A Phase 3B, Open Label, Multi-Center Study to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered Alone to Healthy Infants According to Different Immunization Schedules and to Healthy Children Aged 2 to 10 Years
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Purpose
The proposed study is aimed at assessing the safety and immunogenicity of rMenB+OMV NZ when administered alone without routine infant vaccines to healthy infants in their first year of life according to different two and three dose immunization schedules, which are suitable to be adopted by various national programs. This study will also investigate antibody persistence post primary series and administration of a subsequent booster dose of rMenB+OMV NZ at 11 months of age. In addition, this study will assess the safety and immunogenicity of two catch-up doses of rMenB+OMV NZ when administered to healthy children 2 to 10 years of age.
This study will also evaluate the safety and immunogenicity of the concomitant administration of rMenB+OMV NZ with meningococcal C conjugate vaccine (MenC-CRM) according to a 3, 5 and 12-month schedule.
to evaluate the safety and immunogenicity of the concomitant
| Condition | Intervention | Phase |
|---|---|---|
|
Meningococcal Disease Meningococcal Meningitis |
Biological: rMenB + OMV vaccine Biological: rMenB + OMV NZ vaccine; Meningococcal C oligosaccharide conjugated vaccine; Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed Biological: Meningococcal C oligosaccharide conjugated vaccine; Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Phase 3B, Open Label, Multi-Center Study to Evaluate the Safety, Tolerability and Immunogenicity of Novartis Meningococcal B Recombinant Vaccine When Administered Alone to Healthy Infants According to Different Immunization Schedules and to Healthy Children Aged 2 to 10 Years |
- Serum bactericidal activity (SBA) titers ≥ 1:5, at 1 month after the second rMenB+OMV NZ dose, directed against MenB indicator strains H44/76, 5/99 and NZ98/254. [ Time Frame: 12 months vaccination schedule ] [ Designated as safety issue: No ]
- % of subjects with SBA titer ≥ 1:5 against MenB strains H44/76,5/99 and NZ98/254 [ Time Frame: 1 month after: 3rd dose (group I), 2nd dose (group IV), booster dose (group I,II and III) ] [ Designated as safety issue: No ]
- SBA GMTs against MenB strains H44/76,5/99 and NZ98/254 [ Time Frame: 1 month after: 3rd dose (group I), 2nd dose (group II, III), 1st dose (sub-group Ib, IIb, IIIb), last dose (Groups I-IV) ] [ Designated as safety issue: No ]
- Bactericidal antibody persistence [ Time Frame: At 11 months of age (groups I to III) ] [ Designated as safety issue: No ]
- Immune responses to antigen 287-953 by ELISA [ Time Frame: Following two and three dose primary immunization schedules with rMenB+OMV NZ in infants followed by a booster dose at 11 months of age; and after a two dose catch-up immunization series in children 2-10 years of age ] [ Designated as safety issue: No ]
- MenC noninferiority in MenBC [ Time Frame: 1 month after the 2 vaccinations (3, 5 months) ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 1400 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | May 2014 |
| Estimated Primary Completion Date: | August 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Ia
Healthy Subjects 2-1/2 months of age. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
3 doses (2-1/2, 3-1/2, 6 months if age) plus booster (11 months of age)
|
|
Experimental: Ib
Healthy Subjects 2-1/2 months of age. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
3 doses (2-1/2, 3-1/2, 6 months of age) plus booster (11 months of age)
|
|
Experimental: IIa
Healthy Subjects 3-1/2 months of age. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
2 doses (3-1/2, 6 months of age) plus booster (11 months of age)
|
|
Experimental: IIb
Healthy Subjects 3-1/2 months of age. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
2 doses (3-1/2, 6 months of age) plus booster (11 months of age)
|
|
Experimental: IIIa
Healthy Subjects 6 months of age. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
2 doses (6, 8 months of age) plus booster (11 months of age)
|
|
Experimental: IIIb
Healthy Subjects 6 months of age. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
2 doses (6, 8 months of age) plus booster (11 months of age)
|
|
Experimental: IVa
Healthy Subjects 2-5 years old. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
2 doses 2 months apart
|
|
Experimental: IVb
Healthy Subjects 6-10 years old. rMenB + OMV vaccine
|
Biological: rMenB + OMV vaccine
2 doses 2 months apart
|
|
Experimental: V
Healthy Subjects 3 months of age. "rMenB + OMV NZ vaccine; Meningococcal C oligosaccharide conjugated vaccine; Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed."
|
Biological: rMenB + OMV NZ vaccine; Meningococcal C oligosaccharide conjugated vaccine; Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed
Schedule 3, 5, 12 (rMenB + OMV NZ vaccine; Meningococcal C oligosaccharide conjugated vaccine)3, 5, 7 12 (Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed)
|
|
Experimental: VI
Healthy Subjects 3 months of age. "Meningococcal C oligosaccharide conjugated vaccine; Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed."
|
Biological: Meningococcal C oligosaccharide conjugated vaccine; Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed
Schedule 3, 5, 12 (Meningococcal C oligosaccharide conjugated vaccine); 3, 5, 7, 12 (Pneumococcal polysaccharide conjugate vaccine, 10 valent adsorbed); 13, 15 (rMenB + OMV NZ vaccine)
|
Eligibility| Ages Eligible for Study: | 71 Days to 10 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Healthy infants and children according to the following age groups:
- Healthy infants 2½ months of age (71 -79 days, inclusive), (only applicable to group I)
- Healthy infants 3½ months of age (101 -109 days, inclusive), (only applicable to group II)
- Healthy infants 6 months of age (only applicable to group III) (The age window is defined as the first day the subject turns 6 months of age up to the day before the subject turns 7 months of age).
- Healthy children 2 to 5 years of age (only applicable to group IVa) (The age window is defined as the first day the subject turns 2 years of age up to the day before the subject turns 6 years of age).
- Healthy children 6 to 10 years of age (only applicable to group IVb) (The age window is defined as the first day the subject turns 6 years of age up to the day before the subject turns 11 years of age).
- For whom parent(s)/legal guardian(s) have given written informed consent according to local regulations after the nature of the study has been explained;
- Available for all the visits scheduled in the study;
- Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator
Exclusion Criteria:
- Subjects whose parent(s)/legal guardian(s) are unwilling or unable to give written informed consent to participate in the study;
- Children's parents or legal guardian who are not able to comprehend and to follow all required study procedures for the whole period of the study.
- History of any meningococcal B vaccine administration;
- Previous ascertained or suspected disease caused by N. meningitidis;
- Household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis;
- History of severe allergic reaction after previous vaccinations or hypersensitivity to any vaccine component
- Significant acute or chronic infection within the previous 7 days or temperature 38C within the previous day of receiving the study vaccine;
- Antibiotics treatment within 6 days prior to enrollment;
- Individuals with history of allergy to vaccine components.
- Any serious chronic or progressive disease according to the judgment of the investigator (e.g., neoplasm, diabetes mellitus Type I, cardiac disease, hepatic disease, neurological disease or seizure, either associated with fever or as part of an underlying neurological disorder or syndrome, autoimmune disease, HIV infection or AIDS, or blood dyscrasias or diathesis, signs of cardiac or renal failure or severe malnutrition);
- Known or suspected impairment/alteration of the immune system, immunosuppressive therapy, use of high dose systemic corticosteroids or chronic use of inhaled high-potency corticosteroids within 14 days prior to enrollment (use of low or moderate doses of inhaled steroids is not an exclusion);
- Receipt of blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation within 90 days prior to enrollment.
- Receipt of, or intent to immunize with, any other vaccine(s) within 7 days prior to enrollment.
- Individuals participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
- Family members and household members of research staff
- Individuals with history or any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study.
- History of any meningococcal C vaccine administration (Only applicable to group V and VI).
- History of any Pneumococcal vaccine administration (Only applicable to group V and VI).
Contacts and Locations| Contact: Novartis Vaccines Information Services | +1 800 244 7668 ext 2 |
| Brazil | |
| Site 53 - CRIE UNIFESP | Recruiting |
| Rua Borges Lagoa 770, Sao Paulo, Brazil, 04038002 | |
| Site 50 - Associacao Fundo de Incentivo a Psicofarmacologia | Recruiting |
| Rua Marselhesa 500 Vila Clementino, Sao Paulo, Brazil, 04020-060 | |
| Hungary | |
| Site 37 - Praxis Dr Julianna Kovacs | Completed |
| Honved utca 2, Bordany, Hungary, 6795 | |
| Site 40 - General Pediatric Practice Hacsek | Completed |
| Poth Iren u 80, Budapest, Hungary | |
| Site 42 - Praxis Dr Eszter Bari | Completed |
| Szentharomsag ter 10, Csongrad, Hungary, 6640 | |
| Site 34 - General Pediatric Practice Somorjai | Completed |
| Bajcsi ut 32, Debrecen, Hungary, 4025 | |
| Site 32 - Praxis Dr Eleonora Konya | Completed |
| Fo utca 12, Malyi, Hungary, 3434 | |
| Site 34 - General Practice Dr Olga Fekete | Completed |
| Kando Kalman utca 1, Miskolc, Hungary, 3534 | |
| Site 30 - General Practice Dr Simko | Completed |
| Selyemret u. 1., Miskolc, Hungary, 3527 | |
| Site 33 - General Pediatric Practice Ujhelyi | Completed |
| Szent Istvan u 10, Nyiregyhaza, Hungary, 4400 | |
| Site 35 - Praxis Dr Eva Kovacs | Completed |
| Csongradi sgt 63, Szeged, Hungary, 6723 | |
| Site 36 - General Practice Dr Edit Oszlacs | Completed |
| Debreceni utca 10-14, Szeged, Hungary, 6723 | |
| Peru | |
| Site 80 - Hospital Nacional docente Madre Nino San Bartolome | Completed |
| Av Alfonso Ugarte, Lima, Peru | |
| Site 82 - Investigaciones Medicas en Salud INMENSA | Completed |
| Jr Jose de la Torre Ugarte Lince, Lima, Peru | |
| Site 81 - Via Libre | Completed |
| Jr Paraguay Cercado de Lima, Lima, Peru | |
| Spain | |
| Site 16 | Completed |
| Almeria, Spain, 04120 | |
| Site 15 | Completed |
| Almeria, Spain, 04007 | |
| Site 20 | Completed |
| Barcelona, Spain, 08195 | |
| Site 18 | Completed |
| Madrid, Spain, 28935 | |
| Site 17 | Completed |
| Madrid, Spain, 28041 | |
| Site 11 | Completed |
| Ourense, Spain, 32005 | |
| Site 13 | Completed |
| Pontevedra, Spain, 36002 | |
| Site 10 | Completed |
| Santiago de Compostela, Spain, 15706 | |
| Site 14 | Completed |
| Sevilla, Spain, 41014 | |
| Study Chair: | Novartis Vaccines | Novartis Vaccines |
More Information
No publications provided
| Responsible Party: | Novartis ( Novartis Vaccines ) |
| ClinicalTrials.gov Identifier: | NCT01339923 History of Changes |
| Other Study ID Numbers: | V72_28 |
| Study First Received: | April 13, 2011 |
| Last Updated: | February 25, 2013 |
| Health Authority: | Europe: European Medicines Agency |
Keywords provided by Novartis:
|
Meningococcal disease Vaccines intercalated administration |
Additional relevant MeSH terms:
|
Meningitis Meningitis, Meningococcal Meningitis, Bacterial Meningococcal Infections Central Nervous System Infections Central Nervous System Diseases |
Nervous System Diseases Central Nervous System Bacterial Infections Bacterial Infections Neisseriaceae Infections Gram-Negative Bacterial Infections |
ClinicalTrials.gov processed this record on May 16, 2013