Dose-finding and Safety of 2 Intradermal MEN-ACYW135-conjugate Vaccines
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Purpose
Invasive meningococcal disease is a worldwide problem with serious repercussions for those affected. Vaccination is recognized as the best way to combat it. The cost of vaccination is prohibitive in many low-resource settings at home and abroad. By harnessing the special immunologic properties of the skin, a dose reduction may be achieved by intradermal administration of the vaccine. The cost savings associated with dose reduction will increase availability of the vaccine.
| Condition | Intervention | Phase |
|---|---|---|
|
Meningococcal Disease |
Biological: MEN-ACYW135 reduced-dose intradermal administration |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Dose Finding and Reactogenicity of Reduced-dose Intradermal Administration of Two Quadrivalent Meningococcal Conjugate Vaccines (Menveo® and Nimenrix®) in Healthy Adults (MENID-1). |
- Seroprotection rate against meningococcal serogroups ACYW135 (anti-meningococcal antibody titre at baseline and 28 days after vaccination) [ Time Frame: 28 days ] [ Designated as safety issue: No ]
- Local and systemic adverse events (subject log and investigator inspection). [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 16 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | October 2013 |
| Estimated Primary Completion Date: | October 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Menveo, dose escalating |
Biological: MEN-ACYW135 reduced-dose intradermal administration
Modified traditional dose escalation rule (TER) in an adaptive design. The study will be performed in duplicate, with 2 vaccines.
Other Names:
|
| Experimental: Nimenrix, dose escalating |
Biological: MEN-ACYW135 reduced-dose intradermal administration
Modified traditional dose escalation rule (TER) in an adaptive design. The study will be performed in duplicate, with 2 vaccines.
Other Names:
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Meningococcal C naive subjects are required to fulfill all of the following criteria:
- Age ≥ 30 years
- Good health according to the investigator
- Willingness and ability to adhere to the study regimen
- Able to give informed consent
Meningococcal C experienced subjects are required to fulfill all of the following criteria:
- Age ≥ 18 years
- Good health according to the investigator
- Willingness and ability to adhere to the study regimen
- Able to give informed consent
Exclusion Criteria:
Meningococcal C naïve subjects should not have:
- Known previous invasive meningococcal infection
- Known or suspected previous vaccination against meningococcal disease
- Known or suspected allergy against any of the vaccine components
- Close contact in the last 60 days with a person known to be Neisseria positive
- History of unusual or severe reactions to any previous vaccination
- Family history of Guillain-Barré Syndrome
- Known or suspected immune deficiency, either congenital or acquired
- Administration of plasma or blood products less than three months prior to inclusion in the study
- Pregnancy (breastfeeding is allowed)
- Fertile female not conforming to prescribed contraceptive use (await first menstruation after vaccination before getting pregnant)
- Any infectious disease
- Bleeding disorders or use of anticoagulants
- Participation as a subject in another trial in the last 3 months
Meningococcal C experienced subjects should not have:
- Known or suspected allergy against any of the vaccine components
- Known previous vaccination with a quadrivalent meningococcal vaccine (either conjugate or polysaccharide)
- Close contact in the last 60 days with a person known to be Neisseria positive
- History of unusual or severe reactions to any previous vaccination
- Family history of Guillain-Barré Syndrome
- Known or suspected immune deficiency, either congenital or acquired
- Administration of plasma or blood products less than three months prior to inclusion in the study
- Pregnancy (breastfeeding is allowed)
- Fertile female not conforming to prescribed contraceptive use (await first menstruation after vaccination before getting pregnant)
- Any infectious disease
- Bleeding disorders or use of anticoagulants
- Participation as a subject in another trial in the last 3 months
Contacts and Locations| Netherlands | |
| Leiden University Medical Center | Recruiting |
| Leiden, South-Holland, Netherlands, 2333ZA | |
| Contact: Leo Visser, MD, PhD l.g.visser@lumc.nl | |
| Sub-Investigator: Emile Jonker, MD | |
| Principal Investigator: Leo Visser, MD, PhD | |
| Principal Investigator: | Leo Visser, MD, PhD | Leiden University Medical Center |
More Information
No publications provided
| Responsible Party: | L.G. Visser, MD, PhD, Associate professor of Internal Medicine, Senior Consultant Infectious Diseases, Leiden University Medical Center |
| ClinicalTrials.gov Identifier: | NCT01782066 History of Changes |
| Other Study ID Numbers: | MENID-1, 2012-003085-41 |
| Study First Received: | January 30, 2013 |
| Last Updated: | January 31, 2013 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Additional relevant MeSH terms:
|
Meningococcal Infections Neisseriaceae Infections Gram-Negative Bacterial Infections Bacterial Infections |
ClinicalTrials.gov processed this record on May 23, 2013