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Meningococcal VaccinePhase 4NCT04893811

Trial to Describe the Safety, Tolerability, and Immunogenicity of Trumenba When Administered to Immunocompromised Participants ≥10 Years of Age

A Phase 4 study testing Trumenba in people with Meningococcal Vaccine, run by Pfizer at 14 sites in 3 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

The aim of this study is to evaluate the safety, tolerability, and immunogenicity of 2 doses of Trumenba® (on a 0- and 6-month schedule) in immunocompromised participants by functionally assessing antibody production in asplenic and complement-deficient individuals ≥10 years of age. Read more about this study

Who is it for?
Ages 10 years and olderHealthy volunteers can take part
Conditions the study is for
Meningococcal Vaccine
What is being tested?
Trumenba
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
14 sitesin 3 countries
Study dates
18 Aug 2021to 6 Sep 2023
Phase
Phase 4
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 10 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Male or female participants ≥10 years of age at the time of consent.
  • Participants with an increased risk for meningococcal disease due to anatomic asplenia or functional asplenia (eg, sickle cell anemia) or complement deficiencies.
  • Negative urine pregnancy test for all female participants.

Who cannot join

  • Previous vaccination with any meningococcal serogroup B vaccine.
  • Participants who are receiving any allergen immunotherapy with a nonlicensed product or receiving allergen immunotherapy with a licensed product and are not on stable maintenance doses.
  • History of microbiologically proven disease caused by N meningitidis or Neisseria gonorrhoeae.
  • Significant neurological disorder or history of seizure (excluding simple febrile seizure).
  • Any neuroinflammatory or autoimmune condition, including, but not limited to, transverse myelitis, uveitis, optic neuritis, and multiple sclerosis.
  • Any confirmed or suspected human immunodeficiency virus infection.
Show all 11Show fewer
  • Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  • Receipt of immunoglobulin infusion or injection during the 42 days preceding enrollment.
  • Current chronic use of systemic antibiotics.
  • Previous receipt or current use of complement inhibitors (eg, eculizumab, ravulizumab).
  • Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation.

Trial locations and contacts

14 sites in 3 countries.

14 sites in 3 countries

Turkey (Türkiye)7 sites
  • Baskent Universitesi Dr. Turgut Noyan Adana Uygulama ve Arastirma Merkezi

    Adana, Yüreği̇r, 01120

  • Baskent Universitesi Dr. Turgut Noyan Adana Uygulama ve Arastirma Merkezi

    Adana, Yüreği̇r

  • Baskent Universitesi Dr. Turgut Noyan Adana Uygulama ve Arastirma Merkezi

    Adana, 01120

  • Acibadem Adana Hastanesi

    Adana, 01130

  • Baskent Universitesi Dr. Turgut Noyan Adana Uygulama ve Arastirma Merkezi

    Adana, 01240

  • Hacettepe Universitesi Tip Fakultesi

    Ankara, 06230

  • Mersin Universitesi Tip Fakultesi Hastanesi

    Mersin, 33343

Other trials in Turkey (Türkiye)

Poland4 sites
  • IN-VIVO Sp. z o.o.

    Bydgoszcz, 85-048

  • Centrum Badań Klinicznych Jagiellońskie Centrum Innowacji sp. z o.o.

    Krakow, 30-348

  • WIP Warsaw IBD Point Profesor Kierkus

    Warsaw, 00-728

  • Szpital Bielański im. Ks. Jerzego Popiełuszki SPZOZ

    Warsaw, 01-809

Other trials in Poland

Czechia3 sites
  • Fakultni Nemocnice Brno - Detska Nemocnice - Klinika Detskych Infekcnich Nemoci Center 3

    Brno, 613 00

  • Fakultni Nemocnice Brno - Detska Nemocnice - Klinika Detskych Infekcnich Nemoci Center 3

    Brno, 61300

  • Fakultni nemocnice v Motole

    Prague, 150 06

Other trials in Czechia

About this study

Official title: A PHASE 4, OPEN-LABEL, SINGLE-ARM TRIAL TO DESCRIBE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF TRUMENBA(REGISTERED) WHEN ADMINISTERED TO IMMUNOCOMPROMISED PARTICIPANTS ≥10 YEARS OF AGE

The aim of this study is to evaluate the safety, tolerability, and immunogenicity of 2 doses of Trumenba® (on a 0- and 6-month schedule) in immunocompromised participants by functionally assessing antibody production in asplenic and complement-deficient individuals ≥10 years of age.

Being tested
Trumenba
Keywords
Meningococcal Vaccine, Meningitis Vaccine, Asplenia, Sickle cell anemia, Complement deficiencies
Medical subject headings
Anemia, Sickle Cell, Hereditary Complement Deficiency Diseases

What participants receive

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

  • TrumenbaBiological

    Bivalent recombinant lipoprotein 2086 vaccine

Study groups in NCT04893811
Study groupRoleWhat they receive
Single ArmExperimentalBivalent recombinant lipoprotein 2086 vaccine
Receives: Biological: Trumenba

What is being measured

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

  1. Percentage of Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titer => Lower Limit of Quantitation (LLOQ) for Each of the 4 Primary Neisseria Meningitidis Serogroup B (MnB) Test Strains at Baseline

    Four primary MnB strains were PMB80 (A22), PMB2001 (A56), PMB2948 (B24) and PMB2707 (B44). The percentage of participants who achieved an hSBA titer PMB80 (A22) more than or equal to (=>)1:16, and hSBA titer PMB2001 (A56), PMB2001 (B24), and PMB2707 (B44) =>1:8 are reported. Evaluable immunogenicity population (EIP) included all participants who were eligible through 1 month after Vaccination 2, received the study vaccination at Visit 1 and Visit 3 as planned, had blood drawn for assay testing within the required time frames at Visit 1 (before Vaccination 1) and 1 month after Vaccination 2 (28-42 days after Visit 3), had at least 1 valid and determinate assay result 1 month after Vaccination 2, received no prohibited vaccines or medications through Visit 4, and had no major protocol deviations through Visit 4.

    Measured: Baseline (Before Vaccination 1 on Day 1/Month 0)

  2. Percentage of Participants With hSBA Titer => LLOQ for Each of the 4 Primary MnB Test Strains at 1 Month After Vaccination 2

    Four primary MnB strains were PMB80 (A22), PMB2001 (A56), PMB2948 (B24) and PMB2707 (B44). The percentage of participants who achieved an hSBA titer PMB80 (A22) =>1:16, and hSBA titer PMB2001 (A56), PMB2001 (B24), and PMB2707 (B44) =>1:8 were reported.

    Measured: 1 Month after Vaccination 2 (Vaccination 2 at Month 6)

  3. Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination 1

    Local reactions (redness, swelling, and pain) at the site of investigational product administration were recorded in electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. Each caliper unit = 0.5 centimeter (cm). Redness and swelling were graded as mild (more than [>]2.0 to 5.0cm), moderate (>5.0 to 10.0cm) and severe (>10.0cm). Pain at injection site was graded as mild (did not interfere with activity), moderate (interfered with activity), and severe (prevented daily activity).

    Measured: Within 7 Days after Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  4. Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination 2

    Local reactions (redness, swelling, and pain) at the site of investigational product administration were recorded in electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. Each caliper unit = 0.5 cm. Redness and swelling were graded as mild (>2.0 to 5.0cm), moderate (>5.0 to 10.0cm) and severe (>10.0cm). Pain at injection site was graded as mild (did not interfere with activity), moderate (interfered with activity), and severe (prevented daily activity).

    Measured: Within 7 Days after Vaccination 2 (Vaccination 2 at Month 6)

  5. Percentage of Participants Reporting Systemic Events Within 7 Days After Vaccination 1

    Systemic events included: fever, fatigue, headache, chills, muscle pain, joint pain, vomiting, and diarrhea. Fever classified as =>38.0 degree Celsius (C), 38.0-38.4, >38.4-38.9, >38.9 40.0 and >40.0-degree C. Fatigue, headache, chills, muscle pain and joint pain graded as mild (did not interfere with activity), moderate (some interference with activity) and severe (prevented daily activity). Vomiting graded as mild (1-2 times in 24 hours [hrs]), moderate (>2 times in 24 hrs) and severe (required intravenous [IV] hydration). Diarrhea graded as mild (2-3 loose stools in 24 hrs), moderate (4-5 loose stools in 24 hrs) and severe (=>6 in 24 hrs).

    Measured: Within 7 Days after Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  6. Percentage of Participants Reporting Systemic Events Within 7 Days After Vaccination 2

    Systemic events included: fever, fatigue, headache, chills, muscle pain, joint pain, vomiting, and diarrhea. Fever classified as =>38.0 degree C, 38.0-38.4, >38.4-38.9, >38.9 40.0 and >40.0-degree C. Fatigue, headache, chills, muscle pain and joint pain graded as mild (did not interfere with activity), moderate (some interference with activity) and severe (prevented daily activity). Vomiting graded as mild (1-2 times in 24 hrs), moderate (>2 times in 24 hrs) and severe (required IV hydration). Diarrhea graded as mild (2-3 loose stools in 24 hrs), moderate (4-5 loose stools in 24 hrs) and severe (=>6 in 24 hrs).

    Measured: Within 7 Days after Vaccination 2 (Vaccination 2 at Month 6)

  7. Percentage of Participants Reporting Use of Antipyretic Medication Within 7 Days After Vaccination 1

    Measured: Within 7 Days after Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  8. Percentage of Participants Reporting Use of Antipyretic Medication Within 7 Days After Vaccination 2

    Measured: Within 7 Days after Vaccination 2 (Vaccination 2 at Month 6)

  9. Percentage of Participants Reporting Adverse Events (AEs) During 30 Days After Vaccination 1

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs excluded local reactions and systematic events.

    Measured: 30 Days after Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  10. Percentage of Participants Reporting AEs During 30 Days After Vaccination 2

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs excluded local reactions and systematic events.

    Measured: 30 Days after Vaccination 2 (Vaccination 2 at Month 6)

  11. Percentage of Participants Reporting AEs During 30 Days After Any Vaccination

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs excluded local reactions and systematic events.

    Measured: 30 Days after any Vaccination

  12. Percentage of Participants Reporting AEs During the Vaccination Phase

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs excluded local reactions and systematic events.

    Measured: Vaccination Phase: From Vaccination 1 through one Month after Vaccination 2 (approximately 7 Months)

  13. Percentage of Participants Reporting Serious Adverse Events (SAEs) During 30 Days After Vaccination 1

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

    Measured: 30 Days after Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  14. Percentage of Participants Reporting SAEs During 30 Days After Vaccination 2

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

    Measured: 30 Days after Vaccination 2 (Vaccination 2 at Month 6)

  15. Percentage of Participants Reporting SAEs During 30 Days After Any Vaccination

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

    Measured: 30 Days after any Vaccination

  16. Percentage of Participants Reporting SAEs During the Vaccination Phase

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

    Measured: Vaccination Phase: From Vaccination 1 through 1 Month after Vaccination 2 (approximately 7 Months)

  17. Percentage of Participants Reporting SAEs During the Follow-up Phase

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect or that was considered to be an important medical event.

    Measured: Follow-up Phase: From 1 Month after Vaccination 2 through 6 Months after Vaccination 2 (approximately 5 Months)

  18. Percentage of Participants Reporting SAEs During the Entire Study

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect. Or that was considered to be an important medical event.

    Measured: Entire Study: From Vaccination 1 through 6 Months after Vaccination 2 (approximately 12 Months)

  19. Percentage of Participants Reporting Medically Attended Adverse Event (MAEs) During 30 Days After Vaccination 1

    MAEs was defined as a nonserious AE that resulted in an evaluation at a medical facility.

    Measured: 30 Days after Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  20. Percentage of Participants Reporting MAEs During 30 Days After Vaccination 2

    MAEs was defined as a nonserious AE that resulted in an evaluation at a medical facility.

    Measured: 30 Days after Vaccination 2 (Vaccination 2 at Month 6)

  21. Percentage of Participants Reporting MAEs During 30 Days After Any Vaccination

    MAEs was defined as a nonserious AE that resulted in an evaluation at a medical facility.

    Measured: 30 Days after any Vaccination

  22. Percentage of Participants Reporting MAEs During the Vaccination Phase

    MAEs was defined as a nonserious AE that resulted in an evaluation at a medical facility.

    Measured: Vaccination Phase: From Vaccination 1 through 1 Month after Vaccination 2 (approximately 7 Months)

  23. Percentage of Participants Reporting MAEs During the Follow-up Phase

    MAEs was defined as a nonserious AE that resulted in an evaluation at a medical facility.

    Measured: Follow-up Phase: From 1 Month after Vaccination 2 through 6 Months after Vaccination 2 (approximately 5 Months)

  24. Percentage of Participants Reporting MAEs During the Entire Study

    MAEs was defined as a nonserious AE that resulted in an evaluation at a medical facility.

    Measured: Entire Study: From Vaccination 1 through 6 Months after Vaccination 2 (approximately 12 Months)

  25. Percentage of Participants Reporting Immediate AEs After Vaccination 1

    Immediate AE was defined as AE occurring within the first 30 minutes after study intervention administration.

    Measured: 30 Minutes post Vaccination 1 (Vaccination 1 on Day 1/Month 0)

  26. Percentage of Participants Reporting Immediate AEs After Vaccination 2

    Immediate AE was defined as AE occurring within the first 30 minutes after study intervention administration.

    Measured: 30 Minutes post Vaccination 2 (Vaccination 2 at Month 6)

  27. Percentage of Participants With Newly Diagnosed Chronic Medical Condition (NDCMC) During the Vaccination Phase

    A NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

    Measured: Vaccination Phase: From Vaccination 1 through 1 Month after Vaccination 2 (approximately 7 Months)

  28. Percentage of Participants With NDCMC During the Follow-up Phase

    A NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

    Measured: Follow-up Phase: From 1 Month after Vaccination 2 through 6 Months after Vaccination 2 (approximately 5 Months)

  29. Percentage of Participants With NDCMC During the Entire Study

    A NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

    Measured: Entire Study: From Vaccination 1 through 6 Months after Vaccination 2 (approximately 12 Months)

  30. Mean Number of Days Participants Missed School or Work Because of AEs During the Vaccination Phase

    An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

    Measured: Vaccination Phase: From Vaccination 1 through 1 Month after Vaccination 2 (approximately 7 Months)

Timeline

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

  1. First posted20 May 2021
  2. Study start18 Aug 2021
  3. Primary completion6 Sep 2023
  4. Study completion6 Sep 2023

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 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04893811
Sponsor's protocol ID
B1971060
Other IDs
2018-002588-24, 2018
Status last verified
Oct 2024
First submitted
14 May 2021
Last updated
16 Oct 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Trumenba in people with Meningococcal Vaccine, run by Pfizer at 14 sites in 3 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 3 inclusion and 11 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 16 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Turkey (Türkiye), Poland, Czechia. 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?

Yes. Results are posted in the registry (first posted 16 Oct 2024). 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 Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titer => Lower Limit of Quantitation (LLOQ) for Each of the 4 Primary Neisseria Meningitidis Serogroup B (MnB) Test Strains at Baseline (time frame: Baseline (Before Vaccination 1 on Day 1/Month 0)). The study lists 30 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 16 Oct 2024.

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