Meningococcal DiseasePhase 2/3NCT00944034
Safety, Tolerability and Immunogenicity of Meningococcal B Recombinant Vaccine Administered as Booster Dose at 12, 18 or 24 Months of Age in Toddlers (12-24 Months) Primed With a Three-Dose Immunization Series as Infants in Study V72P12
A Phase 2/3 study testing rMenB+OMV NZ with routine vaccinations, rMenB+OMV NZ and two doses of rMenB+OMV NZ in people with Meningococcal Disease and Meningococcal Meningitis, run by Novartis Vaccines at 72 sites in 6 countries.
Trial summary
This extension study V72P12E1 will investigate the safety, tolerability and immunogenicity of a fourth (booster) dose of rMenB+OMV NZ at 12, 18 and 24 months of age in subjects previously primed with rMenB+OMV NZ according to two different three-dose immunization schedules in infancy (2, 4 and 6 or 2, 3 and 4 months… Read more about this study
- Who is it for?
- Ages 12 to 24 monthsHealthy volunteers can take part
- Conditions the study is for
- Meningococcal Disease, Meningococcal Meningitis
- What is being tested?
- rMenB+OMV NZ with routine vaccinations, rMenB+OMV NZ and two doses of rMenB+OMV NZ
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,588 participants
- Where
- 72 sitesin 6 countries
- Study dates
- Jul 2009to Jan 2012
- Phase
- Phase 2/3
- 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 12 to 24 months
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Follow-on participants of V72P12:
- Healthy toddlers who completed Study V72P12, aged:
- 12 months or older - Groups 1a, 2a, 3a, 4
- 18 months (0/ +29 days window) - Groups 1b, 2b, 3b
- 24 months (0/ +29 days window) - Groups 1c, 2c, 3c
- Naive subjects newly enrolled:
- Group 5: healthy 18-month-old toddlers (0/ +29 days window)
- Group 6: healthy 24-month-old toddlers (0/ +29 days window)
Who cannot join
- History of any meningococcal B vaccine administration (only for groups 5 and 6);
- 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 to 38 degrees within the previous day
- Antibiotics within 6 days prior to enrollment;
- 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
72 sites in 6 countries.
72 sites in 6 countries
Germany30 sites
Study site
Ahrensböker Str. 11, 23617 Stockelsdorf
Study site
Am Alten Hafen 117, 27568 Bremerhaven
Study site
Ammertalweg 7, 99086 Erfurt
Study site
Anne Frank Str.27, 75015 Bretten
Study site
Bucher Chaussee 1-3, 13125 Berlin
Study site
Christian-Bauer-Str.5, 73642 Welzheim
Study site
Deckertstr. 53, 33645 Bielefeld
Study site
Dingbängerweg 69, 48163 Münster
Study site
Elisenstr. 28, 63739 Aschaffenburg
Study site
Gartenstr. 3,76889 Schweigen
Study site
Großbottwarer Str. 47, 71720 Oberstenfeld
Study site
Hanseatenplatz 1, 25524 Itzehoe
Study site
Hauptstr. 165, 42579 Heiligenhaus
Study site
Hauptstr. 240, 77694 Kehl
Study site
Hauptstr. 46, 37083 Göttingen
Study site
Josef-Sugg-Str. 5, 88348 Bad Saulgau
Study site
Kapellenstraße 27, 47533 Kleve-Materborn
Study site
Kleinenbroicher Str. 68, 41352 Korschenbroich
Study site
Kuhtrift 8a, 34414 Warburg
Study site
Langenbeckstraße 1, 55101 Mainz
Study site
Lindenpromenade 34b, 39164 Wanzleben
Study site
Lindenstr. 9, 25524 Itzehoe
Study site
Marienstraße 2, 44866 Bochum
Study site
Maschstr. 8a, 49565 Bramsche
Study site
Mose-Stern-Str. 28, 41236 Mönchengladbach
Study site
Ostlandstr. 10, 32339 Espelkamp
Study site
Poststr. 10, 34225 Baunatal
Study site
Tangstedter Landstr 77, 22415 Hamburg
Study site
Wilhelmshöher Allee 109, 34121 Kassel
Study site
Würzburger Str. 1, 97941 Tauberbischofsheim
Spain16 sites
Study site
Avda. Rambleta, S/n Catarroja Valencia
Study site
C/ Tossal Del Rei Nº 7 Castellón de La Plana Castellón
Study site
Catarroja Esquina Ministro Serrano. Paiporta Valencia
Study site
Celestino Villamil, S/n Oviedo
Study site
Ctra. Anfondeguilla, S/n Vall Duixo Castellón
Study site
Isabel de Villena,2 Pabellón Valencia
Study site
Médico Fernando Moray de La Horra, 2 Acceso Y9 Valencia
Study site
Molí S/n Puçol Valencia
Study site
Pedro S/n Almazora Castellón
Study site
Pizarro, 22 Vigo Pontevedra
Study site
Plaza Blasco Ibañez, 4 Sagunto Valencia
Study site
Plaza Segovia S/n Valencia
Study site
República Argentina Nº 8, Valencia
Study site
Rosales, 23 La Eliana Valencia
Study site
Serreria,73 Valencia
Study site
Travesía Da Choupana, S/n Santiago de Compostela A Coruña
Italy10 sites
Study site
C.so Mazzini 18, 28100 Novar
Study site
Current Address: Via Luca Giordano N. 13, 50132 Firenze
Study site
Piazza Ospedale 10, 20900 Lodi
Study site
Via Commenda 9, 20122, Milano
Study site
Via Consolare Valeria 1, 98125 Messina
Study site
Via G.B.Grossi 74, 20157 Milano
Study site
Via Giustiniani,3, 35128 Padova
Study site
Via Pastore 1,16132 Genova
Study site
Via Siracusa, 45, 90143 Palermo
Study site
Viale Pieraccini N. 24 50139 Firenze
Belgium7 sites
Study site
Avenue Albert 1er 185, 5000 Namur
Study site
Avenue Hippocrate 10, 1200 Brussels
Study site
Laarbeeklaan 101, 1090 Brussels
Study site
Lindendreef 1, 2020 Antwerpen
Study site
Sint Vincentiusstraat 20, 2018 Antwerpen
Study site
Stadsomvaart 11, 3500 Hasselt
Study site
Wilrijkstraat 10, 2650 Edegem
United Kingdom5 sites
South West Medicines for Children Research Network, Child Health Building, Royal Devon and Exeter NHS Foundation Trust
Barrack Road, Exeter, EX2 5DW
St. George's University of London
Cranmer Terrace, London, SW17 0RE
Oxford Vaccines Group, Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Old Road
Headington, Oxford, OX3 7LJ
University Hospitals Bristol, NHS Foundation Trust, Trust Headquarters
Marlborough Street, Bristol, BS1 3NU
Centre for Clinical Vaccinology
Oxford, OX3 7LJ
Czechia4 sites
Study site
Červený Kostelec, 549 41
Study site
Kyjevska 44, 532 03 Pardubice
Study site
Ruskych Legii 352, 377 01 Jindrichuv Hradec
Study site
Trebesska 1575, 500 01 Hradec Kralove
About this study
Official title: A Phase 2b, Open Label, Multi-Center, Extension Study to Evaluate the Safety, Tolerability and Immunogenicity of a Booster Dose of Novartis Meningococcal B Recombinant Vaccine Administered at 12, 18 or 24 Months of Age in Subjects Who Previously Received a Three-Dose Primary Series of the Novartis Meningococcal B Recombinant Vaccine as Infants in Study V72P12
This extension study V72P12E1 will investigate the safety, tolerability and immunogenicity of a fourth (booster) dose of rMenB+OMV NZ at 12, 18 and 24 months of age in subjects previously primed with rMenB+OMV NZ according to two different three-dose immunization schedules in infancy (2, 4 and 6 or 2, 3 and 4 months of age in the parent study V72P12). The study will also explore the bactericidal antibody persistence at 12, 18 and 24 months of age, following the two different immunization schedules, in order to identify the optimal timing for boosting. Two catch-up rMenB+OMV NZ doses will be given to unprimed, naïve toddlers at 12 (subjects enrolled in the control group of V72P12), 18 and 24 months of age (two new cohort of subjects enrolled). These subjects will generate data for assessing the safety and immunogenicity of a two-dose catch-up regimen at these ages, but will also serve as controls for a descriptive comparison of antibody persistence and booster responses for the other groups.
- Conditions
- Meningococcal Disease, Meningococcal Meningitis
- Being tested
- rMenB+OMV NZ with routine vaccinations, rMenB+OMV NZ, two doses of rMenB+OMV NZ
- Keywords
- Meningococcal meningitis, prevention, vaccination, toddler
- Medical subject headings
- Meningococcal Infections, Meningitis, Meningococcal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
rMenB+OMV NZ with routine vaccinationsBiological
rMenB+OMV NZ with routine vaccinations at 2, 4, and 6 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 12 months of age
rMenB+OMV NZ with routine vaccinationsBiological
rMenB+OMV NZ with routine vaccinations at 2, 4, and 6 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 18 months of age
rMenB+OMV NZBiological
rMenB+OMV NZ at 2, 4, and 6 months of age and routine vaccinations at 3, 5 and 7 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 12 months of age
rMenB+OMV NZBiological
rMenB+OMV NZ at 2, 4, and 6 months of age and routine vaccinations at 3, 5 and 7 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 18 months of age
rMenB+OMV NZ with routine vaccinationsBiological
rMenB+OMV NZ with routine vaccinations at 2, 3 and 4 months of age; random allocation in a 1:1:1 ratio to receive 1 booster dose of rMenB+OMV NZ at 12 months of age
rMenB+OMV NZ with routine vaccinationsBiological
rMenB+OMV NZ with routine vaccinations at 2, 3 and 4 months of age; random allocation in a 1:1:1 ratio to receive 1 booster dose of rMenB+OMV NZ at 18 months of age
two doses of rMenB+OMV NZBiological
two catch-up doses of rMenB+OMV NZ at 12 and 14 months of age.
rMenB+OMV NZ with routine vaccinationsBiological
rMenB+OMV NZ with routine vaccinations at 2, 4, and 6 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 24 months of age
two doses of rMenB+OMV NZBiological
two catch-up doses of rMenB+OMV NZ at 18 and 20 months of age
rMenB+OMV NZBiological
rMenB+OMV NZ at 2, 4, and 6 months of age and routine vaccinations at 3, 5 and 7 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 24 months of age
two doses of rMenB+OMV NZBiological
two catch-up doses of rMenB+OMV NZ at 24 and 26 months of age
rMenB+OMV NZ with routine vaccinationsBiological
rMenB+OMV NZ with routine vaccinations at 2, 3 and 4 months of age; random allocation in a 1:1:1 ratio to receive 1 booster dose of rMenB+OMV NZ at 12 (Group 3a), 18 (Group 3b) or 24 (Group 3c) months of age
| Study group | Role | What they receive |
|---|---|---|
| B+R246_12 | Experimental | Previously received rMenB+OMV NZ vaccine + routine vaccines at 2, 4 and 6 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 12 months of age. Receives: Biological: rMenB+OMV NZ with routine vaccinations |
| B+R246_18 | Experimental | Previously received rMenB+OMV NZ vaccine + routine vaccines at 2, 4 and 6 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 18 months of age. Receives: Biological: rMenB+OMV NZ with routine vaccinations |
| B+R246_24 | Experimental | Previously received rMenB+OMV NZ vaccine + routine vaccines at 2, 4 and 6 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 24 months of age. Receives: Biological: rMenB+OMV NZ with routine vaccinations |
| B246_12 | Experimental | Previously received 3 doses of rMenB+OMV NZ vaccine at 2, 4 and 6 months of age and routine vaccines at 3, 5 and 7 months of age, followed by a booster dose of rMenB+OMV NZ vaccine at 12 months of age. Receives: Biological: rMenB+OMV NZ |
| B246_18 | Experimental | Previously received 3 doses of rMenB+OMV NZ vaccine at 2, 4 and 6 months of age and routine vaccines at 3,5 and 7 months of age, followed by a booster dose of rMenB+OMV NZ at 18 months of age. Receives: Biological: rMenB+OMV NZ |
| B246_24 | Experimental | Previously received 3 doses of rMenB+OMV NZ vaccine at 2, 4 and 6 months of age and routine vaccines at 3, 5 and 7 months of age, followed by a booster dose of rMenB+OMV NZ at 24 months of age. Receives: Biological: rMenB+OMV NZ |
| B+R234_12 | Experimental | Previously received rMenB+OMV NZ vaccine + routine vaccines at 2, 3 and 4 months of age followed by a booster dose of rMenB+OMV NZ at 12 months of age. Receives: Biological: rMenB+OMV NZ with routine vaccinations |
| B+R234_18 | Experimental | Previously received rMenB+OMV NZ vaccine + routine vaccines at 2, 3 and 4 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 18 months of age. Receives: Biological: rMenB+OMV NZ with routine vaccinations |
| B+R234_24 | Experimental | Previously received rMenB+OMV NZ vaccine + routine vaccines at 2, 3 and 4 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 24 months of age. Receives: Biological: rMenB+OMV NZ with routine vaccinations |
| B12 14 | Experimental | Previously received two catch-up doses of rMenB+OMV NZ vaccine at 12 and14 months of age. Receives: Biological: two doses of rMenB+OMV NZ |
| B18 20 | Experimental | Previously received two catch-up doses of rMenB+OMV NZ vaccine at 18 and 20 months of age. Receives: Biological: two doses of rMenB+OMV NZ |
| B24 26 | Experimental | Previously received two catch-up doses of rMenB+OMV NZ vaccine at 24 and 26 months of age. Receives: Biological: two doses of rMenB+OMV NZ |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ and Routine Vaccines at 2, 4 and 6 Months of Age.
Immunogenicity was assessed in terms of percentage of subjects with serum bactericidal antibody (SBA) titers ≥1:5 (98.3% CI) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99, one month after the fourth (booster) dose of meningococcal B vaccine at 12 or 18 or24 months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ and routine vaccines at 2, 4 and 6 months of age.
Measured: 1 month after booster
Secondary outcomes (10)
Percentages of Subjects With SBA Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ at 2, 4 and 6 Months of Age and Routine Vaccines at 3, 5 and 7 Months of Age.
Immunogenicity was assessed in terms of Percentages of Subjects With SBA Titers ≥1:5 (98.3% CI), After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in subjects who previously received 3 doses of rMenB+OMV NZ at 2, 4 and 6 months of age and routine vaccines at 3, 5 and 7 months of age.
Measured: 1 month after booster
Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ and Routine Vaccines at 2, 3 and 4 Months of Age.
Immunogenicity was assessed in terms of percentage of subjects with serum bactericidal antibody (SBA) titers ≥1:5 (98.3% CI) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99, one month after the fourth (booster) dose of meningococcal B vaccine at 12 or 18 or24 months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ and routine vaccines at 2, 3 and 4 months of age.
Measured: 1 month after booster
Geometric Mean Titers (GMTs) in Subjects One Month After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects at 12 18 or 24 Months of Age Who Previously Received 3 Doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 Months of Age.
The serum antibody titers one month after the fourth (booster) dose of meningococcal B vaccine at 12 or 18 or24 months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 months of age, are reported as geometric mean titers (GMTs) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99.
Measured: 1 month after booster
GMTs in Subjects One Month After the Fourth (Booster) Dose of Meningococcal B Vaccine at 12 Months of Age Previously Vaccinated With 3 Doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 Months of Age and Single Dose of rMenB+OMV NZ Given at Same Age
Characterization of immunological memory by serum antibody titers (98.3% CI) one month after the fourth (booster) dose of meningococcal B vaccine at 12 months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 months of age and single dose of rMenB+OMV NZ given at same ages, are reported as geometric mean titers (GMTs) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99.
Measured: 1 month after booster
GMTs in Subjects One Month After the Fourth (Booster) Dose of Meningococcal B Vaccine at 18 and 24months of Age, Previously Vaccinated With 3 Doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 Months of Age and Single Dose of rMenB+OMV NZ Given at Same Age
Characterization of immunological memory by serum antibody titers one month after the fourth (booster) dose of meningococcal B vaccine at 18 and 24months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 months of age and single dose of rMenB+OMV NZ given at same ages, are reported as geometric mean titers (GMTs) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99.
Measured: 1 month after booster
Two-dose Catch-up Regimen of rMenB+OMV NZ in Unprimed Toddlers Aged 12, 18 or 24 Months
Immunogenicity evaluation of a two-dose catch-up regimen of rMenB+OMV NZ in unprimed toddlers aged 12, 18 or 24 months as measured by serum antibody titers one month after the second vaccination f meningococcal B vaccine at 18 and 24months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ reported as geometric mean titers (GMTs) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99.
Measured: 1 month after second vaccination
Geometric Mean Concentrations Against Vaccine Antigen 287- 953 One Month After Fourth Booster Dose to Previously Primed Toddlers at 12, 18 or 24 Months of Age.
Immunogenicity evaluation against vaccine antigen 287-953 one month after fourth booster dose to previously primed toddlers at 12, 18 or 24 months measured by ELISA.
Measured: 1 month after booster vaccination
Geometric Mean Concentrations Against Vaccine Antigen 287- 953 One Month After Booster Given After a Two-dose Catch-up Regimen in Toddlers Starting at 12, 18 or 24 Months of Age.
Immunogenicity evaluation against vaccine antigen 287-953 one month after booster given after a two-dose catch-up regimen in toddlers starting at 12, 18 or 24 months of age.one month after fourth booster dose to previously primed toddlers at 12, 18 or 24 months of age measured by ELISA
Measured: 1 month after booster vaccination
Number of Children Reporting Solicited Local and Systemic Adverse Events After Receiving a Fourth Booster Dose of rMenB+OMV NZ Vaccine at 12, 18 or 24 Months of Age.
The safety and tolerability of the 4th booster dose rMenB+OMV NZ vaccine in children (12, 18 or 24 months age) is reported as number of subjects with solicited local and systemic adverse events.
Measured: From day 1 to day 7 after vaccination
Number of Children Reporting Solicited Local and Systemic Adverse Events After Receiving a Two-dose Catch-up Regimen of rMenB+OMV NZ Vaccine at 12, 18 or 24 Months of Age.
The safety and tolerability of the two-dose catch-up regimen of rMenB+OMV NZ vaccine in children (12, 18 or 24 months age) is reported as number of subjects with solicited local and systemic adverse events.
Measured: day 1 to day 7 after vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jul 2009 (estimated)
- Study startJul 2009
- Primary completionAug 2011
- Study completionJan 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Meningococcal DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,588 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Vaccines
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00944034
- Sponsor's protocol ID
- V72P12E1
- Other IDs
- 2009-011676-30, 2009
- Status last verified
- Jul 2017
- First submitted
- 21 Jul 2009
- Last updated
- 14 Aug 2017
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Bartolini E, Borgogni E, Bruttini M, Muzzi A, Giuliani M, Iozzi S, Petracca R, Martinelli M, Bonacci S, Marchi S, Brettoni C, Donati C, Torricelli G, Guidotti S, Domina M, Beninati C, Teti G, Felici F, Rappuoli R, Castellino F, Del Giudice G, Masignani V, Pizza M, Maione D. Immunological fingerprint of 4CMenB recombinant antigens via protein microarray reveals key immunosignatures correlating with bactericidal activity. Nat Commun. 2020 Oct 5;11(1):4994. doi: 10.1038/s41467-020-18791-0.
PubMed 33020485Snape MD, Voysey M, Finn A, Bona G, Esposito S, Principi N, Diez-Domingo J, Sokal E, Kieninger D, Prymula R, Dull PM, Kohl I, Barone M, Wang H, Toneatto D, Pollard AJ; European MenB Vaccine Study Group. Persistence of Bactericidal Antibodies After Infant Serogroup B Meningococcal Immunization and Booster Dose Response at 12, 18 or 24 Months of Age. Pediatr Infect Dis J. 2016 Apr;35(4):e113-23. doi: 10.1097/INF.0000000000001056.
PubMed 26756390
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Open Label, Multi-Center, Extension Study to Evaluate the Safety, Tolerability and Immunogenicity of a Booster Dose of Novartis Meningococcal B Recombinant Vaccine Administered at 12, 18 or 24 Months of Age in Subjects Who Previously Received a Three-Dose Primary Series of the Novartis Meningococcal B Recombinant Vaccine as Infants in Study V72P12
- ClinicalTrials.gov ID
- NCT00944034
- Acronym / sponsor ID
- V72P12E1
- Conditions
- Meningococcal Disease, Meningococcal Meningitis
- Keywords
- Meningococcal meningitis, prevention, vaccination, toddler
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,588 participants (actual)
- Lead sponsor
- Novartis VaccinesIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- Jul 2009
- Primary completion
- Aug 2011 (actual)
- Study completion
- Jan 2012 (actual)
- First posted
- 22 Jul 2009 (estimated)
- Results
- Posted 10 Nov 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This extension study V72P12E1 will investigate the safety, tolerability and immunogenicity of a fourth (booster) dose of rMenB+OMV NZ at 12, 18 and 24 months of age in subjects previously primed with rMenB+OMV NZ according to two different three-dose immunization schedules in infancy (2, 4 and 6 or 2, 3 and 4 months of age in the parent study V72P12). The study will also explore the bactericidal antibody persistence at 12, 18 and 24 months of age, following the two different immunization schedules, in order to identify the optimal timing for boosting. Two catch-up rMenB+OMV NZ doses will be given to unprimed, naïve toddlers at 12 (subjects enrolled in the control group of V72P12), 18 and 24 months of age (two new cohort of subjects enrolled). These subjects will generate data for assessing the safety and immunogenicity of a two-dose catch-up regimen at these ages, but will also serve as controls for a descriptive comparison of antibody persistence and booster responses for the other groups.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 12
| Arm | Type | Receives |
|---|---|---|
| B+R246_12 | Experimental | Biological: rMenB+OMV NZ with routine vaccinationsPreviously received rMenB+OMV NZ vaccine + routine vaccines at 2, 4 and 6 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 12 months of age. |
| B+R246_18 | Experimental | Biological: rMenB+OMV NZ with routine vaccinationsPreviously received rMenB+OMV NZ vaccine + routine vaccines at 2, 4 and 6 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 18 months of age. |
| B+R246_24 | Experimental | Biological: rMenB+OMV NZ with routine vaccinationsPreviously received rMenB+OMV NZ vaccine + routine vaccines at 2, 4 and 6 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 24 months of age. |
| B246_12 | Experimental | Biological: rMenB+OMV NZPreviously received 3 doses of rMenB+OMV NZ vaccine at 2, 4 and 6 months of age and routine vaccines at 3, 5 and 7 months of age, followed by a booster dose of rMenB+OMV NZ vaccine at 12 months of age. |
| B246_18 | Experimental | Biological: rMenB+OMV NZPreviously received 3 doses of rMenB+OMV NZ vaccine at 2, 4 and 6 months of age and routine vaccines at 3,5 and 7 months of age, followed by a booster dose of rMenB+OMV NZ at 18 months of age. |
| B246_24 | Experimental | Biological: rMenB+OMV NZPreviously received 3 doses of rMenB+OMV NZ vaccine at 2, 4 and 6 months of age and routine vaccines at 3, 5 and 7 months of age, followed by a booster dose of rMenB+OMV NZ at 24 months of age. |
| B+R234_12 | Experimental | Biological: rMenB+OMV NZ with routine vaccinationsPreviously received rMenB+OMV NZ vaccine + routine vaccines at 2, 3 and 4 months of age followed by a booster dose of rMenB+OMV NZ at 12 months of age. |
| B+R234_18 | Experimental | Biological: rMenB+OMV NZ with routine vaccinationsPreviously received rMenB+OMV NZ vaccine + routine vaccines at 2, 3 and 4 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 18 months of age. |
| B+R234_24 | Experimental | Biological: rMenB+OMV NZ with routine vaccinationsPreviously received rMenB+OMV NZ vaccine + routine vaccines at 2, 3 and 4 months of age followed by a booster dose of rMenB+OMV NZ vaccine at 24 months of age. |
| B12 14 | Experimental | Biological: two doses of rMenB+OMV NZPreviously received two catch-up doses of rMenB+OMV NZ vaccine at 12 and14 months of age. |
| B18 20 | Experimental | Biological: two doses of rMenB+OMV NZPreviously received two catch-up doses of rMenB+OMV NZ vaccine at 18 and 20 months of age. |
| B24 26 | Experimental | Biological: two doses of rMenB+OMV NZPreviously received two catch-up doses of rMenB+OMV NZ vaccine at 24 and 26 months of age. |
Who may qualify
- Ages
- 12 to 24 months
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (8 listed)
- 12 months or older - Groups 1a, 2a, 3a, 4
- 18 months (0/ +29 days window) - Groups 1b, 2b, 3b
- 24 months (0/ +29 days window) - Groups 1c, 2c, 3c
- Group 5: healthy 18-month-old toddlers (0/ +29 days window)
- Group 6: healthy 24-month-old toddlers (0/ +29 days window)
Key exclusion criteria (8 listed)
- History of any meningococcal B vaccine administration (only for groups 5 and 6);
- 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 to 38 degrees within the previous day
- Antibiotics within 6 days prior to enrollment;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| rMenB+OMV NZ with routine vaccinationsrMenB+OMV NZ with routine vaccinations at 2, 4, and 6 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 12 months of age | Biological | B+R246_12 |
| rMenB+OMV NZ with routine vaccinationsrMenB+OMV NZ with routine vaccinations at 2, 4, and 6 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 18 months of age | Biological | B+R246_18 |
| rMenB+OMV NZrMenB+OMV NZ at 2, 4, and 6 months of age and routine vaccinations at 3, 5 and 7 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 12 months of age | Biological | B246_12 |
| rMenB+OMV NZrMenB+OMV NZ at 2, 4, and 6 months of age and routine vaccinations at 3, 5 and 7 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 18 months of age | Biological | B246_18 |
| rMenB+OMV NZ with routine vaccinationsrMenB+OMV NZ with routine vaccinations at 2, 3 and 4 months of age; random allocation in a 1:1:1 ratio to receive 1 booster dose of rMenB+OMV NZ at 12 months of age | Biological | B+R234_12 |
| rMenB+OMV NZ with routine vaccinationsrMenB+OMV NZ with routine vaccinations at 2, 3 and 4 months of age; random allocation in a 1:1:1 ratio to receive 1 booster dose of rMenB+OMV NZ at 18 months of age | Biological | B+R234_18 |
| two doses of rMenB+OMV NZtwo catch-up doses of rMenB+OMV NZ at 12 and 14 months of age. | Biological | B12 14 |
| rMenB+OMV NZ with routine vaccinationsrMenB+OMV NZ with routine vaccinations at 2, 4, and 6 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 24 months of age | Biological | B+R246_24 |
| two doses of rMenB+OMV NZtwo catch-up doses of rMenB+OMV NZ at 18 and 20 months of age | Biological | B18 20 |
| rMenB+OMV NZrMenB+OMV NZ at 2, 4, and 6 months of age and routine vaccinations at 3, 5 and 7 months of age; random allocation in a 1:1:1 ratio to receive a booster dose of rMenB+OMV NZ at 24 months of age | Biological | B246_24 |
| two doses of rMenB+OMV NZtwo catch-up doses of rMenB+OMV NZ at 24 and 26 months of age | Biological | B24 26 |
| rMenB+OMV NZ with routine vaccinationsrMenB+OMV NZ with routine vaccinations at 2, 3 and 4 months of age; random allocation in a 1:1:1 ratio to receive 1 booster dose of rMenB+OMV NZ at 12 (Group 3a), 18 (Group 3b) or 24 (Group 3c) months of age | Biological | B+R234_24 |
Primary outcome
Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ and Routine Vaccines at 2, 4 and 6 Months of Age.
Time frame: 1 month after booster
Immunogenicity was assessed in terms of percentage of subjects with serum bactericidal antibody (SBA) titers ≥1:5 (98.3% CI) against N.meningitidis serogroup reference strains H44/76, NZ98/254 and 5/99, one month after the fourth (booster) dose of meningococcal B vaccine at 12 or 18 or24 months of age who were previously vaccinated with 3 doses of rMenB+OMV NZ and routine vaccines at 2, 4 and 6 months of age.
10 secondary outcomes
Percentages of Subjects With SBA Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ at 2, 4 and 6 Months of Age and Routine Vaccines at 3, 5 and 7 Months of Age.
Time frame: 1 month after booster
Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ and Routine Vaccines at 2, 3 and 4 Months of Age.
Time frame: 1 month after booster
Geometric Mean Titers (GMTs) in Subjects One Month After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects at 12 18 or 24 Months of Age Who Previously Received 3 Doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 Months of Age.
Time frame: 1 month after booster
GMTs in Subjects One Month After the Fourth (Booster) Dose of Meningococcal B Vaccine at 12 Months of Age Previously Vaccinated With 3 Doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 Months of Age and Single Dose of rMenB+OMV NZ Given at Same Age
Time frame: 1 month after booster
GMTs in Subjects One Month After the Fourth (Booster) Dose of Meningococcal B Vaccine at 18 and 24months of Age, Previously Vaccinated With 3 Doses of rMenB+OMV NZ at 2, 3 and 4 or 2, 4 and 6 Months of Age and Single Dose of rMenB+OMV NZ Given at Same Age
Time frame: 1 month after booster
Two-dose Catch-up Regimen of rMenB+OMV NZ in Unprimed Toddlers Aged 12, 18 or 24 Months
Time frame: 1 month after second vaccination
Geometric Mean Concentrations Against Vaccine Antigen 287- 953 One Month After Fourth Booster Dose to Previously Primed Toddlers at 12, 18 or 24 Months of Age.
Time frame: 1 month after booster vaccination
Geometric Mean Concentrations Against Vaccine Antigen 287- 953 One Month After Booster Given After a Two-dose Catch-up Regimen in Toddlers Starting at 12, 18 or 24 Months of Age.
Time frame: 1 month after booster vaccination
Number of Children Reporting Solicited Local and Systemic Adverse Events After Receiving a Fourth Booster Dose of rMenB+OMV NZ Vaccine at 12, 18 or 24 Months of Age.
Time frame: From day 1 to day 7 after vaccination
Number of Children Reporting Solicited Local and Systemic Adverse Events After Receiving a Two-dose Catch-up Regimen of rMenB+OMV NZ Vaccine at 12, 18 or 24 Months of Age.
Time frame: day 1 to day 7 after vaccination
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33020485Bartolini E, Borgogni E, Bruttini M, Muzzi A, Giuliani M, Iozzi S, Petracca R, Martinelli M, Bonacci S, Marchi S, Brettoni C, Donati C, Torricelli G, Guidotti S, Domina M, Beninati C, Teti G, Felici F, Rappuoli R, Castellino F, Del Giudice G, Masignani V, Pizza M, Maione D. Immunological fingerprint of 4CMenB recombinant antigens via protein microarray reveals key immunosignatures correlating with bactericidal activity. Nat Commun. 2020 Oct 5;11(1):4994. doi: 10.1038/s41467-020-18791-0.
- Derived from this study: PubMed 26756390Snape MD, Voysey M, Finn A, Bona G, Esposito S, Principi N, Diez-Domingo J, Sokal E, Kieninger D, Prymula R, Dull PM, Kohl I, Barone M, Wang H, Toneatto D, Pollard AJ; European MenB Vaccine Study Group. Persistence of Bactericidal Antibodies After Infant Serogroup B Meningococcal Immunization and Booster Dose Response at 12, 18 or 24 Months of Age. Pediatr Infect Dis J. 2016 Apr;35(4):e113-23. doi: 10.1097/INF.0000000000001056.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
72 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing rMenB+OMV NZ with routine vaccinations, rMenB+OMV NZ and two doses of rMenB+OMV NZ in people with Meningococcal Disease and Meningococcal Meningitis, run by Novartis Vaccines at 72 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 8 inclusion and 8 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 14 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 72 sites in Germany, Spain, Italy, Belgium, United Kingdom 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 combined 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.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 10 Nov 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?
Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving a Fourth (Booster) Dose of rMenB+OMV NZ Vaccination in Subjects Who Previously Received 3 Doses of rMenB+OMV NZ and Routine Vaccines at 2, 4 and 6 Months of Age. (time frame: 1 month after booster). 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 NCT00944034, 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 14 Aug 2017.