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MeningitisPhase 4NCT01659996

Study of Menactra® in Healthy Subjects at 9 Months and Concomitantly With Pentacel® at 15 to 18 Months of Age

A Phase 4 study testing Meningococcal polysaccharide diphtheria toxoid conjugate, Meningococcal polysaccharide diphtheria toxoid conjugate + Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate in people with Meningitis and Meningococcal Infection, run by Sanofi Pasteur, a Sanofi Company at 58 sites in 2 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 aim of the study is to further characterize the safety and immunogenicity of Menactra® in the population <2 years of age when administered alone and when the second dose is administered concomitantly with the 4th dose of Pentacel®, a licensed pediatric vaccine. Read more about this study

Who is it for?
Ages 9 to 18 monthsHealthy volunteers can take part
Conditions the study is for
Meningitis, Meningococcal Infection, Diphtheria
What is being tested?
Meningococcal polysaccharide diphtheria toxoid conjugate, Meningococcal polysaccharide diphtheria toxoid conjugate + Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,394 participants
Where
58 sitesin 2 countries
Study dates
Jul 2012to Sep 2015
Phase
Phase 4
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 9 to 18 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Aged 9 months (249 to 305 days) for Groups 1 and 2, or 15 to 18 months (420 to 570 days) for Group 3 on the day of the first trial visit
  • Informed consent form has been signed and dated by the parent(s) or other legally acceptable representative
  • Received 3 doses of any DTaP-containing vaccines
  • Received 3 doses of a Hib-containing vaccine, or 2 doses if the subject received PRP-OMP (PedvaxHIB® or Comvax®[HepB-Hib])
  • Received at least 3 doses of a CRM197-based pneumococcal conjugate vaccine (Pneumococcal conjugate vaccine [PCV] or 13-Valent pneumococcal conjugate vaccine [PCV13])
  • Subject and parent/ legally acceptable representative are able to attend all scheduled visits and to comply with all trial procedures.

Who cannot join

  • Participation 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 each trial vaccination or planned receipt of any vaccine in the 4 weeks following each trial vaccination, except for influenza vaccination, which may be received at least 2 weeks before or after the trial vaccination(s)
  • Vaccination against meningococcal disease with either the trial vaccine or another vaccine, or receipt of the 4th dose of any DTaP-containing vaccines, receipt of the 4th dose of a Hib-containing vaccine, or receipt of the 3rd dose of PRP-OMP (PedvaxHIB® or Comvax® [Hep B-Hib]) prior to enrollment or during the conduction of the trial, except for Group 1 subjects, who may receive Hib vaccine at 12 months
  • 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). Topical steroids are not included in this exclusion criterion
  • History of invasive meningococcal infection, confirmed either clinically, serologically, or microbiologically
Show all 16Show fewer
  • Personal history of Guillain-Barré Syndrome
  • History of encephalopathy (e.g., coma, decreased level of consciousness, prolonged seizures) within 7 days of a previous dose of a pertussis containing vaccine that is not attributable to another identifiable cause
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to one of the vaccines used in the trial or to a vaccine containing any of the same substances
  • Known thrombocytopenia, as reported by the parent/ legally acceptable representative, contraindicating intramuscular vaccination
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination
  • In an emergency setting or hospitalized involuntarily
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion
  • Moderate or severe acute illness/ infection (according to investigator judgment) or febrile illness (temperature ≥ 100.4°F [≥ 38.0°C]) on the day of vaccination. A prospective subject should not be included in the trial until the condition has resolved or the febrile event has subsided
  • Receipt of oral or injectable antibiotic therapy within 72 hours prior to any trial blood draw (topical antibiotics, drops, or ointments are not included in this criterion)
  • Identified as a natural or adopted child of the Investigator or employee with direct involvement in the proposed trial.

Trial locations and contacts

58 sites in 2 countries.

58 sites in 2 countries

United States56 sites
  • Study site

    Austin, Texas, 78705

  • Study site

    Birmingham, Alabama, 35235

  • Study site

    Bossier City, Louisiana, 71111

  • Study site

    Bridgeton, Missouri, 63044

  • Study site

    Chino, California, 91710

  • Study site

    Cincinnati, Ohio, 45245

  • Study site

    Clyde, North Carolina, 28721

  • Study site

    Dallas, Texas, 75230

  • Study site

    DeKalb, Illinois, 60115

  • Study site

    Downey, California, 90241

  • Study site

    Elkhorn, Nebraska, 68022

  • Study site

    Erie, Pennsylvania, 16505

  • Study site

    Fairfield, Ohio, 45014

  • Study site

    Fargo, North Dakota, 58103

  • Study site

    Fayetteville, Arkansas, 72703

  • Study site

    Fort Worth, Texas, 76107

  • Study site

    Harleysville, Pennsylvania, 19438

  • Study site

    Hermitage, Pennsylvania, 16148

  • Study site

    Houston, Texas, 77055

  • Study site

    Huber Heights, Ohio, 45424

  • Study site

    Hurst, Texas, 76054

  • Study site

    Indianapolis, Indiana, 46256

  • Study site

    Jackson, Tennessee, 38305

  • Study site

    Jonesboro, Arkansas, 72401

  • Study site

    Kansas City, Missouri, 64114

  • Study site

    Kettering, Ohio, 45420

  • Study site

    Kingsport, Tennessee, 37660

  • Study site

    La Puente, California, 91744

  • Study site

    Lakewood, California, 90711

  • Study site

    Layton, Utah, 84041

  • Study site

    Layton, Utah, 84047

  • Study site

    Lincoln, Nebraska, 68504

  • Study site

    Lincoln, Nebraska, 68516

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Marietta, Georgia, 30062

  • Study site

    Midlothian, Virginia, 23113

  • Study site

    Murray, Utah, 84107

  • Study site

    Norwich, Connecticut, 06360

  • Study site

    Omaha, Nebraska, 68198

  • Study site

    Orem, Utah, 84057

  • Study site

    Paramount, California, 90723

  • Study site

    Payson, Utah, 84651

  • Study site

    Pinson, Alabama, 35126

  • Study site

    Roy, Utah, 84067

  • Study site

    San Antonio, Texas, 78229

  • Study site

    Scranton, Pennsylvania, 18510

  • Study site

    Sellersville, Pennsylvania, 18960

  • Study site

    Spanish Fork, Utah, 84660

  • Study site

    Spokane, Washington, 99202

  • Study site

    Spokane, Washington, 99218

  • Study site

    Syracuse, Utah, 84075

  • Study site

    Tucson, Arizona, 85741

  • Study site

    Tulsa, Oklahoma, 74127

  • Study site

    Woburn, Massachusetts, 01801

  • Study site

    Woodstock, Georgia, 30189

  • Study site

    Worcester, Massachusetts, 01655

Other trials in United States

Puerto Rico2 sites
  • Study site

    Ponce, PR, 00731

  • Study site

    San Juan, PR, 00918

Other trials in Puerto Rico

About this study

Official title: An Immunogenicity and Safety Evaluation of Menactra® (Meningococcal [Groups A, C, Y and W-135] Polysaccharide Diphtheria Toxoid Conjugate Vaccine) When Administered to Healthy Subjects at 9 Months and Concomitantly With Pentacel® at 15 to 18 Months of Age.

The aim of the study is to further characterize the safety and immunogenicity of Menactra® in the population <2 years of age when administered alone and when the second dose is administered concomitantly with the 4th dose of Pentacel®, a licensed pediatric vaccine.

Primary Objectives:

Read more
  • To evaluate and compare the antibody responses to meningococcal serogroups A, C, Y, and W-135 induced by 2 injections of Menactra® in subjects aged 9 months at the first vaccination visit and 15 to 18 months at the second vaccination visit.
  • To evaluate and compare the antibody responses to Pertussis (pertussis toxoid [PT], filamentous haemagglutinin [FHA] and pertactin [PRN]) antigens induced by a dose of Pentacel® when administered concomitantly with Menactra® to those elicited by a dose of Pentacel® administered alone.
  • To evaluate and compare the antibody responses to polyribosylribitol phosphate (PRP), tetanus and diphtheria antigens induced by a dose of Pentacel® when administered concomitantly with Menactra® to those elicited by a dose of Pentacel® alone.

Observational Objectives:

  • To describe the safety profile (immediate unsolicited AEs within 30 minutes of each trial vaccination, solicited reactions within 7 days of each vaccination, unsolicited AEs within 30 days of each vaccination, and serious adverse events [SAEs] throughout the course of the trial from Day 0 up to Day 30 after the last trial vaccination[s]) in all trial groups
  • To describe the antibody responses to meningococcal serogroups A, C, Y, and W-135, measured by SBA HC, 30 days after the second Menactra® administration
  • To describe the antibody responses to Pentacel® (PT, FHA, PRN, FIM, diphtheria, tetanus, polio, PRP) measured by enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), or functional assays.
Read the detailed description

Participants will be vaccinated according to their randomized groups at age 9 months and at age 15 to 18 months. They will undergo immunogenicity assessment and safety monitoring post-vaccination.

Being tested
Meningococcal polysaccharide diphtheria toxoid conjugate, Meningococcal polysaccharide diphtheria toxoid conjugate + Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate
Keywords
Meningitis, Meningococcal Infection, Diphtheria, Pertussis, Menactra®, Pentacel®
Medical subject headings
Meningitis, Meningococcal Infections, Diphtheria, Tetanus, Whooping Cough, Haemophilus Infections

What participants receive

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

  • Meningococcal polysaccharide diphtheria toxoid conjugateBiological

    Also called Menactra®

    0.5 mL, Intramuscular

  • Meningococcal polysaccharide diphtheria toxoid conjugate + Diphtheria and Tetanus Toxoids and Acellular Pertussis AdsorbedBiological

    Also called Menactra®, Pentacel®

    0.5 mL, Intramuscular

  • Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b ConjugateBiological

    Also called Pentacel®

    0.5 mL, Intramuscular

Study groups in NCT01659996
Study groupRoleWhat they receive
Menactra Vaccine GroupExperimentalParticipants will receive Meningococcal polysaccharide diphtheria toxoid conjugate (Menactra®) at 9 months of age and Menactra® at 15 to 18 months of age.
Receives: Biological: Meningococcal polysaccharide diphtheria toxoid conjugate
Menactra and Pentacel Vaccine GroupExperimentalParticipants will receive Meningococcal polysaccharide diphtheria toxoid conjugate (Menactra®) at 9 months of age and Menactra® + Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed (Pentacel®) concomitantly at 15 to 18 months of age.
Receives: Biological: Meningococcal polysaccharide diphtheria toxoid conjugate + Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed
Pentacel Vaccine GroupActive comparatorParticipants will receive only Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate (Pentacel®) at 15 to 18 months of age.
Receives: Biological: Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate

What is being measured

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

  1. Percentage of Study Participants Achieving Menactra Response for Meningococcal Serogroups A, C, Y, and W-135 Following the Second Menactra Vaccination

    Titers of antibodies to serogroups A, C, Y, and W-135 were measured by serum bactericidal assay using human complement (hSBA or SBA-HC).

    Menactra vaccine response defined as subjects with an hSBA titer <1:8 at baseline achieving an hSBA titer ≥1:8, and subjects with an hSBA titer ≥1:8 at baseline achieving a ≥ 4-fold increase in hSBA titer.

    Measured: Day 30 post second Menactra vaccination

  2. Geometric Mean Concentrations of Pertussis Vaccine Antibodies Following Vaccination With Either Pentacel Only or Menactra Concomitantly With Pentacel Vaccine

    Pertussis antibodies, anti-Pertussis toxoid (PT), Filamentous hemagglutinin (FHA), Pertactin (PRN) antibodies were measured by enzyme-linked immunosorbent assay (ELISA).

    Measured: Day 30 post-vaccination 2

  3. Percentage of Participants With Pertussis Vaccine Responses Following Vaccination With Either Pentacel Only or Menactra Concomitantly With Pentacel Vaccine

    Pertussis antibodies, anti-Pertussis toxoid (PT), Filamentous hemagglutinin (FHA), and Pertactin (PRN) antibodies were measured by enzyme-linked immunosorbent assay (ELISA). Pertussis response was defined as: ≥4 × baseline concentration, if the anti-pertussis antibody concentration at baseline is <4 × lower limit of quantification (LLOQ), Or ≥2 × baseline concentration, if the anti-pertussis antibody concentration at baseline is ≥4 × LLOQ

    Measured: Day 30 post-vaccination 2

  4. Percentage of Participants With Antibody Responses to Diphtheria, Tetanus and Polyribosylribitol Phosphate Antigens Following Vaccination With Either Pentacel Only or Menactra Concomitantly With Pentacel Vaccine

    Anti-Tetanus antibodies were measured by enzyme-linked immunosorbent assay (ELISA), anti-polyribosylribitol phosphate (PRP) antibodies were measured using a Farr-type radioimmunoassay, and anti-diphtheria antibodies were measured by a toxin neutralization test.

    The vaccine responses were defined as: Anti-PRP antibody concentrations ≥1.0 μg/mL; Anti-tetanus antibody concentrations ≥1.0 IU/mL and Anti-diphtheria antibody concentrations ≥1.0 IU/mL, respectively, 30 days after vaccination with Pentacel® in participants in Groups 2 and 3.

    Measured: Day 30 post-vaccination 2

Timeline

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

  1. First posted8 Aug 2012 (estimated)
  2. Study startJul 2012
  3. Primary completionNov 2014
  4. Study completionSep 2015

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,394 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01659996
Sponsor's protocol ID
MTA55
Other IDs
U1111-1120-1368
Status last verified
Nov 2015
First submitted
2 Aug 2012
Last updated
15 Dec 2015
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Meningococcal polysaccharide diphtheria toxoid conjugate, Meningococcal polysaccharide diphtheria toxoid conjugate + Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus and Haemophilus b Conjugate in people with Meningitis and Meningococcal Infection, run by Sanofi Pasteur, a Sanofi Company at 58 sites in 2 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 6 inclusion and 16 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 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United States, Puerto Rico. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 15 Dec 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?

Percentage of Study Participants Achieving Menactra Response for Meningococcal Serogroups A, C, Y, and W-135 Following the Second Menactra Vaccination (time frame: Day 30 post second Menactra vaccination). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Dec 2015.

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