A Phase 3 interventional study of Meningococcal conjugate vaccine GSK134612 in Infections, Meningococcal, sponsored by GlaxoSmithKline. Completed at 8 sites in Australia. Open to participants aged 84 Months to 95 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-25.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention
The purpose of this study is to evaluate the immunogenicity, reactogenicity and safety of a booster dose of GSK Biologicals' MenACWY-TT vaccine administered at 6 years post-primary vaccination with either GSK Biologicals' Hib-MenC-TT vaccine (Menitorix™) or Hiberix™ and Meningitec™, in healthy subjects aged 12-18 months at primary vaccination and to evaluate the long-term antibody persistence at 2 years after MenACWY-TT booster vaccination.
This is an extension study of the Hib-MenC-TT-016 study (NCT number: NCT00326118).
219 studies on the registry are indexed under Meningococcal Infections; 6 are open to participants now.
This study's enrollment of 156 is below 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:
Acute disease and/or fever at the time of enrollment.
The following criteria should be checked for the long-term persistence phase at two years after booster vaccination (Visit 3):
In case an exclusion criterion becomes applicable, the subject will not enter the long-term follow-up and the reason will be documented.
Subjects who were primed with Menitorix™ (Hib-MenC-TT) + Priorix™ (MMR) vaccines in the primary study HIB-MENC-TT-016 (NCT00326118) received one dose of Nimenrix™ (MenACWY-TT) booster vaccine at Month 72 post primary vaccination (booster visit 1). The MenACWY-TT vaccine was administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
Biological: Meningococcal conjugate vaccine GSK134612
Subjects who were primed with Meningitec™ (MCC) + Hiberix™ (Hib) + Priorix™ (MMR) vaccine in the primary study HIB-MENC-TT-016 (NCT00326118) received one dose of Nimenrix™ (MenACWY-TT) booster vaccine at Month 72 post primary vaccination (booster visit 1). The MenACWY-TT vaccine was administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
Biological: Meningococcal conjugate vaccine GSK134612
Single dose to be administrated intramuscularly in the deltoid of the non-dominant arm
Number of Subjects With Vaccine Response for Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroup A, C, W-135 and Y (rSBA-MenA, rSBA-MenC, rSBA-MenW-135, rSBA-MenY)
Vaccine response was defined as: For initially seronegative subjects (pre-vaccination rSBA titer below 1:8), antibody titer greater than or equal to (≥) 1:32 at post-vaccination; for initially seropositive subjects, antibody titer at post-vaccination ≥ 4 fold the pre-vaccination antibody titer.
Time frame: At Month 73, one month post-booster vaccination
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values
The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.
Time frame: At Month 73, one month post-booster vaccination
Antibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY
Antibody titers were presented as geometric mean titers (GMTs).
Time frame: At Month 73, one month post-booster vaccination
Number of Subjects With Anti-tetanus (Anti-T) Concentrations ≥ the Predefined Cut-off Values
The cut-off values for anti-T concentrations were greater than or equal to (≥) 0.1 international units per milliliter (IU/mL) and ≥ 1 IU/mL.
Time frame: At Month 73, one month post-booster vaccination
Antibody Concentrations Against Tetanus (Anti-T) Antigen
Antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL).
Time frame: At Month 73, one month post-booster vaccination
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values
The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.
Time frame: At Month 96, 24 months post-booster vaccination
Antibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBa-MenY
Antibody titers were presented as geometric mean titers (GMTs).
Time frame: At Month 96, 24 months post-booster vaccination
Number of Subjects With Any Solicited Local Symptoms
Assessed solicited local symptoms included pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.
Time frame: During the 4-day (Days 0-3) post-booster vaccination period at Month 72
Number of Subjects With Any Solicited General Symptoms
Assessed solicited general symptoms were fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhoea and/or abdominal pain), headache, and fever \[defined as oral temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade.
Time frame: During the 4-day (Days 0-3) post-booster vaccination period at Month 72
Number of Subjects Reporting New Onset of Chronic Illnesses (NOCIs)
NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.
Time frame: During the 31-day (Days 0-30) post-booster vaccination period at Month 72
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-booster vaccination period at Month 72
Number of Subjects With Serious Adverse Events (SAEs)
SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time frame: During the 31-day (Days 0-30) post-booster vaccination period at Month 72
Number of Subjects With Serious Adverse Events (SAEs)
SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time frame: From Month 72 up to study end, at Month 96
| Milestone | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Started | 119 | 37 |
| Completed up to month 73 | 118 | 37 |
| Completed | 105 | 34 |
| Not completed | 14 | 3 |
| Withdrew: Withdrawal by subject | 5 | 1 |
| Withdrew: Migrated/moved from study area | 1 | 0 |
| Withdrew: Lost to follow-up | 7 | 2 |
| Withdrew: Blood draw refusal at visit 3 | 1 | 0 |
Vaccine response was defined as: For initially seronegative subjects (pre-vaccination rSBA titer below 1:8), antibody titer greater than or equal to (≥) 1:32 at post-vaccination; for initially seropositive subjects, antibody titer at post-vaccination ≥ 4 fold the pre-vaccination antibody titer.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| rSBA-MenA | 102 | 33 |
| rSBA-MenC | 101 | 33 |
| rSBA-MenW-135 | 102 | 33 |
| rSBA-MenY | 101 | 33 |
The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| rSBA-MenA, ≥ 1:8 | 102 | 35 |
| rSBA-MenA, ≥ 1:128 | 102 | 35 |
| rSBA-MenC, ≥ 1:8 | 102 | 35 |
| rSBA-MenC, ≥ 1:128 | 102 | 34 |
| rSBA-MenW-135, ≥ 1:8 | 102 | 35 |
| rSBA-MenW-135, ≥ 1:128 | 102 | 35 |
| rSBA-MenY, ≥ 1:8 | 103 | 34 |
| rSBA-MenY, ≥ 1:128 | 103 | 34 |
Antibody titers were presented as geometric mean titers (GMTs).
| Titer | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| rSBA-MenA | 3421.4 (2659.3 to 4402) | 2925.1 (1949.5 to 4389) |
| rSBA-MenC | 11819.2 (9026.4 to 15476.1) | 7419.7 (4543.2 to 12117.3) |
| rSBA-MenW-135 | 17166.5 (12745.9 to 23120.3) | 15747.7 (10033 to 24717.7) |
| rSBA-MenY | 4871 (3932.7 to 6033.1) | 3495.9 (2126.6 to 5746.8) |
The cut-off values for anti-T concentrations were greater than or equal to (≥) 0.1 international units per milliliter (IU/mL) and ≥ 1 IU/mL.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Anti-T ≥ 0.1 IU/mL | 103 | 34 |
| Anti-T ≥ 1 IU/mL | 102 | 33 |
Antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL).
| IU/mL | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Antibody Concentrations Against Tetanus (Anti-T) Antigen | 15.6 (13.1 to 18.6) | 12.5 (8.4 to 18.7) |
The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| rSBA-MenA, ≥ 1:8 | 72 | 21 |
| rSBA-MenA, ≥ 1:128 | 67 | 17 |
| rSBA-MenC, ≥ 1:8 | 100 | 31 |
| rSBA-MenC, ≥ 1:128 | 90 | 26 |
| rSBA-MenW-135, ≥ 1:8 | 96 | 30 |
| rSBA-MenW-135, ≥ 1:128 | 96 | 30 |
| rSBA-MenY, ≥ 1:8 | 95 | 29 |
| rSBA-MenY, ≥ 1:128 | 95 | 29 |
Antibody titers were presented as geometric mean titers (GMTs).
| Titers | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| rSBA-MenA | 174.9 (102.4 to 298.7) | 79.0 (29.6 to 210.4) |
| rSBA-MenC | 333.1 (278.3 to 398.8) | 175.4 (104.1 to 295.5) |
| rSBA-MenW-135 | 1002.9 (742.1 to 1355.5) | 941.5 (448.4 to 1976.9) |
| rSBA-MenY | 929.3 (678.0 to 1273.7) | 512.0 (250.1 to 1048.3) |
Assessed solicited local symptoms included pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Any Pain | 69 | 15 |
| Any Redness | 56 | 19 |
| Any Swelling | 30 | 8 |
Assessed solicited general symptoms were fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhoea and/or abdominal pain), headache, and fever \[defined as oral temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Any Fatigue | 31 | 10 |
| Any Gastrointestinal symptoms | 29 | 5 |
| Any Headache | 29 | 6 |
| Any Fever | 6 | 1 |
NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Number of Subjects Reporting New Onset of Chronic Illnesses (NOCIs) | 0 | 0 |
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 | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Number of Subjects With Any Unsolicited Adverse Events (AEs) | 36 | 7 |
SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Number of Subjects With Serious Adverse Events (SAEs) | 0 | 0 |
SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
| Participants | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| Number of Subjects With Serious Adverse Events (SAEs) | 0 | 0 |
Collected over Solicited local and general symptoms: during the 4-day (Days 0-3) post-vaccination period; Solicited and unsolicited symptoms: during the 31-day (Days 0-30) post-vaccination period; SAEs: up to study end at Month 96.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Menitorix Group | 0/119 (0%) | 0/119 (0%) | 95/119 (79.8%) |
| Meningitec + Hiberix Group | 0/37 (0%) | 0/37 (0%) | 28/37 (75.7%) |
| Event | Menitorix Group | Meningitec + Hiberix Group |
|---|---|---|
| PainGeneral disorders | 69/119 | 15/37 |
| ErythemaSkin and subcutaneous tissue disorders | 56/119 | 19/37 |
| FatigueGeneral disorders | 31/119 | 10/37 |
| HeadacheNervous system disorders | 30/119 | 7/37 |
| SwellingGeneral disorders | 30/119 | 8/37 |
| Gastrointestinal disorderGastrointestinal disorders | 29/119 | 5/37 |
| Upper respiratory tract infectionInfections and infestations | 7/119 | 2/37 |
| PyrexiaGeneral disorders | 6/119 | 2/37 |
| Age, Continuous(Years) | Menitorix Group | Meningitec + Hiberix Group | Total |
|---|---|---|---|
| Mean | 7.0 ± 0.2 | 7.0 ± 0.0 | 7.0 ± 0.17 |
| Sex: Female, Male(Participants) | Menitorix Group | Meningitec + Hiberix Group | Total |
|---|---|---|---|
| Female | 57 | 14 | 71 |
| Male | 62 | 23 | 85 |
| Race/Ethnicity, Customized(Participants) | Menitorix Group | Meningitec + Hiberix Group | Total |
|---|---|---|---|
| Geographic ancestry — Asian-East Asian Heritage | 1 | 1 | 2 |
| Geographic ancestry — Asian-South East Asian Heritage | 1 | 0 | 1 |
| Geographic ancestry — White-Caucasian/European Heritage | 109 | 36 | 145 |
| Geographic ancestry — Asian - Central/South Asian Heritage | 1 | 0 | 1 |
| Geographic ancestry — Unspecified | 7 | 0 | 7 |
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