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    Summary
    EudraCT Number:2009-018101-52
    Sponsor's Protocol Code Number:V72P13E2
    National Competent Authority:Czech Republic - SUKL
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-04-14
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedCzech Republic - SUKL
    A.2EudraCT number2009-018101-52
    A.3Full title of the trial
    Title of the trial: A Phase 3, Open-Label, Multi-Center, Extension Study of V72P13E1 to Assess Antibody Persistence at One Year After a Fourth Dose Boost or Two Catch-Up Doses of Novartis Meningococcal B Recombinant Vaccine Administered Starting at 12 Months of Age and to Evaluate the Response to a Third Dose Boost or Two Catch-Up Doses Starting at 24 Months of Age
    A.4.1Sponsor's protocol code numberV72P13E2
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorNovartis Vaccines and Diagnostics S.r.l
    B.1.3.4CountryItaly
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameNovartis Meningococcal B Recombinant+OMV NZ vaccine
    D.3.4Pharmaceutical form Suspension for injection
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.3Other descriptive nameN. meningitidis 961c purified antigen
    D.3.10 Strength
    D.3.10.1Concentration unit µg/ml microgram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.3Other descriptive nameN. meningitidis 936-741 purified antigen
    D.3.10 Strength
    D.3.10.1Concentration unit µg/ml microgram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.3Other descriptive nameN. meningitidis 287-953 purified antigen
    D.3.10 Strength
    D.3.10.1Concentration unit µg/ml microgram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.3Other descriptive nameN. meningitidis Outer membrane vescicles (OMV) from NZ strain
    D.3.10 Strength
    D.3.10.1Concentration unit µl/ml microlitre(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Information not present in EudraCT
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Groups 1a, 1b, 2a and 2b:
    From the last study visit in V72P13E1 to the start of the study V72P13E2 (Day 1):assessment of immunogenicity or safety
    Group 3:
    From birth to the start of the study V72P13E2 (Day 1), 30 minutes after each vaccination:Immediate reactions, For 7 days after each vaccination: body temperature
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Immunogenicity :To explore antibody persistence at one year after a booster (fourth) dose of rMenB+OMV NZ, administered at 12 months of age to toddlers enrolled in study V72P13E1 who previously received a three-dose primary series of rMenB+OMV NZ (administered at 2, 4 and 6 months of age) as infants in the original parent study V72P13. Safety:a.To assess the safety and tolerability of a booster (third) dose of rMenB+OMV NZ administered at one year after two catch-up doses of rMenB+OMV NZ, previously administered to toddlers at either 12 and 14 or 13 and 15 months of age in study V72P13E1.plus assess the safety and tolerability of two catch-up doses of rMenB+OMV NZ administered to naïve children at 24 and 26 months of age.
    E.2.2Secondary objectives of the trial
    a. explore antibody persistence at one year after two catch-up doses previously administered to 12, 14 or 13,15 months of age in study V72P13E1.
    b.characterize the antibody response to a booster (third) dose administered at one year after two catch-up doses previously administered to 12,14 or 13,15 months of age in study V72P13E1.
    •explore antibody persistence at 6 months after a booster (third) dose adm. one year after two catch-up doses of rMenB+OMV NZ in the second year of life.
    c.To characterize the antibody response to two catch-up doses of rMenB+OMV NZ administered to naïve children at 24 and 26 months of age.
    •To explore antibody persistence at 6 months after two catch-up doses of rMenB+OMV NZ administered to naïve children at 24 and 26 months of age
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Group 3:naive subjects:Healthy male and female children, 23 to 27 months of age;
    2. For whom parent(s)/legal guardian(s) have given written informed consent
    3. Available for all the visits scheduled in the study;4. In good health
    Groups 1a, 1b, 2a and 2b follow-on participants:
    1. Healthy children who have participated in the immunogenicity part of V72P13E1 and have received their last vaccination 12 months (-30/+60 days) before enrollment in V72P13E2.
    2. Who have received all vaccinations with rMenB+OMV NZ in V72P13 and
    V72P13E1
    3. Who have provided at least the blood sample one month after their fourth dose of
    rMenB+OMV NZ (Groups 1a/1b) or after their second dose of rMenB+OMV NZ
    (Groups 2a/2b) in V72P13E1 according to the protocol.
    see protocol page 44
    E.4Principal exclusion criteria
    Exclusion Criteria for naïve subjects newly enrolled (Group 3):
    1. Subjects whose parent(s)/legal guardian(s) are unwilling or unable to give written
    informed consent to participate in the study;
    2. History of any meningococcal B vaccine administration;
    3. Previous ascertained or suspected disease caused by N. meningitidis;
    4. Household contact with and/or intimate exposure to an individual with laboratory
    confirmed N. meningitidis;
    5. History of severe allergic reaction after previous vaccinations or hypersensitivity to
    any vaccine component
    6. Significant acute or chronic infection within the previous 7 days or axillary
    temperature >= 38Centigrade within the previous day;
    7. Antibiotics treatment within 6 days prior to enrollment; for other point see protocol page 44
    Exclusion Criteria for follow-on participants (Groups 1a, 1b, 2a and 2b):
    Exclusion criteria are the same as for the naïve subjects (Group 3), with the exception of
    criterion 2 which does not apply to these previously vaccinated subjects.
    E.5 End points
    E.5.1Primary end point(s)
    Immunogenicity Endpoints
    Primary: Serum bactericidal activity B indicator strains H44/76, 5/99 and NZ98/254. Antibody persistence at one year after a booster (fourth) dose of rMenB+OMV NZ (Groups 1a and 1b) will be assessed bycalculating SBA geometric mean titers (GMTs) and the percentage of subjects . Antibody responses to vaccine
    antigen 287-953 will be determined by ELISA and summarized by geometric mean
    concentrations (GMCs).
    Safety Endpoints :All subjects who receive at least one dose of rMenB+OMV NZ investigational vaccine in this study and who provide any post-vaccination safety data will be included in the safety and tolerability analyses. All safety analyses will be descriptive.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis Yes
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    A Phase 3, Open-Label, Multi-Center, Extension Study of V72P13E1
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned Information not present in EudraCT
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned3
    E.8.5The trial involves multiple Member States Information not present in EudraCT
    E.8.5.1Number of sites anticipated in the EEA4
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years11
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days30
    E.8.9.2In all countries concerned by the trial years11
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days30
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) Yes
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) No
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers Yes
    F.3.2Patients No
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state490
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 940
    F.4.2.2In the whole clinical trial 940
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2010-06-09
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2010-06-07
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2011-09-20
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