Title

Immunogenicity and Safety of Meningococcal ACWY Conjugate Vaccine in Healthy Subjects From 2 to 75 Years of Age in India
A Phase 3, Multi-center, Open-label Study to Evaluate Immunogenicity and Safety of Novartis Meningococcal ACWY Conjugate Vaccine (MenACWY-CRM) in Healthy Subjects From 2 to 75 Years of Age in India.
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Study Participants

    180
This study will evaluate the immunogenicity of a single injection of Novartis Meningococcal ACWY conjugate vaccine in healthy subjects from the age of 2 years and above in India.
Study Started
Mar 31
2012
Primary Completion
Apr 30
2014
Study Completion
Apr 30
2014
Results Posted
Dec 31
2014
Estimate
Last Update
Oct 09
2018

Biological Meningococcal ACWY conjugate vaccine

All subjects received a single dose of Meningococcal ACWY conjugate vaccine

MenACWY - 2 - 10 Years old Experimental

Subjects between 2 and 10 years of age who received one injection of Meningococcal ACWY conjugate vaccine -CRM vaccine on day 1.

MenACWY - 11 - 18 Years old Experimental

Subjects between 11 and 18 years of age who received one injection of Meningococcal ACWY conjugate vaccine-CRM vaccine on day 1.

MenACWY - 19 - 75 Years old Experimental

Subjects between 11 and 18 years of age who received one injection of Meningococcal ACWY conjugate vaccine-CRM vaccine on day 1.

Criteria

Inclusion Criteria:

Individuals eligible for enrollment in this study are those:

who are of any gender, from the age of 2 to 75 years at the time of visit 1, and to whom the nature of the study has been explained and:

the parent/legal representative has provided written informed consent (greater than or equal to 2 - less than 18 years of age).
have provided written assent (greater than or equal to 7-less than or equal to 18 years)
have provided written informed consent (greater than or equal to 18 to 75 years of age).
who the investigator believes that they or their parents/legal representatives can and will comply with the requirements of the protocol (e.g., completion of the Diary Card, return for follow-up visit).
who are in good health as determined by medical history, physical exam, clinical judgment of the investigator
who have a negative urine pregnancy test for female subjects of childbearing potential.

Exclusion Criteria:

Individuals not eligible to be enrolled in the study are those:

who are unwilling or unable to give written informed assent or consent to participate in the study.
who are perceived to be unreliable or unavailable for the duration of the study period.
who had a previous or suspected disease caused by N. meningitidis.
who had household contact with and/or intimate exposure to an individual with culture-proven N. meningitidis infection within 60 days prior to enrollment.
who have previously been immunized with a meningococcal vaccine.
who have received any investigational or non-registered product (drug or vaccine)within 28 days prior to enrollment or who expect to receive an investigational drug or vaccine prior to the completion of the study.
who have received any vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or who are planning to receive any vaccine within 30 days from the study vaccines. (Exception: Influenza vaccine may be administered up to 15 days prior to study vaccination and at least 15 days after study vaccination)
who have experienced within the 7 days prior to enrollment significant acute infection (for example requiring systemic antibiotic treatment or antiviral therapy) or have experienced fever (defined as body temperature greater than or equal to 38°C) within 3 days prior to enrollment.
who have any serious acute, chronic or progressive disease (e.g., any history of neoplasm, cancer, diabetes, cardiac disease, autoimmune disease, HIV infection or AIDS, or blood dyscrasias, with signs of cardiac or renal failure or severe malnutrition).
who have epilepsy or any progressive neurological disease.
who have a history of any anaphylaxis, serious vaccine reactions, or allergy to any vaccine components.

who have a known or suspected impairment/alteration of immune function, either congenital or acquired or resulting from (for example):

receipt of immunosuppressive therapy within 28 days prior to enrollment (any systemic corticosteroid administered for more than 5 days, or in a daily dose greater than 1 mg/kg/day prednisone or equivalent during any of 28 days prior to enrollment, or cancer chemotherapy)
receipt of immunostimulants
receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within 90 days prior to enrollment and for the full length of the study.
who are known to have a bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
who have any condition that, in the opinion of the investigator, might interfere with the evaluation of the study objectives.

Summary

2 - 10 Years

11 - 18 Years

19 - 75 Years

Overall (≥2 Years)

All Events

Event Type Organ System Event Term 2 - 10 Years 11 - 18 Years 19 - 75 Years Overall (≥2 Years)

Percentages of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse Against N.Meningitidis Serogroup A.

The immunogenicity of a single injection of MenACWY-CRM vaccine is assessed in terms of percentage of subjects with hSBA seroresponse directed against N.meningitidis serogroup A. Seroresponse is defined as: For subjects with a pre-vaccination hSBA titer <1:4, a postvaccination hSBA titer≥1:8 For subjects with a pre-vaccination hSBA titer ≥1:4, an increase in hSBA titer of at least four times the pre-vaccination titer.

2 - 10 Years

75.0
Percentages of subjects
95% Confidence Interval: 62.0 to 85.0

11 - 18 Years

76.0
Percentages of subjects
95% Confidence Interval: 63.0 to 86.0

19 - 75 Years

66.0
Percentages of subjects
95% Confidence Interval: 52.0 to 78.0

Overall (≥2 Years)

72.0
Percentages of subjects
95% Confidence Interval: 65.0 to 79.0

Percentages of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse Against N.Meningitidis Serogroup C

The immunogenicity of a single injection of MenACWY-CRM vaccine is assessed in terms of percentage of subjects with hSBA seroresponse directed against N.meningitidis serogroup C.

2 - 10 Years

84.0
Percentages of subjects
95% Confidence Interval: 73.0 to 93.0

11 - 18 Years

90.0
Percentages of subjects
95% Confidence Interval: 79.0 to 96.0

19 - 75 Years

90.0
Percentages of subjects
95% Confidence Interval: 79.0 to 96.0

Overall (≥2 Years)

88.0
Percentages of subjects
95% Confidence Interval: 82.0 to 92.0

Percentages of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse Against N.Meningitidis Serogroup W.

The immunogenicity of a single injection of MenACWY-CRM vaccine is assessed in terms of percentage of subjects with hSBA seroresponse directed against N.meningitidis serogroup W.

2 - 10 Years

58.0
Percentages of subjects
95% Confidence Interval: 45.0 to 71.0

11 - 18 Years

51.0
Percentages of subjects
95% Confidence Interval: 37.0 to 64.0

19 - 75 Years

54.0
Percentages of subjects
95% Confidence Interval: 41.0 to 68.0

Overall (≥2 Years)

55.0
Percentages of subjects
95% Confidence Interval: 47.0 to 62.0

Percentages of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse Against N.Meningitidis Serogroup Y.

The immunogenicity of a single injection of MenACWY-CRM vaccine is assessed in terms of percentage of subjects with hSBA seroresponse directed against N.meningitidis serogroup Y.

2 - 10 Years

69.0
Percentages of subjects
95% Confidence Interval: 55.0 to 80.0

11 - 18 Years

69.0
Percentages of subjects
95% Confidence Interval: 56.0 to 81.0

19 - 75 Years

75.0
Percentages of subjects
95% Confidence Interval: 62.0 to 86.0

Overall (≥2 Years)

71.0
Percentages of subjects
95% Confidence Interval: 64.0 to 78.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup A at Day 1.

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup A at day 1.

2 - 10 Years

11 - 18 Years

2.0
Percentage of subjects
95% Confidence Interval: 0.0 to 9.0

19 - 75 Years

2.0
Percentage of subjects
95% Confidence Interval: 0.0 to 9.0

Overall (≥2 Years)

1.0
Percentage of subjects
95% Confidence Interval: 0.0 to 4.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup A at Day 29.

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup A at day 29.

2 - 10 Years

75.0
Percentages of subjects
95% Confidence Interval: 62.0 to 85.0

11 - 18 Years

77.0
Percentages of subjects
95% Confidence Interval: 64.0 to 87.0

19 - 75 Years

66.0
Percentages of subjects
95% Confidence Interval: 52.0 to 78.0

Overall (≥2 Years)

72.0
Percentages of subjects
95% Confidence Interval: 65.0 to 79.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup C at Day 1.

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup C at day 1.

2 - 10 Years

14.0
Percentages of subjects
95% Confidence Interval: 6.0 to 25.0

11 - 18 Years

24.0
Percentages of subjects
95% Confidence Interval: 14.0 to 37.0

19 - 75 Years

25.0
Percentages of subjects
95% Confidence Interval: 15.0 to 38.0

Overall (≥2 Years)

21.0
Percentages of subjects
95% Confidence Interval: 15.0 to 28.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup C at Day 29.

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup C at day 29.

2 - 10 Years

92.0
Percentages of subjects
95% Confidence Interval: 82.0 to 97.0

11 - 18 Years

97.0
Percentages of subjects
95% Confidence Interval: 88.0 to 100.0

19 - 75 Years

97.0
Percentages of subjects
95% Confidence Interval: 88.0 to 100.0

Overall (≥2 Years)

95.0
Percentages of subjects
95% Confidence Interval: 91.0 to 98.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup W at Day 1.

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup W at day 1.

19 - 75 Years

59.0
Percentages of subjects
95% Confidence Interval: 46.0 to 72.0

Overall (≥2 Years)

58.0
Percentages of subjects
95% Confidence Interval: 50.0 to 65.0

2 - 10 Years

52.0
Percentages of subjects
95% Confidence Interval: 38.0 to 65.0

11 - 18 Years

63.0
Percentages of subjects
95% Confidence Interval: 49.0 to 75.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup W at Day 29.

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup W.

2 - 10 Years

95.0
Percentage of subjects
95% Confidence Interval: 86.0 to 99.0

11 - 18 Years

95.0
Percentage of subjects
95% Confidence Interval: 86.0 to 99.0

19 - 75 Years

93.0
Percentage of subjects
95% Confidence Interval: 83.0 to 98.0

Overall (≥2 Years)

94.0
Percentage of subjects
95% Confidence Interval: 90.0 to 97.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup Y at Day 1

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup Y at day 1.

2 - 10 Years

22.0
Percentages of subjects
95% Confidence Interval: 12.0 to 35.0

11 - 18 Years

53.0
Percentages of subjects
95% Confidence Interval: 39.0 to 66.0

19 - 75 Years

53.0
Percentages of subjects
95% Confidence Interval: 39.0 to 66.0

Overall (≥2 Years)

42.0
Percentages of subjects
95% Confidence Interval: 35.0 to 50.0

Percentages of Subjects With hSBA ≥1:8 Directed Against N.Meningitidis Serogroup Y at Day 29

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by the percentage of subjects aged 2 through 75 with hSBA titer ≥ 1:8, directed against N. meningitidis serogroup Y at day 29.

2 - 10 Years

83.0
Percentages of subjects
95% Confidence Interval: 71.0 to 92.0

11 - 18 Years

95.0
Percentages of subjects
95% Confidence Interval: 86.0 to 99.0

19 - 75 Years

93.0
Percentages of subjects
95% Confidence Interval: 83.0 to 98.0

Overall (≥2 Years)

90.0
Percentages of subjects
95% Confidence Interval: 85.0 to 94.0

hSBA Geometric Mean Titers (GMTs) Directed Against N.Meningitidis Serogroup A at Day 1

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup A at day 1.

2 - 10 Years

2.08
Titer (Geometric Mean)
95% Confidence Interval: 1.97 to 2.2

11 - 18 Years

2.05
Titer (Geometric Mean)
95% Confidence Interval: 1.95 to 2.16

19 - 75 Years

2.07
Titer (Geometric Mean)
95% Confidence Interval: 1.93 to 2.21

Overall (≥2 Years)

2.07
Titer (Geometric Mean)
95% Confidence Interval: 2.0 to 2.14

hSBA GMTs Directed Against N.Meningitidis Serogroup A at Day 29

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup A at day 29.

2 - 10 Years

30.0
Titer (Geometric Mean)
95% Confidence Interval: 19.0 to 47.0

11 - 18 Years

50.0
Titer (Geometric Mean)
95% Confidence Interval: 30.0 to 84.0

19 - 75 Years

29.0
Titer (Geometric Mean)
95% Confidence Interval: 16.0 to 51.0

Overall (≥2 Years)

35.0
Titer (Geometric Mean)
95% Confidence Interval: 26.0 to 47.0

hSBA GMTs Directed Against N.Meningitidis Serogroups C at Day 1

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup C at day 1.

2 - 10 Years

2.88
Titer (Geometric Mean)
95% Confidence Interval: 2.26 to 3.65

11 - 18 Years

4.01
Titer (Geometric Mean)
95% Confidence Interval: 3.0 to 5.35

19 - 75 Years

4.14
Titer (Geometric Mean)
95% Confidence Interval: 3.12 to 5.49

Overall (≥2 Years)

3.63
Titer (Geometric Mean)
95% Confidence Interval: 3.11 to 4.25

hSBA GMTs Directed Against N.Meningitidis Serogroups C at Day 29

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup C at day 29.

2 - 10 Years

67.0
Titer (Geometric Mean)
95% Confidence Interval: 44.0 to 101.0

11 - 18 Years

191.0
Titer (Geometric Mean)
95% Confidence Interval: 117.0 to 310.0

19 - 75 Years

287.0
Titer (Geometric Mean)
95% Confidence Interval: 191.0 to 431.0

Overall (≥2 Years)

153.0
Titer (Geometric Mean)
95% Confidence Interval: 117.0 to 199.0

hSBA GMTs Directed Against N.Meningitidis Serogroup W at Day 1

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup W at day 1.

2 - 10 Years

9.27
Titer (Geometric Mean)
95% Confidence Interval: 6.33 to 14.0

11 - 18 Years

14.0
Titer (Geometric Mean)
95% Confidence Interval: 9.13 to 20.0

19 - 75 Years

12.0
Titer (Geometric Mean)
95% Confidence Interval: 7.7 to 17.0

Overall (≥2 Years)

11.0
Titer (Geometric Mean)
95% Confidence Interval: 9.05 to 14.0

hSBA GMTs Directed Against N.Meningitidis Serogroup W at Day 29

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup W at day 29.

2 - 10 Years

60.0
Titer (Geometric Mean)
95% Confidence Interval: 44.0 to 81.0

11 - 18 Years

75.0
Titer (Geometric Mean)
95% Confidence Interval: 54.0 to 105.0

19 - 75 Years

116.0
Titer (Geometric Mean)
95% Confidence Interval: 71.0 to 187.0

Overall (≥2 Years)

80.0
Titer (Geometric Mean)
95% Confidence Interval: 64.0 to 100.0

hSBA GMTs Directed Against N.Meningitidis Serogroup Y at Day 1

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup Y at day 1.

2 - 10 Years

3.59
Titer (Geometric Mean)
95% Confidence Interval: 2.75 to 4.7

11 - 18 Years

7.87
Titer (Geometric Mean)
95% Confidence Interval: 5.48 to 11.0

19 - 75 Years

8.69
Titer (Geometric Mean)
95% Confidence Interval: 5.98 to 13.0

Overall (≥2 Years)

6.26
Titer (Geometric Mean)
95% Confidence Interval: 5.13 to 7.65

hSBA GMTs Directed Against N.Meningitidis Serogroup Y at Day 29

To assess the immunogenicity of a single injection of MenACWY-CRM vaccine as measured by hSBA GMTs directed against N. meningitidis serogroup Y at day 29.

2 - 10 Years

45.0
Titer (Geometric Mean)
95% Confidence Interval: 29.0 to 69.0

11 - 18 Years

105.0
Titer (Geometric Mean)
95% Confidence Interval: 72.0 to 155.0

19 - 75 Years

173.0
Titer (Geometric Mean)
95% Confidence Interval: 97.0 to 309.0

Overall (≥2 Years)

93.0
Titer (Geometric Mean)
95% Confidence Interval: 70.0 to 123.0

Number of Subjects Who Reported Any Solicited Local and Systemic Reactions Post Vaccination

The safety of one dose of MenACWY - CRM was assessed in terms of the number of subjects reporting any solicited local and systemic reactions.

2 - 10 Years

INJECTION SITE REACTIONS

5.0
Participants

SYSTEMIC REACTIONS

3.0
Participants

11 - 18 Years

INJECTION SITE REACTIONS

17.0
Participants

SYSTEMIC REACTIONS

7.0
Participants

19 - 75 Years

INJECTION SITE REACTIONS

5.0
Participants

SYSTEMIC REACTIONS

9.0
Participants

Overall (≥2 Years)

INJECTION SITE REACTIONS

27.0
Participants

SYSTEMIC REACTIONS

19.0
Participants

Number of Subjects Who Reported Solicited Local and Systemic Reactions Post Vaccination

The safety of one dose of MenACWY - CRM was assessed in terms of the number of subjects reporting solicited local and systemic reactions.

2 - 10 Years

ANALGESIC ANTIPYRETIC

2.0
Participants

ARTHRALGIA

1.0
Participants

BODY TEMPERATURE >=38C

1.0
Participants

Body Temperature >=40C

CHANGE IN EATING HABITS

CHILLS

DIARRHEA

ERYTHEMA (mm)

HEADACHE

2.0
Participants

INDURATION (mm)

IRRITABILITY

MALAISE

2.0
Participants

MYALGIA

1.0
Participants

NAUSEA

PAIN

4.0
Participants

RASH

SLEEPINESS

TENDERNESS

1.0
Participants

VOMITING

11 - 18 Years

ANALGESIC ANTIPYRETIC

5.0
Participants

ARTHRALGIA

1.0
Participants

BODY TEMPERATURE >=38C

1.0
Participants

Body Temperature >=40C

CHANGE IN EATING HABITS

CHILLS

4.0
Participants

DIARRHEA

ERYTHEMA (mm)

HEADACHE

5.0
Participants

INDURATION (mm)

IRRITABILITY

MALAISE

2.0
Participants

MYALGIA

NAUSEA

1.0
Participants

PAIN

17.0
Participants

RASH

SLEEPINESS

TENDERNESS

VOMITING

19 - 75 Years

ANALGESIC ANTIPYRETIC

2.0
Participants

ARTHRALGIA

BODY TEMPERATURE >=38C

1.0
Participants

Body Temperature >=40C

CHANGE IN EATING HABITS

CHILLS

2.0
Participants

DIARRHEA

ERYTHEMA (mm)

HEADACHE

7.0
Participants

INDURATION (mm)

IRRITABILITY

MALAISE

2.0
Participants

MYALGIA

2.0
Participants

NAUSEA

1.0
Participants

PAIN

5.0
Participants

RASH

SLEEPINESS

TENDERNESS

VOMITING

Overall (≥2 Years)

ANALGESIC ANTIPYRETIC

9.0
Participants

ARTHRALGIA

2.0
Participants

BODY TEMPERATURE >=38C

3.0
Participants

Body Temperature >=40C

CHANGE IN EATING HABITS

CHILLS

6.0
Participants

DIARRHEA

ERYTHEMA (mm)

HEADACHE

14.0
Participants

INDURATION (mm)

IRRITABILITY

MALAISE

6.0
Participants

MYALGIA

3.0
Participants

NAUSEA

2.0
Participants

PAIN

26.0
Participants

RASH

SLEEPINESS

TENDERNESS

1.0
Participants

VOMITING

Number of Subjects With Unsolicited Adverse Events

The safety of one dose of MenACWY -CRM was assessed in terms of the number of subjects reporting unsolicited adverse events. All AEs were recorded from day 1 to day 7; SAE, medically attended AEs and AEs Leading to premature withdrawal were recorded throughout the entire study period.

2 - 10 Years

AEs Leading to premature withdrawal

Any SAE

Any Unsolicited AE

9.0
participants

Medically Attended AEs

8.0
participants

11 - 18 Years

AEs Leading to premature withdrawal

Any SAE

Any Unsolicited AE

6.0
participants

Medically Attended AEs

5.0
participants

19 - 75 Years

AEs Leading to premature withdrawal

Any SAE

1.0
participants

Any Unsolicited AE

4.0
participants

Medically Attended AEs

4.0
participants

Overall (≥2 Years)

AEs Leading to premature withdrawal

Any SAE

Any Unsolicited AE

19.0
participants

Medically Attended AEs

17.0
participants

Total

180
Participants

Age, Continuous

17.49
YEARS (Mean)
Standard Deviation: 13.432

Sex: Female, Male

Overall Study

2 - 10 Years

11 - 18 Years

19 - 75 Years