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A Study to Evaluate the Safety and Immunogenicity of 4 Doses of MenACWY Conjugate Vaccine, Administered Concomitantly With Routine Vaccines, Among Infants Aged 2 Months

Primary Purpose

Meningococcal Disease

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
MenACWY-CRM
DTaP-IPV/Hib
HBV
PCV
MMR
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 MenACWY conjugate vaccine in infants, Meningococcal vaccine in infants, MenACWY

Eligibility Criteria

55 Days - 89 Days (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Two month-old infants, born after a full-term pregnancy with an estimated gestational age ≥37 weeks and a birth weight ≥2.5 kg.
  2. Documented written informed consent provided by the parent/legal representative after the nature of the study had been explained.
  3. Parent/legal representative was available for all visits scheduled in the study.
  4. Subjects were in good health as determined by:

    1. medical history
    2. physical assessment
    3. clinical judgment of the investigator

Exclusion Criteria:

  1. Subjects who previously received any meningococcal vaccines or vaccines against diphtheria, tetanus, pertussis, polio (IPV or OPV), H. influenzae type b (Hib) or pneumococcus. Exceptions: prior doses HBV vaccination (one or two doses) are permitted.
  2. Subjects who had a previous confirmed or suspected disease caused by N. meningitidis, C. diphtheriae, C. tetani, poliovirus, Hepatitis B, Hib, pneumococcus or B. pertussis (history of laboratory confirmed, or clinical condition of paroxysmal cough for a period of longer than or equal to 2 weeks associated with apnea or whooping).
  3. Subjects who had household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis, B. pertussis, Hib, C. diphtheriae, polio, or pneumococcal infection at any time since birth.
  4. Subjects who had a history of anaphylactic shock, asthma, urticaria or other allergic reaction after previous vaccinations or known hypersensitivity to any vaccine component.
  5. Subjects who had experienced significant acute or chronic infection within the previous 7 days or have experienced fever (temperature ≥ 38.0°C [100.4°F]) within the previous 3 days.
  6. Subjects who had any serious acute or chronic disease, neurological disease including seizures, congenital defects, or cytogenic disorders (e.g., Down syndrome).
  7. Subjects who had a known or suspected autoimmune disease or persistent impairment/alteration of immune function.
  8. Subjects who had a suspected or known HIV infection or were born to a mother known to be HIV positive.
  9. Subjects who had ever received blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation (including Hepatitis B immune globulin).
  10. Subjects who had a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  11. Subjects who with their parents/legal representatives were planning to leave the area of the study site before the end of the study period.
  12. Subjects who had any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives.
  13. Subjects who received any investigational agents or vaccines since birth or who expect to receive an investigational agent or vaccine prior to the completion of the study.
  14. Subjects who were relatives of site research staff working on this study.

Sites / Locations

  • 37 Alabama Clinical Therapeutics LLC 52 Medical Park East Drive Suite 203
  • 15 Northwest Arkansas Pediatric Clinic 3383 N. Mana Court Suite 101
  • 6 Children's Clinic of Jonesboro AR 800 South Church Street Suite 400 and 204
  • 9 San Fernando Valley Research Associates 7111 Winnetka Avenue Suite 14
  • 17 Edinger Medical Group Research Center 9900 Talbert Avenue Suite 204
  • 28 Madera Family Medical Group 1111 West 4th Street
  • 38 Center for Clinical Trials LLC 16660 Paramount Blvd Suite 301
  • 8 Pharmax Research Clinic 7200 NW 7th Street Suite 350
  • 48 Cotton O'Neil Clinical Research Center 4100 SW 15th Street
  • 47 Cotton O'Neil Clinical Research Center 6725 SW 29th Street
  • 29 Kentucky Pediatric/Adult Research 201 South 5th Street
  • 4 Nassim McMonigle Mescia and Associates 5512 Bardstown Road Suite 2
  • 40 Brownsboro Park Pediatrics 5512 Bardstown Road Suite 2
  • 24 University Of Louisville 555 South Floyd Street
  • 26 University Of Louisville 230 East Broadway
  • 30 Kentucky Pediatric/Adult Research 102 West Depot Street
  • 27 Ark-La-Tex Children's Clinic 1025 Highway 80 E
  • 13 Willis Knighton Physician Network- Portico Pediatrics 7847 Youree Drive
  • 35 Southwestern Medical Clinic P.C. 2002 S 11th Street
  • 25 Center for Pharmaceutical Research 1010 Carondelet Drive Suite 426
  • 31 Senders Pediatrics 2054 South Green Road
  • 5 Dayton Clinical Research 1100 Salem Ave.
  • 14 Ohio Pediatrics Research Association 7371 Brandt Pike Suite C
  • 22 Ohio Pediatrics Research Association 1775 Delco Park Drive
  • 45 Oklahoma State University Physicians 635 W 11th St
  • 33 Primary Physicians Research Inc. 1580 McLaughlin Run Road
  • 34 Primary Physicians Research Inc. 1580 McLaughlin Run Road
  • 10 Holston Medical Group 105 W. Stone Drive Suite 3B
  • 23 Focus Research Group 201 Signature Place
  • 7 Amarillo Children's Clinical Research #17 Care Circle
  • 46 Pediatric Healthcare of Northwest Houston P.A. 12015 Louetta Road Suite 100
  • 12 Pediatric Healthcare of Northwest Houston P.A. 13406 Medical Complex Drive Suite 200
  • 16 Westside Medical 1477 North 2000 West
  • 42 Wee Care Pediatrics 934 S. Main Street Suite 8
  • 43 Wee Care Pediatrics 1580 W. Antelope Drive Suite 100
  • 19 Pediatric Care 1675 North Freedom Blvd Building 3
  • 44 Wee Care Pediatrics 5991 S. 3500 W Suite 100 Rock Run Plaza
  • 18 Copperview Medical Center 3556 West 9800 South
  • 39 Dixie Pediatrics 1240 E 100 S Suite 14
  • 41 Wee Care Pediatrics 1792 W. 1700 S. Suite 102
  • 36 Dominion Medical Associates 304 East Leigh Street
  • 21 CAMC Health Education and Research Institute 3100 McCorkle Ave. S.E. Suite 806
  • 3 Sydney Children's Hospital Strasser Lab. Level 3 High Street
  • 2 Royal Children's Hospital Herston Road
  • 1 Murdoch Childrens Research Institute C/- School of Population Health The University of Melbourne
  • 20 Medicor Research Inc 359 Riverside Suite 200

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

MenACWY-CRM + Routine Vaccines

Routine Vaccines

Arm Description

Infants received 3 doses of MenACWY-CRM at 2, 4 and 6 months as a infant series vaccination and a toddler dose at 12 months of age. Infants also received routine vaccines - 3 doses each of DTaP-IPV/Hib, HBV and PCV at 2, 4 and 6 months; and 1 dose each of PCV and MMR at 12 months.

Infants received routine vaccines - 3 doses each of DTaP-IPV/Hib, HBV and PCV at 2, 4 and 6 months; and 1 dose each of PCV and MMR at 12 months. In addition subjects were offered a dose of MenACWY-CRM at 18 months as a benefit of participating in this study. However, blood was not drawn for immunogenicity analysis after this dose.

Outcomes

Primary Outcome Measures

Percentage of Subjects With hSBA Titer ≥1:8 Against Serogroup A, C, W and Y One Month After Toddler Vaccination of MenACWY-CRM
Immunogenicity was measured as the percentage of subjects who achieved hSBA titer ≥1:8 against meningococcal serogroup A, C, W and Y, evaluated by serum bactericidal assay using human complement (hSBA), at baseline and one month after toddler dose of MenACWY-CRM administered at 12 months of age. The immune response was considered sufficient if the lower limit of the two-sided 95% confidence intervals (CIs) for the percentage of subjects with hSBA titer ≥1:8, at one month after toddler vaccination, was greater than 85% for the serogroup C, W, or Y and greater than 80% for the serogroup A.

Secondary Outcome Measures

hSBA Geometric Mean Titers Against Serogroup A, C, W and Y One Month After Toddler Vaccination of MenACWY-CRM
Immunogenicity was measured as the hSBA geometric mean titers (GMTs) directed against meningococcal serogroup A, C, W and Y, at baseline and one month after toddler dose of MenACWY-CRM administered at 12 months of age.
Percentage of Subjects With hSBA Titers ≥1:8, and Four-Fold Increase in hSBA Titers Against Serogroup A, C, W and Y One Month After Three Dose Infant Series Vaccination of MenACWY-CRM
Immunogenicity was measured as the percentage of subjects with hSBA titers ≥1:8 against meningococcal serogroup A, C, W and Y, before (baseline) and one month after 3 infant doses of MenACWY-CRM administered at 2, 4 and 6 months of age. Percentage of subjects who achieved at least four-fold rise in hSBA titers against serogroup A, C, W and Y was measured one month after 3 infant doses of MenACWY-CRM.
hSBA Geometric Mean Titers Against Serogroup A, C, W and Y One Month After Three Dose Infant Series Vaccination of MenACWY-CRM
Immunogenicity was measured as the hSBA GMTs directed against meningococcal serogroups A, C, W and Y before (baseline) and one month after 3 infants doses of MenACWY-CRM administered at 2, 4 and 6 months of age.
Percentage of Subjects With Seroresponse to Routine Concomitant Vaccinations One Month After Infant Series, When Routine Vaccines Are Administered With MenACWY-CRM Compared With When Routine Vaccines Are Given Alone
The immune seroresponse to routine concomitant vaccination was measured as the percentages of subjects with pre-specified cut-off limit of ≥0.1 IU/mL (Diphtheria and Tetanus); ≥0.15 μg/mL (Hib); ≥0.35 μg/mL (Pneumococcal antigens, PnC); and ≥10 mIU/mL (Hepatitis B), evaluated using enzyme-linked immunosorbent assay (ELISA) at one month after 3 doses of infant series vaccination administered at 2, 4 and 6 months of age. The immune response to pertussis antigens (PT, FHA, Pertactin, FIM) was measured as percentage of subjects with seroresponse (in initially seronegative infants, ≥4 times the lower limit of quantification (LLQ); in initially seropositive infants, at least 4 times prevaccination concentration) by ELISA and percentage of subjects with titer ≥1:8 (Polio types 1, 2, and 3) by neutralization test (NT) one month after 3 doses of infant series vaccination administered at 2, 4 and 6 months of age.
Geometric Mean Concentrations Of Antibodies Against Routine Concomitant Vaccinations One Month After Infant Series, When Routine Vaccines Are Administered With MenACWY-CRM Compared With When Routine Vaccines Are Given Alone
The immune response was measured as the geometric mean concentrations (GMCs) of antibodies directed against diphtheria, tetanus, pertussis (PT, FHA, Pertactin, FIM), hepatitis B, Hib, polio (type 1, 2 and 3) and pneumococcal (PnC 4, 6B, 9V, 14, 18C, 19F and 23F) antigens when routine vaccines are administered concomitantly with MenACWY-CRM compared with when routine vaccines are given alone, one month after 3 doses of infant series vaccination at 2, 4 and 6 months of age.
Geometric Mean Concentrations Of Antibodies Against Pneumococcal Antigens One Month After Toddler Vaccination With PCV Administered With MenACWY-CRM Compared With PCV Given Alone
Immunogenicity was measured as the GMCs of anti-pneumococcal antibodies against pneumococcal antigens PnC 4, 6B, 9V, 14, 18C, 19F and 23F, one month after toddler dose of PCV at 12 months of age administered concomitantly with MenACWY-CRM compared with PCV given alone.
Percentage of Subjects With Anti-pneumococcal Antigen Antibodies ≥0.35 μg/mL One Month After Toddler Vaccination With PCV Administered With MenACWY-CRM Compared With PCV Given Alone
The immune seroresponse was measured as the percentage of subjects with anti-pneumococcal antigen antibodies ≥0.35 μg/mL against pneumococcal antigens PnC 4, 6B, 9V, 14, 18C, 19F and 23F, one month after toddler dose of PCV at 12 months of age when administered concomitantly with MenACWY-CRM compared with PCV given alone.
Antibody Persistence by Percentage of Subjects With hSBA Titers ≥1:8 Against Serogroup A, C, W and Y, Six Months After Third Infant Vaccination, Prior to MenACWY-CRM Toddler Vaccination
The antibody persistence was measured as the percentage of subjects with hSBA titers ≥1:8 against meningococcal serogroup A, C, W and Y, at baseline and six months after third infant dose of MenACWY-CRM administered at 6 months (12 months of age), before administration of the toddler dose of MenACWY-CRM.
Persistence of hSBA Geometric Mean Titers Against Serogroup A, C, W and Y, Six Months After Third Infant Vaccination, Prior to MenACWY-CRM Toddler Vaccination
The antibody persistence was measured as the hSBA GMTs directed against meningococcal serogroup A, C, W and Y, at baseline and six months after third infant dose of MenACWY-CRM administered at 6 months (12 months of age), before administration of the toddler dose of MenACWY-CRM.
Percentage of Subjects With Four-fold Increase in hSBA Titers Against Serogroup A, C, W and Y One Month After Toddler Vaccination of MenACWY-CRM
The immune response was measured as the percentage of subjects who achieved four-fold increase in hSBA titers against meningococcal serogroup A, C, W and Y one month after toddler dose of MenACWY-CRM administered at 12 months of age as compared to hSBA titers before the toddler vaccination.
Safety of MenACWY-CRM Vaccinations When Administered Concomitantly With Routine Vaccinations
Safety of the study vaccines (MenACWY-CRM and other routine vaccines) was assessed in terms of the number of subjects who reported adverse events (AEs) and/or serious AEs per vaccine group at the following time points: entire study period, after infants vaccination (up to 7 months), between 2- and 4-months, between 4- and 6-months, between 6- and 12-months, between 7- and 12-months, 28 days after 12-month vaccination, and between 29 days after 12-month vaccination and study termination. Solicited reactions were not collected during this study. The safety analyses also included any AEs observed by study personnel within 15 minutes following vaccination. All AEs and SAEs were judged by the investigator as whether probably related, possibly related, or not related to vaccine.

Full Information

First Posted
October 22, 2009
Last Updated
April 3, 2014
Sponsor
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT01000311
Brief Title
A Study to Evaluate the Safety and Immunogenicity of 4 Doses of MenACWY Conjugate Vaccine, Administered Concomitantly With Routine Vaccines, Among Infants Aged 2 Months
Official Title
A Phase 3, Randomized, Open Label, Controlled Multicenter Study to Evaluate the Safety and Immunogenicity of 4 Doses of MenACWY Conjugate Vaccine, Administered Concomitantly With Routine Vaccines, Among Infants Aged 2 Months
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
November 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
This Phase 3 study is designed to demonstrate the safety and immunogenicity of MenACWY and non-interference of concomitant routine vaccines by MenACWY in an infant age group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningococcal Disease
Keywords
MenACWY conjugate vaccine in infants, Meningococcal vaccine in infants, MenACWY

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
529 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MenACWY-CRM + Routine Vaccines
Arm Type
Experimental
Arm Description
Infants received 3 doses of MenACWY-CRM at 2, 4 and 6 months as a infant series vaccination and a toddler dose at 12 months of age. Infants also received routine vaccines - 3 doses each of DTaP-IPV/Hib, HBV and PCV at 2, 4 and 6 months; and 1 dose each of PCV and MMR at 12 months.
Arm Title
Routine Vaccines
Arm Type
Experimental
Arm Description
Infants received routine vaccines - 3 doses each of DTaP-IPV/Hib, HBV and PCV at 2, 4 and 6 months; and 1 dose each of PCV and MMR at 12 months. In addition subjects were offered a dose of MenACWY-CRM at 18 months as a benefit of participating in this study. However, blood was not drawn for immunogenicity analysis after this dose.
Intervention Type
Biological
Intervention Name(s)
MenACWY-CRM
Intervention Description
One dose (0.5 mL) of MenACWY conjugate vaccine supplied as an extemporaneous mixing just before injection of the lyophilized component (MenA) reconstituted with the liquid component (MenCWY) was administered at 2, 4, 6 and 12 months of age as IM injections in the anterolateral area of the thigh.
Intervention Type
Biological
Intervention Name(s)
DTaP-IPV/Hib
Other Intervention Name(s)
Combined diphtheria, tetanus toxoid, acellular pertussis and inactivated polio vaccine containing Haemophilus influenzae type B vaccine; Pentacel
Intervention Description
IM injections of 3 doses of 0.5 mL each of DTaP-IPV/Hib supplied in prefilled vial were administered at 2, 4 and 6 months of age in the anterolateral area of the thigh.
Intervention Type
Biological
Intervention Name(s)
HBV
Other Intervention Name(s)
Hepatitis B virus vaccine; Engerix-B
Intervention Description
IM injections of 3 doses of 0.5 mL each of HBV supplied in prefilled vial were administered at 2, 4 and 6 months of age in the anterolateral area of the thigh.
Intervention Type
Biological
Intervention Name(s)
PCV
Other Intervention Name(s)
Heptavalent Streptococcus pneumonia vaccine; Prevnar (PCV-7); Prevnar 13 (PCV-13)
Intervention Description
IM injections of 4 doses of 0.5 mL each of PCV supplied in prefilled vial were administered at 2, 4, 6 and 12 months of age in the anterolateral area of the thigh.
Intervention Type
Biological
Intervention Name(s)
MMR
Other Intervention Name(s)
Measles, mumps, and rubella vaccine; M-M-R II
Intervention Description
Subcutaneous (SC) injection of 1 dose of 0.5 mL of MMR obtained by extemporaneous mixing just before injection of powder and the solvent for solution was administered at 12 months of age in the anterolateral area of the thigh.
Primary Outcome Measure Information:
Title
Percentage of Subjects With hSBA Titer ≥1:8 Against Serogroup A, C, W and Y One Month After Toddler Vaccination of MenACWY-CRM
Description
Immunogenicity was measured as the percentage of subjects who achieved hSBA titer ≥1:8 against meningococcal serogroup A, C, W and Y, evaluated by serum bactericidal assay using human complement (hSBA), at baseline and one month after toddler dose of MenACWY-CRM administered at 12 months of age. The immune response was considered sufficient if the lower limit of the two-sided 95% confidence intervals (CIs) for the percentage of subjects with hSBA titer ≥1:8, at one month after toddler vaccination, was greater than 85% for the serogroup C, W, or Y and greater than 80% for the serogroup A.
Time Frame
Baseline and one month after fourth-dose of MenACWY-CRM
Secondary Outcome Measure Information:
Title
hSBA Geometric Mean Titers Against Serogroup A, C, W and Y One Month After Toddler Vaccination of MenACWY-CRM
Description
Immunogenicity was measured as the hSBA geometric mean titers (GMTs) directed against meningococcal serogroup A, C, W and Y, at baseline and one month after toddler dose of MenACWY-CRM administered at 12 months of age.
Time Frame
Baseline and one month after fourth-dose of MenACWY-CRM
Title
Percentage of Subjects With hSBA Titers ≥1:8, and Four-Fold Increase in hSBA Titers Against Serogroup A, C, W and Y One Month After Three Dose Infant Series Vaccination of MenACWY-CRM
Description
Immunogenicity was measured as the percentage of subjects with hSBA titers ≥1:8 against meningococcal serogroup A, C, W and Y, before (baseline) and one month after 3 infant doses of MenACWY-CRM administered at 2, 4 and 6 months of age. Percentage of subjects who achieved at least four-fold rise in hSBA titers against serogroup A, C, W and Y was measured one month after 3 infant doses of MenACWY-CRM.
Time Frame
Baseline and one month after third infant dose of MenACWY-CRM
Title
hSBA Geometric Mean Titers Against Serogroup A, C, W and Y One Month After Three Dose Infant Series Vaccination of MenACWY-CRM
Description
Immunogenicity was measured as the hSBA GMTs directed against meningococcal serogroups A, C, W and Y before (baseline) and one month after 3 infants doses of MenACWY-CRM administered at 2, 4 and 6 months of age.
Time Frame
Baseline and one month after third infant dose of MenACWY-CRM
Title
Percentage of Subjects With Seroresponse to Routine Concomitant Vaccinations One Month After Infant Series, When Routine Vaccines Are Administered With MenACWY-CRM Compared With When Routine Vaccines Are Given Alone
Description
The immune seroresponse to routine concomitant vaccination was measured as the percentages of subjects with pre-specified cut-off limit of ≥0.1 IU/mL (Diphtheria and Tetanus); ≥0.15 μg/mL (Hib); ≥0.35 μg/mL (Pneumococcal antigens, PnC); and ≥10 mIU/mL (Hepatitis B), evaluated using enzyme-linked immunosorbent assay (ELISA) at one month after 3 doses of infant series vaccination administered at 2, 4 and 6 months of age. The immune response to pertussis antigens (PT, FHA, Pertactin, FIM) was measured as percentage of subjects with seroresponse (in initially seronegative infants, ≥4 times the lower limit of quantification (LLQ); in initially seropositive infants, at least 4 times prevaccination concentration) by ELISA and percentage of subjects with titer ≥1:8 (Polio types 1, 2, and 3) by neutralization test (NT) one month after 3 doses of infant series vaccination administered at 2, 4 and 6 months of age.
Time Frame
One month after third dose of routine infant series vaccination
Title
Geometric Mean Concentrations Of Antibodies Against Routine Concomitant Vaccinations One Month After Infant Series, When Routine Vaccines Are Administered With MenACWY-CRM Compared With When Routine Vaccines Are Given Alone
Description
The immune response was measured as the geometric mean concentrations (GMCs) of antibodies directed against diphtheria, tetanus, pertussis (PT, FHA, Pertactin, FIM), hepatitis B, Hib, polio (type 1, 2 and 3) and pneumococcal (PnC 4, 6B, 9V, 14, 18C, 19F and 23F) antigens when routine vaccines are administered concomitantly with MenACWY-CRM compared with when routine vaccines are given alone, one month after 3 doses of infant series vaccination at 2, 4 and 6 months of age.
Time Frame
One month after third dose of routine infant series vaccination
Title
Geometric Mean Concentrations Of Antibodies Against Pneumococcal Antigens One Month After Toddler Vaccination With PCV Administered With MenACWY-CRM Compared With PCV Given Alone
Description
Immunogenicity was measured as the GMCs of anti-pneumococcal antibodies against pneumococcal antigens PnC 4, 6B, 9V, 14, 18C, 19F and 23F, one month after toddler dose of PCV at 12 months of age administered concomitantly with MenACWY-CRM compared with PCV given alone.
Time Frame
One month after PCV toddler vaccination
Title
Percentage of Subjects With Anti-pneumococcal Antigen Antibodies ≥0.35 μg/mL One Month After Toddler Vaccination With PCV Administered With MenACWY-CRM Compared With PCV Given Alone
Description
The immune seroresponse was measured as the percentage of subjects with anti-pneumococcal antigen antibodies ≥0.35 μg/mL against pneumococcal antigens PnC 4, 6B, 9V, 14, 18C, 19F and 23F, one month after toddler dose of PCV at 12 months of age when administered concomitantly with MenACWY-CRM compared with PCV given alone.
Time Frame
One month after PCV toddler vaccination
Title
Antibody Persistence by Percentage of Subjects With hSBA Titers ≥1:8 Against Serogroup A, C, W and Y, Six Months After Third Infant Vaccination, Prior to MenACWY-CRM Toddler Vaccination
Description
The antibody persistence was measured as the percentage of subjects with hSBA titers ≥1:8 against meningococcal serogroup A, C, W and Y, at baseline and six months after third infant dose of MenACWY-CRM administered at 6 months (12 months of age), before administration of the toddler dose of MenACWY-CRM.
Time Frame
Baseline and Six months after third infant dose of MenACWY-CRM
Title
Persistence of hSBA Geometric Mean Titers Against Serogroup A, C, W and Y, Six Months After Third Infant Vaccination, Prior to MenACWY-CRM Toddler Vaccination
Description
The antibody persistence was measured as the hSBA GMTs directed against meningococcal serogroup A, C, W and Y, at baseline and six months after third infant dose of MenACWY-CRM administered at 6 months (12 months of age), before administration of the toddler dose of MenACWY-CRM.
Time Frame
Baseline and Six months after third infant dose of MenACWY-CRM
Title
Percentage of Subjects With Four-fold Increase in hSBA Titers Against Serogroup A, C, W and Y One Month After Toddler Vaccination of MenACWY-CRM
Description
The immune response was measured as the percentage of subjects who achieved four-fold increase in hSBA titers against meningococcal serogroup A, C, W and Y one month after toddler dose of MenACWY-CRM administered at 12 months of age as compared to hSBA titers before the toddler vaccination.
Time Frame
One month after MenACWY-CRM toddler vaccination
Title
Safety of MenACWY-CRM Vaccinations When Administered Concomitantly With Routine Vaccinations
Description
Safety of the study vaccines (MenACWY-CRM and other routine vaccines) was assessed in terms of the number of subjects who reported adverse events (AEs) and/or serious AEs per vaccine group at the following time points: entire study period, after infants vaccination (up to 7 months), between 2- and 4-months, between 4- and 6-months, between 6- and 12-months, between 7- and 12-months, 28 days after 12-month vaccination, and between 29 days after 12-month vaccination and study termination. Solicited reactions were not collected during this study. The safety analyses also included any AEs observed by study personnel within 15 minutes following vaccination. All AEs and SAEs were judged by the investigator as whether probably related, possibly related, or not related to vaccine.
Time Frame
From day 1 to 18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Days
Maximum Age & Unit of Time
89 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Two month-old infants, born after a full-term pregnancy with an estimated gestational age ≥37 weeks and a birth weight ≥2.5 kg. Documented written informed consent provided by the parent/legal representative after the nature of the study had been explained. Parent/legal representative was available for all visits scheduled in the study. Subjects were in good health as determined by: medical history physical assessment clinical judgment of the investigator Exclusion Criteria: Subjects who previously received any meningococcal vaccines or vaccines against diphtheria, tetanus, pertussis, polio (IPV or OPV), H. influenzae type b (Hib) or pneumococcus. Exceptions: prior doses HBV vaccination (one or two doses) are permitted. Subjects who had a previous confirmed or suspected disease caused by N. meningitidis, C. diphtheriae, C. tetani, poliovirus, Hepatitis B, Hib, pneumococcus or B. pertussis (history of laboratory confirmed, or clinical condition of paroxysmal cough for a period of longer than or equal to 2 weeks associated with apnea or whooping). Subjects who had household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis, B. pertussis, Hib, C. diphtheriae, polio, or pneumococcal infection at any time since birth. Subjects who had a history of anaphylactic shock, asthma, urticaria or other allergic reaction after previous vaccinations or known hypersensitivity to any vaccine component. Subjects who had experienced significant acute or chronic infection within the previous 7 days or have experienced fever (temperature ≥ 38.0°C [100.4°F]) within the previous 3 days. Subjects who had any serious acute or chronic disease, neurological disease including seizures, congenital defects, or cytogenic disorders (e.g., Down syndrome). Subjects who had a known or suspected autoimmune disease or persistent impairment/alteration of immune function. Subjects who had a suspected or known HIV infection or were born to a mother known to be HIV positive. Subjects who had ever received blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation (including Hepatitis B immune globulin). Subjects who had a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. Subjects who with their parents/legal representatives were planning to leave the area of the study site before the end of the study period. Subjects who had any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives. Subjects who received any investigational agents or vaccines since birth or who expect to receive an investigational agent or vaccine prior to the completion of the study. Subjects who were relatives of site research staff working on this study.
Facility Information:
Facility Name
37 Alabama Clinical Therapeutics LLC 52 Medical Park East Drive Suite 203
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35235
Country
United States
Facility Name
15 Northwest Arkansas Pediatric Clinic 3383 N. Mana Court Suite 101
City
Fayetteville
State/Province
Arkansas
ZIP/Postal Code
72703
Country
United States
Facility Name
6 Children's Clinic of Jonesboro AR 800 South Church Street Suite 400 and 204
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
Facility Name
9 San Fernando Valley Research Associates 7111 Winnetka Avenue Suite 14
City
Canoga Park
State/Province
California
ZIP/Postal Code
91306
Country
United States
Facility Name
17 Edinger Medical Group Research Center 9900 Talbert Avenue Suite 204
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708-5153
Country
United States
Facility Name
28 Madera Family Medical Group 1111 West 4th Street
City
Madera
State/Province
California
ZIP/Postal Code
93637
Country
United States
Facility Name
38 Center for Clinical Trials LLC 16660 Paramount Blvd Suite 301
City
Paramount
State/Province
California
ZIP/Postal Code
90723
Country
United States
Facility Name
8 Pharmax Research Clinic 7200 NW 7th Street Suite 350
City
Miami
State/Province
Florida
ZIP/Postal Code
33126
Country
United States
Facility Name
48 Cotton O'Neil Clinical Research Center 4100 SW 15th Street
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66604
Country
United States
Facility Name
47 Cotton O'Neil Clinical Research Center 6725 SW 29th Street
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66614
Country
United States
Facility Name
29 Kentucky Pediatric/Adult Research 201 South 5th Street
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
4 Nassim McMonigle Mescia and Associates 5512 Bardstown Road Suite 2
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
40 Brownsboro Park Pediatrics 5512 Bardstown Road Suite 2
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
24 University Of Louisville 555 South Floyd Street
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40402
Country
United States
Facility Name
26 University Of Louisville 230 East Broadway
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40402
Country
United States
Facility Name
30 Kentucky Pediatric/Adult Research 102 West Depot Street
City
Springfield
State/Province
Kentucky
ZIP/Postal Code
40069
Country
United States
Facility Name
27 Ark-La-Tex Children's Clinic 1025 Highway 80 E
City
Haughton
State/Province
Louisiana
ZIP/Postal Code
71037
Country
United States
Facility Name
13 Willis Knighton Physician Network- Portico Pediatrics 7847 Youree Drive
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71105
Country
United States
Facility Name
35 Southwestern Medical Clinic P.C. 2002 S 11th Street
City
Niles
State/Province
Michigan
ZIP/Postal Code
49120
Country
United States
Facility Name
25 Center for Pharmaceutical Research 1010 Carondelet Drive Suite 426
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
31 Senders Pediatrics 2054 South Green Road
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44121-4243
Country
United States
Facility Name
5 Dayton Clinical Research 1100 Salem Ave.
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45406
Country
United States
Facility Name
14 Ohio Pediatrics Research Association 7371 Brandt Pike Suite C
City
Huber Heights
State/Province
Ohio
ZIP/Postal Code
45424
Country
United States
Facility Name
22 Ohio Pediatrics Research Association 1775 Delco Park Drive
City
Kettering
State/Province
Ohio
ZIP/Postal Code
45420
Country
United States
Facility Name
45 Oklahoma State University Physicians 635 W 11th St
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74127
Country
United States
Facility Name
33 Primary Physicians Research Inc. 1580 McLaughlin Run Road
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
Facility Name
34 Primary Physicians Research Inc. 1580 McLaughlin Run Road
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
Facility Name
10 Holston Medical Group 105 W. Stone Drive Suite 3B
City
Kingsport
State/Province
Tennessee
ZIP/Postal Code
37660
Country
United States
Facility Name
23 Focus Research Group 201 Signature Place
City
Lebanon
State/Province
Tennessee
ZIP/Postal Code
37087
Country
United States
Facility Name
7 Amarillo Children's Clinical Research #17 Care Circle
City
Amarillo
State/Province
Texas
ZIP/Postal Code
79124
Country
United States
Facility Name
46 Pediatric Healthcare of Northwest Houston P.A. 12015 Louetta Road Suite 100
City
Houston
State/Province
Texas
ZIP/Postal Code
77070
Country
United States
Facility Name
12 Pediatric Healthcare of Northwest Houston P.A. 13406 Medical Complex Drive Suite 200
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
16 Westside Medical 1477 North 2000 West
City
Clinton
State/Province
Utah
ZIP/Postal Code
84015
Country
United States
Facility Name
42 Wee Care Pediatrics 934 S. Main Street Suite 8
City
Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States
Facility Name
43 Wee Care Pediatrics 1580 W. Antelope Drive Suite 100
City
Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States
Facility Name
19 Pediatric Care 1675 North Freedom Blvd Building 3
City
Provo
State/Province
Utah
ZIP/Postal Code
84604
Country
United States
Facility Name
44 Wee Care Pediatrics 5991 S. 3500 W Suite 100 Rock Run Plaza
City
Roy
State/Province
Utah
ZIP/Postal Code
84067
Country
United States
Facility Name
18 Copperview Medical Center 3556 West 9800 South
City
South Jordan
State/Province
Utah
ZIP/Postal Code
84095
Country
United States
Facility Name
39 Dixie Pediatrics 1240 E 100 S Suite 14
City
St. George
State/Province
Utah
ZIP/Postal Code
84790
Country
United States
Facility Name
41 Wee Care Pediatrics 1792 W. 1700 S. Suite 102
City
Syracuse
State/Province
Utah
ZIP/Postal Code
84075
Country
United States
Facility Name
36 Dominion Medical Associates 304 East Leigh Street
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23219
Country
United States
Facility Name
21 CAMC Health Education and Research Institute 3100 McCorkle Ave. S.E. Suite 806
City
Charleston
State/Province
West Virginia
ZIP/Postal Code
25304
Country
United States
Facility Name
3 Sydney Children's Hospital Strasser Lab. Level 3 High Street
City
Randwick
State/Province
New South Wales
ZIP/Postal Code
2031
Country
Australia
Facility Name
2 Royal Children's Hospital Herston Road
City
Herston
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
Facility Name
1 Murdoch Childrens Research Institute C/- School of Population Health The University of Melbourne
City
Carlton
State/Province
Victoria
ZIP/Postal Code
3010
Country
Australia
Facility Name
20 Medicor Research Inc 359 Riverside Suite 200
City
Sudbury
State/Province
Ontario
ZIP/Postal Code
P3E 1H5
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Safety and Immunogenicity of 4 Doses of MenACWY Conjugate Vaccine, Administered Concomitantly With Routine Vaccines, Among Infants Aged 2 Months

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