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Exploratory Trial to Evaluate the Safety and Immunogenicity of Menactra® and Menomune® Vaccines in Subjects ≥ 56 Years

Primary Purpose

Meningococcal Infections, Meningococcal Meningitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Menomune®: A, C, Y, W-135 Meningococcal Polysaccharide
Menactra®: Polysaccharide Diphtheria Toxoid Conjugate
Menactra®: Polysaccharide Diphtheria Toxoid Conjugate
Menactra®: Polysaccharide Diphtheria Toxoid Conjugate
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningococcal Infections focused on measuring Meningococcal Vaccine, Menactra®, Menomune®

Eligibility Criteria

56 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Ambulatory and healthy, as determined by medical history.
  • 56 years of age or older at the time of vaccination.
  • Signed Institutional Review Board (IRB)-approved informed consent form.
  • Able to attend all scheduled visits and to comply with all trial procedures.
  • For a woman, inability to become pregnant or a negative urine pregnancy test at the time of enrollment.

Exclusion Criteria:

  • Any condition which, in the opinion of the Investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.
  • Serious chronic disease (i.e., cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric, etc) that is unstable or that might 1) interfere with the ability to participate fully in the study or 2) interfere with evaluation of the vaccines.
  • Known or suspected impairment of immunologic function.
  • Febrile illness within the last 72 hours or an oral temperature ≥ 100.4ºF at the time of inclusion.
  • History of documented invasive meningococcal disease or previous meningococcal vaccination.
  • Known or suspected receipt of a diphtheria-containing vaccine within the preceding 2 years.
  • Administration of immune globulin or other blood products within the last three months, or injected or oral corticosteroids or other immunomodulator therapy within six weeks of the study vaccine. Individuals on a tapering dose schedule of oral steroids lasting < 7 days may be included in the trial as long as they have not received more than one course within the last two weeks prior to enrollment.
  • Systemic antibiotic therapy within the 72 hours prior to collection of any blood samples.
  • Received any vaccine in the 28-day period prior to enrollment or scheduled to receive any vaccination through Visit 2 for Groups 1 and 2 and through Visit 3 for Groups 3 and 4. Influenza vaccines may be received 2 weeks before or after a study vaccination.
  • Suspected or known hypersensitivity to latex or to any of the components of either Menactra® vaccine or Menomune® vaccine.
  • Previous personal history of Guillain-Barré syndrome.
  • Not available for the entire study period or unable to attend the scheduled visits or to comply with the study procedures.
  • In females of childbearing potential, a positive or equivocal urine pregnancy test at enrollment.
  • A nursing mother.
  • Participation in another interventional clinical trial in the 4 weeks preceding enrollment or planning to participate in another interventional clinical trial during the planned period of this study.
  • Current use of alcohol or recreational drugs that may interfere with the subject's ability to comply with trial visits or procedures.
  • Thrombocytopenia or bleeding disorder contraindicating intramuscular vaccination.
  • Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Group 1: Menomune Day 0

Group 2: Menactra® Day 0 x 2

Group 3: Menactra® Day 0 and 14

Group 4: Menactra® Day 0 and 28

Arm Description

Participants received a single dose of Menomune® vaccine on Day 0.

Participants received two single-dose injections of Menactra® vaccine on Day 0

Participants received a single dose of Menactra® vaccine on Day 0 and on Day 14

Participants received a single dose of Menactra® vaccine on Day 0 and on Day 28.

Outcomes

Primary Outcome Measures

Number of Participants With At Least One Solicited Injection Site or Systemic Reaction Post-Vaccination 1.
Solicited injection site reactions: pain, erythema, and swelling. Solicited systemic reactions: Fever (temperature), Headache, Malaise, Myalgia, chills, Arthralgia, Urticaria, Anorexia, Diarrhea, and Vomiting.
Number of Participants With At Least One Solicited Injection Site Reaction Post-Vaccination 2
Solicited injection site reactions: Pain, Erythema, and Swelling.
Number of Participants With At Least One Solicited Systemic Reaction Post-Vaccination 2
Solicited systemic reactions: Fever (temperature), Headache, Malaise, Myalgia, chills, Arthralgia, Urticaria, Anorexia, Diarrhea, and Vomiting.

Secondary Outcome Measures

Full Information

First Posted
March 31, 2009
Last Updated
September 12, 2013
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT00874549
Brief Title
Exploratory Trial to Evaluate the Safety and Immunogenicity of Menactra® and Menomune® Vaccines in Subjects ≥ 56 Years
Official Title
A Safety and Immunogenicity Evaluation of a Meningococcal (Groups A, C, Y, and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine (Menactra®) and a Meningococcal Polysaccharide Vaccine Groups A, C, Y, and W-135 Combined (Menomune® - A/C/Y/W-135) in Subjects 56 Years of Age or Older
Study Type
Interventional

2. Study Status

Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
January 2008 (Actual)
Study Completion Date
October 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Safety: To describe the rates of immediate reactions, solicited injection-site and systemic reactions, all unsolicited adverse events, and serious adverse events following vaccination with either Menactra® vaccine or Menomune® vaccine. Immunogenicity: To evaluate the immune response to serogroups A, C, Y, and W-135 in each of the four study groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningococcal Infections, Meningococcal Meningitis
Keywords
Meningococcal Vaccine, Menactra®, Menomune®

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
216 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: Menomune Day 0
Arm Type
Active Comparator
Arm Description
Participants received a single dose of Menomune® vaccine on Day 0.
Arm Title
Group 2: Menactra® Day 0 x 2
Arm Type
Experimental
Arm Description
Participants received two single-dose injections of Menactra® vaccine on Day 0
Arm Title
Group 3: Menactra® Day 0 and 14
Arm Type
Experimental
Arm Description
Participants received a single dose of Menactra® vaccine on Day 0 and on Day 14
Arm Title
Group 4: Menactra® Day 0 and 28
Arm Type
Experimental
Arm Description
Participants received a single dose of Menactra® vaccine on Day 0 and on Day 28.
Intervention Type
Biological
Intervention Name(s)
Menomune®: A, C, Y, W-135 Meningococcal Polysaccharide
Other Intervention Name(s)
Menomune®
Intervention Description
0.5 mL, Subcutaneous
Intervention Type
Biological
Intervention Name(s)
Menactra®: Polysaccharide Diphtheria Toxoid Conjugate
Other Intervention Name(s)
Menactra®
Intervention Description
0.5 mL, Intramuscular
Intervention Type
Biological
Intervention Name(s)
Menactra®: Polysaccharide Diphtheria Toxoid Conjugate
Other Intervention Name(s)
Menactra®
Intervention Description
0.5 mL. Intramuscular
Intervention Type
Biological
Intervention Name(s)
Menactra®: Polysaccharide Diphtheria Toxoid Conjugate
Other Intervention Name(s)
Menactra®
Intervention Description
0.5 mL, Intramuscular
Primary Outcome Measure Information:
Title
Number of Participants With At Least One Solicited Injection Site or Systemic Reaction Post-Vaccination 1.
Description
Solicited injection site reactions: pain, erythema, and swelling. Solicited systemic reactions: Fever (temperature), Headache, Malaise, Myalgia, chills, Arthralgia, Urticaria, Anorexia, Diarrhea, and Vomiting.
Time Frame
0-7 days post-vaccination 1
Title
Number of Participants With At Least One Solicited Injection Site Reaction Post-Vaccination 2
Description
Solicited injection site reactions: Pain, Erythema, and Swelling.
Time Frame
0-7 Days Post-vaccination 2
Title
Number of Participants With At Least One Solicited Systemic Reaction Post-Vaccination 2
Description
Solicited systemic reactions: Fever (temperature), Headache, Malaise, Myalgia, chills, Arthralgia, Urticaria, Anorexia, Diarrhea, and Vomiting.
Time Frame
Day 0 to 7 Post-vaccination 2
Other Pre-specified Outcome Measures:
Title
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Antibody Titers Using Baby Rabbit Complement (SBA-BR) Post-Vaccination 1.
Time Frame
Day 28 Post-vaccination 1
Title
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Antibody Titers Using Baby Rabbit Complement (SBA-BR) Post-Vaccination 2
Time Frame
Day 28 Post-vaccination 2
Title
Geometric Mean Titers (GMTs) of Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Pre- and Post-vaccination 1
Time Frame
Day 0 and Day 28 Post-vaccination 1
Title
Geometric Mean Titers (GMTs) of Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Pre-vaccination 1 and Post-vaccination 2
Time Frame
Day 0 and 28 days Post-vaccination 2
Title
Percentage of Participants Achieving Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Titers of at Least 1:8 (≥1:8) Pre- and Post-vaccination 1
Time Frame
Day 28 Post-vaccination 1
Title
Percentage of Participants Achieving Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Titers of at Least 1:8 (≥1:8), Pre-vaccination 1 and Post-vaccination 2
Time Frame
Day 0 and Day 28 Post-vaccination 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
56 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Ambulatory and healthy, as determined by medical history. 56 years of age or older at the time of vaccination. Signed Institutional Review Board (IRB)-approved informed consent form. Able to attend all scheduled visits and to comply with all trial procedures. For a woman, inability to become pregnant or a negative urine pregnancy test at the time of enrollment. Exclusion Criteria: Any condition which, in the opinion of the Investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine. Serious chronic disease (i.e., cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric, etc) that is unstable or that might 1) interfere with the ability to participate fully in the study or 2) interfere with evaluation of the vaccines. Known or suspected impairment of immunologic function. Febrile illness within the last 72 hours or an oral temperature ≥ 100.4ºF at the time of inclusion. History of documented invasive meningococcal disease or previous meningococcal vaccination. Known or suspected receipt of a diphtheria-containing vaccine within the preceding 2 years. Administration of immune globulin or other blood products within the last three months, or injected or oral corticosteroids or other immunomodulator therapy within six weeks of the study vaccine. Individuals on a tapering dose schedule of oral steroids lasting < 7 days may be included in the trial as long as they have not received more than one course within the last two weeks prior to enrollment. Systemic antibiotic therapy within the 72 hours prior to collection of any blood samples. Received any vaccine in the 28-day period prior to enrollment or scheduled to receive any vaccination through Visit 2 for Groups 1 and 2 and through Visit 3 for Groups 3 and 4. Influenza vaccines may be received 2 weeks before or after a study vaccination. Suspected or known hypersensitivity to latex or to any of the components of either Menactra® vaccine or Menomune® vaccine. Previous personal history of Guillain-Barré syndrome. Not available for the entire study period or unable to attend the scheduled visits or to comply with the study procedures. In females of childbearing potential, a positive or equivocal urine pregnancy test at enrollment. A nursing mother. Participation in another interventional clinical trial in the 4 weeks preceding enrollment or planning to participate in another interventional clinical trial during the planned period of this study. Current use of alcohol or recreational drugs that may interfere with the subject's ability to comply with trial visits or procedures. Thrombocytopenia or bleeding disorder contraindicating intramuscular vaccination. Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Sanofi Pasteur Inc.
Official's Role
Study Director
Facility Information:
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87108
Country
United States
City
West Jordon
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.sanofipasteur.com
Description
Related Info

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Exploratory Trial to Evaluate the Safety and Immunogenicity of Menactra® and Menomune® Vaccines in Subjects ≥ 56 Years

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