A Phase 3 interventional study of GSK Biologicals' meningococcal vaccine GSK134612 and Menjugate in Infections, Meningococcal, sponsored by GlaxoSmithKline. Completed at 31 sites in 2 countries. Open to participants aged 2 Years to 10 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-11-18.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention
The purpose of the study is to investigate whether or not GSK Biologicals' meningococcal vaccine GSK134612 is inferior to a licensed MenC-CRM197 conjugate vaccine in terms of vaccine antibody response against meningococcal serogroup C disease.
The study has 2 study groups. One group will receive one dose of GSK Biologicals' vaccine GSK 134612 and the other group will receive one dose of licensed MenC-CRM197 vaccine. All subjects will have 2 blood samples taken: just before vaccination and one month after vaccination.
219 studies on the registry are indexed under Meningococcal Infections; 6 are open to participants now.
This study's enrollment of 414 is close to the median of 450 across 190 interventional studies indexed under Meningococcal Infections.
Browse Meningococcal Infections studies →GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.
Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.
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Exclusion Criteria:
Exclusion criteria for specified regions in France
Healthy male or female subjects between, and including 2 and 10 years of age, intramuscularly received 1 dose of Nimenrix™ vaccine into the non-dominant deltoid region, at Day 0.
Biological: GSK Biologicals' meningococcal vaccine GSK134612
Healthy male or female subjects between, and including 2 and 10 years of age, intramuscularly received 1 dose of Menjugate® vaccine into the non-dominant thigh region, at Day 0.
Biological: Menjugate
Intramuscular administration, 1 dose
Intramuscular administration, 1 dose
Also known as: MenC-CRM197vaccine
Number of Subjects With Vaccine Response to Meningococcal Serogroup C Serum Based on a Bactericidal Assay Using Baby Rabbit Complement (rSBA-MenC) Antibody
Vaccine response to MenC was defined as: -for initially seronegative subjects \[i.e. rSBA-MenC titer below (\<) 1:8\], antibody titer greater than or equal to (≥) 1:32; -for initially seropositive (i.e. rSBA-MenC titer ≥ 1:8), antibody titer post-vaccination ≥ 4-fold the pre-vaccination antibody titer.
Time frame: One month after vaccination (Month 1)
Meningococcal Serogroup A (rSBA) Antibody Titers by Serogroup
Antibody titers were presented as geometric mean titers (GMTs).
Time frame: Prior to (Month 0) and one month after vaccination (Month 1)
Anti-meningococcal Serogroup Polysaccharides (Anti-PS) Antibody Concentrations
Anti-PSA, anti-PSC, anti-PSW-135 and anti-PSY antibody concentrations were presented as geometric mean concentrations (GMCs) and tabulated as micrograms per milliliter (μg/mL).
Time frame: Prior to (Month 0) and one month after vaccination (Month 1)
Number of Subjects Between 2 and 5 Years of Age With Any and Grade 3 Solicited Local Symptoms
Solicited symptoms assessed were: pain, redness and swelling. Any = occurrence of any local symptom regardless of their intensity grade. Grade 3 Pain = cried when limb was moved/spontaneously painful. Grade 3 Redness and Swelling= redness/swelling spreading beyond (\>) 30 millimeters (mm).
Time frame: During the 4-day (Days 0-3) post-vaccination period
Number of Subjects Between 6 and 10 Years of Age With Any and Grade 3 Solicited Local Symptoms
Solicited symptoms assessed were: pain, redness and swelling. Any = occurrence of any local symptom regardless of their intensity grade. Grade 3 Pain = pain that prevented normal activity. Grade 3 Redness and Swelling= redness/swelling spreading beyond (\>) 50 millimeters (mm).
Time frame: During the 4-day (Days 0-3) post-vaccination period
Number of Subjects Between 2 and 5 Years of Age With Any, Grade 3 and Related Solicited General Symptoms
Solicited general symptoms assessed were drowsiness, fever \[defined as oral temperature ≥ 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the general symptom regardless of intensity grade and relationship to vaccination. Grade 3 Symptom = symptom that prevented normal activity. Grade 3 Loss of appetite = did not eat at all. Grade 3 Fever = fever \> 39.5°C. Related = general symptoms assessed by the investigator as causally related to vaccination
Time frame: During the 4-day (Days 0-3) post-vaccination period
Number of Subjects Between 6 and 10 Years of Age With Any, Grade 3 and Related Solicited General Symptoms
Solicited general symptoms assessed were drowsiness, fever \[defined as oral temperature ≥ 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the general symptom regardless of intensity grade and relationship to vaccination. Grade 3 Symptom = symptom that prevented normal activity. Grade 3 Loss of appetite = did not eat at all. Grade 3 Fever = fever \> 39.5°C. Related = general symptoms assessed by the investigator as causally related to vaccination
Time frame: During the 4-day (Days 0-3) post-vaccination period
Number of Subjects Reporting Specific Adverse Events
Specific AEs included: - rash (hives, idiopathic thrombocytopenic purpura, petechiae); - new onset of chronic illness(es) (NOCI) (e.g. autoimmune disorders, asthma, type I diabetes and allergies); - conditions prompting emergency room (ER) visits.
Time frame: Up to 6 months after vaccination (Month 6)
Number of Subjects With Any Unsolicited Adverse Events (AEs)
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Time frame: During the 31-day (Days 0-30) post-vaccination period
Number of Subjects With Any Serious Adverse Events (SAEs)
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.
Time frame: Up to six months after vaccination (Month 6)
| Milestone | Nimenrix Group | Menjugate Group |
|---|---|---|
| Started | 311 | 103 |
| Completed | 311 | 103 |
| Not completed | 0 | 0 |
Vaccine response to MenC was defined as: -for initially seronegative subjects \[i.e. rSBA-MenC titer below (\<) 1:8\], antibody titer greater than or equal to (≥) 1:32; -for initially seropositive (i.e. rSBA-MenC titer ≥ 1:8), antibody titer post-vaccination ≥ 4-fold the pre-vaccination antibody titer.
| Participants | Nimenrix Group | Menjugate Group |
|---|---|---|
| Number of Subjects With Vaccine Response to Meningococcal Serogroup C Serum Based on a Bactericidal Assay Using Baby Rabbit Complement (rSBA-MenC) Antibody | 254 | 88 |
Antibody titers were presented as geometric mean titers (GMTs).
| Titers | Nimenrix Group | Menjugate Group |
|---|---|---|
| rSBA-MenA, Month 0 | 31.5 (23.3 to 42.5) | 25.9 (15.6 to 43) |
| rSBA-MenA, Month 1 | 6236.1 (5574.5 to 6976.3) | 27.2 (15.6 to 47.4) |
| rSBA-MenC, Month 0 | 22.7 (18.1 to 28.4) | 19.4 (13.1 to 28.8) |
| rSBA-MenC, Month 1 | 2794.8 (2393.5 to 3263.3) | 5291.6 (3814.6 to 7340.5) |
| rSBA-MenW-135, Month 0 | 83.2 (67.9 to 102) | 70.2 (48.5 to 101.6) |
| rSBA-MenW-135, Month 1 | 8549.5 (7618.5 to 9594.3) | 87.3 (58.5 to 130.4) |
| rSBA-MenY, Month 0 | 153.6 (125.3 to 188.3) | 107.4 (71.4 to 161.6) |
| rSBA-MenY, Month 1 | 8360.7 (7447.3 to 9386.1) | 128.2 (83.8 to 196.2) |
Anti-PSA, anti-PSC, anti-PSW-135 and anti-PSY antibody concentrations were presented as geometric mean concentrations (GMCs) and tabulated as micrograms per milliliter (μg/mL).
| μg/mL | Nimenrix Group | Menjugate Group |
|---|---|---|
| Anti-PSA, Month 0 | 0.2 (0.17 to 0.22) | 0.22 (0.17 to 0.29) |
| Anti-PSA, Month 1 | 32.45 (26.57 to 39.63) | 0.31 (0.19 to 0.49) |
| Anti-PSc, Month 0 | 0.18 (0.16 to 0.2) | 0.2 (0.16 to 0.25) |
| Anti-PSc, Month 1 | 14.95 (12.89 to 17.34) | 18.07 (13.88 to 23.51) |
| Anti-PSW-135, Month 0 | 0.17 (0.15 to 0.18) | 0.17 (0.14 to 0.2) |
| Anti-PSW-135, Month 1 | 6.96 (5.72 to 8.47) | 0.18 (0.15 to 0.22) |
| Anti-PSY, Month 0 | 0.16 (0.15 to 0.17) | 0.16 (0.15 to 0.17) |
| Anti-PSY, Month 1 | 14.15 (11.66 to 17.17) | 0.17 (0.15 to 0.19) |
Solicited symptoms assessed were: pain, redness and swelling. Any = occurrence of any local symptom regardless of their intensity grade. Grade 3 Pain = cried when limb was moved/spontaneously painful. Grade 3 Redness and Swelling= redness/swelling spreading beyond (\>) 30 millimeters (mm).
| Participants | Nimenrix Group (< 6 Years) | Menjugate Group (< 6 Years) |
|---|---|---|
| Any Pain | 45 | 15 |
| Grade 3 Pain | 0 | 1 |
| Any Redness | 57 | 21 |
| Grade 3 Redness | 11 | 8 |
| Any Swelling | 43 | 13 |
| Grade 3 Swelling | 7 | 3 |
Solicited symptoms assessed were: pain, redness and swelling. Any = occurrence of any local symptom regardless of their intensity grade. Grade 3 Pain = pain that prevented normal activity. Grade 3 Redness and Swelling= redness/swelling spreading beyond (\>) 50 millimeters (mm).
| Participants | Nimenrix Group (≥ 6 Years) | Menjugate Group (≥ 6 Years) |
|---|---|---|
| Any Pain | 65 | 27 |
| Grade 3 Pain | 3 | 3 |
| Any Redness | 58 | 19 |
| Grade 3 Redness | 9 | 5 |
| Any Swelling | 44 | 15 |
| Grade 3 Swelling | 4 | 3 |
Solicited general symptoms assessed were drowsiness, fever \[defined as oral temperature ≥ 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the general symptom regardless of intensity grade and relationship to vaccination. Grade 3 Symptom = symptom that prevented normal activity. Grade 3 Loss of appetite = did not eat at all. Grade 3 Fever = fever \> 39.5°C. Related = general symptoms assessed by the investigator as causally related to vaccination
| Participants | Nimenrix Group (< 6 Years) | Menjugate Group (< 6 Years) |
|---|---|---|
| Any Drowsiness | 23 | 6 |
| Grade 3 Drowsiness | 0 | 1 |
| Related Drowsiness | 15 | 6 |
| Any Fever | 9 | 3 |
| Grade 3 Fever | 0 | 0 |
| Related Fever | 9 | 3 |
| Any Irritability | 25 | 6 |
| Grade 3 Irritability | 1 | 1 |
| Related Irritability | 16 | 5 |
| Any Loss of appetite | 17 | 5 |
| Grade 3 Loss of appetite | 0 | 0 |
| Related Loss of appetite | 9 | 4 |
Solicited general symptoms assessed were drowsiness, fever \[defined as oral temperature ≥ 37.5 degrees Celsius (°C)\], irritability and loss of appetite. Any = occurrence of the general symptom regardless of intensity grade and relationship to vaccination. Grade 3 Symptom = symptom that prevented normal activity. Grade 3 Loss of appetite = did not eat at all. Grade 3 Fever = fever \> 39.5°C. Related = general symptoms assessed by the investigator as causally related to vaccination
| Participants | Nimenrix Group (≥ 6 Years) | Menjugate Group (≥ 6 Years) |
|---|---|---|
| Any Fatigue | 33 | 11 |
| Grade 3 Fatigue | 4 | 0 |
| Related Fatigue | 29 | 7 |
| Any Fever (Orally) | 10 | 1 |
| Grade 3 Fever (Orally) | 0 | 0 |
| Related Fever (Orally) | 9 | 0 |
| Any Gastrointestinal | 22 | 4 |
| Grade 3 Gastrointestinal | 1 | 0 |
| Related Gastrointestinal | 13 | 3 |
| Any Headache | 30 | 4 |
| Grade 3 Headache | 2 | 0 |
| Related Headache | 24 | 2 |
Specific AEs included: - rash (hives, idiopathic thrombocytopenic purpura, petechiae); - new onset of chronic illness(es) (NOCI) (e.g. autoimmune disorders, asthma, type I diabetes and allergies); - conditions prompting emergency room (ER) visits.
| Participants | Nimenrix Group | Menjugate Group |
|---|---|---|
| Any Rash(es) | 8 | 1 |
| Any NOCI(s) | 1 | 1 |
| Any ER visit(s) | 11 | 1 |
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
| Participants | Nimenrix Group | Menjugate Group |
|---|---|---|
| Number of Subjects With Any Unsolicited Adverse Events (AEs) | 55 | 20 |
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.
| Participants | Nimenrix Group | Menjugate Group |
|---|---|---|
| Number of Subjects With Any Serious Adverse Events (SAEs) | 6 | 1 |
Collected over Solicited symptoms: during the 4-day (Days 0-3) post-vaccination period. Unsolicited adverse events (AEs): during the 31-day (Days 0-30) post-vaccination period. Serious adverse events (SAEs): from Day 0 up to Month 6 post-vaccination.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Nimenrix Group | 0/311 (0%) | 6/311 (1.9%) | 181/311 (58.2%) |
| Menjugate Group | 0/103 (0%) | 1/103 (1%) | 63/103 (61.2%) |
| Event | Nimenrix Group | Menjugate Group |
|---|---|---|
| GastroenteritisInfections and infestations | 0/311 | 1/103 |
| Abdominal injuryInjury, poisoning and procedural complications | 1/311 | 0/103 |
| Accidental poisoningInjury, poisoning and procedural complications | 1/311 | 0/103 |
| Head injuryInjury, poisoning and procedural complications | 1/311 | 0/103 |
| ConvulsionNervous system disorders | 1/311 | 0/103 |
| Gastroesophageal reflux diseaseGastrointestinal disorders | 1/311 | 0/103 |
| AppendicitisInfections and infestations | 1/311 | 0/103 |
| NasopharyngitisInfections and infestations | 1/311 | 0/103 |
| Event | Nimenrix Group | Menjugate Group |
|---|---|---|
| PainGeneral disorders | 110/310 | 42/103 |
| RednessGeneral disorders | 115/310 | 40/103 |
| SwellingGeneral disorders | 87/310 | 28/103 |
| Fatigue (≥ 6 years)General disorders | 33/148 | 11/50 |
| Headache (≥ 6 years)General disorders | 30/148 | 4/50 |
| Irritability (< 6 years)General disorders | 25/162 | 6/53 |
| Gastrointestinal (≥ 6 years)General disorders | 22/148 | 4/50 |
| Drowsiness (< 6 years)General disorders | 23/162 | 6/53 |
| Loss of appetite (< 6 years)General disorders | 17/162 | 5/53 |
| FeverGeneral disorders | 19/310 | 4/103 |
| Age, Continuous(Years) | Nimenrix Group | Menjugate Group | Total |
|---|---|---|---|
| Mean | 5.6 ± 2.52 | 5.6 ± 2.32 | 5.6 ± 2.47 |
| Sex: Female, Male(Participants) | Nimenrix Group | Menjugate Group | Total |
|---|---|---|---|
| Female | 163 | 51 | 214 |
| Male | 148 | 52 | 200 |
| Race/Ethnicity, Customized(Participants) | Nimenrix Group | Menjugate Group | Total |
|---|---|---|---|
| African heritage/African American | 13 | 6 | 19 |
| Asian-Central/South Asian heritage | 1 | 0 | 1 |
| Asian-East Asian heritage | 2 | 1 | 3 |
| Asian-Japanese heritage | 1 | 0 | 1 |
| Asian-South East Asian heritage | 3 | 1 | 4 |
| White-Arabic/North African heritage | 16 | 6 | 22 |
| White-Caucasian/European heritage | 267 | 87 | 354 |
| Not specified | 8 | 2 | 10 |
Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.
Supporting information: Study protocol, Sap, Icf, Csr
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