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Infections, MeningococcalPhase 2NCT00715910

The Long-term Antibody Persistence of GSK Biologicals' Meningococcal Vaccine GSK134612 in Healthy Adolescents/Adults

A Phase 2 study testing Nimenrix and Blood sampling in people with Infections, Meningococcal, run by GlaxoSmithKline at 10 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In this study, the concentration of antibody to the vaccine one year, three and five years after vaccination in subjects who were vaccinated with GSK Biologicals' meningococcal vaccine GSK134612 and Menactra® in a previous study (whose objectives \& outcome measures are presented in a separate protocol posting with… Read more about this study

Who is it for?
Ages 15 to 30 yearsHealthy volunteers can take part
Conditions the study is for
Infections, Meningococcal
What is being tested?
Nimenrix and Blood sampling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
818 participants
Where
10 sitesUnited States
Study dates
Jul 2008to Oct 2013
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Persistence phase:
  • A male or female who was between and including 10 and 25 years of age at the time of primary vaccination in the study with NCT number = 00454909.
  • Written informed consent obtained from parents/guardian of the subject and written informed assent obtained from the subject if the subject is less than 18 years of age, or written informed consent obtained from the subject if the subject has achieved the 18th birthday.
  • Healthy subjects as established by medical history.
  • Having completed the active phase of the vaccination study with NCT number = 00454909.
  • Booster phase:
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  • Written informed consent obtained from parents/guardian of the subject and written informed assent obtained from the subject if the subject is less than 18 years of age, or written informed consent obtained from the subject if the subject has achieved the 18th birthday.
  • Subjects who the investigator believes can and will comply with the requirements of the protocol should be enrolled in the study.
  • Healthy subjects as established by medical history and history-directed physical examination before entering into the study.
  • If the subject is female, she must be of non-childbearing potential, i.e., pre-menarche, have a current tubal ligation, hysterectomy, oophorectomy or be post-menopausal, or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test on the day of vaccination and continue adequate contraception for 2 months after vaccination.
  • Additional inclusion criterion for the naïve control group:
  • A male or female between, and including, 15 and 30 years of age at the time of the vaccination.

Who cannot join

  • Persistence phase:
  • Use of any investigational or non-registered product within 30 days of each persistence time point.
  • Vaccination with meningococcal polysaccharide or conjugate vaccine of serogroup A, C, W-135, and/or Y outside of study with NCT number = 00454909.
  • History of any meningococcal disease due to serogroup A, B, C, W-135, or Y.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history.
  • Administration of immunoglobulins and/or any blood products within the three months preceding each persistence time point.
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  • Concurrently participating in another clinical study within 30 days of each persistence time point, in which the subject has been or will be exposed to an investigational or a non-investigational product.
  • Bleeding disorders, such as thrombocytopenia, or subjects on anti-coagulant therapy.
  • Chronic alcohol or drug abuse.
  • Subjects withdrew consent to be contacted for follow-up studies.
  • Booster phase (to be checked at Year 5 for all subject, including naïve control group):
  • Child in care
  • Not enrolled in the Kaiser Healthcare system.
  • Use of any investigational or non-registered product within 30 days preceding administration of the study vaccine, or planned use throughout the extended safety follow-up period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior administration of the booster dose.
  • Previous vaccination with meningococcal polysaccharide or conjugate vaccine of serogroup A, C, W-135, and/or Y outside of study with NCT number = 00454909.
  • History of any meningococcal disease.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition,including human immunodeficiency virus infection based on medical history and physical examination.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the booster vaccination or planned administration through Day 30 after vaccination.
  • 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 or a non-investigational product.
  • Bleeding disorders, such as thrombocytopenia, or subjects on anti-coagulant therapy.
  • History of chronic alcohol consumption and/or drug abuse.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol during the period starting 30 days before until 30 days after the day of administration of the dose of vaccine(s) with the exception of any licensed inactivated influenza vaccine.
  • Previous vaccination with tetanus and diphtheria toxoids within the last month.
  • A family history of congenital or hereditary immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated.
  • History of allergic disease or any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine, including latex.
  • Major congenital defects or serious chronic illness.
  • History of any neurological disorders or seizures.
  • Previous history of Guillain-Barré syndrome
  • Acute disease at the time of vaccination.
  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions within 2 months after vaccination.
  • For groups A, B and C only: Subjects withdrew consent to be contacted for follow-up studies.
  • Note: if the subject is female, prior to vaccination she must be of non-childbearing potential, or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test on the day of vaccination and continue adequate contraception for 2 months after vaccination.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • GSK Investigational Site

    Daly City, California, 94015

  • GSK Investigational Site

    Fairfield, California, 94533

  • GSK Investigational Site

    Honolulu, Hawaii, 96814

  • GSK Investigational Site

    Honolulu, Hawaii, 96819

  • GSK Investigational Site

    Redwood City, California, 94063

  • GSK Investigational Site

    Sacramento, California, 95815

  • GSK Investigational Site

    Vallejo, California, 94589

  • GSK Investigational Site

    Waianae, Hawaii, 96792

  • GSK Investigational Site

    Waipio, Hawaii, 96797

  • GSK Investigational Site

    Walnut Creek, California, 94596

Other trials in United States

About this study

Official title: Long-term Antibody Persistence of GSK Biologicals' MenACWY-TT Vaccine Versus Menactra® in Healthy Adolescents/Adults Aged 10-25 Years and Booster Response to MenACWY-TT Vaccine Administered at 5 Years Post-primary Vaccination

In this study, the concentration of antibody to the vaccine one year, three and five years after vaccination in subjects who were vaccinated with GSK Biologicals' meningococcal vaccine GSK134612 and Menactra® in a previous study (whose objectives \& outcome measures are presented in a separate protocol posting with NCT number =00454909) will be evaluated. The safety and immune response to a booster dose of vaccine GSK134612 administered at 5 years post-primary vaccination and a primary vaccination of a newly enrolled group with GSK 134612 vaccine will also be evaluated.

Read the detailed description

GSK Biologicals has developed a meningococcal conjugate vaccine (GSK134612). This candidate vaccine has been shown to be well tolerated and immunogenic in subjects as of 12 months of age.

The purpose of this study is to evaluate the antibody persistence at approximately 1 year, 3 years and 5 years post-administration of one dose of GlaxoSmithKline (GSK) Biologicals' meningococcal vaccine GSK134612 as compared to Menactra® (meningococcal serogroups A, C, W-135 and Y-diphtheria toxoid conjugate vaccine, sanofi pasteur) when given to healthy adolescents/ adults 11 to 25 years of age In addition, the safety and immunogenicity of a booster dose of GSK134612 administered to all eligible subjects at 5 years after the primary vaccination will be evaluated.

Another cohort of subjects (naïve control group) 15 to <31 years of age will be offered a dose of MenACWY-TT vaccine at the same time to allow for evaluation of a primary (naïve control group) and booster dose within the same study.

This Protocol Posting has been updated following Protocol Amendment 1, May 2010 and Protocol Amendment 2, May 2011.

Being tested
Nimenrix, Blood sampling
Keywords
Meningococcal vaccine, Booster vaccination, Immunogenicity, Meningococcal disease, Safety
Medical subject headings
Meningococcal Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NimenrixBiological

    Also called Meningococcal vaccine GSK134612 (MenACWY-TT)

    One dose, as intramuscular injection

  • Blood samplingProcedure or surgery

    Blood samples will be collected from subjects 10-25 years of age as per enrollment in primary study and from subjects in the Nimerix Naive Group at Month 60 (Year 5) and 1 month post booster vaccination (Month 61).

Study groups in NCT00715910
Study groupRoleWhat they receive
Nimenrix 1 GroupExperimentalSubjects 11-25 years of age who were previously vaccinated with 1 dose of Nimenrix vaccine at the time of vaccination
Receives: Biological: Nimenrix; Procedure: Blood sampling
Menactra GroupActive comparatorSubjects 11-25 years of age who were previously vaccinated with 1 dose of Menactra vaccine at the time of vaccination
Receives: Biological: Nimenrix; Procedure: Blood sampling
Nimenrix 2 GroupExperimentalSubjects 10<11 years of age who were previously vaccinated with 1 dose of Nimenrix vaccine at the time of vaccination
Receives: Biological: Nimenrix; Procedure: Blood sampling
Nimenrix Naive GroupExperimentalSubjects 15 to <31 years of age at the time of primary vaccination with 1 dose of Nimenrix vaccine at year 5 of the current study
Receives: Biological: Nimenrix; Procedure: Blood sampling
Nimenrix Pooled GroupExperimentalPooled group of subjects 10-25 years of age from Nimenrix 1 and Nimenrix 2 groups in the primary study (NCT00454909) who had received 1 dose of Nimenrix vaccine in that study and will receive a booster dose in this current study.
Receives: Biological: Nimenrix
Menactra Booster GroupActive comparatorSubjects 11-25 years of age who had received 1 dose of Menactra vaccine in primary study (NCT00454909) and will receive 1 dose of Nimenrix vaccine in this current study.
Receives: Biological: Nimenrix

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects With Serum Bactericidal Assay (Using Human Complement) (hSBA) Titers Equal to or Above the Cut-off Values

    hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:8.

    Measured: At year 1 persistence

  2. Number of Subjects With hSBA Titers Equal to or Above the Cut-off Values

    hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:8.

    Measured: At year 3 persistence

  3. Number of Subjects With hSBA Titers Equal to or Above the Cut-off Values

    hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:8.

    Measured: At year 5 persistence

Secondary outcomes (19)
  1. Number of Subjects With hSBA Titers Equal to or Above the Cut-off Values

    hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:4.

    Measured: At year 1 persistence

  2. Number of Subjects With hSBA Titers Equal to or Above the Cut-off Values

    hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:4.

    Measured: At year 3 persistence

  3. Number of Subjects With hSBA Titers Equal to or Above the Cut-off Values

    hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:4.

    Measured: At year 5 persistence

  4. hSBA Antibody Titers

    Titers are given as geometric mean titers (GMTs) for the serogroups hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY respectively.

    Measured: At year 1 persistence

  5. hSBA Antibody Titers

    Titers are given as geometric mean titers (GMTs) for the serogroups hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY respectively.

    Measured: At year 3 persistence

  6. hSBA Antibody Titers

    Titers are given as geometric mean titers (GMTs) for the serogroups hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY respectively.

    Measured: At year 5 persistence

  7. Number of Subjects With Anti-polysaccharide A (Anti-PSA), Anti-PSC, Anti-PSY, and Anti-PSW-135 Concentrations Equal to or Above the Cut-off Values

    The cut-off values were defined as a concentration ≥0.3 microgram per milliliter (μg/mL) and ≥2.0 μg/mL.

    Measured: At year 1 persistence

  8. Anti-polysaccharide A (Anti-PSA), Anti-PSC, Anti-PSY, and Anti-PSW-135 Antibody Concentrations

    Antibody concentrations were given as geometric mean concentrations (GMCs) and expressed in μg/mL.

    Measured: At year 1 persistence

  9. Number of Subjects With Serious Adverse Events (SAEs) Related to a Concurrent GSK Medication

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: From 6 months up to 1 year following primary vaccination

  10. Number of Subjects With SAEs Related to Study Participation or to a Concurrent GSK Medication

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: From 6 months up to 3 years following primary vaccination

  11. Number of Subjects With SAEs Related to Study Participation or to a Concurrent GSK Medication

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: From 6 months up to 5 years following primary vaccination

  12. Number of Subjects With hSBA-MenA, hSBA-MenC, hSBA-MenW-135 and hSBA-MenY Antibody Titers Equal to or Above the Cut-off Values

    The cut-off values were defined as hSBA antibody titers ≥ 1:4 and ≥ 1:8.

    Measured: 1 month post primary (naïve control group) and booster vaccination

  13. hSBA Antibody Titers

    Titers are given as GMTs for the serogroups hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY respectively.

    Measured: 1 month post primary (naïve control group) and booster vaccination

  14. Number of Subjects With Vaccine Response for hSBA-MenA, hSBA-MenC, hSBA-MenW-135 and hSBA-MenY Antibodies

    Vaccine response was defined as:

    For initially seronegative subjects: antibody titre ≥ 1:8 at one month after vaccination For initially seropositive subjects: antibody titre at one month after vaccination ≥ 4 fold the titres before vaccination.

    Measured: 1 month post primary (naïve control group) and booster vaccination

  15. Number of Subjects With Solicited Local Symptoms

    Solicited local symptoms assessed were pain, redness and swelling. Any was defined as occurrence of any solicited local symptom reported irrespective of intensity grade. Grade 3 pain was defined as pain that prevented normal activity. Grade 3 redness and swelling were defined as redness/swelling above 50 millimeter (mm).

    Measured: During the 4-day (Days 0-3) post primary (naïve control group) and booster vaccination

  16. Number of Subjects With Solicited General Symptoms

    Solicited general symptoms assessed were fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhea and/or abdominal pain), headache and temperature. Any = occurrence of any general symptoms reported irrespective of intensity grade and relationship to study vaccination. Any temperature = axillary temperature greater than or equal to (≥)37.5 degrees Celsius (°C). Grade 3 symptoms = symptoms that prevented normal activity. Grade 3 temperature = axillary temperature above 39.0°C. Related = symptoms considered by the investigator to have a causal relationship to vaccination.

    Measured: During the 4-day (Days 0-3) post primary (naïve control group) and booster vaccination

  17. Number of Subjects With Unsolicited Adverse Events (AEs)

    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.

    Measured: During the 31-day (Days 0-30) following primary (naïve control group) and booster vaccination

  18. Number of Subjects Reporting New Onset Chronic Illness(es) (NOCIs)

    Examples of NOCIs include autoimmune disorders, asthma, type 1 diabetes and allergies.

    Measured: During the 6-month period following the primary (naïve control group) and booster vaccination

  19. Number of Subjects With SAEs

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: During the 6-month period following the primary (naïve control group) and booster vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jul 2008 (estimated)
  2. Study startJul 2008
  3. Primary completionApr 2013
  4. Study completionOct 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
818 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00715910
Sponsor's protocol ID
111670
Status last verified
Sep 2014
First submitted
11 Jul 2008
Last updated
27 Nov 2014

Publications

  • Baxter R et al. Immunogenicity and safety of an investigational quadrivalent meningococcal ACWY tetanus toxoid conjugate vaccine in healthy adolescents and young adults: 1-year follow-up. Abstract presented at the 51st Annual Interscience Conference on Antimicrobial Agents & Chemotherapy. Chicago, US, 17-20 September 2011.

  • Baxter R et al. Antibody persistence and safety 3 years after a single dose of MenACWY-TT vaccine in healthy individuals aged 10-25 years. Abstract presented at the 31st Annual Meeting of European Society for Paediatric Infectious Diseases (ESPID), Milan, Italy, 28 May-1 June 2013.

  • Baxter R, Baine Y, Kolhe D, Baccarini CI, Miller JM, Van der Wielen M. Five-year Antibody Persistence and Booster Response to a Single Dose of Meningococcal A, C, W and Y Tetanus Toxoid Conjugate Vaccine in Adolescents and Young Adults: An Open, Randomized Trial. Pediatr Infect Dis J. 2015 Nov;34(11):1236-43. doi: 10.1097/INF.0000000000000866.

    PubMed 26237742

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nimenrix and Blood sampling in people with Infections, Meningococcal, run by GlaxoSmithKline at 10 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 34 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 May 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects With Serum Bactericidal Assay (Using Human Complement) (hSBA) Titers Equal to or Above the Cut-off Values (time frame: At year 1 persistence). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00715910, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Nov 2014; AzTrials last refreshed its copy on 8 Nov 2026.

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