A Study to Evaluate the Persistence and Immune Response to a Booster Dose of MenACWY
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®.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Minnesota
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Rochester, Minnesota, United States
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Pennsylvania
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Pittsburgh, Pennsylvania, United States
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Washington
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Seattle, Washington, United States
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: I: MenACWY-CRM vaccine
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.
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All subjects will have blood draws at Day 1, Day 8, and Day 29.
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Experimental: II: Licensed Polysaccharide Meningococcal vaccine
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.
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All subjects will have blood draws at Day 1, Day 8, and Day 29.
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Experimental: III: Meningococcal Naive
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.
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All subjects will have blood draws at Day 1, Day 8, and Day 29.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Serum Bactericidal Activity >=8 at 5 Years After Primary Vaccination
Time Frame: Day 1 (5 years after primary vaccination)
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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
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Day 1 (5 years after primary vaccination)
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Geometric Mean Titer After Booster Vaccination
Time Frame: Day 8, Day 29 (5 years after primary vaccination)
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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
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Day 8, Day 29 (5 years after primary vaccination)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Serum Bactericidal Activity >=4 at 5 Years After Primary Vaccination
Time Frame: Day 1 (5 years after primary vaccination )
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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
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Day 1 (5 years after primary vaccination )
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Geometric Mean Titer at 5 Years After Primary Vaccination
Time Frame: Day 1 (5 years after primary vaccination )
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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
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Day 1 (5 years after primary vaccination )
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Percentage of Participants With Serum Bactericidal Activity >=4 After Booster Vaccination
Time Frame: Day 7, Day 28 post booster (5 years after primary vaccination)
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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.
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Day 7, Day 28 post booster (5 years after primary vaccination)
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Percentage of Participants With Serum Bactericidal Activity >=8 After Booster Vaccination
Time Frame: Day 7, Day 28 post booster (5 years after primary vaccination)
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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.
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Day 7, Day 28 post booster (5 years after primary vaccination)
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Geometric Mean Ratio After Booster Vaccination
Time Frame: Day 8 and Day 29 (at 5 Years After Primary Vaccination)
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Ratios are expressed as geometric mean titer at Day 8: Day 1 and at Day 29:Day 1
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Day 8 and Day 29 (at 5 Years After Primary Vaccination)
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Percentage of Subjects With hSBA Seroresponse After Booster Vaccination
Time Frame: Day 8, Day 29 (5 years after primary vaccination)
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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.
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Day 8, Day 29 (5 years after primary vaccination)
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Number of Participants With at Least One Reactogenicity Sign After Booster Vaccination
Time Frame: Up to Day 7
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Local and systemic reactions were solicited to assess safety and tolerability of vaccination
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Up to Day 7
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General 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.
- Jacobson 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.
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
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
- Gastrointestinal Agents
- Cathartics
- Lactitol
Other Study ID Numbers
Other Study ID Numbers
- V59P6E1
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