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    Clinical Trial Results:
    The Long-Term Antibody Persistence Of MenACWY-TT Vaccine (PF-06866681) Versus Mencevax® ACWY In Healthy Adolescents And Adults And Booster Response To MenACWY-TT Vaccine Administered At 10 Years Postprimary Vaccination.

    Summary
    EudraCT number
    2012-005639-10
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    10 Aug 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Aug 2019
    First version publication date
    01 Aug 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    MENACWY-TT-099
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01934140
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Alias Study Number: C0921002
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    235 E 42nd Street, New York, United States, NY 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    10 Aug 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    10 Aug 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Long-term persistence phase: Six, seven, eight, nine and ten years after primary vaccination with MenACWY-TT or Mencevax ACWY, in Study 107386 [NCT00356369]. To evaluate the long-term persistence of the serum bactericidal (antibody) titers induced by MenACWY-TT vaccine as compared to Mencevax ACWY when administered to individuals 11-55 years of age in terms of the percentage of subjects with Neisseria meningitidis serogroup A (MenA), serogroup C (MenC), serogroup W-135 (MenW-135), and serogroup Y (MenY) titers, greater than or equal to (>=)1:8, >=1:128 and geometric mean titres (GMTs) as measured by a serum bactericidal assay using rabbit complement (rSBA).
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    29 Apr 2014
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    6 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Philippines: 311
    Worldwide total number of subjects
    311
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    311
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Enrollment for this study (MENACWY-TT-99) started at Year 6 post primary vaccination in study 107386 [NCT00356369]. However, as approval was not obtained from authorities until after end of Year 6, hence no planned activities was done for Year 6.

    Pre-assignment
    Screening details
    In this study, subjects from the study 107386 [NCT00356369] were followed up for assessment of persistence of immune response. And those who consented received booster vaccination and were followed up for another 6 months.

    Period 1
    Period 1 title
    Persistence Phase (Year 6-10)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    ACWY-TT group
    Arm description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 milliliter (mL) dose of meningococcal serogroups A, C, W 135, Y tetanus toxoid conjugate (MenACWY-TT) vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    MenACWY-TT Vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received a single 0.5 mL dose of MenACWY-TT vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369].

    Arm title
    MenPS group
    Arm description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    MenPS Vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369].

    Number of subjects in period 1
    ACWY-TT group MenPS group
    Started
    235
    76
    Completed
    152
    51
    Not completed
    83
    25
         Eligibility criteria not fulfilled
    2
    -
         Migrated/moved from study area
    31
    10
         Unspecified
    24
    6
         Lost to follow-up
    5
    2
         Missed at least 1 persistence visit
    21
    7
    Period 2
    Period 2 title
    Booster Phase (6 Months)
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    No

    Arm title
    ACWY-TT group
    Arm description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of meningococcal serogroups A, C, W-135, Y tetanus toxoid conjugate (MenACWY-TT) vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    MenACWY-TT Vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received a single 0.5 mL dose of MenACWY-TT vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369].

    Arm title
    MenPS group
    Arm description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    MenPS Vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369].

    Number of subjects in period 2
    ACWY-TT group MenPS group
    Started
    164
    56
    Vaccinated
    164
    56
    Completed
    159
    53
    Not completed
    5
    3
         Missed at least 1 booster visit
    2
    1
         Migrated/moved from study area
    2
    2
         Lost to follow-up
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    ACWY-TT group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 milliliter (mL) dose of meningococcal serogroups A, C, W 135, Y tetanus toxoid conjugate (MenACWY-TT) vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.

    Reporting group title
    MenPS group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.

    Reporting group values
    ACWY-TT group MenPS group Total
    Number of subjects
    235 76 311
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    235 76 311
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    25.3 ( 8.2 ) 25.2 ( 8.4 ) -
    Sex: Female, Male
    Units: Subjects
        Female
    108 40 148
        Male
    127 36 163
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0
        Asian
    235 76 311
        Native Hawaiian or Other Pacific Islander
    0 0 0
        Black or African American
    0 0 0
        White
    0 0 0
        More than one race
    0 0 0
        Unknown or Not Reported
    0 0 0
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    0 0 0
        Not Hispanic or Latino
    235 76 311
        Unknown or Not Reported
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    ACWY-TT group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 milliliter (mL) dose of meningococcal serogroups A, C, W 135, Y tetanus toxoid conjugate (MenACWY-TT) vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.

    Reporting group title
    MenPS group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.
    Reporting group title
    ACWY-TT group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of meningococcal serogroups A, C, W-135, Y tetanus toxoid conjugate (MenACWY-TT) vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.

    Reporting group title
    MenPS group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.

    Primary: Persistence Phase: Percentage of Subjects With Serum Bactericidal Assay Using Rabbit Complement (rSBA) Titres Greater Than or Equal to (>=) 1:8 and >=1:128 For Each of the 4 Serogroups After 6 Years of Primary Vaccination

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    End point title
    Persistence Phase: Percentage of Subjects With Serum Bactericidal Assay Using Rabbit Complement (rSBA) Titres Greater Than or Equal to (>=) 1:8 and >=1:128 For Each of the 4 Serogroups After 6 Years of Primary Vaccination [1]
    End point description
    Serogroups included Neisseria meningitidis serogroup A (MenA), Neisseria meningitidis serogroup C (MenC), Neisseria meningitidis serogroup W-135 (MenW-135) and Neisseria meningitidis serogroup Y (MenY). Data was not collected and analyzed for this endpoint because approval was not obtained from the authorities for Year 6 activities.
    End point type
    Primary
    End point timeframe
    After 6 years of primary vaccination
    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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    0 [2]
    0 [3]
    Units: percentage of subjects
        number (confidence interval 95%)
    ( to )
    ( to )
    Notes
    [2] - Data was not collected and analysed, Hence no activity was done for Year 6.
    [3] - Data was not collected and analysed, Hence no activity was done for Year 6.
    No statistical analyses for this end point

    Primary: Persistence Phase: Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 7 Years of Primary Vaccination

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    End point title
    Persistence Phase: Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 7 Years of Primary Vaccination [4]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “Overall Number of Subjects Analysed” (N) signifies number of subjects evaluable for this measure.
    End point type
    Primary
    End point timeframe
    After 7 years of primary vaccination
    Notes
    [4] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    206
    65
    Units: percentage of subjects
    number (confidence interval 95%)
        rSBA-MenA: >=1:8
    88.3 (83.2 to 92.4)
    67.7 (54.9 to 78.8)
        rSBA-MenC: >=1:8
    82.5 (76.6 to 87.4)
    76.9 (64.8 to 86.5)
        rSBA-MenW-135: >=1:8
    60.7 (53.7 to 67.4)
    23.1 (13.5 to 35.2)
        rSBA-MenY: >=1:8
    80.1 (74.0 to 85.3)
    46.2 (33.7 to 59.0)
        rSBA-MenA: >=128
    73.8 (67.2 to 79.7)
    46.2 (33.7 to 59.0)
        rSBA-MenC: >=1:128
    61.7 (54.6 to 68.3)
    61.5 (48.6 to 73.3)
        rSBA-MenW-135: >=1:128
    52.4 (45.4 to 59.4)
    16.9 (8.8 to 28.3)
        rSBA-MenY: >=1:128
    76.7 (70.3 to 82.3)
    38.5 (26.7 to 51.4)
    No statistical analyses for this end point

    Primary: Persistence Phase: Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 8 Years of Primary Vaccination

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    End point title
    Persistence Phase: Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 8 Years of Primary Vaccination [5]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here,“Number analyzed”(n): subjects analyzed for specified serogroup and “N” signifies number of subjects evaluable for this measure.
    End point type
    Primary
    End point timeframe
    After 8 years of primary vaccination
    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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    208
    67
    Units: percentage of subjects
    number (confidence interval 95%)
        rSBA-MenA: >=1:8 (n=208, 67)
    76.0 (69.6 to 81.6)
    56.7 (44.0 to 68.8)
        rSBA-MenC: >=1:8 (n=204, 67)
    86.3 (80.8 to 90.7)
    80.6 (69.1 to 89.2)
        rSBA-MenW-135: >=1:8 (n=207, 67)
    66.2 (59.3 to 72.6)
    23.9 (14.3 to 35.9)
        rSBA-MenY: >=1:8 (n=206, 67)
    76.2 (69.8 to 81.9)
    40.3 (28.5 to 53.0)
        rSBA-MenA: >=1:128 (n=208, 67)
    60.6 (53.6 to 67.3)
    40.3 (28.5 to 53.0)
        rSBA-MenC: >=1:28 (n=204, 67)
    68.1 (61.3 to 74.5)
    64.2 (51.5 to 75.5)
        rSBA-MenW-135: >=1:128 (n=207, 67)
    60.9 (53.9 to 67.6)
    16.4 (8.5 to 27.5)
        rSBA-MenY: >=1:128 (n=206, 67)
    70.9 (64.2 to 77.0)
    37.3 (25.8 to 50.0)
    No statistical analyses for this end point

    Primary: Persistence Phase:Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 9 Years of Primary Vaccination

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    End point title
    Persistence Phase:Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 9 Years of Primary Vaccination [6]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “N” signifies number of subjects evaluable for this measure.
    End point type
    Primary
    End point timeframe
    After 9 years of primary vaccination
    Notes
    [6] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    190
    61
    Units: percentage of subjects
    number (confidence interval 95%)
        rSBA-MenA: >=1:8
    82.6 (76.5 to 87.7)
    65.6 (52.3 to 77.3)
        rSBA-MenC: >=1:8
    89.5 (84.2 to 93.5)
    90.2 (79.8 to 96.3)
        rSBA-MenW-135: >=1:8
    55.8 (48.4 to 63.0)
    9.8 (3.7 to 20.2)
        rSBA-MenY: >=1:8
    89.5 (84.2 to 93.5)
    57.4 (44.1 to 70.0)
        rSBA-MenA: >=1:128
    75.3 (68.5 to 81.2)
    59.0 (45.7 to 71.4)
        rSBA-MenC: >=1:128
    66.8 (59.7 to 73.5)
    67.2 (54.0 to 78.7)
        rSBA-MenW-135: >=1:128
    50.5 (43.2 to 57.8)
    9.8 (3.7 to 20.2)
        rSBA-MenY: >=1:128
    86.3 (80.6 to 90.9)
    50.8 (37.7 to 63.9)
    No statistical analyses for this end point

    Primary: Persistence Phase:Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 10 Years of Primary Vaccination

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    End point title
    Persistence Phase:Percentage of Subjects With rSBA Titres >= 1:8 and >=1:128 For Each of the 4 Serogroups After 10 Years of Primary Vaccination [7]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “N” signifies number of subjects evaluable for this measure and “n”: subjects analyzed for specified serogroup.
    End point type
    Primary
    End point timeframe
    After 10 years of primary vaccination
    Notes
    [7] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    162
    54
    Units: percentage of subjects
    number (confidence interval 95%)
        rSBA-MenA: >=1:8 (n=162, 54)
    76.5 (69.3 to 82.8)
    70.4 (56.4 to 82.0)
        rSBA-MenC: >=1:8 (n=161, 54)
    90.7 (85.1 to 94.7)
    88.9 (77.4 to 95.8)
        rSBA-MenW-135: >=1:8 (n=161, 54)
    70.2 (62.5 to 77.1)
    24.1 (13.5 to 37.6)
        rSBA-MenY: >=1:8 (n=161, 54)
    87.0 (80.8 to 91.7)
    64.8 (50.6 to 77.3)
        rSBA-MenA: >=1:128 (n=162, 54)
    67.9 (60.1 to 75.0)
    57.4 (43.2 to 70.8)
        rSBA-MenC: >=1:128 (n=161, 54)
    72.7 (65.1 to 79.4)
    68.5 (54.4 to 80.5)
        rSBA-MenW-135: >=1:128 (n=161, 54)
    64.6 (56.7 to 72.0)
    22.2 (12.0 to 35.6)
        rSBA-MenY: >=1:128 (n=161, 54)
    83.2 (76.5 to 88.6)
    53.7 (39.6 to 67.4)
    No statistical analyses for this end point

    Primary: Persistence Phase:Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 6 Years of Primary Vaccination

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    End point title
    Persistence Phase:Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 6 Years of Primary Vaccination [8]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA titres expressed as the reciprocal of the highest serum last dilution resulting in at least 50 percentage (%) reduction of meningococcal colony-forming units. Data was not collected and analyzed for this endpoint because approval was not obtained from the authorities for Year 6 activities.
    End point type
    Primary
    End point timeframe
    After 6 years of primary vaccination
    Notes
    [8] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    0 [9]
    0 [10]
    Units: titres
        geometric mean (confidence interval 95%)
    ( to )
    ( to )
    Notes
    [9] - Data was not collected and analysed, Hence no activity was done for Year 6.
    [10] - Data was not collected and analysed, Hence no activity was done for Year 6.
    No statistical analyses for this end point

    Primary: Persistence Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 7 Years of Primary Vaccination

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    End point title
    Persistence Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 7 Years of Primary Vaccination [11]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA titres expressed as the reciprocal of the highest serum last dilution resulting in at least 50% reduction of meningococcal colony-forming units. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “N” signifies number of subjects evaluable for this measure.
    End point type
    Primary
    End point timeframe
    After 7 years of primary vaccination
    Notes
    [11] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    206
    65
    Units: titres
    geometric mean (confidence interval 95%)
        rSBA-MenA
    220.8 (167.2 to 291.5)
    54.5 (31.1 to 95.8)
        rSBA-MenC
    105.3 (79.7 to 139.1)
    156.7 (82.7 to 297.1)
        rSBA-MenW-135
    83.2 (57.0 to 121.5)
    10.0 (6.3 to 15.9)
        rSBA-MenY
    270.2 (195.2 to 373.8)
    32.7 (17.8 to 60.1)
    No statistical analyses for this end point

    Primary: Persistence Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 8 Years of Primary Vaccination

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    End point title
    Persistence Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 8 Years of Primary Vaccination [12]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA titres expressed as the reciprocal of the highest serum last dilution resulting in at least 50% reduction of meningococcal colony-forming units. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “N” signifies number of subjects evaluable for this measure and “n”= subjects analyzed for specified serogroup.
    End point type
    Primary
    End point timeframe
    After 8 years of primary vaccination
    Notes
    [12] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    208
    67
    Units: titres
    geometric mean (confidence interval 95%)
        rSBA-MenA (n=208, 67)
    104.8 (77.1 to 142.4)
    44.1 (24.3 to 80.0)
        rSBA-MenC (n=204, 67)
    155.4 (118.3 to 204.0)
    240.6 (125.4 to 461.8)
        rSBA-MenW-135 (n=207, 67)
    119.7 (82.8 to 173.1)
    10.8 (6.7 to 17.5)
        rSBA-MenY (n=206, 67)
    181.6 (130.2 to 253.3)
    26.0 (14.5 to 46.6)
    No statistical analyses for this end point

    Primary: Persistence Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 9 Years of Primary Vaccination

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    End point title
    Persistence Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 9 Years of Primary Vaccination [13]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA titres expressed as the reciprocal of the highest serum last dilution resulting in at least 50% reduction of meningococcal colony-forming units. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “N” signifies number of subjects evaluable for this measure.
    End point type
    Primary
    End point timeframe
    After 9 years of primary vaccination
    Notes
    [13] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    190
    61
    Units: titers
    geometric mean (confidence interval 95%)
        rSBA-MenA
    227.8 (165.0 to 314.5)
    81.2 (44.2 to 149.4)
        rSBA-MenC
    173.3 (129.9 to 231.1)
    264.9 (147.7 to 474.9)
        rSBA-MenW-135
    71.7 (48.0 to 107.0)
    6.7 (4.5 to 10.0)
        rSBA-MenY
    460.6 (346.2 to 612.7)
    57.8 (30.6 to 109.2)
    No statistical analyses for this end point

    Primary: Persistence Phase:Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 10 Years of Primary Vaccination

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    End point title
    Persistence Phase:Geometric Mean Titres With rSBA for Each of the 4 Serogroups After 10 Years of Primary Vaccination [14]
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA titres expressed as the reciprocal of the highest serum last dilution resulting in at least 50% reduction of meningococcal colony-forming units. All eligible subjects who received primary vaccination with MenACWY-TT or Mencevax ACWY during study 107386 [NCT00356369], had available assay results for at least 1 tested antigen. Here, “N” signifies number of subjects evaluable for this measure and “ n”: subjects analyzed for specified serogroup.
    End point type
    Primary
    End point timeframe
    After 10 years of primary vaccination
    Notes
    [14] - 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: Only descriptive data was planned to be analysed for this endpoint.
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    162
    54
    Units: titers
    geometric mean (confidence interval 95%)
        rSBA-MenA (n=162, 54)
    142.5 (100.4 to 202.1)
    73.7 (40.9 to 132.8)
        rSBA-MenC (n=161, 54)
    181.4 (134.6 to 244.4)
    234.0 (122.3 to 447.9)
        rSBA-MenW-135 (n=161, 54)
    161.5 (104.8 to 248.9)
    11.9 (6.8 to 21.0)
        rSBA-MenY (n=161, 54)
    387.0 (274.1 to 546.4)
    63.2 (33.4 to 119.6)
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With rSBA Titres >=1:8 and >=1:128 For Each of the 4 Serogroups at 1 Month After Booster Vaccination

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    End point title
    Booster Phase: Percentage of Subjects With rSBA Titres >=1:8 and >=1:128 For Each of the 4 Serogroups at 1 Month After Booster Vaccination
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. All eligible subjects who received primary vaccination in study107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099; for whom assay results are available for antibodies against at least 1 study vaccine antigen component for blood sample taken 1 month after vaccination. N=number of subjects evaluable for this measure.
    End point type
    Secondary
    End point timeframe
    1 month after booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    155
    52
    Units: percentage of subjects
    number (confidence interval 95%)
        rSBA-MenA: >=1:8
    100.0 (97.6 to 100.0)
    100.0 (93.2 to 100.0)
        rSBA-MenC: >=1:8
    100.0 (97.6 to 100.0)
    98.1 (89.7 to 100.0)
        rSBA-MenW-135: >=1:8
    100.0 (97.6 to 100.0)
    98.1 (89.7 to 100.0)
        rSBA-MenY: >=1:8
    100.0 (97.6 to 100.0)
    100.0 (93.2 to 100.0)
        rSBA-MenA: >=1:128
    100.0 (97.6 to 100.0)
    100.0 (93.2 to 100.0)
        rSBA-MenC: >=1:128
    100.0 (97.6 to 100.0)
    96.2 (86.8 to 99.5)
        rSBA-MenW-135: >=1:128
    100.0 (97.6 to 100.0)
    98.1 (89.7 to 100.0)
        rSBA-MenY: >=1:128
    100.0 (97.6 to 100.0)
    100.0 (93.2 to 100.0)
    No statistical analyses for this end point

    Secondary: Booster Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups at 1 Month After Booster Vaccination

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    End point title
    Booster Phase: Geometric Mean Titres With rSBA for Each of the 4 Serogroups at 1 Month After Booster Vaccination
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA titres expressed as the reciprocal of the highest serum last dilution resulting in at least 50% reduction of meningococcal colony-forming units. All eligible subjects who received primary vaccination in study107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099; for whom assay results are available for antibodies against at least 1 study vaccine antigen component for blood sample taken 1 month after vaccination. N=number of subjects evaluable for this measure.
    End point type
    Secondary
    End point timeframe
    1 month after booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    155
    52
    Units: titers
    geometric mean (confidence interval 95%)
        rSBA-MenA
    4059.5 (3383.8 to 4870.2)
    3584.8 (2750.7 to 4672.0)
        rSBA-MenC
    13823.5 (10839.7 to 17628.7)
    3444.3 (1998.5 to 5936.0)
        rSBA-MenW-135
    23431.0 (17351.4 to 31640.7)
    5792.6 (3585.9 to 9357.4)
        rSBA-MenY
    8958.4 (7601.6 to 10557.5)
    5137.8 (3528.2 to 7481.6)
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With rSBA Booster Response at 1 Month After Booster Vaccination

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    End point title
    Booster Phase: Percentage of Subjects With rSBA Booster Response at 1 Month After Booster Vaccination
    End point description
    Serogroups included MenA, MenC, MenW-135 and MenY. rSBA booster vaccine responses for serogroups A, C, W-135 and Y defined as: for initially seronegative subjects (pre-vaccination titer below the cut-off of 1:8) had rSBA antibody titers >= 1:32, 1 month after vaccination, and for initially seropositive subjects (pre-vaccination titer >= 1:8) had rSBA antibody titers at least 4 times the pre-vaccination antibody titers, 1 month after vaccination. Data reported below is including both seropositive and seronegative subjects. All eligible subjects: received primary vaccination in study 107386[NCT00356369] and booster dose in study MENACWY-099;assay results available for antibodies against at least 1 study vaccine antigen component in blood sample taken 1 month post vaccination. N= subjects evaluable for measure, n= subjects analyzed for specified serogroups.
    End point type
    Secondary
    End point timeframe
    1 month after booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    155
    52
    Units: percentage of subjects
    number (confidence interval 95%)
        rSBA-MenA (n= 155, 52)
    87.7 (81.5 to 92.5)
    88.5 (76.6 to 95.6)
        rSBA-MenC (n= 154, 52)
    90.9 (85.2 to 94.9)
    75.0 (61.1 to 86.0)
        rSBA-MenW-135 (n= 154, 52)
    94.2 (89.2 to 97.3)
    96.2 (86.8 to 99.5)
        rSBA-MenY (n= 154, 52)
    83.8 (77.0 to 89.2)
    92.3 (81.5 to 97.9)
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With Antibodies Against–Tetanus Toxoid (Anti-TT) Concentrations >=0.1 International Units Per Millilitre (IU/mL), >=1.0 IU/mL at 1 Month After Booster Vaccination

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    End point title
    Booster Phase: Percentage of Subjects With Antibodies Against–Tetanus Toxoid (Anti-TT) Concentrations >=0.1 International Units Per Millilitre (IU/mL), >=1.0 IU/mL at 1 Month After Booster Vaccination
    End point description
    Tetanus toxoid (TT) was used as carrier in tetravalent meningococcal ACWY conjugate vaccine. Percentage of subjects with anti-TT concentration >=0.1 IU/mL, >=1.0 IU/mL were summarized. All eligible subjects who received primary vaccination in study107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099; for whom assay results are available for antibodies against at least 1 study vaccine antigen component for blood sample taken 1 month after vaccination. N= subjects evaluable for this measure.
    End point type
    Secondary
    End point timeframe
    1 month after booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    155
    52
    Units: percentage of subjects
    number (confidence interval 95%)
        Anti-TT >= 0.1 IU/mL
    99.4 (96.5 to 100.0)
    98.1 (89.7 to 100.0)
        Anti-TT >= 1.0 IU/mL
    94.8 (90.1 to 97.7)
    88.5 (76.6 to 95.6)
    No statistical analyses for this end point

    Secondary: Booster Phase: Geometric Mean Concentrations (GMCs) of Antibodies Against–Tetanus Toxoid (Anti-TT) at 1 Month After Booster Vaccination

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    End point title
    Booster Phase: Geometric Mean Concentrations (GMCs) of Antibodies Against–Tetanus Toxoid (Anti-TT) at 1 Month After Booster Vaccination
    End point description
    TT was used as carrier in tetravalent meningococcal ACWY conjugate vaccine. Percentage of subjects with anti-TT concentration >=0.1 IU/mL, >=1.0 IU/mL were summarized. All eligible subjects who received primary vaccination in study107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099; for whom assay results are available for antibodies against at least 1 study vaccine antigen component for blood sample taken 1 month after vaccination. N= subjects evaluable for this measure.
    End point type
    Secondary
    End point timeframe
    1 month after booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    155
    52
    Units: IU/mL
        geometric mean (confidence interval 95%)
    7.163 (5.958 to 8.613)
    7.650 (4.888 to 11.973)
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With Solicited Local and General Adverse Events up to 4 Days Post Booster Vaccination

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    End point title
    Booster Phase: Percentage of Subjects With Solicited Local and General Adverse Events up to 4 Days Post Booster Vaccination
    End point description
    Solicited local events:1)pain(Grade[G]:0=none,1=mild,neither interfered nor prevented normal activities,2=moderate, interfered normal activities,3=severe, prevented normal activities),2)redness, and 3)swelling (record greatest surface diameter in millimetre[mm] as 0 to <=20 mm, >20 to <=50 mm,>50 mm). Solicited general events: 1) fatigue,2) gastrointestinal(GI) events(nausea, vomiting, diarrhea and/or abdominal pain,3) headache(G: 0=normal,1=mild, easily tolerated,2=moderate, interfered with normal activity,3=severe, prevented normal activity),and 4)fever (G: Fever (G: 1= >=37.5 degree Celsius [°C] - <=38.0 degree C, 2= >38.0 degree C - <=39.0 degree C, 3= >39.0 degree C). ‘Related’=relationship to study vaccine assessed by investigator. Medical advice=medical advice received to resolve any event. All eligible subjects who received primary vaccination in study107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099. n: subjects analyzed for specified categories.
    End point type
    Secondary
    End point timeframe
    up to 4 days post booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    164
    56
    Units: percentage of subjects
    number (not applicable)
        All pain (n= 159, 53)
    27.0
    26.4
        Pain: Grade 1 (n= 159, 53)
    20.8
    24.5
        Pain: Grade 2 (n= 159, 53)
    5.7
    1.9
        Severe pain: Grade 3 (n= 159, 53)
    0.6
    0.0
        All redness (n= 159, 53)
    5.7
    3.8
        Redness: 0 to <=20 mm (n= 159, 53)
    5.7
    3.8
        Redness: >20 to <=50 mm (n= 159, 53)
    0.0
    0.0
        Redness: >50 mm (n= 159, 53)
    0.0
    0.0
        All swelling (n= 159, 53)
    3.8
    5.7
        Swelling: 0 to <=20 mm (n= 159, 53)
    3.8
    5.7
        Swelling: >20 to <=50 mm (n= 159, 53)
    0.0
    0.0
        Swelling: >50 mm (n= 159, 53)
    0.0
    0.0
        All fatigue (n= 159, 53)
    14.5
    15.1
        Fatigue: Grade 1 (n= 159, 53)
    10.7
    15.1
        Fatigue: Grade 2 (n= 159, 53)
    3.1
    0.0
        Fatigue: Grade 3 (n= 159, 53)
    0.6
    0.0
        Fatigue: Related fatigue (n= 159, 53)
    12.6
    15.1
        Fatigue: Grade 3 Related (n= 159, 53)
    0.6
    0.0
        All fever (n= 159, 53)
    6.9
    5.7
        Fever: Grade 1 (n= 159, 53)
    6.3
    5.7
        Fever: Grade 2 (n= 159, 53)
    0.6
    0.0
        Fever: Grade 3 (n= 159, 53)
    0.0
    0.0
        Fever: Related (n= 159, 53)
    6.9
    5.7
        Fever: Grade 3 related (n= 159, 53)
    0.0
    0.0
        All GI (n= 159, 53)
    4.4
    1.9
        GI: Grade 1 (n= 159, 53)
    3.8
    1.9
        GI: Grade 2 (n= 159, 53)
    0.0
    0.0
        GI: Grade 3 (n= 159, 53)
    0.6
    0.0
        GI: Related (n= 159, 53)
    3.8
    1.9
        GI: Grade 3 related (n= 159, 53)
    0.6
    0.0
        All headache (n= 159, 53)
    15.7
    9.4
        Headache: Grade 1 (n= 159, 53)
    12.6
    9.4
        Headache: Grade 2 (n= 159, 53)
    1.9
    0.0
        Headache: Grade 3 (n= 159, 53)
    1.3
    0.0
        Headache: Related (n= 159, 53)
    13.8
    9.4
        Headache: Grade 3 related (n= 159, 53)
    1.3
    0.0
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With Unsolicited Adverse Events up to 31 Days Post Booster Vaccination

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    End point title
    Booster Phase: Percentage of Subjects With Unsolicited Adverse Events up to 31 Days Post Booster Vaccination
    End point description
    An AE was any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. All eligible subjects who received primary vaccination in study 107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099.
    End point type
    Secondary
    End point timeframe
    up to 31 days post booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    164
    56
    Units: percentage of subjects
        number (not applicable)
    9.1
    3.6
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With Serious Adverse Events (SAEs) From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)

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    End point title
    Booster Phase: Percentage of Subjects With Serious Adverse Events (SAEs) From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)
    End point description
    An AE was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. All eligible subjects who received primary vaccination in study 107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099.
    End point type
    Secondary
    End point timeframe
    Up to 6 months post booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    164
    56
    Units: percentage of subjects
        number (not applicable)
    0
    0
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With New Onset Chronic Illness From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)

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    End point title
    Booster Phase: Percentage of Subjects With New Onset Chronic Illness From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)
    End point description
    New onset chronic illness included autoimmune disorders, asthma, type I diabetes, and allergies. All eligible subjects who received primary vaccination in study 107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099.
    End point type
    Secondary
    End point timeframe
    Up to 6 months post booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    164
    56
    Units: percentage of subjects
        number (not applicable)
    0
    0
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With Guillain-Barre Syndrome (GBS) From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)

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    End point title
    Booster Phase: Percentage of Subjects With Guillain-Barre Syndrome (GBS) From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)
    End point description
    Guillain-Barre syndrome (GBS) is a rare neurological disorder in which the body's immune system mistakenly attacks part of its peripheral nervous system—the network of nerves located outside of the brain and spinal cord. GBS can range from a very mild case with brief weakness to nearly devastating paralysis, leaving the person unable to breathe independently. All eligible subjects who received primary vaccination in study 107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099.
    End point type
    Secondary
    End point timeframe
    Up to 6 months post booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    164
    56
    Units: percentage of subjects
        number (not applicable)
    0
    0
    No statistical analyses for this end point

    Secondary: Booster Phase: Percentage of Subjects With Meningococcal Disease From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)

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    End point title
    Booster Phase: Percentage of Subjects With Meningococcal Disease From Booster Vaccination up to End of Study (6 Months Post Booster Vaccination)
    End point description
    Meningococcal disease describes infections caused by the bacterium Neisseria meningitidis (also termed meningococcus). It causes two life threatening diseases: meningococcal meningitis and fulminant meningococcemia which often occur together. Meningococcal meningitis is defined as an inflammatory response to bacterial infection of leptomeninges (pia-arachnoid) and the sub-arachnoid space. Meningococcal meningococcemia is meningococcal septicemia when the bacteria circulate and multiply in blood and involve multiple organs. It can cause multi-organ failure and severe disability or death. All eligible subjects who received primary vaccination in study 107386 [NCT00356369], received booster dose of vaccine in study MENACWY-099.
    End point type
    Secondary
    End point timeframe
    Up to 6 months post booster vaccination
    End point values
    ACWY-TT group MenPS group
    Number of subjects analysed
    164
    56
    Units: percentage of subjects
        number (not applicable)
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    For persistence phase: Through 4 years (7, 8, 9 and 10 years post primary vaccination) Non-SAEs not collected for persistence phase; Booster phase: upto 6 months after booster vaccination;Local and General events: upto 4 days post booster vaccination.
    Adverse event reporting additional description
    Same event may appear as both AE and SAE. An event may be categorized as serious in 1 subject and non-serious in other, or subject may experienced both SAE and non-SAE. Persistence Phase: all subjects enrolled in MENACWY-099. Booster Phase: all eligible subject who received primary vaccination in 107386[NCT00356369], booster vaccine in MENACWY-099.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.0
    Reporting groups
    Reporting group title
    Booster Phase: ACWY-TT group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MenACWY-TT vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.

    Reporting group title
    Booster Phase: MenPS group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MencevaxACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.

    Reporting group title
    Persistence phase: ACWY-TT group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of MenACWY-TT vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99), they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination in 107386 [NCT00356369], and were followed up for 6 months after booster vaccination.

    Reporting group title
    Persistence phase: MenPS group
    Reporting group description
    Persistence phase was followed up by booster phase. Persistence phase: Subjects received a single 0.5 mL dose of Mencevax ACWY vaccine intramuscularly, as primary vaccination in study 107386 [NCT00356369]. Then, in this study (MENACWY-TT-99) they were evaluated for long-term persistence of immune response for 4 years (7, 8, 9 and 10 years post primary vaccination). Booster phase: All eligible subjects from persistence phase who provided informed consent to enroll in booster phase, received a single 0.5 mL booster dose of MenACWY-TT vaccine intramuscularly in this study, 10 years post primary vaccination, and were followed up for 6 months after booster vaccination.

    Serious adverse events
    Booster Phase: ACWY-TT group Booster Phase: MenPS group Persistence phase: ACWY-TT group Persistence phase: MenPS group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 164 (0.00%)
    0 / 56 (0.00%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    Booster Phase: ACWY-TT group Booster Phase: MenPS group Persistence phase: ACWY-TT group Persistence phase: MenPS group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    66 / 164 (40.24%)
    20 / 56 (35.71%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
    Nervous system disorders
    Headache
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
    alternative assessment type: Systematic
         subjects affected / exposed
    25 / 164 (15.24%)
    5 / 56 (8.93%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    40
    6
    0
    0
    General disorders and administration site conditions
    Fatigue
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
    alternative assessment type: Systematic
         subjects affected / exposed
    23 / 164 (14.02%)
    8 / 56 (14.29%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    42
    9
    0
    0
    Influenza like illness
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
         subjects affected / exposed
    2 / 164 (1.22%)
    0 / 56 (0.00%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Injection site erythema (redness)
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
    alternative assessment type: Systematic
         subjects affected / exposed
    9 / 164 (5.49%)
    2 / 56 (3.57%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    18
    3
    0
    0
    Injection site pain (pain at injection site)
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
    alternative assessment type: Systematic
         subjects affected / exposed
    43 / 164 (26.22%)
    14 / 56 (25.00%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    73
    19
    0
    0
    Injection site swelling (swelling)
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
    alternative assessment type: Systematic
         subjects affected / exposed
    6 / 164 (3.66%)
    3 / 56 (5.36%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    8
    4
    0
    0
    Gastrointestinal disorders
    Gastrointestinal
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
    alternative assessment type: Systematic
         subjects affected / exposed
    7 / 164 (4.27%)
    1 / 56 (1.79%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    12
    1
    0
    0
    Infections and infestations
    Nasopharyngitis
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
         subjects affected / exposed
    3 / 164 (1.83%)
    0 / 56 (0.00%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Pharyngotonsillitis
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
         subjects affected / exposed
    0 / 164 (0.00%)
    1 / 56 (1.79%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Post procedural infection
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
         subjects affected / exposed
    0 / 164 (0.00%)
    1 / 56 (1.79%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Upper respiratory tract infection
    Additional description: Non-SAEs were not collected for persistence phase of the study, hence actual population exposed is "0". Current presentation is a resolution of database limitation.
         subjects affected / exposed
    3 / 164 (1.83%)
    0 / 56 (0.00%)
    0 / 235 (0.00%)
    0 / 76 (0.00%)
         occurrences all number
    3
    0
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Enrollment for this study (MENACWY-TT-99) started at Year 6. However, Study visit for Year 6 was not done because approval was not obtained from the authorities until after the end of the Year 6. Hence, no planned activities were done for Year 6.
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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