Clinical Trial Results:
A Phase III, randomised, partially-blind, controlled, multi-centric, multi-country study to evaluate the immunogenicity, safety and reactogenicity of GSK Biologicals’ MenACWY-TT conjugate vaccine co-administered with Boostrix® administered intramuscularly versus MenACWY-TT alone administered intramuscularly, in healthy adolescents and young adults between 11 and 25 years of age.
Summary
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EudraCT number |
2012-002737-11 |
Trial protocol |
DE |
Global end of trial date |
16 Jan 2014
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Results information
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Results version number |
v1 |
This version publication date |
18 Apr 2016
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First version publication date |
06 Mar 2015
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Other versions |
v2 |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
116705
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01767376 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
GlaxoSmithKline Biologicals
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Sponsor organisation address |
Rue de l'Institut 89, Rixensart, Belgium, 1330
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Public contact |
Clinical Disclosure Advisor, GlaxoSmithKline Biologicals, 044 2089904466, GSKClinicalSupportHD@gsk.com
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Scientific contact |
Clinical Disclosure Advisor, GlaxoSmithKline Biologicals, 044 2089904466, GSKClinicalSupportHD@gsk.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Interim
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Date of interim/final analysis |
11 Nov 2014
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
16 Jan 2014
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Global end of trial reached? |
Yes
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Global end of trial date |
16 Jan 2014
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
•To demonstrate the non-inferiority of MenACWY-TT co-administered with Boostrix® compared to MenACWY-TT administered alone with respect to serum bactericidal assay using rabbit complement (rSBA) geometric mean titres (GMTs) for serogroups A, C, W-135 and Y one month after MenACWY-TT vaccination.
•To demonstrate the non-inferiority of Boostrix® co-administered with MenACWY-TT compared to Boostrix® administered alone in terms of anti-diphtheria toxoid (anti-D) and anti-tetanus toxoid (anti-T) antibody concentrations one month after Boostrix® vaccination.
•To demonstrate the non-inferiority of Boostrix® co-administered with MenACWY-TT compared to Boostrix® administered alone with respect to geometric mean concentrations (GMCs) to each discrete pertussis antigen (pertussis toxoid [PT], filamentous haemagglutinin [FHA] and pertactin [PRN]) one month after Boostrix® vaccination.
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Protection of trial subjects |
All subjects were supervised for 30 min after vaccination with appropriate medical treatment readily available. Vaccines were administered by qualified and trained personnel.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
10 Jan 2013
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 181
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Country: Number of subjects enrolled |
Dominican Republic: 180
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Country: Number of subjects enrolled |
Korea, Republic of: 331
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Worldwide total number of subjects |
692
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EEA total number of subjects |
181
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
692
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||||||||||||||
Pre-assignment
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Screening details |
During the screening the following steps occurred: check for inclusion/exclusion criteria, contraindications/precautions, medical history of the subjects and signing informed consent forms. | ||||||||||||||||||||||||
Pre-assignment period milestones
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Number of subjects started |
692 | ||||||||||||||||||||||||
Number of subjects completed |
691 | ||||||||||||||||||||||||
Pre-assignment subject non-completion reasons
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Reason: Number of subjects |
No vaccination reveiced: 1 | ||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Single blind | ||||||||||||||||||||||||
Roles blinded |
Subject | ||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Nimenrix™+ Boostrix® Group | ||||||||||||||||||||||||
Arm description |
Subjects received Nimenrix™ co-administered with Boostrix® at Month 0. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
Nimenrix™
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Investigational medicinal product code |
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Other name |
Meningococcal vaccine GSK134612
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One dose administered intramuscularly (IM) in the deltoid muscle of the arm at Month 0.
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Investigational medicinal product name |
Boostrix®
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One dose administered intramuscularly (IM) in the deltoid of the right arm at Month 0.
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Arm title
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Nimenrix™ Group | ||||||||||||||||||||||||
Arm description |
Subjects received Nimenrix™ at Month 0 and Boostrix® at Month 1. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
Nimenrix™
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Investigational medicinal product code |
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Other name |
Meningococcal vaccine GSK134612
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One dose administered intramuscularly (IM) in the deltoid muscle of the arm at Month 0.
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Investigational medicinal product name |
Boostrix®
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One dose administered intramuscularly (IM) in the deltoid of the left arm at Month 1.
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Arm title
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Boostrix® Group | ||||||||||||||||||||||||
Arm description |
Subjects received Boostrix® at Month 0 and Nimenrix™ at Month 1. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
Nimenrix™
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Investigational medicinal product code |
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Other name |
Meningococcal vaccine GSK134612
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One dose administered intramuscularly (IM) in the deltoid muscle of the arm at Month 1.
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Investigational medicinal product name |
Boostrix®
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
One dose administered intramuscularly (IM) in the deltoid of the left arm at Month 0.
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Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Out of the 692 subjects enrolled in this study, 1 subject in the Nimenrix™ + Boostrix® Group is missing since the subject was enrolled but did not receive any vaccination, hence only 691 subjects started the study. |
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Baseline characteristics reporting groups
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Reporting group title |
Nimenrix™+ Boostrix® Group
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Reporting group description |
Subjects received Nimenrix™ co-administered with Boostrix® at Month 0. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Nimenrix™ Group
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Reporting group description |
Subjects received Nimenrix™ at Month 0 and Boostrix® at Month 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Boostrix® Group
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Reporting group description |
Subjects received Boostrix® at Month 0 and Nimenrix™ at Month 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Nimenrix™+ Boostrix® Group
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Reporting group description |
Subjects received Nimenrix™ co-administered with Boostrix® at Month 0. | ||
Reporting group title |
Nimenrix™ Group
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Reporting group description |
Subjects received Nimenrix™ at Month 0 and Boostrix® at Month 1. | ||
Reporting group title |
Boostrix® Group
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Reporting group description |
Subjects received Boostrix® at Month 0 and Nimenrix™ at Month 1. |
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End point title |
rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY antibody titers [1] | ||||||||||||||||
End point description |
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Primary
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End point timeframe |
One month after Nimenrix™ vaccination.
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Statistical analyses will be provided if required upon data availability. |
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Notes [2] - Results will be available at a later time. [3] - Results will be available at a later time. [4] - Results will be available at a later time. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with anti-D and anti-T concentrations ≥ 1.0 IU/mL [5] | ||||||||||||
End point description |
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Primary
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End point timeframe |
One month after Boostrix® vaccination.
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Notes [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Statistical analyses will be provided if required upon data availability. |
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Notes [6] - Results will be available at a later time [7] - Results will be available at a later time [8] - Results will be available at a later time |
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No statistical analyses for this end point |
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End point title |
Anti-PT, anti-FHA and anti-PRN antibody concentrations [9] | ||||||||||||||||
End point description |
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Primary
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End point timeframe |
Prior to (i.e. Month 1) and one month afterNimenrix vaccination in the Boostrix Group.
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Notes [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Statistical analyses will be provided if required upon data availability. |
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Notes [10] - Results will be available at a later time. [11] - Results will be available at a later time. [12] - Results will be available at a later time. |
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No statistical analyses for this end point |
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End point title |
Anti-D and anti-T antibody concentrations | ||||||||||||||||
End point description |
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Secondary
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End point timeframe |
Prior to (i.e. Month 0 for Nimenrix + Boostrix Group and Nimenrix Group and Month 1 for Boostrix Group) and one month after Nimenrix vaccination in all study groups
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Notes [13] - Results will be available at a later time. [14] - Results will be available at a later time. [15] - Results will be available at a later time. |
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No statistical analyses for this end point |
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End point title |
Number of subjects with rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY antibody titres ≥ 1:8 and ≥ 1:128 | ||||||||||||
End point description |
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Secondary
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End point timeframe |
Prior to and one month after Nimenrix vaccination
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Notes [16] - Results will be available at a later time [17] - Results will be available at a later time [18] - Results will be available at a later time |
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No statistical analyses for this end point |
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End point title |
Number of subjects with Anti-PT, anti-FHA and anti-PRN antibody concentrations ≥ 5.0 EL/mL | ||||||||||||
End point description |
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Secondary
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End point timeframe |
One month after Boostrix® vaccination.
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Notes [19] - Results will be available at a later time [20] - Results will be available at a later time [21] - Results will be available at a later time |
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No statistical analyses for this end point |
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End point title |
rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY vaccine response | ||||||||||||
End point description |
rSBA vaccine response for serogroups A, C, W-135 and Y is defined as:
For initially seronegative subjects (pre-vaccination titre below the cut-off of 1:8): number of subjects with rSBA antibody titres ≥ 1:32 one month after vaccination.
For initially seropositive subjects (pre-vaccination titre ≥ 1:8): number of subjects with rSBA antibody titres at least four times the pre-vaccination antibody titres, one month after vaccination.
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Secondary
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End point timeframe |
Prior to (i.e. Month 0 for Nimenrix+Boostrix and Boostrix Groups and Month 1 for Nimenrix group) and one month after Boostrix® vaccination
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Notes [22] - Results will be available at a later time [23] - Results will be available at a later time [24] - Results will be available at a later time |
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No statistical analyses for this end point |
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End point title |
Booster responses for anti-PT, anti-FHA and anti-PRN concentrations | ||||||||||||
End point description |
Booster responses to the PT, FHA and PRN antigens, defined as:
For initially seronegative subjects (pre-vaccination concentration below cut-off: < 5 EU/mL): number of subjects with antibody concentration at least four times the cut-off (post-vaccination concentration ≥ 20 EU/mL).
For initially seropositive subjects with pre-vaccination concentrations ≥ 5 EU/mL and < 20 EU/mL: number of subjects with an increase in antibody concentrations of at least four times the pre-vaccination concentration.
For initially seropositive subjects with pre-vaccination concentrations ≥ 20 EU/mL: number of subjects with an increase in antibody concentrations of at least two times the pre-vaccination concentration.
At the time of writing this record, data concerning immunogenicity results were not available. The record will be updated when these data become available.
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End point type |
Secondary
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End point timeframe |
One month after Boostrix vaccination
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Notes [25] - Results will be available at a later time [26] - Results will be available at a later time [27] - Results will be available at a later time |
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No statistical analyses for this end point |
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End point title |
Number of subjects reporting solicited local symptoms | ||||||||||||||||||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Days 0-3 following each vaccination
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No statistical analyses for this end point |
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End point title |
Number of subjects reporting general symptoms | ||||||||||||||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Days 0-3 following each vaccination
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No statistical analyses for this end point |
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End point title |
Number of subjects with serious adverse events SAE(s) | ||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Throughout the study (Month 0 – Month 2)
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No statistical analyses for this end point |
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End point title |
Number of subjects with new onset of chronic diseases (NOCIs) | ||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Throughout the study (Month 0 – Month 2)
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No statistical analyses for this end point |
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End point title |
Number of subjects with unsolicited adverse events AE(s) | ||||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Days 0-30 following each vaccination
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Solicited symptoms: during the 4 days post vaccination
Unsolicited and serious adverse events: up to study end
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
10
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Reporting groups
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Reporting group title |
Nimenrix™ + Boostrix® Group
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Reporting group description |
Subjects received Nimenrix™ co-administered with Boostrix® at Month 0. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Nimenrix™ Group
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Reporting group description |
Subjects received Nimenrix™ at Month 0 and Boostrix® at Month 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Boostrix® Group
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Reporting group description |
Subjects received Boostrix® at Month 0 and Nimenrix at Month 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |