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A Multi-center, Observer-blind, Placebo-controlled, Randomized Study to Evaluate the Immunogenicity and Safety of MenACWY in Adolescents and Adults in Korea

Primary Purpose

Meningococcal Disease, Meningococcal Meningitis

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Novartis MenACWY-CRM
Saline Placebo
Sponsored by
Novartis Vaccines
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningococcal Disease focused on measuring Meningococcal, ACWY-CRM, Conjugate Vaccine, Meningitis, Adolescents, Persistence, Adults

Eligibility Criteria

11 Years - 55 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Individuals eligible for enrollment in this study were those:

  1. who were 11-55 years of age inclusive and who, after the nature of the study had been explained:

    1. had given written assent and/or for whom the parent/legal representative had provided written informed consent (11-19 years of age).
    2. had provided written informed consent (20-55 years of age).
  2. who the investigator believed that they or their parents/legal representatives would comply with the requirements of the protocol (e.g., completion of the Diary Card, return for follow-up visit).
  3. who were in good health as determined by

    1. medical history
    2. physical assessment
    3. clinical judgment of the investigator
  4. who had negative urine pregnancy test for women of childbearing age.

Exclusion Criteria:

Individuals not eligible to be enrolled in the study were those:

  1. who were unwilling or unable to give written informed assent or consent to participate in the study.
  2. who were perceived to be unreliable or unavailable for the duration of the study period.
  3. who were planning to leave the area of the study site before the end of the study period.
  4. who had a previous or suspected disease caused by N. meningitidis.
  5. who had household contact with and/or intimate exposure to an individual with culture-proven N. meningitidis infection within 60 days prior to enrollment.
  6. who had previously been immunized with a meningococcal vaccine.
  7. who had received any investigational or non-registered product (drug or vaccine)within 28 days prior to enrollment or who expected to receive an investigational drug or vaccine prior to the completion of the study.
  8. who had received any licensed vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or who were planning to receive any vaccine within 30 days from the study vaccines. (Exception: Influenza vaccine was administered up to 15 days prior to study vaccination and at least 15 days after study vaccination)
  9. who had experienced within the 7 days prior to enrollment significant acute or chronic infection (for example requiring systemic antibiotic treatment or antiviral therapy) or had experienced fever (defined as body temperature ≥38°C) within 3 days prior to enrollment.
  10. who had any serious acute, chronic or progressive disease (e.g., any history of neoplasm, cancer, diabetes, cardiac disease, autoimmune disease, HIV infection or AIDS, or blood dyscrasias, with signs of cardiac or renal failure or severe malnutrition).
  11. who had epilepsy or any progressive neurological disease.
  12. who had a history of any anaphylaxis, serious vaccine reactions, or allergy to any vaccine components, including latex allergies.
  13. who had a known or suspected impairment/alteration of immune function, either congenital or acquired or resulting from (for example):

    1. received immunosuppressive therapy within 28 days prior to enrollment(any systemic corticosteroid administered for more than 5 days, or in a daily dose > 1 mg/kg/day prednisone or equivalent during any of 28 days prior to enrollment, or cancer chemotherapy)
    2. received immunostimulants
    3. received parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within 90 days prior to enrollment and for the full length of the study
  14. who were known to have a bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  15. who had any condition that, in the opinion of the investigator, might interfere with the evaluation of the study objectives.

Sites / Locations

  • Department of Pediatrics, Kosin University Gospel Hospital
  • Department of Pediatrics, Seoul National University Bundang Hospital
  • Deaprtment of Pediatrics, Inha University Hospital
  • Division of Infectious Diseases, Inha University Hospital
  • Pediatrics and Adolescent medicine, Myongji Hospital Kwandong University
  • Department of Pediatrics, Ewha Womans University Mokdong Hospital
  • Division of Infection Diseases, Seoul National University Hospital
  • Division of Infectious Diseases, Korea University Guro Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

MenACWY-CRM

Placebo

Arm Description

Subjects received one dose of MenACWY-CRM conjugate vaccine.

Subjects received the saline placebo.

Outcomes

Primary Outcome Measures

Percentages of Subjects With Seroresponse, Directed Against Neisseria Meningitidis Serogroups A, C, W and Y After MenACWY-CRM Vaccination.
Immunogenicity was measured as the percentage of subjects with hSBA response and associated 95% Clopper-Pearson confidence interval (CI), directed against N. meningitidis serogroups A, C, W and Y by serum bactericidal assay using human complement, human serum bactericidal assay (hSBA), at day 29 (28 days after MenACWY-CRM vaccination). Seroresponse is defined as: for subjects with a pre-vaccination hSBA titer < 1:4, a postvaccination hSBA titer ≥ 1:8. for subjects with a pre-vaccination hSBA titer ≥ 1:4, an increase in hSBA titer of at least four times the pre-vaccination titer.

Secondary Outcome Measures

Geometric Mean Titers (GMTs) of Subjects, Directed Against N. Meningitidis Serogroups A, C, W and Y After MenACWY-CRM Vaccination.
Immunogenicity was assessed as hSBA GMTs and associated 95% CI, measured against N. meningitidis serogroups A, C, W and Y, before the vaccination (baseline, day 1) and at day 29 (28 days after MenACWY-CRM vaccination).
Percentages of Subjects With hSBA Titer ≥1:8, Directed Against N. Meningitidis Serogroups A, C, W and Y After MenACWY-CRM Vaccination.
Immunogenicity was measured as the percentage of subjects with hSBA titer ≥1:8 and associated 95% CI, at baseline before vaccination (day 1) and at day 29 (28 days after MenACWY-CRM vaccination).
Number of Subjects Who Reported Local and Systemic Reactogenicity During 7 Days After MenACWY-CRM Vaccination

Full Information

First Posted
January 9, 2011
Last Updated
September 17, 2012
Sponsor
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT01274897
Brief Title
A Multi-center, Observer-blind, Placebo-controlled, Randomized Study to Evaluate the Immunogenicity and Safety of MenACWY in Adolescents and Adults in Korea
Official Title
A Phase 3, Multi-center, Observer-blind, Placebo-controlled, Randomized Study to Evaluate the Immunogenicity and Safety of Novartis Meningococcal ACWY Conjugate Vaccine in Healthy Subjects From 11 to 55 Years of Age in Korea
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
March 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to evaluate the immunogenicity and the safety of a quadrivalent vaccine MenACWY-CRM in healthy subjects from 11 to 55 years of age in Korea.

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, ACWY-CRM, Conjugate Vaccine, Meningitis, Adolescents, Persistence, Adults

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
MenACWY-CRM
Arm Type
Experimental
Arm Description
Subjects received one dose of MenACWY-CRM conjugate vaccine.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects received the saline placebo.
Intervention Type
Biological
Intervention Name(s)
Novartis MenACWY-CRM
Intervention Description
All subjects had blood drawn at Day 1 and Day 29.
Intervention Type
Biological
Intervention Name(s)
Saline Placebo
Intervention Description
All subjects had blood drawn at Day 1 and Day 29.
Primary Outcome Measure Information:
Title
Percentages of Subjects With Seroresponse, Directed Against Neisseria Meningitidis Serogroups A, C, W and Y After MenACWY-CRM Vaccination.
Description
Immunogenicity was measured as the percentage of subjects with hSBA response and associated 95% Clopper-Pearson confidence interval (CI), directed against N. meningitidis serogroups A, C, W and Y by serum bactericidal assay using human complement, human serum bactericidal assay (hSBA), at day 29 (28 days after MenACWY-CRM vaccination). Seroresponse is defined as: for subjects with a pre-vaccination hSBA titer < 1:4, a postvaccination hSBA titer ≥ 1:8. for subjects with a pre-vaccination hSBA titer ≥ 1:4, an increase in hSBA titer of at least four times the pre-vaccination titer.
Time Frame
day 29
Secondary Outcome Measure Information:
Title
Geometric Mean Titers (GMTs) of Subjects, Directed Against N. Meningitidis Serogroups A, C, W and Y After MenACWY-CRM Vaccination.
Description
Immunogenicity was assessed as hSBA GMTs and associated 95% CI, measured against N. meningitidis serogroups A, C, W and Y, before the vaccination (baseline, day 1) and at day 29 (28 days after MenACWY-CRM vaccination).
Time Frame
day 1 and day 29
Title
Percentages of Subjects With hSBA Titer ≥1:8, Directed Against N. Meningitidis Serogroups A, C, W and Y After MenACWY-CRM Vaccination.
Description
Immunogenicity was measured as the percentage of subjects with hSBA titer ≥1:8 and associated 95% CI, at baseline before vaccination (day 1) and at day 29 (28 days after MenACWY-CRM vaccination).
Time Frame
day 1 and day 29
Title
Number of Subjects Who Reported Local and Systemic Reactogenicity During 7 Days After MenACWY-CRM Vaccination
Time Frame
during 7 days of vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
11 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Individuals eligible for enrollment in this study were those: who were 11-55 years of age inclusive and who, after the nature of the study had been explained: had given written assent and/or for whom the parent/legal representative had provided written informed consent (11-19 years of age). had provided written informed consent (20-55 years of age). who the investigator believed that they or their parents/legal representatives would comply with the requirements of the protocol (e.g., completion of the Diary Card, return for follow-up visit). who were in good health as determined by medical history physical assessment clinical judgment of the investigator who had negative urine pregnancy test for women of childbearing age. Exclusion Criteria: Individuals not eligible to be enrolled in the study were those: who were unwilling or unable to give written informed assent or consent to participate in the study. who were perceived to be unreliable or unavailable for the duration of the study period. who were planning to leave the area of the study site before the end of the study period. who had a previous or suspected disease caused by N. meningitidis. who had household contact with and/or intimate exposure to an individual with culture-proven N. meningitidis infection within 60 days prior to enrollment. who had previously been immunized with a meningococcal vaccine. who had received any investigational or non-registered product (drug or vaccine)within 28 days prior to enrollment or who expected to receive an investigational drug or vaccine prior to the completion of the study. who had received any licensed vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or who were planning to receive any vaccine within 30 days from the study vaccines. (Exception: Influenza vaccine was administered up to 15 days prior to study vaccination and at least 15 days after study vaccination) who had experienced within the 7 days prior to enrollment significant acute or chronic infection (for example requiring systemic antibiotic treatment or antiviral therapy) or had experienced fever (defined as body temperature ≥38°C) within 3 days prior to enrollment. who had any serious acute, chronic or progressive disease (e.g., any history of neoplasm, cancer, diabetes, cardiac disease, autoimmune disease, HIV infection or AIDS, or blood dyscrasias, with signs of cardiac or renal failure or severe malnutrition). who had epilepsy or any progressive neurological disease. who had a history of any anaphylaxis, serious vaccine reactions, or allergy to any vaccine components, including latex allergies. who had a known or suspected impairment/alteration of immune function, either congenital or acquired or resulting from (for example): received immunosuppressive therapy within 28 days prior to enrollment(any systemic corticosteroid administered for more than 5 days, or in a daily dose > 1 mg/kg/day prednisone or equivalent during any of 28 days prior to enrollment, or cancer chemotherapy) received immunostimulants received parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within 90 days prior to enrollment and for the full length of the study who were known to have a bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. who had any condition that, in the opinion of the investigator, might interfere with the evaluation of the study objectives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Vaccines and Diagnostics
Organizational Affiliation
Novartis Vaccines
Official's Role
Study Chair
Facility Information:
Facility Name
Department of Pediatrics, Kosin University Gospel Hospital
City
Busan
Country
Korea, Republic of
Facility Name
Department of Pediatrics, Seoul National University Bundang Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Deaprtment of Pediatrics, Inha University Hospital
City
Incheon
Country
Korea, Republic of
Facility Name
Division of Infectious Diseases, Inha University Hospital
City
Incheon
Country
Korea, Republic of
Facility Name
Pediatrics and Adolescent medicine, Myongji Hospital Kwandong University
City
Kyunggi
Country
Korea, Republic of
Facility Name
Department of Pediatrics, Ewha Womans University Mokdong Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Division of Infection Diseases, Seoul National University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Division of Infectious Diseases, Korea University Guro Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

A Multi-center, Observer-blind, Placebo-controlled, Randomized Study to Evaluate the Immunogenicity and Safety of MenACWY in Adolescents and Adults in Korea

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