Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Objectives: Efficacy of a meningococcal vaccine against Neisseria gonorrhoea (NG) infection among men who have sex with men (MSM).
Design: Parallel randomised double-blind placebo-controlled trial.
Setting: A teaching hospital in Hong Kong.
Participants: 150 adult MSM at risk of gonorrhoea infection (condomless sex with more than one man within the last six months, history of sexually transmitted infection [STI] diagnosis, inclination to have condomless sex, and other PrEP-eligible criteria) would be recruited into the trial, with half allocated to intervention and control group each.
Intervention: Intervention and control group would receive, one month apart, two doses of meningococcal vaccine and normal saline, respectively.
Main outcome measures: Safety and efficacy of vaccine against gonorrhoea (time to first gonorrhoea infection and incidence), and behavioural change after vaccination.
Expected results: NG incidences in two groups would be compared. Efficacy of vaccine against gonorrhoea would be determined after controlling confounding variables. Characteristics of participants with incident NG would be distinguished from those without incident infections. Change of frequency of sexual activities and networking would be noted.
Implications: Strategies on STI screening and vaccination could be informed. Reduced STI burden post-vaccination could be measured with surveillance system.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Intramuscular injection of 2 doses of 0.5mL 4CMenB vaccine 1 month apart |
|
| Control | Placebo Comparator | Intramuscular injection of 2 doses of 0.5mL placebo 1 month apart |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 4CMenB vaccine | Biological | Four-component MenB vaccine |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison between incidence of NG between two groups | Difference in NG incidences in the two groups | Month 2 to Month 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in risk behaviours and networking pattern after vaccination | Frequency of sex networking, number of sex partners, and use of condoms | Month 2 to Month 24 |
| Safety profile of the vaccine |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Tsz Ho Kwan, PhD | Jockey Club School of Public Health and Primary Care | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanley Ho Centre for Emerging Infectious Diseases | Shatin | Hong Kong |
Not provided
| ID | Term |
|---|---|
| D006069 | Gonorrhea |
| D012749 | Sexually Transmitted Diseases |
| ID | Term |
|---|---|
| D016870 | Neisseriaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
Not provided
Not provided
| ID | Term |
|---|---|
| C570015 | 4CMenB vaccine |
Not provided
Not provided
Not provided
Participants in the vaccination group would receive two doses of 4CMenB vaccine 1 month apart (at Month 0 and Month 1) while subjects in the control group would receive two doses of normal saline of a similar volume.
Not provided
Not provided
Block randomisation would be used to generate the list of treatment groups with a block size of 4 in a centralised computer by a staff in the Research Centre unrelated to data analysis. Group assignment would be concealed and performed by another staff unrelated to data analysis who will pick the group number from the random allocation sequence in sequential order. The subjects and investigators would therefore be blinded.
| Placebo | Other | 0.9% Sodium Chloride Inj. B.P. |
|
Prevalence of adverse events
| Month 2 to Month 24 |
| D007239 | Infections |
| D015231 | Sexually Transmitted Diseases, Bacterial |
| D003141 | Communicable Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |