NCT03205371

Brief Summary

This Phase III, open-label, randomized, parallel-group, active-controlled, multicenter study was conducted to assess the immunogenicity and safety of a single dose of Meningococcal Polysaccharide (Serogroups A, C, Y and W) Tetanus Toxoid (MenACYW) Conjugate vaccine when administered alone and in combination with other pediatric vaccines in healthy toddlers in South Korea, Thailand, the Russian Federation, and Mexico. Primary Objective:

  • To describe the immunogenicity profile of MenACYW Conjugate vaccine administered alone or concomitantly with licensed pediatric vaccine(s) (measles-mumps-rubella vaccine \[MMR\] + Varicella, diphtheria, tetanus, acellular pertussis, hepatitis B, poliomyelitis, and Haemophilus influenzae type-b Conjugate vaccine \[DTaP-IPV-HB-Hib\], or pneumococcal Conjugate vaccine \[PCV13\]). Secondary Objective:
  • To describe the immunogenicity profile of licensed pediatric vaccine(s) (MMR + Varicella, DTaP-IPV-HB-Hib, or PCV13) when administered alone or concomitantly with MenACYW Conjugate vaccine.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,183

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Nov 2016

Geographic Reach
4 countries

37 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 7, 2016

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

June 28, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 2, 2017

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 19, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 19, 2018

Completed
1.9 years until next milestone

Results Posted

Study results publicly available

June 9, 2020

Completed
Last Updated

April 5, 2022

Status Verified

March 1, 2022

Enrollment Period

1.7 years

First QC Date

June 28, 2017

Results QC Date

May 20, 2020

Last Update Submit

March 24, 2022

Conditions

Keywords

MeningitisMeningococcal MeningitisMeningococcal InfectionsMenACYW Conjugate vaccine

Outcome Measures

Primary Outcomes (4)

  • Geometric Mean Titers of Meningococcal Serogroups A, C, Y, and W Antibodies Following Injection With MenACYW Conjugate Vaccine Administered Alone or Concomitantly With Other Pediatric Vaccines: Groups 1, 2, 4, 5, 7, 8, 10, and 11

    Antibody titers of Meningococcal Serogroups A, C, Y, and W were measured by serum bactericidal assay using human complement (hSBA) assay. Data for this outcome measure was planned to reported for the combined population of Groups 1 and 10, Groups 2 and 11.

    Day 0 and Day 30 post-vaccination

  • Percentage of Participants With Antibody Titers >=1:4 and >=1:8 Against Meningococcal Serogroups A, C, Y, and W Following Injection With MenACYW Conjugate Vaccine Administered Alone or With Other Pediatric Vaccines: Groups 1, 2, 4, 5, 7, 8, 10, and 11

    Antibody titers of Meningococcal Serogroups A, C, Y, and W were measured by hSBA assay. Data for this outcome measure was planned to be reported for the combined population of Groups 1 and 10, Groups 2 and 11.

    Day 0 and Day 30 post-vaccination

  • Percentage of Participants With >=4-Fold Rise in Antibody Titers Against Meningococcal Serogroups A, C, Y, and W Following Injection With MenACYW Conjugate Vaccine Administered Alone or With Other Pediatric Vaccines: Groups 1, 2, 4, 5, 7, 8, 10, and 11

    Antibody titers of Meningococcal Serogroups A, C, Y, and W were measured by hSBA assay. Data for this outcome measure was planned to be reported for the combined population of Groups 1 and 10, Groups 2 and 11.

    Day 0 up to Day 30 post-vaccination

  • Percentage of Participants Achieving hSBA Vaccine Seroresponse for Meningococcal Serogroups A, C, Y, and W Following Injection With MenACYW Conjugate Vaccine Administered Alone or Concomitantly With Pediatric Vaccines: Groups 1, 2, 4, 5, 7, 8, 10, and 11

    The hSBA vaccine seroresponse for serogroups A, C, Y, and W was defined as post-vaccination hSBA titers \>=1:16 for participants with pre-vaccination titers \<1:8 or at least a 4-fold increase in post-vaccination hSBA titers from pre- to post-vaccination, for participants with pre-vaccination titers \>=1:8. Data for this outcome measure was planned to be reported for the combined population of Groups 1 and 10, Groups 2 and 11.

    Day 30 post-vaccination

Secondary Outcomes (12)

  • Geometric Mean Titers of MMR-Varicella Antibodies Following Injection With MMR-Varicella Vaccine Administered Alone or Concomitantly With the MenACYW Conjugate Vaccine: Groups 1, 3, 10, and 12

    Day 0 and Day 30 post-vaccination

  • Percentage of Participants With Immune Response Following Injection With MMR-Varicella Vaccine Administered Alone or Concomitantly With the MenACYW Conjugate Vaccine: Groups 1, 3, 10, and 12

    Day 0 and Day 30 post-vaccination

  • Geometric Mean Titers of Pertussis Toxoid (PT) and Filamentous Hemagglutinin (FHA) Antibodies Following Injection With DTaP-IPV-HB-Hib Vaccine Administrated Alone or Concomitantly With the MenACYW Conjugate Vaccine: Groups 4 and 6

    Day 0 and Day 30 post-vaccination

  • Geometric Mean Titers of DTaP-IPV-HB-Hib Antibodies Following Injection With DTaP-IPV-HB-Hib Administered Alone or Concomitantly With the MenACYW Conjugate Vaccine: Groups 4 and 6

    Day 0 (for tetanus only) and Day 30 post-vaccination

  • Percentage of Participants With Immune Response Following Injection With DTaP-IPV-HB-Hib Vaccine Administered Alone or Concomitantly With the MenACYW Conjugate Vaccine: Groups 4 and 6

    Day 0 (tetanus only) and Day 30 post-vaccination

  • +7 more secondary outcomes

Study Arms (12)

South Korea(Group1):MenACYW Conjugate + MMR+ Varicella Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MenACYW Conjugate vaccine, MMR vaccine, and varicella vaccine on Day 0.

Biological: MenACYW conjugate vaccineBiological: MMRBiological: Varicella

South Korea (Group 2): MenACYW Conjugate Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MenACYW Conjugate vaccine on Day 0.

Biological: MenACYW conjugate vaccine

South Korea (Group 3): MMR + Varicella Vaccine

ACTIVE COMPARATOR

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MMR vaccine and varicella vaccine on Day 0.

Biological: MMRBiological: Varicella

Thailand (Group 10):MenACYW Conjugate +MMR+Varicella Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MenACYW Conjugate vaccine, MMR vaccine, and varicella vaccine on Day 0.

Biological: MenACYW conjugate vaccineBiological: MMRBiological: Varicella

Thailand (Group 11):MenACYW Conjugate Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MenACYW Conjugate vaccine on Day 0.

Biological: MenACYW conjugate vaccine

Thailand (Group 12): MMR + Varicella Vaccine

ACTIVE COMPARATOR

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MMR vaccine and varicella vaccine on Day 0.

Biological: MMRBiological: Varicella

Mexico (Group 4): MenACYW Conjugate + DTaP-IPV-HB-Hib Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MenACYW Conjugate vaccine and diphtheria, tetanus, acellular pertussis, hepatitis B, poliomyelitis and Haemophilus influenzae type-b (DTaP-IPV-HB-Hib) vaccine on Day 0.

Biological: MenACYW conjugate vaccineBiological: DTaP-IPV-HB-Hib

Mexico (Group 5): MenACYW Conjugate Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of MenACYW Conjugate vaccine on Day 0.

Biological: MenACYW conjugate vaccine

Mexico (Group 6): DTaP-IPV-HB-Hib Vaccine

ACTIVE COMPARATOR

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 23 months) received single dose of DTaP-IPV-HB-Hib vaccine on Day 0.

Biological: DTaP-IPV-HB-Hib

Russian Federation (Group7): MenACYW Conjugate + PCV13 Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 15 to 23 months) received single dose of MenACYW Conjugate vaccine and pneumococcal Conjugate vaccine (PCV13) on Day 0.

Biological: MenACYW conjugate vaccineBiological: PCV13

Russian Federation (Group 8): MenACYW Conjugate Vaccine

EXPERIMENTAL

Healthy, meningococcal-vaccine naïve toddlers (aged 12 to 14 months or 16 to 23 months) received single dose of MenACYW Conjugate vaccine on Day 0.

Biological: MenACYW conjugate vaccine

Russian Federation (Group 9): PCV13 Vaccine

ACTIVE COMPARATOR

Healthy, meningococcal-vaccine naïve toddlers (aged 15 to 23 months) received single dose of PCV13 vaccine on Day 0.

Biological: PCV13

Interventions

Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine; 0.5 milliliter (mL), Intramuscular

Mexico (Group 4): MenACYW Conjugate + DTaP-IPV-HB-Hib VaccineMexico (Group 5): MenACYW Conjugate VaccineRussian Federation (Group 8): MenACYW Conjugate VaccineRussian Federation (Group7): MenACYW Conjugate + PCV13 VaccineSouth Korea (Group 2): MenACYW Conjugate VaccineSouth Korea(Group1):MenACYW Conjugate + MMR+ Varicella VaccineThailand (Group 10):MenACYW Conjugate +MMR+Varicella VaccineThailand (Group 11):MenACYW Conjugate Vaccine
MMRBIOLOGICAL

Measles, Mumps, and Rubella Virus Vaccine Live; 0.5 mL, Subcutaneous

South Korea (Group 3): MMR + Varicella VaccineSouth Korea(Group1):MenACYW Conjugate + MMR+ Varicella VaccineThailand (Group 10):MenACYW Conjugate +MMR+Varicella VaccineThailand (Group 12): MMR + Varicella Vaccine
VaricellaBIOLOGICAL

Varicella Virus Vaccine Live; 0.5 mL, Subcutaneous

South Korea (Group 3): MMR + Varicella VaccineSouth Korea(Group1):MenACYW Conjugate + MMR+ Varicella VaccineThailand (Group 10):MenACYW Conjugate +MMR+Varicella VaccineThailand (Group 12): MMR + Varicella Vaccine
DTaP-IPV-HB-HibBIOLOGICAL

Diphtheria, Tetanus, Pertussis (acellular component), Hepatitis B, Poliomyelitis (inactivated), and Haemophilus influenzae type-b conjugate vaccine (adsorbed); 0.5 mL, Intramuscular

Mexico (Group 4): MenACYW Conjugate + DTaP-IPV-HB-Hib VaccineMexico (Group 6): DTaP-IPV-HB-Hib Vaccine
PCV13BIOLOGICAL

Pneumococcal 13-valent Conjugate Vaccine; 0.5 mL, Intramuscular

Russian Federation (Group 9): PCV13 VaccineRussian Federation (Group7): MenACYW Conjugate + PCV13 Vaccine

Eligibility Criteria

Age12 Months - 23 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • For South Korea: Korean males and females aged 12 to 23 months on the day of the first study visit.
  • For Mexico: Males and females aged 12 to 23 months on the day of the first study visit.
  • For the Russian Federation: Males and females aged 12 to 14 months or 16 to 23 months on the day of the first study visit (eligible for enrollment to MenACYW Conjugate vaccine group) or 15 to 23 months on the day of the first study visit (eligible for enrollment to the MenACYW Conjugate vaccine positive(+) PCV13 group or the PCV13 group).
  • For Thailand: Thai males and females aged 12 to 23 months on the day of the first study visit
  • Participants had received all recommended standard of care vaccinations according to their age as per local regulations\*.
  • For the Russian Federation only, participants aged 15 to 23 months on the day of the first study visit (eligible for enrollment to MenACYW Conjugate vaccine+PCV13 group or the PCV13 group) must not had received the third PCV13 vaccination corresponding to his or her age as per the country's National Immunization Program (NIP). The 2nd dose of PCV13 must had been administered at least 4 weeks before the 3rd dose of PCV13 was administered in the study.
  • For Thailand, participants must not have received the any dose of MMR or V vaccination.
  • Informed consent form was signed and dated by the parent(s) or guardian if allowed by local regulations (and by independent witnesses if required by local regulations)†.
  • Participant and parent/guardian were able to attend all scheduled visits and to comply with all trial procedures.
  • †In the Russian Federation, as per local regulations, only the participant's parent(s) are entitled to sign an informed consent form. A child under the responsibility of a guardian were not included in the study.

You may not qualify if:

  • Participation in the 4 weeks preceding the first trial vaccination or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
  • Receipt of any vaccine in the 4 weeks (28 days) preceding the first trial vaccination or planned receipt of any vaccine prior to Visit 2 except for influenza vaccination, which may be received at least 2 weeks before or after the study investigational vaccines. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines.
  • Previous vaccination against meningococcal disease with either the trial vaccine or another vaccine (i.e., mono- or polyvalent, polysaccharide, or conjugate meningococcal vaccine containing serogroups A, C, Y, or W; or meningococcal B vaccine).
  • For participants enrolled at sites in the Russian Federation: previous vaccination with the third dose of PCV13 in participants 15 to 23 months of age (eligible for MenACYW Conjugate vaccine+PCV13 group or the PCV13).
  • For participants enrolled at sites in Mexico: known history of seizures, or uncontrolled neurologic disorder (including epilepsy); or encephalopathy of unknown etiology occurring within 7 days following previous vaccination with pertussis containing vaccine; previous vaccination with DTaP-IPV-HB-Hib or DTaP-containing vaccine at 12 to 23 months of age.
  • For participants enrolled at sites in South Korea and Thailand: known history of seizures, cerebral injury, or encephalopathy; previous vaccination with MMR or Varicella at 12 to 23 months of age.
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months.
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
  • History of meningococcal infection, confirmed either clinically, serologically, or microbiologically.
  • At high risk for meningococcal infection during the trial, according to the Investigator's judgment (specifically, but not limited to, participants with persistent complement deficiency, with anatomic or functional asplenia, or participants traveling to countries with high endemic or epidemic disease).
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances.
  • Verbal report of thrombocytopenia, as reported by the parent/guardian, contraindicating intramuscular (IM) vaccination by the Investigator's judgment.
  • Personal history of Guillain-Barré syndrome (GBS).
  • Personal history of an Arthus-like reaction after vaccination with a tetanus toxoid-containing vaccine.
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion.
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (37)

Unknown Facility

Acapulco, 39670, Mexico

Location

Unknown Facility

Mexico City, 04530, Mexico

Location

Unknown Facility

Tlaltizapán, 62770, Mexico

Location

Unknown Facility

Barnaul, 656054, Russia

Location

Unknown Facility

Kazan', 420012, Russia

Location

Unknown Facility

Krasnodar, 350015, Russia

Location

Unknown Facility

Moscow, 119296, Russia

Location

Unknown Facility

Murmansk, 183031, Russia

Location

Unknown Facility

Novosibirsk, 630102, Russia

Location

Unknown Facility

Perm, 614066, Russia

Location

Unknown Facility

Saint Petersburg, 191025, Russia

Location

Unknown Facility

Saint Petersburg, 197022, Russia

Location

Unknown Facility

Saint Petersburg, 197101, Russia

Location

Unknown Facility

Samara, 443079, Russia

Location

Unknown Facility

Smolensk, 214014, Russia

Location

Unknown Facility

Tomsk, 634050, Russia

Location

Unknown Facility

Yekaterinburg, 620028, Russia

Location

Unknown Facility

Ansan, 425-707, South Korea

Location

Unknown Facility

Anyang, 431-070, South Korea

Location

Unknown Facility

Daegu, 41931, South Korea

Location

Unknown Facility

Daejeon, South Korea

Location

Unknown Facility

Gwangju, 61469, South Korea

Location

Unknown Facility

Ilsan, 10444, South Korea

Location

Unknown Facility

Incheon, 400-700, South Korea

Location

Unknown Facility

Jeju City, 63241, South Korea

Location

Unknown Facility

Seoul, 02053, South Korea

Location

Unknown Facility

Seoul, 05278, South Korea

Location

Unknown Facility

Seoul, 100-380, South Korea

Location

Unknown Facility

Seoul, 130-702, South Korea

Location

Unknown Facility

Seoul, 132-703, South Korea

Location

Unknown Facility

Seoul, 139-709, South Korea

Location

Unknown Facility

Seoul, 158-710, South Korea

Location

Unknown Facility

Suwon, 442-723, South Korea

Location

Unknown Facility

Wŏnju, 162, South Korea

Location

Unknown Facility

Yangsan, 626-770, South Korea

Location

Unknown Facility

Pathum Wan, Bangkok, 10330, Thailand

Location

Unknown Facility

Rajthevi, Bangkok, 10400, Thailand

Location

Related Publications (1)

  • Dhingra MS, Namazova-Baranova L, Arredondo-Garcia JL, Kim KH, Limkittikul K, Jantarabenjakul W, Perminova O, Kobashi IAR, Bae CW, Ojeda J, Park J, Chansinghakul D, B'Chir S, Neveu D, Bonaparte M, Jordanov E. Immunogenicity and safety of a quadrivalent meningococcal tetanus toxoid-conjugate vaccine administered concomitantly with other paediatric vaccines in toddlers: a phase III randomised study. Epidemiol Infect. 2021 Apr 5;149:e90. doi: 10.1017/S0950268821000698.

Related Links

MeSH Terms

Conditions

Meningitis, MeningococcalMeningitisMeningococcal Infections

Condition Hierarchy (Ancestors)

Meningitis, BacterialCentral Nervous System Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsNeisseriaceae InfectionsGram-Negative Bacterial InfectionsCentral Nervous System InfectionsCentral Nervous System DiseasesNervous System DiseasesNeuroinflammatory Diseases

Results Point of Contact

Title
Trial Transparency Team
Organization
Sanofi Pasteur

Study Officials

  • Medical Director

    Sanofi Pasteur, a Sanofi Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
The study had an open-label design; however, as per the protocol, the laboratory technicians who were responsible for performing the serological testing remained blinded to the participants' group allocations throughout the study to avoid any bias.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Phase III, open-label, randomized, parallel-group, active-controlled, multicenter study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 28, 2017

First Posted

July 2, 2017

Study Start

November 7, 2016

Primary Completion

July 19, 2018

Study Completion

July 19, 2018

Last Updated

April 5, 2022

Results First Posted

June 9, 2020

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will share

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Locations