Title

Immunogenicity of the Booster Dose of Two MenC Vaccines
Randomized, Open Label, Active Control, Parallel Assignment Clinical Trial to Evaluate the Immunogenicity of Polysaccharide Meningococcal C Vaccines Conjugated With Tetanus Toxoid or CRM197 Given as a Booster Dose at 14-18 Months of Life.
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Study Participants

    389
The purpose of the study is to evaluate the immune response of toddlers, to a booster dose in the second year of life of two meningococcal C conjugated polysaccharide vaccine, and to assess the interchangeability of the two different vaccines.
Children 14 to 18 months of life, previously vaccinated with 2 doses of tetanus toxoid conjugated polysaccharide men C vaccine or three doses of the CRM197 conjugated polysaccharide men C vaccine before 7 months of age, are randomized to receive any of the two vaccines. Serum antibody activity against meningococcus C will be measured inmediately before and 4 weeks after the booster dose. Children will also be vaccinated with a combined vaccine containing DTaP+IPV+Hib.
Study Started
Jan 31
2007
Primary Completion
May 31
2008
Study Completion
May 31
2009
Results Posted
Oct 11
2013
Estimate
Last Update
Oct 11
2013
Estimate

Biological conjugated polysaccharide menC vaccine

Booster vaccine dose at 14 to 18 months.

MENC-CRM/MENC-CRM Experimental

Children primed with 3 doses of MenC-CRM vaccine, Intervention: boosted with one dose of MenC-CRM vaccine

MENC-CRM/MENC-TT Experimental

Children Primed with three doses of MenC-CRM vaccine. Intervention: boosted with one dose of MenC-TT

MENC-TT/MENC-CRM Experimental

Children primovacccinated with two MenC-TT vaccine doses. Intervention: boosted with one dose MenC-CRM vaccine

MENC-TT/MENC-TT Experimental

Children primovacccinated with two MenC-TT vaccine doses. Intervention boosted with one dose MenC-TT vaccine

Criteria

Inclusion Criteria:

Healthy toddlers of both sexes
Toddlers of 14 to 19 months of age (including the day that the toddler is 14 and the day before he is 19 months of age)
Children previously vaccinated with two doses of polysaccharide meningococcal C vaccine conjugated to tetanus toxoid or three doses of polysaccharide meningococcal C conjugated to CRM197 before 7 month of age.
Informed consent signed by one or both parents who are adequately informed about the study.

Exclusion Criteria:

Toddlers with severe diseases or axilar temperature ≥ 38,0ºC at inclusion time
Toddlers with severe chronic diseases
Toddlers who have received any other vaccine within the last month or with a programmed vaccination within the 28 subsequent days after the administration of the vaccine of study.
Toddlers with clinical or bacteriological diagnosis of previous meningococcal disease.
Toddlers with hypersensitivity to any of the components of the vaccines to study or antibiotics used during the manufacturing process that could be present as non- detectable traces (streptomycin, neomycin, polymyxin B).
Toddlers with personal history of convulsions.
Toddlers with known bleeding disorder no controlled
Toddlers with known congenital or acquired immunodeficiency
Toddlers who are receiving or have been received any treatment that could change the immune response (administration of intravenous immunoglobulin, systemic corticosteroids or haemoderivates) within the 3 previous months.
A toddler that under investigator opinion is probable to be lost during the follow-up
A toddler that is currently included or is planned to be included in any other clinical trial.
A toddler that under investigator opinion must not be included in the study due to other medical or social reasons.

Summary

MENC-TT/MENC-TT

MENC-TT/MENC-CRM

MENC-CRM/MENC-TT

MENC-CRM/MENC-CRM

All Events

Event Type Organ System Event Term MENC-TT/MENC-TT MENC-TT/MENC-CRM MENC-CRM/MENC-TT MENC-CRM/MENC-CRM

Serum Bactericidal Activity Against MenC

MENC-TT/MENC-TT

6786.0
GMTs (Geometric Mean)
95% Confidence Interval: 5023.0 to 9167.0

MENC-TT/MENC-CRM

6278.0
GMTs (Geometric Mean)
95% Confidence Interval: 5359.0 to 7932.0

MENC-CRM/MENC-TT

2061.0
GMTs (Geometric Mean)
95% Confidence Interval: 1599.0 to 2627.0

MENC-CRM/MENC-CRM

1746.0
GMTs (Geometric Mean)
95% Confidence Interval: 1378.0 to 2213.0

Serum Antibody Titers Against Haemophilus Influenzae Type b.

MENC-TT/MENC-TT

23.8
GMCs (Geometric Mean)
95% Confidence Interval: 17.5 to 32.4

MENC-TT/MENC-CRM

30.8
GMCs (Geometric Mean)
95% Confidence Interval: 23.7 to 40.1

MENC-CRM/MENC-TT

30.5
GMCs (Geometric Mean)
95% Confidence Interval: 23.3 to 40.0

MENC-CRM/MENC-CRM

26.0
GMCs (Geometric Mean)
95% Confidence Interval: 19.1 to 35.4

Total

389
Participants

Age Continuous

1.4
years (Mean)
Standard Deviation: .15

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

MENC-TT/MENC-TT

MENC-TT/MENC-CRM

MENC-CRM/MENC-TT

MENC-CRM/MENC-CRM

Drop/Withdrawal Reasons

MENC-TT/MENC-TT

MENC-TT/MENC-CRM

MENC-CRM/MENC-TT

MENC-CRM/MENC-CRM