Immunogenicity and Safety of a Quadrivalent Meningococcal Conjugate Vaccine When Administered Concomitantly With Routine Pediatric Vaccines in Healthy Infants and Toddlers in the US

NCT ID: NCT03537508

Last Updated: 2024-10-15

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

PHASE3

Total Enrollment

2627 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-25

Study Completion Date

2023-09-22

Brief Summary

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The purpose of this study was to compare the immunogenicity and describe the safety of MenACYW conjugate vaccine and MENVEO® when both are administered concomitantly with routine pediatric vaccines to healthy infants and toddlers in the US.

Detailed Description

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The duration of each subject's participation in the trial was approximately 16 to 19 months (Subgroup 1a) and 19 to 22 months (Subgroup 1b and Group 2), which included a safety follow up contact at 6 months after the last vaccinations.

Conditions

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Healthy Volunteers (Meningococcal Infection)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The study was conducted modified double blind for the infant part of the study, with everyone involved in the study (participants/parents, investigators, safety outcome assessor, Sponsor) blinded to the meningococcal vaccine received, except the personnel administering the vaccine.

Study Groups

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Group 1a

MenACYW conjugate vaccine and routine vaccines at 2, 4, 6, and 12 to 15 months of age

Group Type EXPERIMENTAL

MenACYW conjugate vaccine

Intervention Type BIOLOGICAL

Meningococcal polysaccharide (serogroups A, C, Y, and W) tetanus toxoid conjugate vaccine 0.5 mL, intramuscular

DTaP-IPV//Hib vaccine

Intervention Type BIOLOGICAL

DTaP-IPV//Hib vaccine at 2, 4, 6 and 12 to 15 (Group 1a)/15-18 (Group 1b and Group 2) months of age Intramuscular

Pneumococcal 13-valent conjugate vaccine

Intervention Type BIOLOGICAL

Pneumococcal vaccine at 2, 4, 6, and 12 months of age, Intramuscular

Pentavalent rotavirus vaccine

Intervention Type BIOLOGICAL

Rotavirus vaccine at 2, 4, and 6 months of age, oral solution

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Hepatitis B vaccine at 2 and 6 months of age, Intramuscular

Measles, mumps, rubella (MMR) vaccine

Intervention Type BIOLOGICAL

MMR vaccine at 12 months of age, Subcutaneous

Varicella vaccine

Intervention Type BIOLOGICAL

Varicella vaccine at 12 months of age

Group 1b

MenACYW conjugate vaccine at 2, 4, 6, and 15 to 18 months of age and routine vaccines at 2, 4, 6, 12 to 15 months of age, and 15 to 18 months of age

Group Type EXPERIMENTAL

MenACYW conjugate vaccine

Intervention Type BIOLOGICAL

Meningococcal polysaccharide (serogroups A, C, Y, and W) tetanus toxoid conjugate vaccine 0.5 mL, intramuscular

DTaP-IPV//Hib vaccine

Intervention Type BIOLOGICAL

DTaP-IPV//Hib vaccine at 2, 4, 6 and 12 to 15 (Group 1a)/15-18 (Group 1b and Group 2) months of age Intramuscular

Pneumococcal 13-valent conjugate vaccine

Intervention Type BIOLOGICAL

Pneumococcal vaccine at 2, 4, 6, and 12 months of age, Intramuscular

Pentavalent rotavirus vaccine

Intervention Type BIOLOGICAL

Rotavirus vaccine at 2, 4, and 6 months of age, oral solution

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Hepatitis B vaccine at 2 and 6 months of age, Intramuscular

Measles, mumps, rubella (MMR) vaccine

Intervention Type BIOLOGICAL

MMR vaccine at 12 months of age, Subcutaneous

Varicella vaccine

Intervention Type BIOLOGICAL

Varicella vaccine at 12 months of age

Hepatitis A vaccine

Intervention Type BIOLOGICAL

Hepatitis A vaccine at 15 to 18 months of age

Group 2a

MENVEO® at 2, 4, 6, and 12 months of age and routine vaccines at 2, 4, 6, 12, and 15 to 18 months of age

Group Type ACTIVE_COMPARATOR

MenACYW-135 conjugate vaccine

Intervention Type BIOLOGICAL

Meningococcal (Groups A, C, Y and W-135) oligosaccharide diphtheria CRM197 conjugate vaccine, 0.5 mL, intramuscular

DTaP-IPV//Hib vaccine

Intervention Type BIOLOGICAL

DTaP-IPV//Hib vaccine at 2, 4, 6 and 12 to 15 (Group 1a)/15-18 (Group 1b and Group 2) months of age Intramuscular

Pneumococcal 13-valent conjugate vaccine

Intervention Type BIOLOGICAL

Pneumococcal vaccine at 2, 4, 6, and 12 months of age, Intramuscular

Pentavalent rotavirus vaccine

Intervention Type BIOLOGICAL

Rotavirus vaccine at 2, 4, and 6 months of age, oral solution

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Hepatitis B vaccine at 2 and 6 months of age, Intramuscular

Measles, mumps, rubella (MMR) vaccine

Intervention Type BIOLOGICAL

MMR vaccine at 12 months of age, Subcutaneous

Varicella vaccine

Intervention Type BIOLOGICAL

Varicella vaccine at 12 months of age

Group 2b

MENVEO® at 2, 4, 6, and 12 months of age and routine vaccines at 2, 4, 6, 12, and 15 to 18 months of age

Group Type ACTIVE_COMPARATOR

MenACYW-135 conjugate vaccine

Intervention Type BIOLOGICAL

Meningococcal (Groups A, C, Y and W-135) oligosaccharide diphtheria CRM197 conjugate vaccine, 0.5 mL, intramuscular

DTaP-IPV//Hib vaccine

Intervention Type BIOLOGICAL

DTaP-IPV//Hib vaccine at 2, 4, 6 and 12 to 15 (Group 1a)/15-18 (Group 1b and Group 2) months of age Intramuscular

Pneumococcal 13-valent conjugate vaccine

Intervention Type BIOLOGICAL

Pneumococcal vaccine at 2, 4, 6, and 12 months of age, Intramuscular

Pentavalent rotavirus vaccine

Intervention Type BIOLOGICAL

Rotavirus vaccine at 2, 4, and 6 months of age, oral solution

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Hepatitis B vaccine at 2 and 6 months of age, Intramuscular

Measles, mumps, rubella (MMR) vaccine

Intervention Type BIOLOGICAL

MMR vaccine at 12 months of age, Subcutaneous

Varicella vaccine

Intervention Type BIOLOGICAL

Varicella vaccine at 12 months of age

Hepatitis A vaccine

Intervention Type BIOLOGICAL

Hepatitis A vaccine at 15 to 18 months of age

Interventions

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MenACYW conjugate vaccine

Meningococcal polysaccharide (serogroups A, C, Y, and W) tetanus toxoid conjugate vaccine 0.5 mL, intramuscular

Intervention Type BIOLOGICAL

MenACYW-135 conjugate vaccine

Meningococcal (Groups A, C, Y and W-135) oligosaccharide diphtheria CRM197 conjugate vaccine, 0.5 mL, intramuscular

Intervention Type BIOLOGICAL

DTaP-IPV//Hib vaccine

DTaP-IPV//Hib vaccine at 2, 4, 6 and 12 to 15 (Group 1a)/15-18 (Group 1b and Group 2) months of age Intramuscular

Intervention Type BIOLOGICAL

Pneumococcal 13-valent conjugate vaccine

Pneumococcal vaccine at 2, 4, 6, and 12 months of age, Intramuscular

Intervention Type BIOLOGICAL

Pentavalent rotavirus vaccine

Rotavirus vaccine at 2, 4, and 6 months of age, oral solution

Intervention Type BIOLOGICAL

Hepatitis B vaccine

Hepatitis B vaccine at 2 and 6 months of age, Intramuscular

Intervention Type BIOLOGICAL

Measles, mumps, rubella (MMR) vaccine

MMR vaccine at 12 months of age, Subcutaneous

Intervention Type BIOLOGICAL

Varicella vaccine

Varicella vaccine at 12 months of age

Intervention Type BIOLOGICAL

Hepatitis A vaccine

Hepatitis A vaccine at 15 to 18 months of age

Intervention Type BIOLOGICAL

Other Intervention Names

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MENVEO® Pentacel® PREVNAR 13® RotaTeq® ENGERIX-B® M-M-R® II VARIVAX® HAVRIX®

Eligibility Criteria

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Inclusion Criteria

* Aged ≥ 42 to ≤ 89 days on the day of the first study visit.
* Healthy infants as determined by medical history, physical examination, and judgment of the investigator
* Informed consent form has been signed and dated by the parent(s) or guardian, and an independent witness, if required by local regulations
* Participant and parent/guardian were able to attend all scheduled visits and to comply with all trial procedures.
* Infants who received the first dose of hepatitis B vaccine at least 28 days before the first study visit

Exclusion Criteria

* Participation at the time of study enrollment or in the 4 weeks preceding the first trial vaccination or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure
* Receipt of any vaccine in the 4 weeks preceding the first trial vaccination or planned receipt of any vaccine in the 4 weeks before and/or following any trial vaccination except for influenza vaccination, which could have been received at a gap of at least 2 weeks before or 2 weeks after any study vaccination. This exception included monovalent pandemic influenza vaccines and multivalent influenza vaccines
* Previous vaccination against meningococcal disease with either the trial vaccine or another vaccine (i.e., mono- or polyvalent, PS, or conjugate meningococcal vaccine containing serogroups A, C, Y, or W; or meningococcal B serogroup-containing vaccine).
* Previous vaccination against diphtheria, tetanus, pertussis, poliomyelitis, hepatitis A, measles, mumps, rubella, varicella; and of Haemophilus influenzae type b, Streptococcus pneumoniae, and /or rotavirus infection or disease
* Receipt of more than 1 previous dose of hepatitis B vaccine
* Receipt of immune globulins, blood, or blood-derived products since birth
* 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) since birth
* Family history of congenital or hereditary immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated
* Individuals with blood dyscrasias, leukemia, lymphoma of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems
* Individuals with active tuberculosis
* History of any Neisseria meningitidis infection, confirmed either clinically, serologically, or microbiologically
* History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, hepatitis A, measles, mumps, rubella, varicella; and of Haemophilus influenzae type b, Streptococcus pneumoniae, and /or rotavirus infection or disease
* At high risk for meningococcal infection during the trial (specifically, but not limited to, subjects with persistent complement deficiency, with anatomic or functional asplenia, or subjects travelling to countries with high endemic or epidemic disease)
* History of intussusception
* History of any neurologic disorders, including any seizures and progressive neurologic disorders
* History of Guillain-Barré syndrome
* Known systemic hypersensitivity to any of the vaccine components or to latex, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances, including neomycin, gelatin, and yeast
* Verbal report of thrombocytopenia contraindicating intramuscular vaccination in the investigator's opinion
* Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination in the investigator's opinion
* Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
* Chronic illness (including, but not limited to, cardiac disorders, congenital heart disease, chronic lung disease, renal disorders, auto-immune disorders, diabetes, psychomotor diseases, and known congenital or genetic diseases) that in the opinion of the investigator, was at a stage where it might have interfered with trial conduct or completion
* Any condition which, in the opinion of the investigator, might have interfered with the evaluation of the study objectives
* Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0°C \[≥ 100.4°F\]). A prospective participant was not included in the study until the condition has been resolved or the febrile event has been subsided
* Identified as a natural or adopted child of the investigator or employee with direct involvement in the proposed study
* The above information was not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

42 Days

Maximum Eligible Age

89 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, a Sanofi Company

Locations

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Birmingham Pediatric Associates Site Number : 8400026

Birmingham, Alabama, United States

Site Status

Southeastern Pediatric Associates Site Number : 8400003

Dothan, Alabama, United States

Site Status

MedPharmics, LLC - Phoenix Site Number : 8400083

Phoenix, Arizona, United States

Site Status

Northwest Arkansas Pediatric Clinic Site Number : 8400011

Fayetteville, Arkansas, United States

Site Status

The Children's Clinic of Jonesboro, PA Site Number : 8400032

Jonesboro, Arkansas, United States

Site Status

Emmaus Research Center, Inc Site Number : 8400031

Anaheim, California, United States

Site Status

Premier Health Research Center Site Number : 8400007

Downey, California, United States

Site Status

Joint Clinical Trials Huntington Park Site Number : 8400126

Huntington Park, California, United States

Site Status

United Clinical Research Site Number : 8400092

Huntington Park, California, United States

Site Status

Matrix Clinical Research Site Number : 8400095

Los Angeles, California, United States

Site Status

Center for Clinical Trials, LLC Site Number : 8400030

Paramount, California, United States

Site Status

Center for Clinical Trials of San Gabriel Site Number : 8400076

West Covina, California, United States

Site Status

Asclepes Research Centers Site Number : 8400064

Brooksville, Florida, United States

Site Status

Avail Clinical Research Site Number : 8400077

DeLand, Florida, United States

Site Status

Next Phase Research Alliance Site Number : 8400057

Hialeah, Florida, United States

Site Status

Homestead Medical Clinic, P.A. Site Number : 8400014

Homestead, Florida, United States

Site Status

Next Phase Research Alliance Site Number : 8400040

Homestead, Florida, United States

Site Status

Children's Research, LLC Site Number : 8400063

Lake Mary, Florida, United States

Site Status

Axcess Medical Research Site Number : 8400068

Loxahatchee Groves, Florida, United States

Site Status

Acevedo Clinical Research Associates Site Number : 8400001

Miami, Florida, United States

Site Status

Florida Hospital Medical Group Pediatrics Site Number : 8400108

Orlando, Florida, United States

Site Status

IMIC Inc Site Number : 8400022

Palmetto Bay, Florida, United States

Site Status

Jedidiah Clinical Research Site Number : 8400132

Tampa, Florida, United States

Site Status

Baybol Research Institute Site Number : 8400008

Chamblee, Georgia, United States

Site Status

Snake River Research, PLLC Site Number : 8400073

Idaho Falls, Idaho, United States

Site Status

Qualmedica Research, LLC Site Number : 8400106

Evansville, Indiana, United States

Site Status

Brownsboro Park Pediatrics Site Number : 8400010

Louisville, Kentucky, United States

Site Status

All Children Pediatrics Site Number : 8400043

Louisville, Kentucky, United States

Site Status

ACC Pediatric Reasearch Site Number : 8400023

Haughton, Louisiana, United States

Site Status

Velocity Clinical Research Site Number : 8400025

Metairie, Louisiana, United States

Site Status

LSUHSC-Shreveport Site Number : 8400120

Shreveport, Louisiana, United States

Site Status

University of Maryland at The Pediatric Center of Frederick Site Number : 8400004

Frederick, Maryland, United States

Site Status

Virgo-Carter Pediatrics Site Number : 8400041

Silver Spring, Maryland, United States

Site Status

MedPharmics Biloxi Site Number : 8400080

Biloxi, Mississippi, United States

Site Status

Craig Spiegel, MD Site Number : 8400037

Bridgeton, Missouri, United States

Site Status

Creighton University Site Number : 8400039

Omaha, Nebraska, United States

Site Status

Tiga Pediatrics Site Number : 8400137

New York, New York, United States

Site Status

Blue Pediatric & Adolescent Medicine Group Site Number : 8400100

Boone, North Carolina, United States

Site Status

Ohio Pediatric Research Site Number : 8400084

Dayton, Ohio, United States

Site Status

PriMed Clinical Research Site Number : 8400002

Dayton, Ohio, United States

Site Status

Cyn3rgy Research Site Number : 8400085

Gresham, Oregon, United States

Site Status

Allegheny Health and Wellness Pavilion Site Number : 8400047

Erie, Pennsylvania, United States

Site Status

Coastal Pediatric Research Charleston Site Number : 8400005

Charleston, South Carolina, United States

Site Status

Tribe Clinical Research Site Number : 8400110

Greenville, South Carolina, United States

Site Status

Parkside Pediatrics - Simpsonville Site Number : 8400113

Simpsonville, South Carolina, United States

Site Status

Pediatric Clinical Trials Tullahoma Site Number : 8400033

Tullahoma, Tennessee, United States

Site Status

ARC Clinical Research at Wilson Parke Site Number : 8400059

Austin, Texas, United States

Site Status

Oak Cliff Research Company, LLC Site Number : 8400065

Dallas, Texas, United States

Site Status

Helios Clinical research Site Number : 8400075

Fort Worth, Texas, United States

Site Status

University of North Texas Site Number : 8400079

Fort Worth, Texas, United States

Site Status

University of Texas Medical Board Site Number : 8400067

Galveston, Texas, United States

Site Status

Helios Clinical Research Site Number : 8400109

Houston, Texas, United States

Site Status

Clinical Trial Network - 7080 Southwest Fwy Site Number : 8400114

Houston, Texas, United States

Site Status

FMC SCIENCE Site Number : 8400053

Lampasas, Texas, United States

Site Status

Tekton Research, Inc Site Number : 8400049

San Antonio, Texas, United States

Site Status

Tekton Research Site Number : 8400128

San Antonio, Texas, United States

Site Status

Ericksen Research and Development Site Number : 8400016

Clinton, Utah, United States

Site Status

Wee Care Pediatrics Site Number : 8400035

Kaysville, Utah, United States

Site Status

Tanner Clinic Site Number : 8400018

Layton, Utah, United States

Site Status

Pediatric Care Site Number : 8400056

Provo, Utah, United States

Site Status

Wee Care Pediatrics Roy Site Number : 8400029

Roy, Utah, United States

Site Status

Copperview Medical Center Site Number : 8400038

South Jordan, Utah, United States

Site Status

Wee Care Pediatrics Syracuse Site Number : 8400024

Syracuse, Utah, United States

Site Status

Alliance for Multispecialty Research Syracuse Site Number : 8400036

Syracuse, Utah, United States

Site Status

Marshall Health Site Number : 8400062

Huntington, West Virginia, United States

Site Status

Investigational Site Number : 6300116

Caguas, , Puerto Rico

Site Status

Investigational Site Number : 6300122

Guayama, , Puerto Rico

Site Status

Investigational Site Number : 6300015

San Juan, , Puerto Rico

Site Status

Investigational Site Number : 6300117

San Juan, , Puerto Rico

Site Status

Investigational Site Number : 6300140

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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U1111-1183-6361

Identifier Type: REGISTRY

Identifier Source: secondary_id

2018-001473-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MET42

Identifier Type: -

Identifier Source: org_study_id

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