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Comparison of Two Meningococcal ACWY Conjugate Vaccines (PRIME)

Primary Purpose

Meningococcal Meningitis

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
Menveo
MenACWY-TT
Sponsored by
Public Health England
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningococcal Meningitis focused on measuring Meningitis, Meningococci, Meningitis C, Meningitis A, Meningitis W135, Meningitis Y, Antibody

Eligibility Criteria

14 Years - 21 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Previously enrolled on the Preschool Men C study conducted by NVEC in 1999/2000
  • Participant's parent or legally authorized representative is willing and able to give written informed consent for participation after the nature of the study has been explained.
  • No contraindications to vaccination as specified in the "Green Book"- Immunisation against Infectious Disease, HMSO.
  • Participant who gives assent for participation in the study.
  • Vaccinated with Meningitec (MCC CRM) or Menjugate (MCC CRM) or NeisVac-C (MCC TT) between 3.5-6 years of age.
  • Known to be free of medical problems as determined by a medical history and clinical assessment.
  • Parent or legally authorised representative is willing to allow his or her child's GP to be notified of participation in the study and contacted if required for confirmation of vaccination history.

Exclusion Criteria:

  • History of invasive meningococcal disease.
  • Have a history of household contact or intimate exposure to an individual with culture proven Neisseria meningitis disease in the previous 60 days.
  • Any vaccination against MenC disease since MCC vaccine given between 3.5 to 6 years.
  • Participant is pregnant.
  • Confirmed or suspected immunosuppressive or immunodeficient conditions, including human immunodeficiency virus (HIV) infection.
  • Major congenital defects or serious chronic disease including progressive neurological disease or seizure disorder.
  • Have a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  • Have a history of severe allergic reactions after previous vaccinations such as anaphylactic shock, asthma, urticaria, or other allergic reaction or hypersensitivity to any vaccine component.
  • Have received another investigational agent within 90 days or before completion of the safety follow-up period in another study, whichever is longer, prior to enrollment and unwilling to refuse participation in another investigational trial through the end of the study.
  • In the event that administration of another licensed vaccine is needed during the study, this vaccine should not be administered within 30 days of any study injection according to investigator's judgment (exception: licensed flu-vaccine should not be administered within 14 days of study vaccines).
  • Have received any blood or blood products within the past 12 weeks.
  • Have any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study.

Temporary Exclusion Criteria

• Receipt of systemic antibiotics (either oral or parenteral) will delay enrolment until at least 7 days after cessation of antibiotics.

Sites / Locations

  • Multiple General Practice surgeries
  • Multiple General Practice surgeries
  • Health Protection Agency, Immunisation Department, Colindale

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Menveo-Meningitec

MenACWY-TT-Meningitec

Menveo-Menjugate

MenACWY-TT-Menjugate

Menveo-NeisVac-C

MenACWY-TT-NeisVac-C

Arm Description

Subjects who were primed with Meningitec who will receive Novartis Menveo

Subjects who were primed with Meningitec who will receive GSK MenACWY-TT

Subjects who were primed with Menjugate who will receive Novartis Menveo

Subjects who were primed with Menjugate who will receive GSK MenACWY-TT vaccine.

Subjects who were primed with NeisVac-C who will receive Novartis Menveo

Subjects who were primed with NeisVac-C who will receive GSK MenACWY-TT vaccine

Outcomes

Primary Outcome Measures

Response to meningococcal components of the vaccines by serum bactericidal antibody
Percentage of participants with serogroup-specific rabbit Serum Bactericidal Antibody (rSBA) titres ≥ 8 at one month post vaccination, for each of the serogroups A, C, W135 and Y. (This titre of rSBA is a documented correlate of protection for meningococcal conjugate vaccines)

Secondary Outcome Measures

Full Information

First Posted
August 31, 2010
Last Updated
September 29, 2020
Sponsor
Public Health England
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1. Study Identification

Unique Protocol Identification Number
NCT01192997
Brief Title
Comparison of Two Meningococcal ACWY Conjugate Vaccines
Acronym
PRIME
Official Title
A Phase 2/3, Open Label, Randomised Study of the Safety, Reactogenicity and Immunogenicity of a Single Dose of Novartis Meningococcal ACWY (Menveo) or GSK Meningococcal ACWY Conjugate Vaccine in Adolescents Primed With Meningitec, Menjugate or Neisvac-C in Preschool Vaccination
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Public Health England

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
There is evidence of waning immunity in individuals vaccinated against meningitis C as part of the UK infant immunisation schedule. The intention of this study is to contact participants of a previous NVEC (National Vaccine Evalutaion Consortium) clinical trial (a PreSchool Men C trial, in which participants were randomised to receive Meningitec, Menjugate or Neisvac-C). They will be invited to enrol and will be randomised to receive one of two quadrivalent meningococcal ACWY vaccines, to look at the boosting effect they may confer.
Detailed Description
Between 550 and 650 subjects enrolled in a previous Meningococcal C vaccine study will be invited to join this new study looking at the boosting effects of two quadrivalent meningococcal ACWY vaccines. If they choose to participate, they will be randomised to receive one of the ACWY vaccines. Within each vaccine group, there will be further division into short (6 months) or longer (9 months) follow-up. Each participant will be given one dose of an allocated vaccine. Blood samples will be taken three times from each participant - the first sample will be pre-vaccination; the second sample will be taken one month after vaccination; and the third and final sample at either six or nine months after vaccination (depending on the group they are randomised to).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningococcal Meningitis
Keywords
Meningitis, Meningococci, Meningitis C, Meningitis A, Meningitis W135, Meningitis Y, Antibody

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
91 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Menveo-Meningitec
Arm Type
Active Comparator
Arm Description
Subjects who were primed with Meningitec who will receive Novartis Menveo
Arm Title
MenACWY-TT-Meningitec
Arm Type
Active Comparator
Arm Description
Subjects who were primed with Meningitec who will receive GSK MenACWY-TT
Arm Title
Menveo-Menjugate
Arm Type
Active Comparator
Arm Description
Subjects who were primed with Menjugate who will receive Novartis Menveo
Arm Title
MenACWY-TT-Menjugate
Arm Type
Active Comparator
Arm Description
Subjects who were primed with Menjugate who will receive GSK MenACWY-TT vaccine.
Arm Title
Menveo-NeisVac-C
Arm Type
Active Comparator
Arm Description
Subjects who were primed with NeisVac-C who will receive Novartis Menveo
Arm Title
MenACWY-TT-NeisVac-C
Arm Type
Active Comparator
Arm Description
Subjects who were primed with NeisVac-C who will receive GSK MenACWY-TT vaccine
Intervention Type
Biological
Intervention Name(s)
Menveo
Intervention Description
Single dose Menveo (a MenACWY vaccine conjugated to CRM-197).
Intervention Type
Biological
Intervention Name(s)
MenACWY-TT
Intervention Description
Single dose MenACWY-TT (MenACWY vaccine conjugated to Tetanus Toxoid, TT)
Primary Outcome Measure Information:
Title
Response to meningococcal components of the vaccines by serum bactericidal antibody
Description
Percentage of participants with serogroup-specific rabbit Serum Bactericidal Antibody (rSBA) titres ≥ 8 at one month post vaccination, for each of the serogroups A, C, W135 and Y. (This titre of rSBA is a documented correlate of protection for meningococcal conjugate vaccines)
Time Frame
December 2013

10. Eligibility

Sex
All
Minimum Age & Unit of Time
14 Years
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Previously enrolled on the Preschool Men C study conducted by NVEC in 1999/2000 Participant's parent or legally authorized representative is willing and able to give written informed consent for participation after the nature of the study has been explained. No contraindications to vaccination as specified in the "Green Book"- Immunisation against Infectious Disease, HMSO. Participant who gives assent for participation in the study. Vaccinated with Meningitec (MCC CRM) or Menjugate (MCC CRM) or NeisVac-C (MCC TT) between 3.5-6 years of age. Known to be free of medical problems as determined by a medical history and clinical assessment. Parent or legally authorised representative is willing to allow his or her child's GP to be notified of participation in the study and contacted if required for confirmation of vaccination history. Exclusion Criteria: History of invasive meningococcal disease. Have a history of household contact or intimate exposure to an individual with culture proven Neisseria meningitis disease in the previous 60 days. Any vaccination against MenC disease since MCC vaccine given between 3.5 to 6 years. Participant is pregnant. Confirmed or suspected immunosuppressive or immunodeficient conditions, including human immunodeficiency virus (HIV) infection. Major congenital defects or serious chronic disease including progressive neurological disease or seizure disorder. Have a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. Have a history of severe allergic reactions after previous vaccinations such as anaphylactic shock, asthma, urticaria, or other allergic reaction or hypersensitivity to any vaccine component. Have received another investigational agent within 90 days or before completion of the safety follow-up period in another study, whichever is longer, prior to enrollment and unwilling to refuse participation in another investigational trial through the end of the study. In the event that administration of another licensed vaccine is needed during the study, this vaccine should not be administered within 30 days of any study injection according to investigator's judgment (exception: licensed flu-vaccine should not be administered within 14 days of study vaccines). Have received any blood or blood products within the past 12 weeks. Have any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study. Temporary Exclusion Criteria • Receipt of systemic antibiotics (either oral or parenteral) will delay enrolment until at least 7 days after cessation of antibiotics.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elizabeth Miller, MD
Organizational Affiliation
Public Health England
Official's Role
Study Chair
Facility Information:
Facility Name
Multiple General Practice surgeries
City
Gloucester
State/Province
Gloucestershire
Country
United Kingdom
Facility Name
Multiple General Practice surgeries
City
Hertford
State/Province
Hertfordshire
Country
United Kingdom
Facility Name
Health Protection Agency, Immunisation Department, Colindale
City
London
ZIP/Postal Code
NW9 5EQ
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
26075813
Citation
Ishola DA, Andrews N, Waight P, Yung CF, Southern J, Bai X, Findlow H, Matheson M, England A, Hallis B, Findlow J, Borrow R, Miller E. Randomized Trial to Compare the Immunogenicity and Safety of a CRM or TT Conjugated Quadrivalent Meningococcal Vaccine in Teenagers who Received a CRM or TT Conjugated Serogroup C Vaccine at Preschool Age. Pediatr Infect Dis J. 2015 Aug;34(8):865-74. doi: 10.1097/INF.0000000000000750.
Results Reference
result
Links:
URL
http://www.ncbi.nlm.nih.gov/pubmed/26075813
Description
Published study results

Learn more about this trial

Comparison of Two Meningococcal ACWY Conjugate Vaccines

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