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Immunogenicity and Safety of MenACWY in Infants (6 & 12 Months)

Primary Purpose

Meningococcal Meningitis

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
MenACWY-CRM
MenC-CRM
DTaP-Hib-IPV
PC7
MMR
Varicella
Sponsored by
Novartis Vaccines
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningococcal Meningitis focused on measuring meningitis, children, vaccine

Eligibility Criteria

6 Months - 12 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Inclusion criteria for Groups I (MenACWY-CRM_6-12 M) and II (MenACWY-CRM_12 M) Subjects eligible for enrollment in the study were healthy infants: who were 6 months old and who were born after full-term pregnancy with an estimated gestational age of 37 weeks or greater and a birth weight 2.5 kg or greater; who previously received two doses of PC7 and DTaP-Hib-IPV vaccines; for whom a parent/legal guardian gave written informed consent, after the nature of the study was explained; who were available for all the visits scheduled in the study; who were in good health as determined by medical history, physical examination, and clinical judgment of the investigator. Inclusion criteria for Group III (MenC-CRM_12 M_MenACWY-CRM_18 M) Subjects eligible for enrollment in the study were healthy infants: who were 12 months old; who previously received three doses of DTaP-Hib-IPV (Pentacel) vaccines; for whom a parent/legal guardian gave written informed consent, after the nature of the study was explained; who were available for all the visits scheduled in the study; who were in good health as determined by medical history, physical examination, and clinical judgment of the investigator. Exclusion criteria: Subjects were not to be included in this study if: their parents/legal guardians were unwilling or unable to give written informed consent to participate in the study; they previously received any meningococcal vaccine; they had a previously ascertained or suspected disease caused by Neisseria meningitidis (N meningitidis); they had a history of any anaphylactic shock, asthma, urticaria, or other allergic reaction after previous vaccinations or known hypersensitivity to any vaccine component; they had experienced significant acute or chronic infection within the previous 7 days or had experienced fever (38.0ºC or greater) within the previous 3 days; they had any present or suspected serious acute disease (e.g., leukemia, lymphomas), or chronic disease (e.g., with signs of cardiac failure, renal failure, severe malnutrition, or insulin-dependent diabetes), or progressive neurological disease, or a genetic anomaly/known cytogenic disorders (e.g., Down's syndrome), or who had a diagnosed cardiac defect or abnormality of hemodynamic significance (e.g., ventricular septal defect, patent ductus arteriosus, or atrial septal defect); they had a known or suspected autoimmune disease or impairment /alteration of immune function resulting from use of (for example): any immunosuppressive therapy since birth; immunostimulants since birth; any systemic corticosteroid administered for more than 5 days or in a daily dose of greater than 1 mg/kg/day prednisone or equivalent for 5 days or less in the previous 30 days; they had a suspected or known HIV infection or HIV-related disease; they had received parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 90 days and were expected to receive it for the full length of the study; they had a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time; they had a history of seizure disorder: febrile seizure; any other seizure disorder; they had taken systemic antibiotics (either oral or parenteral) within the previous 14 days (EXCEPTION: subjects who had received an oral or parenteral β-lactam antibiotic [e.g.: penicillin, amoxicillin, ceftriaxone, cefuroxime or cephalexin] could have been enrolled 7 days following the last dose); their parents/legal guardians were planning to leave the area of the study center before the end of the study period; they had any condition which, in the opinion of the investigator, might have interfered with the evaluation of the study objectives.

Sites / Locations

  • Children's Hospital of Eastern Ontario Research Institute
  • Herridge Community Health Clinic
  • Clinical Trials Research Center, Department of Pediatrics, Dalhousie University, IWK Health Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

MenACWY-CRM_6-12 M

MenACWY-CRM_12 M

MenC-CRM_12 M_MenACWY-CRM_18 M

Arm Description

Subjects received 2 doses of MenACWY-CRM (1 dose at 6 and 12 months of age). Subjects also received routine vaccines: 2 doses of PC7 (1 dose at 6 and 12 months of age), 1 dose of DTaP-Hib-IPV (at 6 months of age) and 1 dose of MMR+Varicella (at 13 months of age)

Subjects received 1 dose of MenACWY-CRM at 12 months of age. Subjects also received routine vaccines: 2 doses of PC7 (1 dose at 6 and 12 months of age), 1 dose of DTaP-Hib-IPV (at 6 months of age) and 1 dose of MMR+Varicella (at 13 months of age)

Subjects received 1 dose of MenC-CRM (at 12 months of age) and 1 dose of MenACWY-CRM (at 18 months of age). Subjects also received routine vaccines: 1 dose of PCV7 (at 12 months), MMR+Varicella (at 13 months) and DTaP-Hib-IPV (at 18 months)

Outcomes

Primary Outcome Measures

Percentage of Subjects With hSBA Titers ≥1:4 Against Each of 4 Meningococcal Serogroups After MenACWY-CRM Vaccination Administered as 2-Dose or 1-Dose Schedule
Immunogenicity was measured as the percentage of subjects with hSBA titers ≥1:4 against meningococcal serogroups A, C, W and Y, evaluated by serum bactericidal assay using human complement (hSBA), before vaccination and 1 month after 2-dose schedule of MenACWY-CRM administered at 6 and 12 months of age (MenACWY-CRM_6-12 M group) or 1-dose schedule administered at 12 months (MenACWY-CRM_12 M group)

Secondary Outcome Measures

Geometric Mean hSBA Titers Against Each of 4 Meningococcal Serogroups After MenACWY-CRM Vaccination Administered as 2-Dose or 1-Dose Schedule
The immune response was measured as the hSBA geometric mean titers (GMTs) against meningococcal serogroups A, C, W and Y, before vaccination and 1 month after 2-dose schedule of MenACWY-CRM administered at 6 and 12 months of age (MenACWY-CRM_6-12 M group) or 1-dose schedule administered at 12 months of age (MenACWY-CRM_12 M group)
Percentage of Subjects With hSBA Titers ≥1:8 Against Each of 4 Meningococcal Serogroups After MenACWY-CRM Vaccination Administered as 2-Dose or 1-Dose Schedule
Immunogenicity was measured as the percentage of subjects with hSBA titers ≥1:8 against meningococcal serogroups A, C, W and Y, before vaccination and 1 month after 2-dose schedule of MenACWY-CRM administered at 6 and 12 months of age (MenACWY-CRM_6-12 M group) or 1-dose schedule administered at 12 months of age (MenACWY-CRM_12 M)
Percentage of Subjects With hSBA Titers ≥1:4 or ≥1:8 Against Meningococcal Serogroup C After One Vaccination of MenC-CRM Administered at 12 Months of Age
Immunogenicity was measured as the percentage of subjects who achieved hSBA titers ≥1:4 or ≥1:8 against meningococcal serogroup C, before and 1 month after one vaccination of MenC-CRM administered concomitantly with Prevnar at 12 months of age
Geometric Mean hSBA Titers Against Meningococcal Serogroup C After One Vaccination of MenC-CRM Administered at 12 Months of Age
The immune response was measured as the hSBA GMT against meningococcal serogroup C, before and 1 month after one vaccination of MenC-CRM administered concomitantly with Prevnar at 12 months of age
Percentage of Subjects With hSBA Titers ≥1:4 or ≥1:8 Against Meningococcal Serogroup A, W and Y After One Vaccination of MenACWY-CRM Administered at 18 Months of Age
Immunogenicity was measured as the percentage of subjects who achieved hSBA titers ≥1:4 or ≥1:8 against meningococcal serogroups A, W and Y, before and 1 month after one vaccination of MenACWY-CRM administered concomitantly with Pentacel at 18 months of age
hSBA GMTs Against Meningococcal Serogroups A, W and Y After One Vaccination of MenACWY-CRM Administered at 18 Months of Age
The immune response was measured as the hSBA GMTs against meningococcal serogroups A, W and Y, before and 1 month after one vaccination of MenACWY-CRM administered concomitantly with Pentacel at 18 months of age
Percentage of Subjects With hSBA Titers ≥1:4 or ≥1:8 Against Meningococcal Serogroup C After MenACWY-CRM Vaccination Administered at 18 Months of Age, Following One Vaccination of MenC-CRM at 12 Months of Age
Booster response was measured as the percentage of subjects who achieved hSBA titers ≥1:4 or ≥1:8 against meningococcal serogroup C, before and 1 month after MenACWY-CRM vaccination administered at 18 months of age, following one vaccination of MenC-CRM at 12 months of age
hSBA GMT Against Meningococcal Serogroup C After MenACWY-CRM Vaccination Administered at 18 Months of Age, Following One Vaccination of MenC-CRM at 12 Months of Age
Booster response was measured as the hSBA GMT against meningococcal serogroup C, before and 1 month after MenACWY-CRM vaccination administered at 18 months of age, following one vaccination of MenC-CRM at 12 months of age
Number of Subjects Who Reported Solicited Local and Systemic Reactions After Any MenACWY-CRM, MenC-CRM and Concomitant Vaccination
The safety was assessed as the number of subjects who reported solicited local and systemic reactions from day 1 through day 7 following any vaccination of MenACWY-CRM, MenC-CRM and concomitant vaccination

Full Information

First Posted
April 3, 2006
Last Updated
September 10, 2018
Sponsor
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT00310856
Brief Title
Immunogenicity and Safety of MenACWY in Infants (6 & 12 Months)
Official Title
A Phase 2, Partially Randomized, Open Label, Multicenter Study to Evaluate the Safety and Immunogenicity After One or Two Doses of Novartis (Formerly Chiron) Meningococcal ACWY Conjugate Vaccine Administered to Healthy Infants and Young Children
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
June 2005 (undefined)
Primary Completion Date
November 2006 (Actual)
Study Completion Date
November 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Vaccines

4. Oversight

5. Study Description

Brief Summary
To assess the immunogenicity of Novartis (formerly Chiron) Meningococcal ACWY conjugate vaccine (MenACWY) when administered as a two-dose schedule at 6 and 12 months of age.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningococcal Meningitis
Keywords
meningitis, children, vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
175 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MenACWY-CRM_6-12 M
Arm Type
Experimental
Arm Description
Subjects received 2 doses of MenACWY-CRM (1 dose at 6 and 12 months of age). Subjects also received routine vaccines: 2 doses of PC7 (1 dose at 6 and 12 months of age), 1 dose of DTaP-Hib-IPV (at 6 months of age) and 1 dose of MMR+Varicella (at 13 months of age)
Arm Title
MenACWY-CRM_12 M
Arm Type
Experimental
Arm Description
Subjects received 1 dose of MenACWY-CRM at 12 months of age. Subjects also received routine vaccines: 2 doses of PC7 (1 dose at 6 and 12 months of age), 1 dose of DTaP-Hib-IPV (at 6 months of age) and 1 dose of MMR+Varicella (at 13 months of age)
Arm Title
MenC-CRM_12 M_MenACWY-CRM_18 M
Arm Type
Experimental
Arm Description
Subjects received 1 dose of MenC-CRM (at 12 months of age) and 1 dose of MenACWY-CRM (at 18 months of age). Subjects also received routine vaccines: 1 dose of PCV7 (at 12 months), MMR+Varicella (at 13 months) and DTaP-Hib-IPV (at 18 months)
Intervention Type
Biological
Intervention Name(s)
MenACWY-CRM
Other Intervention Name(s)
Meningococcal ACWY conjugate vaccine
Intervention Description
Subjects received the full dose (0.5 mL) of MenACWY-CRM, obtained by extemporaneous mixing of lyophilized MenA powder component and the MenCWY suspension, administered by IM injection into the anterolateral area of the right thigh.
Intervention Type
Biological
Intervention Name(s)
MenC-CRM
Other Intervention Name(s)
Meningococcal C conjugate vaccine
Intervention Description
One dose (0.5 mL) of MenC-CRM was obtained by extemporaneous mixing just before injection of the lyophilized MenC component and a saline solvent, administered by IM injection into the arm region.
Intervention Type
Biological
Intervention Name(s)
DTaP-Hib-IPV
Other Intervention Name(s)
Combined vaccine containing diphtheria, tetanus, pertussis, Haemophilus influenzae type B and inactivated polio virus; Pentacel
Intervention Type
Biological
Intervention Name(s)
PC7
Other Intervention Name(s)
Heptavalent conjugate pneumococcal; Prevnar
Intervention Description
One dose (0.5 mL) of PC7, supplied in pre-filled syringe, administered by IM injection into the anterolateral area of the left thigh.
Intervention Type
Biological
Intervention Name(s)
MMR
Other Intervention Name(s)
Measles, mumps and rubella
Intervention Type
Biological
Intervention Name(s)
Varicella
Primary Outcome Measure Information:
Title
Percentage of Subjects With hSBA Titers ≥1:4 Against Each of 4 Meningococcal Serogroups After MenACWY-CRM Vaccination Administered as 2-Dose or 1-Dose Schedule
Description
Immunogenicity was measured as the percentage of subjects with hSBA titers ≥1:4 against meningococcal serogroups A, C, W and Y, evaluated by serum bactericidal assay using human complement (hSBA), before vaccination and 1 month after 2-dose schedule of MenACWY-CRM administered at 6 and 12 months of age (MenACWY-CRM_6-12 M group) or 1-dose schedule administered at 12 months (MenACWY-CRM_12 M group)
Time Frame
Before and 1 month after 2-dose or 1-dose schedule
Secondary Outcome Measure Information:
Title
Geometric Mean hSBA Titers Against Each of 4 Meningococcal Serogroups After MenACWY-CRM Vaccination Administered as 2-Dose or 1-Dose Schedule
Description
The immune response was measured as the hSBA geometric mean titers (GMTs) against meningococcal serogroups A, C, W and Y, before vaccination and 1 month after 2-dose schedule of MenACWY-CRM administered at 6 and 12 months of age (MenACWY-CRM_6-12 M group) or 1-dose schedule administered at 12 months of age (MenACWY-CRM_12 M group)
Time Frame
Before and 1 month after 2-dose or 1-dose schedule
Title
Percentage of Subjects With hSBA Titers ≥1:8 Against Each of 4 Meningococcal Serogroups After MenACWY-CRM Vaccination Administered as 2-Dose or 1-Dose Schedule
Description
Immunogenicity was measured as the percentage of subjects with hSBA titers ≥1:8 against meningococcal serogroups A, C, W and Y, before vaccination and 1 month after 2-dose schedule of MenACWY-CRM administered at 6 and 12 months of age (MenACWY-CRM_6-12 M group) or 1-dose schedule administered at 12 months of age (MenACWY-CRM_12 M)
Time Frame
Before and 1 month after 2-dose or 1-dose schedule
Title
Percentage of Subjects With hSBA Titers ≥1:4 or ≥1:8 Against Meningococcal Serogroup C After One Vaccination of MenC-CRM Administered at 12 Months of Age
Description
Immunogenicity was measured as the percentage of subjects who achieved hSBA titers ≥1:4 or ≥1:8 against meningococcal serogroup C, before and 1 month after one vaccination of MenC-CRM administered concomitantly with Prevnar at 12 months of age
Time Frame
Before and 1 month after MenC-CRM vaccination at 12 months
Title
Geometric Mean hSBA Titers Against Meningococcal Serogroup C After One Vaccination of MenC-CRM Administered at 12 Months of Age
Description
The immune response was measured as the hSBA GMT against meningococcal serogroup C, before and 1 month after one vaccination of MenC-CRM administered concomitantly with Prevnar at 12 months of age
Time Frame
Before and 1 month after MenC-CRM vaccination at 12 months
Title
Percentage of Subjects With hSBA Titers ≥1:4 or ≥1:8 Against Meningococcal Serogroup A, W and Y After One Vaccination of MenACWY-CRM Administered at 18 Months of Age
Description
Immunogenicity was measured as the percentage of subjects who achieved hSBA titers ≥1:4 or ≥1:8 against meningococcal serogroups A, W and Y, before and 1 month after one vaccination of MenACWY-CRM administered concomitantly with Pentacel at 18 months of age
Time Frame
Before and 1 month after MenACWY-CRM vaccination at 18 months
Title
hSBA GMTs Against Meningococcal Serogroups A, W and Y After One Vaccination of MenACWY-CRM Administered at 18 Months of Age
Description
The immune response was measured as the hSBA GMTs against meningococcal serogroups A, W and Y, before and 1 month after one vaccination of MenACWY-CRM administered concomitantly with Pentacel at 18 months of age
Time Frame
Before and 1 month after MenACWY-CRM vaccination at 18 months
Title
Percentage of Subjects With hSBA Titers ≥1:4 or ≥1:8 Against Meningococcal Serogroup C After MenACWY-CRM Vaccination Administered at 18 Months of Age, Following One Vaccination of MenC-CRM at 12 Months of Age
Description
Booster response was measured as the percentage of subjects who achieved hSBA titers ≥1:4 or ≥1:8 against meningococcal serogroup C, before and 1 month after MenACWY-CRM vaccination administered at 18 months of age, following one vaccination of MenC-CRM at 12 months of age
Time Frame
Before and 1 month after MenACWY-CRM vaccination at 18 months
Title
hSBA GMT Against Meningococcal Serogroup C After MenACWY-CRM Vaccination Administered at 18 Months of Age, Following One Vaccination of MenC-CRM at 12 Months of Age
Description
Booster response was measured as the hSBA GMT against meningococcal serogroup C, before and 1 month after MenACWY-CRM vaccination administered at 18 months of age, following one vaccination of MenC-CRM at 12 months of age
Time Frame
Before and 1 month after MenACWY-CRM vaccination at 18 months
Title
Number of Subjects Who Reported Solicited Local and Systemic Reactions After Any MenACWY-CRM, MenC-CRM and Concomitant Vaccination
Description
The safety was assessed as the number of subjects who reported solicited local and systemic reactions from day 1 through day 7 following any vaccination of MenACWY-CRM, MenC-CRM and concomitant vaccination
Time Frame
From day 1 through day 7 after any vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
12 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Inclusion criteria for Groups I (MenACWY-CRM_6-12 M) and II (MenACWY-CRM_12 M) Subjects eligible for enrollment in the study were healthy infants: who were 6 months old and who were born after full-term pregnancy with an estimated gestational age of 37 weeks or greater and a birth weight 2.5 kg or greater; who previously received two doses of PC7 and DTaP-Hib-IPV vaccines; for whom a parent/legal guardian gave written informed consent, after the nature of the study was explained; who were available for all the visits scheduled in the study; who were in good health as determined by medical history, physical examination, and clinical judgment of the investigator. Inclusion criteria for Group III (MenC-CRM_12 M_MenACWY-CRM_18 M) Subjects eligible for enrollment in the study were healthy infants: who were 12 months old; who previously received three doses of DTaP-Hib-IPV (Pentacel) vaccines; for whom a parent/legal guardian gave written informed consent, after the nature of the study was explained; who were available for all the visits scheduled in the study; who were in good health as determined by medical history, physical examination, and clinical judgment of the investigator. Exclusion criteria: Subjects were not to be included in this study if: their parents/legal guardians were unwilling or unable to give written informed consent to participate in the study; they previously received any meningococcal vaccine; they had a previously ascertained or suspected disease caused by Neisseria meningitidis (N meningitidis); they had a history of any anaphylactic shock, asthma, urticaria, or other allergic reaction after previous vaccinations or known hypersensitivity to any vaccine component; they had experienced significant acute or chronic infection within the previous 7 days or had experienced fever (38.0ºC or greater) within the previous 3 days; they had any present or suspected serious acute disease (e.g., leukemia, lymphomas), or chronic disease (e.g., with signs of cardiac failure, renal failure, severe malnutrition, or insulin-dependent diabetes), or progressive neurological disease, or a genetic anomaly/known cytogenic disorders (e.g., Down's syndrome), or who had a diagnosed cardiac defect or abnormality of hemodynamic significance (e.g., ventricular septal defect, patent ductus arteriosus, or atrial septal defect); they had a known or suspected autoimmune disease or impairment /alteration of immune function resulting from use of (for example): any immunosuppressive therapy since birth; immunostimulants since birth; any systemic corticosteroid administered for more than 5 days or in a daily dose of greater than 1 mg/kg/day prednisone or equivalent for 5 days or less in the previous 30 days; they had a suspected or known HIV infection or HIV-related disease; they had received parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 90 days and were expected to receive it for the full length of the study; they had a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time; they had a history of seizure disorder: febrile seizure; any other seizure disorder; they had taken systemic antibiotics (either oral or parenteral) within the previous 14 days (EXCEPTION: subjects who had received an oral or parenteral β-lactam antibiotic [e.g.: penicillin, amoxicillin, ceftriaxone, cefuroxime or cephalexin] could have been enrolled 7 days following the last dose); their parents/legal guardians were planning to leave the area of the study center before the end of the study period; they had any condition which, in the opinion of the investigator, might have interfered with the evaluation of the study objectives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Halperin, Dr.
Organizational Affiliation
Novartis Vaccines & Diagnostics
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Francisco Diaz-Mitoma, Dr.
Organizational Affiliation
Novartis Vaccines
Official's Role
Principal Investigator
Facility Information:
Facility Name
Children's Hospital of Eastern Ontario Research Institute
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L1
Country
Canada
Facility Name
Herridge Community Health Clinic
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1S 0G8
Country
Canada
Facility Name
Clinical Trials Research Center, Department of Pediatrics, Dalhousie University, IWK Health Center
City
Halifax
ZIP/Postal Code
B3K 6R8
Country
Canada

12. IPD Sharing Statement

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Immunogenicity and Safety of MenACWY in Infants (6 & 12 Months)

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