Epidemic MeningitisPhase 4NCT05935176
Phase IV Clinical Study of Immunogenicity of ACYW135 Group Meningococcal Polysaccharide Conjugate Vaccine (CRM197 Vector)
A Phase 4 study testing MCV4 in people with Epidemic Meningitis, run by CanSino Biologics Inc. at 1 site in China.
Trial summary
The purpose of this clinical study is to evaluate the immunogenicity and immunopersistence of the ACYW135 meningococcal polysaccharide conjugate vaccine (CRM197 vector).The protocol consists of two parts: Part 1 enrolled 660 eligible participants aged 6 to 23 months, which has now been completed. Read more about this study
- Who is it for?
- Ages 6 to 23 monthsHealthy volunteers can take part
- Conditions the study is for
- Epidemic Meningitis
- What is being tested?
- MCV4
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 660 participants
- Where
- 1 siteChina
- Study dates
- 20 Sep 2023to 15 Jul 2026
- Phase
- Phase 4
- Are there results?
- Not yet: the study is under way
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 6 to 23 months
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Children aged 6 to 23 months at the time of screening
- Volunteers who have not received any vaccine containing a epidemic encephalitis component or who have received only the group A polysaccharide flu vaccine and have been vaccinated more than 6 months since their last vaccination. 6 months or more between the last vaccination and the last vaccination
- The legal guardian or delegate has given informed consent, voluntarily signed the informed consent form, and is able to comply with the requirements of the clinical study protocol
- The first phase of the study has been completed, involving the (0, 3) month vaccination schedule group for subjects aged 6 to 11 months. All subjects received two doses as required, and blood samples were collected 30 days after the primary vaccination series.
- Children aged 3 years at the time of screening
- The trial participant is able and willing to comply with the requirements of the clinical trial protocol and can complete the 1-month study follow-up.
- The trial participants did not receive any meningococcal vaccine booster doses at age 3 years
- The legal guardian or authorized representative voluntarily signs the informed consent form with full knowledge and understanding, and is able to comply with the requirements of the clinical research protocol.
Who cannot join
- Fever before inoculation, axillary temperature >37.0℃
- History of epilepsy, convulsions or seizures or history of psychiatric disorders or family history
- During an acute illness episode; with a serious chronic illness or a condition that is in a progressive stage that cannot be smoothly controlled (or an acute episode)
- Known allergy to a component of the vaccine, especially to diphtheria toxoid
- Live attenuated vaccine received within 14 days or other vaccine received within 7 days prior to enrollment
- Other circumstances that, in the judgment of the investigator, make participation in this clinical study inappropriate
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- Those who had a severe allergic reaction after the previous dose of vaccine
- Those with serious adverse reactions causally related to the previous dose of vaccination
- Newly identified or newly occurred cases after the first vaccination that do not meet the inclusion criteria for the first dose or meet the exclusion criteria for the first dose will be determined by the investigator whether to continue to participate in the study
- Part Ⅱ
- Fever prior to vaccination, with axillary temperature >37.0°C
- History of epilepsy, convulsions, or seizures; psychiatric history or family history of psychiatric disorders
- During acute phase of illness; severe chronic disease or progressive condition not well controlled (or in acute phase)
- Known allergy to any vaccine component, particularly diphtheria toxoid
- Receipt of live attenuated vaccines within 14 days or other vaccines within 7 days prior to enrollment
- Other conditions deemed ineligible for this clinical study by the investigator
Trial locations and contacts
1 site in 1 country.
China1 site
Wuzhi County Center for Disease Control and Prevention
Jiaozuo, Henan
About this study
Official title: Phase IV Clinical Trial of Immunogenicity of ACYW135 Meningococcal Polysaccharide Conjugate Vaccine (CRM197 Vector) in a Population Aged 6 to 23 Months
The purpose of this clinical study is to evaluate the immunogenicity and immunopersistence of the ACYW135 meningococcal polysaccharide conjugate vaccine (CRM197 vector).The protocol consists of two parts: Part 1 enrolled 660 eligible participants aged 6 to 23 months, which has now been completed. Part 2 : Open Clinical Researchplans to enroll approximately 100 eligible participants from Part 1 who have completed immunopreservance blood sampling. Participants will receive a single booster dose of the ACYW135 group meningococcal polysaccharide conjugate vaccine (CRM197 vector) at age 3 years (but not yet 4 years).
Read the detailed description
Meningococci are divided into 12 serogroups, and 95% of meningococcal cases are caused by serogroups A, B, C, X, W, and Y. Meningococcal epidemic flora can change, and the reasons are related to various factors such as meningococcal strain variation, human mobility transmission, and vaccination against different serogroups of meningococci, etc. The emergence of new serogroups of meningococci can cause the original vaccine to lose its immune protective efficacy and require a new vaccine immunization prevention strategy. the ACYW135 group meningococcal polysaccharide conjugate vaccine was approved in 2016 for a whole population The vaccine has been approved by the State Drug Administration for the prevention of epidemic meningoencephalitis caused by meningococci of groups A, C, W135 and Y in children from 3 months to 3 years of age (47 months of age).
- Conditions
- Epidemic Meningitis
- Being tested
- MCV4
- Keywords
- ACYW135, CRM197, Immunogenicity, Persistence, 6~23 months of age, 3 years old
- Medical subject headings
- Meningitis, Meningococcal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MCV4Biological
2 dose of MCV4 on Day 0 and Month 1
MCV4Biological
2 dose of MCV4 on Day 0 and Month 3
MCV4Biological
1 booster dose of MCV4 at 3 years old
| Study group | Role | What they receive |
|---|---|---|
| Part Ⅰ: Vaccine Group A | Experimental | 2 dose of ACYW135 group meningococcal polysaccharide conjugate vaccine(MCV4) (0.5ml) Receives: Biological: MCV4 |
| PartⅠ: Vaccine Group B | Experimental | 2 dose of MCV4 (0.5ml) Receives: Biological: MCV4 |
| Part Ⅱ: Vaccine Group C | Experimental | 1 dose of MCV4 (0.5ml) at 3 years old from group B in Part I Receives: Biological: MCV4 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Antibody positivity for A, C, Y and W135 in all subjects 6 months after 2 dose exemption
Measured: 6 months after 2 dose exemption
Seroconversion rates for serotypes A, C, Y, and W135
Measured: 30 days post-booster vaccination
Geometric mean titers (GMTs) for serotypes A, C, Y, and W135
Measured: 30 days post-booster vaccination
Increased incidence of adverse reactions
Measured: Within 7 days after post-booster vaccination
Secondary outcomes (7)
Antibody positivity for A, C, Y and W135 in all subjects 9 months after 2 dose exemption
Measured: 9 months after 2 dose exemption
A, C, Y and W135 antibody positive conversion rate, positivity rate, GMT, GMI, ≥1:128 ratio in all subjects at 30 days after dose 2 exemption
Measured: 30 days after dose 2 exemption
A, C, Y and W135 antibody GMT, GMI, ≥1:128 ratio in all subjects at 6 and 9 months after 2 dose exemption
Measured: 6 and 9 months after 2 dose exemption
A, C, Y and W135 antibody GMT, positivity rate, GMI 30 days, 60 days after the first dose, and before the second dose in some subjects of the (0, 3) month immunization program
Measured: 30 days , 60 days after the first dose, and before the second dose
Increased incidence of adverse events
Measured: Within 7 days after post-booster vaccination
Increased Incidence of adverse reactions/events
Measured: Within 30 days after post-booster vaccination
A, C, Y, and W135 Antibody Positivity Rates and GMI and ≥1:128 Proportions
Measured: Within 30 days after post-booster vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2023
- Study start20 Sep 2023
- Primary completion15 May 2026 (estimated)
- Study completion15 Jul 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Epidemic MeningitisStudies of the same condition, open and under way.
- More trials run by CanSino Biologics Inc.The sponsor's other registered studies.
- 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 4
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 660 participants (actual)
Sponsor and investigators
- Lead sponsor
- CanSino Biologics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05935176
- Sponsor's protocol ID
- CTP-MCVF-004
- Status last verified
- Mar 2026
- First submitted
- 27 Jun 2023
- Last updated
- 4 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase IV Clinical Trial of Immunogenicity of ACYW135 Meningococcal Polysaccharide Conjugate Vaccine (CRM197 Vector) in a Population Aged 6 to 23 Months
- ClinicalTrials.gov ID
- NCT05935176
- Acronym / sponsor ID
- CTP-MCVF-004
- Conditions
- Epidemic Meningitis
- Keywords
- ACYW135, CRM197, Immunogenicity, Persistence, 6~23 months of age, 3 years old
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 660 participants (actual)
- Lead sponsor
- CanSino Biologics Inc.Industry (pharma, biotech, devices)
- Study start
- 20 Sep 2023 (actual)
- Primary completion
- 15 May 2026 (estimated)
- Study completion
- 15 Jul 2026 (estimated)
- First posted
- 7 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical study is to evaluate the immunogenicity and immunopersistence of the ACYW135 meningococcal polysaccharide conjugate vaccine (CRM197 vector).The protocol consists of two parts: Part 1 enrolled 660 eligible participants aged 6 to 23 months, which has now been completed. Part 2 : Open Clinical Researchplans to enroll approximately 100 eligible participants from Part 1 who have completed immunopreservance blood sampling. Participants will receive a single booster dose of the ACYW135 group meningococcal polysaccharide conjugate vaccine (CRM197 vector) at age 3 years (but not yet 4 years).
Detailed description
Meningococci are divided into 12 serogroups, and 95% of meningococcal cases are caused by serogroups A, B, C, X, W, and Y. Meningococcal epidemic flora can change, and the reasons are related to various factors such as meningococcal strain variation, human mobility transmission, and vaccination against different serogroups of meningococci, etc. The emergence of new serogroups of meningococci can cause the original vaccine to lose its immune protective efficacy and require a new vaccine immunization prevention strategy. the ACYW135 group meningococcal polysaccharide conjugate vaccine was approved in 2016 for a whole population The vaccine has been approved by the State Drug Administration for the prevention of epidemic meningoencephalitis caused by meningococci of groups A, C, W135 and Y in children from 3 months to 3 years of age (47 months of age).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Part Ⅰ: Vaccine Group A | Experimental | Biological: MCV42 dose of ACYW135 group meningococcal polysaccharide conjugate vaccine(MCV4) (0.5ml) |
| PartⅠ: Vaccine Group B | Experimental | Biological: MCV42 dose of MCV4 (0.5ml) |
| Part Ⅱ: Vaccine Group C | Experimental | Biological: MCV41 dose of MCV4 (0.5ml) at 3 years old from group B in Part I |
Who may qualify
- Ages
- 6 to 23 months
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (8 listed)
- Children aged 6 to 23 months at the time of screening
- Volunteers who have not received any vaccine containing a epidemic encephalitis component or who have received only the group A polysaccharide flu vaccine and have been vaccinated more than 6 months since their last vaccination. 6 months or more between the last vaccination and the last vaccination
- The legal guardian or delegate has given informed consent, voluntarily signed the informed consent form, and is able to comply with the requirements of the clinical study protocol
- The first phase of the study has been completed, involving the (0, 3) month vaccination schedule group for subjects aged 6 to 11 months. All subjects received two doses as required, and blood samples were collected 30 days after the primary vaccination series.
- Children aged 3 years at the time of screening
Key exclusion criteria (16 listed)
- Fever before inoculation, axillary temperature >37.0℃
- History of epilepsy, convulsions or seizures or history of psychiatric disorders or family history
- During an acute illness episode; with a serious chronic illness or a condition that is in a progressive stage that cannot be smoothly controlled (or an acute episode)
- Known allergy to a component of the vaccine, especially to diphtheria toxoid
- Live attenuated vaccine received within 14 days or other vaccine received within 7 days prior to enrollment
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 |
|---|---|---|
| MCV42 dose of MCV4 on Day 0 and Month 1 | Biological | Part Ⅰ: Vaccine Group A |
| MCV42 dose of MCV4 on Day 0 and Month 3 | Biological | PartⅠ: Vaccine Group B |
| MCV41 booster dose of MCV4 at 3 years old | Biological | Part Ⅱ: Vaccine Group C |
Primary outcome
Antibody positivity for A, C, Y and W135 in all subjects 6 months after 2 dose exemption
Time frame: 6 months after 2 dose exemption
Seroconversion rates for serotypes A, C, Y, and W135
Time frame: 30 days post-booster vaccination
Geometric mean titers (GMTs) for serotypes A, C, Y, and W135
Time frame: 30 days post-booster vaccination
Increased incidence of adverse reactions
Time frame: Within 7 days after post-booster vaccination
7 secondary outcomes
Antibody positivity for A, C, Y and W135 in all subjects 9 months after 2 dose exemption
Time frame: 9 months after 2 dose exemption
A, C, Y and W135 antibody positive conversion rate, positivity rate, GMT, GMI, ≥1:128 ratio in all subjects at 30 days after dose 2 exemption
Time frame: 30 days after dose 2 exemption
A, C, Y and W135 antibody GMT, GMI, ≥1:128 ratio in all subjects at 6 and 9 months after 2 dose exemption
Time frame: 6 and 9 months after 2 dose exemption
A, C, Y and W135 antibody GMT, positivity rate, GMI 30 days, 60 days after the first dose, and before the second dose in some subjects of the (0, 3) month immunization program
Time frame: 30 days , 60 days after the first dose, and before the second dose
Increased incidence of adverse events
Time frame: Within 7 days after post-booster vaccination
Increased Incidence of adverse reactions/events
Time frame: Within 30 days after post-booster vaccination
A, C, Y, and W135 Antibody Positivity Rates and GMI and ≥1:128 Proportions
Time frame: Within 30 days after post-booster vaccination
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2026.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing MCV4 in people with Epidemic Meningitis, run by CanSino Biologics Inc. at 1 site in China.
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 8 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: under way, not looking for participants, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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?
This study is still under way. Results are not available in the source record yet.
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?
Antibody positivity for A, C, Y and W135 in all subjects 6 months after 2 dose exemption (time frame: 6 months after 2 dose exemption). 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 4 Mar 2026.