CClinicalTrials.gg
CompletedNCT00560313Updated Apr 1, 2016Results posted

Safety, Tolerability and Immunogenicity of Three Doses of Novartis Meningococcal B Vaccine When Administered to Healthy At-risk Adults

A Phase 2 interventional study of Men ACWY CRM and 4CMenB in Meningococcal Disease, sponsored by Novartis Vaccines. Completed at 1 site in Italy. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-04-01.

Sponsored by Novartis Vaccines · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This study is aimed to evaluate safety, tolerability and immunogenicity of three doses of Novartis 4CMenB and of one dose of Novartis Meningococcal ACWY vaccine when administered to healthy at-risk adults.

02

Conditions studied

  • Meningococcal Disease

Keywords

  • Meningococcal disease
  • prevention
  • vaccination
03

In context

Meningococcal Infections

219 studies on the registry are indexed under Meningococcal Infections; 6 are open to participants now.

This study's enrollment of 54 is below the median of 450 across 190 interventional studies indexed under Meningococcal Infections.

Browse Meningococcal Infections studies →

Lead sponsor

Novartis Vaccines is the lead sponsor of 161 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy adults,18 through 50 years of age, who were or might be routinely exposed to N. meningitidis cultures

Exclusion criteria

Exclusion Criteria:

  • Previous ascertained or suspected disease caused by N. meningitidis;
  • Pregnancy or breastfeeding;
  • History of any anaphylactic shock, asthma, urticaria or other allergic reaction after previous vaccinations or known hypersensitivity to any vaccine component;
  • Any present or suspected serious acute or chronic disease
  • Known or suspected autoimmune disease or impairment /alteration of immune function
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    4CMenB

    Biological: 4CMenB

  • Experimental
    MenACWY CRM

    Biological: Men ACWY CRM

Interventions

  • BiologicalMen ACWY CRM

    A single dose of a 0.5 mL injectable solution

  • Biological4CMenB

    All subjects received the study vaccine following a 0,2,6 vaccination schedule. Pre-filled syringe, administered by intramuscular injection into the deltoid area of the non dominant arm.

06

What researchers measure

Primary outcomes

  1. Geometric Mean Titer of the Meningococcal B Vaccine Against the Different Strains at One Month After First, Second and Third Vaccination.

    Geometric mean titers(GMT) and the respective confidence intervals measured after each vaccination against the three different meningococcal strains.

    Time frame: One month after vaccinations

  2. Percentages of Participants With Serum Bactericidal Activity of the Meningococcal B Vaccine Against Different Strains at One Month After First, Second and Third Vaccination.

    Percentage of participants with serum bactericidal activity (SBA) of the Meningococcal ACWY vaccine at one month after vaccination against A, C, W-135 and Y strains. Bactericidal activity (% ≥ 1:4, i.e., percentage of subjects with BCA titer ≥ 1:4; % ≥ 1:8, i.e. percentage of subjects with BCA titer ≥ 1:8) against a panel of genetically distinct meningococcal B strains: * prior to the first vaccination * 30 days following the first, second, prior to the third and 30 days after the third vaccination

    Time frame: One month after vaccinations

  3. Geometric Mean Titer (GMT) of the Meningococcal ACWY Vaccine at One Month After Vaccination.

    Geometric mean titer (GMT) of the Meningococcal ACWY Vaccine at One Month After the Immunization against the A, C, W-135 and Y strains.

    Time frame: One month after vaccinations

  4. Percentage of Participants With Serum Bactericidal Activity of the Meningococcal ACWY Vaccine at One Month After Vaccination

    Percentage of participants with serum bactericidal activity (SBA) of the Meningococcal ACWY vaccine at one month after vaccination against A, C, W-135 and Y strains. Bactericidal activity (% ≥ 1:4, i.e., percentage of subjects with BCA titer ≥ 1:4; % ≥ 1:8, i.e. percentage of subjects with BCA titer ≥ 1:8) against a panel of genetically distinct meningococcal B strains: * prior to the first vaccination * 30 days following the first, second, prior to the third and 30 days after the third vaccination

    Time frame: One month after vaccinations

  5. Number of Subjects Who Reported Solicited Local and Systemic Reactions Post Vaccination.

    The number of subjects who reported solicited reactions after the administration of the Meningococcal B vaccine at a 0, 2, 6-month schedule and the administration of the Meningococcal A, C, W, and Y vaccine at month 7.

    Time frame: One month after vaccinations

07

Results

Posted Jul 8, 2011

Participant flow

Participants were enrolled at one site in Italy and one site in Germany.

Participant flow — Overall Study
Milestone4CMenB
Started54
Completed48
Not completed6
Withdrew: Adverse events or death2
Withdrew: Withdrawal by subject2
Withdrew: Lost to follow-up1
Withdrew: Protocol violation1

Outcome measures

PrimaryGeometric Mean Titer of the Meningococcal B Vaccine Against the Different Strains at One Month After First, Second and Third Vaccination.

Geometric mean titers(GMT) and the respective confidence intervals measured after each vaccination against the three different meningococcal strains.

Time frame:
One month after vaccinations
Reported as:
Geometric mean · titer
Geometric Mean Titer of the Meningococcal B Vaccine Against the Different Strains at One Month After First, Second and Third Vaccination.
titer4CMenB (44/76-SL)4CMenB (5/99)4CMen B (NZ98/254)
Baseline titer2.5 (1.7 to 3.5)2.3 (1.6 to 3.2)1.8 (1.3 to 2.6)
Post dose 1 titer (N=25)33 (15 to 72)29 (14 to 60)23 (11 to 49)
Post dose 2 titer93 (71 to 121)144 (108 to 193)32 (21 to 48)
Before dose 3 titer(N=24)26 (15 to 47)37 (26 to 53)9.4 (4.1 to 21)
Post dose 3 titer (N=39)95 (68 to 131)269 (205 to 354)30 (18 to 50)
PrimaryPercentages of Participants With Serum Bactericidal Activity of the Meningococcal B Vaccine Against Different Strains at One Month After First, Second and Third Vaccination.

Percentage of participants with serum bactericidal activity (SBA) of the Meningococcal ACWY vaccine at one month after vaccination against A, C, W-135 and Y strains. Bactericidal activity (% ≥ 1:4, i.e., percentage of subjects with BCA titer ≥ 1:4; % ≥ 1:8, i.e. percentage of subjects with BCA titer ≥ 1:8) against a panel of genetically distinct meningococcal B strains: * prior to the first vaccination * 30 days following the first, second, prior to the third and 30 days after the third vaccination

Time frame:
One month after vaccinations
Reported as:
Number · percentage
Percentages of Participants With Serum Bactericidal Activity of the Meningococcal B Vaccine Against Different Strains at One Month After First, Second and Third Vaccination.
percentage4CMenB (44/76-SL)4CMenB (5/99)4CMen B (NZ98/254)
titer ≥4 (Baseline)37 (23 to 52)37 (23 to 52)22 (11 to 36)
titer ≥4 (Post dose 1) N=2584 (64 to 95)88 (69 to 97)80 (59 to 93)
titer ≥4 (Post dose 2)100 (92 to 100)100 (92 to 100)91 (79 to 98)
titer ≥4 (Before dose 3) N=2496 (79 to 100)100 (86 to 100)67 (45 to 84)
titer ≥4 (Post dose 3) N=3997 (87 to 100)100 (91 to 100)92 (79 to 98)
titer ≥8 (Baseline)26 (14 to 41)15 (6 to 29)15 (6 to 29)
titer ≥8 (Post dose 1) N=2580 (59 to 93)76 (55 to 91)72 (51 to 88)
titer ≥8 (Post dose 2)100 (92 to 100)100 (92 to 100)83 (69 to 92)
titer ≥8 (Before dose 3) N=2475 (53 to 90)100 (86 to 100)54 (33 to 74)
titer ≥8 (Post dose 3) N=3997 (87 to 100)100 (91 to 100)77 (61 to 89)
≥4 fold increase (Post dose 1) N=2580 (59 to 93)64 (43 to 82)68 (46 to 85)
≥4 fold increase (Post dose 2)100 (92 to 100)100 (92 to 100)78 (64 to 89)
≥4 fold increase (Before dose 3) N=2471 (49 to 87)75 (53 to 90)46 (26 to 67)
≥4 fold increase (Post dose 3) N=3992 (79 to 98)100 (91 to 100)69 (52 to 83)
PrimaryGeometric Mean Titer (GMT) of the Meningococcal ACWY Vaccine at One Month After Vaccination.

Geometric mean titer (GMT) of the Meningococcal ACWY Vaccine at One Month After the Immunization against the A, C, W-135 and Y strains.

Time frame:
One month after vaccinations
Reported as:
Geometric mean · titer
Geometric Mean Titer (GMT) of the Meningococcal ACWY Vaccine at One Month After Vaccination.
titerMenACWY-CRM (A)MenACWY-CRM (C)MenACWY-CRM (W-135)MenACWY-CRM (Y)
Geometric Mean Titer (GMT) of the Meningococcal ACWY Vaccine at One Month After Vaccination.54 (34 to 85)42 (27 to 66)90 (58 to 139)36 (16 to 81)
PrimaryPercentage of Participants With Serum Bactericidal Activity of the Meningococcal ACWY Vaccine at One Month After Vaccination

Percentage of participants with serum bactericidal activity (SBA) of the Meningococcal ACWY vaccine at one month after vaccination against A, C, W-135 and Y strains. Bactericidal activity (% ≥ 1:4, i.e., percentage of subjects with BCA titer ≥ 1:4; % ≥ 1:8, i.e. percentage of subjects with BCA titer ≥ 1:8) against a panel of genetically distinct meningococcal B strains: * prior to the first vaccination * 30 days following the first, second, prior to the third and 30 days after the third vaccination

Time frame:
One month after vaccinations
Reported as:
Number · percentage
Percentage of Participants With Serum Bactericidal Activity of the Meningococcal ACWY Vaccine at One Month After Vaccination
percentageMenACWY-CRM (A)MenACWY-CRM (C)MenACWY-CRM (W-135)MenACWY-CRM (Y)
titers ≥ 496 (78 to 100)100 (85 to 100)100 (85 to 100)83 (61 to 95)
titers ≥896 (78 to 100)96 (78 to 100)100 (85 to 100)83 (61 to 95)
PrimaryNumber of Subjects Who Reported Solicited Local and Systemic Reactions Post Vaccination.

The number of subjects who reported solicited reactions after the administration of the Meningococcal B vaccine at a 0, 2, 6-month schedule and the administration of the Meningococcal A, C, W, and Y vaccine at month 7.

Time frame:
One month after vaccinations
Reported as:
Number · participants
Number of Subjects Who Reported Solicited Local and Systemic Reactions Post Vaccination.
participants4CMenB (Post Dose 1)4CMenB (Post Dose 2)4CMenB (Post Dose 3)Men ACWY-CRM (One Dose)
Injection pain (any)52505010
Injection pain (severe)8790
Erythema (any)2223289
Erythema (severe)0000
Induration (any)2324295
Induration (severe)0000
Nausea (any)7594
Nausea (severe)2000
Malaise (any)16172611
Malaise (severe)3121
Myalgia (any)1519245
Myalgia (severe)3371
Arthralgia (any)1012206
Arthralgia (severe)0030
Headache (any)1513219
Headache (severe)2001
Fever (≥ 38°C)2102
Stayed home5452
Analgesic, antipyretic medicine used10754

Adverse events

Collected over Adverse events were collected throughout the duration of the study (8 months).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
4CMenB (1st Vaccination)—0/53 (0%)52/53 (98.1%)
4CMenB (2nd Vaccination)—0/52 (0%)51/52 (98.1%)
4CMenB (3rd Vaccination)—0/50 (0%)50/50 (100%)
Men ACWY-CRM—0/41 (0%)19/41 (46.3%)
Most frequent other events
Most frequent other events
Event4CMenB (1st Vaccination)4CMenB (2nd Vaccination)4CMenB (3rd Vaccination)Men ACWY-CRM
Injection site painGeneral disorders52/5350/5250/5010/41
Injection site indurationGeneral disorders23/5324/5229/505/41
Injection site erythemaGeneral disorders22/5323/5228/509/41
MalaiseGeneral disorders16/5317/5226/5011/41
MyalgiaMusculoskeletal and connective tissue disorders15/5319/5224/505/41
HeadacheNervous system disorders16/5313/5221/509/41
ArthralgiaMusculoskeletal and connective tissue disorders10/5312/5220/506/41
NauseaGastrointestinal disorders7/535/529/504/41
NasopharyngitisInfections and infestations0/533/523/501/41
PyrexiaGeneral disorders3/531/520/502/41

Baseline characteristics

Age, Continuous
Age, Continuous(years)4CMenB
Mean31.8 ± 6.1
Sex: Female, Male
Sex: Female, Male(Participants)4CMenB
Female27
Male27
08

Study locations

1 site
  • Azienda USL 7 of Siena
    Siena, 53100, Italy
09

References and documents

Publications

  • Kimura A, Toneatto D, Kleinschmidt A, Wang H, Dull P. Immunogenicity and safety of a multicomponent meningococcal serogroup B vaccine and a quadrivalent meningococcal CRM197 conjugate vaccine against serogroups A, C, W-135, and Y in adults who are at increased risk for occupational exposure to meningococcal isolates. Clin Vaccine Immunol. 2011 Mar;18(3):483-6. doi: 10.1128/CVI.00304-10. Epub 2010 Dec 22. PubMed 21177912 ↗
  • Bartolini E, Borgogni E, Bruttini M, Muzzi A, Giuliani M, Iozzi S, Petracca R, Martinelli M, Bonacci S, Marchi S, Brettoni C, Donati C, Torricelli G, Guidotti S, Domina M, Beninati C, Teti G, Felici F, Rappuoli R, Castellino F, Del Giudice G, Masignani V, Pizza M, Maione D. Immunological fingerprint of 4CMenB recombinant antigens via protein microarray reveals key immunosignatures correlating with bactericidal activity. Nat Commun. 2020 Oct 5;11(1):4994. doi: 10.1038/s41467-020-18791-0. PubMed 33020485 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00560313
Lead sponsor
Novartis Vaccines
Responsible party
Sponsor
First posted
Nov 19, 2007
Start date
Jul 2007
Primary completion
Nov 2009
Completion
Nov 2009
Results posted
Jul 8, 2011
Last update
Apr 1, 2016

Study contacts

Novartis Vaccines
study director · Novartis Vaccines

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion