Immunogenicity and Safety of an Investigational Quadrivalent Meningococcal Conjugate Vaccine in Healthy Adults, Adolescents, Children, and Toddlers in India and Healthy Adolescents and Children in the Republic of South Africa

Phase 3

Completed

• Conditions: Meningococcal Immunization; Healthy Volunteers
• Interventions: Biological: Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine; Biological: Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine; Biological: Meningococcal polysaccharide (serogroups A, C, Y and W-135) vaccine; Biological: Hepatitis A vaccine; Biological: Measles, Mumps, and Rubella Virus Vaccine (MMR); Biological: Pneumococcal 13-valent conjugate vaccine; Biological: DTwP-HepB-Hib-IPV vaccine; Biological: Varicella vaccine

• Registration Number: NCT04143061
• Lead Sponsor: Sanofi Pasteur, a Sanofi Company

Brief Summary

This will be a Phase III, modified double-blind (open-label for toddlers in India), randomized, parallel-group, active-controlled, step-wise, multi-center study to compare and describe the immunogenicity and safety of MenACYW conjugate vaccine when administered as a single dose in healthy adults, adolescents, children, and toddlers in India and a modified double-blind, randomized, parallel-group, active-controlled, multi-center study to compare and describe the immunogenicity and safety of MenACYW conjugate vaccine when administered as a single dose in healthy adolescents and children in RSA.

Detailed Description

Study duration per participant is approximately 31 to 45 days

Study Timeline

• Study First Submitted: 2019-10-25
• Study First Submitted QC: 2019-10-28
• Study First Posted: 2019-10-29
• Study Start: 2019-12-30
• Primary Completion: 2023-01-28
• Study Completion: 2023-01-28
• Disposition First Submitted: 2023-11-29
• Results First Submitted: 2024-12-04
• Status Verified: 2025-01
• Results First Submitted QC: 2025-01-09
• Last Update Submitted: 2025-01-09
• Results First Posted: 2025-02-03
• Disposition First Posted: 2025-02-03
• Last Update Posted: 2025-02-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1328

Inclusion Criteria

• Age in the defined range on the day of inclusion: For Adults: Aged ≥ 18 years on the day of inclusion For Children and Adolescents: Aged 2 to 17 years on the day of inclusion For Toddlers: Aged 12 to 23 months† on the day of inclusion

• Z-score of ≥ -2 standard deviations (SD) on the Weight-for-height table of the World Health Organization (WHO) Child Growth Standards: For toddlers and children: Toddlers aged 12 to 23 months and Children aged 2 to 5 years had a Z-score of ≥ -2 SD on the Weight-for-height table of the WHO Child Growth Standards

• Informed consent obtained For adults: Informed consent form has been signed and dated by the subject and by an independent witness, if required by local regulations For toddlers, children, and adolescents: Assent form has been signed and dated by the subject (for subjects 7 to 17 years of age), and informed consent form has been signed and dated by the parent(s) or legally acceptable representative and by an independent witness, if required by local regulations
• Were able to attend all scheduled visits and to comply with all trial procedures For adults: Were able to attend all scheduled visits and to comply with all trial procedures For toddlers, children, and adolescents: Participants and parent / legally acceptable representative were able to attend all scheduled visits and to comply with all trial procedures
• For Toddlers: All toddlers were due to receive an age-recommended RPV on D0

Exclusion Criteria

• Participant was pregnant, or lactating, or of childbearing potential and was not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche, or post-menopausal for at least 1 year, or surgically sterile
• Participation at the time of study enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure
• Receipt of any vaccine in the 4 weeks (28 days) preceding the IMP or planned receipt of any vaccine in the 4 weeks following vaccination except for oral poliovirus vaccine (OPV) in India, received during national immunization days. In India, OPV might have been received with a gap of at least 2 weeks before the IMP. This exception included monovalent and bivalent OPV.
• Previous vaccination against meningococcal disease with either the IMP or another vaccine (i.e., mono- or polyvalent, polysaccharide, or conjugate meningococcal vaccine containing serogroups A, C, Y, or W; or meningococcal B serogroup containing vaccine)
• Receipt of immune globulins, blood or blood-derived products in the past 3 months
• 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)
• History of meningococcal infection, confirmed either clinically, serologically, or microbiologically
• At high risk for meningococcal infection during the trial (specifically, but not limited to, subjects with persistent complement deficiency, with anatomic or functional asplenia, or subjects traveling to countries with high endemic or epidemic disease)
• Known systemic hypersensitivity to latex or to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances
• Verbal report of thrombocytopenia, as reported by the subject or the subject's parent / legally acceptable representative, contraindicating intramuscular vaccination in the Investigator's opinion
• Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination in the Investigator's opinion
• Personal history of Guillain-Barré syndrome
• Personal history of an Arthus-like reaction after vaccination with a tetanus toxoid-containing vaccine within 10 years of the proposed study vaccination
• Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
• Current alcohol abuse or drug addiction
• Chronic illness that, in the opinion of the investigator, was at a stage where it might interfere with trial conduct or completion
• Any condition which, in the opinion of the Investigator, might have interfered with the evaluation of the study objectives.
• Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination, febrile illness (temperature ≥ 38.0°C), persistent diarrhea, vomiting. A prospective subject was not included in the study until the condition has been resolved or the febrile event has been subsided
• Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
• Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group 1	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, adults in India aged 18 to 55 years
Group 2	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Menactra® conjugate vaccine, 1 vaccination, adults in India aged 18 to 55 years
Group 3	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, adults in India aged ≥ 56 years
Group 4	Meningococcal polysaccharide (serogroups A, C, Y and W-135) vaccine	Quadri Meningo™, 1 vaccination, adults in India aged ≥ 56 years
Group 5	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, children and adolescents in India aged 2 to 17 years
Group 8	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Menactra®, 1 vaccination, children and adolescents in RSA aged 2 to 17 years
Group 6	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Menactra®, 1 vaccination, children and adolescents in India aged 2 to 17 years
Group 7	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, children and adolescents in RSA aged 2 to 17 years
Group 9	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine and age-recommended routine pediatric vaccine(s), toddlers aged 12 to 23 months in India
Group 9	Measles, Mumps, and Rubella Virus Vaccine (MMR)	MenACYW conjugate vaccine and age-recommended routine pediatric vaccine(s), toddlers aged 12 to 23 months in India
Group 6	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Menactra®, 1 vaccination, children and adolescents in India aged 2 to 17 years
Group 10	DTwP-HepB-Hib-IPV vaccine	Age-recommended routine pediatric vaccine(s) (RPV) only, toddlers aged 12 to 23 months in India
Group 3	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, adults in India aged ≥ 56 years
Group 4	Meningococcal polysaccharide (serogroups A, C, Y and W-135) vaccine	Quadri Meningo™, 1 vaccination, adults in India aged ≥ 56 years
Group 5	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, children and adolescents in India aged 2 to 17 years
Group 9	DTwP-HepB-Hib-IPV vaccine	MenACYW conjugate vaccine and age-recommended routine pediatric vaccine(s), toddlers aged 12 to 23 months in India
Group 10	Measles, Mumps, and Rubella Virus Vaccine (MMR)	Age-recommended routine pediatric vaccine(s) (RPV) only, toddlers aged 12 to 23 months in India
Group 10	Pneumococcal 13-valent conjugate vaccine	Age-recommended routine pediatric vaccine(s) (RPV) only, toddlers aged 12 to 23 months in India
Group 2	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Menactra® conjugate vaccine, 1 vaccination, adults in India aged 18 to 55 years
Group 7	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, children and adolescents in RSA aged 2 to 17 years
Group 8	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Menactra®, 1 vaccination, children and adolescents in RSA aged 2 to 17 years
Group 9	Hepatitis A vaccine	MenACYW conjugate vaccine and age-recommended routine pediatric vaccine(s), toddlers aged 12 to 23 months in India
Group 1	Meningococcal polysaccharide (serogroups A,C,Y and W) tetanus toxoid conjugate vaccine	MenACYW conjugate vaccine, 1 vaccination, adults in India aged 18 to 55 years
Group 10	Hepatitis A vaccine	Age-recommended routine pediatric vaccine(s) (RPV) only, toddlers aged 12 to 23 months in India
Group 9	Pneumococcal 13-valent conjugate vaccine	MenACYW conjugate vaccine and age-recommended routine pediatric vaccine(s), toddlers aged 12 to 23 months in India
Group 9	Varicella vaccine	MenACYW conjugate vaccine and age-recommended routine pediatric vaccine(s), toddlers aged 12 to 23 months in India
Group 10	Meningococcal polysaccharide (serogroups A,C,Y and W-135) diphtheria toxoid conjugate vaccine	Age-recommended routine pediatric vaccine(s) (RPV) only, toddlers aged 12 to 23 months in India
Group 10	Varicella vaccine	Age-recommended routine pediatric vaccine(s) (RPV) only, toddlers aged 12 to 23 months in India

Primary Outcome Measures

Name	Time	Method
Group 5 + 7 and Group 6 + 8: Percentage of Participants Who Achieved Antibody Titers ≥1:8 Against Meningococcal Serogroups A, C, Y, and W	Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by serum bactericidal assay using human complement (hSBA). Percentages are rounded off to the tenth decimal place. As pre-specified in protocol, the endpoint was assessed in children and adolescents aged 2 to 17 years in India and RSA as combined groups: Group 5 + Group 7 and Group 6 + Group 8 as they received the same dose of MenACYW conjugate vaccine and Menactra® respectively.

Secondary Outcome Measures

Name	Time	Method
Group 1 and Group 2: Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and serum bactericidal assay using baby rabbit complement (rSBA).
Group 1 and Group 2: Percentage of Participants Who Achieved Antibody Titers ≥Pre-defined Thresholds Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA. Percentages are rounded off to the tenth decimal place. Percentage of participants who achieved antibody titers ≥1:4 and ≥1:8 by hSBA and ≥1:8 and ≥1:128 by rSBA are reported.
Group 3 and Group 4: Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA.
Group 3 and Group 4: Percentage of Participants Who Achieved Antibody Titers ≥Pre-defined Thresholds Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA. Percentages are rounded off to the tenth decimal place. Percentage of participants who achieved antibody titers ≥1:4 and ≥1:8 by hSBA and ≥1:8 and ≥1:128 by rSBA are reported.
Group 5 + 7 and Group 6 + 8: Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA. As pre-specified in protocol, the endpoint was assessed in children and adolescents aged 2 to 17 years in India and RSA as combined groups: Group 5 + Group 7 and Group 6 + Group 8 as they received the same dose of MenACYW conjugate vaccine and Menactra® respectively.
Group 5 and Group 6: Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA.
Group 5 and Group 6: Percentage of Participants Who Achieved Antibody Titers ≥Pre-defined Thresholds Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA. Percentages are rounded off to the tenth decimal place. Percentage of participants who achieved antibody titers ≥1:4 and ≥1:8 by hSBA and ≥1:8 and ≥1:128 by rSBA are reported.
Group 7 and Group 8: Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA.
Group 7 and Group 8: Percentage of Participants Who Achieved Antibody Titers ≥Pre-defined Thresholds Against Meningococcal Serogroups A, C, Y, and W	Day 0 (pre-vaccination) and Day 30 (30 days post-vaccination on Day 0)	Functional meningococcal antibody activity against serogroups A, C, Y, and W were measured by hSBA and rSBA. Percentages are rounded off to the tenth decimal place. Percentage of participants who achieved antibody titers ≥1:4 and ≥1:8 by hSBA and ≥1:8 and ≥1:128 by rSBA are reported.

Trial Locations

Locations (17)

Investigational Site Number : 3560007; 🇮🇳 Chennai, India

Investigational Site Number : 3560004; 🇮🇳 Hyderabad, India

Investigational Site Number : 3560011; 🇮🇳 Kolkata, India

Investigational Site Number : 3560015; 🇮🇳 Odisha, India

Investigational Site Number : 3560003; 🇮🇳 Pune, India

Investigational Site Number : 7100007; 🇿🇦 Bloemfontein, South Africa

Investigational Site Number : 7100004; 🇿🇦 Bertsham, South Africa

Investigational Site Number : 3560002; 🇮🇳 Bangalore, India

Investigational Site Number : 3560016; 🇮🇳 Belgaum, India

Investigational Site Number : 3560010; 🇮🇳 Punjab, India

Investigational Site Number : 3560012; 🇮🇳 Mysore, India

Investigational Site Number : 7100002; 🇿🇦 Cape Town, South Africa

Investigational Site Number : 7100005; 🇿🇦 Cape Town, South Africa

Investigational Site Number : 7100001; 🇿🇦 Middelburg, South Africa

Investigational Site Number : 7100006; 🇿🇦 Pretoria, South Africa

Investigational Site Number : 7100003; 🇿🇦 Soweto, South Africa

Investigational Site Number : 3560008; 🇮🇳 Pune, India