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Study of a Quadrivalent Meningococcal Conjugate Vaccine as a Single Dose Compared With a Single Dose of a Meningococcal Reference Vaccine in Children, Adolescents, and Adults 2 to 55 Years of Age

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04368429
Recruitment Status : Active, not recruiting
First Posted : April 29, 2020
Last Update Posted : October 19, 2020
Sponsor:
Information provided by (Responsible Party):
Sanofi

Brief Summary:

Primary Objective:

To demonstrate the non-inferiority of the antibody responses to meningococcal serogroups A, C, Y, and W following the administration of a single dose of MenACYW conjugate vaccine compared with those observed following the administration of a single dose of Menactra®

Secondary Objective:

Immunogenicity: To describe the antibody responses to the meningococcal serogroups A, C, Y, and W before and 30 days (+14 days) after vaccination with MenACYW conjugate vaccine or Menactra®.

Safety: To describe the safety profile of MenACYW conjugate vaccine and that of Menactra®.


Condition or disease Intervention/treatment Phase
Meningococcal Infection (Healthy Volunteers) Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine MenACYW conjugate vaccine Biological: Meningococcal (Groups A, C, Y and W 135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine Phase 3

Detailed Description:
The duration of each participant's participation in the study will be approximately 30 to 44 days

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 360 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Immunogenicity and Safety of a Single Dose of an Investigational Quadrivalent Meningococcal Conjugate Vaccine in Children, Adolescents, and Adults 2 to 55 Years of Age
Actual Study Start Date : May 22, 2020
Estimated Primary Completion Date : November 2020
Estimated Study Completion Date : November 2020

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Group 1: MenACYW conjugate vaccine
MenACYW conjugate vaccine: single injection at Day 0
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine MenACYW conjugate vaccine
Pharmaceutical form:Liquid solution Route of administration: intramuscular

Active Comparator: Group 2: Menactra® vaccine
Menactra® vaccine: single injection at Day 0
Biological: Meningococcal (Groups A, C, Y and W 135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine
Pharmaceutical form:Liquid solution Route of administration: intramuscular
Other Name: Menactra®




Primary Outcome Measures :
  1. Percentage of participants with a vaccine seroresponse for meningococcal serogroup A, C, Y and W, for immune noninferiority between MenACYW conjugate vaccine and Menactra® [ Time Frame: Day 30 (post-vaccination) ]
    Antibody titers after vaccination with MenACYW conjugate vaccine or Menetra® measured by serum bactericidal assay using human complement (hSBA) Vaccine seroresponse for serogroups A, C, Y, and W is defined as post-vaccination hSBA titers ≥1:16 for participants with pre-vaccination hSBA titers <1:8 or at least a 4-fold increase in hSBA titers from pre- to post-vaccination for participants with pre-vaccination hSBA titers ≥1:8


Secondary Outcome Measures :
  1. Percentage of participants with a vaccine seroresponse for meningococcal serogroup A, C, Y and W [ Time Frame: Day 30 (post-vaccination) ]
    Antibody titers after vaccination with MenACYW conjugate vaccine or Menetra® measured by hSBA

  2. Percentage of participants achieving seroprotection (antibody titers ≥ 1:4 and ≥1:8 ) [ Time Frame: Day 30 (post-vaccination) ]
    Antibody titers after vaccination with MenACYW conjugate vaccine or Menetra® measured by hSBA

  3. Geometric Mean Titers (GMTs) of antibodies against meningococcal serogroup A, C, Y and W [ Time Frame: Day 30 (post-vaccination) ]
    Antibody titers after vaccination with MenACYW conjugate vaccine or Menetra® measured by hSBA

  4. Distribution of the hSBA titers [ Time Frame: Day 30 (post-vaccination) ]
    Antibody titers after vaccination with MenACYW conjugate vaccine or Menetra® measured by hSBA

  5. Percentage of participants with hSBA titers ≥4-fold rise [ Time Frame: Day 30 (post-vaccination) ]
    Antibody titers after vaccination with MenACYW conjugate vaccine or Menetra® measured by hSBA

  6. Number of participants reporting immediate adverse events (AEs) [ Time Frame: Within 30 minutes post-vaccination ]
    Unsolicited (spontaneously reported) systemic AEs

  7. Percentage of participants reporting solicited injection site and systemic reactions [ Time Frame: Within 7 days post-vaccination ]

    Solicited injection site reactions:

    - pain, erythema, swelling and induration in children, adolescents or adults (2 to 55 years of age)

    Solicited systemic reactions:

    - fever, headache, malaise and myalgia in children, adolescents or adults (2 to 55 years of age)


  8. Number of participants reporting unsolicited systemic AEs [ Time Frame: Up to Day 30 (post-vaccination) ]
    Unsolicited systemic AEs

  9. Number of participants reporting serious adverse events (SAEs) [ Time Frame: Through study completion, an average of 30 Days ]
    SAEs



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   2 Years to 55 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion criteria :

  • Aged 2 to 55 years on the day of inclusion
  • Informed consent form has been signed and dated by the participants or participants' parents / legally acceptable representatives as applicable. In addition: Participants 7 to 19 years will provide written assent
  • Participants (and participants' parents / legally acceptable representatives for the 2 to 19 years age groups) are able to attend all scheduled visits and to comply with all study procedures

Exclusion criteria:

  • Participant is pregnant, or lactating, or of childbearing potential (to be considered of non-childbearing potential, a female must be pre-menarche or post-menopausal for at least 1 year, surgically sterile, or using an effective method of contraception* or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination)

    *Effective methods of contraception include oral contraception (pill), intrauterine device, or condoms used with spermicide

  • Participation in the 4 weeks preceding the study vaccination or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine prior to Visit 2 except for influenza vaccination, which may be received at least 2 weeks before or after the study investigational vaccines. This exception includes monovalent pandemic influenza vaccines and multivalent influenza vaccines
  • Previous vaccination against meningococcal disease with either the study vaccine or another vaccine (i.e., mono- or polyvalent, polysaccharide, or conjugate meningococcal vaccine containing serogroups A, C, Y, or W; or meningococcal B vaccine)
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • History of meningococcal infection, confirmed either clinically, serologically, or microbiologically
  • At high risk for meningococcal infection during the study (specifically, but not limited to, subjects with persistent complement deficiency, with anatomic or functional asplenia, or participants traveling to countries with high endemic or epidemic disease)
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
  • Laboratory confirmed / self-reported thrombocytopenia, contraindicating intramuscular vaccination in the Investigator's judgment
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination in the Investigator's judgement
  • History of Guillain-Barre syndrome (GBS)
  • History of convulsions
  • History of an Arthus-like reaction after vaccination with a tetanus toxoid-containing vaccine and a diphtheria toxoid-containing vaccine within 10 years of the proposed study vaccination
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Current alcohol abuse or drug addiction
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature ≥99.5 F or ≥37.5 C). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04368429


Locations
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Japan
Investigational Site Number 3920001
Koganei-Shi, Japan
Investigational Site Number 3920004
Nagoya-Shi, Japan
Investigational Site Number 3920002
Shinjuku-Ku, Japan
Investigational Site Number 3920003
Shinjuku-Ku, Japan
Sponsors and Collaborators
Sanofi
Investigators
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Study Director: Clinical Sciences & Operations Sanofi
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Responsible Party: Sanofi
ClinicalTrials.gov Identifier: NCT04368429    
Other Study ID Numbers: EFC16335
MEQ00068 ( UTN )
U1111-1241-8382 ( Other Identifier: UTN )
First Posted: April 29, 2020    Key Record Dates
Last Update Posted: October 19, 2020
Last Verified: October 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://www.clinicalstudydatarequest.com/

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: Yes
Additional relevant MeSH terms:
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Meningococcal Infections
Meningitis
Neisseriaceae Infections
Gram-Negative Bacterial Infections
Bacterial Infections
Central Nervous System Diseases
Nervous System Diseases
Vaccines
Immunologic Factors
Physiological Effects of Drugs