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Study to Assess the Safety and Immunogenicity of GSK Meningococcal Group B Vaccine When Administered Concomitantly With GSK Meningococcal MenACWY Conjugate Vaccine in Healthy Subjects of 16-18 Years of Age

Primary Purpose

Infections, Meningococcal

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Meningococcal Group B Vaccine (GSK3536829A) (rMenB+OMV NZ)
Meningococcal MenACWY Conjugate Vaccine (GSK3536820A) (MenA lyo + MenCWY liquid)
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Infections, Meningococcal focused on measuring Meningitis, Invasive meningococcal disease, Bexsero, Menveo

Eligibility Criteria

16 Years - 18 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol or/and subjects' parent(s)/Legally Acceptable Representative(s) [LAR(s)] who, in the opinion of the investigator, can and will comply, with the requirements of the protocol.
  • Previous vaccination with 1 dose of quadrivalent meningococcal conjugate vaccine (MenACWY, Menveo or Menactra) at least 4 years prior to informed consent and assent as applicable.
  • Written or /witnessed/thumb printed informed consent obtained from the subject/parent(s)/LAR(s) of the subject prior to performance of any study specific procedure.
  • Written informed assent obtained from the subject (if applicable) along with informed consent from the subject's parent(s)/LAR(s) prior to performing any study specific procedure.
  • A male or female between, and including, 16 and 18 years of age at the time of the first vaccination.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Female subjects of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as pre-menarche, current bilateral tubal ligation or occlusion, hysterectomy, bilateral ovariectomy or post-menopause.
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • has practiced adequate contraception for 30 days prior to vaccination, and
    • has a negative pregnancy test on the day of vaccination, and
    • has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series.

Exclusion Criteria:

Medical conditions

  • Progressive, unstable or uncontrolled clinical conditions.
  • Clinical conditions representing a contraindication to intramuscular vaccination and blood draws.
  • Abnormal function of the immune system resulting from:

    • Clinical conditions.
    • Systemic administration of corticosteroids (PO/IV/IM) for more than 14 consecutive days within 90 days prior to study vaccination. This will mean prednisone ≥ 20 mg/day (for adult subjects) or ≥ 0.5 mg/kg/day or 20 mg/day whichever is the maximum dose for paediatric subjects, or equivalent. Inhaled and topical steroids are allowed.
    • Administration of antineoplastic or immunomodulating agents or radiotherapy within 90 days prior to informed consent.
  • Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the subject due to participation in the study.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • History of any reaction or hypersensitivity likely to be exacerbated by any medicinal products or medical equipment whose use is foreseen in this study.
  • Current or previous, confirmed or suspected disease caused by N. meningitidis.
  • Known contact to an individual with any laboratory-confirmed N. meningitidis infection within 60 days, prior to enrolment.
  • History of neuroinflammatory or autoimmune condition.
  • Recurrent history or un-controlled neurological disorders or seizures.

Prior/Concomitant therapy

  • Use of any investigational or non-registered product other than the study vaccine(s) during the period starting 30 days before the informed consent or planned use during the study period.
  • Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 180 days before the informed consent or planned administration during the study period.
  • Previous vaccination with any group B meningococcal vaccine at any time prior to informed consent and assent as applicable.
  • Previous vaccination with 2 doses of quadrivalent meningococcal conjugate vaccine (MenACWY, Menveo, Menactra or MenQuadfi).

Prior/Concurrent clinical study experience

• Subject concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product, will not be enrolled.

Other exclusions

  • Child in care.
  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions.
  • Any study personnel or immediate dependents, family, or household member.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
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  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

MenB+MenACWY Group

MenB Group

MenACWY Group

Arm Description

Subjects will receive 1 dose rMenB+OMV NZ given concomitantly with MenACWY at Day 1, 1 dose of rMenB+OMV NZ at Day 61 and 1 dose of placebo at Day 91.

Subjects will receive 1 dose of rMenB+OMV NZ and placebo concomitantly at Day 1, 1 dose of rMenB+OMV NZ at Day 61 and 1 dose of MenACWY at Day 91.

Subjects will receive 1 dose of MenACWY and placebo concomitantly at Day 1, 1 dose of rMenB+OMV NZ each at Day 61 and at Day 91.

Outcomes

Primary Outcome Measures

Percentage of subjects with solicited local adverse events (AEs)
An adverse event is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Solicited local adverse events assessed are injection site pain, erythema, swelling, induration. Any erythema, swelling and swelling is defined as a symptom with a surface diameter equal or greater than 25 millimeters.
Percentage of subjects with solicited systemic adverse events
Solicited systemic adverse events assessed are (i.e., fever [temperature ≥ 38.0°C/100.4°F], nausea, fatigue, myalgia, arthralgia, headache).
Percentage of subjects with any unsolicited adverse events, Serious Adverse Events (SAEs), AEs leading to withdrawal and medically attended AEs
Unsolicited adverse events are defined as any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms are reported as an unsolicited adverse event. Any solicited AE that has not resolved within 30 days post vaccination and is reported during clinic visits or safety follow-up calls is entered into the subject's electronic Case Report Form (eCRF) as an unsolicited AE. SAEs are any untoward medical occurrence that result in death, are life-threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity and is a congenital anomaly/birth defect in the offspring of a study subject Medically attended AEs are symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.
Percentage of subjects with any SAEs, AEs leading to withdrawal and medically attended AEs.
Serious adverse events, AEs leading to withdrawal and medically attended AEs throughout the study period are assessed.
Percentage of subjects with adverse events of special interest (AESI)
AESIs are predefined (serious or non-serious) adverse events of scientific and medical concern specific to the product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor can be appropriate, because such an event might warrant further investigation in order to characterize and understand it.
Percentage of subjects with any SAEs, AEs leading to withdrawal
SAEs are any untoward medical occurrence that result in death, are life-threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity and is a congenital anomaly/birth defect in the offspring of a study subject.
Percentage of subjects with AESI
AESIs are predefined (serious or non-serious) adverse events of scientific and medical concern specific to the product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor can be appropriate, because such an event might warrant further investigation in order to characterize and understand it.
Human Serum Bactericidal Assay Geometric Mean Titers (GMTs) against each of the N. meningitidis serogroup B strains after the second vaccination with rMenB+OMV NZ
Immune responses to rMenB+OMV NZ given with or without MenACWY, as measured by serum bactericidal assay using human complement (hSBA), are expressed as Geometric Mean Titers (GMTs) against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084).
hSBA GMTs against each of the N. meningitidis serogroups A, C, W and Y after vaccination with MenACWY
Immune responses to MenACWY given with or without rMenB+OMV NZ, as measured by serum bactericidal assay using human complement (hSBA) are expressed as Geometric Mean Titers (GMTs) against each of the 4 serogroups A, C, W and Y

Secondary Outcome Measures

hSBA Geometric Mean Concentrations (GMCs) measured by ELISA against each of the N. meningitidis serogroups after MenACWY vaccination.
Immune response to MenACWY given with or without rMenB+OMV NZ, as measured by Enzyme-Linked Immunosorbent Assay (ELISA) GMCs against each of the serogroups A, C, W and Y.
hSBA GMTs against each of the serogroup B strains in both MenB+MenACWY and MenB Groups after first rMenB+OMV NZ vaccination.
Immune response to rMenB+OMV NZ given with or without MenACWY, as measured by bactericidal activity against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084) and expressed in GMTs.
Geometric mean ratios (GMRs) against each of the N. meningitidis serogroup B strains in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose.
Immune response to rMenB+OMV NZ given with or without MenACWY as measured by bactericidal activity against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084) in terms of GMRs at one month after the first rMenB+OMV NZ vaccination compared to the baseline at Day 1/Month 0.
Geometric mean ratios (GMRs) against each of the N. meningitidis serogroup B strains in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose
Immune response to rMenB+OMV NZ given with or without MenACWY, as measured by bactericidal activity against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084) in terms of GMRs at one month after the second rMenB+OMV NZ vaccination compared to the baseline at Day 1/Month 0.
Percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup B test strains in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose.
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity in terms of subjects with hSBA titers ≥ LLOQ against N. meningitidis serogroup B test strains
Percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup B test strains in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose.
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity in terms of subjects with hSBA titers ≥ LLOQ against N. meningitidis serogroup B test strains.
Percentage of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity against each of N. meningitidis serogroup B test strains in terms of the Four-fold increase defined as: - For a pre-vaccination titer < limit of detection (LOD), a post-vaccination titer of ≥ 4-fold the LOD or ≥ LLOQ, whichever is greater, - For a pre-vaccination titer ≥LOD but <LLOQ, a post vaccination titer of at least 4-fold the LLOQ, - For a pre-vaccination titer ≥ LLOQ, a post vaccination titer of at least 4-fold the pre-vaccination titer
Percentage of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity against each of the N. meningitidis serogroup B test strains in terms of the Four-fold increase defined as: - For a pre-vaccination titer < limit of detection (LOD), a post-vaccination titer of ≥ 4-fold the LOD or ≥ LLOQ, whichever is greater, - For a pre-vaccination titer ≥LOD but <LLOQ, a post vaccination titer of at least 4-fold the LLOQ, - For a pre-vaccination titer ≥ LLOQ, a post vaccination titer of at least 4-fold the pre-vaccination titer.
Percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup A, C, W and Y in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination
The immune response to MenACWY vaccines is expressed in terms of percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup A, C, W and Y
Geometric mean ratios (GMRs) against each of the N. meningitidis serogroup A, C, W and Y in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination.
Immune response to MenACWY given with or without rMenB+OMV NZ as measured by bactericidal activity against the four serogroups A, C, W and Y in terms of GMRs at one month after MenACWY vaccination compared to the baseline at Day 1/Month 0.
Percentage of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination
The immune response to MenACWY vaccine is evaluated by measuring for the four serogroups A, C, W and Y, the Four-fold increase defined as: - For a pre-vaccination titer < limit of detection (LOD), a post-vaccination titer of ≥ 4-fold the LOD or ≥ LLOQ, whichever is greater, - For a pre-vaccination titer ≥LOD but <LLOQ, a post vaccination titer of at least 4-fold the LLOQ, - For a pre-vaccination titer ≥ LLOQ, a post vaccination titer of at least 4-fold the pre-vaccination titer

Full Information

First Posted
March 20, 2020
Last Updated
May 4, 2023
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT04318548
Brief Title
Study to Assess the Safety and Immunogenicity of GSK Meningococcal Group B Vaccine When Administered Concomitantly With GSK Meningococcal MenACWY Conjugate Vaccine in Healthy Subjects of 16-18 Years of Age
Official Title
A Phase IIIB, Randomized, Observer-blind, Multicenter Study to Assess the Safety and Immunogenicity of GSK's Meningococcal Group B Vaccine When Administered Concomitantly With GSK's Meningococcal MenACWY Conjugate Vaccine to Healthy Subjects of 16-18 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 25, 2020 (Actual)
Primary Completion Date
November 7, 2023 (Anticipated)
Study Completion Date
November 7, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the immunogenicity, safety and tolerability of rMenB+OMV NZ and MenACWY vaccines when concomitantly administered to healthy subjects 16-18 years of age.
Detailed Description
As per the recommendation from Center for Biologics Evaluation and Research (CBER) the study has been amended to include a new "agar-overlay" serum bactericidal assay using human serum complement (hSBA). Additional changes include validation of the MenB manual to measure immunogenicity of the meningococcal group B vaccine, a modification in the definition of 4-fold increase in post-vaccination hSBA titer definition when the pre-vaccination titer is below the limit of detection, and a modification in the population set to be used for safety analysis wherein the exposed set is to be used for all safety analyses.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infections, Meningococcal
Keywords
Meningitis, Invasive meningococcal disease, Bexsero, Menveo

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Observer-blinded study. Recipients & study evaluators will be unaware of vaccine administered.
Allocation
Randomized
Enrollment
945 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MenB+MenACWY Group
Arm Type
Experimental
Arm Description
Subjects will receive 1 dose rMenB+OMV NZ given concomitantly with MenACWY at Day 1, 1 dose of rMenB+OMV NZ at Day 61 and 1 dose of placebo at Day 91.
Arm Title
MenB Group
Arm Type
Experimental
Arm Description
Subjects will receive 1 dose of rMenB+OMV NZ and placebo concomitantly at Day 1, 1 dose of rMenB+OMV NZ at Day 61 and 1 dose of MenACWY at Day 91.
Arm Title
MenACWY Group
Arm Type
Experimental
Arm Description
Subjects will receive 1 dose of MenACWY and placebo concomitantly at Day 1, 1 dose of rMenB+OMV NZ each at Day 61 and at Day 91.
Intervention Type
Combination Product
Intervention Name(s)
Meningococcal Group B Vaccine (GSK3536829A) (rMenB+OMV NZ)
Other Intervention Name(s)
Bexsero
Intervention Description
rMenB+OMV will be administered intramuscularly as 1 dose each at day 1 and 61 to subjects in MenB+MenACWY group and MenB group and as 1 dose at day 91 to subjects in MenACWY group, to the deltoid region of the non-dominant arm.
Intervention Type
Biological
Intervention Name(s)
Meningococcal MenACWY Conjugate Vaccine (GSK3536820A) (MenA lyo + MenCWY liquid)
Other Intervention Name(s)
Menveo
Intervention Description
MenACWY will be administered intramuscularly as 1 dose at day 1 to subjects in MenB+MenACWY group, 1 dose at day 91 for MenB group and as 1 dose at day 1 to subjects in MenACWY group, to the deltoid region of the non-dominant arm.
Intervention Type
Combination Product
Intervention Name(s)
Placebo
Other Intervention Name(s)
NaCl, saline solution
Intervention Description
Placebo will be administered intramuscularly as 1 dose at day 91 to subjects in MenB+MenACWY group, 1 dose at day 1 to subjects in MenB group and MenACWY group, to the deltoid region of the non-dominant arm.
Primary Outcome Measure Information:
Title
Percentage of subjects with solicited local adverse events (AEs)
Description
An adverse event is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Solicited local adverse events assessed are injection site pain, erythema, swelling, induration. Any erythema, swelling and swelling is defined as a symptom with a surface diameter equal or greater than 25 millimeters.
Time Frame
During the 7 days (including day of vaccination) after each vaccination (Administered on day 1, day 61 and day 91)
Title
Percentage of subjects with solicited systemic adverse events
Description
Solicited systemic adverse events assessed are (i.e., fever [temperature ≥ 38.0°C/100.4°F], nausea, fatigue, myalgia, arthralgia, headache).
Time Frame
During the 7 days (including day of vaccination)after each vaccination (Administered on day 1, day 61 and day 91)
Title
Percentage of subjects with any unsolicited adverse events, Serious Adverse Events (SAEs), AEs leading to withdrawal and medically attended AEs
Description
Unsolicited adverse events are defined as any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms are reported as an unsolicited adverse event. Any solicited AE that has not resolved within 30 days post vaccination and is reported during clinic visits or safety follow-up calls is entered into the subject's electronic Case Report Form (eCRF) as an unsolicited AE. SAEs are any untoward medical occurrence that result in death, are life-threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity and is a congenital anomaly/birth defect in the offspring of a study subject Medically attended AEs are symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.
Time Frame
During the 30 days (including day of vaccination) after each vaccination (Administered at Day 1, Day 61 and Day 91)
Title
Percentage of subjects with any SAEs, AEs leading to withdrawal and medically attended AEs.
Description
Serious adverse events, AEs leading to withdrawal and medically attended AEs throughout the study period are assessed.
Time Frame
Throughout the study period (Day 1 to Day 271)
Title
Percentage of subjects with adverse events of special interest (AESI)
Description
AESIs are predefined (serious or non-serious) adverse events of scientific and medical concern specific to the product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor can be appropriate, because such an event might warrant further investigation in order to characterize and understand it.
Time Frame
Throughout the study period (Day 1- Day 271)
Title
Percentage of subjects with any SAEs, AEs leading to withdrawal
Description
SAEs are any untoward medical occurrence that result in death, are life-threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity and is a congenital anomaly/birth defect in the offspring of a study subject.
Time Frame
During safety follow-up (Day 271 to Day 451)
Title
Percentage of subjects with AESI
Description
AESIs are predefined (serious or non-serious) adverse events of scientific and medical concern specific to the product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor can be appropriate, because such an event might warrant further investigation in order to characterize and understand it.
Time Frame
During safety follow-up (Day 271 to Day 451)
Title
Human Serum Bactericidal Assay Geometric Mean Titers (GMTs) against each of the N. meningitidis serogroup B strains after the second vaccination with rMenB+OMV NZ
Description
Immune responses to rMenB+OMV NZ given with or without MenACWY, as measured by serum bactericidal assay using human complement (hSBA), are expressed as Geometric Mean Titers (GMTs) against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084).
Time Frame
At 1 month after the second vaccination with rMenB+OMV NZ in MenB+MenACWY and MenB groups (i.e. at Day 91).
Title
hSBA GMTs against each of the N. meningitidis serogroups A, C, W and Y after vaccination with MenACWY
Description
Immune responses to MenACWY given with or without rMenB+OMV NZ, as measured by serum bactericidal assay using human complement (hSBA) are expressed as Geometric Mean Titers (GMTs) against each of the 4 serogroups A, C, W and Y
Time Frame
At 1 month after the vaccination with MenACWY in MenACWY and MenB+MenACWY groups (i.e. at Day 31).
Secondary Outcome Measure Information:
Title
hSBA Geometric Mean Concentrations (GMCs) measured by ELISA against each of the N. meningitidis serogroups after MenACWY vaccination.
Description
Immune response to MenACWY given with or without rMenB+OMV NZ, as measured by Enzyme-Linked Immunosorbent Assay (ELISA) GMCs against each of the serogroups A, C, W and Y.
Time Frame
At 1 month after the vaccination of MenACWY in MenACWY and MenB+MenACWY groups (i.e. at Day 31).
Title
hSBA GMTs against each of the serogroup B strains in both MenB+MenACWY and MenB Groups after first rMenB+OMV NZ vaccination.
Description
Immune response to rMenB+OMV NZ given with or without MenACWY, as measured by bactericidal activity against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084) and expressed in GMTs.
Time Frame
At 1 month after first vaccination with rMenB+OMV NZ (i.e. at Day 31).
Title
Geometric mean ratios (GMRs) against each of the N. meningitidis serogroup B strains in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose.
Description
Immune response to rMenB+OMV NZ given with or without MenACWY as measured by bactericidal activity against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084) in terms of GMRs at one month after the first rMenB+OMV NZ vaccination compared to the baseline at Day 1/Month 0.
Time Frame
At 1 month after first rMenB+OMV NZ vaccination (i.e.at Day 31) compared to the baseline (Day 1).
Title
Geometric mean ratios (GMRs) against each of the N. meningitidis serogroup B strains in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose
Description
Immune response to rMenB+OMV NZ given with or without MenACWY, as measured by bactericidal activity against N. meningitidis serogroup B indicator strains (M14459, 96217, NZ98/254 and M07-0241084) in terms of GMRs at one month after the second rMenB+OMV NZ vaccination compared to the baseline at Day 1/Month 0.
Time Frame
At 1 month after the second rMenB+OMV NZ vaccination (i.e. at Day 91) compared to the baseline (Day 1)
Title
Percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup B test strains in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose.
Description
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity in terms of subjects with hSBA titers ≥ LLOQ against N. meningitidis serogroup B test strains
Time Frame
At one month after the first rMenB+OMV NZ vaccination (i.e. Day 31).
Title
Percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup B test strains in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose.
Description
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity in terms of subjects with hSBA titers ≥ LLOQ against N. meningitidis serogroup B test strains.
Time Frame
At 1 month after the second rMenB+OMV NZ vaccination (i.e. at Day 91).
Title
Percentage of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose
Description
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity against each of N. meningitidis serogroup B test strains in terms of the Four-fold increase defined as: - For a pre-vaccination titer < limit of detection (LOD), a post-vaccination titer of ≥ 4-fold the LOD or ≥ LLOQ, whichever is greater, - For a pre-vaccination titer ≥LOD but <LLOQ, a post vaccination titer of at least 4-fold the LLOQ, - For a pre-vaccination titer ≥ LLOQ, a post vaccination titer of at least 4-fold the pre-vaccination titer
Time Frame
At 1 month after the first rMenB+OMV NZ vaccination (i.e at Day 31) relative to baseline (i.e. Day 1).
Title
Percentage of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose
Description
The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity against each of the N. meningitidis serogroup B test strains in terms of the Four-fold increase defined as: - For a pre-vaccination titer < limit of detection (LOD), a post-vaccination titer of ≥ 4-fold the LOD or ≥ LLOQ, whichever is greater, - For a pre-vaccination titer ≥LOD but <LLOQ, a post vaccination titer of at least 4-fold the LLOQ, - For a pre-vaccination titer ≥ LLOQ, a post vaccination titer of at least 4-fold the pre-vaccination titer.
Time Frame
At 1 month after the second rMenB+OMV vaccination (i.e at Day 91) relative to baseline (i.e. Day 1).
Title
Percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup A, C, W and Y in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination
Description
The immune response to MenACWY vaccines is expressed in terms of percentage of subjects with hSBA titers ≥ lower limit of quantitation (LLOQ) for each of the serogroup A, C, W and Y
Time Frame
At one month after the MenACWY vaccination (i.e. Day 31).
Title
Geometric mean ratios (GMRs) against each of the N. meningitidis serogroup A, C, W and Y in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination.
Description
Immune response to MenACWY given with or without rMenB+OMV NZ as measured by bactericidal activity against the four serogroups A, C, W and Y in terms of GMRs at one month after MenACWY vaccination compared to the baseline at Day 1/Month 0.
Time Frame
At 1 month after MenACWY vaccination (i.e.at Day 31) compared to the baseline (Day 1).
Title
Percentage of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination
Description
The immune response to MenACWY vaccine is evaluated by measuring for the four serogroups A, C, W and Y, the Four-fold increase defined as: - For a pre-vaccination titer < limit of detection (LOD), a post-vaccination titer of ≥ 4-fold the LOD or ≥ LLOQ, whichever is greater, - For a pre-vaccination titer ≥LOD but <LLOQ, a post vaccination titer of at least 4-fold the LLOQ, - For a pre-vaccination titer ≥ LLOQ, a post vaccination titer of at least 4-fold the pre-vaccination titer
Time Frame
At 1 month after MenACWY vaccination (i.e at Day 31) relative to baseline (i.e. Day 1).

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol or/and subjects' parent(s)/Legally Acceptable Representative(s) [LAR(s)] who, in the opinion of the investigator, can and will comply, with the requirements of the protocol. Previous vaccination with 1 dose of quadrivalent meningococcal conjugate vaccine (MenACWY, Menveo or Menactra) at least 4 years prior to informed consent and assent as applicable. Written or /witnessed/thumb printed informed consent obtained from the subject/parent(s)/LAR(s) of the subject prior to performance of any study specific procedure. Written informed assent obtained from the subject (if applicable) along with informed consent from the subject's parent(s)/LAR(s) prior to performing any study specific procedure. A male or female between, and including, 16 and 18 years of age at the time of the first vaccination. Healthy subjects as established by medical history and clinical examination before entering into the study. Female subjects of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as pre-menarche, current bilateral tubal ligation or occlusion, hysterectomy, bilateral ovariectomy or post-menopause. Female subjects of childbearing potential may be enrolled in the study, if the subject: has practiced adequate contraception for 30 days prior to vaccination, and has a negative pregnancy test on the day of vaccination, and has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series. Exclusion Criteria: Medical conditions Progressive, unstable or uncontrolled clinical conditions. Clinical conditions representing a contraindication to intramuscular vaccination and blood draws. Abnormal function of the immune system resulting from: Clinical conditions. Systemic administration of corticosteroids (PO/IV/IM) for more than 14 consecutive days within 90 days prior to study vaccination. This will mean prednisone ≥ 20 mg/day (for adult subjects) or ≥ 0.5 mg/kg/day or 20 mg/day whichever is the maximum dose for paediatric subjects, or equivalent. Inhaled and topical steroids are allowed. Administration of antineoplastic or immunomodulating agents or radiotherapy within 90 days prior to informed consent. Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the subject due to participation in the study. History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines. History of any reaction or hypersensitivity likely to be exacerbated by any medicinal products or medical equipment whose use is foreseen in this study. Current or previous, confirmed or suspected disease caused by N. meningitidis. Known contact to an individual with any laboratory-confirmed N. meningitidis infection within 60 days, prior to enrolment. History of neuroinflammatory or autoimmune condition. Recurrent history or un-controlled neurological disorders or seizures. Prior/Concomitant therapy Use of any investigational or non-registered product other than the study vaccine(s) during the period starting 30 days before the informed consent or planned use during the study period. Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 180 days before the informed consent or planned administration during the study period. Previous vaccination with any group B meningococcal vaccine at any time prior to informed consent and assent as applicable. Previous vaccination with 2 doses of quadrivalent meningococcal conjugate vaccine (MenACWY, Menveo, Menactra or MenQuadfi). Prior/Concurrent clinical study experience • Subject concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product, will not be enrolled. Other exclusions Child in care. Pregnant or lactating female. Female planning to become pregnant or planning to discontinue contraceptive precautions. Any study personnel or immediate dependents, family, or household member.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85283
Country
United States
Facility Name
GSK Investigational Site
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85745
Country
United States
Facility Name
GSK Investigational Site
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
Facility Name
GSK Investigational Site
City
Bell Gardens
State/Province
California
ZIP/Postal Code
90201
Country
United States
Facility Name
GSK Investigational Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Facility Name
GSK Investigational Site
City
Oakland
State/Province
California
ZIP/Postal Code
94611
Country
United States
Facility Name
GSK Investigational Site
City
Roseville
State/Province
California
ZIP/Postal Code
95661
Country
United States
Facility Name
GSK Investigational Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95815
Country
United States
Facility Name
GSK Investigational Site
City
San Jose
State/Province
California
ZIP/Postal Code
95119
Country
United States
Facility Name
GSK Investigational Site
City
Santa Clara
State/Province
California
ZIP/Postal Code
95051
Country
United States
Facility Name
GSK Investigational Site
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94596
Country
United States
Facility Name
GSK Investigational Site
City
Loxahatchee Groves
State/Province
Florida
ZIP/Postal Code
33470
Country
United States
Facility Name
GSK Investigational Site
City
Nampa
State/Province
Idaho
ZIP/Postal Code
83686
Country
United States
Facility Name
GSK Investigational Site
City
Nampa
State/Province
Idaho
ZIP/Postal Code
83687
Country
United States
Facility Name
GSK Investigational Site
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47715
Country
United States
Facility Name
GSK Investigational Site
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
GSK Investigational Site
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
GSK Investigational Site
City
Lafayette
State/Province
Louisiana
ZIP/Postal Code
70508
Country
United States
Facility Name
GSK Investigational Site
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70121
Country
United States
Facility Name
GSK Investigational Site
City
Missoula
State/Province
Montana
ZIP/Postal Code
59804
Country
United States
Facility Name
GSK Investigational Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68504
Country
United States
Facility Name
GSK Investigational Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68505
Country
United States
Facility Name
GSK Investigational Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68516
Country
United States
Facility Name
GSK Investigational Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68526
Country
United States
Facility Name
GSK Investigational Site
City
Cortland
State/Province
New York
ZIP/Postal Code
13045
Country
United States
Facility Name
GSK Investigational Site
City
Horseheads
State/Province
New York
ZIP/Postal Code
14845
Country
United States
Facility Name
GSK Investigational Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28226
Country
United States
Facility Name
GSK Investigational Site
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
GSK Investigational Site
City
Corvallis
State/Province
Oregon
ZIP/Postal Code
97330
Country
United States
Facility Name
GSK Investigational Site
City
Erie
State/Province
Pennsylvania
ZIP/Postal Code
16508
Country
United States
Facility Name
GSK Investigational Site
City
Hermitage
State/Province
Pennsylvania
ZIP/Postal Code
16148
Country
United States
Facility Name
GSK Investigational Site
City
Jefferson Hills
State/Province
Pennsylvania
ZIP/Postal Code
15025
Country
United States
Facility Name
GSK Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
GSK Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15217
Country
United States
Facility Name
GSK Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15234
Country
United States
Facility Name
GSK Investigational Site
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29414
Country
United States
Facility Name
GSK Investigational Site
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57108
Country
United States
Facility Name
GSK Investigational Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78726
Country
United States
Facility Name
GSK Investigational Site
City
Carrollton
State/Province
Texas
ZIP/Postal Code
75010
Country
United States
Facility Name
GSK Investigational Site
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States
Facility Name
GSK Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230-2571
Country
United States
Facility Name
GSK Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75251
Country
United States
Facility Name
GSK Investigational Site
City
Pearland
State/Province
Texas
ZIP/Postal Code
77584
Country
United States
Facility Name
GSK Investigational Site
City
Plano
State/Province
Texas
ZIP/Postal Code
75024
Country
United States
Facility Name
GSK Investigational Site
City
Plano
State/Province
Texas
ZIP/Postal Code
75093
Country
United States
Facility Name
GSK Investigational Site
City
Victoria
State/Province
Texas
ZIP/Postal Code
77901
Country
United States
Facility Name
GSK Investigational Site
City
Waxahachie
State/Province
Texas
ZIP/Postal Code
75165
Country
United States
Facility Name
GSK Investigational Site
City
Orem
State/Province
Utah
ZIP/Postal Code
84057
Country
United States
Facility Name
GSK Investigational Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
GSK Investigational Site
City
South Jordan
State/Province
Utah
ZIP/Postal Code
84095
Country
United States
Facility Name
GSK Investigational Site
City
Syracuse
State/Province
Utah
ZIP/Postal Code
84075
Country
United States
Facility Name
GSK Investigational Site
City
Falls Church
State/Province
Virginia
ZIP/Postal Code
22044
Country
United States
Facility Name
GSK Investigational Site
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
Country
United States
Facility Name
GSK Investigational Site
City
Catanzaro
State/Province
Calabria
ZIP/Postal Code
88100
Country
Italy
Facility Name
GSK Investigational Site
City
Chiavari (GE)
State/Province
Liguria
ZIP/Postal Code
16043
Country
Italy
Facility Name
GSK Investigational Site
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20122
Country
Italy
Facility Name
GSK Investigational Site
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20162
Country
Italy
Facility Name
GSK Investigational Site
City
Foggia
State/Province
Puglia
ZIP/Postal Code
71122
Country
Italy

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study will be made available via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Learn more about this trial

Study to Assess the Safety and Immunogenicity of GSK Meningococcal Group B Vaccine When Administered Concomitantly With GSK Meningococcal MenACWY Conjugate Vaccine in Healthy Subjects of 16-18 Years of Age

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