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Meningococcal DiseasePhase 3NCT00847145

Extension Study of V72P13 to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered as a Booster or as a Two-dose Catch-up to Healthy Toddlers

A Phase 3 study testing 1a - rMenB+OMV NZ and routine vaccines, 1b - rMenB+OMV NZ and routine vaccines and 2a - Routine and rMenB+OMV NZ vaccines in people with Meningococcal Disease, run by Novartis Vaccines at 59 sites in 5 countries.

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

The proposed study is an Extension Study of V72P13 to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered as a Booster at 12 Months of Age or as a Two-dose Catch-up to Healthy Toddlers Read more about this study

Who is it for?
Ages 365 to 394 daysHealthy volunteers can take part
Conditions the study is for
Meningococcal Disease
What is being tested?
1a - rMenB+OMV NZ and routine vaccines, 1b - rMenB+OMV NZ and routine vaccines and 2a - Routine and rMenB+OMV NZ vaccines
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,249 participants
Where
59 sitesin 5 countries
Study dates
Feb 2009to Aug 2010
Phase
Phase 3
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 365 to 394 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy 12-month-old toddlers (0/ +29 days) who completed Study V72P13

Who cannot join

  • Previous ascertained or suspected disease caused by N. meningitidis;
  • History of severe allergic reaction after previous vaccinations or hypersensitivity to any vaccine component;
  • Any serious chronic or progressive disease
  • Known or suspected impairment/ alteration of the immune system,
  • Receipt of, or intent to immunize with another vaccine, within 30 days prior to enrollment.

Trial locations and contacts

59 sites in 5 countries.

59 sites in 5 countries

Czechia16 sites
  • Site 27

    Boskovice, 680 01

  • Site 19

    Brno, 628 00

  • Site 22

    Chomutov, 430 03

  • Site 12

    Havlíčkův Brod, 580 22

  • Fakulta vojenskeho zdravotnictví

    Hradec Králové, 500 01

  • Site 28

    Hranice I-mesto, 753 01

  • Site 13

    Humpolec, 396 01

  • Site 25

    Kladno, 272 00

  • Site 21

    Kolín, 280 02

  • Site 10

    Liberec, 460 15

  • Site 24

    Litoměřice, 412 01

  • Site 17

    Ostrava, 702 00

  • Site 18

    Ostrava-Poruba, 708 68

  • Site 16

    Pilsen, 305 99

  • Site 26

    Rumburk, 408 01

  • Site 23

    Ústí nad Labem, 400 01

Other trials in Czechia

Finland15 sites
  • Site 30

    Espoo, 02100

  • Site 31

    Helsinki, 00100

  • Site 32

    Helsinki, 00930

  • Site 34

    Jarvenpaa, 04400

  • Site 35

    Kokkola, 67100

  • Site 45

    Kotka, 48600

  • Site 46

    Kuopio, 70100

  • Site 47

    Lahti, 15140

  • Site 49

    Oulu, 90220

  • Site 50

    Pori, 28100

  • Site 51

    Seinäjoki, 60100

  • Site 52

    Tampere, 33100

  • Site 53

    Turku, 20520

  • Site 33

    Vantaa, 01300

  • Site 48

    Vantaa, 01600

Other trials in Finland

Germany14 sites
  • Site 99

    Detmold, 32756

  • Site 92

    Espelkamp, 32339

  • Site 95

    Freising, 85354

  • Site 64

    Fulda, 36037

  • Site 58

    Lauffen am Neckar, 74348

  • Site 57

    Marbach A. N., 71672

  • Site 80

    München, 80337

  • Site 83

    München, 81241

  • Site 97

    München, 81377

  • Site 96

    München, 81475

  • Site 91

    Műnchen, 81737

  • Site 81

    Porta Westfalica, 32457

  • Site 65

    Schwieberdingen, 71701

  • Site 94

    Weilheim, 82362

Other trials in Germany

Austria7 sites
  • Altenburger

    Eisenstadt, 7000

  • Grässl

    Hall in Tirol, 6060

  • Häckel

    Kirchdorf, 4560

  • Prieler

    Neufeld A.d. Leitha, 2491

  • Maurer

    Salzburg, 5020

  • Sommer

    Vienna, 1230

  • Angermayr

    Wels, 4600

Other trials in Austria

Italy7 sites
  • Dipartimento di Scienze della Salute

    Genova, Genova, 16132

  • Universita degli Studi di Messina, Policlinico G. Martino

    Messina

  • Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena Italia

    Milan, Milano, 20122

  • Pediatria dell' Ospedale Sacco

    Milan, Milano, 20157

  • Ospedale Maggiore di Novara

    Novara, 28100

  • Istituto di Igiene e Medicina Preventiva - Università degli Studi di Sassari

    Sassari, Sassari, 07100

  • ASL/TA

    Taranto, Taranto, 74100

Other trials in Italy

About this study

Official title: A Phase 3, Open Label, Multi-Center, Extension Study to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered as a Booster at 12 Months of Age or as a Two-dose Catch-up to Healthy Toddlers Who Participated in Study V72P13

The proposed study is an Extension Study of V72P13 to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered as a Booster at 12 Months of Age or as a Two-dose Catch-up to Healthy Toddlers

Being tested
1a - rMenB+OMV NZ and routine vaccines, 1b - rMenB+OMV NZ and routine vaccines, 2a - Routine and rMenB+OMV NZ vaccines, 2b - rMenB+OMV NZ and routine vaccines, 3a - rMenB+OMV NZ and routine vaccines
Keywords
toddler, Meningococcal disease, prevention, vaccination
Medical subject headings
Meningococcal Infections

What participants receive

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

  • 1a - rMenB+OMV NZ and routine vaccinesBiological

    One dose of rMenB vaccine and routine vaccine at study month 12.

  • 1b - rMenB+OMV NZ and routine vaccinesBiological

    One dose of rMenB vaccine at study month 12 and routine vaccine at study month 13.

  • 2a - Routine and rMenB+OMV NZ vaccinesBiological

    One dose of routine vaccine at study month 12 and two doses of rMenB vaccine at study months 13 and 15.

  • 2b - rMenB+OMV NZ and routine vaccinesBiological

    Two doses of rMenB vaccine at study months 12 and 14 and one dose of routine vaccine at study month 12.

  • 3a - rMenB+OMV NZ and routine vaccinesBiological

    One dose of rMenB vaccine and one dose of routine vaccine at study month 12.

  • 3b - 1 dose of rMenB+OMV NZ plus routine infant vaccinationsBiological

    One dose of rMenB vaccine at study month 12 and one dose of routine vaccine study month 13.

  • 4a- rMenB+OMV NZ and routine vaccinesBiological

    One dose of rMenB vaccine and one dose of routine vaccine at study month 12.

  • 4b - rMenB+OMV NZ and routine vaccinesBiological

    One dose of rMenB vaccine and one dose of routine vaccine at study month 12.

Study groups in NCT00847145
Study groupRoleWhat they receive
12B12M (1a)ExperimentalPreviously in the parent study subjects had received three doses of rMenB+OMV NZ and routine vaccine at 2, 4 and 6 months of age,respectively. These subjects received a booster (fourth) dose at 12 months of age concomitantly with one dose of MMRV vaccine in the present study.
Receives: Biological: 1a - rMenB+OMV NZ and routine vaccines
12B13M (1b)ExperimentalPreviously in the parent study subjects had received three doses of rMenB+OMV NZ and routine vaccine at 2, 4 and 6 months of age, respectively. These subjects received a booster (fourth) dose at 12 months and one dose of MMRV vaccine at 13 months of age in the present study.
Receives: Biological: 1b - rMenB+OMV NZ and routine vaccines
12M13B15B (2a)ExperimentalPreviously in the present study subjects had received routine vaccine at 2, 4 and 6 months of age respectively. These subjects received MMRV vaccine at 12 months of age and two catch-up doses of rMenB+OMV NZ vaccine at 13 and 15 months of age in the present study.
Receives: Biological: 2a - Routine and rMenB+OMV NZ vaccines
12M12B14B (2b)ExperimentalPreviously in the parent study subjects ahd received three doses of routine vaccine at 2, 4 and 6 months of age, respectively. These subjects received two catch-up doses of rMenB+OMV NZ at 12 and 14 months of age and one dose of MMRV vaccine given concomitantly at 12 months of age in the present study.
Receives: Biological: 2b - rMenB+OMV NZ and routine vaccines
12B12M (3a)ExperimentalPreviously in the parent study subjects had received three doses of rMenB+OMV NZ at 2, 4 and 6 months of age respectively. These subjects had received one booster (fourth) dose of rMenB+OMV NZ at 12 months of age concomitantly with one dose of MMRV vaccine in the present study.
Receives: Biological: 3a - rMenB+OMV NZ and routine vaccines
12B13M (3b)ExperimentalPreviously in the present study subjects had received three doses of rMenB+OMV NZ at 12 months of age respectively. These subjects one booster (fourth) dose of rMenB+OMV NZ at 12 months of age and one dose of MMRV vaccine at 13 months of age in the present study.
Receives: Biological: 3b - 1 dose of rMenB+OMV NZ plus routine infant vaccinations
12B12M_C (4a)ExperimentalPreviously in the parent study subjects had received three doses of Meningococcal C vaccine and routine vaccine at 2, 4 and 6 months of age respectively. These subjects had received one single dose of rMenB+OMV NZ at 12 months of age concomitantly with one dose of MMRV vaccine in the present study.
Receives: Biological: 4a- rMenB+OMV NZ and routine vaccines
12B13M_C (4b)ExperimentalPreviously in the parent study subjects had received three doses of Meningococcal C vaccine and routine vaccine at 2, 4 and 6 months of age. These subjects received one single dose o rMenB+OMV NZ at 12 months of age and one dose of MMRV vaccine at 13 months of age in the present study.
Receives: Biological: 4b - rMenB+OMV NZ and routine vaccines

What is being measured

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

  1. Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving the Booster Dose of rMenB+OMV NZ Vaccination

    Immunogenicity was assessed in terms of the percentage of subjects as measured by serum bactericidal antibody titers ≥1:5 the lower limit of the two-sided 95% confidence interval (CI) was ≥75%, directed against N.meningitidis serogroup B reference strains H44/76-SL , NZ98/254, 5/99, one month after the booster (fourth) dose of meningococcal B vaccine with or without the concomitant Measles, Mumps, Rubella, Varicella (MMRV) vaccine in toddlers who were previously vaccinated with three doses of Meningococcal B vaccine.

    Measured: one month after the booster (fourth) dose

Secondary outcomes (14)
  1. Percentages of Subjects With Antibody Response After Receiving the MMRV Vaccination

    Immunogenicity was assessed to demonstrate non-inferiority in terms of percentages of subjects as measured by antibody responses against MMRV vaccine when given concomitantly with the booster (fourth) dose of rMenB+OMV NZ vaccine at 12 months of age when compared to MMRV vaccine when given alone.

    The specified cut-off levels for the vaccine antigens : for measles antigen is ≥255mIU/mL, Mumps antigen is ≥10 Enzyme Linked Immunosorbent Assay(ELISA) Antibody(Ab) units, Rubella antigen is ≥10 IU/mL, Varicella antigen is ≥1.25 glycoprotein (gp) ELISA units/ml (seroconversion) and varicella antigen is ≥5 gp ELISA units/ml (seroprotection.

    Measured: one month after booster (fourth) dose

  2. The Geometric Mean Titers After Receiving the Booster Dose of rMenB+OMV NZ Vaccination

    The human serum bactericidal antibody (hSBA) titer responses, one month after receiving booster dose or rMenB+OMV NZ vaccination, are reported as geometric mean titers (GMTs).

    Measured: one month after booster (fourth) vaccination.

  3. Geometric Mean Titers at 12 Months of Age (Predose 4) After Previously Receiving the Three Doses of rMenB+OMV NZ (Persistence)

    The immunogenicity was assessed as the persistence of bactericidal antibodies at 12 months of age (pre-dose 4) who previously received three doses of rMenB+OMV NZ in the parent study as measured by hSBA GMTs directed against N meningitidis serogroup B reference strains H44/76, NZ98/254 and 5/99.

    Measured: one month after third vaccination and pre dose fourth (booster) vaccination

  4. Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Previously Receiving the Three Doses of rMenB+OMV NZ Vaccination (Persistence)

    Immunogenicity was assessed to evaluate the persistence in terms of percentages of subjects with hSBA titers ≥ 1:5, previously received three doses of rMenB+OMV NZ directed against N meningitidis serogroup B reference strains H44/76, NZ98/254 and 5/99.

    Measured: One month post vaccination and pe-booster (fourth) dose vaccination

  5. Geometric Mean Titers After Receiving the Booster Dose and Single Dose of rMen+OMV NZ Vaccination (Induction of Immunological Memory)

    The immunogenicity was assessed to demonstrate the induction of immunological memory in subjects who were previously received three doses of rMenB+OMV NZ as measured by SBA GMT response in comparison to the fourth dose of rMenB+OMV NZ at 12 months of age ( 12B12M(1a) group) to the response in subjects (12M12B14B 0 who received a single dose of rMenB+OMV NZ vaccine.

    Measured: one month after booster (fourth) dose vaccination and pre-fourth dose vaccination

  6. SBA GMTs After a Two-dose Catch-up Schedule or Two-dose Schedule

    The immunogenicity of a two-dose catch-up schedule of rMenB+OMV NZ given at 13 and 15 months (12M13B15B) or 12 and 14 months (12M12B14B) to naïve toddlers was assessed by SBA GMTs one month after the second dose.

    Measured: One month after the second dose.

  7. Percentages of Subjects With SBA Titers ≥1:5 After a Two-dose Catch-up Schedule or Two-dose Schedule

    The immunogenicity of a two-dose catch-up schedule of rMenB+OMV NZ given at 13 and 15 months (12M13B15B) or 12 and 14 months (12M12B14B) to naïve toddlers was assessed as percentages of subjects with SBA titers ≥1:5 one month after the second dose.

    Measured: One month after the second dose.

  8. ELISA Geometric Mean Concentration Against Vaccine Antigen 287-953 One Month After the Fourth (Booster) Dose Given at 12 Months

    The immune response against vaccine antigen 287-953 was measured by ELISA, one month after the fourth (booster) dose given at 12 months of age (groups 12B12M (1a), 12B13M (1b).

    Measured: One month after the fourth (booster) dose.

  9. ELISA Geometric Mean Concentration Against Vaccine Antigen 287-953 After Two-dose Catch-up in Toddlers

    The immune response against vaccine antigen 287-953was measured by ELISA one month after the first dose and one month after the second dose of a two-dose catch-up regimens (12M13B15B and 12M12B14B) in toddlers.

    Measured: One month after the first dose and one month after the second dose.

  10. Percentages of Subjects With Bactericidal Titers ≥ 1:5 (95% CI) Against Strain M10713 One Month After the Fourth (Booster) Dose Given at 12 Months

    The immune response was measured as percentages of subjects with SBA ≥ 1:5 (95% CI) against strain M10713, one month after the fourth (booster) dose given at 12 months of age (groups 12B12M (1a), 12B13M (1b).

    Measured: One month after the fourth (booster) dose.

  11. Number of Subjects Reporting Solicited Local and Systemic Reactions During the 7 Days Following rMenB+OMV NZ Vaccination at 12 Months of Age

    Safety was assessed as the number of subjects who reported solicited local and systemic reactions from day 1 through day 7 after rMenB+OMV NZ vaccination administered at 12 months. For the safety analysis purpose, Groups 12B12M (1a) and 12B12M (3a) are combined as Group 12B12M and Groups 12B13M (1b) and 12B13M (3b) are combined as Group 12B13M.

    Measured: From day 1 to day 7 after each rMenB+OMV NZ vaccination.

  12. Number of Subjects Reporting Solicited Local and Systemic Reactions During the 7 Days Following Two-dose Catch-up Schedules of rMenB+OMV NZ Vaccination

    Safety was assessed as the number of subjects who reported solicited local and systemic reactions from day 1 through day 7 after rMenB+OMV NZ vaccination administered with a two-dose catch-up schedules (groups 12M13B15B and 12M12B14B).

    Measured: From day 1 to day 7 after each rMenB+MV NZ vaccination.

  13. Number of Subjects Reporting Solicited Local Reactions During the 7 Days Following MMRV Vaccination at 12 Months of Age

    Safety was assessed as the number of subjects who reported solicited local reactions from day 1 through day 7 after the MMRV vaccination concomitantly with rMenB+OMV NZ at 12 months of age (groups 12B12M, 12M12B14B, 12B12M_C) or after MMRV vaccination alone without rMenB+OMV NZ at 12 months (Group 12M13B15B). For the safety analysis purpose, Groups 12B12M (1a) and 12B12M (3a) are combined as Group 12B12M.

    Measured: From day 1 to day 7 after MMRV vaccination.

  14. Number of Subjects Reporting Solicited Systemic Reactions During 8-28 Days Following MMRV Vaccination at 12 Months of Age

    Safety was assessed as the number of subjects who reported solicited systemic reactions from day 8 through day 28 after the MMRV vaccination concomitantly with rMenB+OMV NZ at 12 months of age (groups 12B12M, 12M12B14B, 12B12M_C) or after MMRV vaccination alone without rMenB+OMV NZ at 12 months (Group 12M13B15B). For the safety analysis purpose, Groups 12B12M (1a) and 12B12M (3a) are combined as Group 12B12M.

    Measured: From day 8 to day 28 after MMRV vaccination.

Timeline

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

  1. First posted19 Feb 2009 (estimated)
  2. Study startFeb 2009
  3. Primary completionAug 2010
  4. Study completionAug 2010

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
2,249 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00847145
Sponsor's protocol ID
V72P13E1
Other IDs
2008-006301-17, 2008
Status last verified
Mar 2015
First submitted
18 Feb 2009
Last updated
3 Mar 2015

Publications

  • Zafack JG, Bureau A, Skowronski DM, De Serres G. Adverse events following immunisation with four-component meningococcal serogroup B vaccine (4CMenB): interaction with co-administration of routine infant vaccines and risk of recurrence in European randomised controlled trials. BMJ Open. 2019 May 19;9(5):e026953. doi: 10.1136/bmjopen-2018-026953.

    PubMed 31110098
  • Vesikari T, Esposito S, Prymula R, Ypma E, Kohl I, Toneatto D, Dull P, Kimura A; EU Meningococcal B Infant Vaccine Study group. Immunogenicity and safety of an investigational multicomponent, recombinant, meningococcal serogroup B vaccine (4CMenB) administered concomitantly with routine infant and child vaccinations: results of two randomised trials. Lancet. 2013 Mar 9;381(9869):825-35. doi: 10.1016/S0140-6736(12)61961-8.

    PubMed 23324563

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 1a - rMenB+OMV NZ and routine vaccines, 1b - rMenB+OMV NZ and routine vaccines and 2a - Routine and rMenB+OMV NZ vaccines in people with Meningococcal Disease, run by Novartis Vaccines at 59 sites in 5 countries.

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 1 inclusion and 5 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 3 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in Czechia, Finland, Germany, Austria, Italy. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 3 Mar 2015). 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?

Percentages of Subjects With Serum Bactericidal Antibody Titers ≥1:5 After Receiving the Booster Dose of rMenB+OMV NZ Vaccination (time frame: one month after the booster (fourth) dose). 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 NCT00847145, which also lists 2 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 3 Mar 2015.

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