A Phase 3 interventional study of Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine and Meningococcal (Groups A, C, Y and W 135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine in Meningococcal Immunisation and Healthy Volunteers, sponsored by Sanofi Pasteur, a Sanofi Company. Completed at 15 sites in 2 countries. Open to participants aged 6 Weeks to 6 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-21.
Sponsored by Sanofi Pasteur, a Sanofi Company · Phase 3, Interventional, and Prevention
This open label randomized study will be conducted to evaluate and/or describe the immunogenicity and describe the safety of MenACYW conjugate vaccine when administered in infants and toddlers.
It will be conducted in India and the RSA in 2 cohorts:
In Cohort II, eligible participants will be randomized in a 2:1 ratio to receive either 3 IM injections (2+1 vaccination schedule) of MenACYW conjugate vaccine co-administered with routine pediatric vaccines (Groups 5 and 7) or routine pediatric vaccines only (Groups 6 and 8).
The primary objectives of this study are:
The secondary objectives of this study are:
To describe the antibody titers to the meningococcal serogroups A, C, Y, and W:
To describe the antibody responses against the antigens of the other age-recommended vaccines when administered concomitantly with MenACYW conjugate vaccine:
To describe the safety profile of age-recommended vaccines:
The duration of each participant's active participation in the study will be approximately 10 to 11 months for Cohort I and 13,5 to 14,5 months for Cohort II.
The duration of each participant's active participation in the study will be approximately 10 to 11 months for Cohort I and 13,5 to 14,5 months for Cohort II.
Sanofi Pasteur, a Sanofi Company is the lead sponsor of 366 studies on the registry; 4 are open to participants now.
Of its 94 completed or terminated interventional studies of FDA-regulated products, 73 (78%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants are excluded from the study if any of the following criteria apply:
Known or suspected congenital or acquired immunodeficiency*; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
*Note: Participants with a history of HIV but without evident severe immunosuppression can be included.
2 injections of MenACYW conjugate vaccine: at 6 months of age and second dose at 12 months of age (group 1a) or at 15 months of age (group 1b) or at 16 months of age (group 1c) + co-administered routine pediatric vaccines
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine · Biological: Pneumoccocal Vaccine · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: DTwP-HepB-Hib-IPV vaccine · Biological: Hepatitis A vaccine · Biological: Rotavirus vaccine · Biological: Typhoid conjugate vaccine (TCV) · Biological: Varicella vaccine live
2 injections of Menactra vaccine: at 9 months of age and second dose at 16 months of age + co-administered routine pediatric vaccines
Biological: Meningococcal (Groups A, C, Y and W 135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine · Biological: Pneumoccocal Vaccine · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: DTwP-HepB-Hib-IPV vaccine · Biological: Hepatitis A vaccine · Biological: Rotavirus vaccine · Biological: Typhoid conjugate vaccine (TCV) · Biological: Varicella vaccine live
2 injections of MenACYW conjugate vaccine: at 6 months of age and second dose between 12 and 16 months of age + co-administered routine pediatric vaccines
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine · Biological: Oral bivalent types 1 and 3; Poliomyelitis Vaccine (OPV) · Biological: Pneumoccocal Vaccine · Biological: DTaP-IPV-Hib-HepB vaccine · Biological: Rotavirus vaccine · Biological: Measles vaccine · Biological: Varicella vaccine live · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: Hepatitis A vaccine
2 injections of Menactra vaccine: at 9 months of age and second dose between 12 and 16 months of age + co-administered routine pediatric vaccines
Biological: Meningococcal (Groups A, C, Y and W 135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine · Biological: Oral bivalent types 1 and 3; Poliomyelitis Vaccine (OPV) · Biological: Pneumoccocal Vaccine · Biological: DTaP-IPV-Hib-HepB vaccine · Biological: Rotavirus vaccine · Biological: Measles vaccine · Biological: Varicella vaccine live · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: Hepatitis A vaccine
3 injections of MenACYW conjugate vaccine: at 6-8 weeks of age and second dose at 14-16 weeks of age with a booster dose administered at 12 months of age (group 5a) or at 15 months of age (group 5b) + co-administered routine pediatric vaccines
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine · Biological: Pneumoccocal Vaccine · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: DTwP-HepB-Hib-IPV vaccine · Biological: Hepatitis A vaccine · Biological: Rotavirus vaccine · Biological: Typhoid conjugate vaccine (TCV) · Biological: Varicella vaccine live
routine pediatric vaccines only
Biological: Pneumoccocal Vaccine · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: DTwP-HepB-Hib-IPV vaccine · Biological: Hepatitis A vaccine · Biological: Rotavirus vaccine · Biological: Typhoid conjugate vaccine (TCV) · Biological: Varicella vaccine live
3 injections of MenACYW conjugate vaccine: at 6-8 weeks of age and second dose at 14-16 weeks of age with a booster dose administered between 12 and 15 months of age + co-administered routine pediatric vaccines
Biological: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine · Biological: Oral bivalent types 1 and 3; Poliomyelitis Vaccine (OPV) · Biological: Pneumoccocal Vaccine · Biological: DTaP-IPV-Hib-HepB vaccine · Biological: Rotavirus vaccine · Biological: Measles vaccine · Biological: Varicella vaccine live · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: Hepatitis A vaccine
routine pediatric vaccines only
Biological: Oral bivalent types 1 and 3; Poliomyelitis Vaccine (OPV) · Biological: Pneumoccocal Vaccine · Biological: DTaP-IPV-Hib-HepB vaccine · Biological: Rotavirus vaccine · Biological: Measles vaccine · Biological: Varicella vaccine live · Biological: Measles, Mumps, and Rubella Vaccine live (MMR) · Biological: Hepatitis A vaccine
Liquid solution - intramuscular
Also known as: MenACYW conjugate vaccine - MenQuadfi™
Liquid solution - intramuscular
Also known as: Menactra®
Oral suspension - oral
Also known as: BIOPOLIO® B1/3
Suspension for injection - intramuscular
Also known as: Prevnar 13®
Lyophilized powder for injection - subcutaneous
Also known as: TRESIVAC® PFS
Suspension - intramuscular
Also known as: EasySix™
Liquid solution - intramuscular
Also known as: Hexaxim®
Lyophilized powder for injection - subcutaneous
Also known as: Biovac®-A
Oral solution - oral
Also known as: RotaTeq®
Suspension for injection - intramuscular
Also known as: Typbar TCV®
Freeze-dried powder for reconstitution and injection - subcutaneous
Also known as: MeasBio®
Sterile powder and diluent for injection - subcutaneous
Also known as: VARIPED®
Lyophilized powder for injection - subcutaneous
Also known as: ONVARA®
Lyophilized powder for injection - subcutaneous
Also known as: OMZYTA®
Suspension for injection - intramuscular
Also known as: Avaxim® 80 U Pediatric
Percentage of participants with anti-meningococcal serogroups A, C, Y, W antibody titers above predefined thresholds after 2 doses of MenACYW conjugate vaccine compared to 2 doses of Menactra® vaccine in infants and toddlers 6 months to 16 months of age
Antibody (Ab) titers against meningococcal serogroups A, C, Y, and W will be measured in infants and toddlers 6 months to 16 months of age (\[Group 1 + Group 3\] versus \[Group 2 + Group 4\]) The following threshold values will be considered: ≥ 1:8
Time frame: 30 days after the second vaccination
Percentage of participants with anti-meningococcal serogroups A, C, Y, W Ab titers above predefined thresholds after 3 doses of MenACYW conjugate vaccine in infants and toddlers 6 weeks to 15 months of age
Ab titers against meningococcal serogroups A, C, Y, and W will be measured in infants and toddlers 6 months to 15 months of age (Group 5 + Group 7) The following threshold values will be considered: ≥ 1:8
Time frame: 30 days after the booster vaccination
Geometric Mean Titers (GMTs) of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine administered concomitantly with other age-recommended vaccine in infants 6 weeks to 15 months of age
Ab titers against meningococcal serogroups A, C, Y, and W will be measured Group 5 versus Group 6 in India Group 7 versus Group 8 in RSA Group 5 + Group 7 versus Group 6 + Group 8
Time frame: Baseline; 30 days after primary series of vaccination; Before and 30 days after booster vaccination
Geometric Mean Titers Ratio (GMTR) of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine administered concomitantly with other age-recommended vaccine in infants 6 weeks to 15 months of age
Ab titers against meningococcal serogroups A, C, Y, and W will be measured Group 5 versus Group 6 in India Group 7 versus Group 8 in RSA Group 5 + Group 7 versus Group 6 + Group 8
Time frame: Baseline; 30 days after primary series of vaccination; Before and 30 days after booster vaccination
GMTs of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine or Menactra vaccine when administered concomitantly with other age-recommended vaccines in infants and toddlers 6 months to 16 months of age
Ab titers after vaccination with MenACYW conjugate vaccine or Menetra® will be measured Group 1 versus Group 2 in India Group 3 versus Group 4 in the RSA Group 1 + Group 3 versus Group 2 + Group 4
Time frame: Baseline; Before and 30 days after each vaccination
GMTR of Ab against meningococcal serogroups A, C, Y, and W when MenACYW conjugate vaccine or Menactra vaccine when administered concomitantly with other age-recommended vaccines in infants and toddlers 6 months to 16 months of age
Ab titers after vaccination with MenACYW conjugate vaccine or Menetra® will be measured Group 1 versus Group 2 in India Group 3 versus Group 4 in the RSA Group 1 + Group 3 versus Group 2 + Group 4
Time frame: Baseline; Before and 30 days after each vaccination
Percentage of participants with anti-meningococcal serogroups A, C, Y, and W Ab titers met the predefined criteria when MenACYW conjugate vaccine administered concomitantly with other age-recommended vaccine in infants 6 weeks to 15 months of age
Ab titers against meningococcal serogroups A, C, Y, and W will be measured * hSBA titer ≥ 1:4 and ≥ 1:8 * hSBA titer ≥ 4-fold rise from pre-vaccination to post-vaccination * hSBA vaccine seroresponse
Time frame: Baseline; 30 days after primary series of vaccination; Before and 30 days after booster vaccination
Percentage of participants with anti-meningococcal serogroups A, C, Y, and W Ab titers met the predefined criteria when MenACYW conjugate vaccine administered concomitantly with other age-recommended vaccine in infants and toddlers 6 to 16 months of age
Ab titers after vaccination with MenACYW conjugate vaccine or Menetra® will be measured * hSBA titer ≥ 1:4 and ≥ 1:8 * hSBA titer ≥ 4-fold rise from pre-vaccination to post-vaccination * hSBA vaccine seroresponse
Time frame: Baseline; Before and 30 days after each vaccination
GMCs of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 weeks to 15 months of age
The following Ab concentrations will be measured: \- Anti-pertussis Ab concentrations (pertussis toxin \[PT\], filamentous hemagglutinin \[FHA\]), fimbriae types 2, 3 \[FIM\], and pertactin \[PRN\])
Time frame: Baseline
GMCR of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 weeks to 15 months of age
The following Ab concentrations will be measured: \- Anti-pertussis Ab concentrations (pertussis toxin \[PT\], filamentous hemagglutinin \[FHA\], fimbriae types 2, 3 \[FIM\], and pertactin \[PRN\])
Time frame: Baseline
GMCs/GMTs of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 weeks to 15 months of age
The following Ab concentrations/titers will be measured: * against the antigens of DTwP-HepB-Hib/DTaP-IPV-Hib-HepB * against the antigens of PCV13 * against the antigens of RV (serum RV immunoglobulin \[Ig\]A) * against the antigens of measles, mumps and rubella * against the antigens of varicella vaccine
Time frame: -30 days after:-Dose3 of DTwP-HepB-Hib-IPV/DTaP-IPV-Hib-HepB;-1ry series of PCV13;-measles,mumps & rubella: Dose1 in RSA;Dose2 in India;-1st dose of varicella vaccine -30 days at least after booster dose of PCV13 -Before & 30 days after 1ry series of RV
GMCRs/GMTRs of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 weeks to 15 months of age
The following Ab concentrations/titers will be measured: * against the antigens of DTwP-HepB-Hib-IPV/DTaP-IPV-Hib-HepB * against the antigens of PCV13 * against the antigens of RV (serum RV immunoglobulin \[Ig\]A) * against the antigens of measles, mumps and rubella * against the antigens of varicella vaccine
Time frame: -30days after:-1ry series of DTwP-HepB-Hib-IPV/DTaP-IPV-Hib-HepB;-1ry series of PCV13;-measles,mumps & rubella:Dose1 in RSA;Dose2 in India;-1st dose of varicella vaccine -30days at least after booster dose of PCV13 -Before&30 days after 1ry series of RV
Percentage of participants with Ab concentrations/titers met the predefined criteria in infants and toddlers 6 weeks to 15 months of age
The following Ab concentrations/titers will be measured: * Anti-tetanus Ab ≥ 0.01 International Units (IU)/milliliter (mL), ≥ 0.1 IU/mL and \> 1.0 IU/mL * Anti-diphtheria Ab ≥ 0.01 IU/mL, ≥ 0.1 IU/mL and \> 1.0 IU/mL * Anti-polyribosyl-ribitol phosphate (PRP) Ab ≥ 0.15 micrograms (μg)/mL and ≥ 1.0 μg/mL * Pertussis vaccine seroresponse for anti-PT, and anti-PT, anti-FHA, anti-FIM, and anti-PRN * Anti-hepatitis B surface antigen (HBsAg) Ab ≥ 10 mIU/mL and ≥ 100 mIU/mL * Anti-poliovirus types 1, 2, and 3 Ab titers ≥ 1:8 * Anti-pneumococcal Ab ≥ 0.35 μg/mL and ≥ 1.0 μg/mL
Time frame: - 30 days after dose 3 of DTwP-HepB-Hib/DTaP-IPV-Hib-HepB - 30 days after primary series of PCV13 and 30 days after the booster dose of PCV13
Percentage of participants with Ab concentrations/titers met the predefined criteria in infants and toddlers 6 weeks to 15 months of age
The following Ab concentrations/titers will be measured: * Anti-RV seroresponse * Anti-measles Ab concentrations (serostatus cutoff: 255 mIU/mL) * Anti-mumps Ab concentrations (serostatus cutoff: 10 Mumps antibody units/mL) * Anti-rubella Ab concentrations (serostatus cutoff: 10 IU/mL) * Anti-varicella Ab concentrations (serostatus cutoff: 5gpELISA unit/mL)
Time frame: 30 days after: - Primary series of RV - Dose 1 of measles, mumps and rubella in RSA - Dose 2 of measles, mumps and rubella in India - first dose of varicella vaccine
GMCs/GMTs of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 months to 16 months of age
The following Ab concentrations will be measured: * against the antigens of varicella * against the antigens of PCV13 * against the antigens of measles, mumps and rubella * against the antigens of DTwP-HepB-Hib-IPV
Time frame: 30 days after: - first dose of varicella vaccine - the booster dose of PCV13 - Dose 1 of measles, mumps and rubella in RSA - Dose 2 of measles, mumps and rubella in India - after booster dose of DTwP-HepB-Hib-IPV
GMCRs/GMTRs of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 months to 16 months of age
The following Ab concentrations/titers will be measured: * against the antigen of varicella * against the antigens of PCV13 * against the antigens of measles, mumps and rubella * against the antigens of DTwP-HepB-Hib-IPV
Time frame: 30 days after: - first dose of varicella vaccine - the booster dose of PCV13 - Dose 1 of measles, mumps and rubella in RSA - Dose 2 of measles, mumps and rubella in India - after booster dose of DTwP-HepB-Hib-IPV
Percentage of participants with Ab concentrations/titers met the predefined criteria in infants and toddlers 6 months to 16 months of age
The following Ab concentrations/titers will be measured: * anti-pneumococcal Ab concentrations ≥ 0.35 μg/mL and ≥ 1.0 μg/mL * anti-measles Ab concentrations (serostatus cutoff: 255 mIU/mL) * anti-mumps Ab concentrations (serostatus cutoff: 10 Mumps antibody units/mL) * anti-rubella Ab concentrations (serostatus cutoff: 10 IU/mL) * anti-varicella Ab concentrations (serostatus cutoff: 5gpELISA unit/mL)
Time frame: 30 days after: - the booster dose of PCV13 - Dose 1 of measles, mumps and rubella in RSA - Dose 2 of measles, mumps and rubella in India - first dose of varicella vaccine
GMCs of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 months to 16 months of age
The following Ab concentrations will be measured: \- Anti-pertussis Ab concentrations (pertussis toxin \[PT\], filamentous hemagglutinin \[FHA\], fimbriae types 2, 3 \[FIM\], and pertactin \[PRN\])
Time frame: Pre-booster dose vaccination of DTwP-HepB-Hib-IPV
GMCR of Ab against the antigens of age-recommended vaccines in infants and toddlers 6 months to 16 months of age
The following Ab concentrations will be measured: \- Anti-pertussis Ab concentrations (pertussis toxin \[PT\], filamentous hemagglutinin \[FHA\], fimbriae types 2, 3 \[FIM\], and pertactin \[PRN\])
Time frame: Pre-booster dose vaccination of DTwP-HepB-Hib-IPV
Percentage of participants with Ab concentrations/titers met the predefined criteria in infants and toddlers 6 months to 16 months of age
The following Ab concentrations/titers will be measured: * anti-tetanus Ab concentrations ≥ 0.01 IU/mL, ≥ 0.1 IU/mL and ≥ 1.0 IU/mL * anti-diphtheria Ab concentrations ≥ 0.01 IU/mL, and ≥ 0.1 IU/mL * anti-PRP Ab concentrations ≥ 0.15 µg)/mL and ≥ 1.0 μg/mL * pertussis vaccine seroresponse for anti-PT, anti-FHA, anti-FIM, and anti-PRN * anti-HBsAg Ab concentrations ≥ 10 mIU/mL and ≥ 100 mIU/mL * anti-poliovirus types 1, 2, and 3 Ab titers ≥ 1:8
Time frame: 30 days after booster dose of DTwP-HepB-Hib-IPV
Number of participants reporting immediate adverse events (AEs)
Unsolicited (spontaneously reported) systemic AEs
Time frame: Within 30 minutes post-vaccination
Percentage of participants reporting solicited injection site and systemic reactions
Solicited injection site reactions: \- tenderness, erythema, swelling Solicited systemic reactions: \- fever, vomiting, crying abnormal, drowsiness, appetite lost, irritability
Time frame: Within 7 days post-vaccination
Number of participants reporting unsolicited AEs
Unsolicited AEs
Time frame: Up to Day 31 post-vaccination
Number of participants reporting serious adverse events (SAEs)
SAEs
Time frame: From Day 1 to Month 18
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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Sanofi Pasteur, a Sanofi Company