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To evaluate the immune response and safety following a single dose of Novartis Meningococcal ACWY conjugate vaccine (MenACWY-CRM) in healthy children, adolescents and adults in Russia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MenACWY-CRM | Experimental | MenACWY-CRM |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MenACWY-CRM | Biological | 1 vaccination at visit 1, conjugate vaccine, Intramuscular (IM) injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentages of Overall Subjects With Seroresponse After MenACWY-CRM Vaccination | Immunogenicity was measured as the percentages of overall subjects with hSBA (human serum bactericidal assay) seroresponse, directed against Neisseria meningitidis (N meningitidis) serogroups A, C, W and Y, 28 days after one vaccination of MenACWY-CRM (day 29). The seroresponse is defined as the percentages of subjects achieving hSBA ≥1:8 postvaccination with a prevaccination hSBA <1:4 and the percentages of subjects achieving at least four-fold increases in postvaccination hSBA from day 1 in subjects with a baseline hSBA ≥1:4 | Day 29 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentages of Subjects With Seroresponse After MenACWY-CRM Vaccination, by Age Group | Immunogenicity was measured as the percentages of subjects stratified by age group with hSBA response, directed against N meningitidis serogroups A, C, W and Y, 28 days after one vaccination of MenACWY-CRM | Day 29 |
| Geometric Mean Titers (GMTs) of Subjects at Baseline and After MenACWY-CRM Vaccination |
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Inclusion Criteria:
Individuals eligible for enrollment in this study were those:
Who were of any gender, from the age of 2 years and above at the time of visit 1, and to whom the nature of the study had been described and:
Who the investigator believed that the subject and/or his or her parent/legal representative could and would comply with the requirements of the protocol (e.g., completion of the Diary Card, return for follow-up visit).
Who were in good health as determined by
Who had a negative urine pregnancy test for female subjects from 11 years of age.
Exclusion Criteria:
Individuals not eligible to be enrolled in the study were those:
Who were unwilling or unable to give written informed assent or consent to participate in the study.
Who were perceived to be unreliable or unavailable for the duration of the study period.
Who had a previous confirmed 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 had previously been immunized with a meningococcal vaccine or vaccine containing meningococcal antigen(s) (licensed or investigational).
Who were pregnant or breast feeding (female subjects).
Who had received any investigational or non-registered product (drug or vaccine) within 28 days prior to enrollment or who expected to receive an investigational drug or vaccine prior to the completion of the study.
Who had received any vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or who were planning to receive any vaccine within 30 days from the study vaccines.
(Exception: Influenza vaccine might be administered up to 15 days prior to study vaccination and at least 15 days after study vaccination).
Who had experienced within the 7 days prior to enrollment significant acute infection (for example requiring systemic antibiotic treatment or antiviral therapy) or had experienced fever (defined as body temperature ≥ 38°C) within 3 days prior to enrollment.
Who had any serious acute, chronic or progressive disease (e.g., any history of neoplasm, cancer, diabetes, cardiac disease, autoimmune disease, Human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS), or blood dyscrasias, with signs of cardiac or renal failure or severe malnutrition). Who had epilepsy or any progressive neurological disease or history of Guillain-Barre syndrome.
Who had a history of any anaphylaxis, serious vaccine reactions, or allergy to any vaccine components including diphtheria toxin (CRM-197) and latex in the syringe.
Who had a known or suspected impairment/alteration of immune function, either congenital or acquired or resulting from (for example):
Who were known to have a bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Vaccines and Diagnostics | Novartis Vaccines | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal State Budgetary Institution 'State Scientific Center 'Institution of Immunology' of the Russian Federal Biomedical Agency' | Kashirskoye Highway | Moscow | 115478 | Russia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15276396 | Background | Trotter CL, Andrews NJ, Kaczmarski EB, Miller E, Ramsay ME. Effectiveness of meningococcal serogroup C conjugate vaccine 4 years after introduction. Lancet. 2004 Jul 24-30;364(9431):365-7. doi: 10.1016/S0140-6736(04)16725-1. |
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All enrolled subjects were included in the study
Subjects were enrolled at 5 centers in Russia
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| ID | Title | Description |
|---|---|---|
| FG000 | ≥2 to ≤10 Years | Subjects ≥2 to ≤10 years of age who received one vaccination of MenACWY-CRM |
| FG001 | ≥11 to ≤17 Years | Subjects ≥11 to ≤17 years of age who received one vaccination of MenACWY-CRM |
| FG002 | ≥18 Years | Subjects ≥18 years of age who received one vaccination of MenACWY-CRM |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | ≥2 to ≤10 Years | Subjects ≥2 to ≤10 years of age who received one vaccination of MenACWY-CRM |
| BG001 | ≥11 to ≤17 Years | Subjects ≥11 to ≤17 years of age who received one vaccination of MenACWY-CRM |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Percentages of Overall Subjects With Seroresponse After MenACWY-CRM Vaccination | Immunogenicity was measured as the percentages of overall subjects with hSBA (human serum bactericidal assay) seroresponse, directed against Neisseria meningitidis (N meningitidis) serogroups A, C, W and Y, 28 days after one vaccination of MenACWY-CRM (day 29). The seroresponse is defined as the percentages of subjects achieving hSBA ≥1:8 postvaccination with a prevaccination hSBA <1:4 and the percentages of subjects achieving at least four-fold increases in postvaccination hSBA from day 1 in subjects with a baseline hSBA ≥1:4 | Analysis was done on Full Analysis Set (FAS), i.e., all subjects in the exposed population who provided one evaluable serum sample whose assay result is available for at least one serogroup at baseline and at day 29 | Posted | Number | 95% Confidence Interval | Percentage of subjects | Day 29 |
|
From day 1 through day 29
Serious adverse events (SAEs) were collected from day 1 through day 29
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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 | ≥2 to ≤10 Years | Subjects ≥2 to ≤10 years of age who received one vaccination of MenACWY-CRM |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Posting Director | Novartis Vaccines and Diagnostics | RegistryContactVaccinesUS@novartis.com |
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| ID | Term |
|---|---|
| D008589 | Meningococcal Infections |
| D008581 | Meningitis |
| ID | Term |
|---|---|
| D016870 | Neisseriaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
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| ID | Term |
|---|---|
| C556088 | MenACWY-CRM vaccine |
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Immunogenicity was measured as hSBA GMTs, against N meningitidis serogroups A, C, W and Y, at baseline (day 1) and 28 days after MenACWY-CRM vaccination (day 29), overall and by age group |
| Days 1 and 29 |
| Percentages of Subjects With hSBA Titer ≥1:8 at Baseline and After MenACWY-CRM Vaccination | Immunogenicity was measured as the percentages of subjects with hSBA titer ≥1:8, at baseline (day 1) and 28 days after MenACWY-CRM vaccination (day 29), overall and by age group | Days 1 and 29 |
| Percentages of Subjects Aged 2 Through 5 Years With Solicited Local and Systemic AEs After MenACWY-CRM Vaccination | Safety was assessed as the percentages of subjects aged 2 through 5 years who reported solicited local and systemic AEs within days 1 through 7 after MenACWY-CRM vaccination | Within days 1 through 7 postvaccination |
| Percentages of Subjects Aged ≥6 Years With Solicited Local and Systemic AEs After MenACWY-CRM Vaccination | Safety was assessed as the percentages of subjects aged ≥6 years who reported solicited local and systemic AEs within days 1 through 7 after MenACWY-CRM vaccination, overall and by age group | Within days 1 through 7 postvaccination |
| Percentages of Subjects Reporting Unsolicited Adverse Events (AEs) After MenACWY-CRM Vaccination | Safety was assessed in terms of percentages of subjects who reported all the adverse events (AEs) occurring from day 1 through 7, medically attended AEs, SAEs and AEs resulting in premature withdrawal, from day 1 through 29, after MenACWY-CRM vaccination, overall and by age group | AEs occurring from day 1 through 7, medically attended AEs, SAEs and AEs resulting in premature withdrawal, from day 1 through 29 |
| Institution of the Russian Academy of Sciences "Scientific Center for Children Health RAMS" | Lomonosovskiy Avenue | Moscow | 119991 | Russia |
| Federal Budgetary Institution of Science 'St-Petersburg Scientific-Research Institution of Epidemiology and Microbiology by name of Pasteur' | Mira Street | Sankt-Peterburg | 197101 | Russia |
| Federal State Institution 'Scientific-Research Institution of Children's Infections of the Russian Federal Biomedical Agency' | Prof.Popova Street | Sankt-Peterburg | 197022 | Russia |
| BG002 | ≥18 Years | Subjects ≥18 years of age who received one vaccination of MenACWY-CRM |
| BG003 | Total | Total of all reporting groups |
| year |
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| Sex: Female, Male | Count of Participants | Participants |
|
All subjects ≥2 years of age who received one vaccination of MenACWY-CRM
|
|
| Secondary | Percentages of Subjects With Seroresponse After MenACWY-CRM Vaccination, by Age Group | Immunogenicity was measured as the percentages of subjects stratified by age group with hSBA response, directed against N meningitidis serogroups A, C, W and Y, 28 days after one vaccination of MenACWY-CRM | Analysis was done on FAS dataset | Posted | Number | 95% Confidence Interval | Percentage of subjects | Day 29 |
|
|
|
| Secondary | Geometric Mean Titers (GMTs) of Subjects at Baseline and After MenACWY-CRM Vaccination | Immunogenicity was measured as hSBA GMTs, against N meningitidis serogroups A, C, W and Y, at baseline (day 1) and 28 days after MenACWY-CRM vaccination (day 29), overall and by age group | Analysis was done on FAS dataset | Posted | Geometric Mean | 95% Confidence Interval | human serum bactericidal assay titer | Days 1 and 29 |
|
|
|
| Secondary | Percentages of Subjects With hSBA Titer ≥1:8 at Baseline and After MenACWY-CRM Vaccination | Immunogenicity was measured as the percentages of subjects with hSBA titer ≥1:8, at baseline (day 1) and 28 days after MenACWY-CRM vaccination (day 29), overall and by age group | Analysis was done on FAS dataset | Posted | Number | 95% Confidence Interval | Percentage of Subjects | Days 1 and 29 |
|
|
|
| Secondary | Percentages of Subjects Aged 2 Through 5 Years With Solicited Local and Systemic AEs After MenACWY-CRM Vaccination | Safety was assessed as the percentages of subjects aged 2 through 5 years who reported solicited local and systemic AEs within days 1 through 7 after MenACWY-CRM vaccination | Analysis was done on safety dataset, i.e. all subjects in the exposed population who provided any post-baseline safety data | Posted | Number | Percentage of subjects | Within days 1 through 7 postvaccination |
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|
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| Secondary | Percentages of Subjects Aged ≥6 Years With Solicited Local and Systemic AEs After MenACWY-CRM Vaccination | Safety was assessed as the percentages of subjects aged ≥6 years who reported solicited local and systemic AEs within days 1 through 7 after MenACWY-CRM vaccination, overall and by age group | Analysis was done on safety dataset | Posted | Number | Percentage of Subjects | Within days 1 through 7 postvaccination |
|
|
|
| Secondary | Percentages of Subjects Reporting Unsolicited Adverse Events (AEs) After MenACWY-CRM Vaccination | Safety was assessed in terms of percentages of subjects who reported all the adverse events (AEs) occurring from day 1 through 7, medically attended AEs, SAEs and AEs resulting in premature withdrawal, from day 1 through 29, after MenACWY-CRM vaccination, overall and by age group | Analysis was done on safety dataset | Posted | Number | percentage of subjects | AEs occurring from day 1 through 7, medically attended AEs, SAEs and AEs resulting in premature withdrawal, from day 1 through 29 |
|
|
|
| 0 |
| 65 |
| 42 |
| 65 |
| EG001 | ≥11 to ≤17 Years | Subjects ≥11 to ≤17 years of age who received one vaccination of MenACWY-CRM | 0 | 66 | 42 | 66 |
| EG002 | ≥18 Years | Subjects ≥18 years of age who received one vaccination of MenACWY-CRM | 0 | 66 | 44 | 66 |
| EG003 | Overall (≥2 Years) | All subjects ≥2 years of age who received one vaccination of MenACWY-CRM | 0 | 197 | 128 | 197 |
| Chills | General disorders | MedDRA v15.0 | Systematic Assessment |
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| Injection site erythema | General disorders | MedDRA v15.0 | Systematic Assessment |
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| Injection site induration | General disorders | MedDRA v15.0 | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA v15.0 | Systematic Assessment |
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| Irritability | General disorders | MedDRA v15.0 | Systematic Assessment |
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| Malaise | General disorders | MedDRA v15.0 | Systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA v15.0 | Non-systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA v15.0 | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA v15.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA v15.0 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA v15.0 | Non-systematic Assessment |
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| D007239 | Infections |
| D000090862 | Neuroinflammatory Diseases |
| D009422 | Nervous System Diseases |
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| MenW |
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| MenY |
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| MenA (Day 29) |
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| MenC (Day 1) |
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| MenC (Day 29) |
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| MenW (Day 1) |
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| MenW (Day 29) |
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| MenY (Day 1) |
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| MenY (Day 29) |
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| MenA (Day 29) |
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| MenC (Day 1) |
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| MenC (Day 29) |
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| MenW (Day 1) |
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| MenW (Day 29) |
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| MenY (Day 1) |
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| MenY (Day 29) |
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| Induration |
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| Change in Eating Habits |
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| Sleepiness |
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| Irritability |
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| Vomiting |
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| Diarrhea |
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| Rash |
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| Fever (≥38 °C) |
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| Use of analgesics/antipyretics |
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| Erythema |
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| Induration |
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| Chills |
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| Nausea |
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| Malaise |
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| Myalgia |
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| Arthralgia |
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| Headache |
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| Rash |
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| Fever (≥38 °C) |
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| Use of analgesic/antipyretics |
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| At least possibly related AEs (days 1 through 7) |
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| SAE(days 1 through 29) |
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| At least possibly related SAE(days 1 through 29) |
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| Medically attended AE(days 1 through 29) |
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| Premature withdrawal due to AE(days 1 through 29) |
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