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Study of Reduced Dose of Menomune® in Children Who Previously Received Meningococcal Diphtheria Toxoid Conjugate Vaccine

Primary Purpose

Meningitis, Meningococcemia, Neisseria Meningitidis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
A/C/Y/W-135, Meningococcal Polysaccharide Vaccine (Menomune®)
A/C/Y/W-135, Meningococcal Polysaccharide Vaccine (Menomune®)
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Meningitis focused on measuring Menactra®, Menomune®, Meningitis, Meningococcemia, Neisseria meningitidis

Eligibility Criteria

3 Years - 5 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria :

  • Stage I
  • Participant is healthy, as determined by medical history and physical examination.
  • Participant is at least 3 years of age but not yet 6 years of age at the enrolment.
  • For the TetraMenD group: received one dose of TetraMenD as a participant in trial 603-02 no less than 18 months prior to enrolment
  • For the Control group: no previous history of any meningococcal vaccination
  • Parent/Guardian has signed Institutional Review Board- (IRB-) approved informed consent form.
  • Stage II
  • Participant is healthy, as determined by medical history and physical examination.
  • Participant is at least 3 years of age but not yet 6 years of age at the time of enrollment in Stage 1.
  • Enrolled in the Control group only and received one dose of the reduced dose Menomune at Stage 1.
  • Parent/Guardian has signed Institutional Review Board- (IRB-) approved informed consent form.

Exclusion Criteria :

  • Serious chronic disease (i.e., cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric etc.)
  • Known or suspected impairment of immunologic function
  • Acute medical illness with or without fever within the last 72 hours or an axillary temperature (≥ 99.5ºF [≥ 37.5ºC]) at the time of inclusion
  • For Stage I, history of documented invasive meningococcal disease or previous meningococcal vaccination with exception of those participants recruited from Trial 603-02.
  • For Stage II, history of documented invasive meningococcal disease or participant did not receive Reduced-dose Menomune® six months prior.
  • Administration of immune globulin, other blood products within the last three months, injected or oral corticosteroids or other immunomodulatory therapy within six weeks of the study vaccine. Individuals on a tapering dose schedule of oral steroids lasting < 7 days may be included in the trial as long as they have not received more than one course within the last two weeks prior to enrollment.
  • Antibiotic therapy within the 72 hours prior to vaccination or antibiotic therapy within the 72 hours prior to having any blood sample drawn
  • Received any vaccine in the 28-day period prior to study vaccination, or scheduled to receive any vaccination during the 28-day period after study vaccination in Stage 1 of the trial.
  • Suspected or known hypersensitivity to any of the vaccine components
  • Unavailable for the entire study period or unable to attend the scheduled visits or to comply with the study procedures
  • Enrolled in another clinical trial
  • Any condition, which, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Previously received TetraMenD

Meningococcal vaccine-naїve

Arm Description

Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.

Participants have never received a Meningococcal vaccine in the past.

Outcomes

Primary Outcome Measures

Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.

Secondary Outcome Measures

Full Information

First Posted
October 13, 2008
Last Updated
January 21, 2014
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT00772070
Brief Title
Study of Reduced Dose of Menomune® in Children Who Previously Received Meningococcal Diphtheria Toxoid Conjugate Vaccine
Official Title
Antibody Responses to a Reduced Dose of Menomune® in Children Who Previously Received an Experimental Tetravalent (A, C, Y, and W-135) Meningococcal Diphtheria Toxoid Conjugate Vaccine, TetraMenD
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
March 2003 (undefined)
Primary Completion Date
August 2003 (Actual)
Study Completion Date
May 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study was designed to simulate meningococcal challenge by vaccination with a fractional combined dose of unconjugated meningococcal polysaccharides A, C, Y, and W-135, Menomune® in children who were vaccinated with one dose of TetraMenD at least 18 months earlier. Primary Objective: To evaluate and compare the antibody responses to a reduced dose of Menomune® in participants who had previously received a tetravalent meningococcal diphtheria toxoid conjugate vaccine to those responses in participants who received the same reduced dose of Menomune® but had not previously received any meningococcal vaccine.
Detailed Description
This was a two stage, controlled, open-label trial. Stage I of the trial simulated meningococcal challenge Stage II of the trial evaluated the meningococcal vaccine naïve participants from Stage I, who had also received a reduced dose of Menomune® vaccine in Stage I and were administered a full dose of Menactra® vaccine 6 months later.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Meningitis, Meningococcemia, Neisseria Meningitidis
Keywords
Menactra®, Menomune®, Meningitis, Meningococcemia, Neisseria meningitidis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
173 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Previously received TetraMenD
Arm Type
Experimental
Arm Description
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Arm Title
Meningococcal vaccine-naїve
Arm Type
Experimental
Arm Description
Participants have never received a Meningococcal vaccine in the past.
Intervention Type
Biological
Intervention Name(s)
A/C/Y/W-135, Meningococcal Polysaccharide Vaccine (Menomune®)
Other Intervention Name(s)
Menomune®
Intervention Description
0.05 mL, Subcutaneous
Intervention Type
Biological
Intervention Name(s)
A/C/Y/W-135, Meningococcal Polysaccharide Vaccine (Menomune®)
Other Intervention Name(s)
Menomune®
Intervention Description
0.05 mL, Subcutaneous
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Time Frame
Day 0 and Days 8 and 28 post-vaccination
Other Pre-specified Outcome Measures:
Title
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Time Frame
Baseline to Day 8 and Day 28 post-vaccination
Title
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Time Frame
Day 0 to 7 post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria : Stage I Participant is healthy, as determined by medical history and physical examination. Participant is at least 3 years of age but not yet 6 years of age at the enrolment. For the TetraMenD group: received one dose of TetraMenD as a participant in trial 603-02 no less than 18 months prior to enrolment For the Control group: no previous history of any meningococcal vaccination Parent/Guardian has signed Institutional Review Board- (IRB-) approved informed consent form. Stage II Participant is healthy, as determined by medical history and physical examination. Participant is at least 3 years of age but not yet 6 years of age at the time of enrollment in Stage 1. Enrolled in the Control group only and received one dose of the reduced dose Menomune at Stage 1. Parent/Guardian has signed Institutional Review Board- (IRB-) approved informed consent form. Exclusion Criteria : Serious chronic disease (i.e., cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric etc.) Known or suspected impairment of immunologic function Acute medical illness with or without fever within the last 72 hours or an axillary temperature (≥ 99.5ºF [≥ 37.5ºC]) at the time of inclusion For Stage I, history of documented invasive meningococcal disease or previous meningococcal vaccination with exception of those participants recruited from Trial 603-02. For Stage II, history of documented invasive meningococcal disease or participant did not receive Reduced-dose Menomune® six months prior. Administration of immune globulin, other blood products within the last three months, injected or oral corticosteroids or other immunomodulatory therapy within six weeks of the study vaccine. Individuals on a tapering dose schedule of oral steroids lasting < 7 days may be included in the trial as long as they have not received more than one course within the last two weeks prior to enrollment. Antibiotic therapy within the 72 hours prior to vaccination or antibiotic therapy within the 72 hours prior to having any blood sample drawn Received any vaccine in the 28-day period prior to study vaccination, or scheduled to receive any vaccination during the 28-day period after study vaccination in Stage 1 of the trial. Suspected or known hypersensitivity to any of the vaccine components Unavailable for the entire study period or unable to attend the scheduled visits or to comply with the study procedures Enrolled in another clinical trial Any condition, which, in the opinion of the investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Sanofi Pasteur Inc.
Official's Role
Study Director
Facility Information:
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72211
Country
United States
City
Woburn
State/Province
Massachusetts
ZIP/Postal Code
01801
Country
United States
City
Bridgeton
State/Province
Missouri
ZIP/Postal Code
63044
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14620
Country
United States
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
City
Sellersville
State/Province
Pennsylvania
ZIP/Postal Code
18960
Country
United States
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23501
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
17072120
Citation
Pichichero M, Papa T, Blatter M, Mitchell D, Kratz R, Sneed J, Bassily E, Casey J, Gilmet G. Immune memory in children previously vaccinated with an experimental quadrivalent meningococcal polysaccharide diphtheria toxoid conjugate vaccine. Pediatr Infect Dis J. 2006 Nov;25(11):995-1000. doi: 10.1097/01.inf.0000243215.46312.4a.
Results Reference
result
Links:
URL
http://www.sanofipasteur.com
Description
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Study of Reduced Dose of Menomune® in Children Who Previously Received Meningococcal Diphtheria Toxoid Conjugate Vaccine

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