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Infections, MeningococcalPhase 2NCT00356369

Study in Adolescents/Adults to Evaluate Non-inferiority&Persistence up to 5 Years of GSK Bio MenACWY Conjugate Vaccine

A Phase 2 study testing meningococcal ACWY (vaccine) and Mencevax™ ACWY in people with Infections, Meningococcal, run by GlaxoSmithKline at 3 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Meningococcal disease is mostly caused by N. meningitidis of serogroups A, B, C, W-135, Y. Meningococcal polysaccharide-conjugate vaccines have the advantage to induce a T-cell dependant immune response while the existing polysaccharide vaccines induce a T-cell independent response, i.e. Read more about this study

Who is it for?
Ages 11 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Infections, Meningococcal
What is being tested?
meningococcal ACWY (vaccine) and Mencevax™ ACWY
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
3 sitesin 2 countries
Study dates
23 Dec 2006to 28 Feb 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 11 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Subjects who the investigator believes that they and/or their parents/ legally acceptable representative can and will comply with the requirements of the protocol.
  • A male or female between, and including, 11 and 55 years of age at the time of vaccination.
  • Written informed consent obtained from the subject/ from the parent or legally acceptable representative of the subject.
  • Free of obvious health problems as established by medical history and clinical examination before entering into the study.
  • Previously completed routine childhood vaccinations to the best of his/her knowledge and/or his/her parents/legally acceptable representative's knowledge.
  • If the subject is female, she must be of non-childbearing potential; or, if of childbearing potential, she must be abstinent or have used adequate contraceptive precautions for 30 days prior to vaccination, and must agree to continue such precautions for two months after completion of the vaccination series. Female subjects in childbearing potential who are not abstinent must have a negative pregnancy test.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the dose of study vaccine, or planned use during the study period.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the vaccine dose.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol within one month of the dose of vaccine(s).
  • Previous vaccination with meningococcal polysaccharide vaccine of serogroup A, C W and/or Y within the last five previous years.
  • Previous vaccination with meningococcal polysaccharide conjugate vaccine of serogroup A, C W and/or Y.
  • History of meningococcal disease due to serogroup A, C, W or Y.
Show all 20Show fewer
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
  • A family history of congenital or hereditary immunodeficiency.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  • Major congenital defects or serious chronic illness.
  • History of any neurologic disorders or seizures.
  • History of Guillain-Barré syndrome.
  • Acute disease at the time of enrolment.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period.
  • Pregnant or lactating female.
  • History of chronic alcohol consumption and/or drug abuse.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions.
  • Specific criteria to be checked at each study visit for the long term follow-up:
  • History of meningococcal serogroup A,C, W and Y disease.
  • Administration of a meningococcal polysaccharide or a meningococcal polysaccharide conjugate vaccine not planned in the protocol.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

Philippines2 sites
  • GSK Investigational Site

    City of Muntinlupa, 1781

  • GSK Investigational Site

    Manila, 1000

Other trials in Philippines

Saudi Arabia1 site
  • GSK Investigational Site

    Riyadh

Other trials in Saudi Arabia

About this study

Official title: Phase IIb Primary Vaccination Study to Evaluate Non-Inferiority & Persistence of the Immune Response of GSK Biologicals' MenACWY Conjugate Vaccine (Intramuscularly) vs Mencevax ACWY (Subcutaneously) to Healthy Subjects (11-55 Years of Age)

Meningococcal disease is mostly caused by N. meningitidis of serogroups A, B, C, W-135, Y. Meningococcal polysaccharide-conjugate vaccines have the advantage to induce a T-cell dependant immune response while the existing polysaccharide vaccines induce a T-cell independent response, i.e. with no immune memory response. GSK Biologicals has developed a combined Men ACWY conjugate vaccine intended to protect against meningococcal disease due to serogroups A, C, W-135 and Y. In the vaccination phase of this study, the new MenACWY-TT conjugate vaccine will be evaluated in adolescents and adults using Mencevax™ ACWY as control. In the long-term follow-up phase (extension phase) of the study, the long-term protection offered by the new MenACWY-TT conjugate vaccine will be assessed up to five years after the vaccination in adolescents and adults using Mencevax™ ACWY as control. This protocol posting deals with objectives \& outcome measures of both the primary \& extension phases.

Read the detailed description

All subjects will have 7 blood samples taken: prior to and one month after vaccination and one, two, three, four and five years after vaccination. No new subjects will be enrolled in the extension phases of this Phase IIb study.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, September 2007.

Being tested
meningococcal ACWY (vaccine), Mencevax™ ACWY
Keywords
Immunogenicity, Healthy, Persistence, Meningococcal vaccine, Non-inferiority, Meningococcal A C W Y Diseases, meningococcal serogroups A, C, W & Y diseases
Medical subject headings
Meningococcal Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • meningococcal ACWY (vaccine)Biological

    One intramuscular dose.

  • Mencevax™ ACWYBiological

    One subcutaneous dose.

Study groups in NCT00356369
Study groupRoleWhat they receive
Nimenrix GroupExperimentalSubjects receiving GSK Biologicals' meningococcal vaccine 134612
Receives: Biological: meningococcal ACWY (vaccine)
Mencevax GroupActive comparatorSubjects receiving Mencevax™ ACWY
Receives: Biological: Mencevax™ ACWY

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Vaccine Response to Meningococcal Antigens for Serum Bactericidal Assay Using Rabbit Complement (rSBA)

    Response to vaccine antigen was defined as: for initially seronegative subjects [subjects with serum bactericidal assay using rabbit complement (rSBA) titer lower than (<) 1:8, post-vaccination rSBA titer greater than or equal to (≥) 1:32] and for initially seropositive (subjects with rSBA titer ≥ 1:8), at least 4-fold increase in rSBA titer from pre to post vaccination.

    Measured: One month post vaccination

  2. Occurrence of Any Grade 3 Systemic Symptoms

    Local symptom, Grade 3 = pain that prevented normal activity and redness/ swelling spreading beyond (>) 50 millimeters (mm).

    General symptom, Grade 3 = symptom that prevented normal activity and fever (orally) >39.5 °C.

    Measured: During the 4-day (Days 0-3) post-vaccination period

Secondary outcomes (30)
  1. Number of Subjects With Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitidis Serogroups A, C, W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY) Antibody Titers ≥ the Cut-off Value

    The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8 and (≥) 1:128.

    Measured: Prior to and 1 Month after vaccination

  2. rSBA Antibody Titers

    Antibody titers are presented as Geometric Mean Titers (GMTs).

    Measured: Prior to and 1 Month after vaccination

  3. Number of Subjects With Anti-Polysaccharide (Anti-PS) Antibodies

    The cut-off value for the anti-PS concentration was greater than or equal to (≥) 0.3 micrograms per milliliter (μg/mL) and ≥ 2.0 μg/mL.

    Measured: Prior to and 1 Month after vaccination

  4. Concentration of Anti-PS Antibodies

    Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs) and measured in micrograms/milliliter (µg/mL).

    Measured: Prior to and 1 Month after vaccination

  5. Number of Subjects With Anti-Tetanus (Anti-TT) Antibodies

    Cut-off values assessed were greater than or equal to (≥) 0.1 international units per milliliter (IU/mL).

    Measured: Prior to and 1 Month after vaccination

  6. Concentration of Anti-TT Antibodies

    Concentrations are presented as geometric mean concentrations (GMCs) expressed in international units per milliliter (IU/mL).

    Measured: Prior to and 1 Month after vaccination

  7. Number of Subjects With rSBA Antibody Titers ≥ the Cut-off Value

    The cut-off value for the rSBA titres was greater than or equal to (≥) 1:8 and ≥ 1:128.

    Measured: At Year 1

  8. rSBA Antibody Titers

    Antibody titers are presented as Geometric Mean Titers (GMTs).

    Measured: At Year 1

  9. Number of Subjects With rSBA Antibody Titers ≥ the Cut-off Value

    The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8 and ≥ 1:128.

    Measured: At Year 2

  10. rSBA Antibody Titers

    Antibody titers are presented as Geometric Mean Titers (GMTs).

    Measured: At Year 2

  11. Number of Subjects With rSBA Antibody Titers ≥ the Cut-off Value

    The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8 and ≥ 1:128.

    Measured: At Year 3

  12. rSBA Antibody Titers

    Antibody titers are presented as Geometric Mean Titers (GMTs).

    Measured: At Year 3

  13. Number of Subjects With rSBA Antibody Titers ≥ the Cut-off Value

    The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8 and ≥ 1:128.

    Measured: At Year 4

  14. rSBA Antibody Titers

    Antibody titers are presented as Geometric Mean Titers (GMTs).

    Measured: At Year 4

  15. Number of Subjects With rSBA Antibody Titers ≥ the Cut-off Value

    The cut-off value for the rSBA titers was greater than or equal to (≥) 1:8 and ≥ 1:128.

    Measured: At Year 5

  16. rSBA Antibody Titers

    Antibody titers are presented as Geometric Mean Titers (GMTs).

    Measured: At Year 5

  17. Number of Subjects With Anti-PS Antibodies

    The cut-off value for the anti-PS concentration was greater than or equal to (≥) 0.3 μg/mL and ≥ 2.0 μg/mL.

    Measured: At Year 1

  18. Concentration of Anti-PS Antibodies

    Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs) and measured in µg/mL.

    Measured: At Year 1

  19. Number of Subjects With Anti-PS Antibodies

    The cut-off value for the anti-PS concentration was greater than or equal to (≥) 0.3 μg/mL and ≥ 2.0 μg/mL.

    Measured: At Year 2

  20. Concentration of Anti-PS Antibodies

    Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs) and measured in µg/mL.

    Measured: At Year 2

  21. Number of Subjects With Anti-PS Antibodies

    The cut-off value for the anti-PS concentration was greater than or equal to (≥) 0.3 micrograms per milliliter (μg/mL) and ≥ 2.0 μg/mL.

    Measured: At Year 3

  22. Concentration of Anti-PS Antibodies

    Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs) and measured in µg/mL.

    Measured: At Year 3

  23. Number of Subjects With Any and Grade 3 Solicited Local Symptoms

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 Pain = pain that prevented normal activity. Grade 3 Redness/Swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

    Measured: During the 4-day (Days 0-3) post-vaccination period

  24. Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms

    Assessed solicited general symptoms were fatigue, fever [defined as oral temperature equal to or above (≥) 37.5 degrees Celsius (°C)], gastrointestinal symptoms and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever > 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination.

    Measured: During the 4-day (Days 0-3) post-vaccination period

  25. Number of Subjects With New Onset of Chronic Illnesses (NOCIs)

    NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.

    Measured: From Day 0 up to 6 Months after vaccination

  26. Number of Subjects With Rash

    Measured: From Day 0 up to 6 Months after vaccination

  27. Number of Subjects With AEs Resulting in Emergency Rooms Visits

    Measured: From Day 0 up to 6 Months after vaccination

  28. Number of Subjects With Unsolicited AEs

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination.

    Measured: Up to 31 Days after vaccination

  29. Number of Subjects With Serious Adverse Events (SAEs)

    SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Measured: From Day 0 up to 6 Months after vaccination

  30. Number of Subjects With SAEs

    SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Measured: At Year 1, Year 2, Year 3, Year 4 and Year 5

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jul 2006 (estimated)
  2. Study start23 Dec 2006
  3. Primary completion7 Sep 2007
  4. Study completion28 Feb 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00356369
Sponsor's protocol ID
107386
Other IDs
107392 (Ext: Y1), 107398 (Ext: Y2), 107402 (Ext: Y3), 107404 (Ext: Y4), 107406 (Ext: Y5)
Status last verified
May 2018
First submitted
25 Jul 2006
Last updated
3 Jul 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Borja-Tabora CF, Montalban C, Memish ZA, Boutriau D, Kolhe D, Miller JM, Van der Wielen M. Long-term immunogenicity and safety after a single dose of the quadrivalent meningococcal serogroups A, C, W, and Y tetanus toxoid conjugate vaccine in adolescents and adults: 5-year follow-up of an open, randomized trial. BMC Infect Dis. 2015 Oct 6;15:409. doi: 10.1186/s12879-015-1138-y.

    PubMed 26437712
  • Borja-Tabora C, Montalban C, Memish ZA, Van der Wielen M, Bianco V, Boutriau D, Miller J. Immune response, antibody persistence, and safety of a single dose of the quadrivalent meningococcal serogroups A, C, W-135, and Y tetanus toxoid conjugate vaccine in adolescents and adults: results of an open, randomised, controlled study. BMC Infect Dis. 2013 Mar 5;13:116. doi: 10.1186/1471-2334-13-116.

    PubMed 23510357

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing meningococcal ACWY (vaccine) and Mencevax™ ACWY in people with Infections, Meningococcal, run by GlaxoSmithKline at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Philippines, Saudi Arabia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Jun 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Vaccine Response to Meningococcal Antigens for Serum Bactericidal Assay Using Rabbit Complement (rSBA) (time frame: One month post vaccination). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00356369, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jul 2018.

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