Immunogenicity and Safety of V419 (PR51) in Combination With MCC in Infants and Toddlers (V419-011)
A Phase III Open-label Randomised Study, to Evaluate the Immunogenicity and Safety of the Concomitant Administration of V419 (PR5I) Given at 2, 3 and 4 Months of Age With Two Types of Meningococcal Serogroup C Conjugate (MCC) Vaccines Given at 3 and 4 Months of Age, and Followed by the Administration at 12 Months of Age of a Combined Haemophilus Influenzae Type b-MCC Vaccine
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy infant 46 to 74 days of age (both inclusive)
- Parent(s)/legal representative able to comply will the study procedures
Exclusion Criteria:
- Is participating in a study with an investigational compound or device since birth
- Has a history of congenital or acquired immunodeficiency
- Has a history of leukemia, lymphoma, malignant melanoma or myeloproliferative disorder
- Has a chronic illness that could interfere with study conduct or completion
- Has hypersensitivity to any of the vaccines components or history of a life-threatening reaction to a vaccine containing the same substances as the study vaccines or contraindication to any of the study vaccines
- Has a history, or mother has a history, of hepatitis B virus surface antigen (HBsAg) seropositivity
- Has a coagulation disorder that contraindicate intramuscular injection
- Has a history of vaccination with a hepatitis B, Haemophilus influenzae type b conjugate, diphtheria, tetanus, pertussis (acellular or whole-cell), poliovirus, pneumococcal conjugate or polysaccharide, meningococcal serogroup C conjugate, measles, mumps, or rubella containing vaccine(s)
- Has a history of hepatitis B, Haemophilus influenzae type b, diphtheria, tetanus, pertussis, poliomyelitis, invasive pneumococcal, meningococcal serogroup C, measles, mumps or rubella infection
- Has received immune globulin, blood or blood-derived products, immunosuppressive agents systemic corticosteroids since birth
- Has received vaccination with an inactivated (except influenza vaccine) or conjugated or live vaccine in the last 30 days or vaccination with an inactivated influenza vaccine in the last 14 days
- Has received antipyretic, analgesic and non-steroidal anti-inflammatory medications in the last 48 hours
- Has a febrile illness or body temperature ≥38.0°C in the last 24 hours
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 |
|---|---|
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Experimental: V419 and MCC-TT
Participants received 3 doses of V419 (at 2, 3, and 4 months of age) and 2 doses of MCC-TT (at 3 and 4 months of age), followed by a single dose of Hib-MCC at 12 months of age.
As routine vaccination, participants also received 2 doses of Prevnar 13® (at 2 and 4 months of age) and 1 dose of a measles, mumps, and rubella (MMR) vaccine (at 12 months of age).
|
Diphtheria and Tetanus toxoids and acellular Pertussis adsorbed, inactivated Poliovirus, Haemophilus b conjugate [meningococcal outer membrane protein complex], and Hepatitis B [recombinant] vaccine administered via 0.5 mL intramuscular injection.
Other Names:
Pneumococcal conjugate vaccine (13-valent, adsorbed) administered via 0.5 mL intramuscular injection (routine vaccination).
Meningococcal Group C polysaccharide conjugate vaccine to tetanus toxoid adsorbed 0.5 mL intramuscular injection at 3 and 4 months of age
Other Names:
Haemophilus type b and meningococcal Group C conjugate vaccine administered via 0.5 mL intramuscular injection.
Other Names:
Measles, mumps, and rubella vaccine (live) given via 0.5 mL intramuscular injection (routine vaccination).
Other Names:
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Experimental: V419 and MCC-CRM
Participants received 3 doses of V419 (at 2, 3, and 4 months of age) and 2 doses of MCC-CRM (at 3 and 4 months of age), followed by a single dose of Hib-MCC at 12 months of age.
As routine vaccination, participants also received 2 doses of Prevnar 13® (at 2 and 4 months of age) and 1 dose of an MMR vaccine (at 12 months of age).
|
Diphtheria and Tetanus toxoids and acellular Pertussis adsorbed, inactivated Poliovirus, Haemophilus b conjugate [meningococcal outer membrane protein complex], and Hepatitis B [recombinant] vaccine administered via 0.5 mL intramuscular injection.
Other Names:
Pneumococcal conjugate vaccine (13-valent, adsorbed) administered via 0.5 mL intramuscular injection (routine vaccination).
Haemophilus type b and meningococcal Group C conjugate vaccine administered via 0.5 mL intramuscular injection.
Other Names:
Measles, mumps, and rubella vaccine (live) given via 0.5 mL intramuscular injection (routine vaccination).
Other Names:
Meningococcal Group C conjugate vaccine to CRM-197 adsorbed 0.5 mL intramuscular injection at 3 and 4 months of age
Other Names:
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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 Anti-Meningococcal Serogroup C (Anti-MCC) Antibody (Ab) Titre ≥1:8 Dil One Month After MCC-TT or MCC-CRM (Part 1)
Time Frame: Month 5 (1 month after MCC-TT/MCC-CRM Dose 2)
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The acceptability (i.e., percentage of participants with anti-MCC Ab titre ≥1:8 dil) of the seroprotection rate (SPR) to MCC was determined 1 month after MCC-TT or MCC-CRM Dose 2. The SPR was considered acceptable if the lower bound of the 2-sided 95% CI was >90%.
Serum Ab levels were assayed using the Meningo C rabbit complement serum bactericidal Ab (rSBA) assay.
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Month 5 (1 month after MCC-TT/MCC-CRM Dose 2)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Anti-Polyribosylribitol Phosphate (Anti-PRP) Antibody (Ab) Titre ≥0.15 µg/mL One Month After V419 Dose 3 (Part 1)
Time Frame: Month 5 (1 month after V419 Dose 3)
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The acceptability (i.e., percentage of participants with anti-PRP Ab titre ≥0.15 µg/mL) of the seroprotection rate (SPR) to Haemophilus influenza type b (Hib) was determined 1 month after the third dose of V419 in participants also treated with MCC-TT or MCC-CRM.
The pooled (i.e., all V419-treated participants) SPR was considered acceptable if the lower bound of the 2-sided 95% CI was >80%.
Serum Ab levels were determined with radioimmunoassay (RIA).
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Month 5 (1 month after V419 Dose 3)
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Percentage of Participants With Anti-Meningococcal Serogroup C (Anti-MCC) Antibody (Ab) Titre ≥1:8 Dil and ≥1:128 Dil One Month After MCC-TT or MCC-CRM Doses 1 and 2 (Part 1)
Time Frame: Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
The percentage of participants with anti-MCC Ab titres ≥1:8 dil and ≥1:128 dil 1 month after MCC-TT or MCC-CRM Doses 1 and 2 was determined in participants also treated with V419.
Serum Ab levels were assayed using the Meningo C rabbit complement serum bactericidal Ab (rSBA) assay.
|
Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
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Geometric Mean Titres (GMTs) for Meningococcal Serogroup C (MCC) One Month After MCC-TT or MCC-CRM Doses 1 and 2 (Part 1)
Time Frame: Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
Anti-MCC antibody GMTs were determined 1 month after MCC-TT or MCC-CRM Doses 1 and 2 in participants also treated with V419.
Serum antibody levels were assayed using the Meningo C rabbit complement serum bactericidal antibody (rSBA) assay.
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Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
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Antibody (Ab) Response Rates for V114 Antigens One Month After V114 Dose 3 (Part 1)
Time Frame: Month 5 (1 month after V419 Dose 3)
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The percentage of participants meeting Ab response rates for V14 antigens was determined after V114 Dose 3. Antibody response rate criteria for Haemophilus influenza Type B (PRP); hepatitis B (HBsAg); diphtheria; tetanus; and polio types 1, 2, and 3 are shown in the rows below.
The percentage of seroresponders to pertussis seroresponders (pertussis toxoid [PT]; filamentous haemagglutinin (FHA); fimbrae types 2 and 3 [FIM]; and pertactin [PRN]) was determined as 1) if pre-vaccination Ab concentration <lower limit of quantification (LLoQ) but post-vaccination Ab concentration ≥LLoQ; or 2) if pre-vaccination Ab concentration was ≥LLoQ but post-vaccination Ab concentration was ≥pre-immunization levels.
Antibody titres were measured by RIA for PRP, enhanced chemiluminescence assay (ECi) for HBsAg, micrometabolic inhibition test (MIT) for diphtheria and poliovirus, and enzyme-linked immunosorbent assay (ELISA) for tetanus, PT, FHA, FIM, and PRN.
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Month 5 (1 month after V419 Dose 3)
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Antibody (Ab) Geometic Mean Titres (GMTs) for Haemophilus Influenza Type B (Polyribosylribitol Phosphate [PRP]) One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for PRP Ab titres were determined for each arm.
Antibody titres for PRP were measured by radioimmunoassay (RIA).
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Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Hepatitis B Surface Antigen (HBsAg) One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for HBsAg Ab titres were determined for each arm.
Antibody titres for HBsAg were measured by enhanced chemiluminescence (ECi) assay.
|
Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Diptheria One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for diphtheria Ab titres were determined for each arm.
Antibody titres for diptheria were measured by enhanced micrometabolic inhibition test (MIT).
|
Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Tetanus One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for tetanus Ab titres were determined for each arm.
Antibody titres for tetanus were determined with enzyme-linked immunosorbent assay (ELISA).
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Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Pertussis Toxoid (PT) One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for PT Ab titres were determined for each arm.
Antibody titres for PT were measured with enzyme-linked immunosorbent assay (ELISA).
|
Month 5 (1 month after V419 Dose 3)
|
|
Antibody (Ab) Geometic Mean Titres (GMTs) for Filamentous Haemagglutinin (FHA) One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for FHA were determined for each arm.
Antibody titres for FHA were measured by enhanced chemiluminescence (ECi) assay.
|
Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Pertactin (PRN) One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for PRN were determined for each arm.
Antibody titres for PRN were measured by enhanced chemiluminescence (ECi) assay.
|
Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Fimbrae Types 2 and 3 (FIM) One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for FIM were determined for each arm.
Antibody titres for FIM were measured by enhanced chemiluminescence (ECi) assay.
|
Month 5 (1 month after V419 Dose 3)
|
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Antibody (Ab) Geometic Mean Titres (GMTs) for Polio Types 1, 2, and 3 One Month After V114 Dose 3 (Part 2)
Time Frame: Month 5 (1 month after V419 Dose 3)
|
The GMTs for polio types 1, 2, and 3 were determined for each arm.
Antibody titres for polio types 1, 2, and 3 were measured by micrometabolic inhibition test (MIT).
|
Month 5 (1 month after V419 Dose 3)
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Percentage of Participants With Anti-Meningococcal Serogroup C (Anti-MCC) Antibody (Ab) Titre ≥1:8(1/Dil) and Titre ≥1:28 (1/Dil) One Month After Anti-Haemophilus Influenzae Type B (Anti-Hib) Vaccination (Part 2)
Time Frame: Month 12 and Month 13 (Prior to anti-Hib MCC and 1 month after anti-HiB MCC)
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The percentage of participants with anti-Hib Ab titres ≥1:8 (1/dil) and ≥1:28 (1/dil) were determined prior to, and 1 month after, administration of the single HiB-MCC vaccine at 12 months of age.
Serum Ab levels were assayed using the Meningo C rabbit complement serum bactericidal Ab (rSBA) assay.
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Month 12 and Month 13 (Prior to anti-Hib MCC and 1 month after anti-HiB MCC)
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Antibody (Ab) Geometric Mean Titres (GMTs) for Meningococcal Serogroup C (MCC) One Month After Anti-Haemophilus Influenzae Type B (Anti-Hib) Meningococcal Serogroup C (MCC) Vaccination (Part 2)
Time Frame: Month 12 and Month 13 (Prior to anti-Hib MCC and 1 month after anti-HiB MCC)
|
Antibody GMTs were were determined prior to, and 1 month after, administration of the single HiB-MCC vaccine at 12 months of age.
Serum Ab levels were assayed using the Meningo C rabbit complement serum bactericidal Ab (rSBA) assay.
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Month 12 and Month 13 (Prior to anti-Hib MCC and 1 month after anti-HiB MCC)
|
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Percentage of Participants With Anti-Polyribosylribitol Phosphate (PRP) Antibody (Ab) Titres ≥0.15 µg/mL and ≥1.0 µg/mL One Month After Anti-Haemophilus Influenzae Type B MCC Vaccination (Part 2)
Time Frame: Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
The percentage of participants with anti-PRP Ab titres ≥0.15 µg/mL and ≥1.0 µg/mL was determined prior to, and 1 month after, administration of the anti-Hib vaccination at Month 12. Anti-PRP Ab titres were measured with radioimmunoassay (RIA).
|
Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
|
Geometric Mean Titres (GMTs) for Anti-Polyribosylribitol Phosphate (PRP) Antibody (Ab) One Month After Anti-Haemophilus Influenzae Type B (HiB) MCC Vaccination (Part 2)
Time Frame: Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
Anti-PRP Ab GMTs were determined prior to, and 1 month after, administration of the anti-Hib vaccination at Month 12. Anti-PRP Ab titres were measured with radioimmunoassay (RIA) and are expressed as µg/mL..
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Month 4 and Month 5 (1 month after MCC-TT/MCC-CRM Doses 1 and 2)
|
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Percentage of Participants Experiencing an Adverse Event (AE) [Part 1]
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the investigational product, whether or not considered related to the use of the product.
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Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
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Percentage of Participants Experiencing an Injection Site (Vaccine-Related) Systemic Adverse Event (AE) [Part 1]
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
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An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the investigational product, whether or not considered related to the use of the product.
As per protocol, all injection site AEs were considered vaccine-related.
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Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
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Percentage of Participants Experiencing a Solicited Injection Site Reaction (ISR) at the V419 Injection Site (Part 1)
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
The percentage of participants with solicited ISRs was determined for each arm.
Solicited ISRs consisted of injection site pain, erythema, and swelling.
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Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
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Percentage of Participants Experiencing an Unsolicited Injection Site Reaction (ISR) at the V419 Injection Site (Part 1)
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
The percentage of participants with unsolicited ISRs was determined for each arm.
Unsolicited ISRs were any injection-site ISRs not considered solicited.
|
Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
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Percentage of Participants Experiencing a Solicited Injection Site Reaction (ISR) at the MCC-TT or MCC-CRM Injection Site (Part 1)
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
The percentage of participants with solicited ISRs was determined for each arm.
Solicited ISRs consisted of injection site pain, erythema, and swelling.
|
Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
|
Percentage of Participants Experiencing an Unsolicited Injection Site Reaction (ISR) at the MCC-TT or MCC-CRM Injection Site (Part 1)
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
The percentage of participants with unsolicited ISRs was determined for each arm.
Unsolicited ISRs consisted of bruising, dermatitis, erythema, induration, mass, pain, rash, and warmth.
|
Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
|
Percentage of Participants Experiencing a Solicited Systemic Adverse Event (AE) [Part 1]
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
The percentage of participants with solicited systemic AEs was determined for each arm.
Solicited systemic AEs consisted of crying, decreased appetite, irritability, pyrexia, somnolence, and vomiting.
|
Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
|
Percentage of Participants Experiencing Increased Temperature [Part 1]
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
The percentage of participants experiencing temperatures ≥38.0°
Celsius (C), >38.5°
C, and >39.5°
C following any Part 1 vaccination was determined.
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Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
|
Percentage of Participants Experiencing a Serious Adverse Event (SAE) [Part 1]
Time Frame: Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
|
An SAE is an event that results in death; is life-threatening; results in or prolongs hospitalization; is a congenital anomaly/birth defect; is a cancer; is an overdose; or is another important medical event that may jeopardize the participant.
|
Up to 4.5 months (up to 15 days after the final Part 1 vaccination)
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- V419-011 (Other Identifier: Merck Protocol Number)
- 2011-002413-11 (EudraCT Number)
- PRI01C (Other Identifier: MCMVaccBV Protocol ID)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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