Clinical trial

A Phase II, Randomized, Partially Blinded Study to Assess the Safety, Tolerability and Immunogenicity of Meningococcal Combined ABCWY Vaccine When Administered to Healthy Infants

Name
217043
Description
The purpose of this study is to assess the safety, tolerability and immunogenicity of the combined meningococcal groups A, B, C, W and Y (MenABCWY-2Gen) vaccine intended to protect against invasive meningococcal disease (IMD) caused by all 5 meningococcal serogroups, in healthy infants 2 months of age (MoA) at enrolment.
Trial arms
Trial start
2021-11-29
Estimated PCD
2025-03-13
Trial end
2025-03-13
Status
Active (not recruiting)
Phase
Early phase I
Treatment
MenABCWY-2Gen low dose vaccine
MenABCWY-2Gen low dose vaccine is administered intramuscularly in the upper thigh region of the right leg as 3 doses to participants in study Part I, Step 1 and study Part II.
Arms:
ABCWY-2Gen low dose Group
MenABCWY-2Gen high dose vaccine
MenABCWY-2Gen high dose vaccine is administered intramuscularly in the upper thigh region of the right leg as 3 doses to participants in study Part I, Step 2 and study Part II.
Arms:
ABCWY-2Gen high dose Group
MenABCWY-1Gen vaccine
MenABCWY-1Gen vaccine is administered intramuscularly in the upper thigh region of the right leg as 3 doses to participants in study Part II.
Arms:
ABCWY-1Gen Group
MenB vaccine
MenB vaccine is administered intramuscularly in the upper thigh region of the right leg as 3 doses to participants in study Part I, Step 1 and Step 2 and study Part II.
Arms:
MenB+MenACWY-TT Group
Other names:
Bexsero
MenACWY-TT vaccine
MenACWY-TT vaccine is administered intramuscularly in the lower thigh region of the right leg as 3 doses to participants in study Part I, Step 1 and Step 2 and study Part II.
Arms:
MenB+MenACWY-TT Group
Other names:
Nimenrix
Size
724
Primary endpoint
Percentage of participants with solicited administration site events
During the 7 days (including the day of vaccination) after each vaccination (vaccines administered on Day 1 and 61 and Day 301)
Percentage of participants with solicited systemic events
During the 7 days (including the day of vaccination) after each vaccination (vaccines administered on Day 1 and 61 and Day 301)
Percentage of participants with any unsolicited adverse events (AEs), including all medically attended adverse events (MAEs), serious adverse events (SAEs), AEs leading to withdrawal, and adverse events of special interest (AESIs)
During the 30 days (including the day of vaccination) after each vaccination (vaccines administered on Day 1 and 61 and Day 301)
Percentages of participants with MAEs, SAEs, AEs leading to withdrawal, and AESIs
During the study period (Day 1 through Day 481)
Percentage of participants with human serum bactericidal assay (hSBA) titers ≥ lower limit of quantitation (LLOQ) for each serogroup B indicator strain
At 1 month after the second vaccination (Day 91)
Percentage of participants with hSBA titers ≥ LLOQ for each serogroup B indicator strain
At pre-third vaccination (Day 301)
Percentage of participants with hSBA titers ≥ LLOQ for each serogroup B indicator strain
At 1 month after the third vaccination (Day 331)
hSBA geometric mean titers (GMTs) for each serogroup B indicator strain
At 1 month after the second vaccination (Day 91)
hSBA GMTs for each serogroup B indicator strain
At pre-third vaccination (Day 301)
hSBA GMTs for each serogroup B indicator strain
At 1 month after the third vaccination (Day 331)
Within group hSBA geometric mean ratios (GMRs) for each serogroup B indicator strain
At 1 month after the third vaccination (Day 331) compared to pre-third vaccination (Day 301)
Percentage of participants with hSBA titers ≥ LLOQ for each A, C, W and Y serogroup
At 1 month after the second vaccination (Day 91)
Percentage of participants with hSBA titers ≥ LLOQ for each A, C, W and Y serogroup
At pre-third vaccination (Day 301)
Percentage of participants with hSBA titers ≥ LLOQ for each A, C, W and Y serogroup
At 1 month after the third vaccination (Day 331)
hSBA GMTs for each A, C, W and Y serogroup
At 1 month after the second vaccination (Day 91)
hSBA GMTs for each A, C, W and Y serogroup
At pre-third vaccination (Day 301)
hSBA GMTs for each A, C, W and Y serogroup
At 1 month after the third vaccination (Day 331)
Within group hSBA GMRs for each A, C, W and Y serogroup
At 1 month after the third vaccination (Day 331) compared to pre-third vaccination (Day 301)
Eligibility criteria
Inclusion Criteria: * Participants' parent(s)/Legally Acceptable Representative(s) \[LAR(s)\] who, in the opinion of the investigator, can and will comply, with the requirements of the protocol. * Written or witnessed/thumb printed informed consent obtained from the parent(s)/LAR(s) of the participant prior to performance of any study specific procedure. * Healthy participants as established by medical history and clinical examination before entering into the study. * A male or female between, and including, 55 and 89 days of age (approximately 2 MoA) at the time of the first study vaccination. * Born after a gestation period of ≥37 weeks, with a birth weight ≥2.5 kg. Exclusion Criteria: Medical conditions * Current or previous, confirmed or suspected disease caused by N. meningitidis. * Household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis infection from birth. * Progressive, unstable or uncontrolled clinical conditions. * Clinical conditions representing a contraindication to intramuscular vaccination and blood draws. * Any neuroinflammatory disorders, congenital and peripartum neurological conditions, encephalopathies, seizures. * Congenital or peripartum disorders resulting in a chronic condition * Major congenital defects, as assessed by the investigator. * History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine(s)/product(s). * Hypersensitivity, including allergy, to any component of vaccines, including diphtheria toxoid (CRM197) and latex medicinal products or medical equipment whose use is foreseen in this study. * Abnormal function or modification of the immune system resulting from: * Autoimmune disorders or immunodeficiency syndromes. * Systemic administration of corticosteroids (PO/IV/IM) for more than 14 consecutive days starting from birth until Visit 5. This will mean prednisone equivalent ≥0.5 mg/kg/day with maximum 20 mg/day. Inhaled and topical steroids are allowed. * Administration of antineoplastic and immunomodulating agents or radiotherapy from birth. * Administration of long-acting immune-modifying drugs at any time during the study period. * Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study. Prior/Concomitant therapy * Use of any investigational or non-registered product (drug, vaccine or medical device) other than the study vaccines from birth, or planned use during the study period. * Previous vaccination with any meningococcal vaccine. * Administration of immunoglobulins and/or any blood products or plasma derivatives from birth or planned administration during the study period until Visit 5. * Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting from birth until Visit 5. For corticosteroids, this will mean prednisone equivalent ≥0.5 mg/kg/day with maximum 20 mg/day. Inhaled and topical steroids are allowed. Prior/Concurrent clinical study experience * Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product (drug or medical device). Other exclusions * Child in care. * Study personnel as an immediate family or household member. * For contraindications to administering routine vaccines foreseen in the study, refer to their approved product label/package insert.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 724, 'type': 'ACTUAL'}}
Updated at
2023-11-30

1 organization

4 products

2 indications

Indication
Infections
Indication
Meningococcal
Organization
GlaxoSmithKline