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Study of the Safety and Immune Response of a Meningococcal Vaccine Administered to Healthy Infants

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Novartis

Status and phase

Completed
Phase 2

Conditions

Prevention of Meningococcal Disease

Treatments

Biological: MMR (Measles, Mumps and Rubella vaccine)
Biological: MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation)
Biological: MenACWY Ad- (MenACWY-CRM, non adjuvanted formulation)
Biological: HBV (Hepatitis B vaccine)
Biological: MenACWY PS (MenACWY-CRM, polysaccharide vaccine)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
Biological: Prevnar (pneumococcal polysaccharide serotypes 4, 9V, 14, 18C, 19F, 23F & 6B conjugated to the CRM197)
Biological: Menjugate (Men C conjugated vaccine)

Study type

Interventional

Funder types

Industry

Identifiers

NCT00262002
V59P5
2004-000195-13

Details and patient eligibility

About

The purpose of this study is to evaluate the safety, immunogenicity and induction of immune memory after two or three doses of Novartis (Formerly Chiron) Meningococcal ACWY Conjugate Vaccine administered to healthy infants.

Enrollment

601 patients

Sex

All

Ages

2 to 6 months old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

Individuals eligible for enrollment in this study were male, and female infants:

  • Who were healthy 2-month old infants (55-89 days, inclusive) born after full term pregnancy with an estimated gestational age ≥ 37 weeks, and a birth weight ≥ 2.5 kg;

  • For whom a parent/legal guardian has given written informed consent after the nature of the study has been explained;

  • Who were available for all the visits scheduled in the study;

  • Who were in good health as determined by:

    • Medical history;
    • Physical examination;
    • Clinical judgment of the investigator.

Exclusion Criteria

Ineligible for the study were infants:

  • Whose parents/legal guardians were unwilling, or unable to give written informed consent for the subject to participate in the study;

  • Who previously received any meningococcal vaccine;

  • Who received prior vaccination with D, T, P (acellular, or whole cell), IPV, or OPV, HBV, H influenzae type b (Hib), or Pneumococcus;

  • Who had a previously ascertained 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 spasmodic cough for a period ≥ 2 weeks associated with apnea or whooping cough);

  • Who had household contact with and/or intimate exposure to an individual with laboratory-confirmed N meningitis (serogroups A, C, W-135, or Y), B pertussis, Hib, C diphtheriae, Polio, or pneumococcal infection since birth;

  • Who had a history of any anaphylactic shock, asthma, urticaria, or other allergic reaction after previous vaccinations, or known hypersensitivity to any vaccine component;

  • Who had experienced significant acute or chronic infection within the previous 7 days, or fever (≥ 38.0°C) within the previous 3 days;

  • Who had any present, or suspected serious, acute (e.g., leukemia, lymphomas), or chronic disease (e.g., with signs of cardiac, renal failure, or severe malnutrition, or insulin-dependent diabetes); or progressive neurological disease; or a genetic anomaly or known cytogenic disorders (e.g., Downs syndrome);

  • Who had a known or suspected autoimmune disease or impairment /alteration of immune function resulting from (for example):

    • receipt of any immunosuppressive therapy since birth;
    • receipt of immunostimulant since birth;
    • receipt of any systemic corticosteroid since birth.
  • Who had a suspected or known HIV infection, or HIV-related disease;

  • Who had ever received blood, blood products and/or plasma derivatives, or any parenteral immunoglobulin preparation;

  • Who had a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time;

  • Who had a history of seizure disorder:

    • Febrile seizure;
    • Any other seizure disorder.
  • Who had taken systemic antibiotics (either oral or parenteral) within the previous 14 days (EXCEPTION: subjects who received an oral or parenteral β-lactam antibiotic [examples: penicillin, amoxicillin, ceftriaxone, cefuroxime, cephalexin, etc.] may be enrolled 7 days following the last dose);

  • Who with their parents/legal guardians were planning to leave the area of the study site before the end of the study period;

  • Who had any condition that, in the opinion of the investigator, might interfere with the evaluation of the study objectives;

  • Who had taken any antipyretic medication in the previous 6 hours.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

601 participants in 7 patient groups

UK234+ (MenACWY Ad+ at 2, 3, 4 m)
Experimental group
Description:
Three doses of MenACWY Ad+ vaccine were given at 1-month intervals concomitantly with DTaPHibIPV at 2, 3, and 4 months of age in the UK group. A fourth dose of MenACWY Ad+ was given at 12 months of age.
Treatment:
Biological: MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
UK24+ (MenACWY Ad+ at 2, 4 m)
Experimental group
Description:
Two doses of MenACWY Ad+ vaccine were given at a 2-month interval concomitantly with DTaPHibIPV at 2 and 4 months of age. A third dose of MenACWY Ad+ vaccine was given at 12 months of age.
Treatment:
Biological: MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
UKMenC (Menjugate at 2, 4 m)
Experimental group
Description:
Two doses of Menjugate were given at a 2-month interval concomitantly with DTaPHibIPV at 2 and 4 months of age. One dose of MenACWY Ad+ vaccine was given at 12 months of age.
Treatment:
Biological: MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation)
Biological: Menjugate (Men C conjugated vaccine)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
CA246+ (MenACWY Ad+ at 2, 4, 6 m)
Experimental group
Description:
Three doses of MenACWY Ad+ vaccine were given at 2-month intervals concomitantly with DTaPHibIPV, HBV, and Prevnar at 2, 4, and 6 months of age of the Canadian group (Prevnar at 6 months was optional and was given if available).One subgroup of subjects was given a reduced dose (1/5) of MenACWY PS vaccine concomitantly with MMR (and Prevnar, if available) at 12 months of age. Another subgroup was administered one dose of MMR (and Prevnar, if available) at 12 months of age.
Treatment:
Biological: MMR (Measles, Mumps and Rubella vaccine)
Biological: MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation)
Biological: HBV (Hepatitis B vaccine)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
Biological: MenACWY PS (MenACWY-CRM, polysaccharide vaccine)
Biological: Prevnar (pneumococcal polysaccharide serotypes 4, 9V, 14, 18C, 19F, 23F & 6B conjugated to the CRM197)
CA24+ (MenACWY Ad+ at 2, 4 m)
Experimental group
Description:
Two doses of MenACWY Ad+ vaccine were given at a 2-month interval concomitantly with DTaPHibIPV, HBV, and Prevnar at 2 and 4 months of age.One dose of MenACWY Ad+ vaccine or one reduced dose (1/5) of MenACWY PS vaccine was given concomitantly with MMR (and Prevnar, if available) at 12 months of age.
Treatment:
Biological: MMR (Measles, Mumps and Rubella vaccine)
Biological: MenACWY Ad+ (MenACWY-CRM, adjuvanted formulation)
Biological: HBV (Hepatitis B vaccine)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
Biological: MenACWY PS (MenACWY-CRM, polysaccharide vaccine)
Biological: Prevnar (pneumococcal polysaccharide serotypes 4, 9V, 14, 18C, 19F, 23F & 6B conjugated to the CRM197)
UK24- (MenACWY Ad- at 2, 4 m)
Experimental group
Description:
Two doses of MenACWY Ad- vaccine were given at a 2-month interval concomitantly with DTaPHibIPV at 2 and 4 months of age. A third dose of MenACWY Ad- vaccine was given at 12 months of age.
Treatment:
Biological: MenACWY Ad- (MenACWY-CRM, non adjuvanted formulation)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
CA24- (MenACWY Ad- at 2, 4 m)
Experimental group
Description:
Two doses of MenACWY Ad- vaccine were given at a 2-month interval concomitantly with DTaPHibIPV, HBV, and Prevnar at 2 and 4 months of age.One dose of MenACWY Ad- vaccine or one reduced dose of MenACWY PS vaccine was given concomitantly with MMR (and Prevnar, if available) at 12 months of age.
Treatment:
Biological: HBV (Hepatitis B vaccine)
Biological: MenACWY Ad- (MenACWY-CRM, non adjuvanted formulation)
Biological: DTaPHibIPV (Diphtheria, Tetanus, acellular Pertussis, H. Influenzae type b, Inactivated Poliovaccine)
Biological: MenACWY PS (MenACWY-CRM, polysaccharide vaccine)
Biological: Prevnar (pneumococcal polysaccharide serotypes 4, 9V, 14, 18C, 19F, 23F & 6B conjugated to the CRM197)

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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