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RecruitingNCT04875819MENPIUpdated May 6, 2021

Safety and Immunogenicity Following Meningococcal and Pneumococcal Immunization Among Adult People Living With HIV

A Phase 4 interventional study of Neisseria meningitidis oligosaccharide conjugate vaccine and recombinant protein-based vaccine and 13 valent pneumococcal conjugate vaccine and 23 valent pneumococcal polysaccharide vaccine in Hiv, Meningococcal Infections and Pneumococcal Infections, sponsored by Thomas Benfield. Recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-05-06.

Sponsored by Thomas Benfield · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Started Apr 2021; still recruiting 5 years 5 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
55
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

MENPI is an investigator-initiated single-centre randomized controlled trial which aims to assess the efficacy and safety of meningococcal and pneumococcal vaccination in adults living with HIV receiving antiretroviral treatment.

Participants are randomized 1:1 to either a two-dose Menveo® and Bexsero® regimen or a Prevenar13®/Pneumovax23® prime-boost regimen at day 0 and day 60 and cross over on day 90. All participants will follow an identical follow up program including plasma collection, pharyngeal swab, and adverse event registration.

Immunogenicity will be determined on venous blood sampled at 30 days post-vaccination and yearly for five years.

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Conditions studied

  • Hiv
  • Meningococcal Infections
  • Pneumococcal Infections
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In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's planned enrollment of 55 is below the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Thomas Benfield is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 years
  • Seropositive for HIV-1
  • Recipient of ART
  • Plasma HIV-RNA \< 500 copies/ml
  • Patients written consent obtained

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or breastfeeding
  • History of meningococcal or pneumococcal vaccination
  • Allergies towards any of the vaccine components
  • Temperature > 38 ᵒC
  • Sign of bacterial infection
  • Previous known or suspected disease caused by N. meningitidis
  • Active AIDS associated illness
  • Active malignancy
  • End-stage renal or liver disease
  • Bleeding disorder
  • Recipient of any blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation within the last month
  • Use of immunosuppressive agents (corticosteroids, cancer chemotherapeutic agents etc.)
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
55 participants (estimated)

Study arms

  • Experimental
    Menveo + Bexsero

    Drug: Neisseria meningitidis oligosaccharide conjugate vaccine and recombinant protein-based vaccine

  • Experimental
    Prevenar13 + Pneumovax23

    Drug: 13 valent pneumococcal conjugate vaccine and 23 valent pneumococcal polysaccharide vaccine

Interventions

  • DrugNeisseria meningitidis oligosaccharide conjugate vaccine and recombinant protein-based vaccine

    One dose (0.5 ml) of conjugate vaccine against meningococcal serogroups ACWY (Menveo®) and one dose of a recombinant protein-based vaccine against meningococcal serogroup B (Bexsero®) at day 0 followed by another dose (0.5 ml) of each vaccine at day 60.

    Also known as: Menveo® and Bexsero®

  • Drug13 valent pneumococcal conjugate vaccine and 23 valent pneumococcal polysaccharide vaccine

    One dose (0.5 ml) of pneumococcal conjugate vaccine (Prevenar13®) at day 0 and one dose (0.5 ml) of pneumococcal polysaccharide vaccine (Pneumovax23®) at day 60.

    Also known as: Prevenar13® and Pneumovax23®

06

What researchers measure

Primary outcomes

  1. Change in immunogenic response from baseline, Menveo

    A ≥4-fold rise in rabbit complement source (rSBA) for the four serogroups A, C, Y, and W-135. Seroprotection is defined as an rSBA titre ≥1:8 and patients will be classified as previously immune if baseline rSBA is ≥1:8.

    Time frame: Day 30 and year 1, 2, 3, 4, and 5 post-vaccination

  2. Change in immunogenic response from baseline, Bexsero

    A ≥4-fold rise in antibody titers against a panel of four meningococcal serogroup B reference strains between pre-vaccination and post-vaccination timepoints, or a post-vaccination antibody titre ratio of ≥1:4 for individuals who were seronegative before vaccination.

    Time frame: Day 30 and year 1, 2, 3, 4, and 5 post-vaccination

  3. Change in immunogenic response from baseline, Prevenar13/Pneumovax23

    A ≥2-fold rise in serum anti-capsular IgG GMC for 12 shared pneumococcal polysaccharides (1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F)

    Time frame: Day 30 and year 1, 2, 3, 4, and 5 post-vaccination

Secondary outcomes

  1. Number of participants with immediate adverse events

    Time frame: 30 minutes post-vaccination

  2. Number of participants with short term adverse events

    Time frame: Day 5 post vaccination

  3. Number of participants with long term adverse events

    Time frame: Day 90 post-vaccination

  4. Streptococcus pneumoniae carriage rates

    Proportion of study subject with a culture or PCR positive pharyngeal swab sample

    Time frame: Baseline and day 30 post-vaccination

  5. Neisseria meningitidis carriage rates

    Proportion of study subject with a culture or PCR positive pharyngeal swab sample

    Time frame: Baseline and day 30 post-vaccination

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Miller L, Arakaki L, Ramautar A, Bodach S, Braunstein SL, Kennedy J, Steiner-Sichel L, Ngai S, Shepard C, Weiss D. Elevated risk for invasive meningococcal disease among persons with HIV. Ann Intern Med. 2014 Jan 7;160(1):30-7. doi: 10.7326/0003-4819-160-1-201401070-00731. PubMed 24166695 ↗
  • Simmons RD, Kirwan P, Beebeejaun K, Riordan A, Borrow R, Ramsay ME, Delpech V, Lattimore S, Ladhani S. Risk of invasive meningococcal disease in children and adults with HIV in England: a population-based cohort study. BMC Med. 2015 Dec 9;13:297. doi: 10.1186/s12916-015-0538-6. PubMed 26654248 ↗
  • Harboe ZB, Larsen MV, Ladelund S, Kronborg G, Konradsen HB, Gerstoft J, Larsen CS, Pedersen C, Pedersen G, Obel N, Benfield T. Incidence and risk factors for invasive pneumococcal disease in HIV-infected and non-HIV-infected individuals before and after the introduction of combination antiretroviral therapy: persistent high risk among HIV-infected injecting drug users. Clin Infect Dis. 2014 Oct 15;59(8):1168-76. doi: 10.1093/cid/ciu558. Epub 2014 Jul 17. PubMed 25038114 ↗
  • MacNeil JR, Rubin LG, Patton M, Ortega-Sanchez IR, Martin SW. Recommendations for Use of Meningococcal Conjugate Vaccines in HIV-Infected Persons - Advisory Committee on Immunization Practices, 2016. MMWR Morb Mortal Wkly Rep. 2016 Nov 4;65(43):1189-1194. doi: 10.15585/mmwr.mm6543a3. PubMed 27811836 ↗
  • Lujan-Zilbermann J, Warshaw MG, Williams PL, Spector SA, Decker MD, Abzug MJ, Heckman B, Manzella A, Kabat B, Jean-Philippe P, Nachman S, Siberry GK; International Maternal Pediatric Adolescent AIDS Clinical Trials Group P1065 Protocol Team. Immunogenicity and safety of 1 vs 2 doses of quadrivalent meningococcal conjugate vaccine in youth infected with human immunodeficiency virus. J Pediatr. 2012 Oct;161(4):676-81.e2. doi: 10.1016/j.jpeds.2012.04.005. Epub 2012 May 22. PubMed 22622049 ↗
  • Frota ACC, Ferreira B, Harrison LH, Pereira GS, Pereira-Manfro W, Machado ES, de Oliveira RH, Abreu TF, Milagres LG, Hofer CB. Safety and immune response after two-dose meningococcal C conjugate immunization in HIV-infected children and adolescents in Rio de Janeiro, Brazil. Vaccine. 2017 Dec 15;35(50):7042-7048. doi: 10.1016/j.vaccine.2017.10.043. Epub 2017 Oct 31. PubMed 29100708 ↗
  • Pedersen RH, Lohse N, Ostergaard L, Sogaard OS. The effectiveness of pneumococcal polysaccharide vaccination in HIV-infected adults: a systematic review. HIV Med. 2011 Jul;12(6):323-33. doi: 10.1111/j.1468-1293.2010.00892.x. Epub 2010 Nov 8. PubMed 21059168 ↗
  • Lee KY, Tsai MS, Kuo KC, Tsai JC, Sun HY, Cheng AC, Chang SY, Lee CH, Hung CC. Pneumococcal vaccination among HIV-infected adult patients in the era of combination antiretroviral therapy. Hum Vaccin Immunother. 2014;10(12):3700-10. doi: 10.4161/hv.32247. PubMed 25483681 ↗
  • Sogaard OS, Schonheyder HC, Bukh AR, Harboe ZB, Rasmussen TA, Ostergaard L, Lohse N. Pneumococcal conjugate vaccination in persons with HIV: the effect of highly active antiretroviral therapy. AIDS. 2010 Jun 1;24(9):1315-22. doi: 10.1097/QAD.0b013e328339fe0b. PubMed 20559037 ↗
  • Rodriguez-Barradas MC, Serpa JA, Munjal I, Mendoza D, Rueda AM, Mushtaq M, Pirofski LA. Quantitative and Qualitative Antibody Responses to Immunization With the Pneumococcal Polysaccharide Vaccine in HIV-Infected Patients After Initiation of Antiretroviral Treatment: Results From a Randomized Clinical Trial. J Infect Dis. 2015 Jun 1;211(11):1703-11. doi: 10.1093/infdis/jiu819. Epub 2014 Dec 23. PubMed 25538270 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04875819
Lead sponsor
Thomas Benfield
Responsible party
Thomas Benfield (Clinical professor, Hvidovre University Hospital) — Sponsor-investigator
First posted
May 6, 2021
Start date
Apr 28, 2021
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 6, 2021

Study contacts

Michaela Tinggaard, M.D.
Contact
michaela.tinggaard@regionh.dk
22326800
Michaela Tinggaard, M.D.
principal investigator · Department of Infectious Diseases, Hvidovre Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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