of rMenB+OMV NZ Relative to Baseline |
74.7; 79.7; 96.4; 92.7; 58.6; 61.9 | — |
| SECONDARY Percentage of Blood Samples Without Bactericidal Serum Activity Against Each of the Endemic U.S N. Meningitidis Serogroup B Strains at 1 Month After the Last MenABCWY Dose and 3-dose (0,2,6-M), 2-dose(0,6-M) Schedule of rMenB+OMV and 1 Dose of MenACWY |
0.4; 0.4; 1.2; 15.6; 6.6; 6.2 | — |
| SECONDARY Percentage of Blood Samples Without Bactericidal Serum Activity Using Enc-hSBA Against Each of the Endemic U.S N. Meningitidis Serogroup B Strains at 1 Month After the 2-dose(0,6-M) Schedule of rMenB+OMV and 1 Dose of MenACWY |
1.9; 15.6; 11.2; 96.6; 12.4; 69 | — |
| SECONDARY Percentage of Participants Classified by Percentage of Serogroup B Invasive Disease Strains Killed Using Enc-hSBA in Each Subject at 1 Month After Vaccination Schedule for the MenB_0_2_6 Group [3 Dose], MenB_0_6 Group and Last MenABCWY Dose (Pooled Lots) |
98.7; 98.5; 98; 98.4; 97.4; 96.8 | — |
| SECONDARY Percentage of Participants Classified by Percentage of Serogroup B Invasive Disease Strains Killed Using Enc-hSBA in Each Subject at 1 Month After Vaccination With rMenB+OMV NZ (0,2-months) |
98.6; 97.7; 96.5; 92.2; 84.8; 75.7 | — |
| SECONDARY Percentage of Participants With hSBA Titers >= LLOQ for Each and All Serogroup B Indicator Strains at Day 1 and at 1 Month After Vaccination With rMenB+OMV NZ (0,2,6-months and 0,6-months) and Last Dose of MenABCWY (ABCWY Group-pooled Lots) |
4.9; 3.4; 5.4; 97.4; 94.6; 95.9 | — |
| SECONDARY Percentage of Participants With hSBA Titers >= LLOQ for Each and All Serogroup B Indicator Strains at Day 1 and at 1 Month After Vaccination With rMenB+OMV NZ (0,2-months) |
4.9; 92.9; 6.2; 99.5; 23.2; 96.1 | — |
| SECONDARY Percentage of Participants With 4-fold Rise in hSBA Titers for Each of the Serogroup B Strains at 1 Month After Vaccination With rMenB+OMV NZ (0,2,6-months and 0,6-months) and Last Dose of MenABCWY (ABCWY Group-pooled Lots) |
86.7; 82.4; 78.9; 98.7; 95.3; 92.3 | — |
| SECONDARY Percentage of Participants With 4-fold Rise in hSBA Titers for Each of the Serogroup B Strains at 1 Month After Vaccination With rMenB+OMV NZ (0,2 Months) |
74.6; 96.3; 58.5; 53.5 | — |
| SECONDARY hSBA Geometric Mean Titres (GMTs) Against Each of the N. Meningitidis Serogroup B Strains at Day 1 and at 1 Month After Vaccination With rMenB+OMV NZ (0,2,6-months, 0,6-months) and Last Dose of MenABCWY (ABCWY Group-pooled Lots) |
2.8; 2.7; 2.8; 30.8; 28.1; 25 | — |
| SECONDARY hSBA GMTs Against Each of the N. Meningitidis Serogroup B Strains at Day 1 and at 1 Month After Vaccination With rMenB+OMV NZ (0,2-months) |
2.8; 20.9; 8.4; 178.5; 3.4; 27.2 | — |
| SECONDARY hSBA Geometric Mean Ratios (GMRs) for Each of the N. Meningitidis Serogroup B Strains at 1 Month After Vaccination With rMenB+OMV NZ (0,2,6-months, 0,6-months) and Last Dose of MenABCWY (ABCWY Group-pooled Lots) |
11.2; 10.5; 9; 32.1; 25.8; 17.7 | — |
| SECONDARY hSBA GMRs for Each of the N. Meningitidis Serogroup B Strains at 1 Month After Vaccination With rMenB+OMV NZ (0,2-months) |
7.7; 21.7; 8; 5.5 | — |
| SECONDARY Percentage of Participants With hSBA Titers >= LLOQ for Each of the N. Meningitidis Serogroups A,C,W,Y at Day 1 and at 1 Month After the First and the Last MenABCWY Vaccination for ABCWY_Pooled Group and 1 Month After the MenACWY Vaccine for ACWY Group |
9.2; 11.7; 79.5; 90.2; 98.6; 29.8 | — |
| SECONDARY Percentage of Participants With 4-fold Rise in hSBA Titers for Each of the N. Meningitidis Serogroups A, C, W and Y at 1 Month After the First MenABCWY Dose for ABCWY_Pooled Group Compared to the MenACWY Vaccine for ACWY Group Relative to Baseline (Day 1) |
74.0; 86.0; 66.9; 56.7; 74.1; 66.2 | — |
| SECONDARY hSBA GMTs Against Each of the N. Meningitidis Serogroups A, C, W and Y at Day 1 and 1 Month After the First and the Last MenABCWY Vaccination for the ABCWY_Pooled Group and at 1 Month After the MenACWY Vaccination for ACWY Group |
11.1; 12.7; 175.3; 474.8; 352.0; 12.0 | — |
| SECONDARY GMRs for Each of the N. Meningitidis Serogroups A, C, W and Y at 1 Month After the First and the Last MenABCWY Vaccination for the ABCWY _Pooled Group and at 1 Month After the MenACWY Vaccination for ACWY Group |
11.8; 31.8; 31.2; 30.9; 22.9; 96.9 | — |
| SECONDARY Total Immunoglobulin G (IgG) Antibodies Concentrations Against N. Meningitidis Serogroups A, C, W and Y at Day 1 and 1 Month After the First and the Last MenABCWY Vaccination for ABCWY _Pooled Group and 1 Month After the MenACWY Vaccination for ACWY Group |
2.3; 1.9; 53.7; 18.1; 30.2; 0.8 | — |
Summary
The purpose of this study was to evaluate the effectiveness of 2 doses or 3 doses of GSK's licenced meningococcal group B Bexsero (rMenB+OMV NZ) vaccine and of 2 doses of GSK's investigational combined meningococcal (MenABCWY) vaccine (GSK3536819A) in healthy adolescents and young adults. The immunogenicity and safety were evaluated in the study.
Eligibility Criteria
Inclusion Criteria
- Subjects or/and subjects' parent(s)/Legally Acceptable Representative(s) [LAR(s)] who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
- Written or witnessed/thumb printed informed consent obtained from the subject/parent(s)/LAR(s) of the subject prior to performance of any study specific procedure.
- Written informed assent obtained from the subject (if applicable) prior to performing any study specific procedure.
- A male or female between, and including, 10 and 25 years of age (i.e. 25 years + 364 days) at the time of the first vaccination.
- Healthy subjects as established by medical history physical examination and clinical judgment of the investigator before entering into the study.
- Subjects who are either unvaccinated with MenACWY vaccine or have received a single previous dose of MenACWY vaccine can participate in the study, if they have received it at least 4 years prior to informed consent and assent as applicable (with the exception of meningococcal C vaccination, if the last dose of MenC was received at ≤24 months of age).
- Female subjects of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as pre-menarche, current bilateral tubal ligation or occlusion, hysterectomy, bilateral ovariectomy or post-menopause*.
- Female subjects of childbearing potential may be enrolled in the study, if the subject:
- has practiced adequate contraception for 30 days prior to vaccination, and
- has a negative pregnancy test on the day of vaccination, and
- has agreed to continue adequate contraception until 30 days after completion of Visit 6.
- A female is considered to be of non-childbearing potential prior to menarche and after natural or induced menopause. Natural menopause is recognized to have occurred after 12 consecutive months of amenorrhea for which there is no other obvious pathological or physiological cause. Induced menopause is recognized to have occurred after hysterectomy, after bilateral oophorectomy, or iatrogenic ablation of ovarian function.
Exclusion Criteria
Medical conditions
- Current or previous, confirmed or suspected disease caused by N. meningitidis.
- Household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis infection within 60 days of enrolment.
- Progressive, unstable or uncontrolled clinical conditions.
- Clinical conditions representing a contraindication to intramuscular vaccination and blood draws.
- Any neuroinflammatory, congenital neurological conditions, encephalopathies, seizures. History of febrile convulsions should not lead to exclusion.
- History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine(s)/product(s).
- Hypersensitivity, including allergy, to any component of vaccines, including diphtheria toxoid (CRM 197) and latex medicinal products or medical equipment whose use is foreseen in this study.
- Abnormal function or modification of the immune system resulting from:
- Autoimmune disorders or immunodeficiency syndromes.
- Systemic administration of corticosteroids (PO/IV/IM) for more than 14 consecutive days within 90 days prior to study vaccination until the post-vaccination 3 blood sample (Visit 6). This will mean prednisone - ≥20 mg/day (for adult subjects) or ≥0.5 mg/kg/day (for paediatric subjects), or equivalent. Inhaled and topical steroids are allowed.
- Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to study vaccination.
- Administration of long-acting immune-modifying drugs at any time during the study period (e.g. infliximab).
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
Prior/Concomitant therapy
- Use of any investigational or non-registered product other than the study vaccine(s)/product(s) during the period starting 30 days b
Data sourced from ClinicalTrials.gov (NCT04502693). 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.