A Study of a Quadrivalent Meningococcal Tetanus Protein Conjugate Vaccine in Infants and Toddlers

NCT ID: NCT01049035

Last Updated: 2022-03-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

580 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-16

Study Completion Date

2012-02-13

Brief Summary

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The purpose of this study was to evaluate the optimal vaccination schedule for a Quadrivalent Meningococcal Polysaccharide (A, C, Y and W-135) Tetanus Protein Conjugate Vaccine (MenACYW Conjugate vaccine) in order to provide an effective protein conjugate quadrivalent meningococcal vaccine in the population with the highest incidence of disease.

Objectives:

* To describe the safety profile of MenACYW Conjugate vaccine administered at 5 different schedules and concomitantly with routine pediatric vaccinations.
* To describe the immunogenicity profile of MenACYW Conjugate vaccine administered at 5 different schedules and concomitantly with routine pediatric vaccinations.
* To describe the immunogenicity profiles of selected licensed pediatric vaccines (Pentacel, Prevnar, M-M-RII, and Varivax) when administered either concomitantly with or without MenACYW Conjugate vaccine.

Detailed Description

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Participants received study vaccinations beginning at age 2, 6, 12, or 15 months, depending on the assigned schedule in their randomized groups. All participants underwent safety and immunogenicity assessments according to the schedule for their assigned group.

Conditions

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Meningitis Meningococcal Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Group 1: MenACYW Conjugate Vaccine: 2, 4, 6, and 12 Months

Participants aged 2 months (at the time of enrollment) received Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein (MenACYW) Conjugate vaccine at the age of Months 2, 4, 6, and a booster vaccination at the age of Month 12 along with Prevnar 7 or Prevnar 13 vaccine at the age of Months 2, 4, 6, and 12, Pentacel and Rotavirus vaccines at the age of Months 2, 4, and 6, Hepatitis-B vaccine at the age of Months 2 and 6, and M-M-RII and VARIVAX vaccines at the age of 12 months.

Group Type EXPERIMENTAL

Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein Conjugate

Intervention Type BIOLOGICAL

0.5 milliliter (mL), Intramuscular (IM) injection

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Group 2: MenACYW Conjugate Vaccine: 2, 4, 6, and 15 Months

Participants aged 2 months (at the time of enrollment) received MenACYW Conjugate vaccine at the age of Months 2, 4, 6, and a booster vaccination at the age of Month 15 along with Prevnar 7 or 13 vaccine at the age of Months 2, 4, 6, and 12, Rotavirus vaccine at the age of Months 2, 4, and 6, Hepatitis-B vaccine at the age of Months 2 and 6, M-M-RII and VARIVAX vaccines at the age of Month 12, and Pentacel vaccine at the age of Months 2, 4, 6, and 15.

Group Type EXPERIMENTAL

Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein Conjugate

Intervention Type BIOLOGICAL

0.5 milliliter (mL), Intramuscular (IM) injection

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Group 3: MenACYW Conjugate Vaccine: 2, 4, and 12 Months

Participants aged 2 months (at the time of enrollment) received MenACYW Conjugate vaccine at the age of Months 2, 4 and a booster vaccination at the age of Month 12 along with Pentacel and Rotavirus vaccines at the age of Months 2, 4, and 6, Hepatitis-B vaccine at the age of Months 2 and 6, M-M-RII and VARIVAX vaccines at the age of Month 12, and Prevnar 7 or 13 vaccine at the age of Months 2, 4, 6, and 12.

Group Type EXPERIMENTAL

Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein Conjugate

Intervention Type BIOLOGICAL

0.5 milliliter (mL), Intramuscular (IM) injection

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Group 4: MenACYW Conjugate Vaccine: 6 and 12 Months

Participants aged 6 months (at the time of enrollment) received MenACYW Conjugate vaccine at the age of Month 6 along with Pentacel, Prevnar 7 or 13, Hepatitis-B and Rotavirus vaccines, and a booster vaccination of MenACYW at the age of Month 12 along with M-M-RII and VARIVAX vaccines. Before enrollment, participants were vaccinated with Pentacel, Prevnar, and Rotavirus vaccines at the age of Months 2 and 4, and Hepatitis-B vaccine at the age of Month 2.

Group Type EXPERIMENTAL

Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein Conjugate

Intervention Type BIOLOGICAL

0.5 milliliter (mL), Intramuscular (IM) injection

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Group 5: MenACYW Conjugate Vaccine: Month 12

Participants aged 12 months (at the time of enrollment) received MenACYW Conjugate vaccine at the age of 12 months along with Prevnar 7 or 13, M-M-RII, and VARIVAX vaccines. Before enrollment, participants were vaccinated with Pentacel, Prevnar, and Rotavirus vaccines at the age of Months 2, 4, and 6, and Hepatitis-B vaccine at the age of Months 2 and 6.

Group Type EXPERIMENTAL

Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein Conjugate

Intervention Type BIOLOGICAL

0.5 milliliter (mL), Intramuscular (IM) injection

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Group 6: Control: 2, 4, 6, and 12 Months

Participants aged 2 months (at the time of enrollment) received Pentacel and Rotavirus vaccines at the age of Months 2, 4, and 6, Hepatitis-B vaccine at the age of Months 2 and 6, Prevnar 7 or 13 vaccine at the age of Months 2, 4, 6, and 12 and M-M-RII and VARIVAX vaccines at the age of 12 months.

Group Type OTHER

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Group 7: Control: 2, 4, 6, 12, and 15 Months

Participants aged 2 months (at the time of enrollment) received Rotavirus vaccine at the age of Months 2, 4, and 6, Hepatitis-B vaccine at the age of Months 2 and 6, Prevnar 7 or 13 vaccine at the age of Months 2, 4, 6, and 12, and M-M-RII and VARIVAX vaccines at the age of 12 months, and Pentacel vaccine at the age of Months 2, 4, 6, and 15.

Group Type OTHER

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, Subcutaneous (SC) injection

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

0.5 mL, SC injection

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Rotavirus Vaccine

Intervention Type BIOLOGICAL

oral

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

0.5 mL, IM injection

Interventions

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Quadrivalent Meningococcal Polysaccharide (A, C, Y, and W-135) Tetanus Protein Conjugate

0.5 milliliter (mL), Intramuscular (IM) injection

Intervention Type BIOLOGICAL

Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus B Conjugate (Tetanus Toxoid Conjugate) Vaccine Combined (DTaP-IPV/Hib combined)

0.5 mL, IM injection

Intervention Type BIOLOGICAL

M-M-RII-Measles, Mumps, and Rubella Virus Vaccine Live

0.5 mL, Subcutaneous (SC) injection

Intervention Type BIOLOGICAL

Varicella Virus Vaccine Live

0.5 mL, SC injection

Intervention Type BIOLOGICAL

Pneumococcal 7-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

0.5 mL, IM injection

Intervention Type BIOLOGICAL

Pneumococcal 13-valent Conjugate Vaccine (Diphtheria CRM197 Protein)

0.5 mL, IM injection

Intervention Type BIOLOGICAL

Rotavirus Vaccine

oral

Intervention Type BIOLOGICAL

Hepatitis B Vaccine

0.5 mL, IM injection

Intervention Type BIOLOGICAL

Other Intervention Names

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TetraMen-T Pentacel Varivax Prevnar Prevnar 13 RotaTeq/ROTARIX Engerix-B/Recombivax-HB

Eligibility Criteria

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Inclusion Criteria

* Groups 1, 2, 3, 6, and 7: Aged 42 to 89 days on the day of inclusion; Group 4: Aged 6 months (180 days ± 14 days) on the day of inclusion; Group 5: Aged 12 months (365 days + 14 days) on the day of inclusion.
* Born at full term of pregnancy (greater than or equal to \[≥\] 37 weeks) and with a birth weight ≥2.5 kilogram (kg).
* Informed consent form had been signed and dated by the parent or other legally acceptable representative.
* Participant and parent/guardian were able to attend all scheduled visits and to be complied with all trial procedures.
* Group 4 only: Prior receipt of Pentacel and Prevnar at 2 and 4 months; 1 or 2 doses of rotavirus vaccine; and 2 or 3 previous doses of hepatitis B vaccine.

Group 5 only: Prior receipt of Pentacel and Prevnar at 2, 4, and 6 months; 2 or 3 doses of rotavirus vaccine; and 3 previous doses of hepatitis B vaccine.

Exclusion Criteria

* Participation in another clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 4 weeks preceding the first trial vaccination.
* Planned participation in another clinical trial during the present trial period.
* Receipt of any vaccine in the 4 weeks preceding the first trial vaccination.
* Planned receipt of any vaccine in the 4 weeks following any trial vaccination, with the exception of influenza vaccine, which may be received 14 days before or after MenACYW Conjugate vaccine.
* Previous vaccination against meningococcal disease with either the trial vaccine or another vaccine.
* Receipt of blood or blood-derived products in the past 30 days, which might interfere with assessment of the immune response.
* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks).
* Known personal or maternal seropositivity for human immunodeficiency virus (HIV), hepatitis B vaccine, or hepatitis C, as reported by the parent/guardian.
* History of meningococcal infection, confirmed either clinically, serologically, or microbiologically.
* At high risk for meningococcal infection during the trial.
* Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances.
* Thrombocytopenia, as reported by the parent/guardian.
* Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination.
* History of seizures.
* Personal or family history of Guillain-Barré Syndrome (GBS).
* Chronic illness that, in the opinion of the investigator, was at a stage where it might interfere with trial conduct or completion.

Temporary contraindications were resolved before vaccination:

* Febrile illness (temperature ≥38.0 degree Celsius \[≥100.4 degree Fahrenheit\]) or moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination.
* Group 5 only: Receipt of oral or injected antibiotic therapy within the 72 hours prior to the study blood draw. Topical antibiotics or antibiotic drops were not included in this exclusion criterion. (Note: This did not applied to the other groups at this time, as they did not have a blood draw within 30 days of the initial visit.).
Minimum Eligible Age

42 Days

Maximum Eligible Age

365 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Sanofi Pasteur Inc.

Locations

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Birmingham, Alabama, United States

Site Status

Tuscaloosa, Alabama, United States

Site Status

Jonesboro, Arkansas, United States

Site Status

Little Rock, Arkansas, United States

Site Status

Fountain Valley, California, United States

Site Status

Huntington Beach, California, United States

Site Status

Marietta, Georgia, United States

Site Status

Woodstock, Georgia, United States

Site Status

Bardstown, Kentucky, United States

Site Status

Crestview Hills, Kentucky, United States

Site Status

Louisville, Kentucky, United States

Site Status

Louisville, Kentucky, United States

Site Status

Bossier City, Louisiana, United States

Site Status

Clyde, North Carolina, United States

Site Status

Cleveland, Ohio, United States

Site Status

Pittsburgh, Pennsylvania, United States

Site Status

Barnwell, South Carolina, United States

Site Status

Clarksville, Tennessee, United States

Site Status

Fort Worth, Texas, United States

Site Status

Layton, Utah, United States

Site Status

Orem, Utah, United States

Site Status

Springville, Utah, United States

Site Status

Midlothian, Virginia, United States

Site Status

Spokane, Washington, United States

Site Status

Spokane, Washington, United States

Site Status

Countries

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United States

References

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Cornish MJ, Hedrick JA, Gabrielsen AA, Johnson AD, Miriam Pina L, Rehm C, Pan J, Neveu D, Da Costa X, Jordanov E, Dhingra MS. Safety and immunogenicity of an investigational quadrivalent meningococcal tetanus toxoid conjugate vaccine (MenACYW-TT) co-administered with routine pediatric vaccines in infants and toddlers: A Phase II study. Vaccine. 2022 Mar 1;40(10):1421-1438. doi: 10.1016/j.vaccine.2022.01.050. Epub 2022 Feb 7.

Reference Type DERIVED
PMID: 35144847 (View on PubMed)

Other Identifiers

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UTN: U1111-1112-2593

Identifier Type: OTHER

Identifier Source: secondary_id

MET39

Identifier Type: -

Identifier Source: org_study_id

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