Exploratory Trial to Evaluate the Safety and Immunogenicity of Menactra® and Menomune® Vaccines in Subjects ≥ 56 Years
A Safety and Immunogenicity Evaluation of a Meningococcal (Groups A, C, Y, and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine (Menactra®) and a Meningococcal Polysaccharide Vaccine Groups A, C, Y, and W-135 Combined (Menomune® - A/C/Y/W-135) in Subjects 56 Years of Age or Older
Safety:
To describe the rates of immediate reactions, solicited injection-site and systemic reactions, all unsolicited adverse events, and serious adverse events following vaccination with either Menactra® vaccine or Menomune® vaccine.
Immunogenicity:
To evaluate the immune response to serogroups A, C, Y, and W-135 in each of the four study groups.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
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Arizona
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Scottsdale, Arizona, United States, 85251
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-
Kentucky
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Bardstown, Kentucky, United States, 40004
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New Mexico
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Albuquerque, New Mexico, United States, 87108
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Utah
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West Jordon, Utah, United States, 84088
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Washington
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Seattle, Washington, United States, 98101
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Spokane, Washington, United States, 99202
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Ambulatory and healthy, as determined by medical history.
- 56 years of age or older at the time of vaccination.
- Signed Institutional Review Board (IRB)-approved informed consent form.
- Able to attend all scheduled visits and to comply with all trial procedures.
- For a woman, inability to become pregnant or a negative urine pregnancy test at the time of enrollment.
Exclusion Criteria:
- Any condition which, in the opinion of the Investigator, would pose a health risk to the participant or interfere with the evaluation of the vaccine.
- Serious chronic disease (i.e., cardiac, renal, neurologic, metabolic, rheumatologic, psychiatric, etc) that is unstable or that might 1) interfere with the ability to participate fully in the study or 2) interfere with evaluation of the vaccines.
- Known or suspected impairment of immunologic function.
- Febrile illness within the last 72 hours or an oral temperature ≥ 100.4ºF at the time of inclusion.
- History of documented invasive meningococcal disease or previous meningococcal vaccination.
- Known or suspected receipt of a diphtheria-containing vaccine within the preceding 2 years.
- Administration of immune globulin or other blood products within the last three months, or injected or oral corticosteroids or other immunomodulator therapy within six weeks of the study vaccine. Individuals on a tapering dose schedule of oral steroids lasting < 7 days may be included in the trial as long as they have not received more than one course within the last two weeks prior to enrollment.
- Systemic antibiotic therapy within the 72 hours prior to collection of any blood samples.
- Received any vaccine in the 28-day period prior to enrollment or scheduled to receive any vaccination through Visit 2 for Groups 1 and 2 and through Visit 3 for Groups 3 and 4. Influenza vaccines may be received 2 weeks before or after a study vaccination.
- Suspected or known hypersensitivity to latex or to any of the components of either Menactra® vaccine or Menomune® vaccine.
- Previous personal history of Guillain-Barré syndrome.
- Not available for the entire study period or unable to attend the scheduled visits or to comply with the study procedures.
- In females of childbearing potential, a positive or equivocal urine pregnancy test at enrollment.
- A nursing mother.
- Participation in another interventional clinical trial in the 4 weeks preceding enrollment or planning to participate in another interventional clinical trial during the planned period of this study.
- Current use of alcohol or recreational drugs that may interfere with the subject's ability to comply with trial visits or procedures.
- Thrombocytopenia or bleeding disorder contraindicating intramuscular vaccination.
- Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Group 1: Menomune Day 0
Participants received a single dose of Menomune® vaccine on Day 0.
|
0.5 mL, Subcutaneous
Other Names:
|
|
Experimental: Group 2: Menactra® Day 0 x 2
Participants received two single-dose injections of Menactra® vaccine on Day 0
|
0.5 mL, Intramuscular
Other Names:
0.5 mL. Intramuscular
Other Names:
|
|
Experimental: Group 3: Menactra® Day 0 and 14
Participants received a single dose of Menactra® vaccine on Day 0 and on Day 14
|
0.5 mL, Intramuscular
Other Names:
0.5 mL. Intramuscular
Other Names:
|
|
Experimental: Group 4: Menactra® Day 0 and 28
Participants received a single dose of Menactra® vaccine on Day 0 and on Day 28.
|
0.5 mL, Intramuscular
Other Names:
0.5 mL. Intramuscular
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With At Least One Solicited Injection Site or Systemic Reaction Post-Vaccination 1.
Time Frame: 0-7 days post-vaccination 1
|
Solicited injection site reactions: pain, erythema, and swelling.
Solicited systemic reactions: Fever (temperature), Headache, Malaise, Myalgia, chills, Arthralgia, Urticaria, Anorexia, Diarrhea, and Vomiting.
|
0-7 days post-vaccination 1
|
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Number of Participants With At Least One Solicited Injection Site Reaction Post-Vaccination 2
Time Frame: 0-7 Days Post-vaccination 2
|
Solicited injection site reactions: Pain, Erythema, and Swelling.
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0-7 Days Post-vaccination 2
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Number of Participants With At Least One Solicited Systemic Reaction Post-Vaccination 2
Time Frame: Day 0 to 7 Post-vaccination 2
|
Solicited systemic reactions: Fever (temperature), Headache, Malaise, Myalgia, chills, Arthralgia, Urticaria, Anorexia, Diarrhea, and Vomiting.
|
Day 0 to 7 Post-vaccination 2
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Antibody Titers Using Baby Rabbit Complement (SBA-BR) Post-Vaccination 1.
Time Frame: Day 28 Post-vaccination 1
|
Day 28 Post-vaccination 1
|
|
Percentage of Participants With at Least a 4-fold Rise in Serum Bactericidal Antibody Titers Using Baby Rabbit Complement (SBA-BR) Post-Vaccination 2
Time Frame: Day 28 Post-vaccination 2
|
Day 28 Post-vaccination 2
|
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Geometric Mean Titers (GMTs) of Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Pre- and Post-vaccination 1
Time Frame: Day 0 and Day 28 Post-vaccination 1
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Day 0 and Day 28 Post-vaccination 1
|
|
Geometric Mean Titers (GMTs) of Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Pre-vaccination 1 and Post-vaccination 2
Time Frame: Day 0 and 28 days Post-vaccination 2
|
Day 0 and 28 days Post-vaccination 2
|
|
Percentage of Participants Achieving Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Titers of at Least 1:8 (≥1:8) Pre- and Post-vaccination 1
Time Frame: Day 28 Post-vaccination 1
|
Day 28 Post-vaccination 1
|
|
Percentage of Participants Achieving Serum Bactericidal Antibody Using Baby Rabbit Complement (SBA-BR) Titers of at Least 1:8 (≥1:8), Pre-vaccination 1 and Post-vaccination 2
Time Frame: Day 0 and Day 28 Post-vaccination 2
|
Day 0 and Day 28 Post-vaccination 2
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Central Nervous System Diseases
- Nervous System Diseases
- Infections
- Central Nervous System Infections
- Gram-Negative Bacterial Infections
- Bacterial Infections
- Bacterial Infections and Mycoses
- Meningitis, Bacterial
- Central Nervous System Bacterial Infections
- Neisseriaceae Infections
- Meningitis, Meningococcal
- Meningitis
- Meningococcal Infections
Other Study ID Numbers
Other Study ID Numbers
- MTA29
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