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

NCT ID: NCT03691610

Last Updated: 2024-06-25

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

950 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-04

Study Completion Date

2023-10-20

Brief Summary

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The primary objective of this study is to demonstrate the non-inferiority of the vaccine seroresponse to meningococcal serogroups A, C, Y, and W following administration of 2 doses of MenACYW conjugate vaccine compared to 2 doses of MENVEO® when given concomitantly with routine pediatric vaccines to infants and toddlers 6 to 7 months of age and 12 to 13 months of age.

The secondary objectives of the study are:

* To demonstrate the non-inferiority of the percentage of participants with antibody titers to meningococcal serogroups A, C, Y, and W ≥ 1:8 following administration of 2 doses of MenACYW conjugate vaccine compared to 2 doses of MENVEO® when given concomitantly with pediatric routine vaccines to infants and toddlers at 6 to 7 months of age and 12 to 13 months of age.
* To describe the antibody response against meningococcal serogroups A, C, Y, and W 30 days after the second vaccination at 12 to 13 months of age with MenACYW conjugate vaccine or MENVEO®.
* To describe the antibody response against meningococcal serogroups A, C, Y, and W 30 days and 6 months after the first vaccination at 6 to 7 months of age with MenACYW conjugate vaccine or MENVEO®.
* To describe the antibody response against meningococcal serogroups A, C, Y, and W 30 days after the second vaccination at 20 to 23 months of age with MenACYW conjugate vaccine or Menactra®.

Detailed Description

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Study duration per participant is approximately 1 year in Group 1 and Group 2, and 10 months in Group 3 and Group 4. This duration includes a safety follow-up contact at 6 months after the last vaccination.

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 has a modified double blind design for each group at enrollment, and thus, with the exception of the personnel administering the vaccine, everyone involved in study is blinded to avoid any bias.

Study Groups

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Group 1

MenACYW conjugate vaccine + routine pediatric vaccines at 6 to 7 months of age and 12 to 13 months of age

Group Type EXPERIMENTAL

Meningococcal Polysaccharide (Serogroups A,C,Y and W) Tetanus Toxoid Conjugate vaccine MenACYW conjugate vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Diphtheria and Tetanus Toxoids and Acellular Pertussis, inactivated Poliovirus and Haemophilus b Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Diphtheria and Tetanus Toxoids and Acellular Pertussis, Hepatitis B and Inactivated Poliovirus Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Haemophilus b Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Pneumococcal 13-valent Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Rotavirus Vaccine, Live, Oral, Pentavalent

Intervention Type BIOLOGICAL

Pharmaceutical form:Oral solution Route of administration: Oral, 2 mL

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form: Lyophilized live virus vaccine Route of administration: Subcutaneous, 0.5 mL

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection Route of administration: Subcutaneous, 0.5 mL

Group 2

MENVEO® + routine pediatric vaccines at 6 to 7 months of age and 12 to 13 months of age

Group Type ACTIVE_COMPARATOR

Meningococcal (Groups A, C, Y and W 135) Oligosaccharide Diphtheria CRM197 Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form: Solution for injection Route of administration: Intramuscular, 0.5 mL

Diphtheria and Tetanus Toxoids and Acellular Pertussis, inactivated Poliovirus and Haemophilus b Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Diphtheria and Tetanus Toxoids and Acellular Pertussis, Hepatitis B and Inactivated Poliovirus Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Haemophilus b Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Pneumococcal 13-valent Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Rotavirus Vaccine, Live, Oral, Pentavalent

Intervention Type BIOLOGICAL

Pharmaceutical form:Oral solution Route of administration: Oral, 2 mL

Hepatitis B Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Measles, Mumps, and Rubella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form: Lyophilized live virus vaccine Route of administration: Subcutaneous, 0.5 mL

Varicella Virus Vaccine Live

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection Route of administration: Subcutaneous, 0.5 mL

Group 3

MenACYW conjugate vaccine at 17 to 19 months of age and 20 to 23 months of age

Group Type EXPERIMENTAL

Meningococcal Polysaccharide (Serogroups A,C,Y and W) Tetanus Toxoid Conjugate vaccine MenACYW conjugate vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Group 4

Menactra® at 17 to 19 months of age and 20 to 23 months of age

Group Type ACTIVE_COMPARATOR

Meningococcal Polysaccharide (serogroups A,C,Y and W-135) Diphtheria Toxoid Conjugate Vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form: Solution for injection Route of administration: Intramuscular, 0.5 mL

Interventions

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Meningococcal Polysaccharide (Serogroups A,C,Y and W) Tetanus Toxoid Conjugate vaccine MenACYW conjugate vaccine

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Meningococcal (Groups A, C, Y and W 135) Oligosaccharide Diphtheria CRM197 Conjugate Vaccine

Pharmaceutical form: Solution for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Meningococcal Polysaccharide (serogroups A,C,Y and W-135) Diphtheria Toxoid Conjugate Vaccine

Pharmaceutical form: Solution for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Diphtheria and Tetanus Toxoids and Acellular Pertussis, inactivated Poliovirus and Haemophilus b Conjugate Vaccine

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Diphtheria and Tetanus Toxoids and Acellular Pertussis, Hepatitis B and Inactivated Poliovirus Vaccine

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Haemophilus b Conjugate Vaccine

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Pneumococcal 13-valent Conjugate Vaccine

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Rotavirus Vaccine, Live, Oral, Pentavalent

Pharmaceutical form:Oral solution Route of administration: Oral, 2 mL

Intervention Type BIOLOGICAL

Hepatitis B Vaccine

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Intervention Type BIOLOGICAL

Measles, Mumps, and Rubella Virus Vaccine Live

Pharmaceutical form: Lyophilized live virus vaccine Route of administration: Subcutaneous, 0.5 mL

Intervention Type BIOLOGICAL

Varicella Virus Vaccine Live

Pharmaceutical form:Suspension for injection Route of administration: Subcutaneous, 0.5 mL

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Aged 6 to 7 months (168 to 224 days) or 17 to 19 months on the day of the first visit
* Informed consent form has been signed and dated by the parent(s) or other guardian and by an independent witness if required by local regulations
* Subject and parent/guardian are able to attend all scheduled visits and to comply with all trial procedures
* For subjects 6 to 7 months of age at enrollment (Group 1 and Group 2), documented history of having received 2 doses of diphtheria, tetanus and acellular pertussis (DTaP), Haemophilus influenza type B (Hib), inactivated poliovirus (IPV), pneumococcal, hepatitis B (for children who received hepatitis B at 2 and 4 months of age, prior receipt of 3 doses of hepatitis B), and rotavirus vaccines
* For subjects to be enrolled at 17 to 19 months of age (Group 3 and Group 4), documented history of having received all routine pediatric vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) up to the age of enrollment

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 may be received at least 2 weeks before or 2 weeks after any study vaccination. This exception includes 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, polysaccharide, or conjugate meningococcal vaccine containing serogroups A, C, Y, or W; or meningococcal B serogroup-containing vaccine)
* For subjects to be enrolled at 6 to 7 months of age (Group 1 and Group 2), prior receipt of more than 2 doses of rotavirus vaccine (Rotateq), DTaP, Hib, IPV, pneumococcal, hepatitis B (for children who received hepatitis B at 2 and 4 months of age, prior receipt of more than 3 doses of hepatitis B vaccine)
* For subjects to be enrolled at 6 to 7 months of age (Group 1 and Group 2), receipt of the 2 doses of rotavirus vaccine at 2 and 4 months of age
* Receipt of immune globulins, blood, or blood-derived products in the past 3 months
* Known or suspected congenital or acquired immunodeficiency or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks) within the past 3 months
* 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 Arthus-type hypersensitivity reaction after a previous dose of tetanus toxoid-containing vaccine
* 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 that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion
* Any condition which, in the opinion of the investigator, might interfere 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 subject should not be included in the study until the condition has resolved or the febrile event has subsided
* Identified as a natural or adopted child of the investigator or employee with direct involvement in the proposed study

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

6 Months

Maximum Eligible Age

19 Months

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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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi Pasteur, a Sanofi Company

Locations

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Alabama Clinical Therapeutics Site Number : 8400036

Birmingham, Alabama, United States

Site Status

Southeastern Pediatric Associates Site Number : 8400009

Dothan, Alabama, United States

Site Status

MedPharmics, LLC - Phoenix Site Number : 8400013

Phoenix, Arizona, United States

Site Status

Emmaus Research Center, Inc Site Number : 8400019

Anaheim, California, United States

Site Status

Coast Clinical Trials, LLC Site Number : 8400073

Bellflower, California, United States

Site Status

Matrix Clinical Research Site Number : 8400082

Gardena, California, United States

Site Status

Madera Family Med Group Site Number : 8400065

Madera, California, United States

Site Status

Next Phase Research Alliance Site Number : 8400044

Homestead, Florida, United States

Site Status

PAS Research Site Number : 8400101

Land O' Lakes, Florida, United States

Site Status

Axcess Medical Research Site Number : 8400021

Loxahatchee Groves, Florida, United States

Site Status

Y and L Advance Health Care, Inc D/B/A Elite Clinical Res Site Number : 8400046

Miami, Florida, United States

Site Status

Biomedical Research LLC Site Number : 8400041

Miami, Florida, United States

Site Status

Crystal Biomedical Research Site Number : 8400034

Miami Lakes, Florida, United States

Site Status

PAS Research Site Number : 8400059

Tampa, Florida, United States

Site Status

Omega Pediatrics Site Number : 8400093

Roswell, Georgia, United States

Site Status

Snake River Research, PLLC Site Number : 8400058

Idaho Falls, Idaho, United States

Site Status

Eagle Clinical Research Site Number : 8400094

Chicago, Illinois, United States

Site Status

Brownsboro Park Pediatrics Site Number : 8400039

Louisville, Kentucky, United States

Site Status

All Children Pediatrics Site Number : 8400024

Louisville, Kentucky, United States

Site Status

Meridian Clinical Research, LLC Site Number : 8400035

Baton Rouge, Louisiana, United States

Site Status

Velocity Clinical Research Site Number : 8400016

Metairie, Louisiana, United States

Site Status

Willis-Knighton Physician Network Site Number : 8400075

Shreveport, Louisiana, United States

Site Status

Victory Clinical Research Site Number : 8400026

Baltimore, Maryland, United States

Site Status

Pediatric Associates of Fall River Site Number : 8400112

Fall River, Massachusetts, United States

Site Status

Craig Spiegel, MD Site Number : 8400023

Bridgeton, Missouri, United States

Site Status

Meridian Clinical Research Site Number : 8400097

Hastings, Nebraska, United States

Site Status

Midwest Childrens Health Research Institute Site Number : 8400111

Lincoln, Nebraska, United States

Site Status

Midwest Childrens Health Research Institute Site Number : 8400117

Lincoln, Nebraska, United States

Site Status

MedPharmics Inc Site Number : 8400006

Albuquerque, New Mexico, United States

Site Status

Advantage Clinical Trials Site Number : 8400069

New York, New York, United States

Site Status

Wilmington Health Site Number : 8400054

Wilmington, North Carolina, United States

Site Status

Ohio Pediatric Research Site Number : 8400022

Dayton, Ohio, United States

Site Status

PriMed Clinical Research Site Number : 8400008

Dayton, Ohio, United States

Site Status

Oklahoma State University - Center for Health Sciences Site Number : 8400110

Tulsa, Oklahoma, United States

Site Status

Cyn3rgy Research Site Number : 8400010

Gresham, Oregon, United States

Site Status

Allegheny Health and Wellness Pavilion Site Number : 8400025

Erie, Pennsylvania, United States

Site Status

Kid's Way Pediatrics Site Number : 8400015

Hermitage, Pennsylvania, United States

Site Status

Coastal Pediatric Research Charleston Site Number : 8400002

Charleston, South Carolina, United States

Site Status

Coastal Pediatric Research Charleston Site Number : 8400011

Charleston, South Carolina, United States

Site Status

Tribe Clinical Research Site Number : 8400118

Greenville, South Carolina, United States

Site Status

Pediatric Clinical Trials Tullahoma Site Number : 8400106

Tullahoma, Tennessee, United States

Site Status

Tekton Research Site Number : 8400047

Beaumont, Texas, United States

Site Status

Mercury Clinical Research, Inc. Site Number : 8400088

Dickinson, Texas, United States

Site Status

Clinical Trial Network - 7080 Southwest Fwy Site Number : 8400037

Houston, Texas, United States

Site Status

Tekton Research, Inc. Site Number : 8400040

San Antonio, Texas, United States

Site Status

Investigational Site Number : 6300102

Guayama, , Puerto Rico

Site Status

Investigational Site Number : 6300014

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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U1111-1205-2836

Identifier Type: REGISTRY

Identifier Source: secondary_id

MET61

Identifier Type: OTHER

Identifier Source: secondary_id

2019-004460-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MET61

Identifier Type: -

Identifier Source: org_study_id

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