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Safety Study of Group A, C, Y & W-135 Meningococcal Polysaccharide Diphtheria Toxoid Conjugate Vaccine for Meningitis

Primary Purpose

Meningococcal Meningitis, Meningococcal Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
meningococcal meningitis conjugate vaccine, quadrivalent
meningococcal meningitis conjugate vaccine, quadrivalent
Sponsored by
JN-International Medical Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningococcal Meningitis focused on measuring Central Nervous System Infections, Meningitis, toxoid, Meningococcal vaccine, conjugate vaccines

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Willing and able to give informed consent and comply with all aspects of the evaluation after the nature of the study is explain
  • For the purpose of this study, a healthy volunteer is defined as healthy male or female, with no significant chronic conditions
  • Age 18 to 50 years old
  • Either gender. Abstinence or use of contraception during the eight weeks after vaccination will be required for non menopausal (< two years post-menopause) or non surgically sterile women
  • Persons with antibody titer(s) of <2 µg/mL to serogroup(s) A, C, Y, or W-135 polysaccharides as measured by ELISA

Exclusion Criteria:

  • Age less than 18 years or over 50 years.
  • History of Guillain-Barré syndrome (GBS).
  • Pregnancy or lactation.
  • History of meningococcal meningitis.
  • History of invasive (clinical or laboratory diagnosis) meningococcal disease.
  • History of meningococcal meningitis vaccination.
  • Screening laboratory abnormalities (in the opinion of the Investigator) that would raise safety concerns for participation in the study.
  • Use of immunosuppressive drugs within 30 days prior to study enrollment, not including topical or inhaled steroids/cytotoxic agents.
  • History of anaphylactic shock, asthma, urticaria, or other allergic or hypersensitivity reactions following vaccination.
  • History of severe allergic disorders or autoimmune connective tissue disorders, including rheumatoid arthritis. A high sensitivity C-Reactive Protein (CRP) test at screening will be used as part of the assessment of autoimmune disorders by the Principal Investigator.
  • Use of systemic antibiotics within 72 hours prior to study enrollment.
  • History of cirrhosis.
  • Positive results of testing for HepBsAg, Hepatitis C or HIV-1 or HIV-2 antibodies.
  • Positive results of drug screen (amphetamine, THC, cocaine).
  • Persons with antibody titer(s) of >2 µg/mL to serogroup (s) A, C, Y, or W 135 as measured by ELISA.
  • Unable to understand all of the study requirements.
  • Prisoners.
  • Participation in a clinical trial in the last three months.
  • History of any serious chronic medical or psychiatric illnesses.
  • History of significant head trauma, alcohol or substance abuse or other medical illnesses that could cause a neurological deficit (e.g., cerebro-vascular disease) .
  • Chronic medication use that, in the opinion of the Investigator, may influence or bias the clinical outcome of the trial.
  • Individuals will be excluded from participation in this trial if they are judged by the Principal Investigator as having a significant impairment in their capacity for judgment or reasoning that compromise their ability to make decisions in their best interest.

Sites / Locations

  • Kings Cardiology Group

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Test Vaccine

US Licensed Vaccine

Arm Description

NmVac4-A/C/Y/W-135-DT™ conjugate vaccine

Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine

Outcomes

Primary Outcome Measures

Adverse Reactions
local and systemic rates throughout the course of the study

Secondary Outcome Measures

Immune Response
Antibody titers

Full Information

First Posted
November 23, 2011
Last Updated
January 11, 2013
Sponsor
JN-International Medical Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01482052
Brief Title
Safety Study of Group A, C, Y & W-135 Meningococcal Polysaccharide Diphtheria Toxoid Conjugate Vaccine for Meningitis
Official Title
A Double-Blind, Randomized, Controlled, Two Arm Phase 1 Clinical Trial of the Safety and Immunogenicity of Group A, C, Y & W-135 Meningococcal Polysaccharide DT Conjugate Vaccine: NmVac4-A/C/Y/W-135-DT™
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
January 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
JN-International Medical Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety of a new conjugate vaccine, NmVac4-A/C/Y/W-135-DT, compared to the safety of a similar, licensed meningococcal A/C/Y/W-135-DT conjugate vaccine. The investigators will also evaluate the production of antibodies to of NmVac4-A/C/Y/W-135-DT™ conjugate vaccine compared to the licensed vaccine, as a measure of vaccine effectiveness.
Detailed Description
Meningococcal disease is a potentially life-threatening bacterial infection. The disease most commonly is expressed as either meningococcal meningitis, an inflammation of the membranes surrounding the brain and spinal cord, or meningococcemia, the presence of bacteria in the blood. The most common symptoms include high fever, headache, neck stiffness, confusion, nausea, vomiting, lethargy, and rash. If not treated the disease can progress rapidly and can lead to shock and death, often within hours of the onset of symptoms. Neisseria meningitidis capsular polysaccharides are poor immunogens. However, conjugation of bacterial polysaccharides to immunogenic carrier proteins generally results in conjugates that induce strong anti-polysaccharide T-helper cell dependent immune responses, creating a longer-lasting immune response and thus protection against meningococcal infection. This study compares safety and antibody production induced by one intramuscular injection of either NmVac4-A/C/Y/W-135-DT or a licensed meningococcal A/C/Y/W-135-DT conjugate vaccine. Participants will attend a screening visit up to 4 weeks prior to Day 0, then will attend study visits for 8 weeks. There will be a study phone call at Days 2-3, then a post-study telephone call to subjects to assess safety at 26 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningococcal Meningitis, Meningococcal Infections
Keywords
Central Nervous System Infections, Meningitis, toxoid, Meningococcal vaccine, conjugate vaccines

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Test Vaccine
Arm Type
Experimental
Arm Description
NmVac4-A/C/Y/W-135-DT™ conjugate vaccine
Arm Title
US Licensed Vaccine
Arm Type
Active Comparator
Arm Description
Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine
Intervention Type
Biological
Intervention Name(s)
meningococcal meningitis conjugate vaccine, quadrivalent
Other Intervention Name(s)
NmVac4-A/C/Y/W-135-DT™
Intervention Description
NmVac4-A/C/Y/W-135-DT™conjugate is a vaccine in liquid form composed of purified polysaccharides (PS) conjugated to diphtheria toxoid. Single intramuscular 0.5 mL dose contains 4 µg each Serogroup A, C, W-135, Y PS conjugated to approximately 16 µg total diphtheria toxoid.
Intervention Type
Biological
Intervention Name(s)
meningococcal meningitis conjugate vaccine, quadrivalent
Intervention Description
Meningococcal (Groups A,C,Y and W-135-DT) Polysaccharide Conjugate Vaccine 0.5 mL dose, intramuscular. Single dose contains 4 µg each Serogroup A, C, W-135, Y PS conjugated to approximately 48 µg total diphtheria toxoid.
Primary Outcome Measure Information:
Title
Adverse Reactions
Description
local and systemic rates throughout the course of the study
Time Frame
up to 6 months
Secondary Outcome Measure Information:
Title
Immune Response
Description
Antibody titers
Time Frame
4 and 8 weeks after injection

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Willing and able to give informed consent and comply with all aspects of the evaluation after the nature of the study is explain For the purpose of this study, a healthy volunteer is defined as healthy male or female, with no significant chronic conditions Age 18 to 50 years old Either gender. Abstinence or use of contraception during the eight weeks after vaccination will be required for non menopausal (< two years post-menopause) or non surgically sterile women Persons with antibody titer(s) of <2 µg/mL to serogroup(s) A, C, Y, or W-135 polysaccharides as measured by ELISA Exclusion Criteria: Age less than 18 years or over 50 years. History of Guillain-Barré syndrome (GBS). Pregnancy or lactation. History of meningococcal meningitis. History of invasive (clinical or laboratory diagnosis) meningococcal disease. History of meningococcal meningitis vaccination. Screening laboratory abnormalities (in the opinion of the Investigator) that would raise safety concerns for participation in the study. Use of immunosuppressive drugs within 30 days prior to study enrollment, not including topical or inhaled steroids/cytotoxic agents. History of anaphylactic shock, asthma, urticaria, or other allergic or hypersensitivity reactions following vaccination. History of severe allergic disorders or autoimmune connective tissue disorders, including rheumatoid arthritis. A high sensitivity C-Reactive Protein (CRP) test at screening will be used as part of the assessment of autoimmune disorders by the Principal Investigator. Use of systemic antibiotics within 72 hours prior to study enrollment. History of cirrhosis. Positive results of testing for HepBsAg, Hepatitis C or HIV-1 or HIV-2 antibodies. Positive results of drug screen (amphetamine, THC, cocaine). Persons with antibody titer(s) of >2 µg/mL to serogroup (s) A, C, Y, or W 135 as measured by ELISA. Unable to understand all of the study requirements. Prisoners. Participation in a clinical trial in the last three months. History of any serious chronic medical or psychiatric illnesses. History of significant head trauma, alcohol or substance abuse or other medical illnesses that could cause a neurological deficit (e.g., cerebro-vascular disease) . Chronic medication use that, in the opinion of the Investigator, may influence or bias the clinical outcome of the trial. Individuals will be excluded from participation in this trial if they are judged by the Principal Investigator as having a significant impairment in their capacity for judgment or reasoning that compromise their ability to make decisions in their best interest.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sudesh Nagavalli, MD
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kings Cardiology Group
City
Hanford
State/Province
California
ZIP/Postal Code
93230
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety Study of Group A, C, Y & W-135 Meningococcal Polysaccharide Diphtheria Toxoid Conjugate Vaccine for Meningitis

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