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Immunogenicity, Safety and Lot to Lot Consistency of Novartis Meningococcal B Recombinant Vaccine When Administered With Routine Infant Vaccinations to Healthy Infants

Phase 3
Completed
Conditions
Serogroup B Meningococcal Meningitis
Interventions
Biological: Infanrix Hexa
Biological: Serogroup B meningococcal Vaccine lot 3 (rMenB Lot 3)
Biological: Serogroup B meningococcal Vaccine lot 1 (rMenB Lot 1)
Biological: Serogroup B meningococcal Vaccine lot 2 (rMenB Lot 2)
Biological: Menjugate
Biological: Prevenar
Registration Number
NCT00657709
Lead Sponsor
Novartis Vaccines
Brief Summary

The proposed study was aimed to assess the immunogenicity, safety, tolerability and lot to lot consistency of 3 lots of Novartis Meningococcal B vaccine when given concomitantly with routine infant vaccines.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
3630
Inclusion Criteria
  • Healthy 2-month old infants (55-89 days, inclusive)
Exclusion Criteria
  • Prior vaccination with routine infant vaccines (Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib), and Pneumococcal antigens)
  • Previous ascertained or suspected disease caused by N. meningitidis
  • History of severe allergic reaction after previous vaccinations or hypersensitivity to any vaccine component;
  • Any serious chronic or progressive disease
  • Known or suspected impairment or alteration of the immune system

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
RoutineInfanrix HexaSubjects received the routinely administered infant vaccines at 2, 4, 6 months of age.
rMenB Lot3Serogroup B meningococcal Vaccine lot 3 (rMenB Lot 3)Subjects received one injection of rMenB+OMV NZ (Lot 3) at 2, 4, 6 months of age concomitantly with the routinely administered infant vaccines.
MenC + RoutineInfanrix HexaSubjects received the routinely administered infant vaccines and Men C vaccine at 2, 4 and 6 months of age.
rMenB Lot1Serogroup B meningococcal Vaccine lot 1 (rMenB Lot 1)Subjects received one injection of rMenB+OMV NZ (Lot 1) at 2, 4, 6 months of age concomitantly with the routinely administered infant vaccines.
rMenB Lot2Serogroup B meningococcal Vaccine lot 2 (rMenB Lot 2)Subjects received one injection of rMenB+OMV NZ (Lot 2) at 2, 4, 6 months of age concomitantly with the routinely administered infant vaccines.
MenC + RoutinePrevenarSubjects received the routinely administered infant vaccines and Men C vaccine at 2, 4 and 6 months of age.
RoutinePrevenarSubjects received the routinely administered infant vaccines at 2, 4, 6 months of age.
MenC + RoutineMenjugateSubjects received the routinely administered infant vaccines and Men C vaccine at 2, 4 and 6 months of age.
Primary Outcome Measures
NameTimeMethod
The Geometric Mean Human Serum Bactericidal Activity (hSBA) Titers After Three Doses of rMenB+OMV NZ Vaccinationone month after the third vaccination

The hSBA antibody titer responses, one month after receiving the third vaccination of rMenB+OMV NZ vaccination, are reported as geometric mean titers (GMTs).

The Percentages of Subjects With hSBA Titer ≥1:5 After Receiving Three Doses of rMenB+OMV Vaccination (3 Lots Combined)one month after the third vaccination

The immunogenicity was assessed in terms of the percentages of subjects who had received the three doses of rMenB+OMV NZ (3 lots combined) given concomitantly with routine infant vaccinations and percentages of subjects who received only the routine infant vaccinations as measured by hSBA titer ≥1:5 following rMenB+OMV NZ vaccinations one month after the third vaccination is reported.

Secondary Outcome Measures
NameTimeMethod
The Percentages of Subjects With hSBA Titer ≥1:5 After Receiving Three Doses of rMenB+OMV Vaccination (From 3 Lots)1 month after the third vaccination

The immunogenicity was evaluated to assess the consistency of the immune response from three lots of rMenB+OMV NZ in terms of percentage of subjects as measured by hSBA titer ≥1:5 when given to healthy infants at 2, 4, and 6 months of age, at 1 month after the third vaccination.

Geometric Mean Human Serum Bactericidal Activity Titers After the Routine Vaccination Without rMenB OMV NZ1 Month after the third vaccination

The immunogenicity was assessed in terms of prevalence of meningococcal B antibodies as measured by the hSBA, at baseline and at one month after the third vaccination, in the subjects that received routine infant vaccines without rMenB+OMV NZ.

Geometric Mean Concentrations After Three Doses of rMenB+OMV NZ Vaccination (Against the 287-953 Antigen)1 month after third vaccination

The immunogenicity was evaluated to characterize the immune response against vaccine antigen 287-953, as measured by ELISA at one month after third vaccination.

Geometric Mean Concentrations for Antigens (Pertussis Components) for the Routine Vaccinations1 month after third vaccination

Immunogenicity of the pertussis components (PT, FHA, pertactin) of DTPa-HBV-IPV when given concomitantly with rMenB and PCV7 would be considered non-inferior to that of the routine vaccines given alone if the lower limit of the two-sided CI for the ratio of GMCs one month after third vaccination.

Percentages of Subjects With Antibody Response Against the Routine Antigens1 Month after third vaccination

The immunogenicity of routine infant vaccines when given concomitantly with rMenB+OMV NZ at 2, 4, and 6 months of age and of the routine infant vaccines given without rMenB+OMV NZ at 1 month after third vaccination with B pertussis, diptheria and tetanus toxoid, H influenza type b, Hepatitis B antigens was measured by ELISA (Enzyme-linked immunosorbent assay) and for polio type 1, type 2 and type 3 by neutralization test (NT)(\>=1:8). Diptheria and Tetanus: primary endpoint ELISA \>=0.1 (international unit -IU) IU/mL and the secondary endpoint is ELISA\>=1.0 IU/mL.

HepB (HBV):primary endpoint ELISA \>=10 mU/mL. PRP-T: primary endpoint ≥ 0.15 mcg/mL and ≥ 1.00 mcg/mL.PNC \>=0.35 mcg/ml

Percentages of Subjects With Fourfold Increase in Antibody Concentrations Against the Routine Antigens5 months

Immunogenicity was assessed in terms of the percentages of subjects with fourfold increase in antibody concentrations against the routine pertussis antigens FHA (Filamentous Hemagglutinin), Pertactin and PT (Pertussis Toxoid).

Percentages of Subjects With Fourfold Rise in hSBA Titers After Three Doses of rMenB+OMV NZ Vaccination1 Month after third vaccination

Immunogenicity was assessed in terms of the percentages of subjects with fourfold rise in hSBA titers after the three doses of rMenB+OMV NZ (lot 1 or lot 2 or lot 3) vaccination at 2, 4 and 6 months of age.

Percentage of Subjects With hSBA Titers ≥1:81 month after third vaccination

Immunogenicity was assessed in terms of the percentages of subjects achieving hSBA titers ≥1:8 at one month after third vaccination with rMenB (lot 1 or lot 2 or lot 3) against the three vaccine strains.

Number of Subjects Reporting Solicited Adverse Events After Receiving Three Doses of rMenB+OMV NZ Vaccineupto 7 days after any vaccination

The safety and tolerability of three doses of rMenB+OMV NZ when given concomitantly with routine infant vaccines at 2, 4 and 6 months of age was assessed by the number of subjects reporting solicited local and systemic adverse events.

Trial Locations

Locations (66)

Site 35

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Kokkola, Finland

Site 47

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Lahti, Finland

Site 33

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Vantaa, Finland

Site 25

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Kladno 2, Czechia

Site 24

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Litomerice, Czechia

Site 18

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Ostrava-Poruba, Czechia

Site 13

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Humpolec, Czechia

Site 10

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Liberec, Czechia

Site 16

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Plzeň, Czechia

Site 23

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Usti nad Labem, Czechia

Site 7

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Pardubice, Czechia

Site 2

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Prague, Czechia

Site 3

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Prague, Czechia

Site11

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Červený Kostelec, Czechia

Site 30

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Espoo, Finland

Site 45

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Kotka, Finland

Site 20

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Znojmo, Czechia

Site 34

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Järvenpää, Finland

Site 46

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Kuopio, Finland

Site 51

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Seinäjoki, Finland

Site 48

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Vantaa, Finland

Site 52

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Tampere, Finland

Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena Italia

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Milano, Italy

Site 95

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Freising, Germany

Site 65

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Schwieberdingen, Germany

Site 99

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Detmold, Germany

Università degli Studi di Messina - Pad. NI - A.O.U. Policlinico G. Martino

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Messina, Italy

Pediatria dell' Ospedale Sacco

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Milano, Italy

Site 81

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Porta Westfalica, Germany

Site 92

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Espelkamp, Germany

Site 96

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München, Germany

Site 58

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Lauffen, Germany

Site 94

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Weilheim, Germany

Site 64

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Fulda, Germany

Dipartimento di Scienze della Salute

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Genova, Italy

Ospedale Maggiore della Carita'-Clinica Pediatrica

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Novara, Italy

ASL/TA

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Taranto, Italy

Site 57

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Marbach a. N., Germany

Site 97

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München, Germany

Site 91

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Műnchen, Germany

Istituto di Igiene e Medicina Preventiva - Università degli Studi di Sassari

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Sassari, Italy

Grässl

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Hall in Tirol, Austria

Site 19

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Brno, Czechia

Angermayr

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Wels, Austria

Site 14

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Děčín, Czechia

Site 8

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Hradec Králové, Czechia

Häckel

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Kirchdorf, Austria

Prieler

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Neufeld a.d. Leitha, Austria

Site 9

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Hradec Králové, Czechia

Maurer

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Salzburg, Austria

Sommer

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Wien, Austria

Site 32

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Helsinki, Finland

Site 49

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Oulu, Finland

Site 50

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Pori, Finland

Site 53

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Turku, Finland

Site 26

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Rumburk, Czechia

Site 22

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Chomutov, Czechia

Site 27

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Boskovice, Czechia

Site 28

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Hranice I-mesto, Czechia

Site 15

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Jindřichův Hradec, Czechia

Site 5

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Prague, Czechia

Site 31

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Helsinki, Finland

Site 12

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Havlíčkův Brod, Czechia

Site 17

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Ostrava, Czechia

Site 6

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Prague, Czechia

Site 21

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Kolín, Czechia

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