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    Clinical Trial Results:
    A Phase 3, Randomized, Observer-blind, Multicenter Study to Evaluate the Immunogenicity and Safety of Novartis rMenB+OMV NZ Vaccine in Healthy Subjects Aged 11 to 17 years in Korea.

    Due to a system error, the data reported in v1 is not correct and has been removed from public view.
    Summary
    EudraCT number
    2014-005083-15
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    05 Apr 2014

    Results information
    Results version number
    v2(current)
    This version publication date
    04 Jun 2016
    First version publication date
    03 May 2015
    Other versions
    v1 (removed from public view)
    Version creation reason
    • Correction of full data set
    re-QC of study needed because of EudraCT system glitch and updates to results are required.

    Trial information

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    Trial identification
    Sponsor protocol code
    V72_42
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01973218
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Vaccines and Diagnostics
    Sponsor organisation address
    Via Fiorentina 1, Siena, Italy, 53100
    Public contact
    Posting Director, Novartis Vaccines and Diagnostics S.r.l., RegistryContactVaccinesUS@novartis.com
    Scientific contact
    Posting Director, Novartis Vaccines and Diagnostics S.r.l., RegistryContactVaccinesUS@novartis.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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Mar 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    05 Apr 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Immunogenicity: To assess the immunogenicity following two doses (Day 1 and Day 31) of Novartis rMenB+OMV NZ vaccine and control vaccines in healthy adolescents, as measured by the percentage of subjects with serum bactericidal activity (SBA) titer ≥ 1:4 against indicator strains H44/76, 5/99 and NZ98/254 one month after the second dose (Day 61).
    Protection of trial subjects
    This clinical study was designed, implemented and reported in accordance with the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) Harmonized Tripartite Guidelines for Good Clinical Practice (GCP), with applicable local regulations, Novartis Vaccines and Diagnostics codes on protection of human rights, and with the ethical principles laid down in the Declaration of Helsinki (European Council 2001, US Code of Federal Regulations, ICH 1997).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    05 Apr 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Korea, Republic of: 264
    Worldwide total number of subjects
    264
    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)
    42
    Adolescents (12-17 years)
    222
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects were recruited from 7 study centers in Korea.

    Pre-assignment
    Screening details
    All enrolled subjects were included in the trial.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    rMenB
    Arm description
    Subjects received two doses of Meningococcal B Recombinant + Outer Membrane Vesicles New Zealand vaccine (rMenB+OMV NZ) vaccine (at Day 1 and Day 31) in the study.
    Arm type
    Experimental

    Investigational medicinal product name
    rMenB+ OMV NZ
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received 0.5mL of rMenB+OMV NZ vaccine on Day 1 and Day 31.

    Arm title
    Placebo/MenACWY
    Arm description
    Subjects received one dose of saline placebo (Day 1) and one dose of Meningococcal (groups A, C, W, and Y) Oligosaccharide Diphtheria CRM 197 Conjugate Vaccine (MenACWY-CRM) (Day 31) in the study.
    Arm type
    Placebo/ Active comparator

    Investigational medicinal product name
    MenACWY
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solution for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received 0.5mL of MenACWY vaccine on Day 31 after receiving saline solution on Day 1.

    Investigational medicinal product name
    Saline solution
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received saline at Day 1.

    Number of subjects in period 1
    rMenB Placebo/MenACWY
    Started
    176
    88
    Completed
    174
    88
    Not completed
    2
    0
         Consent withdrawn by subject
    1
    -
         Adverse event
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    rMenB
    Reporting group description
    Subjects received two doses of Meningococcal B Recombinant + Outer Membrane Vesicles New Zealand vaccine (rMenB+OMV NZ) vaccine (at Day 1 and Day 31) in the study.

    Reporting group title
    Placebo/MenACWY
    Reporting group description
    Subjects received one dose of saline placebo (Day 1) and one dose of Meningococcal (groups A, C, W, and Y) Oligosaccharide Diphtheria CRM 197 Conjugate Vaccine (MenACWY-CRM) (Day 31) in the study.

    Reporting group values
    rMenB Placebo/MenACWY Total
    Number of subjects
    176 88 264
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    13.5 ( 1.8 ) 13.4 ( 1.8 ) -
    Gender categorical
    Units: Subjects
        Female
    77 36 113
        Male
    99 52 151

    End points

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    End points reporting groups
    Reporting group title
    rMenB
    Reporting group description
    Subjects received two doses of Meningococcal B Recombinant + Outer Membrane Vesicles New Zealand vaccine (rMenB+OMV NZ) vaccine (at Day 1 and Day 31) in the study.

    Reporting group title
    Placebo/MenACWY
    Reporting group description
    Subjects received one dose of saline placebo (Day 1) and one dose of Meningococcal (groups A, C, W, and Y) Oligosaccharide Diphtheria CRM 197 Conjugate Vaccine (MenACWY-CRM) (Day 31) in the study.

    Subject analysis set title
    All Enrolled Set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All subjects who have signed the informed consent, undergone screening procedures and were randomized.

    Subject analysis set title
    Safety Set (overall)
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    All subjects in the Exposed Set who have either post-vaccination adverse event or “reactogenicity” records. Subjects will be analyzed as "treated" (i.e., according to the vaccine a subject received, rather than the vaccine to which the subject may have been randomized).

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All subjects in the Enrolled Population who received at least one dose of study vaccination and provide immunogenicity data at relevant time points. FAS populations will be analyzed “as randomized” (i.e., subject is analyzed according to the vaccine he/she was designated to receive, which may be different from the vaccine the subject actually received).

    Primary: 1. Percentage of subjects with human serum bactericidal antibody titers (SBA) ≥1:4 against Neisseria meningitidis serogroup B by vaccine group.

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    End point title
    1. Percentage of subjects with human serum bactericidal antibody titers (SBA) ≥1:4 against Neisseria meningitidis serogroup B by vaccine group. [1]
    End point description
    Percentage of subjects with SBA ≥1:4 against each of the three indicators strains of N.meningitidis serogroup B, at one month after second vaccination, were reported for each group. Analysis was done on the Full Analysis Set i.e. all subjects who received at least one study vaccine and had immunogenicity data at relevant timepoints.
    End point type
    Primary
    End point timeframe
    Day 1, Day 61
    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: No statistical analysis is associated to this Endpoint.
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    174
    88
    Units: Percentages of subjects
    number (confidence interval 95%)
        H44/76 strain (Day 1)
    26 (20 to 33)
    24 (15 to 34)
        H44/76 strain (Day 61)
    98 (94 to 99)
    27 (18 to 38)
        5/99 strain (Day 1)
    12 (8 to 18)
    10 (5 to 19)
        5/99 strain (Day 61)
    97 (93 to 99)
    16 (9 to 25)
        NZ98/254 strain (Day 1)
    16 (10 to 22)
    15 (8 to 24)
        NZ98/254 strain (Day 61)
    97 (93 to 99)
    17 (10 to 27)
    No statistical analyses for this end point

    Secondary: 2. The SBA Geometric Mean Titers (GMTs) against N.meningitidis serogroup B, by vaccine group.

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    End point title
    2. The SBA Geometric Mean Titers (GMTs) against N.meningitidis serogroup B, by vaccine group.
    End point description
    The SBA antibody titers against each of the three indicator strains of N.meningitidis serogroup B at one month after second vaccination were reported as GMTs, for each group. Analysis was done on the Full Analysis Set.
    End point type
    Secondary
    End point timeframe
    Day 1, Day 61
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    174
    88
    Units: Titers
    geometric mean (confidence interval 95%)
        H44/76 strain (Day 1)
    2.31 (1.94 to 2.74)
    2.18 (1.72 to 2.77)
        H44/76 strain (Day 61)
    91 (74 to 112)
    2.56 (1.91 to 3.43)
        5/99 strain (Day 1)
    1.5 (1.31 to 1.72)
    1.37 (1.16 to 1.61)
        5/99 strain (Day 61)
    351 (284 to 432)
    1.84 (1.34 to 2.52)
        NZ98/254 strain (Day 1)
    1.71 (1.45 to 2.02)
    1.59 (1.27 to 1.99)
        NZ98/254 strain (Day 61)
    32 (26 to 40)
    1.77 (1.35 to 2.32)
    No statistical analyses for this end point

    Secondary: 3. The geometric mean ratio (GMRs) of post- versus pre-vaccination SBA titers Against N.meningitidis serogroup B, by vaccine group.

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    End point title
    3. The geometric mean ratio (GMRs) of post- versus pre-vaccination SBA titers Against N.meningitidis serogroup B, by vaccine group.
    End point description
    The GMRs of post-vaccination versus pre-vaccination SBA titers against each of the three indicator strains of N.meningitidis serogroup B, at one month after second vaccination (Day 61/Day 1) are reported, for each group. Analysis was done on the Full Analysis Set.
    End point type
    Secondary
    End point timeframe
    Day 61/ Day 1
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    174
    88
    Units: Ratio
    geometric mean (confidence interval 95%)
        H44/76 strain
    40 (32 to 49)
    1.18 (0.92 to 1.51)
        5/99 strain
    234 (181 to 301)
    1.34 (1 to 1.81)
        NZ98/254 strain
    19 (15 to 23)
    1.11 (0.92 to 1.35)
    No statistical analyses for this end point

    Secondary: 4. The percentages of subjects with a four-fold increase in SBA antibody titers against N.meningitidis serogroup B, by vaccine group.

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    End point title
    4. The percentages of subjects with a four-fold increase in SBA antibody titers against N.meningitidis serogroup B, by vaccine group.
    End point description
    Percentages of subjects with a four-fold increase in SBA antibody titers from baseline against each of the three indicator strains of N.meningitidis serogroup B, at one month after second vaccination are reported, for each group. Analysis was done on the Full Analysis Set.
    End point type
    Secondary
    End point timeframe
    Day 61
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    174
    88
    Units: Percentages of subjects
    number (confidence interval 95%)
        H44/76 strain
    93 (88 to 96)
    8 (3 to 16)
        5/99 strain
    97 (93 to 99)
    6 (2 to 13)
        NZ98/254 strain
    83 (76 to 88)
    6 (2 to 13)
    No statistical analyses for this end point

    Secondary: 5. The Geometric mean concentrations (GMCs) against vaccine antigen 287-953, by vaccine group.

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    End point title
    5. The Geometric mean concentrations (GMCs) against vaccine antigen 287-953, by vaccine group.
    End point description
    The GMCs against vaccine antigen 287-953, at one month after second vaccination are reported, for each group. Analysis was done on the Full Analysis Set.
    End point type
    Secondary
    End point timeframe
    Day 1, Day 61
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    172
    88
    Units: Concentrations IU/mL
    geometric mean (confidence interval 95%)
        Day 1
    23 (22 to 24)
    26 (23 to 29)
        Day 61
    1208 (1025 to 1423)
    27 (23 to 32)
    No statistical analyses for this end point

    Secondary: 6. The GMR of post versus pre-vaccination GMCs against vaccine antigen 287-953, by vaccine group.

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    End point title
    6. The GMR of post versus pre-vaccination GMCs against vaccine antigen 287-953, by vaccine group.
    End point description
    The GMR of post-vaccination versus pre-vaccination GMCs against vaccine antigen 287-953, at one month after the second vaccination (Day 61/Day 1) are reported, for each group. Analysis was done on the Full Analysis Set.
    End point type
    Secondary
    End point timeframe
    Day 61/Day 1
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    172
    88
    Units: Ratio
    geometric mean (confidence interval 95%)
        Day 61/Day 1
    52 (44 to 62)
    1.05 (0.9 to 1.22)
    No statistical analyses for this end point

    Secondary: 7. The number of subjects reporting solicited adverse events (AEs) after each study vaccination, by vaccine group.

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    End point title
    7. The number of subjects reporting solicited adverse events (AEs) after each study vaccination, by vaccine group.
    End point description
    The number of subjects reporting solicited local and systemic AEs following vaccination rMenB+OMV NZ or placebo/MenACWY-CRM, are reported. Analysis was done on the safety set for solicited AEs i.e all subjects who received the at least one study vaccination and had solicited AE data.
    End point type
    Secondary
    End point timeframe
    Day 1 to Day 7 after each vaccination
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    174
    88
    Units: Number of subjects
        Any Local (1st Vac; N=174,87)
    160
    22
        Inj. Site Pain (1st Vac; N=174,87)
    158
    18
        Inj. Site Erythema (1st Vac; TypeI; N=174,87)
    62
    5
        Inj. Site Eythema (1st Vac; TypeII; N=174,87)
    14
    0
        Inj. Site Swelling (1st Vac; TypeI; N=174,87)
    57
    0
        Inj. Site Swelling (1st Vac; TypeII; N=174,87)
    19
    0
        Inj. Site Induration (1st Vac; TypeI; N=174,87)
    55
    3
        Inj. Site Induration (1st Vac; TypeII; N=174,87)
    29
    0
        Any Local (2nd Vac; N=173,88)
    145
    36
        Inj. Site Pain (2nd Vac; N=173,88)
    142
    33
        Inj. Site Erythema (2nd Vac; TypeI; N=173,88)
    49
    17
        Inj. Site Erythema (2nd Vac; TypeII; N=173,88)
    11
    7
        Inj. Site Swelling (2nd Vac; TypeI; N=173,88)
    47
    16
        Inj. Site Swelling (2nd Vac; TypeII; N=173,88)
    16
    3
        Inj. Site Induration (2nd Vac; TypeI; N=173,88)
    54
    17
        Inj. Site Induration (2nd Vac; TypeII; N=173,88)
    26
    7
        Any Systemic (1st Vac; N=174,87)
    89
    31
        Loss of appetite (1st Vac; N=174,87)
    15
    8
        Nausea (1st Vac; N=174,87)
    20
    7
        Malaise (1st Vac; N=174,87)
    51
    13
        Myalgia (1st Vac; N=174,87)
    45
    10
        Arthralgia (1st Vac; N=174,87)
    14
    4
        Headache (1st Vac; N=174,87)
    42
    19
        Body Temp (≥38°C) (1st Vac; N=174,87)
    6
    1
        Prophy. use of Analg/Antipyr.(1st Vac; N=174,87)
    1
    0
        Therap. use of Analg/Antipyr.(1st Vac; N=174,87)
    11
    1
        Medically related Fever (1st Vac; N=174,86)
    1
    0
        Any Systemic (2nd Vac; N=173,88)
    74
    21
        Loss of appetite (2nd Vac; N=173,88)
    21
    4
        Nausea (2nd Vac; N=173,88)
    15
    5
        Malaise (2nd Vac; N=173,88)
    47
    10
        Myalgia (2nd Vac; N=173,88)
    29
    9
        Arthralgia (2nd Vac; N=173,88)
    15
    7
        Headache (2nd Vac; N=173,88)
    50
    16
        Body Temperature (≥38°C) (2nd Vac; N=173,88)
    9
    1
        Prophy use of Analg/Antipyr (2nd Vac) (N=173,88)
    1
    0
        Thera. use of Analg/Antipyr.( 2nd Vac; N=173,88)
    12
    1
        Medically related Fever (2nd Vac; N=171,88)
    2
    0
    No statistical analyses for this end point

    Secondary: 8. The number of subjects reporting unsolicited AEs after any vaccination, by vaccine group.

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    End point title
    8. The number of subjects reporting unsolicited AEs after any vaccination, by vaccine group.
    End point description
    The number of subjects reporting any unsolicited AEs, serious adverse events (SAEs), AEs leading to premature withdrawal and medically attended AEs (throughout the study), following vaccination rMenB+OMV NZ or placebo/MenACWY-CRM,were reported.
    End point type
    Secondary
    End point timeframe
    Day 1 to Day 61
    End point values
    rMenB Placebo/MenACWY
    Number of subjects analysed
    174
    88
    Units: Number of subjects
        Any AEs
    45
    10
        Possibly or Probably Related AES
    30
    3
        SAEs
    2
    0
        At least possibly related SAEs
    0
    0
        Deaths
    0
    0
        Medically attended AEs
    45
    20
        AEs resulting in premature withdrawal
    1
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Throughout the study
    Adverse event reporting additional description
    Solicited AEs were collected between Day 1 to Day 7 after each vaccination; any unsolicited AEs (including serious AEs, medically attended AEs and AEs leading to premature withdrawal) from Day 1 to Day 61 (throughout the study).
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Placebo/MenACWY
    Reporting group description
    Subjects received one dose of saline placebo (Day 1) and one dose of MenACWY-CRM vaccine (Day 31) in the study.

    Reporting group title
    rMenB
    Reporting group description
    Subjects received two doses of rMenB+OMV NZ vaccine (at Day 1 and Day 31) in the study.

    Serious adverse events
    Placebo/MenACWY rMenB
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 88 (0.00%)
    2 / 175 (1.14%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Reproductive system and breast disorders
    Parovarian cyst
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 88 (0.00%)
    1 / 175 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Gastroenteritis
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 88 (0.00%)
    1 / 175 (0.57%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo/MenACWY rMenB
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    63 / 88 (71.59%)
    167 / 175 (95.43%)
    Nervous system disorders
    Headache
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    31 / 88 (35.23%)
    78 / 175 (44.57%)
         occurrences all number
    47
    103
    General disorders and administration site conditions
    Injection Site Erythema
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    8 / 88 (9.09%)
    25 / 175 (14.29%)
         occurrences all number
    9
    28
    Injection Site Induration
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    7 / 88 (7.95%)
    43 / 175 (24.57%)
         occurrences all number
    8
    61
    Injection Site Pain
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    48 / 88 (54.55%)
    166 / 175 (94.86%)
         occurrences all number
    63
    322
    Malaise
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    17 / 88 (19.32%)
    77 / 175 (44.00%)
         occurrences all number
    27
    109
    Injection Site Swelling
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    4 / 88 (4.55%)
    31 / 175 (17.71%)
         occurrences all number
    4
    44
    Pyrexia
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    2 / 88 (2.27%)
    16 / 175 (9.14%)
         occurrences all number
    2
    18
    Gastrointestinal disorders
    Nausea
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    10 / 88 (11.36%)
    30 / 175 (17.14%)
         occurrences all number
    14
    43
    Musculoskeletal and connective tissue disorders
    Arthralgia
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    11 / 88 (12.50%)
    26 / 175 (14.86%)
         occurrences all number
    15
    33
    Myalgia
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    15 / 88 (17.05%)
    60 / 175 (34.29%)
         occurrences all number
    21
    81
    Infections and infestations
    Nasopharyngitis
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    14 / 88 (15.91%)
    16 / 175 (9.14%)
         occurrences all number
    15
    17
    Metabolism and nutrition disorders
    Decreased appetite
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    11 / 88 (12.50%)
    29 / 175 (16.57%)
         occurrences all number
    15
    42

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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.
    None
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