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A Study of the ACYW135 Meningococcal Polysaccharide Conjugate Vaccine

Phase 2
Not yet recruiting
Conditions
Meningococcal Meningitis
Interventions
Biological: ACYW135 Meningococcal Polysaccharide Conjugate Vaccine
Biological: ACYW135 Meningococcal Polysaccharide Vaccine
Registration Number
NCT06337071
Lead Sponsor
Aimei Vacin BioPharm (Zhejiang) Co., Ltd.
Brief Summary

The purpose of this study was to explore the safety and immunogenicity of the experimental vaccine compared with the control vaccines. It is planed to enroll a total of 1,200 subjects, including 300 subjects in each of the 3-5 months old, 6-11 months old, 12-23 months old and 2-15 years old groups, who will be randomly assigned to the trial in a 1:1 ratio to study group or control group. The 3-5 month-old group will have three doses vaccination at 0, 1 and 2 month, and a booster dose at 12 months of age; the 6-11month-old and 12-23 month-old groups will each have total two doses vaccination; the 2-15 year-old group will have one dose vaccination.

Detailed Description

The purpose of this study was to evaluate the safety and immunogenicity of the experimental vaccine(ACYW135 Meningococcal Polysaccharide Conjugate Vaccine) compared with the control vaccines(ACYW135 Meningococcal Polysaccharide Conjugate Vaccine and ACYW135 Meningococcal Polysaccharide Vaccine). It is planed to enroll a total of 1,200 subjects, including 300 subjects in each of the 3-5 months old, 6-11 months old, 12-23 months old and 2-15 years old groups, who will be randomly assigned to the trial in a 1:1 ratio to study group or control group. The 3-5 month-old group will have three doses vaccination at 0, 1 and 2 month, and a booster dose at 12 months of age; the 6-11month-old and 12-23 month-old groups will each have total two doses vaccination(at month 0, 1 or at month 0, 3); the 2-15 year-old group will have one dose vaccination. The immunogenicity and immune persistence will be evaluated by rabbit complement serum bactericidal assay.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
1200
Inclusion Criteria
  • 3~5 months old:

    1. 3~5 months old;
    2. The subject's legal guardian voluntarily agrees to his or her child's participation in this trial and signs an informed consent form;
    3. The subject and/or the subject's legal guardian can comply with the relevant requirements of the clinical trial protocol;
    4. Have not vaccinated by any meningococcal vaccine in the past.
  • 6~23 months old:

    1. 6~23 months old;
    2. The subject's legal guardian voluntarily agrees to his or her child's participation in this trial and signs an informed consent form;
    3. The subject and/or the subject's legal guardian can comply with the relevant requirements of the clinical trial protocol;
    4. Have not vaccinated by any other meningococcal vaccines except meningococcal group A polysaccharide vaccine in the past. If have 1 dose vaccinated of meningococcal group A polysaccharide vaccine, it will be 3 months or more separated from the previous dose of meningococcal group A polysaccharide vaccine. If two doses of meningococcal group A polysaccharide vaccine have been vaccinated, the interval between the last dose of meningococcal group A polysaccharide vaccine should be more than 6 months or more.
  • 2~15 years old:

    1. 2~15 years old;
    2. The subject's legal guardian voluntarily agrees to his or her child's participation in this trial and signs an informed consent form (subjects aged 8-15 years old are also required to sign an informed consent form);
    3. The subject and/or the subject's legal guardian can comply with the relevant requirements of the clinical trial protocol; Subjects aged 2 to 6 years old have not previously been vaccinated with any meningococcal vaccine other than meningococcal polysaccharide vaccine, and the interval between the previous dose of meningococcal polysaccharide vaccine and vaccination should be more than 12 months or more; 7~15 years old participants have not received any meningococcal vaccine in the past 3 years.
Exclusion Criteria
  1. The temperature before vaccination on the day of vaccination is >37.0℃;
  2. Have a history of invasive disease caused by meningococci confirmed by culture;
  3. Have a history of severe allergic reactions that require medical intervention (such as oral and throat swelling, dyspnea, hypotension or shock caused by allergies); have a history of allergies to vaccines or vaccine components (especially those allergic to diphtheria toxoid), and have concerns about vaccination History of other serious adverse reactions;
  4. Those with a clearly diagnosed history of thrombocytopenia or other coagulation disorders, which may cause contraindications for intramuscular injection;
  5. Suffer from acute disease or acute attack of chronic disease within 3 days before vaccination;
  6. Have a history of epilepsy, progressive neurological disease, Guillain-Barré syndrome, convulsions (except simple febrile convulsions) and mental illness;
  7. Known or suspected immunological dysfunction, including immunosuppressant treatment (radiation therapy, chemotherapy, corticosteroids, antimetabolites, cytotoxic drugs), human immunodeficiency virus (HIV) infection, etc.;
  8. Known severe congenital malformations; suffering from developmental disabilities or clinically diagnosed serious chronic diseases (such as Down syndrome, diabetes, sickle cell anemia or neurological diseases);
  9. Known or suspected to have serious diseases that are judged by the researcher to affect vaccination, including respiratory diseases, digestive system diseases, endocrine system diseases, immune system diseases, cardiovascular diseases, liver and kidney diseases, malignant tumors, skin diseases, etc. ;
  10. Long-term use (continuous use for ≥14 days) of immunosuppressants or other immunomodulatory drugs (such as corticosteroids: prednisone or similar drugs) within 6 months before vaccination with the experimental vaccine, but local use (such as ointments, eye drops, inhalants, or nasal sprays), topical administration should not exceed the dosage recommended in the label;
  11. Have received blood products including gamma globulin or immune globulin treatment within 3 months before vaccination (<3 months);
  12. Asplenia or functional asplenia, asplenia or splenectomy caused by any condition;
  13. Have been vaccinated with live attenuated vaccines within 14 days (including 14 days) before vaccination, and have been vaccinated with other subunits, inactivated vaccines or recombinant protein vaccines other than live attenuated vaccines within 7 days (including 7 days);
  14. Currently participating in or planning to participate in other drug clinical trials during the entire trial period after receiving the experimental vaccine;
  15. Any situation that the researcher believes may affect the evaluation of the trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental Group 6~23 months(0,1)ACYW135 Meningococcal Polysaccharide Conjugate Vaccine6\~23 months old participants who vaccinated by experimental vaccine at month 0 and 1
Control Group 6~23 months(0,1)ACYW135 Meningococcal Polysaccharide Conjugate Vaccine6\~23 months old participants who vaccinated by control vaccine 1 at month 0 and 1
Experimental Group 6~23 months(0,3)ACYW135 Meningococcal Polysaccharide Conjugate Vaccine6\~23 months old participants who vaccinated by experimental vaccine at month 0 and 3
Experimental Group 2~15 yearsACYW135 Meningococcal Polysaccharide Conjugate Vaccine2\~15 years old participants who vaccinated by experimental vaccine
Control Group 6~23 months(0,3)ACYW135 Meningococcal Polysaccharide Conjugate Vaccine6\~23 months old participants who vaccinated by control vaccine 1 at month 0 and 3
Control Group 3~5 monthsACYW135 Meningococcal Polysaccharide Conjugate Vaccine3\~5 months old participants who vaccinated by control vaccine 1 at month 0, 1, 2 for primary vaccination, and vaccinated by control vaccine at 12-month old for booster vaccination
Control Group 2~15 yearsACYW135 Meningococcal Polysaccharide Vaccine2\~15 years old participants who vaccinated by control vaccine 2
Experimental Group 3~5 monthsACYW135 Meningococcal Polysaccharide Conjugate Vaccine3\~5 months old participants who vaccinated by experimental vaccine at month 0, 1, 2 for primary vaccination, and vaccinated by experimental vaccine at 12-month old for booster vaccination
Primary Outcome Measures
NameTimeMethod
Immunogenicity 130 days after primary vaccination

To evaluate the positive conversion rate and geometric mean titer (GMT) of meningococcal serum bactericidal activity (rSBA) antibodies for meningococcal groups A, C, Y, and W135 at 30 days in 3\~5 months old participants after primary vaccination

Safety 130 days after each dose vaccination

The incidence of adverse events (AEs)/vaccination-related AEs on days 0 to 30 after each dose of immunization for subjects in each age group

Immunogenicity 230 days after two doses vaccination

To evaluate the positive conversion rate and geometric mean titer (GMT) of meningococcal serum bactericidal activity (rSBA) antibodies for meningococcal groups A, C, Y, and W135 at 30 days in 6\~23 months old participants after two doses vaccination

Immunogenicity 330 days after one dose vaccination

To evaluate the positive conversion rate and geometric mean titer (GMT) of meningococcal serum bactericidal activity (rSBA) antibodies for meningococcal groups A, C, Y, and W135 at 30 days in 2\~15 years old participants after one dose vaccination

Secondary Outcome Measures
NameTimeMethod
Immunogenicity 830 days after vaccination

To evaluate the positive rate of serum bactericidal activity (rSBA) antibodies against meningococcal groups A, C, Y and W135 (ratio of antibody titers ≥1:8) and ratio of antibody titer ≥1:128 in 6\~23 months old participants after vaccination

Immunogenicity 430 days after booster vaccination

To evaluate the positive rate of serum bactericidal activity (rSBA) antibodies against meningococcal groups A, C, Y and W135 (ratio of antibody titers ≥1:8), ratio of antibody titer ≥1:128, geometric mean growth factor (GMFI) in 3\~5 months old participants after primary vaccination

Immunogenicity 630 days after booster vaccination

To evaluate the serum bactericidal activity (rSBA) antibody positive conversion rate, GMT, GMFI, positivity rate, and rate of antibody titer≥ 1:128 ratio in 3\~5 months old participants after booster vaccination

Immune persistence 16 months after booster vaccination

To evaluate the serum bactericidal activity (rSBA) antibody positivity rate, rate of antibody titer ≥1:128 and GMT in 3\~5 months old participants after booster vaccination

Immunogenicity 5Before booster vaccination

To evaluate the serum bactericidal activity (rSBA) antibody GMT, positivity rate and rate of antibody titer ≥1:128 subjects in 3\~5 months old participants before booster vaccination

Immunogenicity 730 days after booster vaccination

To evaluate the positive rate of serum bactericidal activity (rSBA) antibodies against meningococcal groups A, C, Y and W135 (ratio of antibody titers ≥1:8), ratio of antibody titer ≥1:128, geometric mean growth factor (GMFI) in 6\~23 months old participants after two doses vaccination

Immune persistence 26 months, 12 months

To evaluate the serum bactericidal activity (rSBA) antibody positivity rate, rate of antibody titer ≥1:128 and GMT in 6\~23 months old participants after two doses vaccination

Safety 230 days after each dose vaccination

AEs/vaccination-related AEs are divided into doses, severity, vaccination site and non-vaccination site, and system organs (SOC) classification and incidence of each preferred term (PT) symptom after each dose vaccination

Safety 36 months after primary vaccination and 30 days after booster vaccination

The occurrence of serious adverse events (SAE) in each group of subjects aged 3 to 5 months from the first dose vaccination to 6 months after primary vaccination and within 30 days after booster vaccination

Safety 46 months after all doses vaccination

The occurrence of serious adverse events (SAE) in each group of subjects aged 2\~15 years and 6\~23 months from the first dose vaccination to 6 months after all doses vaccination

Trial Locations

Locations (1)

Yunnan Center For Disease Control and Prevention

🇨🇳

Kunming, Yunnan, China

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