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Safety and Immunogenicity of Novartis Meningococcal B Vaccine Formulated With OMV Manufactured at Two Different Sites, in Healthy Adolescents Aged 11-17 Years

Primary Purpose

Meningococcal Disease, Meningococcal Meningitis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Serogroup B meningococcal vaccine
Sponsored by
Novartis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningococcal Disease focused on measuring Meningococcal Meningitis, prevention, vaccination, adolescents

Eligibility Criteria

11 Years - 17 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female subjects (11-17 years of age inclusive) who have given their written assent and whose parents or legal guardians have given written informed consent at the time of enrollment
  • who are available for all the visits scheduled in the study (i.e., not planning to leave the area before the end of the study period)
  • in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.

Exclusion Criteria:

  • History of any serogroup B meningococcal vaccination
  • Current or previous, confirmed or suspected disease caused by N. meningitidis
  • Exposure to an individual with any laboratory confirmed N. meningitidis infection within 60 days of enrollment
  • Significant acute or chronic infection within the previous 7 days or fever (defined as axillary temperature ≥ 38.0 °C) within the previous day
  • Antibiotic use within 3 days (72 hours) prior to enrollment
  • Pregnancy or nursing (breastfeeding) mothers
  • Females of childbearing age who have not used or do not plan to use acceptable birth control measures, for the 2 months duration of the study. If sexually active the subject must have been using one of the accepted birth control methods for at least 30 days prior to study entry
  • Any serious chronic or progressive disease, Known or suspected impairment/alteration of the immune system
  • Receipt of blood, blood products and/or plasma derivatives, or a parenteral immunoglobulin preparation within the previous 90 days
  • History of severe allergic reactions after previous vaccinations or hypersensitivity to any vaccine component

Sites / Locations

  • Royal Children's Hospital
  • AusTrials Pty Ltd-Suites 6, 10 & 11, Peninsula Specialist Centre
  • AusTrials Pty Ltd-Suite 5, Level 1, 14 Primrose Street
  • Women's and Children's Hospital, 72 King William Road
  • Murdoch Children's Research Institute-Level 5, 207 Bouverie St-University of Melbourne
  • Telethon Institute for Child Heath Research-cnr
  • TASC Research Services, 1-15243 91st Avenue
  • Colchester Regional Hospital Colchester Research Group, 68 Robie Street
  • Albion Finch Medical Centre, 1620 Albion Road, Suite 106
  • Medicor Research Inc, 359 Riverside, Suite 200
  • SKDS Research Inc, 221-679 Davis Dr.Newmarket
  • Dr. Hartley Garfield Medicine Professional Corporation, 790 Bay Street, Suite 540
  • Devonshire Clinical Research INC, 423 Devonshire Ave., Suite 301

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

MenB Lot 1

MenB Lot 2

Arm Description

MenB vaccine Lot 1: 2 doses administered 1 month apart

MenB vaccine Lot 2: 2 doses administered 1 month apart

Outcomes

Primary Outcome Measures

Human Serum Bactericidal Activity (hSBA) Geometric Mean Titers (GMTs) Against 3 Neisseria.Meningitidis (N. Meningitidis) Serogroup B Reference Strains.
Consistency of the immune response of the two lots of rMenB+OMV NZ will be assessed at one month after the second vaccination based on the ratio of the vaccine lot hSBA GMTs for each of three serogroup B reference strains (H44/76, 5/99, and NZ98/254) and based on the ratio of Enzyme-linked Immunosorbent Assay (ELISA) GMCs for vaccine antigen 287-953. The equivalence interval will be (0.5, 2.0).
ELISA Geometric Mean Concentration (GMCs) Against Vaccine Antigen 287-953
The immune response of two different lots of rMenB+OMV NZ is evaluated in terms of ELISA GMCs against vaccine antigen 287-953.

Secondary Outcome Measures

Percentage of Subjects in Each Lot With hSBA ≥ 1:5
The percentage of subjects in each lot with hSBA ≥ 1:5 at one month after the second vaccination for each of the three reference strains (H44/76, 5/99, and NZ98/254) for each vaccine group
Geometric Mean Ratio (GMR) of GMTs Against Each of N. Meningitidis Serogroup B Reference Strains.
The immune response of two different lots of rMenB+OMV NZ against each of N. meningitidis serogroup B test strains is evaluated in terms of GMR between GMTs (1month after the second vaccination vs baseline).
Geometric Mean Ratio (GMR) of ELISA Geometric Mean Concentration (GMCs) Against Antigen 287-953
The immune response of two different lots of rMenB+OMV NZ against antigen 287-953 is evaluated in terms of GMRs between ELISA GMCs (day 61 vs baseline).
hSBA GMT Against 3 N. Meningitidis Serogroup B Reference Strains at Day 45.
The immunogenicity of two different lots of rMenB+OMV NZ is evaluated in terms of hSBA GMT against 3 N. Meningitidis serogroup B reference strains at two weeks after last vaccination.
GMRs of GMT Against 3 N. Meningitidis Serogroup B Reference Strains at Day 45.
The immunogenicity of two different lots of rMenB+OMV NZ is evaluated in terms of GMRs of GMT against 3 N. meningitidis serogroup B reference strains at two weeks after last vaccination.
Percentage of Subjects With hSBA ≥1:5 Against Each of N. Meningitidis Serogroup B Reference Strains at Day 45.
The immune response of two different lots of rMenB+OMV NZ against each of N. Meningitidis serogroup B reference strains is evaluated in terms of percentages of subjects with hSBA ≥1:5 two weeks after the last vaccination.
ELISA GMCs Against Vaccine Antigen 287-953 at Day 45.
The immune response of two different lots of rMenB+OMV NZ is evaluated in terms of ELISA GMCs against vaccine antigen 287-953.
GMR of ELISA GMCs Against Antigen 287-953 at Day 45.
The immune response of two different lots of rMenB+OMV NZ against antigen 287-953 is evaluated in terms of GMRs between ELISA GMCs (day 45 vs baseline).
Number of Subjects Reporting Solicited Local and Systemic Adverse Events (AEs)
Number of subjects reporting solicited local and systemic Adverse Events and other indicators of reactogenicity after any vaccination.
Number of Subjects Reporting Unsolicited AEs
Number of subjects reporting any Unsolicited AEs after any vaccination.
Number of Subjects Reporting SAEs and AE Leading to Withdrawal
Number of subjects reporting any Serious AEs (SAEs), medically attended AEs and AEs that result in a subject's withdrawal from the study after any vaccination.

Full Information

First Posted
August 23, 2011
Last Updated
February 3, 2015
Sponsor
Novartis
Collaborators
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT01423084
Brief Title
Safety and Immunogenicity of Novartis Meningococcal B Vaccine Formulated With OMV Manufactured at Two Different Sites, in Healthy Adolescents Aged 11-17 Years
Official Title
A Phase 3, Randomized, Comparative, Multicenter Observer-Blind Study Evaluating the Safety and Immunogenicity of Novartis Meningococcal B Vaccine Formulated With OMV Manufactured at Two Different Sites, in Healthy Adolescents Aged 11-17 Years
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to demonstrate the equivalence of rMenB+OMV NZ lot 1 to rMenB+OMV NZ lot 2 when administered to adolescents, as measured by human serum bactericidal activity (hSBA) geometric mean titers (GMTs) against 3 N. meningitidis serogroup B reference strains (H44/76, 5/99, and NZ98/254) and as measured by ELISA geometric mean concentrations (GMCs) against vaccine antigen 287-953, approximately 30 days after a primary vaccination course of two doses administered one month apart.
Detailed Description
Novartis will consider this study a success if, at one month following the second vaccination, the two-sided 95% CI of the ratio of the hSBA GMTs for each of 3 serogroup B reference strains (H44/76, 5/99, and NZ98/254) and the two-sided 95% CI of the ratio of the ELISA GMCs against vaccine antigen 287-953 are contained within the interval (0.5, 2.0).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningococcal Disease, Meningococcal Meningitis
Keywords
Meningococcal Meningitis, prevention, vaccination, adolescents

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
344 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MenB Lot 1
Arm Type
Experimental
Arm Description
MenB vaccine Lot 1: 2 doses administered 1 month apart
Arm Title
MenB Lot 2
Arm Type
Active Comparator
Arm Description
MenB vaccine Lot 2: 2 doses administered 1 month apart
Intervention Type
Biological
Intervention Name(s)
Serogroup B meningococcal vaccine
Intervention Description
All subjects will receive two rMenB+OMV NZ vaccinations one month apart and will be followed for a total of 2 months. Subjects will be randomized to 1 of 2 treatment arms to receive either two doses of rMenB+OMV NZ vaccine Lot 1 or two doses of rMenB+OMV NZ Lot 2. A total of 2 blood samples will be collected (at the first vaccination and 1 month after the 2nd vaccination). An additional blood draw will be collected in a subset of approximately 160 subjects (approximately 80 subjects in Group 1 and approximately 80 subjects in Group 2) at 2 weeks after the second vaccination
Primary Outcome Measure Information:
Title
Human Serum Bactericidal Activity (hSBA) Geometric Mean Titers (GMTs) Against 3 Neisseria.Meningitidis (N. Meningitidis) Serogroup B Reference Strains.
Description
Consistency of the immune response of the two lots of rMenB+OMV NZ will be assessed at one month after the second vaccination based on the ratio of the vaccine lot hSBA GMTs for each of three serogroup B reference strains (H44/76, 5/99, and NZ98/254) and based on the ratio of Enzyme-linked Immunosorbent Assay (ELISA) GMCs for vaccine antigen 287-953. The equivalence interval will be (0.5, 2.0).
Time Frame
One month after the second vaccination (day 61)
Title
ELISA Geometric Mean Concentration (GMCs) Against Vaccine Antigen 287-953
Description
The immune response of two different lots of rMenB+OMV NZ is evaluated in terms of ELISA GMCs against vaccine antigen 287-953.
Time Frame
One month after the second vaccination (day 61)
Secondary Outcome Measure Information:
Title
Percentage of Subjects in Each Lot With hSBA ≥ 1:5
Description
The percentage of subjects in each lot with hSBA ≥ 1:5 at one month after the second vaccination for each of the three reference strains (H44/76, 5/99, and NZ98/254) for each vaccine group
Time Frame
One month after the second vaccination (day 61)
Title
Geometric Mean Ratio (GMR) of GMTs Against Each of N. Meningitidis Serogroup B Reference Strains.
Description
The immune response of two different lots of rMenB+OMV NZ against each of N. meningitidis serogroup B test strains is evaluated in terms of GMR between GMTs (1month after the second vaccination vs baseline).
Time Frame
One month after the second vaccination (day 61)
Title
Geometric Mean Ratio (GMR) of ELISA Geometric Mean Concentration (GMCs) Against Antigen 287-953
Description
The immune response of two different lots of rMenB+OMV NZ against antigen 287-953 is evaluated in terms of GMRs between ELISA GMCs (day 61 vs baseline).
Time Frame
One month after the second vaccination (day 61)
Title
hSBA GMT Against 3 N. Meningitidis Serogroup B Reference Strains at Day 45.
Description
The immunogenicity of two different lots of rMenB+OMV NZ is evaluated in terms of hSBA GMT against 3 N. Meningitidis serogroup B reference strains at two weeks after last vaccination.
Time Frame
Two weeks after the second vaccination (day 45)
Title
GMRs of GMT Against 3 N. Meningitidis Serogroup B Reference Strains at Day 45.
Description
The immunogenicity of two different lots of rMenB+OMV NZ is evaluated in terms of GMRs of GMT against 3 N. meningitidis serogroup B reference strains at two weeks after last vaccination.
Time Frame
Two weeks after the second vaccination (day 45)
Title
Percentage of Subjects With hSBA ≥1:5 Against Each of N. Meningitidis Serogroup B Reference Strains at Day 45.
Description
The immune response of two different lots of rMenB+OMV NZ against each of N. Meningitidis serogroup B reference strains is evaluated in terms of percentages of subjects with hSBA ≥1:5 two weeks after the last vaccination.
Time Frame
Two weeks after the second vaccination (day 45)
Title
ELISA GMCs Against Vaccine Antigen 287-953 at Day 45.
Description
The immune response of two different lots of rMenB+OMV NZ is evaluated in terms of ELISA GMCs against vaccine antigen 287-953.
Time Frame
Two weeks after the second vaccination (day 45)
Title
GMR of ELISA GMCs Against Antigen 287-953 at Day 45.
Description
The immune response of two different lots of rMenB+OMV NZ against antigen 287-953 is evaluated in terms of GMRs between ELISA GMCs (day 45 vs baseline).
Time Frame
Two weeks after the second vaccination (day 45)
Title
Number of Subjects Reporting Solicited Local and Systemic Adverse Events (AEs)
Description
Number of subjects reporting solicited local and systemic Adverse Events and other indicators of reactogenicity after any vaccination.
Time Frame
From day 1 to day 7 after any vaccination
Title
Number of Subjects Reporting Unsolicited AEs
Description
Number of subjects reporting any Unsolicited AEs after any vaccination.
Time Frame
From day 1 to day 7 after any vaccination.
Title
Number of Subjects Reporting SAEs and AE Leading to Withdrawal
Description
Number of subjects reporting any Serious AEs (SAEs), medically attended AEs and AEs that result in a subject's withdrawal from the study after any vaccination.
Time Frame
Throughout the study period.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
11 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female subjects (11-17 years of age inclusive) who have given their written assent and whose parents or legal guardians have given written informed consent at the time of enrollment who are available for all the visits scheduled in the study (i.e., not planning to leave the area before the end of the study period) in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator. Exclusion Criteria: History of any serogroup B meningococcal vaccination Current or previous, confirmed or suspected disease caused by N. meningitidis Exposure to an individual with any laboratory confirmed N. meningitidis infection within 60 days of enrollment Significant acute or chronic infection within the previous 7 days or fever (defined as axillary temperature ≥ 38.0 °C) within the previous day Antibiotic use within 3 days (72 hours) prior to enrollment Pregnancy or nursing (breastfeeding) mothers Females of childbearing age who have not used or do not plan to use acceptable birth control measures, for the 2 months duration of the study. If sexually active the subject must have been using one of the accepted birth control methods for at least 30 days prior to study entry Any serious chronic or progressive disease, Known or suspected impairment/alteration of the immune system Receipt of blood, blood products and/or plasma derivatives, or a parenteral immunoglobulin preparation within the previous 90 days History of severe allergic reactions after previous vaccinations or hypersensitivity to any vaccine component
Facility Information:
Facility Name
Royal Children's Hospital
City
Herston
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
Facility Name
AusTrials Pty Ltd-Suites 6, 10 & 11, Peninsula Specialist Centre
City
Kippa-Ring
State/Province
Queensland
ZIP/Postal Code
4021
Country
Australia
Facility Name
AusTrials Pty Ltd-Suite 5, Level 1, 14 Primrose Street
City
Sherwood
State/Province
Queensland
ZIP/Postal Code
4075
Country
Australia
Facility Name
Women's and Children's Hospital, 72 King William Road
City
North Adelaide
State/Province
South Australia
ZIP/Postal Code
5006
Country
Australia
Facility Name
Murdoch Children's Research Institute-Level 5, 207 Bouverie St-University of Melbourne
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3010
Country
Australia
Facility Name
Telethon Institute for Child Heath Research-cnr
City
Hamilton Street and Roberts Road-Subiaco
State/Province
Western Australia
ZIP/Postal Code
6008
Country
Australia
Facility Name
TASC Research Services, 1-15243 91st Avenue
City
Surrey
State/Province
British Columbia
ZIP/Postal Code
V3R 8P8
Country
Canada
Facility Name
Colchester Regional Hospital Colchester Research Group, 68 Robie Street
City
Truro
State/Province
Nova Scotia
ZIP/Postal Code
B2N 1L2
Country
Canada
Facility Name
Albion Finch Medical Centre, 1620 Albion Road, Suite 106
City
Etobicoke
State/Province
Ontario
ZIP/Postal Code
M9V 4B4
Country
Canada
Facility Name
Medicor Research Inc, 359 Riverside, Suite 200
City
Sudbury
State/Province
Ontario
ZIP/Postal Code
P3E 1H5
Country
Canada
Facility Name
SKDS Research Inc, 221-679 Davis Dr.Newmarket
City
Toronto
State/Province
Ontario
ZIP/Postal Code
L3Y 5G8
Country
Canada
Facility Name
Dr. Hartley Garfield Medicine Professional Corporation, 790 Bay Street, Suite 540
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1N8
Country
Canada
Facility Name
Devonshire Clinical Research INC, 423 Devonshire Ave., Suite 301
City
Woodstock
State/Province
Ontario
ZIP/Postal Code
N4S 5P5
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
26232542
Citation
Perrett KP, McVernon J, Richmond PC, Marshall H, Nissen M, August A, Percell S, Toneatto D, Nolan T. Immune responses to a recombinant, four-component, meningococcal serogroup B vaccine (4CMenB) in adolescents: a phase III, randomized, multicentre, lot-to-lot consistency study. Vaccine. 2015 Sep 22;33(39):5217-24. doi: 10.1016/j.vaccine.2015.06.103. Epub 2015 Jul 29.
Results Reference
derived

Learn more about this trial

Safety and Immunogenicity of Novartis Meningococcal B Vaccine Formulated With OMV Manufactured at Two Different Sites, in Healthy Adolescents Aged 11-17 Years

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