Meningococcal Disease, InvasivePhase 4NCT03694405
Adolescent MenACWY Booster Study
A Phase 4 study testing MenACWY-CRM, MenACWY-DT and MenACWY-TT in people with Meningococcal Disease, Invasive, run by Canadian Immunization Research Network at 3 sites in Canada.
Trial summary
This study is to confirm non-inferiority of the three MenACWY vaccines (Menveo, Menactra or Nimenrix) in adolescents, and to identify whether the number of previous doses of MenC influences the response to the MenACWY vaccine. Read more about this study
- Who is it for?
- Ages 11 to 15 yearsHealthy volunteers can take part
- Conditions the study is for
- Meningococcal Disease, Invasive
- What is being tested?
- MenACWY-CRM, MenACWY-DT and MenACWY-TT
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 244 participants
- Where
- 3 sitesCanada
- Study dates
- 20 Sep 2018to 1 Aug 2021
- Phase
- Phase 4
- Are there results?
- None posted in the registry
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 15 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- All the following need to be fulfilled:
- Healthy adolescent
- Previous receipt of appropriate MenC vaccine according to the relevant provincial schedule (see above)
- Parent/legal guardian has given informed consent OR participant has given consent (if participant demonstrates capacity to consent)
- Participant has given consent (as above) OR assent.
Who cannot join
- The participant may not enter the trial if ANY of the following apply:
- Has already received any doses of MenACWY vaccine at any age
- Previous confirmed or suspected meningococcal disease
- Close contact with an individual with laboratory-confirmed N. meningitidis in prior 12 months
- Previous allergic reaction to a component of any of the 3 vaccines
- Serious chronic or progressive disease
Show all 12Show fewer
- Confirmed/suspected immunodeficiency
- Receipt of more than 1 week of immunosuppressants or immune modifying drugs (e.g. oral prednisolone >0.5mL/kg/day or intravenous glucocorticoid steroid). Nasal, topical or inhaled steroids are allowed
- Administration of immunoglobulins within the prior 12 months and/or any blood products planned during the study period
- Pregnancy (based on history from adolescent and parent/legal guardian)
- Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial.
- TEMPORARY EXCLUSION CRITERIA If the adolescent has a temperature ≥ 38°C, then vaccination (and blood sampling if due to occur at same visit) will be postponed until resolution of fever.
Trial locations and contacts
3 sites in 1 country.
Canada3 sites
Children's Hospital Research Institute, University of Calgary
Calgary, Alberta
Canadian Center for Vaccinology
Halifax, Nova Scotia
Vaccine Evaluation Center, BC Children's Hospital Research Institute
Vancouver, British Columbia
About this study
Official title: A Randomized, Controlled Trial to Compare Protection in Adolescents Between Different Meningococcal Immunization Schedules Used in Canada; a Canadian Immunization Research Network (CIRN) Study.
This study is to confirm non-inferiority of the three MenACWY vaccines (Menveo, Menactra or Nimenrix) in adolescents, and to identify whether the number of previous doses of MenC influences the response to the MenACWY vaccine.
Read the detailed description
Participants will be randomized to receive one of the three doses of licensed MenACWY as a booster dose in adolescents. Serology will be collect at 3 time points; prior to the booster dose and 1 month and 1 year post-vaccination to measure antibody levels. The participants are healthy students in grades 7-9 who have not received their MenACWY vaccine yet and received their routine infant MenC vaccines per previous Canadian schedules.
- Conditions
- Meningococcal Disease, Invasive
- Being tested
- MenACWY-CRM, MenACWY-DT, MenACWY-TT
- Keywords
- MenACWY, Neisseria meningitidis, adolescents
- Medical subject headings
- Meningococcal Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MenACWY-CRMBiological
Also called Menveo
Booster vaccination with MenACWY-CRM
MenACWY-DTBiological
Also called Menactra
Booster vaccination with MenACWY-DT
MenACWY-TTBiological
Also called Nimenrix
Booster vaccination with MenACWY-TT
| Study group | Role | What they receive |
|---|---|---|
| Group 1A | Experimental | 3 doses prior MenC , randomized to receive MenACWY-CRM (Menveo) Receives: Biological: MenACWY-CRM |
| Group 1B | Experimental | 3 doses prior MenC, randomized to receive MenACWY-DT (Menactra) Receives: Biological: MenACWY-DT |
| Group 1C | Experimental | 3 doses prior MenC, randomized to receive MenACWY-TT (Nimenrix) Receives: Biological: MenACWY-TT |
| Group 2A | Experimental | 2 doses prior MenC, randomized to receive MenACWY-CRM (Menveo) Receives: Biological: MenACWY-CRM |
| Group 2B | Experimental | 2 doses prior MenC, randomized to receive MenACWY-DT (Menactra) Receives: Biological: MenACWY-DT |
| Group 2C | Experimental | 2 doses prior MenC, randomized to receive MenACWY-TT (Nimenrix) Receives: Biological: MenACWY-TT |
| Group 3A | Experimental | 1 dose prior MenC, randomized to receive MenACWY-CRM (Menveo) Receives: Biological: MenACWY-CRM |
| Group 3B | Experimental | 1 dose prior MenC, randomized to receive MenACWY-DT (Menactra) Receives: Biological: MenACWY-DT |
| Group 3C | Experimental | 1 dose prior MenC, randomized to receive MenACWY-TT (Nimenrix) Receives: Biological: MenACWY-TT |
What is being measured
The primary outcome is the main question the study is designed to answer.
Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between groups with differing priming schedules
- meningitidis capsular group C serum bactericidal antibody titer
Measured: 1 year following MenACWY adolescent booster
Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between differing vaccines
- meningitidis capsular group C serum bactericidal antibody titer
Measured: 1 year following MenACWY adolescent booster
Secondary outcomes (5)
Confirm non-inferiority of MenC protection at 1 month post-MenACWY booster between groups with differing MenC priming schedules.
- meningitidis capsular group C serum bactericidal antibody titer
Measured: 1 month following MenACWY booster
Confirm non-inferiority of MenC protection at 1 month post-MenACWY booster between groups with different MenACWY vaccines
- meningitidis capsular group C serum bactericidal antibody titer
Measured: 1 month following MenACWY booster
Subgroup analysis to determine effects of different MenACWY vaccines in subjects primed with different MenC schedules at 1 month and 1 year post-MenACWY booster
- meningitidis capsular group C serum bactericidal antibody titer
Measured: 1 month and 1 year following MenACWY booster
Subgroup analysis to determine effects of different MenC priming schedules in subjects receiving different MenACWY booster immunizations at 1 month and 1 year post-MenACWY booster
- meningitidis capsular group C serum bactericidal antibody titer
Measured: 1 month and 1 year following MenACWY booster
Confirm safety of MenACWY conjugate vaccines
Adverse events as reported by study participants
Measured: Up to 1 month post-vaccine
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Oct 2018
- Study start20 Sep 2018
- Primary completion1 Aug 2021
- Study completion1 Aug 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Meningococcal Disease, InvasiveStudies 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 4
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Group 1 = 3 prior doses of MenC vaccine (Alberta), Group 2 = 2 prior doses of MenC vaccine (British Columbia), Group 3 = 1 prior dose of MenC vaccine (Nova Scotia). Group A = Menveo (MenACWY-CRM), Group B = Menactra (MenACWY-DT), Group C = Nimenrix (MenACWY-TT)
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 244 participants (actual)
Sponsor and investigators
- Lead sponsor
- Canadian Immunization Research Network
- Sponsor type
- Research network
- Collaborators
- University of British Columbia, University of Calgary, Canadian Center for Vaccinology, Alberta Health services, British Columbia Centre for Disease Control, Canadian Institutes of Health Research (CIHR), Dalhousie University
- Responsible party
- Sponsor
- Investigators
- Manish Sadarangani, BM BCh DPhil, Principal investigator, University of British Columbia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03694405
- Sponsor's protocol ID
- CT17_CIRN24_Achieve01
- Status last verified
- Mar 2022
- First submitted
- 1 Oct 2018
- Last updated
- 11 Mar 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Controlled Trial to Compare Protection in Adolescents Between Different Meningococcal Immunization Schedules Used in Canada; a Canadian Immunization Research Network (CIRN) Study.
- ClinicalTrials.gov ID
- NCT03694405
- Acronym / sponsor ID
- CT17_CIRN24_Achieve01
- Conditions
- Meningococcal Disease, Invasive
- Keywords
- MenACWY, Neisseria meningitidis, adolescents
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 244 participants (actual)
- Lead sponsor
- Canadian Immunization Research NetworkResearch network
- Collaborators
- University of British Columbia, University of Calgary, Canadian Center for Vaccinology, Alberta Health services, British Columbia Centre for Disease Control, Canadian Institutes of Health Research (CIHR), Dalhousie University
- Study start
- 20 Sep 2018 (actual)
- Primary completion
- 1 Aug 2021 (actual)
- Study completion
- 1 Aug 2021 (actual)
- First posted
- 3 Oct 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to confirm non-inferiority of the three MenACWY vaccines (Menveo, Menactra or Nimenrix) in adolescents, and to identify whether the number of previous doses of MenC influences the response to the MenACWY vaccine.
Detailed description
Participants will be randomized to receive one of the three doses of licensed MenACWY as a booster dose in adolescents. Serology will be collect at 3 time points; prior to the booster dose and 1 month and 1 year post-vaccination to measure antibody levels. The participants are healthy students in grades 7-9 who have not received their MenACWY vaccine yet and received their routine infant MenC vaccines per previous Canadian schedules.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 9
- Model description
- Group 1 = 3 prior doses of MenC vaccine (Alberta), Group 2 = 2 prior doses of MenC vaccine (British Columbia), Group 3 = 1 prior dose of MenC vaccine (Nova Scotia). Group A = Menveo (MenACWY-CRM), Group B = Menactra (MenACWY-DT), Group C = Nimenrix (MenACWY-TT)
| Arm | Type | Receives |
|---|---|---|
| Group 1A | Experimental | Biological: MenACWY-CRM3 doses prior MenC , randomized to receive MenACWY-CRM (Menveo) |
| Group 1B | Experimental | Biological: MenACWY-DT3 doses prior MenC, randomized to receive MenACWY-DT (Menactra) |
| Group 1C | Experimental | Biological: MenACWY-TT3 doses prior MenC, randomized to receive MenACWY-TT (Nimenrix) |
| Group 2A | Experimental | Biological: MenACWY-CRM2 doses prior MenC, randomized to receive MenACWY-CRM (Menveo) |
| Group 2B | Experimental | Biological: MenACWY-DT2 doses prior MenC, randomized to receive MenACWY-DT (Menactra) |
| Group 2C | Experimental | Biological: MenACWY-TT2 doses prior MenC, randomized to receive MenACWY-TT (Nimenrix) |
| Group 3A | Experimental | Biological: MenACWY-CRM1 dose prior MenC, randomized to receive MenACWY-CRM (Menveo) |
| Group 3B | Experimental | Biological: MenACWY-DT1 dose prior MenC, randomized to receive MenACWY-DT (Menactra) |
| Group 3C | Experimental | Biological: MenACWY-TT1 dose prior MenC, randomized to receive MenACWY-TT (Nimenrix) |
Who may qualify
- Ages
- 11 to 15 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- Healthy adolescent
- Previous receipt of appropriate MenC vaccine according to the relevant provincial schedule (see above)
- Parent/legal guardian has given informed consent OR participant has given consent (if participant demonstrates capacity to consent)
- Participant has given consent (as above) OR assent.
Key exclusion criteria (12 listed)
- Has already received any doses of MenACWY vaccine at any age
- Previous confirmed or suspected meningococcal disease
- Close contact with an individual with laboratory-confirmed N. meningitidis in prior 12 months
- Previous allergic reaction to a component of any of the 3 vaccines
- Serious chronic or progressive disease
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 |
|---|---|---|
| MenACWY-CRMAlso: MenveoBooster vaccination with MenACWY-CRM | Biological | Group 1A, Group 2A, Group 3A |
| MenACWY-DTAlso: MenactraBooster vaccination with MenACWY-DT | Biological | Group 1B, Group 2B, Group 3B |
| MenACWY-TTAlso: NimenrixBooster vaccination with MenACWY-TT | Biological | Group 1C, Group 2C, Group 3C |
Primary outcome
Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between groups with differing priming schedules
Time frame: 1 year following MenACWY adolescent booster
N. meningitidis capsular group C serum bactericidal antibody titer
Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between differing vaccines
Time frame: 1 year following MenACWY adolescent booster
N. meningitidis capsular group C serum bactericidal antibody titer
5 secondary outcomes
Confirm non-inferiority of MenC protection at 1 month post-MenACWY booster between groups with differing MenC priming schedules.
Time frame: 1 month following MenACWY booster
Confirm non-inferiority of MenC protection at 1 month post-MenACWY booster between groups with different MenACWY vaccines
Time frame: 1 month following MenACWY booster
Subgroup analysis to determine effects of different MenACWY vaccines in subjects primed with different MenC schedules at 1 month and 1 year post-MenACWY booster
Time frame: 1 month and 1 year following MenACWY booster
Subgroup analysis to determine effects of different MenC priming schedules in subjects receiving different MenACWY booster immunizations at 1 month and 1 year post-MenACWY booster
Time frame: 1 month and 1 year following MenACWY booster
Confirm safety of MenACWY conjugate vaccines
Time frame: Up to 1 month post-vaccine
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2022.
Related trials for Meningococcal Disease, Invasive
Active, not recruitingPhase 2
Safety, Tolerability, and Immunogenicity of MenABCWY Administered on Different Dosing Schedules in Healthy Adolescents
Meningitis, Meningococcal
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.
Manish Sadarangani, BM BCh DPhil principal investigator
University of British Columbia
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing MenACWY-CRM, MenACWY-DT and MenACWY-TT in people with Meningococcal Disease, Invasive, run by Canadian Immunization Research Network at 3 sites in Canada.
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 5 inclusion and 12 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 11 Mar 2022. 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 Canada. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between groups with differing priming schedules (time frame: 1 year following MenACWY adolescent booster). 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?
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 11 Mar 2022.