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Meningococcal InfectionsPhase 2NCT00721396

Safety, Tolerability and Immunogenicity of Meningococcal B Recombinant Vaccine Administered With or Without Routine Infant Vaccinations to Healthy Infants According to Different Immunization Schedules

A Phase 2 study testing rMenB+OMV NZ, combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine and Pneumococcal vaccine in people with Meningococcal Infections, run by Novartis Vaccines at 60 sites in 6 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

Primary :1.To demonstrate a sufficient immune response of rMenB+OMV NZ, when given concomitantly with routine infant vaccines to healthy infants at 2, 4 and 6 and 2, 3 and 4 months of age, as measured by percentage of subjects with serum bactericidal activity (SBA) titer ≥1:5, at 1 month after the third vaccination… Read more about this study

Who is it for?
Ages 55 to 89 daysHealthy volunteers can take part
Conditions the study is for
Meningococcal Infections
What is being tested?
rMenB+OMV NZ, combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine and Pneumococcal vaccine
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,885 participants
Where
60 sitesin 6 countries
Study dates
Aug 2008to Jul 2010
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 55 to 89 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy 2-month old infants (55-89 days, inclusive), who were 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 cannot join

  • History of any meningococcal B or C vaccine administration;
  • prior vaccination with routine infant vaccines (Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib), and Pneumococcal antigens);
  • Previous ascertained or suspected disease caused by N. meningitidis;
  • History of severe allergic reaction after previous vaccinations or hypersensitivity to any vaccine component;
  • Significant acute or chronic infection within the previous 7 days or axillary temperature major or equal to38 degrees within the previous day;
  • Antibiotics within 6 days prior to enrollment;
Show all 9Show fewer
  • Any serious chronic or progressive disease;
  • Known or suspected impairment or alteration of the immune system;
  • Receipt of blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation.

Trial locations and contacts

60 sites in 6 countries.

60 sites in 6 countries

Germany25 sites
  • Novartis Investigational Site Nr. 69

    Aschaffenburg, Bavaria, 63739

  • Novartis Investigational Site Nr. 68

    Bad Saulgau, Baden-Wurttemberg, 88348

  • Novartis Investigational Site Nr. 73

    Baunatal, Hesse, 34225

  • Novartis Investigational Site Nr. 70

    Berlin, State of Berlin, 13125

  • Novartis Investigational Site Nr. 85

    Bielefeld, North Rhine-Westphalia, 33617

  • Novartis Investigational Site Nr. 81

    Bochum, North Rhine-Westphalia, 44866

  • Novartis Investigational Site Nr. 75

    Bramsche, Lower Saxony, 49565

  • Novartis Investigational Site Nr. 71

    Bremerhaven, Free Hanseatic City of Bremen, 27568

  • Novartis Investigational Site Nr. 65

    Bretten, Baden-Wurttemberg, 75015

  • Novartis Investigational Site Nr. 90

    Erfurt, Thuringia, 99086

  • Novartis Investigational Site Nr. 72

    Hamburg, Free and Hanseatic City of Hamburg, 22415

  • Novartis Investigational Site Nr. 79

    Heiligenhaus, North Rhine-Westphalia, 42579

  • Novartis Investigational Site Nr. 88

    Itzenhoe, Schleswig-Holstein, 25524

  • Novartis Investigational Site Nr. 89

    Itzenhoe, Schleswig-Holstein, 25524

  • Novartis Investigational Site Nr. 62

    Kehl, Baden-Wurttemberg, 77694

  • Novartis Investigational Site Nr. 80

    Kleve Materborn, North Rhine-Westphalia, 47533

  • Novartis Investigational Site Nr. 61

    Mainz, Rhineland-Palatinate, 55131

  • Novartis Investigational Site Nr. 78

    Mönchengladbach, North Rhine-Westphalia, 41236

  • Novartis Investigational Site Nr. 82

    Münster, North Rhine-Westphalia, 48163

  • Novartis Investigational Site Nr. 64

    Oberstenfeld, Baden-Wurttemberg, 71720

  • Novartis Investigational Site Nr. 67

    Schweigen, Rhineland-Palatinate, 76889

  • Novartis Investigational Site Nr. 87

    Stockelsdorf, Schleswig-Holstein, 23617

  • Novartis Investigational Site Nr. 86

    Wanzleben, Saxony-Anhalt, 39164

  • Novartis Investigational Site Nr. 83

    Warburg, North Rhine-Westphalia, 34414

  • Novartis Investigational Site Nr. 66

    Welzheim, Baden-Wurttemberg, 73642

Other trials in Germany

Spain16 sites
  • Novartis Investigational Site Nr. 11

    Almassora, Castellón, 12550

  • Novartis Investigational Site Nr. 10

    Castellon, Castellón, 12006

  • Novartis Investigational Site Nr. 25

    Catarroja, Valencia, 46470

  • Novartis Investigational Site Nr. 21

    L'Eliana, Valencia, 46183

  • Novartis Investigational Site Nr. 49

    Oviedo, Principality of Asturias, 33006

  • Novartis Investigational Site 14

    Sagunto, Valencia, 46500

  • Novartis Investigational Site Nr. 46

    Santiago de Compostela, A Coruña, 15706

  • Novartis Investigational Site Nr. 17

    Valencia, Valencia, 46011

  • Novartis Investigational Site Nr. 24

    Valencia, Valencia, 46017

  • Novartis Investigational Site Nr. 15

    Valencia, Valencia, 46021

  • Novartis Investigational Site Nr. 18

    Valencia, Valencia, 46022

  • Novartis Investigational Site Nr. 19

    Valencia, Valencia, 46022

  • Novartis Investigational Site Nr. 16

    Valencia, Valencia, 46024

  • Novartis Investigational Site Nr. 23

    Valencia, Valencia, 46200

  • Novartis Investigational Site Nr. 12

    Vall D'Uixo, Castelló, 12600

  • Novartis Investigational Site Nr. 48

    Vigo Pontevedra, Pontevedra, 36204

Other trials in Spain

Belgium6 sites
  • Novartis Investigational Site Nr. 55

    Antwerp, Antwerp, 2018

  • Study Investigational Site Nr. 60

    Brussels, Brussels Capital, 1090

  • Novartis Investigational Site Nr. 57

    Brussels, Brussels Capital, 1200

  • Novartis Investigational Site Nr. 59

    Edegem, Antwerpen, 2650

  • Novartis Investigational Site Nr. 56

    Hasselt, Limburg, 3500

  • Novartis Investigational Site Nr. 58

    Namur, Namur, 5000

Other trials in Belgium

Italy5 sites
  • Novartis Investigational Site Nr. 7

    Florence, Tuscany, 50139

  • Novartis Investigational Site Nr. 5

    Milan, Lombardy, 20122

  • Novartis Investigational Site Nr. 52

    Milan, Lombardy, 20157

  • Novartis Investigational Site Nr. 6

    Novara, Piedmont, 28100

  • Novartis Investigational Site Nr. 9

    Padova, Veneto, 35100

Other trials in Italy

Czechia4 sites
  • Novartis Investigational Site Nr. 95

    Červený Kostelec, Hradec Králové, 549 41

  • Novartis Investigational Site Nr. 93

    Hradec Králové, Hradec Králové, 500 00

  • Novartis Investigational Site Nr. 96

    Jindřichův Hradec, South Bohemian, 377 01

  • Novartis Investigational Site Nr. 94

    Pardubice, Pardubice, 530 01

Other trials in Czechia

United Kingdom4 sites
  • Novartis Investigational Site 3

    Bristol, South West England, BS8 1TH

  • Novartis Investigational Site Nr. 4

    Exeter, South West England, EX2 5DW

  • Novartis Investigational Site Nr. 2

    London, London, SW17 0RE

  • Novartis Investigational Site Nr. 1

    Oxford, South East England, OX3 7LE

Other trials in United Kingdom

About this study

Official title: A Phase 2b, Open Label, Randomized, Parallel-Group, Multi-Center Study to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered With or Without Routine Infant Vaccinations to Healthy Infants According to Different Immunization Schedules.

Primary :1.To demonstrate a sufficient immune response of rMenB+OMV NZ, when given concomitantly with routine infant vaccines to healthy infants at 2, 4 and 6 and 2, 3 and 4 months of age, as measured by percentage of subjects with serum bactericidal activity (SBA) titer ≥1:5, at 1 month after the third vaccination Secondary :To demonstrate that immunogenicity of routine infant vaccines, when given concomitantly with rMenB+OMV NZ to healthy infants at 2, 3 and 4 months of age, was non-inferior to that of routine infant vaccines given without rMenB+OMV NZ. 2. To demonstrate that the immunogenicity of rMenB+OMV NZ when given concomitantly with routine infant vaccines was non-inferior to that of rMenB+OMV NZ given without routine infant vaccines at 2, 4 and 6 months of age. 3. To assess prevalence of meningococcal B antibodies over the study period by evaluation of SBA, at baseline and at 1 month after third vaccination, in subjects- received routine infant vaccine without rMenB+OMV NZ.

Being tested
rMenB+OMV NZ, combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine, Pneumococcal vaccine
Keywords
Meningococcal disease,, Neisseria meningitidis serogroup B,, Prevention,, Vaccination,, Infants
Medical subject headings
Meningococcal Infections

What participants receive

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

  • rMenB+OMV NZBiological

  • combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccineBiological

    Also called Infanrix Hexa

  • Pneumococcal vaccineBiological

    Also called Prevenar

Study groups in NCT00721396
Study groupRoleWhat they receive
B+R246ExperimentalSubjects in this group received rMenB+OMV NZ vaccine at 2, 4, and 6 months of age, administered concomitantly with routine infant vaccinations.
Receives: Biological: rMenB+OMV NZ; Biological: combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine; Biological: Pneumococcal vaccine
B246_R357ExperimentalSubjects in this group received rMenB+OMV NZ vaccine at at 2, 4, and 6 months of age; routine infant vaccinations were administered at 3, 5 and 7 months of age.
Receives: Biological: rMenB+OMV NZ; Biological: combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine; Biological: Pneumococcal vaccine
B+R234ExperimentalSubjects in this group received rMenB+OMV NZ vaccine at 2, 3, 4 months of age, administered concomitantly with routine infant vaccinations.
Receives: Biological: rMenB+OMV NZ; Biological: combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine; Biological: Pneumococcal vaccine
R234Active comparatorSubjects in this group received routine infant vaccines administered at 2, 3 and 4 months of age.
Receives: Biological: combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine; Biological: Pneumococcal vaccine

What is being measured

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

  1. Percentage of Subjects With Serum Bactericidal Activity ≥1:5 After Receiving Three Doses of rMenB+OMV NZ Vaccine

    The percentage of subjects with serum bactericidal activity(hSBA)titer ≥1:5 after receiving three doses of rMenB+OMV NZ vaccine were evaluated to demonstrate sufficient immune response following rMenB+OMV NZ vaccination, when given concomitantly with routine infant vaccines to healthy infants.

    The serum bactericidal antibodies directed against serogroup B meningococci, are measured by human complement Serum Bactericidal Assay (hSBA).

    The immune response was considered sufficient for groups B+R246 and B+R234 if the lower limit of the 2-sided 95% confidence interval was ≥ 70% for all three strains.

    Measured: One month after third Men B vaccination

  2. Safety and Tolerability of 3 Doses of rMenB - Concomitantly With Routine Infant Vaccines at 2, 4 and 6 Months of Age - Concomitantly With Routine Vaccines at 2, 3 and 4 Months of Age - Alone at 2, 4 and 6 Months of Age

    Safety and Tolerability of 3 Doses of rMenB was assessed in terms of the number of subjects who reported solicited local and systemic adverse events when administered concomitantly with routine infant vaccines at 2,4,6 months of age (B+R246) to when rMenB+OMV NZ and routine vaccines were administered separately (group B246_R357).

    Measured: 10 months (groups 1 and 2); 8 months (groups 3 and 4)

Secondary outcomes (7)
  1. Non-inferiority of Immune Response to rMenB+OMV NZ Vaccination When Administered Concomitantly With Routine Infant Vaccines at 2,4,6 Months of Age

    The non-inferiority of immune response to rMenB+OMV NZ vaccination when administered concomitantly with routine infant vaccines at 2,4,6 months of age(B+R246) to when rMenB+OMV NZ and routine vaccines were administered separately (group B246_R357)was assessed in terms of percentage of subjects With hSBA≥ 1:5.

    Measured: One month after 3rd Men B vaccination

  2. Non-inferiority of Immune Response to Diphtheria and Tetanus Antigens When Routine Vaccines Are Administered Concomitantly With rMen+OMV NZ Vaccine

    Non-inferiority of immune response to routine vaccine antigens when routine vaccines were administered concomitantly with rMenB+OMV NZ vaccine [group B+R234] to when only routine vaccines were given [Group R234] were assessed in terms of percentage of subjects with antibody concentrations ≥0.1 IU/mL against Diphtheria and Tetanus antigens as measured by enzyme-linked immunosorbent assay.

    Measured: One month after 3rd vaccination

  3. Geometric Mean Titers Against Neisseria Meningitidis Serogroup B, When rMenB+OMV NZ Vaccine is Administered Concomitantly With Routine Infant Vaccines.

    The hSBA antibody titers when rMenB+OMV NZ vaccine is administered concomitantly with routine infant vaccines to when rMenB+OMV NZ vaccine and routine vaccines were given separately are reported in terms of vaccine-group-specific geometric mean titers.

    Measured: One month after third Men B vaccination

  4. Geometric Mean Ratio of hSBA Titers, When rMenB+OMV NZ Vaccine is Administered Concomitantly With Routine Infant Vaccines.

    The geometric mean ratio(GMR) of GMTs at 1 month after 3rd rMenB+OMV NZ vaccination to prevaccination GMTs, when rMenB+OMV NZ was administered concomitantly with routine infant vaccines to when rMenB+OMV NZ vaccine and routine vaccines were given separately.

    Measured: one month after third Men B vaccination

  5. Percentage of Subjects With hSBA ≥1:8 After Receiving Three Doses of rMenB+OMV NZ Vaccine.

    The percentage of subjects with hSBA titers ≥1:8, following rMenB+OMV NZ vaccination when given concomitantly with routine infant vaccines to when rMenB+OMV NZ and routine vaccines were given separately.

    Measured: One month after third Men B vaccination

  6. Percentage of Subjects With 4-fold Rise in hSBA Titers, When rMenB+OMV NZ Vaccine is Administered Concomitantly With Routine Infant Vaccines.

    The percentage of subjects with 4-fold rise in hSBA titers at 1 month after 3rd rMenB+OMV NZ vaccination from baseline, when rMenB+OMV NZ was administered concomitantly with routine infant vaccines to when rMenB+OMV NZ vaccine and routine vaccines were given separately.

    Measured: One month after third Men B vaccination

  7. Non-inferiority of Immune Response to Acellular Pertussis Antigens When Routine Vaccines Are Administered Concomitantly With rMen+OMV NZ Vaccine.

    Non-inferiority of immune response to routine vaccine antigens when routine vaccines were administered concomitantly with rMenB+OMV NZ vaccine [group B+R234] to when only routine vaccines were given [Group R234] were assessed in terms of percentage of subjects achieving seroconversion for pertussis antigens - Filamentous Hemagglutinin (FHA), Pertactin and Pertussis Toxoid (PT) at 1 month after 3rd vaccination versus baseline.

    Seroconversion was defined as a 4-fold increase for each pertussis antigen or in those initially seropositive, persistence of the pre-vaccination antibody concentration at least at the same antibody concentration as before vaccination, taking into account the decay of maternal antibodies.

    Measured: 1 month after 3rd vaccination

Timeline

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

  1. First posted24 Jul 2008 (estimated)
  2. Study startAug 2008
  3. Primary completionJul 2010
  4. Study completionJul 2010

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
1,885 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00721396
Sponsor's protocol ID
V72P12
Status last verified
Mar 2015
First submitted
22 Jul 2008
Last updated
23 Mar 2015
Data monitoring committee
Yes

Publications

  • Zafack JG, Bureau A, Skowronski DM, De Serres G. Adverse events following immunisation with four-component meningococcal serogroup B vaccine (4CMenB): interaction with co-administration of routine infant vaccines and risk of recurrence in European randomised controlled trials. BMJ Open. 2019 May 19;9(5):e026953. doi: 10.1136/bmjopen-2018-026953.

    PubMed 31110098
  • Gossger N, Snape MD, Yu LM, Finn A, Bona G, Esposito S, Principi N, Diez-Domingo J, Sokal E, Becker B, Kieninger D, Prymula R, Dull P, Ypma E, Toneatto D, Kimura A, Pollard AJ; European MenB Vaccine Study Group. Immunogenicity and tolerability of recombinant serogroup B meningococcal vaccine administered with or without routine infant vaccinations according to different immunization schedules: a randomized controlled trial. JAMA. 2012 Feb 8;307(6):573-82. doi: 10.1001/jama.2012.85.

    PubMed 22318278

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing rMenB+OMV NZ, combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccine and Pneumococcal vaccine in people with Meningococcal Infections, run by Novartis Vaccines at 60 sites in 6 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 2 inclusion and 9 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 23 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in Germany, Spain, Belgium, Italy, Czechia and 1 more country. 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 23 Mar 2015). 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?

Percentage of Subjects With Serum Bactericidal Activity ≥1:5 After Receiving Three Doses of rMenB+OMV NZ Vaccine (time frame: One month after third Men B 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 NCT00721396, 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 23 Mar 2015.

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