A Phase 3 interventional study of Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine and Meningococcal polysaccharide groups A, C, W-135 and Y Conjugate vaccine in Meningitis, Meningococcal Meningitis and Meningococcal Infections, sponsored by Sanofi Pasteur, a Sanofi Company. Completed at 33 sites in 4 countries. Open to participants aged 12 Months to 23 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-05.
Sponsored by Sanofi Pasteur, a Sanofi Company · Phase 3, Interventional, and Prevention
The purpose of the study was to evaluate the immunogenicity and describe the safety of a single dose of Meningococcal Polysaccharide (Serogroups A, C, Y and W) Tetanus Toxoid (MenACYW) Conjugate vaccine compared to the licensed Meningococcal polysaccharide groups A, C, W-135 and Y (Nimenrix®) Conjugate vaccine in toddlers 12 to 23 months of age in the European Union (EU). The toddlers were either meningococcal vaccine naïve or had received monovalent meningococcal C (MenC) vaccination during infancy to evaluate any potential impact of the meningococcal vaccine background on the immunogenicity and safety profile of the investigational product.
Primary Objectives:
Secondary Objectives:
Healthy toddlers were randomized depending on their meningococcal priming vaccination background (either meningococcal vaccine naïve or primed with MenC) and received a single dose of either MenACYW Conjugate vaccine or Nimenrix®. They were assessed for immunogenicity at baseline (pre-vaccination) and 30 to 44 days post-vaccination. Safety information were collected post-vaccination and throughout the entire study.
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Exclusion Criteria:
Healthy, meningococcal vaccine naive toddlers aged 12 to 23 months received a single dose of MenACYW Conjugate vaccine on Day 0.
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine
Healthy, meningococcal vaccine naive toddlers aged 12 to 23 months received a single dose of Nimenrix® vaccine on Day 0.
Biological: Meningococcal polysaccharide groups A, C, W-135 and Y Conjugate vaccine
Healthy, meningococcal C vaccine primed toddlers aged 12 to 23 months received a single dose of MenACYW Conjugate vaccine on Day 0.
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine
Healthy, meningococcal C vaccine primed toddlers aged 12 to 23 months received a single dose of Nimenrix® vaccine on Day 0.
Biological: Meningococcal polysaccharide groups A, C, W-135 and Y Conjugate vaccine
0.5 milliliter (mL), Intramuscular
Also known as: MenACYW Conjugate vaccine
0.5 mL, Intramuscular
Also known as: Nimenrix®
0.5 mL, Intramuscular
Also known as: MenACYW Conjugate vaccine
0.5 mL, Intramuscular
Also known as: Nimenrix®
Percentage of Participants With Antibody Titers Greater Than or Equal to (>=) 1:8 Against Meningococcal Serogroups A, C, Y, and W in Toddlers Who Either Were Meningococcal Vaccine Naïve or Had Received Monovalent MenC Vaccination During Infancy
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by serum bactericidal assay using human complement (hSBA). Data for this outcome measure were planned to be analyzed for the pooled population of MenACYW Conjugate vaccine and Nimenrix® reporting groups.
Time frame: Day 30 (post-vaccination)
Percentage of Participants With Antibody Titers >=1:8 Against Meningococcal Serogroups A, C, Y, and W Following Vaccination With MenACYW Conjugate Vaccine or Nimenrix® in Meningococcal Vaccine Naïve Toddlers
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
Time frame: Day 30 (post-vaccination)
Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W in Toddlers Who Either Were Meningococcal Vaccine Naïve or Had Received Monovalent MenC Vaccination During Infancy
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
Time frame: Day 30 (post-vaccination)
Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W Following Vaccination With MenACYW Conjugate Vaccine or Nimenrix® in Vaccine Naive Toddlers
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
Time frame: Day 30 (post-vaccination)
Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W Following Vaccination With MenACYW Conjugate Vaccine or Nimenrix® in Toddlers Who Had Received Monovalent MenC Vaccination During Infancy
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
Time frame: Day 30 (post-vaccination)
Study participants were enrolled in 34 centers in Spain, Hungary, Germany and Finland from 24 February 2017 to 21 September 2017.
| Milestone | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed) MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® |
|---|---|---|---|---|
| Started | 306 | 306 | 203 | 103 |
| Safety analysis set (safas) | 303 | 306 | 203 | 102 |
| Per protocol analysis set (ppas) | 293 | 296 | 198 | 99 |
| Completed | 303 | 303 | 203 | 101 |
| Not completed | 3 | 3 | 0 | 2 |
| Withdrew: Protocol violation | 1 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 2 | 2 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 | 0 | 0 |
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by serum bactericidal assay using human complement (hSBA). Data for this outcome measure were planned to be analyzed for the pooled population of MenACYW Conjugate vaccine and Nimenrix® reporting groups.
| percentage of participants | MenACYW Conjugate Vaccine (Groups 1 and 3) | Nimenrix® (Groups 2 and 4) |
|---|---|---|
| Serogroup A | 90.4 (87.4 to 92.9) | 91.6 (88.4 to 94.2) |
| Serogroup C | 99.2 (97.9 to 99.8) | 85.5 (81.7 to 88.9) |
| Serogroup Y | 94.3 (91.8 to 96.2) | 91.6 (88.5 to 94.2) |
| Serogroup W | 84.9 (81.4 to 87.9) | 84.0 (80.0 to 87.5) |
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
| percentage of participants | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® |
|---|---|---|
| Serogroup A | 90.8 (86.9 to 93.8) | 89.5 (85.4 to 92.7) |
| Serogroup C | 99.3 (97.6 to 99.9) | 81.4 (76.4 to 85.6) |
| Serogroup Y | 93.2 (89.7 to 95.8) | 91.6 (87.8 to 94.5) |
| Serogroup W | 83.6 (78.9 to 87.7) | 83.4 (78.7 to 87.5) |
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
| titers (1/dilution) | MenACYW Conjugate Vaccine (Groups 1 and 3) | Nimenrix® (Groups 2 and 4) |
|---|---|---|
| Serogroup A | 29.9 (26.9 to 33.2) | 34.5 (30.5 to 39.0) |
| Serogroup C | 880 (748 to 1035) | 77.1 (60.7 to 98.0) |
| Serogroup Y | 41.7 (37.5 to 46.5) | 31.9 (28.4 to 36.0) |
| Serogroup W | 24.4 (21.8 to 27.5) | 17.7 (15.8 to 19.8) |
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
| titers (1/dilution) | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® |
|---|---|---|
| Serogroup A | 28.7 (25.2 to 32.6) | 28.0 (24.4 to 32.1) |
| Serogroup C | 436 (380 to 500) | 26.4 (22.5 to 31.0) |
| Serogroup Y | 38.0 (33.0 to 43.9) | 32.2 (28.0 to 37.0) |
| Serogroup W | 22.0 (18.9 to 25.5) | 16.4 (14.4 to 18.6) |
Antibody titers against Meningococcal Serogroups A, C, Y, and W were measured by hSBA.
| titers (1/dilution) | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® |
|---|---|---|
| Serogroup A | 31.8 (26.5 to 38.1) | 64.0 (50.9 to 80.5) |
| Serogroup C | 2514 (1875 to 3372) | 1883 (1276 to 2779) |
| Serogroup Y | 48.0 (40.6 to 56.7) | 31.3 (24.8 to 39.5) |
| Serogroup W | 28.7 (23.8 to 34.5) | 22.3 (17.7 to 28.2) |
Collected over Adverse event (AE) data were collected from Day 0 (post-vaccination) up to 30 days after vaccination. Solicited Reactions (SRs) data were collected within 7 days after vaccination. Serious adverse events (SAEs) data were collected throughout the study (up to 30 days after vaccination).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | 0/303 (0%) | 2/303 (0.7%) | 261/303 (86.1%) |
| Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | 0/306 (0%) | 1/306 (0.3%) | 266/306 (86.9%) |
| Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | 0/203 (0%) | 2/203 (1%) | 151/203 (74.4%) |
| Group 4 (MenC-Primed): Nimenrix® | 0/102 (0%) | 2/102 (2%) | 65/102 (63.7%) |
| Event | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® |
|---|---|---|---|---|
| BronchitisInfections and infestations | 0/303 | 0/306 | 0/203 | 1/102 |
| Blood Immunoglobulin A DecreasedInvestigations | 0/303 | 0/306 | 0/203 | 1/102 |
| BronchospasmRespiratory, thoracic and mediastinal disorders | 0/303 | 0/306 | 0/203 | 1/102 |
| Campylobacter GastroenteritisInfections and infestations | 0/303 | 0/306 | 1/203 | 0/102 |
| Craniocerebral InjuryInjury, poisoning and procedural complications | 0/303 | 0/306 | 1/203 | 0/102 |
| SeizureNervous system disorders | 0/303 | 0/306 | 1/203 | 0/102 |
| Haemolytic Uraemic SyndromeBlood and lymphatic system disorders | 1/303 | 0/306 | 0/203 | 0/102 |
| Intestinal MalrotationCongenital, familial and genetic disorders | 1/303 | 0/306 | 0/203 | 0/102 |
| Gastroenteritis Escherichia ColiInfections and infestations | 1/303 | 0/306 | 0/203 | 0/102 |
| Febrile ConvulsionNervous system disorders | 1/303 | 0/306 | 0/203 | 0/102 |
| Event | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® |
|---|---|---|---|---|
| IrritabilityPsychiatric disorders | 144/303 | 127/306 | 76/203 | 36/102 |
| Injection Site ErythemaGeneral disorders | 122/303 | 116/306 | 52/203 | 21/102 |
| Injection Site PainGeneral disorders | 122/303 | 113/306 | 55/203 | 20/102 |
| CryingGeneral disorders | 106/303 | 111/306 | 48/203 | 23/102 |
| Decreased AppetiteMetabolism and nutrition disorders | 91/303 | 94/306 | 56/203 | 28/102 |
| SomnolenceNervous system disorders | 64/303 | 55/306 | 51/203 | 19/102 |
| Injection Site SwellingGeneral disorders | 63/303 | 52/306 | 35/203 | 9/102 |
| Upper Respiratory Tract InfectionInfections and infestations | 49/303 | 39/306 | 14/203 | 7/102 |
| PyrexiaGeneral disorders | 40/303 | 48/306 | 29/203 | 14/102 |
| VomitingGastrointestinal disorders | 23/303 | 13/306 | 21/203 | 8/102 |
Analysis was performed on all randomized participants.
| Age, Continuous(months) | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® | Total |
|---|---|---|---|---|---|
| Mean | 16.1 ± 3.32 | 16.2 ± 3.19 | 14.0 ± 3.01 | 13.8 ± 2.72 | 15.4 ± 3.31 |
| Sex: Female, Male(Participants) | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® | Total |
|---|---|---|---|---|---|
| Female | 140 | 145 | 97 | 53 | 435 |
| Male | 166 | 161 | 106 | 50 | 483 |
| Race (NIH/OMB)(Participants) | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 1 | 0 | 1 |
| Asian | 1 | 1 | 0 | 1 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 2 | 0 | 1 | 3 |
| White | 115 | 132 | 197 | 99 | 543 |
| More than one race | 2 | 3 | 5 | 2 | 12 |
| Unknown or Not Reported | 188 | 168 | 0 | 0 | 356 |
| Region of Enrollment(Participants) | Group 1(Meningococcal Vaccine-Naive):MenACYW Conjugate Vaccine | Group 2 (Meningococcal Vaccine-Naive): Nimenrix® | Group 3 (MenC-Primed): MenACYW Conjugate Vaccine | Group 4 (MenC-Primed): Nimenrix® | Total |
|---|---|---|---|---|---|
| Hungary | 0 | 0 | 95 | 50 | 145 |
| Finland | 188 | 168 | 0 | 0 | 356 |
| Germany | 118 | 138 | 0 | 0 | 256 |
| Spain | 0 | 0 | 108 | 53 | 161 |
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Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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