A Clinical Trial to Study the Safety, Tolerance and Immunogenic Response to MCV4, Tdap and Bivalent rLP2086 Vaccine When Given at the Same Time to Children Between the Ages of 10 Through 12 Years of Age
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Purpose
This is a clinical study to assess the safety, tolerance and immunogenic response to MCV4(quadrivalent meningococcal polysaccharide conjugate, meningococcal serogroups A,C,Y, and W135), Tdap (diphtheria, tetanus, and acellular pertussis), and bivalent rLP2086 vaccine. Healthy male and female subjects, between the ages of 10 to 12 years old, will be randomized into 1 of 3 groups. The subjects, investigators, site staff and sponsor will be blinded to all injections given throughout the study. An unblinded administrator will be responsible to administer the vaccinations to all subjects and will be unblinded to the subject randomization in order to determine which subjects were in randomized to group 3 so they may receive their catch-up vaccinations of MCV4 and Tdap. A final telephone contact will be conducted with all subjects 6-months post their last vaccination to obtain safety information.
| Condition | Intervention | Phase |
|---|---|---|
|
Vaccines Meningococcal Vaccines |
Biological: rLP2086 + MCV4 + Tdap Biological: MCV4 + Tdap + saline Biological: rLP2086 + saline |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Phase 2, Randomized, Active-Controlled, Observer-Blinded Trial to Assess the Safety, Tolerability and Immunogenicity of MCV4, Tdap Vaccine and Bivalent rLP2086 Vaccine When Administered Concomitantly in Healthy Subjects Aged > = to 10 Years to Less Than 13 Years |
- The geometric mean titers (GMTs) or geometric mean concentrations (GMCs) for each of the antibodies reactive with each of the 10 antigenic components in the marketed vaccines at visit 2, among subjects in Groups 1 and 2. [ Time Frame: Month 1 ] [ Designated as safety issue: No ]
- The hSBA geometric mean titers (GMTs) for each of the 2 primary strains (PMB80 [A22] and PMB2948 [B24]) at visit 6, among subjects in Groups 1 and 3. [ Time Frame: Month 7 ] [ Designated as safety issue: No ]
- The seroresponse rate at visit 2 for each of the 10 marketed vaccine antigens in Group 1 and Group 2. [ Time Frame: Month 1 ] [ Designated as safety issue: No ]
- Proportion of subjects (Groups 1 and 2) who achieve an antibody level >=1.0 IU/mL to tetanus and proportion of subjects (Groups 1 and 2) who achieve an antibody level >1.0 IU/mL to diphtheria toxoid. [ Time Frame: Month 1 ] [ Designated as safety issue: No ]
- hSBA titers as measured by GMTs for each of the 2 primary MnB test strains (PMB80 [A22] and PMB2948 [B24]) at each applicable blood sampling time point. [ Time Frame: Month 0, 1, 3, 7 ] [ Designated as safety issue: No ]
- Proportion of subjects with hSBA titers ≥LLOQ, ≥1:4, ≥1:8, ≥1:16 , ≥1:32, ≥1:64, ≥1:128 at each blood draw visit, for each of the 2 primary strains (PMB80 [A22] and PMB2948 [B24]). [ Time Frame: Month 0, 1, 3, 7 ] [ Designated as safety issue: No ]
- Exploratory immunogenicity endpoints will be applied to MCV4 antigenic components in subjects from Group 1 and Group 2. The exploratory endpoints are IgG response (measured as GMCs) in serogroups A, C, Y and W-135. [ Time Frame: Month 1 ] [ Designated as safety issue: No ]
- Proportion of subjects achieving at least a 4-fold increase in hSBA titer from baseline to 1-month after the second and the third vaccination with the bivalent rLP2086 vaccine for each of the 2 primary strains (PMB80 [A22], PMB2948 [B24]). [ Time Frame: Month 3, 7 ] [ Designated as safety issue: No ]
- Safety measured by subjects reporting adverse events and use of antipyretic medication. [ Time Frame: Throughout the study. ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 2625 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | February 2014 |
| Estimated Primary Completion Date: | February 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: MCV4 + Tdap+ rLP2086
Group 1 - MCV4 + Tdap + rLP2086
|
Biological: rLP2086 + MCV4 + Tdap
At visit 1, group 1 will receive MCV4 + Tdap vaccines concomitantly with an injection of rLP2086. At visits 3 and 5 (Months 2 and 6), group 1 will receive an injection of rLP2086.
|
|
Active Comparator: MCV4 + Tdap + saline
Group 2, MCV4 + Tdap+ saline
|
Biological: MCV4 + Tdap + saline
At visit 1, group 2 will receive MCV4 + Tdap vaccines concomitantly with an injection of saline. At visits 3 and 5 (months 2 and 6), this group will receive a saline injection only.
|
|
Placebo Comparator: Saline + saline + rLP2086
Group 3- rLP2086 + saline
|
Biological: rLP2086 + saline
At visit 1, group 3 will receive 2 injections of saline concomitantly with an injection of rLP2086. At visits 3 and 5 (Months 2 and 6), group 3 will receive an injection of rLP2086. Subjects randomized to this group will receive MCV4 and Tdap following their final visit blood draw (Visit 6).
|
Eligibility| Ages Eligible for Study: | 10 Years to 12 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Evidence of a personally signed and dated informed consent document (ICD) indicating that the subject (and a legally authorized representative) has been informed of all pertinent aspects of the study.
- Parent /legally authorized representative and subjects who are willing and able to comply with scheduled visits, laboratory tests, and other study procedures.
- Male or female subject aged greater than or equal to 10 and <13 years at the time of enrollment.
- Available for the entire study period and can be reached by telephone.
- Healthy subject as determined by medical history, physical examination, and judgment of the investigator.
- Has received full series (5-dose series is preferred, 4-dose catch up series is allowed) of diphtheria, tetanus and pertussis (whole cell or acellular) vaccines per country specific recommendations applicable at the time of receipt.
- Male and female subjects of childbearing potential must agree to use a highly effective method of contraception throughout the study.
Exclusion Criteria:
- Previous vaccination with any meningococcal serogroup B vaccine.
- Vaccination with any diphtheria, tetanus or pertussis vaccine within 5 years of the first study vaccination.
- Previous vaccination with any MCV4 vaccine.
- A previous anaphylactic reaction to any vaccine or vaccine-related component.
- Contraindication to vaccination with MCV4 and/or Tdap vaccine.
- Subjects receiving any allergen immunotherapy with a non-licensed product or receiving allergen immunotherapy with a licensed product and are not on stable maintenance doses.
- Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection.
- A known or suspected defect of the immune system that would prevent an immune response to the vaccine, such as subjects with congenital or acquired defects in B cell function, those receiving chronic systemic (oral, intravenous or intramuscular) corticosteroid therapy, or those receiving immunosuppressive therapy. Subjects with terminal complement deficiency may not be included.
- History of culture-proven disease caused by Neisseria meningitidis or Neisseria gonorrhoea.
- Significant neurological disorder or history of seizure (excluding simple febrile seizure).
- Receipt of any blood products, including immunoglobulin within 6 months before the first study vaccination.
- Current chronic use of systemic antibiotics.
- Any neuroinflammatory or autoimmune condition, including, but not limited to, transverse myelitis, uveitis, optic neuritis, and multiple sclerosis.
Contacts and Locations| Contact: Pfizer CT.gov Call Center | 1-800-718-1021 |
Hide Study Locations| United States, Alabama | |
| Pfizer Investigational Site | Completed |
| Birmingham, Alabama, United States, 35209 | |
| Pfizer Investigational Site | Completed |
| Daphne, Alabama, United States, 36526 | |
| United States, Arizona | |
| Pfizer Investigational Site | Recruiting |
| Chandler, Arizona, United States, 85224 | |
| Pfizer Investigational Site | Recruiting |
| Mesa, Arizona, United States, 85203 | |
| Pfizer Investigational Site | Recruiting |
| Tucson, Arizona, United States, 85710 | |
| United States, Arkansas | |
| Pfizer Investigational Site | Recruiting |
| Jonesboro, Arkansas, United States, 72401 | |
| Pfizer Investigational Site | Recruiting |
| Little Rock, Arkansas, United States, 72205 | |
| United States, California | |
| Pfizer Investigational Site | Recruiting |
| Fresno, California, United States, 93726 | |
| Pfizer Investigational Site | Recruiting |
| Hayward, California, United States, 94545 | |
| Pfizer Investigational Site | Recruiting |
| Huntington Beach, California, United States, 92647-7180 | |
| Pfizer Investigational Site | Recruiting |
| Loma Linda, California, United States, 92350 | |
| Pfizer Investigational Site | Recruiting |
| Loma Linda, California, United States, 92354 | |
| Pfizer Investigational Site | Recruiting |
| Moreno Valley, California, United States, 92557 | |
| Pfizer Investigational Site | Recruiting |
| Paramount, California, United States, 90723 | |
| Pfizer Investigational Site | Recruiting |
| Sacramento, California, United States, 95815 | |
| Pfizer Investigational Site | Recruiting |
| San Diego, California, United States, 92103 | |
| Pfizer Investigational Site | Recruiting |
| Valley Village, California, United States, 91607 | |
| United States, Colorado | |
| Pfizer Investigational Site | Recruiting |
| Colorado Springs, Colorado, United States, 80907 | |
| Pfizer Investigational Site | Recruiting |
| Colorado Springs, Colorado, United States, 80909 | |
| Pfizer Investigational Site | Recruiting |
| Denver, Colorado, United States, 80239 | |
| United States, Connecticut | |
| Pfizer Investigational Site | Completed |
| Norwich, Connecticut, United States, 06360 | |
| United States, Florida | |
| Pfizer Investigational Site | Recruiting |
| Tampa, Florida, United States, 33606 | |
| United States, Georgia | |
| Pfizer Investigational Site | Recruiting |
| Atlanta, Georgia, United States, 30322 | |
| Pfizer Investigational Site | Completed |
| Atlanta, Georgia, United States, 30342 | |
| Pfizer Investigational Site | Recruiting |
| Dalton, Georgia, United States, 30721 | |
| Pfizer Investigational Site | Recruiting |
| Marietta, Georgia, United States, 30062 | |
| Pfizer Investigational Site | Recruiting |
| Woodstock, Georgia, United States, 30189 | |
| United States, Idaho | |
| Pfizer Investigational Site | Recruiting |
| Meridian, Idaho, United States, 83642 | |
| United States, Illinois | |
| Pfizer Investigational Site | Recruiting |
| DeKalb, Illinois, United States, 60115 | |
| United States, Iowa | |
| Pfizer Investigational Site | Recruiting |
| Council Bluffs, Iowa, United States, 51503 | |
| United States, Kansas | |
| Pfizer Investigational Site | Recruiting |
| Augusta, Kansas, United States, 67010 | |
| Pfizer Investigational Site | Recruiting |
| Wichita, Kansas, United States, 67207 | |
| Pfizer Investigational Site | Recruiting |
| Wichita, Kansas, United States, 67208 | |
| United States, Kentucky | |
| Pfizer Investigational Site | Recruiting |
| Bardstown, Kentucky, United States, 40004 | |
| Pfizer Investigational Site | Recruiting |
| Louisville, Kentucky, United States, 40202 | |
| Pfizer Investigational Site | Recruiting |
| Louisville, Kentucky, United States, 40291 | |
| Pfizer Investigational Site | Recruiting |
| Louisville, Kentucky, United States, 40207 | |
| United States, Michigan | |
| Pfizer Investigational Site | Recruiting |
| Stevensville, Michigan, United States, 49127 | |
| United States, Minnesota | |
| Pfizer Investigational Site | Active, not recruiting |
| Saint Pail, Minnesota, United States, 55108 | |
| Pfizer Investigational Site | Active, not recruiting |
| Saint Paul, Minnesota, United States, 55108 | |
| United States, Missouri | |
| Pfizer Investigational Site | Recruiting |
| Kansas City, Missouri, United States, 64114 | |
| Pfizer Investigational Site | Recruiting |
| Saint Louis, Missouri, United States, 63104 | |
| Pfizer Investigational Site | Completed |
| St. Louis, Missouri, United States, 63141 | |
| Pfizer Investigational Site | Recruiting |
| St. Louis, Missouri, United States, 63141 | |
| United States, Nebraska | |
| Pfizer Investigational Site | Recruiting |
| Fremont, Nebraska, United States, 68025 | |
| Pfizer Investigational Site | Recruiting |
| Lincoln, Nebraska, United States, 68504 | |
| Pfizer Investigational Site | Recruiting |
| Omaha, Nebraska, United States, 68114 | |
| Pfizer Investigational Site | Recruiting |
| Omaha, Nebraska, United States, 68131 | |
| United States, Nevada | |
| Pfizer Investigational Site | Recruiting |
| Henderson, Nevada, United States, 89015 | |
| United States, New York | |
| Pfizer Investigational Site | Recruiting |
| East Syracuse, New York, United States, 13057 | |
| Pfizer Investigational Site | Recruiting |
| Syracuse, New York, United States, 13210 | |
| United States, North Carolina | |
| Pfizer Investigational Site | Recruiting |
| Durham, North Carolina, United States, 27704 | |
| Pfizer Investigational Site | Recruiting |
| Durham, North Carolina, United States, 27705 | |
| Pfizer Investigational Site | Recruiting |
| Raleigh, North Carolina, United States, 27612 | |
| Pfizer Investigational Site | Recruiting |
| Raleigh, North Carolina, United States, 27609 | |
| United States, North Dakota | |
| Pfizer Investigational Site | Recruiting |
| Fargo, North Dakota, United States, 58103 | |
| Pfizer Investigational Site | Recruiting |
| Fargo, North Dakota, United States, 58104 | |
| United States, Ohio | |
| Pfizer Investigational Site | Recruiting |
| Akron, Ohio, United States, 44311 | |
| Pfizer Investigational Site | Recruiting |
| Cincinnati, Ohio, United States, 45229-3039 | |
| Pfizer Investigational Site | Recruiting |
| Cleveland, Ohio, United States, 44121 | |
| Pfizer Investigational Site | Recruiting |
| Cleveland, Ohio, United States, 44122 | |
| Pfizer Investigational Site | Completed |
| Columbus, Ohio, United States, 43212 | |
| Pfizer Investigational Site | Recruiting |
| Huber Heights, Ohio, United States, 45424 | |
| Pfizer Investigational Site | Recruiting |
| Kettering, Ohio, United States, 45420 | |
| United States, Oklahoma | |
| Pfizer Investigational Site | Recruiting |
| Norman, Oklahoma, United States, 73069 | |
| Pfizer Investigational Site | Recruiting |
| Oklahoma City, Oklahoma, United States, 73112 | |
| Pfizer Investigational Site | Recruiting |
| Tulsa, Oklahoma, United States, 74127 | |
| United States, Rhode Island | |
| Pfizer Investigational Site | Recruiting |
| Cranston, Rhode Island, United States, 02920 | |
| Pfizer Investigational Site | Recruiting |
| Warwick, Rhode Island, United States, 02886 | |
| United States, South Carolina | |
| Pfizer Investigational Site | Recruiting |
| Anderson, South Carolina, United States, 29621 | |
| Pfizer Investigational Site | Recruiting |
| Charleston, South Carolina, United States, 29401 | |
| Pfizer Investigational Site | Recruiting |
| Mount Pleasant, South Carolina, United States, 29464 | |
| United States, Tennessee | |
| Pfizer Investigational Site | Recruiting |
| Bristol, Tennessee, United States, 37620 | |
| Pfizer Investigational Site | Recruiting |
| Nashville, Tennessee, United States, 37203 | |
| United States, Texas | |
| Pfizer Investigational Site | Recruiting |
| Austin, Texas, United States, 78745 | |
| Pfizer Investigational Site | Recruiting |
| Dallas, Texas, United States, 75231 | |
| Pfizer Investigational Site | Completed |
| Houston, Texas, United States, 77030 | |
| Pfizer Investigational Site | Recruiting |
| Houston, Texas, United States, 77055 | |
| Pfizer Investigational Site | Recruiting |
| Houston, Texas, United States, 77070 | |
| Pfizer Investigational Site | Recruiting |
| Houston, Texas, United States, 77081 | |
| Pfizer Investigational Site | Recruiting |
| San Antonio, Texas, United States, 78229 | |
| Pfizer Investigational Site | Recruiting |
| San Antonio, Texas, United States, 78212 | |
| Pfizer Investigational Site | Recruiting |
| Tomball, Texas, United States, 77375 | |
| United States, Utah | |
| Pfizer Investigational Site | Recruiting |
| Murray, Utah, United States, 84123 | |
| Pfizer Investigational Site | Recruiting |
| Salt Lake City, Utah, United States, 84124 | |
| Pfizer Investigational Site | Recruiting |
| Salt Lake City, Utah, United States, 84109 | |
| Pfizer Investigational Site | Recruiting |
| Salt Lake City, Utah, United States, 84121 | |
| Pfizer Investigational Site | Recruiting |
| South Jordan, Utah, United States, 84095 | |
| Pfizer Investigational Site | Recruiting |
| West Jordan, Utah, United States, 84088 | |
| United States, Virginia | |
| Pfizer Investigational Site | Recruiting |
| Burke, Virginia, United States, 22015 | |
| Pfizer Investigational Site | Recruiting |
| Charlottesville, Virginia, United States, 22911 | |
| Pfizer Investigational Site | Recruiting |
| Charlottesville, Virginia, United States, 22903 | |
| Pfizer Investigational Site | Recruiting |
| Charlottesville, Virginia, United States, 22902 | |
| United States, Washington | |
| Pfizer Investigational Site | Recruiting |
| Vancouver, Washington, United States, 98664 | |
| Pfizer Investigational Site | Recruiting |
| Vancouver, Washington, United States, 98686 | |
| United States, Wisconsin | |
| Pfizer Investigational Site | Recruiting |
| La Crosse, Wisconsin, United States, 54601 | |
| Pfizer Investigational Site | Recruiting |
| Monroe, Wisconsin, United States, 53566 | |
| Study Director: | Pfizer CT.gov Call Center | Pfizer |
More Information
Additional Information:
No publications provided
| Responsible Party: | Pfizer |
| ClinicalTrials.gov Identifier: | NCT01461980 History of Changes |
| Other Study ID Numbers: | B1971015, 6108A1-2005 |
| Study First Received: | September 28, 2011 |
| Last Updated: | May 14, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Pfizer:
|
vaccine rLP2086 MCV4 Tdap |
meningitis B N. meningitidis serogroup B adolescents observer-blind |
ClinicalTrials.gov processed this record on May 23, 2013