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The goal of this clinical trial is to evaluate the immunogenicity, safety, and persistence of the immune response of a group ACYW135 meningococcal conjugate vaccine in healthy children aged 6 to 11 months.
The main questions it aims to answer are:
Is the immune response induced by the investigational vaccine non-inferior to that of the licensed control vaccine following the primary series? What is the safety profile of the investigational vaccine during the primary series and booster dose? Does the investigational vaccine provide durable immune persistence up to 18 months of age? What is the immunogenicity of a booster dose administered at 18 months of age? Researchers will compare the investigational vaccine group with the active comparator group (licensed group ACYW135 meningococcal conjugate vaccine (CRM197 carrier), CanSinoBIO) during the primary immunization phase. Only the investigational group will receive a booster dose at 18 months of age to evaluate booster immunogenicity and safety.
Participants will:
Be randomly assigned in a 1:1 ratio to receive either two doses of the investigational vaccine or two doses of the control vaccine according to a 0,1-month schedule during the primary immunization phase; In the investigational group only, receive a booster dose at 18 months of age; Provide blood samples at three time points: before primary vaccination, 30 days after primary vaccination, and at 18 months of age to assess primary immunogenicity and immune persistence; In the investigational group only, provide an additional blood sample 30 days after the booster dose to assess booster immunogenicity; Be observed for 30 minutes after each dose for immediate adverse reactions; Have solicited local and systemic adverse events recorded for 7 days after each dose using diary cards; Have unsolicited adverse events recorded for 30 days after each dose using diary cards; Be monitored for serious adverse events for at least 6 months after the last dose administered; A total of 1040 participants will be enrolled.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental |
| |
| active comparator group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| experimental vaccine | Biological | Group ACYW135 Meningococcal Conjugate Vaccine |
| |
| Measure | Description | Time Frame |
|---|---|---|
| seroconversion rates (%) of Nm antibodies for serogroups A, C, Y, W135 | seroconversion rates of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in baseline seronegative participants (pre-vaccination titer <1:8) | Day 30 after two-dose vaccination |
| GMTs (1:) of Nm antibodies for serogroups A, C, Y, W135 | GMTs of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in baseline seronegative participants (pre-vaccination titer <1:8) | Day 30 after two-dose vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| seropositive rates (%) of Nm antibodies for serogroups A, C, Y, W135 | seropositive rates of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in baseline seronegative participants | Day 30 after two-dose vaccination |
| GMIs of Nm antibodies for serogroups A, C, Y, W135 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yi Mo | Contact | 0771-2518766 | cngxcdc@163.com |
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| ID | Term |
|---|---|
| D008585 | Meningitis, Meningococcal |
| ID | Term |
|---|---|
| D016920 | Meningitis, Bacterial |
| D020806 | Central Nervous System Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
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| Active Comparator vaccine |
| Biological |
Group ACYW135 Meningococcal Conjugate Vaccine (CRM197) |
|
GMIs of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in baseline seronegative participants |
| Day 30 after two-dose vaccination |
| seroconversion rates (%) and seropositive rates (%) of Nm antibodies for serogroups A, C, Y, W135 | seroconversion rates and seropositive rates of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in the overall study population | Day 30 after two-dose vaccination |
| GMTs (1:) of Nm antibodies for serogroups A, C, Y, W135 | GMTs of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in the overall study population | Day 30 after two-dose vaccination |
| GMIs of Nm antibodies for serogroups A, C, Y, W135 | GMIs of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after two-dose vaccination in the overall study population | Day 30 after two-dose vaccination |
| proportions of participants with Nm antibody titers ≥1:16, ≥1:32, ≥1:64, and ≥1:128 for serogroups A, C, Y, and W135 | proportions of participants with Nm antibody titers ≥1:16, ≥1:32, ≥1:64, and ≥1:128 for serogroups A, C, Y, and W135 at 30 days after two-dose vaccination in baseline seronegative participants and the overall study population | 30 days after two-dose vaccination |
| seropositive rates (%) of Nm antibodies for serogroups A, C, Y, and W135 | seropositive rates of Nm antibodies for serogroups A, C, Y, and W135 at 18 months old (before the booster dose) | at 18 months old (before the booster dose) |
| GMTs (1:) of Nm antibodies for serogroups A, C, Y, and W135 | GMTs of Nm antibodies for serogroups A, C, Y, and W135 at 18 months old (before the booster dose) | at 18 months old (before the booster dose) |
| proportions of participants with Nm antibody titers ≥1:16, ≥1:32, ≥1:64, and ≥1:128 for serogroups A, C, Y, and W135 | proportions of participants with Nm antibody titers ≥1:16, ≥1:32, ≥1:64, and ≥1:128 for serogroups A, C, Y, and W135 at 18 months old (before the booster dose) | at 18 months old (before the booster dose) |
| seroconversion rates (%) and seropositive rates (%) of Nm antibodies for serogroups A, C, Y, W135 | seroconversion rates and seropositive rates of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after the booster dose vaccination | Day 30 after the booster dose vaccination |
| GMTs (1:) of Nm antibodies for serogroups A, C, Y, W135 | GMTs of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after the booster dose vaccination | Day 30 after the booster dose vaccination |
| GMIs of Nm antibodies for serogroups A, C, Y, W135 | GMIs of Nm antibodies for serogroups A, C, Y, W135 at Day 30 after the booster dose vaccination | Day 30 after the booster dose vaccination |
| proportions of participants with Nm antibody titers ≥1:16, ≥1:32, ≥1:64, and ≥1:128 for serogroups A, C, Y, and W135 | proportions of participants with Nm antibody titers ≥1:16, ≥1:32, ≥1:64, and ≥1:128 for serogroups A, C, Y, and W135 at Day 30 after the booster dose vaccination | Day 30 after the booster dose vaccination |
| incidence of adverse reactions/events | incidence of adverse reactions/events within 30 minutes after each dose vaccination | within 30 minutes after each dose vaccination |
| incidence of adverse reactions/events | incidence of adverse reactions/events within 0~30 days after each dose vaccination | within 0~30 days after each dose vaccination |
| incidence of serious adverse events | incidence of serious adverse events from the first dose to at least six months after the last dose vaccination | from the first dose to at least six months after the last dose vaccination |
| D007239 | Infections |
| D008589 | Meningococcal Infections |
| D016870 | Neisseriaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D002494 | Central Nervous System Infections |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D008581 | Meningitis |
| D000090862 | Neuroinflammatory Diseases |