Trial Outcomes & Findings for Study of Reduced Dose of Menomune® in Children Who Previously Received Meningococcal Diphtheria Toxoid Conjugate Vaccine (NCT NCT00772070)

NCT ID: NCT00772070

Last Updated: 2014-02-14

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

173 participants

Primary outcome timeframe

Day 0 and Days 8 and 28 post-vaccination

Results posted on

2014-02-14

Participant Flow

Study participants were enrolled from 10 march through 13 June 2003 in 8 US clinic sites

A total of 173 participants that met the inclusion and exclusion criteria were enrolled and vaccinated.

Participant milestones

Participant milestones
Measure
Previously Received TetraMenD
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
Participants have never received a Meningococcal vaccine in the past.
Overall Study
STARTED
102
71
Overall Study
COMPLETED
100
61
Overall Study
NOT COMPLETED
2
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Previously Received TetraMenD
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
Participants have never received a Meningococcal vaccine in the past.
Overall Study
Lost to Follow-up
0
8
Overall Study
Withdrawal by Subject
0
2
Overall Study
Vaccination error-wrong dose/expired lot
2
0

Baseline Characteristics

Study of Reduced Dose of Menomune® in Children Who Previously Received Meningococcal Diphtheria Toxoid Conjugate Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Previously Received TetraMenD
n=100 Participants
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
n=71 Participants
Participants have never received a Meningococcal vaccine in the past.
Total
n=171 Participants
Total of all reporting groups
Age, Categorical
<=18 years
100 Participants
n=5 Participants
71 Participants
n=7 Participants
171.0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0.0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0.0 Participants
n=5 Participants
Age, Continuous
4.5 years
STANDARD_DEVIATION 0.52 • n=5 Participants
3.8 years
STANDARD_DEVIATION 0.87 • n=7 Participants
4.2 years
STANDARD_DEVIATION 0.76 • n=5 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
44 Participants
n=7 Participants
86.0 Participants
n=5 Participants
Sex: Female, Male
Male
58 Participants
n=5 Participants
27 Participants
n=7 Participants
85.0 Participants
n=5 Participants
Region of Enrollment
United States
100 participants
n=5 Participants
71 participants
n=7 Participants
171.0 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 0 and Days 8 and 28 post-vaccination

Population: Geometric mean titers were determined in the per-protocol population.

Outcome measures

Outcome measures
Measure
Previously Received TetraMenD
n=100 Participants
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
n=61 Participants
Participants have never received a Meningococcal vaccine in the past.
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup A (Day 0)
316.1 Titers
Interval 182.6 to 547.2
126.5 Titers
Interval 67.3 to 237.9
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup A (Day 8)
11411.9 Titers
Interval 9196.5 to 14161.1
6720.1 Titers
Interval 5205.0 to 8676.2
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup A (Day 28)
5620.6 Titers
Interval 4321.2 to 7310.8
2603.3 Titers
Interval 1767.0 to 3835.3
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup C (Day 0)
68.4 Titers
Interval 41.2 to 113.6
21.2 Titers
Interval 11.6 to 38.9
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup C (Day 8)
8700.9 Titers
Interval 6185.5 to 12239.1
2447.5 Titers
Interval 1651.9 to 3626.3
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup C (Day 28)
7261.6 Titers
Interval 5213.5 to 10114.4
300.4 Titers
Interval 128.8 to 700.4
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup Y (Day 0)
411.5 Titers
Interval 286.9 to 590.1
241.8 Titers
Interval 138.3 to 422.9
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup Y (Day 8)
7261.6 Titers
Interval 5696.2 to 9257.2
3859.7 Titers
Interval 2751.1 to 5414.9
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup Y (Day 28)
3798.7 Titers
Interval 2735.7 to 5274.8
1410.0 Titers
Interval 939.9 to 2115.3
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup W-135 (Day 0)
92.5 Titers
Interval 57.9 to 147.8
17.5 Titers
Interval 10.8 to 28.2
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup W-135 (Day 8)
11761.1 Titers
Interval 8556.4 to 16166.0
5194.8 Titers
Interval 3849.3 to 7010.5
Geometric Mean Titers (GMT) of Serum Bactericidal Activity for Each Vaccine Serogroups Before and Post-vaccination.
Meningococcal Serogroup W-135 (Day 28)
6245.9 Titers
Interval 4231.8 to 9218.5
2103.3 Titers
Interval 1303.7 to 3393.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to Day 8 and Day 28 post-vaccination

Population: Fold rise analysis was assessed in per-protocol population with valid serology data.

Outcome measures

Outcome measures
Measure
Previously Received TetraMenD
n=46 Participants
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
n=35 Participants
Participants have never received a Meningococcal vaccine in the past.
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup A (Day 8)
93 Percentage of participants
89 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup C (Day 8)
91 Percentage of participants
89 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup Y (Day 8)
96 Percentage of participants
74 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup W-135 (Day 8)
98 Percentage of participants
100 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup A (Day 28)
72 Percentage of participants
85 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup C (Day 28)
93 Percentage of participants
54 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup Y (Day 28)
78 Percentage of participants
65 Percentage of participants
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Activity to Each Vaccine Meningococcal Serogroups.
Meningococcal Serogroup W-135 (Day 28)
93 Percentage of participants
100 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 0 to 7 post-vaccination

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

Outcome measures

Outcome measures
Measure
Previously Received TetraMenD
n=100 Participants
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
n=69 Participants
Participants have never received a Meningococcal vaccine in the past.
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Solicited Local Reaction (Days 0-7)
46 Percentage of participants
45 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Grade 3 Solicited Local Reaction (Days 0-7)
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Redness
23 Percentage of participants
20 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Redness (>2 inch)
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Swelling
11 Percentage of participants
15 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Swelling (>2 inch)
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Induration
14 Percentage of participants
13 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Induration (>2 inch)
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Pain
34 Percentage of participants
33 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Pain (Disabling, unable to move arm)
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Solicited Systemic Reaction (Days 0-7)
38 Percentage of participants
42 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Grade 3 Solicited Systemic Reaction (Days 0-7)
3 Percentage of participants
4 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Fever
10 Percentage of participants
3 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Fever (≥ 40.0°C)
0 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Fussiness
22 Percentage of participants
30 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Fussiness (Irritability for > 3 hours)
1 Percentage of participants
1 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Drowsiness
17 Percentage of participants
12 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grd 3 Drowsiness: not interested in usual activity
1 Percentage of participants
1 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Anorexia
8 Percentage of participants
13 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Anorexia (Skipped ≥ 3 meals)
1 Percentage of participants
1 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Vomiting
5 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Vomiting (≥ 3 episodes)
2 Percentage of participants
0 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Any Diarrhea
6 Percentage of participants
9 Percentage of participants
Percentage of Participants Reporting Solicited Local and Systemic Reactions Within Days 0 to 7 Post-vaccination.
Grade 3 Diarrhea (≥ 5 episodes)
0 Percentage of participants
0 Percentage of participants

Adverse Events

Previously Received TetraMenD

Serious events: 0 serious events
Other events: 34 other events
Deaths: 0 deaths

Meningococcal Vaccine-naive

Serious events: 0 serious events
Other events: 33 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Previously Received TetraMenD
n=100 participants at risk
Participants previously received one dose of a Meningococcal vaccine, TetraMenD in Study 603-02.
Meningococcal Vaccine-naive
n=71 participants at risk
Participants have never received a Meningococcal vaccine in the past.
General disorders
Injection site erythema
23.0%
23/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
29.0%
20/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
General disorders
Injection site swelling
11.0%
11/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
21.7%
15/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
General disorders
Injection site Induration
14.0%
14/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
18.8%
13/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
General disorders
Injection site pain
34.0%
34/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
47.8%
33/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
General disorders
Pyrexia
10.0%
10/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
4.3%
3/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Gastrointestinal disorders
Vomiting NOS
5.0%
5/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
0.00%
0/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Nervous system disorders
Somnolence
17.0%
17/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
17.4%
12/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Metabolism and nutrition disorders
Anorexia
8.0%
8/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
18.8%
13/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Psychiatric disorders
Irritability
22.0%
22/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
43.5%
30/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Gastrointestinal disorders
Diarrhoea
6.0%
6/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
13.0%
9/69 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Infections and infestations
Nasopharyngitis
3.0%
3/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
5.6%
4/71 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Respiratory, thoracic and mediastinal disorders
Cough
9.0%
9/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
4.2%
3/71 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.0%
6/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
2.8%
2/71 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
5.0%
5/100 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.
1.4%
1/71 • Adverse events data were collected from the day of vaccination to 28 days post-vaccination.

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