Meningococcal DiseasePhase 2NCT01018732
A Study to Evaluate the Persistence and Immune Response to a Booster Dose of MenACWY
A Phase 2 study testing Novartis Meningococcal (MenACWY-CRM) vaccine in people with Meningococcal Disease and Meningococcal Meningitis, run by Novartis Vaccines at 3 sites in United States.
Trial summary
The primary objective is to evaluate the persistence of bactericidal antibodies in adolescent subjects who completed study V59P6 in which they received either Novartis Meningococcal (MenACWY) Conjugate Vaccine or Licensed polysaccharide Men ACWY vaccine (Menomune®). Read more about this study
- Who is it for?
- Ages 16 to 23 yearsHealthy volunteers can take part
- Conditions the study is for
- Meningococcal Disease, Meningococcal Meningitis
- What is being tested?
- Novartis Meningococcal (MenACWY-CRM) vaccine
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 155 participants
- Where
- 3 sitesUnited States
- Study dates
- Jan 2010to Jul 2010
- 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 16 to 23 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- Healthy adolescents or adults (age 16-23 years inclusive), either previously enrolled in the parent study or naïve to meningococcal vaccination.
- Female subjects were to be negative for pregnancy
Who cannot join
- History of meningococcal disease
- Receipt of any meningococcal vaccine outside of parent study (V59P6)
- Serious, acute, or chronic illnesses including HIV infection/disease and any malignancy
- receipt of any vaccine 14 days prior to the study, or expected through the duration of the study
- any condition which in the eyes of the investigator would pose a health risk to the subject or render them inappropriate for a research study
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Study site
Pittsburgh, Pennsylvania
Study site
Rochester, Minnesota
Study site
Seattle, Washington
About this study
Official title: A Phase 2b, Open-Label, Multi-Center Study to Evaluate the Persistence of Antibody Response and to Assess the Immune Response to a Booster Dose of MenACWY Conjugate Vaccine in Subjects Previously Vaccinated as Adolescents With Either MenACWY Conjugate Vaccine or Menomune®.
The primary objective is to evaluate the persistence of bactericidal antibodies in adolescent subjects who completed study V59P6 in which they received either Novartis Meningococcal (MenACWY) Conjugate Vaccine or Licensed polysaccharide Men ACWY vaccine (Menomune®). The study will also enroll age-matched subjects who have never received any other meningococcal vaccine (naïve subjects) to serve as an additional control group.
Read the detailed description
Persistence of antibody response at 5 years after one dose of MenACWY or Menomune
- Conditions
- Meningococcal Disease, Meningococcal Meningitis
- Being tested
- Novartis Meningococcal (MenACWY-CRM) vaccine
- Keywords
- Meningococcal, ACWY, Conjugate Vaccine, Meningitis, Adolescents, Persistence
- Medical subject headings
- Meningococcal Infections, Meningitis, Meningococcal, Meningitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Novartis Meningococcal (MenACWY-CRM) vaccineBiological
All subjects will have blood draws at Day 1, Day 8, and Day 29.
| Study group | Role | What they receive |
|---|---|---|
| I: MenACWY-CRM vaccine | Experimental | Subjects had been given one dose of Meningococcal ACWY (MenACWY) vaccine conjugated to CRM197 (cross-reactive material-mutant of diptheria toxin) 5 years ago. All subjects were given one dose of the Men ACWY in the present study. Receives: Biological: Novartis Meningococcal (MenACWY-CRM) vaccine |
| II: Licensed Polysaccharide Meningococcal vaccine | Experimental | Subjects had been given one dose of a licensed MenACWY polysaccharide meningococcal vaccine (Menomune) 5 years ago. All subjects were given one dose of Men ACWY vaccine in the present study. Receives: Biological: Novartis Meningococcal (MenACWY-CRM) vaccine |
| III: Meningococcal Naive | Experimental | Subjects were age matched with groups 1 and 2 (age inclusive: 16 years to 23 years) and enrolled at visit 1 and given one dose of Men ACWY vaccine during the present study. Receives: Biological: Novartis Meningococcal (MenACWY-CRM) vaccine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Serum Bactericidal Activity >=8 at 5 Years After Primary Vaccination
Persistence of antibody response was measured by the percentage of subjects who showed a serum bactericidal activity with human complement(hSBA) >= 8 [i.e. percentage of subjects with hsBA titer >=8] in previously vaccinated subjects and in age-matched meningococcal vaccine naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y
Measured: Day 1 (5 years after primary vaccination)
Geometric Mean Titer After Booster Vaccination
Immunogenicity was measured by serum bactericidal assay with human complement (hSBA) and reported as hSBA Geometric mean titer (GMT) in previously vaccinated subjects and in age-matched meningococcal vaccine-naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y
Measured: Day 8, Day 29 (5 years after primary vaccination)
Secondary outcomes (7)
Percentage of Participants With Serum Bactericidal Activity >=4 at 5 Years After Primary Vaccination
Persistence was measured by percentage of subjects with serum bactericidal activity with human complement (hSBA) >= 4 in previously vaccinated subjects and in age-matched meningococcal vaccine naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y
Measured: Day 1 (5 years after primary vaccination )
Geometric Mean Titer at 5 Years After Primary Vaccination
Persistence was measured by serum bactericidal assay with human complement(hSBA) and expressed as hSBA GMT in previously vaccinated subjects and in age-matched meningococcal vaccine naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y
Measured: Day 1 (5 years after primary vaccination )
Percentage of Participants With Serum Bactericidal Activity >=4 After Booster Vaccination
Immunogenicity was measured by serum bactericidal assay with human complement (hSBA) >= 4 in previously vaccinated subjects and in age-matched meningococcal vaccine naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y.
Measured: Day 7, Day 28 post booster (5 years after primary vaccination)
Percentage of Participants With Serum Bactericidal Activity >=8 After Booster Vaccination
Immunogenicity was measured by serum bactericidal assay with human complement (hSBA) >= 8 in previously vaccinated subjects and in age-matched meningococcal vaccine naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y.
Measured: Day 7, Day 28 post booster (5 years after primary vaccination)
Geometric Mean Ratio After Booster Vaccination
Ratios are expressed as geometric mean titer at Day 8: Day 1 and at Day 29:Day 1
Measured: Day 8 and Day 29 (at 5 Years After Primary Vaccination)
Percentage of Subjects With hSBA Seroresponse After Booster Vaccination
For a subject with hSBA titer <4 at baseline, seroresponse is defined as a postvaccination hSBA titer >=8; and for a subject with hSBA titer >=4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y.
Measured: Day 8, Day 29 (5 years after primary vaccination)
Number of Participants With at Least One Reactogenicity Sign After Booster Vaccination
Local and systemic reactions were solicited to assess safety and tolerability of vaccination
Measured: Up to Day 7
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Nov 2009 (estimated)
- Study startJan 2010
- Primary completionJul 2010
- Study completionJul 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Meningococcal DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 155 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Vaccines
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Novartis
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01018732
- Sponsor's protocol ID
- V59P6E1
- Status last verified
- Jul 2015
- First submitted
- 18 Nov 2009
- Last updated
- 15 Jul 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Kimura A, Toneatto D, Kleinschmidt A, Wang H, Dull P. Immunogenicity and safety of a multicomponent meningococcal serogroup B vaccine and a quadrivalent meningococcal CRM197 conjugate vaccine against serogroups A, C, W-135, and Y in adults who are at increased risk for occupational exposure to meningococcal isolates. Clin Vaccine Immunol. 2011 Mar;18(3):483-6. doi: 10.1128/CVI.00304-10. Epub 2010 Dec 22.
PubMed 21177912Jacobson RM, Jackson LA, Reisinger K, Izu A, Odrljin T, Dull PM. Antibody persistence and response to a booster dose of a quadrivalent conjugate vaccine for meningococcal disease in adolescents. Pediatr Infect Dis J. 2013 Apr;32(4):e170-7. doi: 10.1097/INF.0b013e318279ac38.
PubMed 23114372
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Open-Label, Multi-Center Study to Evaluate the Persistence of Antibody Response and to Assess the Immune Response to a Booster Dose of MenACWY Conjugate Vaccine in Subjects Previously Vaccinated as Adolescents With Either MenACWY Conjugate Vaccine or Menomune®.
- ClinicalTrials.gov ID
- NCT01018732
- Acronym / sponsor ID
- V59P6E1
- Conditions
- Meningococcal Disease, Meningococcal Meningitis
- Keywords
- Meningococcal, ACWY, Conjugate Vaccine, Meningitis, Adolescents, Persistence
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 155 participants (actual)
- Lead sponsor
- Novartis VaccinesIndustry (pharma, biotech, devices)
- Collaborators
- Novartis
- Study start
- Jan 2010
- Primary completion
- Jul 2010 (actual)
- Study completion
- Jul 2010 (actual)
- First posted
- 25 Nov 2009 (estimated)
- Results
- Posted 13 Sep 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective is to evaluate the persistence of bactericidal antibodies in adolescent subjects who completed study V59P6 in which they received either Novartis Meningococcal (MenACWY) Conjugate Vaccine or Licensed polysaccharide Men ACWY vaccine (Menomune®). The study will also enroll age-matched subjects who have never received any other meningococcal vaccine (naïve subjects) to serve as an additional control group.
Detailed description
Persistence of antibody response at 5 years after one dose of MenACWY or Menomune
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| I: MenACWY-CRM vaccine | Experimental | Biological: Novartis Meningococcal (MenACWY-CRM) vaccineSubjects had been given one dose of Meningococcal ACWY (MenACWY) vaccine conjugated to CRM197 (cross-reactive material-mutant of diptheria toxin) 5 years ago. All subjects were given one dose of the Men ACWY in the present study. |
| II: Licensed Polysaccharide Meningococcal vaccine | Experimental | Biological: Novartis Meningococcal (MenACWY-CRM) vaccineSubjects had been given one dose of a licensed MenACWY polysaccharide meningococcal vaccine (Menomune) 5 years ago. All subjects were given one dose of Men ACWY vaccine in the present study. |
| III: Meningococcal Naive | Experimental | Biological: Novartis Meningococcal (MenACWY-CRM) vaccineSubjects were age matched with groups 1 and 2 (age inclusive: 16 years to 23 years) and enrolled at visit 1 and given one dose of Men ACWY vaccine during the present study. |
Who may qualify
- Ages
- 16 to 23 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (2 listed)
- Healthy adolescents or adults (age 16-23 years inclusive), either previously enrolled in the parent study or naïve to meningococcal vaccination.
- Female subjects were to be negative for pregnancy
Key exclusion criteria (5 listed)
- History of meningococcal disease
- Receipt of any meningococcal vaccine outside of parent study (V59P6)
- Serious, acute, or chronic illnesses including HIV infection/disease and any malignancy
- receipt of any vaccine 14 days prior to the study, or expected through the duration of the study
- any condition which in the eyes of the investigator would pose a health risk to the subject or render them inappropriate for a research study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Novartis Meningococcal (MenACWY-CRM) vaccineAll subjects will have blood draws at Day 1, Day 8, and Day 29. | Biological | I: MenACWY-CRM vaccine, II: Licensed Polysaccharide Meningococcal vaccine, III: Meningococcal Naive |
Primary outcome
Percentage of Participants With Serum Bactericidal Activity >=8 at 5 Years After Primary Vaccination
Time frame: Day 1 (5 years after primary vaccination)
Persistence of antibody response was measured by the percentage of subjects who showed a serum bactericidal activity with human complement(hSBA) >= 8 [i.e. percentage of subjects with hsBA titer >=8] in previously vaccinated subjects and in age-matched meningococcal vaccine naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y
Geometric Mean Titer After Booster Vaccination
Time frame: Day 8, Day 29 (5 years after primary vaccination)
Immunogenicity was measured by serum bactericidal assay with human complement (hSBA) and reported as hSBA Geometric mean titer (GMT) in previously vaccinated subjects and in age-matched meningococcal vaccine-naive subjects. Sera was tested against Neisseria meningitidis serogroups A, C, W-135 and Y
7 secondary outcomes
Percentage of Participants With Serum Bactericidal Activity >=4 at 5 Years After Primary Vaccination
Time frame: Day 1 (5 years after primary vaccination )
Geometric Mean Titer at 5 Years After Primary Vaccination
Time frame: Day 1 (5 years after primary vaccination )
Percentage of Participants With Serum Bactericidal Activity >=4 After Booster Vaccination
Time frame: Day 7, Day 28 post booster (5 years after primary vaccination)
Percentage of Participants With Serum Bactericidal Activity >=8 After Booster Vaccination
Time frame: Day 7, Day 28 post booster (5 years after primary vaccination)
Geometric Mean Ratio After Booster Vaccination
Time frame: Day 8 and Day 29 (at 5 Years After Primary Vaccination)
Percentage of Subjects With hSBA Seroresponse After Booster Vaccination
Time frame: Day 8, Day 29 (5 years after primary vaccination)
Number of Participants With at Least One Reactogenicity Sign After Booster Vaccination
Time frame: Up to Day 7
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 21177912Kimura A, Toneatto D, Kleinschmidt A, Wang H, Dull P. Immunogenicity and safety of a multicomponent meningococcal serogroup B vaccine and a quadrivalent meningococcal CRM197 conjugate vaccine against serogroups A, C, W-135, and Y in adults who are at increased risk for occupational exposure to meningococcal isolates. Clin Vaccine Immunol. 2011 Mar;18(3):483-6. doi: 10.1128/CVI.00304-10. Epub 2010 Dec 22.
- Results publication: PubMed 23114372Jacobson RM, Jackson LA, Reisinger K, Izu A, Odrljin T, Dull PM. Antibody persistence and response to a booster dose of a quadrivalent conjugate vaccine for meningococcal disease in adolescents. Pediatr Infect Dis J. 2013 Apr;32(4):e170-7. doi: 10.1097/INF.0b013e318279ac38.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Novartis Meningococcal (MenACWY-CRM) vaccine in people with Meningococcal Disease and Meningococcal Meningitis, run by Novartis Vaccines at 3 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 2 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 15 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 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 13 Sep 2011). 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?
Percentage of Participants With Serum Bactericidal Activity >=8 at 5 Years After Primary Vaccination (time frame: Day 1 (5 years after primary vaccination)). The study lists 2 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 NCT01018732, 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 15 Jul 2015.