Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Meningococcal Vaccine With or Without Co-administration of Cervarix and Boostrix in Female Adolescents and Young Adults

NCT ID: NCT01755689

Last Updated: 2018-07-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 1300 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2013-01-11
• Study Completion Date: 2014-04-29

Brief Summary

The purpose of this study is to evaluate safety and immunogenicity of GSK Biologicals' meningococcal vaccine GSK134612 (MenACWY-TT) co-administered with Cervarix as compared to MenACWY-TT and Cervarix administered alone and the co-administration of MenACWY-TT with Cervarix and Boostrix as compared to MenACWY-TT administered alone and Cervarix co-administered with Boostrix.

Conditions

Infections, Meningococcal

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Nimenrix+Cervarix (1,2,7-Month) Group

Subjects in this group received 1 dose of Nimenrix vaccine at Month 0 and 3 doses of Cervarix vaccine at Month 1, Month 2 and Month 7. Both vaccines were administered intramuscularly (IM) in the deltoid region of the arm.

Group Type: EXPERIMENTAL

Meningococcal vaccine GSK134612

Intervention Type: BIOLOGICAL

One dose administered intramuscularly (IM) in the deltoid of the right arm.

Cervarix®

Intervention Type: BIOLOGICAL

Three doses administered intramuscularly (IM) in the deltoid of the left arm.

Nimenrix+Cervarix (0,1,6-Month) Group

Subjects in this group received 1 dose of Nimenrix vaccine at Month 0 and 3 doses of Cervarix vaccine at Month 0, Month 1 and Month 6. Both vaccines were administered intramuscularly (IM) in the deltoid region of the arm.

Group Type: EXPERIMENTAL

Meningococcal vaccine GSK134612

Intervention Type: BIOLOGICAL

One dose administered intramuscularly (IM) in the deltoid of the right arm.

Cervarix®

Intervention Type: BIOLOGICAL

Three doses administered intramuscularly (IM) in the deltoid of the left arm.

Cervarix Group

Subjects in this group received 3 doses of Cervarix vaccine at Month 0, Month 1 and Month 6, administered intramuscularly (IM) in the deltoid region of the arm.

Group Type: EXPERIMENTAL

Cervarix®

Intervention Type: BIOLOGICAL

Three doses administered intramuscularly (IM) in the deltoid of the left arm.

Nimenrix+Cervarix+Boostrix Group

Subjects in this group received 1 dose each of Nimenrix and Boostrix vaccines at Month 0 and 3 doses of Cervarix vaccine at Month 0, Month 1 and Month 6. All vaccines were administered intramuscularly (IM) in the deltoid region of the arm.

Group Type: EXPERIMENTAL

Meningococcal vaccine GSK134612

Intervention Type: BIOLOGICAL

One dose administered intramuscularly (IM) in the deltoid of the right arm.

Cervarix®

Intervention Type: BIOLOGICAL

Three doses administered intramuscularly (IM) in the deltoid of the left arm.

Boostrix®

Intervention Type: BIOLOGICAL

One dose administered intramuscularly (IM) in the deltoid of the left arm.

Boostrix+Cervarix Group

Subjects in this group received 1 dose of Boostrix vaccine at Month 0 and 3 doses of Cervarix vaccine at Month 0, Month 1 and Month 6. Both vaccines were administered intramuscularly (IM) in the deltoid region of the arm.

Group Type: EXPERIMENTAL

Cervarix®

Intervention Type: BIOLOGICAL

Three doses administered intramuscularly (IM) in the deltoid of the left arm.

Boostrix®

Intervention Type: BIOLOGICAL

One dose administered intramuscularly (IM) in the deltoid of the left arm.

Interventions

Meningococcal vaccine GSK134612

One dose administered intramuscularly (IM) in the deltoid of the right arm.

Intervention Type: BIOLOGICAL

Cervarix®

Three doses administered intramuscularly (IM) in the deltoid of the left arm.

Intervention Type: BIOLOGICAL

Boostrix®

One dose administered intramuscularly (IM) in the deltoid of the left arm.

Intervention Type: BIOLOGICAL

Other Intervention Names

Nimenrix®

Eligibility Criteria

Inclusion Criteria

• Subjects and subjects' 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.
• A female between, and including, 9 and 25 years of age at the time of the first vaccination.
• Written informed consent obtained from parents/guardian of the subject and written informed assent obtained from the subject if the subject is less than legal age, or written informed consent obtained from the subject if the subject has achieved legal age. The legal age will be determined according to local regulations in each participating country.
• Healthy subjects as established by medical history and clinical examination before entering into the study.
• Female subjects of non-childbearing potential may be enrolled in the study.

• Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause.
• Female subjects of childbearing potential may be enrolled in the study, if the subject:

• has practiced adequate contraception for 30 days prior to vaccination, and
• has a negative pregnancy test on the day of vaccination, and
• has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series.

Exclusion Criteria

• Child in care.
• Use of any investigational or non-registered product other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
• Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose. For corticosteroids, this will be ≥10 mg/day prednisone or equivalent. Inhaled and topical steroids are allowed.
• Planned administration/administration of a vaccine not foreseen by the study protocol within the period starting 30 days before and ending 30 days after each study dose of vaccine(s), with the exception of licensed inactivated influenza vaccine.
• Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational product or a non-investigational vaccine/product.
• Previous vaccination with a meningococcal polysaccharide or conjugate vaccine within the last 10 years.
• History of meningococcal disease since birth.
• History of serious allergic reaction following any other DTP-containing vaccine or any component of the study vaccines.
• History of encephalopathy within seven days of administration of a previous pertussis antigen-containing vaccine that is not attributable to another identifiable cause.
• Persons who experienced an Arthus-type hypersensitivity reaction following a prior dose of tetanus-toxoid containing vaccine should not receive Boostrix unless at least 10 years have elapsed since the last dose of tetanus-toxoid containing vaccine.
• Previous vaccination with a tetanus-toxoid containing vaccine within the previous five years.
• Temperature of ≥ 40.5°C (105°F) within 48 hours of receipt of a previous dose of DTP vaccine (diphtheria-tetanus-whole cell pertussis [DTPw] and/or diphtheria-tetanus-acellular pertussis [DTaP]), not due to another identifiable cause.
• Collapse or shock-like state within 48 hours of receipt of a previous dose of DTP vaccine.
• Seizures with or without fever within three days of a previous dose of DTP vaccine.
• Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection, based on medical history and history directed physical examination.
• A family history of congenital or hereditary immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated.
• History of any allergic disease/reaction or hypersensitivity likely to be exacerbated by any component of the vaccine(s).
• Progressive neurologic disorder, unstable neurologic conditions, uncontrolled epilepsy or progressive encephalopathy.
• History of any neurologic disorders or seizures. A history of ADHD or depression or a history of a single, simple febrile seizure does not exclude a subject.
• Major congenital defects or serious chronic illness.
• Previous history of Guillain-Barré Syndrome.
• Bleeding disorders, such as hemophilia or thrombocytopenia, or subjects on anti-coagulant therapy.
• Acute disease and/or fever at the time of enrolment.
• Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period.
• Previous vaccination against HPV, or planned administration of any HPV vaccine other than that foreseen by the study protocol during the study period.
• Previous administration of MPL or AS04 adjuvant.
• History of chronic alcohol consumption and/or drug abuse.
• Pregnant or lactating female.
• A subject planning to become pregnant, likely to become pregnant or planning to discontinue contraceptive precautions during the study period and up to two months after the last vaccine dose.
• Subjects must be at least three months post-pregnancy and not breastfeeding to enter the study.

• Minimum Eligible Age: 9 Years
• Maximum Eligible Age: 25 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

GlaxoSmithKline

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

GSK Investigational Site

Santo Domingo, , Dominican Republic

GSK Investigational Site

Tartu, , Estonia

GSK Investigational Site

Bangkok, , Thailand

Countries

Dominican Republic; Estonia; Thailand

References

Rivera L, Chanthavanich P, Poder A, Suryakiran PV, Jastorff A, Van der Wielen M. MenACWY-TT is immunogenic when co-administered with Tdap and AS04-HPV16/18 in girls and young women: Results from a phase III randomized trial. Vaccine. 2018 Jun 22;36(27):3967-3975. doi: 10.1016/j.vaccine.2018.05.051. Epub 2018 May 19.

Reference Type: DERIVED

PMID: 29789243 (View on PubMed)

Other Identifiers

2012-001876-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

113823

Identifier Type: -

Identifier Source: org_study_id