Phase 2
N=1,437
A Study on the Safety, Effectiveness and Immune Response of Meningococcal Combined ABCWY Vaccine in Healthy Adolescents and Adults
Infections, Meningococcal
Bottom Line
View on ClinicalTrials.gov: NCT04886154 ↗Enrolled (actual)
1,437
Serious AEs
2.3%
Results posted
Feb 2025
Primary outcome: Primary: Number of Participants With Solicited Administration Site Events in Study Phase I (Safety Lead-in) — 0; 0; 0; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- MenABCWY-2Gen low dose vaccine (Combination_product); MenABCWY-2Gen high dose vaccine (Combination_product); Placebo (Combination_product); MenB vaccine (Combination_product); MenACWY vaccine (Biological)
- Age
- Pediatric, Adult · 10+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Feb 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase I (Safety Lead-in) |
2; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase I (Safety Lead-in) |
2; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase I (Safety Lead-in) |
1; 2; 2; 0; 1; 2 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase I (Safety Lead-in) |
1; 2; 2; 0; 1; 2 | — |
| PRIMARY Number of Participants With Any Unsolicited Adverse Events (AEs), Including All Serious Adverse Events (SAEs), AEs Leading to Withdrawal and AEs of Special Interest (AESIs) in Study Phase I (Safety Lead-in) |
4; 1; 8; 1 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs, Including All SAEs, AEs Leading to Withdrawal and AESIs in Study Phase I (Safety Lead-in) |
6; 1; 7; 0 | — |
| PRIMARY Number of Participants With SAEs, AEs Leading to Withdrawal and AESIs in Study Phase I (Safety Lead-in) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Change From Baseline in Haematological and Biochemical Laboratory Values, in Study Phase I (Safety Lead-in) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Haematological and Biochemical Laboratory Values, in Study Phase I (Safety Lead-in) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Blood Samples With Bactericidal Serum Activity Using Enc-hSBA Against a Panel of 110 Randomly Selected Endemic US N. Meningitidis Serogroup B Invasive Disease Strains at Study Phase II (Formulation and Schedule-finding) |
91.0; 86.2; 91.0; 88.4; 86.4 | — |
| PRIMARY Number of Participants With a 4-fold Rise in hSBA Titers Against Serogroups A, C, W and Y in Study Phase II (Formulation and Schedule-finding) |
145; 145; 166; 125; 119; 113 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Formulation and Schedule-finding) |
23; 15; 21; 17; 18; 18 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Formulation and Schedule-finding) |
23; 15; 21; 17; 18; 18 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Formulation and Schedule-finding) |
23; 15; 21; 17; 18; 18 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Formulation and Schedule-finding) |
14; 8; 22; 13; 6; 86 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Formulation and Schedule-finding) |
14; 8; 22; 13; 6; 86 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Formulation and Schedule-finding) |
14; 8; 22; 13; 6; 86 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Formulation and Schedule-finding) |
28; 24; 42; 27; 28 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Formulation and Schedule-finding) |
28; 24; 42; 27; 28 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Formulation and Schedule-finding) |
28; 24; 42; 27; 28 | — |
| PRIMARY Number of Participants With SAEs, AEs Leading to Withdrawal and AESIs in Study Phase II (Formulation and Schedule-Finding) |
9; 7; 4; 4; 2; 1 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 4; 3 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 4; 3 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 4; 3 | — |
| PRIMARY Number of Participants With Solicited Administration Site Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 4; 3 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Solicited Systemic Events in Study Phase II (Sourcing) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Sourcing) |
10; 9 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Sourcing) |
10; 9 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Sourcing) |
10; 9 | — |
| PRIMARY Number of Participants With Any Unsolicited AEs (Including All SAEs, AEs Leading to Withdrawal, and AESIs) in Study Phase II (Sourcing) |
10; 9 | — |
| PRIMARY Number of Participants With SAEs, AEs Leading to Withdrawal and AESIs in Study Phase II (Sourcing) |
0; 4; 0; 2; 0; 0 | — |
| PRIMARY Number of Participants With SAEs, AEs Leading to Withdrawal and AESIs in Study Phase II (Sourcing) |
0; 4; 0; 2; 0; 0 | — |
| PRIMARY Number of Participants With SAEs, AEs Leading to Withdrawal and AESIs in Study Phase II (Sourcing) |
0; 4; 0; 2; 0; 0 | — |
| SECONDARY Percentage of Participants Classified by Percentages of Serogroup B Invasive Disease Strains Killed Using Enc-hSBA in Each Participant in Study Phase II (Formulation and Schedule-finding) |
98.5; 97.5; 97.7; 98.8; 98.3; 98.0 | — |
| SECONDARY Number of Participants With hSBA Titers ≥ LLOQ for Each and All Serogroup B Indicator Strains in Study Phase II (Formulation and Schedule-finding) |
9; 10; 12; 14; 14; 175 | — |
| SECONDARY Number of Participants With 4-fold Rise in hSBA Titers Against Serogroup B Indicator Strains in Study Phase II (Formulation and Schedule-finding) |
144; 89; 155; 122; 119; 135 | — |
| SECONDARY hSBA Geometric Mean Titers (GMTs) Against Serogroup B Indicator Strains in Study Phase II (Formulation and Schedule-finding) |
8.7; 8.8; 8.9; 9.4; 9.5; 109.1 | — |
| SECONDARY hSBA Geometric Mean Ratios (GMRs) Against Serogroup B Indicator Strains in Study Phase II (Formulation and Schedule-finding) |
13.4; 5.6; 16.5; 9.0; 7.0; 11.1 | — |
| SECONDARY Number of Participants With hSBA Titers ≥ LLOQ for Serogroups A, C, W and Y in Study Phase II (Formulation and Schedule-finding) |
23; 12; 20; 19; 16; 170 | — |
| SECONDARY Number of Participants With a 4-fold Rise in hSBA Titers Against Serogroups A, C, W and Y in Study Phase II (Formulation and Schedule-finding) |
145; 145; 166; 125; 119; 113 | — |
| SECONDARY hSBA GMTs Against Serogroups A, C, W and Y in Study Phase II (Formulation and Schedule-finding) |
9.7; 8.7; 9.3; 9.9; 8.7; 174.3 | — |
| SECONDARY hSBA GMRs Against Serogroups A, C, W and Y in Study Phase II (Formulation and Schedule-finding) |
19.1; 17.0; 42.9; 43.0; 53.3; 38.4 | — |
| SECONDARY Immunoglobulin G (IgG) Antibodies Against Serogroups A, C, W and Y in Study Phase II (Formulation and Schedule-finding) |
2.3; 2.1; 2.3; 2.4; 2.3; 10.5 | — |
Summary
The purpose of this study was to assess the safety, effectiveness, and immune response of the meningococcal combined ABCWY vaccine (GSK4023393A) intended to protect against invasive meningococcal disease (IMD) caused by all 5 meningococcal serogroups. The first time-in-human (FTIH), Phase I part of this study was conducted in healthy adults in a dose-escalating fashion with 2 formulations of the investigational MenABCWY-2Gen vaccine and served as a safety lead-in to the Phase II study. The Phase II part of the study was conducted in 2 parts: The 'formulation and schedule-finding' part followed in healthy adolescents and young adults and was designed to select the vaccine formulation and the schedule to be tested in Phase III. The 'blood sourcing' part was conducted in healthy adults in order to collect sufficient serum samples for the development of assays to be used in the MenABCWY-2Gen vaccine clinical development program.
Eligibility Criteria
Inclusion Criteria
All inclusion criteria are applicable for both study phases, except where specified otherwise.
- Participants and/or participants' parent(s)/Legally Acceptable Representative(s) (LAR) who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g. completion of the eDiaries, return for follow-up visits).
- Written or witnessed/thumb printed informed consent obtained from the participant or /parent(s)/LAR(s) of the participant prior to performance of any study specific procedure.
- Written informed assent obtained from the participant (if applicable) prior to performing any study specific procedure.
- Phase I only: A male or female between, and including, 18 and 40 years of age (i.e. 40 years + 364 days) at the time of the first study intervention administration.
- Phase II (Formulation and Schedule-finding) only: 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 study intervention administration.
- Phase II (Sourcing) only: A male or female between, and including, 18 and 50 years of age (i.e. 50 years + 364 days) at the time of the first study intervention administration.
- Participants 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).
- Healthy participants as established by medical history and clinical examination before entering into the study.
- Female participants 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 participants of childbearing potential may be enrolled in the study, if the participant:
- has practiced adequate contraception for 1 month prior to study intervention administration, and
- has a negative pregnancy test on the day of study intervention administration, and
- has agreed to continue adequate contraception during the entire treatment period and for 1 month after completion of the study intervention administration.
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.
- Are obese at enrolment (e.g. for participants from 20 years of age a body mass index (BMI) ≥ 30 kg/m2, for participants up to 19 years of age a BMI ≥ 95th percentile for age and gender or as applicable per country recommendations).
- Any neuroinflammatory (including but not limited to: demyelinating disorders, encephalitis or myelitis of any origin), congenital neurological conditions, encephalopathies, seizures (including all subtypes such as: absence seizures, generalised tonic-clonic seizures, partial complex seizures, partial simple 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 study interventions.
- Hypersensitivity, including allergy, to any component of vaccines, including diphtheria toxoid (CRM197) 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 (including, but not limited to: blood, endocrine, hepatic, muscular, nervous system or skin autoimmune disorders; lupus erythematosus and associated conditions; rheumatoid ar
Data sourced from ClinicalTrials.gov (NCT04886154). 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.