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The purpose of this study was to evaluate the immunogenicity and safety of the concomitant administration of Menactra® vaccine and Tdap vaccine in adolescents aged 11 to 17 years.
Primary Objective:
To determine whether concomitant administration of two vaccines, Tdap and Menactra®, induces antibody responses that are similar to those observed when each vaccine is given separately.
Secondary Objective:
To compare the rates of injection site reactions at the Tdap injection site after Tdap and Menactra® vaccines are administered concomitantly to the corresponding rates of reactions when Tdap vaccine is administered alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study Group A | Experimental | Tdap vaccine + placebo concomitantly on Day 0; Menactra® vaccine 28 days later |
|
| Study Group B | Experimental | Tdap vaccine + Menactra® vaccine concomitantly on Day 0; placebo 28 days later |
|
| Study Group C | Experimental | Menactra® vaccine + placebo concomitantly on Day 0; Tdap vaccine 28 days later |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| T dap + Meningococcal Polysaccharide Diphtheria Toxoid Conj. | Biological | Day 0: 0.5 mL (T dap)+ Placebo, Intramuscular; Day 28: 0.5 mL (Menactra®) Intramuscular |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With at Least a 4-fold Rise in Meningococcal Antibody Titer From Baseline (Day 0) to Day 28 Post-vaccination With Menactra® Vaccine. | Day 0 to Day 28 post-vaccination | |
| Geometric Mean Concentrations (GMCs) of Diphtheria and Tetanus Antibodies at Baseline and on Day 28 Post-vaccination With Tdap Vaccine. | Day 0 and Day 28 post-vaccination | |
| Geometric Mean Concentrations (GMCs) of Pertussis Antibodies at Baseline and on Day 28 Post-vaccination With Tdap Vaccine. | Day 0 and Day 28 Post-vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Reporting Solicited Injections Site and Systemic Reactions Following Concomitant Administration of Tdap With Placebo; Menactra® With Tdap; and Menactra® With Placebo, Respectively. | Solicited injection sites reactions: Erythema, swelling, and pain. Solicited systemic reactions: Fever (temperature), headache, malaise, and myalgia. | 0 to 7 days post-vaccination |
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Inclusion Criteria :
Exclusion Criteria :
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Sanofi Pasteur Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jonesboro | Arkansas | 72401 | United States | |||
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| Label | URL |
|---|---|
| Related Info | View source |
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A total of 1345 participants that met the inclusion and exclusion criteria were randomized and vaccinated.
Study participants were enrolled from 26 April 2005 through 24 June 2005 in 21 Medical centers in the US
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| ID | Title | Description |
|---|---|---|
| FG000 | Tdap + Placebo Vaccines Day 0 | Participants received Tdap vaccine + placebo concomitantly on Day 0; Menactra® vaccine 28 days later |
| FG001 | Tdap + Menactra® Vaccines Day 0 | Participants received Tdap vaccine + Menactra® vaccine concomitantly on Day 0; and Placebo vaccine 28 days later |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Tdap + Meningococcal Polysaccharide Diphtheria Toxoid Conj. | Biological | Day 0: 0.5 mL (T dap) + 0.5 mL (Menactra®) Intramuscular; Day 28: Placebo 0.5 mL Intramuscular |
|
|
| Meningococcal Polysaccharide Diphtheria Toxoid Conj. + T dap | Biological | Day 0: 0.5 mL (Menactra®)+0.5 mL Placebo, Intramuscular; Day 28: 0.5 mL (T dap) Intramuscular |
|
|
| Little Rock |
| Arkansas |
| 72205 |
| United States |
| Boulder | Colorado | 80303 | United States |
| Marietta | Georgia | 30062 | United States |
| Woodstock | Georgia | 30189 | United States |
| Bardstown | Kentucky | 40004 | United States |
| Baltimore | Maryland | 21201 | United States |
| Woburn | Massachusetts | 01801 | United States |
| Albuquerque | New Mexico | 87108 | United States |
| Syracuse | New York | 13210 | United States |
| Raleigh | North Carolina | 27609 | United States |
| Sylva | North Carolina | 28779 | United States |
| Akron | Ohio | 44308 | United States |
| Cleveland | Ohio | 44118 | United States |
| Columbus | Ohio | 43205 | United States |
| Dayton | Ohio | 45404 | United States |
| Pittsburgh | Pennsylvania | 15241 | United States |
| Sellersville | Pennsylvania | 18960 | United States |
| Kingsport | Tennessee | 37660 | United States |
| Spokane | Washington | 99202 | United States |
| FG002 | Menactra® + Placebo Vaccines Day 0 | Participants received Menactra® vaccine + placebo vaccine concomitantly on Day 0; Tdap vaccine 28 days later. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Tdap + Placebo Vaccines Day 0 | Participants received Tdap vaccine + placebo concomitantly on Day 0; Menactra® vaccine 28 days later |
| BG001 | Tdap + Menactra® Vaccines Day 0 | Participants received Tdap vaccine + Menactra® vaccine concomitantly on Day 0; and Placebo vaccine 28 days later |
| BG002 | Menactra® + Placebo Vaccines Day 0 | Participants received Menactra® vaccine + placebo vaccine concomitantly on Day 0; Tdap vaccine 28 days later. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With at Least a 4-fold Rise in Meningococcal Antibody Titer From Baseline (Day 0) to Day 28 Post-vaccination With Menactra® Vaccine. | Serum bactericidal activity using baby rabbit complement (SBA-BR) titers for each meningococcal serogroup was evaluated in the per-protocol population | Posted | Number | Percentage of participants | Day 0 to Day 28 post-vaccination |
|
|
| |||||||||||||||||||||||||||||||||||
| Primary | Geometric Mean Concentrations (GMCs) of Diphtheria and Tetanus Antibodies at Baseline and on Day 28 Post-vaccination With Tdap Vaccine. | Geometric mean concentration for each vaccine antigen was evaluated in the per-protocol population. | Posted | Geometric Mean | 95% Confidence Interval | IU/mL | Day 0 and Day 28 post-vaccination |
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Reporting Solicited Injections Site and Systemic Reactions Following Concomitant Administration of Tdap With Placebo; Menactra® With Tdap; and Menactra® With Placebo, Respectively. | Solicited injection sites reactions: Erythema, swelling, and pain. Solicited systemic reactions: Fever (temperature), headache, malaise, and myalgia. | Safety analysis was on all enrolled and vaccinated participants intend-to-treat population | Posted | Number | Percentage of participants | 0 to 7 days post-vaccination |
| ||||||||||||||||||||||||||||||||||||
| Primary | Geometric Mean Concentrations (GMCs) of Pertussis Antibodies at Baseline and on Day 28 Post-vaccination With Tdap Vaccine. | Geometric mean concentration for each vaccine antigen was evaluated in the per-protocol population. | Posted | Geometric Mean | 95% Confidence Interval | EU/mL | Day 0 and Day 28 Post-vaccination |
|
|
Adverse event data were collected over 2 months post-dose 1 vaccination
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tdap + Placebo Vaccines Day 0 | Participants received Tdap vaccine + placebo concomitantly on Day 0; Menactra® vaccine 28 days later | 2 | 444 | 0 | 444 | ||
| EG001 | Tdap + Menactra® Vaccines Day 0 | Participants received Tdap vaccine + Menactra® vaccine concomitantly on Day 0; and Placebo vaccine 28 days later | 1 | 450 | 0 | 450 | ||
| EG002 | Menactra® + Placebo Vaccines Day 0 | Participants received Menactra® vaccine + placebo vaccine concomitantly on Day 0; Tdap vaccine 28 days later. | 1 | 451 | 0 | 451 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDRA 7.1 | Non-systematic Assessment |
| |
| Convulsion | Nervous system disorders | MedDRA (7.1) | Non-systematic Assessment |
|
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Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Sanofi Pasteur Inc. | RegistryContactUs@sanofipasteur.com |
| ID | Term |
|---|---|
| D008581 | Meningitis |
| D008589 | Meningococcal Infections |
| D014917 | Whooping Cough |
| D013742 | Tetanus |
| D004165 | Diphtheria |
| ID | Term |
|---|---|
| D000090862 | Neuroinflammatory Diseases |
| D009422 | Nervous System Diseases |
| D016870 | Neisseriaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D001885 | Bordetella Infections |
| D012141 | Respiratory Tract Infections |
| D012140 | Respiratory Tract Diseases |
| D003015 | Clostridium Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D003354 | Corynebacterium Infections |
| D000193 | Actinomycetales Infections |
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| ID | Term |
|---|---|
| C509326 | adacel |
| D022401 | Meningococcal Vaccines |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D001428 | Bacterial Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
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| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
|
| Meningococcal Serogroup Y |
|
| Meningococcal Serogroup W-135 |
|
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| Units | Counts |
|---|
| Participants |
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