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Meningococcal DiseasePhase 3NCT02141516

Safety and Immunogenicity of Novartis Meningococcal B Vaccine When Administered to Immunocompromised Children and Adolescents Compared to Healthy Subjects.

A Phase 3 study testing rMenB+OMV in people with Meningococcal Disease, run by Novartis at 20 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 study aims at evaluating the safety and immunogenicity of rMenB+OMV NZ when administered to subjects from 2 to 17 years of age with increased risk of meningococcal disease because either of primary or secondary complement deficiencies or of asplenia or splenic dysfunction. Read more about this study

Who is it for?
Ages 2 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Meningococcal Disease
What is being tested?
rMenB+OMV
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
239 participants
Where
20 sitesin 5 countries
Study dates
May 2014to Mar 2015
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 2 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Subjects aged 2 to 17 years (inclusive) at enrollment
  • weighing at least 13 Kg at the time of enrollment
  • Inclusion criterion applicable to Group A - Subjects at risk of meningococcal disease because of primary or secondary complement deficiencies
  • Subjects at risk of meningococcal disease because of functional or anatomic asplenia
  • Inclusion criterion applicable to Group C - healthy subjects

Who cannot join

  • History of any previous immunization with a meningococcal B vaccine
  • History of severe allergic reaction after previous vaccinations, or hypersensitivity to any component of the vaccine
  • Known HIV infection
  • History of any progressive or severe neurologic disorder or seizure disorder
  • Contraindication to intramuscular injection or blood drawn
  • Females who are pregnant, planning a pregnancy or nursing (breastfeeding)
Show all 11Show fewer
  • Females of childbearing potential who have not used or do not plan to use acceptable birth control measures
  • History or any illness/condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects
  • Previous known or suspected disease caused by N. meningitidis in the last year.
  • Previous known or suspected disease caused by N. meningitidis
  • Known or suspected impairment/alteration of the immune system

Trial locations and contacts

20 sites in 5 countries.

20 sites in 5 countries

Italy5 sites
  • 12, Novartis Investigational Site

    Florence, 50139

  • 11, Novartis Investigational Site

    Genova, 16132

  • 10, Novartis Investigational Site

    Milan, 20122

  • 14, Novartis Investigational Site

    Padova, 35128

  • 13, Novartis Investigational Site

    Roma, 00165

Other trials in Italy

Spain5 sites
  • 21, Novartis Investigational Site

    Barcelona, 08035

  • 22, Novartis Investigational Site

    Madrid, 28046

  • 23, Novartis Investigational Site

    Madrid, 46026

  • 20, Novartis Investigational Site

    Santiago de Compostela, 15706

  • 24, Novartis Investigational Site

    Valencia, 46026

Other trials in Spain

United Kingdom4 sites
  • 53, Novartis Investigational Site

    London, WC1N 3JH

  • 52, Novartis Investigational Site

    Manchester, M13 9WL

  • 50, Novartis Investigational Site

    Oxford, OX3 7LE

  • 51, Novartis Investigational Site

    Southampton, SO16 6YD

Other trials in United Kingdom

Poland3 sites
  • 31, Novartis Investigational Site

    Krakow, 31-302

  • 33, Novartis Investigational Site

    Warsaw, 04-730

  • 30, Novartis Investigational Site

    Wroclaw, 50-345

Other trials in Poland

Russia3 sites
  • 42, Novartis Investigational Site

    Moscow, 117198

  • 41, Novartis Investigational Site

    Moscow, 117997

  • 43, Novartis Investigational Site

    Yekaterinburg, 620149

Other trials in Russia

About this study

Official title: A Phase IIIb, Open Label, Controlled, Multi-Center Study to Evaluate the Safety, Tolerability and Immunogenicity of Two Doses of Novartis Meningococcal Group B Vaccine When Administered to Immunocompromised Patients From 2 to 17 Years of Age Who Are at Increased Risk of Meningococcal Disease Because of Complement Deficiency or Asplenia Compared to Matched Healthy Controls.

The study aims at evaluating the safety and immunogenicity of rMenB+OMV NZ when administered to subjects from 2 to 17 years of age with increased risk of meningococcal disease because either of primary or secondary complement deficiencies or of asplenia or splenic dysfunction. A group of healthy age-matched subjects will be enrolled to serve as a descriptive control for immunogenicity and safety.

Being tested
rMenB+OMV
Keywords
Meningitis, vaccination, complement deficiency, asplenia, splenic dysfunction
Medical subject headings
Meningococcal Infections, Meningitis, Hereditary Complement Deficiency Diseases

What participants receive

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

  • rMenB+OMVBiological

    2 doses of vaccine 2 months apart

  • rMenB+OMVBiological

    2 doses of vaccine 2 months apart

  • rMenB+OMVBiological

    2 doses of vaccine 2 months apart

Study groups in NCT02141516
Study groupRoleWhat they receive
Group AExperimentalComplement deficiency
Receives: Biological: rMenB+OMV
Group BExperimentalasplenia/splenic dysfunction
Receives: Biological: rMenB+OMV
Group CActive comparatorage-matched healthy controls
Receives: Biological: rMenB+OMV

What is being measured

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

  1. Percentages of Subjects With Serum Bactericidal Activity Using Human Complement (hSBA) Titers ≥ 5 for B Indicator Strains (H44/76, 5/99, and NZ98/254) and M10713 Strain.

    Immunogenicity was assessed in terms of percentage of subjects with hSBA titers ≥ 5 against N. meningitidis serogroup B indicator strains (H44/76, 5/99, and NZ98/254) and M10713 strain following 2 doses of rMenB+Outer Membrane Vesicle (OMV) NZ, administered on Day 1 and Day 61.

    Measured: Day 1 and Day 91 (one month after the second dose of the study vaccine)

  2. Percentages of Subjects With hSBA Titers ≥ 8 for B Indicator Strains (H44/76, 5/99, and NZ98/254) and M10713 Strain.

    Immunogenicity was assessed in terms of percentage of subjects with hSBA titers ≥ 8 against N. meningitidis serogroup B indicator strains (H44/76, 5/99, and NZ98/254) and M10713 strain following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 1 and Day 91 (one month after the second dose of the study vaccine).

  3. Geometric Mean Ratios (GMRs) Against N. Meningitidis Serogroup B Strains Following a 2-dose Vaccination Schedule.

    Immunogenicity was assessed in terms of GMRs against N. meningitidis serogroup B indicator strains (H44/76, 5/99, and NZ98/254) and M10713 strain following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 1 and Day 91 (one month after the second dose of the study vaccine).

  4. Geometric Mean hSBA Titers (GMTs) Against N. Meningitidis Serogroup B Strains Following a 2-dose Vaccination Schedule.

    Immunogenicity was assessed in terms of GMTs against N. meningitidis serogroup B indicator strains (H44/76, 5/99, and NZ98/254) and M10713 strain following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 1 and Day 91 (one month after the second dose of the study vaccine).

  5. Percentages of Subjects With Four-fold Increases in hSBA Titers Against the Serogroup B Indicator Strains (H44/76, 5/99, and NZ98/254) and M10713 Strain.

    Antibody responses were assessed in terms of percentage of subjects achieving 4-fold increase in ELISA concentrations against vaccine antigen 287-953 on Day 91 over baseline (Day 1), following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 91 (one month after the second dose of the study vaccine).

  6. Geometric Mean Concentrations (GMCs) of Antibodies Against Vaccine Antigen 287-953 Following a 2-dose Vaccination Schedule.

    Immune responses were measured as Enzyme-linked Immunosorbent Assay (ELISA) GMCs of antibodies against vaccine antigen 287-953 following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 1 and Day 91 (one month after the second dose of the study vaccine).

  7. ELISA GMRs of Antibodies Against Vaccine Antigen 287-953 Following a 2-dose Vaccination Schedule.

    Immune responses were measured as ELISA GMRs of antibodies against vaccine antigen 287-953 following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 1 and Day 91 (one month after the second dose of the study vaccine).

  8. Percentage of Subjects With Four-fold Increases in ELISA Concentrations Against the Vaccine Antigen 287-953.

    Antibody responses were assessed in terms of percentage of subjects achieving 4-fold increase in ELISA concentrations against vaccine antigen 287-953 on Day 91 over baseline (Day 1), following 2 doses of rMenB+OMV NZ, administered on Day 1 and Day 61.

    Measured: Day 91 (one month after the second dose of the study vaccine).

  9. Number Of Subjects With Unsolicited Adverse Events (AEs).

    Safety was assessed as the number of subjects who reported unsolicited AEs collected from Day1 through Day 7 after any vaccination; serious adverse events (SAEs), AEs leading to withdrawal and medically attended AEs were collected throughout the study period (Day1-Day 91).

    Measured: At Day1 through Day 7 after any vaccination and throughout the study period (Day 1 to Day 91)

Secondary outcomes (1)
  1. Number of Subjects Reporting Solicited Local and Systemic AEs.

    Reactogenicity was presented in terms of percentages of subjects reporting solicited local and systemic AEs and other indicators.

    Measured: From Day 1 until Day 7 after any 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 May 2014 (estimated)
  2. Study startMay 2014
  3. Primary completionMar 2015
  4. Study completionMar 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 3
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
239 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02141516
Sponsor's protocol ID
V72_62
Other IDs
2013-002454-78
Status last verified
Jul 2016
First submitted
15 May 2014
Last updated
15 Feb 2017
Data monitoring committee
No

Publications

  • Martinon-Torres F, Bernatowska E, Shcherbina A, Esposito S, Szenborn L, Marti MC, Hughes S, Faust SN, Gonzalez-Granado LI, Yu LM, D'Agostino D, Calabresi M, Toneatto D, Snape MD. Meningococcal B Vaccine Immunogenicity in Children With Defects in Complement and Splenic Function. Pediatrics. 2018 Sep;142(3):e20174250. doi: 10.1542/peds.2017-4250. Epub 2018 Aug 1.

    PubMed 30068713

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing rMenB+OMV in people with Meningococcal Disease, run by Novartis at 20 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 5 inclusion and 11 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 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Italy, Spain, United Kingdom, Poland, Russia. 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 15 Feb 2017). 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 Activity Using Human Complement (hSBA) Titers ≥ 5 for B Indicator Strains (H44/76, 5/99, and NZ98/254) and M10713 Strain. (time frame: Day 1 and Day 91 (one month after the second dose of the study vaccine)). The study lists 9 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 NCT02141516, which also lists 1 linked publication.

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 Feb 2017.

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