NCT03691610

Brief Summary

The primary objective of this study is to demonstrate the non-inferiority of the vaccine seroresponse to meningococcal serogroups A, C, Y, and W following administration of 2 doses of MenACYW conjugate vaccine compared to 2 doses of MENVEO® when given concomitantly with routine pediatric vaccines to infants and toddlers 6 to 7 months of age and 12 to 13 months of age. The secondary objectives of the study are:

  • To demonstrate the non-inferiority of the percentage of participants with antibody titers to meningococcal serogroups A, C, Y, and W ≥ 1:8 following administration of 2 doses of MenACYW conjugate vaccine compared to 2 doses of MENVEO® when given concomitantly with pediatric routine vaccines to infants and toddlers at 6 to 7 months of age and 12 to 13 months of age.
  • To describe the antibody response against meningococcal serogroups A, C, Y, and W 30 days after the second vaccination at 12 to 13 months of age with MenACYW conjugate vaccine or MENVEO®.
  • To describe the antibody response against meningococcal serogroups A, C, Y, and W 30 days and 6 months after the first vaccination at 6 to 7 months of age with MenACYW conjugate vaccine or MENVEO®.
  • To describe the antibody response against meningococcal serogroups A, C, Y, and W 30 days after the second vaccination at 20 to 23 months of age with MenACYW conjugate vaccine or Menactra®.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
950

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Oct 2018

Longer than P75 for phase_3

Geographic Reach
2 countries

47 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

First Submitted

Initial submission to the registry

September 28, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 2, 2018

Completed
2 days until next milestone

Study Start

First participant enrolled

October 4, 2018

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 20, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 20, 2023

Completed
8 months until next milestone

Results Posted

Study results publicly available

June 25, 2024

Completed
Last Updated

June 25, 2024

Status Verified

June 1, 2024

Enrollment Period

5 years

First QC Date

September 28, 2018

Results QC Date

May 14, 2024

Last Update Submit

June 21, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Infants Groups 1 and 2: Percentage of Participants With Vaccine Seroresponse Measured by Serum Bactericidal Assay Using Human Complement (hSBA) at 30 Days Post Second Dose of MenACYW Conjugate Vaccine or MENVEO

    Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured in a serum bactericidal assay utilizing the hSBA. The hSBA vaccine seroresponse was defined as a post-vaccination titer \>= 1:16 for participants with pre-vaccination hSBA titer \< 1:8, or a post-vaccination titer \>= 4-fold increase from baseline for participant with pre-vaccination hSBA titer \>= 1:8.

    Baseline (Day 0) and 30 days post second dose (12 to 13 MoA) of MenACYW conjugate vaccine or MENVEO, maximum of 14 months

Secondary Outcomes (11)

  • Infants Groups 1 and 2: Percentage of Participants Who Achieved Antibody Titer (Seroprotection) >=1:8 by hSBA at 30 Days Post Second Dose of MenACYW Conjugate Vaccine or MENVEO

    At 30 days post second dose (12 to 13 MoA) of MenACYW conjugate vaccine or MENVEO

  • Infants Groups 1 and 2: Percentage of Participants With hSBA Antibody Titer >= 1:4 and >= 1:8

    PPAS1: At 30 days post first dose (6 to 7 MoA); PPAS2: At Baseline (pre-dose on Day 0) and 30 days post second dose (12 to 13 MoA); and PPAS3: At 6 months post first dose (6 to 7 MoA) of MenACYW conjugate vaccine or MENVEO

  • Infants Groups 1 and 2: Geometric Mean Titers Against Meningococcal Serogroups A, C, W, and Y

    PPAS1: At 30 days post first dose (6 to 7 MoA); PPAS2: At Baseline (pre-dose on Day 0) and 30 days post second dose (12 to 13 MoA); and PPAS3: At 6 months post first dose (6 to 7 MoA) of MenACYW conjugate vaccine or MENVEO

  • Infants Groups 1 and 2: Percentage of Participants With hSBA Antibody Titer >=1:4 to >= 1:128

    PPAS1: At 30 days post first dose (6 to 7 MoA); PPAS2: At Baseline (pre-dose on Day 0) and 30 days post second dose (12 to 13 MoA); and PPAS3: At 6 months post first dose (6 to 7 MoA) of MenACYW conjugate vaccine or MENVEO

  • Infants Groups 1 and 2: Percentage of Participants With hSBA Antibody Titer >= 4-Fold Rise From Pre-Vaccination to Post-Vaccination

    PPAS1: At 30 days post first dose (6 to 7 MoA); and PPAS2: At 30 days post second dose (12 to 13 MoA) of MenACYW conjugate vaccine or MENVEO

  • +6 more secondary outcomes

Study Arms (4)

Group 1

EXPERIMENTAL

MenACYW conjugate vaccine + routine pediatric vaccines at 6 to 7 months of age and 12 to 13 months of age

Biological: Meningococcal Polysaccharide (Serogroups A,C,Y and W) Tetanus Toxoid Conjugate vaccine MenACYW conjugate vaccineBiological: Diphtheria and Tetanus Toxoids and Acellular Pertussis, inactivated Poliovirus and Haemophilus b Conjugate VaccineBiological: Diphtheria and Tetanus Toxoids and Acellular Pertussis, Hepatitis B and Inactivated Poliovirus VaccineBiological: Haemophilus b Conjugate VaccineBiological: Pneumococcal 13-valent Conjugate VaccineBiological: Rotavirus Vaccine, Live, Oral, PentavalentBiological: Hepatitis B VaccineBiological: Measles, Mumps, and Rubella Virus Vaccine LiveBiological: Varicella Virus Vaccine Live

Group 2

ACTIVE COMPARATOR

MENVEO® + routine pediatric vaccines at 6 to 7 months of age and 12 to 13 months of age

Biological: Meningococcal (Groups A, C, Y and W 135) Oligosaccharide Diphtheria CRM197 Conjugate VaccineBiological: Diphtheria and Tetanus Toxoids and Acellular Pertussis, inactivated Poliovirus and Haemophilus b Conjugate VaccineBiological: Diphtheria and Tetanus Toxoids and Acellular Pertussis, Hepatitis B and Inactivated Poliovirus VaccineBiological: Haemophilus b Conjugate VaccineBiological: Pneumococcal 13-valent Conjugate VaccineBiological: Rotavirus Vaccine, Live, Oral, PentavalentBiological: Hepatitis B VaccineBiological: Measles, Mumps, and Rubella Virus Vaccine LiveBiological: Varicella Virus Vaccine Live

Group 3

EXPERIMENTAL

MenACYW conjugate vaccine at 17 to 19 months of age and 20 to 23 months of age

Biological: Meningococcal Polysaccharide (Serogroups A,C,Y and W) Tetanus Toxoid Conjugate vaccine MenACYW conjugate vaccine

Group 4

ACTIVE COMPARATOR

Menactra® at 17 to 19 months of age and 20 to 23 months of age

Biological: Meningococcal Polysaccharide (serogroups A,C,Y and W-135) Diphtheria Toxoid Conjugate Vaccine

Interventions

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Group 1Group 3

Pharmaceutical form: Solution for injection Route of administration: Intramuscular, 0.5 mL

Group 2

Pharmaceutical form: Solution for injection Route of administration: Intramuscular, 0.5 mL

Group 4

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Group 1Group 2

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Group 1Group 2

Pharmaceutical form:Solution for injection Route of administration: Intramuscular, 0.5 mL

Group 1Group 2

Pharmaceutical form: Suspension for injection Route of administration: Intramuscular, 0.5 mL

Group 1Group 2

Pharmaceutical form:Oral solution Route of administration: Oral, 2 mL

Group 1Group 2

Pharmaceutical form:Suspension for injection Route of administration: Intramuscular, 0.5 mL

Group 1Group 2

Pharmaceutical form: Lyophilized live virus vaccine Route of administration: Subcutaneous, 0.5 mL

Group 1Group 2

Pharmaceutical form:Suspension for injection Route of administration: Subcutaneous, 0.5 mL

Group 1Group 2

Eligibility Criteria

Age6 Months - 19 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Aged 6 to 7 months (168 to 224 days) or 17 to 19 months on the day of the first visit
  • Informed consent form has been signed and dated by the parent(s) or other guardian and by an independent witness if required by local regulations
  • Subject and parent/guardian are able to attend all scheduled visits and to comply with all trial procedures
  • For subjects 6 to 7 months of age at enrollment (Group 1 and Group 2), documented history of having received 2 doses of diphtheria, tetanus and acellular pertussis (DTaP), Haemophilus influenza type B (Hib), inactivated poliovirus (IPV), pneumococcal, hepatitis B (for children who received hepatitis B at 2 and 4 months of age, prior receipt of 3 doses of hepatitis B), and rotavirus vaccines
  • For subjects to be enrolled at 17 to 19 months of age (Group 3 and Group 4), documented history of having received all routine pediatric vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) up to the age of enrollment

You may not qualify if:

  • Participation at the time of study enrollment or 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 preceding the first trial vaccination or planned receipt of any vaccine in the 4 weeks before and / or following any trial vaccination except for influenza vaccination, which may be received at least 2 weeks before or 2 weeks after any study vaccination. 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 serogroup-containing vaccine)
  • For subjects to be enrolled at 6 to 7 months of age (Group 1 and Group 2), prior receipt of more than 2 doses of rotavirus vaccine (Rotateq), DTaP, Hib, IPV, pneumococcal, hepatitis B (for children who received hepatitis B at 2 and 4 months of age, prior receipt of more than 3 doses of hepatitis B vaccine)
  • For subjects to be enrolled at 6 to 7 months of age (Group 1 and Group 2), receipt of the 2 doses of rotavirus vaccine at 2 and 4 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
  • Family history of congenital or hereditary immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated
  • Individuals with blood dyscrasias, leukemia, lymphoma of any type, or other malignant neoplasms affecting the bone marrow or lymphatic systems
  • Individuals with active tuberculosis
  • History of any Neisseria meningitidis infection, confirmed either clinically, serologically, or microbiologically
  • History of diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, hepatitis A, measles, mumps, rubella, varicella; and of Haemophilus influenzae type b, Streptococcus pneumoniae, and /or rotavirus infection or disease
  • At high risk for meningococcal infection during the trial (specifically, but not limited to, subjects with persistent complement deficiency, with anatomic or functional asplenia, or subjects travelling to countries with high endemic or epidemic disease)
  • History of intussusception
  • History of any neurologic disorders, including any seizures and progressive neurologic disorders
  • +10 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (47)

Alabama Clinical Therapeutics Site Number : 8400036

Birmingham, Alabama, 35205, United States

Location

Southeastern Pediatric Associates Site Number : 8400009

Dothan, Alabama, 36305, United States

Location

MedPharmics, LLC - Phoenix Site Number : 8400013

Phoenix, Arizona, 85015, United States

Location

Emmaus Research Center, Inc Site Number : 8400019

Anaheim, California, 92804, United States

Location

Coast Clinical Trials, LLC Site Number : 8400073

Bellflower, California, 90706, United States

Location

Matrix Clinical Research Site Number : 8400082

Gardena, California, 90247, United States

Location

Madera Family Med Group Site Number : 8400065

Madera, California, 93637, United States

Location

Next Phase Research Alliance Site Number : 8400044

Homestead, Florida, 33030, United States

Location

PAS Research Site Number : 8400101

Land O' Lakes, Florida, 34639, United States

Location

Axcess Medical Research Site Number : 8400021

Loxahatchee Groves, Florida, 33470, United States

Location

Y and L Advance Health Care, Inc D/B/A Elite Clinical Res Site Number : 8400046

Miami, Florida, 33144, United States

Location

Biomedical Research LLC Site Number : 8400041

Miami, Florida, 33186, United States

Location

Crystal Biomedical Research Site Number : 8400034

Miami Lakes, Florida, 33014, United States

Location

PAS Research Site Number : 8400059

Tampa, Florida, 33613, United States

Location

Omega Pediatrics Site Number : 8400093

Roswell, Georgia, 30076, United States

Location

Snake River Research, PLLC Site Number : 8400058

Idaho Falls, Idaho, 83404, United States

Location

Eagle Clinical Research Site Number : 8400094

Chicago, Illinois, 60621, United States

Location

Brownsboro Park Pediatrics Site Number : 8400039

Louisville, Kentucky, 40207, United States

Location

All Children Pediatrics Site Number : 8400024

Louisville, Kentucky, 40243, United States

Location

Meridian Clinical Research, LLC Site Number : 8400035

Baton Rouge, Louisiana, 70806, United States

Location

Velocity Clinical Research Site Number : 8400016

Metairie, Louisiana, 70006, United States

Location

Willis-Knighton Physician Network Site Number : 8400075

Shreveport, Louisiana, 71105, United States

Location

Victory Clinical Research Site Number : 8400026

Baltimore, Maryland, 21209, United States

Location

Pediatric Associates of Fall River Site Number : 8400112

Fall River, Massachusetts, 02721, United States

Location

Craig Spiegel, MD Site Number : 8400023

Bridgeton, Missouri, 63044, United States

Location

Meridian Clinical Research Site Number : 8400097

Hastings, Nebraska, 68901, United States

Location

Midwest Childrens Health Research Institute Site Number : 8400111

Lincoln, Nebraska, 68504, United States

Location

Midwest Childrens Health Research Institute Site Number : 8400117

Lincoln, Nebraska, 68505, United States

Location

MedPharmics Inc Site Number : 8400006

Albuquerque, New Mexico, 87102, United States

Location

Advantage Clinical Trials Site Number : 8400069

New York, New York, 10468, United States

Location

Wilmington Health Site Number : 8400054

Wilmington, North Carolina, 28405, United States

Location

Ohio Pediatric Research Site Number : 8400022

Dayton, Ohio, 45414, United States

Location

PriMed Clinical Research Site Number : 8400008

Dayton, Ohio, 45419, United States

Location

Oklahoma State University - Center for Health Sciences Site Number : 8400110

Tulsa, Oklahoma, 74127, United States

Location

Cyn3rgy Research Site Number : 8400010

Gresham, Oregon, 97030, United States

Location

Allegheny Health and Wellness Pavilion Site Number : 8400025

Erie, Pennsylvania, 16505, United States

Location

Kid's Way Pediatrics Site Number : 8400015

Hermitage, Pennsylvania, 16148, United States

Location

Coastal Pediatric Research Charleston Site Number : 8400002

Charleston, South Carolina, 29414, United States

Location

Coastal Pediatric Research Charleston Site Number : 8400011

Charleston, South Carolina, 29414, United States

Location

Tribe Clinical Research Site Number : 8400118

Greenville, South Carolina, 29607, United States

Location

Pediatric Clinical Trials Tullahoma Site Number : 8400106

Tullahoma, Tennessee, 37388, United States

Location

Tekton Research Site Number : 8400047

Beaumont, Texas, 77706, United States

Location

Mercury Clinical Research, Inc. Site Number : 8400088

Dickinson, Texas, 77539, United States

Location

Clinical Trial Network - 7080 Southwest Fwy Site Number : 8400037

Houston, Texas, 77074-2085, United States

Location

Tekton Research, Inc. Site Number : 8400040

San Antonio, Texas, 78240, United States

Location

Investigational Site Number : 6300102

Guayama, 007874, Puerto Rico

Location

Investigational Site Number : 6300014

San Juan, 00918, Puerto Rico

Location

MeSH Terms

Conditions

Meningococcal Infections

Interventions

Tetanus ToxoidHibTITER protein, Haemophilus influenzaeHepatitis B VaccinesPoliovirus Vaccine, Inactivated13-valent pneumococcal vaccineRotavirus VaccinesMeasles-Mumps-Rubella VaccineHerpes Zoster Vaccine

Condition Hierarchy (Ancestors)

Neisseriaceae InfectionsGram-Negative Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Intervention Hierarchy (Ancestors)

ToxoidsVaccinesBiological ProductsComplex MixturesViral Hepatitis VaccinesViral VaccinesVaccines, InactivatedPoliovirus VaccinesVaccines, CombinedMeasles VaccineMumps VaccineRubella VaccineChickenpox VaccineHerpesvirus Vaccines

Results Point of Contact

Title
Trial Transparency Team
Organization
Sanofi Pasteur

Study Officials

  • Clinical Sciences & Operations

    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
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The study has a modified double blind design for each group at enrollment, and thus, with the exception of the personnel administering the vaccine, everyone involved in study is blinded to avoid any bias.
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 28, 2018

First Posted

October 2, 2018

Study Start

October 4, 2018

Primary Completion

October 20, 2023

Study Completion

October 20, 2023

Last Updated

June 25, 2024

Results First Posted

June 25, 2024

Record last verified: 2024-06

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