E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Novartis Meningococcal ACWY conjugate vaccine is intended for prevention of meningitis and septicemia caused by Neisseria meningitidis serogroups A, C, W and Y. |
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E.1.1.1 | Medical condition in easily understood language |
Novartis Meningococcal ACWY conjugate vaccine is intended for prevention of meningitis and septicemia caused by Neisseria meningitidis serogroups A, C, W and Y. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Bacterial Infections and Mycoses [C01] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10027280 |
E.1.2 | Term | Meningococcal sepsis |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10027249 |
E.1.2 | Term | Meningitis meningococcal |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10027276 |
E.1.2 | Term | Meningococcal meningitis |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10027274 |
E.1.2 | Term | Meningococcal infection |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10040081 |
E.1.2 | Term | Septicaemia meningococcal |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10040048 |
E.1.2 | Term | Sepsis meningococcal |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1) Show consistency of immune response for 3 lots of MenACWY as measured by serum bactericidal activity geometric mean titer response against serogroups A, C, W, Y (11 to 18 years);
2) Compare immunogenicity of a single dose MenACWY (3 lots) and a single dose of Menactra as measured by the percentage of subjects with seroresponse against serogroups A, C, W, Y (11 to 18 years);
3) Compare immunogenicity of a single dose of MenACWY (3 lots)
and a single dose of Menactra, as measured by percentage of subjects with seroresponse against serogroups A, C, W, Y (19 to 55 years).
4) Compare percentages of healthy subjects 11 to 55 years of age with at least one severe systemic reaction between day 1 and 7 following a single dose of MenACWY (3 lots combined) versus a single dose of Menactra. |
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E.2.2 | Secondary objectives of the trial |
1) Consistency of immune response for three lots of MenACWY, by percentage of subjects with seroresponse, hSBA titer ≥ 1:4 and ≥ 1:8, against serogroups A, C, W, Y (11 to 18 years);
2) Immunogenicity of one dose of MenACWY (3 lots) compared to one dose of Menactra; the percentage of subjects with seroresponse directed against serogroups A, C, W, Y (11 to 55 years);
3) Immunogenicity of one dose of MenACWY (3 lots) compared to one dose of Menactra; the percentage of subjects with hSBA ≥ 1:4 and ≥ 1:8, against serogroups A, C, W, Y (11 to 55 years);
4) Immunogenicity of one dose of MenACWY (3 lots ) compared to one dose of Menactra, by hSBA GMTs against serogroups A, C, W, Y (11 to 55 years).
5) Compare MenACWY to Menactra in terms of immediate hypersensitivity reactions, local and systemic reactions (day 1-7), AEs (day 1-29), medically significant AEs (day30-180), SAEs (day 1-180). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Healthy subjects who are 11-55 years of age inclusive and who have given appropriate written assent and/or consent. |
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E.4 | Principal exclusion criteria |
Subjects with:
• A previous or suspected disease caused by N. meningitidis
• Previous immunization with a meningococcal vaccine or vaccine containing meningococcal antigen(s)
• Previous or suspected disease caused by N. meningitidis
• Any serious acute, chronic or progressive disease
• Pregnant or breastfeeding |
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E.5 End points |
E.5.1 | Primary end point(s) |
1) Lot to Lot Consistency of MenACWY as Measured by hSBA GMT Vaccine Group Ratios, Ages 11 to 18 Years
2) Percentage of Seroresponders, Ages 11 to 18 Years
3) Number of Participants With at Least One Severe Systemic Reaction, Ages 11 to 55 Years
4) Percentage of Seroresponders, Ages 19 to 55 Years
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1) 28 days after vaccination
2) 28 days after vaccination
3) days 1 - 7
4) 28 days after vaccination |
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E.5.2 | Secondary end point(s) |
1) Lot to Lot Consistency as measured by the Percentage of Subjects With Seroresponse, Human Serum Bactericidal Activity (hSBA) Titer ≥ 1:8, and ≥ 1:4, Ages 11 to 18 Years
2) Percentage of Subjects With Seroresponse, Human Serum Bactericidal Activity (hSBA) Titer ≥ 1:8, and hSBA Titer ≥ 1:4, Ages 11 to 55 Years
3) Human Serum Bactericidal Activity (hSBA) Geometric Mean Titers, Ages 11 to 55 Years
4) Number of Subjects With Local and Systemic Reactions, Ages 11 to 55 Years |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) 28 days after vaccination
2) 28 days after vaccination
3) 28 days after vaccination
4) Days 1 to 7 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
1) Lot-to-lot consistency
2) Immunogenicity |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Licensed meningococcal vaccine (Menactra) |
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E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 15 |