Trial Outcomes & Findings for Study of Menactra® in Children Aged 4 to 6 Years When Administered Concomitantly With a Fifth Dose of DAPTACEL® (NCT NCT00355121)

NCT ID: NCT00355121

Last Updated: 2011-08-24

Results Overview

Serum antibody titers were assessed for diphtheria by a seroneutralization assay and for tetanus by enzyme linked immunosorbent assay.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

882 participants

Primary outcome timeframe

Day 30 post-vaccination (Visit 1)

Results posted on

2011-08-24

Participant Flow

Participants were enrolled from 16 October 2006 to 21 June 2007 in 45 medical centers in the US.

A total of 881 participants who met the inclusion and exclusion criteria were enrolled. Data on 879 that were vaccinated are presented in this reported.

Participant milestones

Participant milestones
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Overall Study
STARTED
353
353
175
Overall Study
COMPLETED
332
324
170
Overall Study
NOT COMPLETED
21
29
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Overall Study
Did not receive study vaccine
1
0
1
Overall Study
Adverse Event
0
1
0
Overall Study
Protocol Violation
7
9
1
Overall Study
Lost to Follow-up
4
7
1
Overall Study
Withdrawal by Subject
9
10
2
Overall Study
Serious adverse events
0
2
0

Baseline Characteristics

Study of Menactra® in Children Aged 4 to 6 Years When Administered Concomitantly With a Fifth Dose of DAPTACEL®

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=353 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=353 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=175 Participants
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Total
n=881 Participants
Total of all reporting groups
Age, Categorical
<=18 years
353 Participants
n=93 Participants
353 Participants
n=4 Participants
175 Participants
n=27 Participants
881 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age Continuous
4.5 Years
STANDARD_DEVIATION 0.48 • n=93 Participants
4.5 Years
STANDARD_DEVIATION 0.51 • n=4 Participants
4.5 Years
STANDARD_DEVIATION 0.49 • n=27 Participants
4.5 Years
STANDARD_DEVIATION 0.50 • n=483 Participants
Sex: Female, Male
Female
172 Participants
n=93 Participants
182 Participants
n=4 Participants
73 Participants
n=27 Participants
427 Participants
n=483 Participants
Sex: Female, Male
Male
181 Participants
n=93 Participants
171 Participants
n=4 Participants
102 Participants
n=27 Participants
454 Participants
n=483 Participants
Region of Enrollment
United States
353 participants
n=93 Participants
353 participants
n=4 Participants
175 participants
n=27 Participants
881 participants
n=483 Participants

PRIMARY outcome

Timeframe: Day 30 post-vaccination (Visit 1)

Population: Serum antibody titers were assessed in the per-protocol population. (Participants in Group 3 did not receive DAPTACEL vaccine at Visit 1)

Serum antibody titers were assessed for diphtheria by a seroneutralization assay and for tetanus by enzyme linked immunosorbent assay.

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=250 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=238 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Number of Participants With Antibodies Against Diphtheria and Tetanus at ≥ 1.0 IU/mL After DAPTACEL Vaccination
Diphtheria Antibody Concentration ≥ 1.0 IU/mL
249 Participants
238 Participants
Number of Participants With Antibodies Against Diphtheria and Tetanus at ≥ 1.0 IU/mL After DAPTACEL Vaccination
Tetanus Antibody Concentration ≥ 1.0 IU/mL
246 Participants
236 Participants

PRIMARY outcome

Timeframe: Day 30 post-vaccination (Visit 1)

Population: Serum antibody titers were assessed in the per-protocol population. (Participants in Group 1 did not receive Menactra vaccine at Visit 1)

Serum antibody titers against meningococcal serogroups A, C, Y, and W-135 were assessed by serum bactericidal assay using human complement (SBA HC)

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=238 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=121 Participants
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W-135 After Menactra Vaccination at Visit 1.
Serogroup A (N = 0, 131, 104)
10.8 Titers
Interval 8.7 to 13.3
10.4 Titers
Interval 8.1 to 13.3
Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W-135 After Menactra Vaccination at Visit 1.
Serogroup C (N = 0, 131, 103)
8.1 Titers
Interval 6.3 to 10.5
7.8 Titers
Interval 5.8 to 10.7
Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W-135 After Menactra Vaccination at Visit 1.
Serogroup Y (N = 0, 131, 104)
18.1 Titers
Interval 14.2 to 22.9
26.2 Titers
Interval 20.0 to 34.4
Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W-135 After Menactra Vaccination at Visit 1.
Serogroup W-135 (N = 0, 131, 104)
22.8 Titers
Interval 18.5 to 28.1
21.7 Titers
Interval 16.6 to 28.4

SECONDARY outcome

Timeframe: Day 30 post-vaccination 1

Population: Serum antibody titers were assessed in the per-protocol population. (Participants in Group 3 did not receive DAPTACEL vaccine at Visit 1)

Serum antibody titers against pertussis were assessed for pertussis toxoid (PT), filamentous hemagglutinin (FHA), Fimbriae types 2 and 3 (FIM), and pertactin (RN) by enzyme linked immunosorbent assay (ELISA).

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=250 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=238 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Geometric Mean Concentrations (GMCs) of Antibodies Against the Pertussis Antigens After DAPTACEL Vaccination at Visit 1
Pertussis toxoid (PT; N = 243, 236, 0)
70.0 EU/mL
Interval 63.0 to 77.8
71.0 EU/mL
Interval 63.8 to 79.0
Geometric Mean Concentrations (GMCs) of Antibodies Against the Pertussis Antigens After DAPTACEL Vaccination at Visit 1
Filamentous hemagglutinin (FHA; N = 246, 237, 0)
133 EU/mL
Interval 117.0 to 152.0
145 EU/mL
Interval 127.0 to 165.0
Geometric Mean Concentrations (GMCs) of Antibodies Against the Pertussis Antigens After DAPTACEL Vaccination at Visit 1
Fimbriae Types 2 and 3 (FIM; N = 243, 238, 0)
123 EU/mL
Interval 92.5 to 164.0
113 EU/mL
Interval 84.0 to 151.0
Geometric Mean Concentrations (GMCs) of Antibodies Against the Pertussis Antigens After DAPTACEL Vaccination at Visit 1
Pertactin (PRN; N = 247, 238, 0)
115 EU/mL
Interval 97.0 to 136.0
118 EU/mL
Interval 102.0 to 137.0

SECONDARY outcome

Timeframe: Day 30 post-vaccination

Population: Serum antibody titers were assessed in the per protocol population. Participants in Group 1 received Menactra vaccine at Visit 2, Group 3 at Visit 1.

Serum antibody titers against meningococcal serogroups A, C, Y, and W-135 were assessed by serum bactericidal assay using human complement (SBA HC)

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=250 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=121 Participants
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Serum Bactericidal Assay Using Human Complement Geometric Mean Titers for Serogroups A, C, Y, and W-135 After Menactra Vaccination
Serogroup W-135 (N = 138, 0, 104)
8.4 Titers
Interval 6.7 to 10.6
21.7 Titers
Interval 16.6 to 28.4
Serum Bactericidal Assay Using Human Complement Geometric Mean Titers for Serogroups A, C, Y, and W-135 After Menactra Vaccination
Serogroup A (N = 137, 0, 104)
6.7 Titers
Interval 5.7 to 8.0
10.4 Titers
Interval 8.1 to 13.3
Serum Bactericidal Assay Using Human Complement Geometric Mean Titers for Serogroups A, C, Y, and W-135 After Menactra Vaccination
Serogroup C (N = 138, 0, 103)
3.3 Titers
Interval 2.7 to 3.9
7.8 Titers
Interval 5.8 to 10.7
Serum Bactericidal Assay Using Human Complement Geometric Mean Titers for Serogroups A, C, Y, and W-135 After Menactra Vaccination
Serogroup Y (N = 138, 0, 104)
6.5 Titers
Interval 5.1 to 8.2
26.2 Titers
Interval 20.0 to 34.4

SECONDARY outcome

Timeframe: Day 0 through Day 7 post-vaccination at Visit 1

Population: Safety analysis was on enrolled and vaccinated participants with available reaction data, intent-to-treat population.

Fever was defined as a maximum oral temperature of ≥ 100.4ºF.

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=341 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=344 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Number of Participants Reporting Fever When DAPTACEL and Menactra Vaccines Were Administered Concomitantly and Those Reporting When DAPTACEL Was Administered With IPOL Vaccine
27 Participants
18 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 30 post-vaccination

Population: Serum antibody titers were assessed in the per-protocol population. (Participants received IPOL at Visit 1 in Group 1 and 3, and at Visit 2 for Group 2

Serum antibodies were assessed for poliovirus types 1, 2, and 3 by serum neutralization assay.

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=250 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=238 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=121 Participants
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Geometric Mean Titers Against Poliovirus After IPOL Vaccination.
Type 3 (N = 245, 236, 120)
6777.5 Titers
Interval 5766.9 to 7965.2
7815.9 Titers
Interval 6601.0 to 9254.5
5843 Titers
Interval 4523.4 to 7547.6
Geometric Mean Titers Against Poliovirus After IPOL Vaccination.
Type 1 (N = 243, 235, 120)
5094.8 Titers
Interval 4427.8 to 5862.4
5767 Titers
Interval 4982.7 to 6674.9
4885.1 Titers
Interval 4013.2 to 5946.4
Geometric Mean Titers Against Poliovirus After IPOL Vaccination.
Type 2 (N = 245, 237, 120)
5209.5 Titers
Interval 4549.0 to 5966.0
6195.6 Titers
Interval 5325.3 to 7208.1
5373.6 Titers
Interval 4461.0 to 6472.8

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 0 through Day 7 post-vaccination

Population: Safety analysis was on all enrolled and vaccinated subjects with available reaction data, intent-to-treat population.

Solicited Injection Site Reactions: Pain, Erythema, and Redness. Solicited Systemic Reactions: Fever (Temperature), Headache, Malaise, and Myalgia.

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=341 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=344 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=169 Participants
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Pain: DAPTACEL
236 Participants
229 Participants
NA Participants
DAPTACEL was not administered at Visit 1
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Pain (Incapacitating): DAPTACEL
2 Participants
2 Participants
NA Participants
DAPTACEL was not administered at Visit 1
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Swelling (≥ 2 in): DAPTACEL
54 Participants
41 Participants
NA Participants
DAPTACEL was not administered at Visit 1
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Erythema: Menactra
NA Participants
Menactra was not administered at Visit 1
103 Participants
31 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Erythema (≥ 2 in): Menactra
NA Participants
Menactra was not administered at Visit 1
16 Participants
6 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Pain: IPOL
207 Participants
NA Participants
IPOL was not administered at Visit 1
98 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Pain (Incapacitating): IPOL
3 Participants
NA Participants
IPOL was not administered at Visit 1
2 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Erythema: IPOL
59 Participants
NA Participants
IPOL was not administered at Visit 1
23 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Erythema (≥ 2 in): IPOL
10 Participants
NA Participants
IPOL was not administered at Visit 1
2 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Erythema: DAPTACEL
161 Participants
161 Participants
NA Participants
DAPTACEL was not administered at Visit 1
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Erythema (≥ 2 in): DAPTACEL
75 Participants
73 Participants
NA Participants
DAPTACEL was not administered at Visit 1
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Swelling: DAPTACEL
113 Participants
109 Participants
NA Participants
DAPTACEL was not administered at Visit 1
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Pain: Menactra
NA Participants
Menactra was not administered at Visit 1
201 Participants
93 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Pain (Incapacitating): Menactra
NA Participants
Menactra was not administered at Visit 1
1 Participants
2 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Swelling: Menactra
NA Participants
Menactra was not administered at Visit 1
66 Participants
21 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Swelling (≥ 2 in): Menactra
NA Participants
Menactra was not administered at Visit 1
18 Participants
5 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Injection Site Swelling: IPOL
39 Participants
NA Participants
IPOL was not administered at Visit 1
12 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Swelling (≥ 2 in): IPOL
8 Participants
NA Participants
IPOL was not administered at Visit 1
2 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Fever
27 Participants
18 Participants
13 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Fever (> 39.5 ºC or ≥ 103.2 ºF)
1 Participants
3 Participants
0 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Headache
48 Participants
42 Participants
22 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Headache (Prevents daily activities)
2 Participants
1 Participants
0 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Malaise
86 Participants
81 Participants
44 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Malaise (Prevents daily activities)
8 Participants
2 Participants
5 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Any Myalgia
153 Participants
123 Participants
44 Participants
Number of Participants Reporting Solicited Injection Site and Systemic Reactions After Vaccinations at Visit 1
Grade 3 Myalgia (Prevents daily activities)
6 Participants
3 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 0 through Day 7 post-vaccination

Population: Safety analysis was on all enrolled and vaccinated participants with available reaction data, intent-to-treat population.

Solicited Injection Site Reactions: Pain, Erythema, and Redness. Solicited Systemic Reactions: Fever (Temperature), Headache, Malaise, and Myalgia.

Outcome measures

Outcome measures
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=328 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=327 Participants
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=165 Participants
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Injection Site Erythema
80 Participants
54 Participants
42 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Erythema (≥ 2 inches)
24 Participants
2 Participants
18 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Swelling (≥ 2 inches)
19 Participants
1 Participants
10 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Fever
12 Participants
17 Participants
11 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Headache (Prevents daily activities)
1 Participants
2 Participants
1 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Malaise
46 Participants
47 Participants
37 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Malaise (Prevents daily activities)
4 Participants
8 Participants
3 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Myalgia
78 Participants
55 Participants
42 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Myalgia (Prevents daily activities)
2 Participants
3 Participants
1 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Injection Site Pain
168 Participants
128 Participants
85 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Pain (Incapacitating)
2 Participants
1 Participants
0 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Injection Site Swelling
58 Participants
31 Participants
32 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Grade 3 Fever (> 39.5 ºC or ≥ 103.2 ºF)
1 Participants
1 Participants
0 Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions After Vaccination at Visit 2
Any Headache
27 Participants
21 Participants
12 Participants

Adverse Events

Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30

Serious events: 0 serious events
Other events: 236 other events
Deaths: 0 deaths

Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30

Serious events: 2 serious events
Other events: 229 other events
Deaths: 0 deaths

Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30

Serious events: 1 serious events
Other events: 98 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=341 participants at risk
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=344 participants at risk
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=169 participants at risk
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/341 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.29%
1/344 • Number of events 1 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.00%
0/169 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Metabolism and nutrition disorders
Dehydration
0.00%
0/341 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.00%
0/344 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.59%
1/169 • Number of events 1 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rhabdomyosarcoma
0.00%
0/341 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.29%
1/344 • Number of events 1 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.00%
0/169 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.

Other adverse events

Other adverse events
Measure
Group 1: DAPTACEL + IPOL on Day 0 / Menactra on Day 30
n=341 participants at risk
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and poliovirus vaccine inactivated (IPOL) at Visit 1 and a single dose of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 2
Group 2: DAPTACEL + Menactra on Day 0 / IPOL on Day 30
n=344 participants at risk
Participants who received single doses of diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DAPTACEL) and meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) at Visit 1 and a single dose of poliovirus vaccine inactivated (IPOL) at Visit 2
Group 3: Menactra + IPOL on Day 0 / DAPTACEL on Day 30
n=169 participants at risk
Participants who received single doses of meningococcal polysaccharide diphtheria toxoid conjugate vaccine (Menactra) diphtheria and poliovirus vaccine inactivated (IPOL) tetanus toxoids at Visit 1 and a single dose of acellular pertussis vaccine adsorbed (DAPTACEL) at Visit 2
General disorders
Injection Site Pain
71.7%
236/329 • Number of events 236 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
69.4%
229/330 • Number of events 229 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
59.0%
98/166 • Number of events 98 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
General disorders
Injection Site Erythema
48.8%
161/330 • Number of events 161 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
48.8%
161/330 • Number of events 161 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
25.8%
42/163 • Number of events 42 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
General disorders
Injection Site Swelling
34.2%
113/330 • Number of events 113 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
33.1%
109/329 • Number of events 109 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
19.8%
32/162 • Number of events 32 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
General disorders
Fever
8.2%
27/328 • Number of events 27 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
5.5%
18/325 • Number of events 18 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
8.0%
13/163 • Number of events 13 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
General disorders
Malaise
26.0%
86/331 • Number of events 86 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
24.5%
81/330 • Number of events 81 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
26.7%
44/165 • Number of events 44 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Musculoskeletal and connective tissue disorders
Myalgia
46.2%
153/331 • Number of events 153 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
37.3%
123/330 • Number of events 123 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
26.7%
44/165 • Number of events 44 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Nervous system disorders
Headache
14.5%
48/331 • Number of events 48 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
12.7%
42/330 • Number of events 42 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
13.3%
22/165 • Number of events 22 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Gastrointestinal disorders
Vomiting
4.1%
14/341 • Number of events 14 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
5.2%
18/344 • Number of events 18 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
5.9%
10/169 • Number of events 10 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
General disorders
Injection Site Induration
6.5%
22/341 • Number of events 22 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
4.7%
16/344 • Number of events 16 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
7.1%
12/169 • Number of events 12 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
General disorders
Injection Site Pruritus
5.3%
18/341 • Number of events 18 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
4.4%
15/344 • Number of events 15 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
0.00%
0/169 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Respiratory, thoracic and mediastinal disorders
Cough
11.1%
38/341 • Number of events 38 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
11.4%
39/343 • Number of events 39 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
13.6%
23/169 • Number of events 23 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
4.4%
15/341 • Number of events 15 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
6.4%
22/343 • Number of events 22 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
5.3%
9/169 • Number of events 9 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
Infections and infestations
Upper Respiratory Tract Infection
2.6%
9/341 • Number of events 9 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
3.5%
12/343 • Number of events 12 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.
6.5%
11/169 • Number of events 11 • Adverse event data were collected from the day of vaccination for up to 6 months post-vaccination at Visit 2.

Additional Information

Medical Director

Sanofi Pasteur Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications
  • Publication restrictions are in place

Restriction type: OTHER