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    Clinical Trial Results:
    A Phase 3, Randomized, Observer-blind, Multi-Center Study to Compare the Safety and Immunogenicity of One Dose of Novartis Meningococcal ACWY Conjugate Vaccine with One Dose of Licensed Meningococcal ACWY Conjugate Vaccine (Menactra™) Administered to Healthy Children 2-10 Years of Age.

    Due to a system error, the data reported in v1 is not correct and has been removed from public view.
    Summary
    EudraCT number
    2014-005161-72
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    14 Oct 2009

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

    Trial information

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    Trial identification
    Sponsor protocol code
    V59P20
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00616421
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Vaccines and Diagnostics
    Sponsor organisation address
    4560 Horton Street, Emeryville, CA, United States, 94608-2916
    Public contact
    Posting Director, Novartis Vaccines and Diagnostics Inc., RegistryContactVaccinesUS@novartis.com
    Scientific contact
    Posting Director, Novartis Vaccines and Diagnostics Inc., RegistryContactVaccinesUS@novartis.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-000032-PIP01-07
    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
    02 Feb 2010
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Oct 2009
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To compare the immunogenicity of a single dose of MenACWY with the immunogenicity of a single dose of Menactra, defined as percentage of subjects with seroresponse directed against N. meningitides serogroups A, C, W-135 and Y, at 1 month after vaccination, when administered to healthy children 2 to 5 years of age. To compare the immunogenicity of a single dose of MenACWY with the immunogenicity of a single dose of Menactra, defined as percentage of subjects with seroresponse directed against N. meningitides serogroups A, C, W-135 and Y, at 1 month after vaccination, when administered to healthy children 6 to 10 years of age.
    Protection of trial subjects
    This trial was performed with the ethical principles that have their origin in the Declaration of Helsinki, that are consistent with Good Clinical Practice (GCP) according to International Conference on Harmonisation (ICH) guidelines, the applicable regulatory requirements(s) for the country in which the study is conducted. An independent, external Data Monitoring Committe (DMC) was established to monitor safety by performing scheduled analyses.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    13 Mar 2008
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    6 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 2182
    Country: Number of subjects enrolled
    Canada: 725
    Worldwide total number of subjects
    2907
    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)
    1
    Children (2-11 years)
    2906
    Adolescents (12-17 years)
    0
    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
    Participants were enrolled at 67 centres in the USA and Canada.

    Pre-assignment
    Screening details
    All subjects enrolled 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, Assessor
    Blinding implementation details
    This was an observer-blind study except for those subjects in Group I who were administered two doses of MenACWY in an open-label fashion. For the observer-blind groups (II, III, IV and V), the subject, subject’s parent/legal guardian and those assessing subject safety, including the investigators, study nurses, and coordinators, were blind to vaccine administered.

    Arms
    Are arms mutually exclusive
    No

    Arm title
    MenACWY-CRM (2 Doses)
    Arm description
    2 injections of the Novartis MenACWY-CRM vaccine administered on study days 1 and 61 in children 2 to 5 years of age
    Arm type
    Experimental

    Investigational medicinal product name
    Meningococcal (groups A, C, W, and Y) oligosaccharide diphtheria CRM-197 conjugate vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solution for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    2 injections of the Novartis MenACWY-CRM vaccine administered by intramuscular (IM) injection.

    Arm title
    MenACWY-CRM (1 Dose)_2 to 5 Years
    Arm description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 5 years of age
    Arm type
    Experimental

    Investigational medicinal product name
    Meningococcal (groups A, C, W, and Y) oligosaccharide diphtheria CRM-197 conjugate vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solution for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    1 injection of the Novartis MenACWY-CRM vaccine administered by intramuscular (IM) injection.

    Arm title
    MenACWY-CRM (1 Dose)_6 to 10 Years
    Arm description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 6 to 10 years of age
    Arm type
    Experimental

    Investigational medicinal product name
    Meningococcal (groups A, C, W, and Y) oligosaccharide diphtheria CRM-197 conjugate vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solution for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    1 injection of the Novartis MenACWY-CRM vaccine administered by intramuscular (IM) injection.

    Arm title
    Menactra_2 to 5 Years
    Arm description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 5 years of age
    Arm type
    Active comparator

    Investigational medicinal product name
    MenACWY polysaccharide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered by intramuscular (IM) injection.

    Arm title
    Menactra_6 to 10 Years
    Arm description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 6 to 10 years of age
    Arm type
    Active comparator

    Investigational medicinal product name
    MenACWY polysaccharide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered by intramuscular (IM) injection.

    Arm title
    MenACWY-CRM (1 Dose)_2 to 10 Years
    Arm description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 10 years of age
    Arm type
    Experimental

    Investigational medicinal product name
    Meningococcal (groups A, C, W, and Y) oligosaccharide diphtheria CRM-197 conjugate vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solution for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    1 injection of the Novartis MenACWY-CRM vaccine administered by intramuscular (IM) injection.

    Arm title
    Menactra_2 to 10 Years
    Arm description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 10 years of age.
    Arm type
    Experimental

    Investigational medicinal product name
    Meningococcal (groups A, C, W, and Y) oligosaccharide diphtheria CRM-197 conjugate vaccine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solution for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    1 injection of the Novartis MenACWY-CRM vaccine administered by intramuscular (IM) injection.

    Number of subjects in period 1
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_2 to 5 Years Menactra_6 to 10 Years MenACWY-CRM (1 Dose)_2 to 10 Years Menactra_2 to 10 Years
    Started
    359
    696
    582
    696
    574
    1278
    1270
    Completed
    333
    669
    571
    672
    557
    1240
    1229
    Not completed
    26
    27
    11
    24
    17
    38
    41
         Consent withdrawn by subject
    9
    9
    2
    7
    1
    11
    8
         Lost to follow-up
    12
    18
    8
    16
    14
    26
    30
         Unable to Classify
    1
    -
    -
    -
    -
    -
    -
         Inappropriate Enrollment
    3
    -
    -
    1
    -
    -
    1
         Administrative reason
    1
    -
    -
    -
    -
    -
    -
         Protocol deviation
    -
    -
    1
    -
    2
    1
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    MenACWY-CRM (2 Doses)
    Reporting group description
    2 injections of the Novartis MenACWY-CRM vaccine administered on study days 1 and 61 in children 2 to 5 years of age

    Reporting group title
    MenACWY-CRM (1 Dose)_2 to 5 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 5 years of age

    Reporting group title
    MenACWY-CRM (1 Dose)_6 to 10 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 6 to 10 years of age

    Reporting group title
    Menactra_2 to 5 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 5 years of age

    Reporting group title
    Menactra_6 to 10 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 6 to 10 years of age

    Reporting group title
    MenACWY-CRM (1 Dose)_2 to 10 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 10 years of age

    Reporting group title
    Menactra_2 to 10 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 10 years of age.

    Reporting group values
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_2 to 5 Years Menactra_6 to 10 Years MenACWY-CRM (1 Dose)_2 to 10 Years Menactra_2 to 10 Years Total
    Number of subjects
    359 696 582 696 574 1278 1270
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    3.5 ± 1.1 3.5 ± 1.1 7.9 ± 1.4 3.5 ± 1.1 8.1 ± 1.4 5.5 ± 2.5 5.6 ± 2.6 -
    Gender categorical
    Units: Subjects
        Female
    171 342 280 331 249 622 580 1373
        Male
    188 354 302 365 325 656 690 1534

    End points

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    End points reporting groups
    Reporting group title
    MenACWY-CRM (2 Doses)
    Reporting group description
    2 injections of the Novartis MenACWY-CRM vaccine administered on study days 1 and 61 in children 2 to 5 years of age

    Reporting group title
    MenACWY-CRM (1 Dose)_2 to 5 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 5 years of age

    Reporting group title
    MenACWY-CRM (1 Dose)_6 to 10 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 6 to 10 years of age

    Reporting group title
    Menactra_2 to 5 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 5 years of age

    Reporting group title
    Menactra_6 to 10 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 6 to 10 years of age

    Reporting group title
    MenACWY-CRM (1 Dose)_2 to 10 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 10 years of age

    Reporting group title
    Menactra_2 to 10 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 10 years of age.

    Subject analysis set title
    Randomized Set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All subjects who have signed an informed consent, undergone screening procedures, and have been randomized, i.e. all subjects who have data in panel DEMOG

    Subject analysis set title
    Modified Intention-to-treat (MITT) population
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    All subjects who actually receive a study vaccination and provide at least one evaluable serum sample both before and after vaccination.

    Subject analysis set title
    Safety
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    All subjects who have received at least one study dose and have post-baseline safety data will be included in the safety analysis

    Subject analysis set title
    Per Protocol population
    Subject analysis set type
    Per protocol
    Subject analysis set description
    All subjects in the MITT population who provide evaluable serum samples (titer results are available) both before and after vaccination, and have no major protocol deviation as defined prior to unblinding.

    Primary: Percentages of Subjects With hSBA (human Serum Bactericidal Activity) Seroresponse, in Healthy Children 2 to 5 Years of Age

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    End point title
    Percentages of Subjects With hSBA (human Serum Bactericidal Activity) Seroresponse, in Healthy Children 2 to 5 Years of Age [1] [2]
    End point description
    The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the Percentages of subjects with seroresponse directed against N.meningitides serogroups A, C, W-135, and Y. Seroresponse: For a subject with hSBA <1:4 at baseline, seroresponse is defined as a post vaccination hSBA ≥ 1:8; for a subject with hSBA ≥ 1:4 at baseline, seroresponse is defined as a post vaccination hSBA titer of at least 4 times the baseline. The analysis was performed on the per-protocol (PP) population.
    End point type
    Primary
    End point timeframe
    1 month post 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: statistical analyses not applicable for this endpoint.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 5 Years Menactra_2 to 5 Years
    Number of subjects analysed
    607
    615
    Units: Percentages of subjects
    number (confidence interval 95%)
        Serogroup A (N=606, 611)
    72 (68 to 75)
    77 (73 to 80)
        Serogroup C (N=607, 615)
    60 (56 to 64)
    56 (52 to 60)
        Serogroup W (N=594, 605)
    72 (68 to 75)
    58 (54 to 62)
        Serogroup Y (N=593, 600)
    66 (62 to 70)
    45 (41 to 49)
    No statistical analyses for this end point

    Primary: Percentages of Subjects With hSBA Seroresponse, in Healthy Children 6 to 10 Years of Age

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    End point title
    Percentages of Subjects With hSBA Seroresponse, in Healthy Children 6 to 10 Years of Age [3] [4]
    End point description
    The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the Percentages of subjects with seroresponse directed against N. meningitidis serogroups A, C, W-135, and Y. Seroresponse: For a subject with hSBA <1:4 at baseline, seroresponse is defined as a postvaccination hSBA ≥ 1:8; for a subject with hSBA ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline. The analysis was performed on the per-protocol (PP) population.
    End point type
    Primary
    End point timeframe
    1 month postvaccination.
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: statistical analyses not applicable for this endpoint.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_6 to 10 Years
    Number of subjects analysed
    554
    541
    Units: Percentages of subjects
    number (confidence interval 95%)
        Serogroup A (N=551, 541)
    77 (73 to 80)
    83 (79 to 86)
        Serogroup C (N=554, 539)
    63 (59 to 67)
    57 (53 to 62)
        Serogroup W (N=542, 533)
    57 (53 to 61)
    44 (40 to 49)
        Serogroup Y (N=545, 539)
    58 (54 to 62)
    39 (35 to 44)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects With hSBA Seroresponse, in Healthy Children 2 to 10 Years of Age.

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    End point title
    Percentages of Subjects With hSBA Seroresponse, in Healthy Children 2 to 10 Years of Age. [5]
    End point description
    The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the percentages of subjects with seroresponse directed against N. meningitidis serogroups A, C, W-135, and Y. Seroresponse: For a subject with hSBA <1:4 at baseline, seroresponse is defined as a postvaccination hSBA ≥ 1:8; for a subject with hSBA ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination.
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 10 Years Menactra_2 to 10 Years
    Number of subjects analysed
    1161
    1154
    Units: Percentages of subjects
    number (confidence interval 95%)
        Serogroup A (N=1157, 1152)
    74 (71 to 76)
    80 (77 to 82)
        Serogroup C (N=1161, 1154)
    61 (58 to 64)
    57 (54 to 60)
        Serogroup W (N=1136, 1138)
    65 (62 to 67)
    51 (48 to 54)
        Serogroup Y (N=1138, 1139)
    62 (60 to 65)
    42 (40 to 45)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 10 Years of Age

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    End point title
    Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 10 Years of Age [6]
    End point description
    The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the percentages of subjects with hSBA ≥ 1:8 against N. Meningitidis serogroups A, C, W-135, and Y. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination.
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 10 Years Menactra_2 to 10 Years
    Number of subjects analysed
    1161
    1154
    Units: Percentages of subjects
    number (confidence interval 95%)
        Serogroup A (N=1157, 1152)
    75 (72 to 77)
    80 (78 to 83)
        Serogroup C (N=1161, 1154)
    72 (70 to 75)
    68 (66 to 71)
        Serogroup W (N=1136, 1138)
    90 (88 to 92)
    60 (57 to 63)
        Serogroup Y (N=1138, 1139)
    77 (75 to 80)
    79 (77 to 81)
    No statistical analyses for this end point

    Secondary: Geometric Mean Titers hSBA in Healthy Children 2 to 10 Years of Age

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    End point title
    Geometric Mean Titers hSBA in Healthy Children 2 to 10 Years of Age [7]
    End point description
    The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the number of subjects with hSBA (human Serum Bactericidal Activity) Geometric Mean Titers (GMTs) response against N. meningitidis serogroups A, C, W-135, and Y. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination.
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 10 Years Menactra_2 to 10 Years
    Number of subjects analysed
    1161
    1154
    Units: Titers
    geometric mean (confidence interval 95%)
        Serogroup A (N=1157, 1152)
    30 (27 to 34)
    29 (26 to 33)
        Serogroup C (N=1161, 1154)
    23 (21 to 27)
    17 (15 to 20)
        Serogroup W (N=1136, 1138)
    49 (44 to 54)
    26 (23 to 29)
        Serogroup Y (N=1138, 1139)
    29 (25 to 32)
    12 (11 to 14)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 5 and 6 to 10 Years of Age

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    End point title
    Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 5 and 6 to 10 Years of Age [8]
    End point description
    The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the percentages of subjects with hSBA ≥ 1:8 directed against N. meningitidis serogroups A, C, W-135, and Y. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination.
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 5 Years MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_2 to 5 Years Menactra_6 to 10 Years
    Number of subjects analysed
    607
    554
    615
    541
    Units: Percentages of subjects
    number (confidence interval 95%)
        Serogroup A (N=606, 551, 611, 541)
    72 (68 to 75)
    77 (74 to 81)
    78 (74 to 81)
    83 (80 to 86)
        Serogroup C (N=607, 554, 615, 539)
    68 (64 to 72)
    77 (73 to 80)
    64 (60 to 68)
    74 (70 to 77)
        Serogroup W (N=594, 542, 605, 533)
    90 (87 to 92)
    91 (88 to 93)
    75 (71 to 78)
    84 (81 to 87)
        Serogroup Y (N=593, 545, 600, 539)
    76 (72 to 79)
    79 (76 to 83)
    57 (53 to 61)
    63 (59 to 67)
    No statistical analyses for this end point

    Secondary: Geometric Mean Titers (hSBA), in Healthy Children 2 to 5 and 6 to 10 Years of Age

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    End point title
    Geometric Mean Titers (hSBA), in Healthy Children 2 to 5 and 6 to 10 Years of Age [9]
    End point description
    The immunogenicity of a single dose of the Novartis MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine (Menactra), in terms of the number of subjects with hSBA (human Serum Bacterial Activity) Geometric Mean Titers (GMTs) response against N. meningitidis serogroups A, C, W-135, and Y. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 5 Years MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_2 to 5 Years Menactra_6 to 10 Years
    Number of subjects analysed
    607
    551
    615
    541
    Units: Titers
    geometric mean (confidence interval 95%)
        Serogroup A (N=606, 551, 611, 541)
    26 (22 to 30)
    35 (29 to 42)
    25 (21 to 29)
    35 (29 to 41)
        Serogroup C (N=607, 554, 615, 539)
    18 (15 to 20)
    36 (29 to 45)
    13 (11 to 15)
    27 (21 to 33)
        Serogroup W (N=594, 542, 605, 533)
    43 (38 to 50)
    61 (52 to 72)
    21 (19 to 25)
    35 (30 to 42)
        Serogroup Y (N=593, 545, 600, 539)
    24 (20 to 28)
    34 (28 to 41)
    10 (8.68 to 12)
    14 (12 to 17)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects With hSBA Seroresponse, in Healthy Children 2 to 5 Years of Age (2 Doses vs 1 Dose)

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    End point title
    Percentages of Subjects With hSBA Seroresponse, in Healthy Children 2 to 5 Years of Age (2 Doses vs 1 Dose) [10]
    End point description
    The immunogenicity of two doses of the Novartis MenACWY-CRM, administered 1 month apart, is compared with the immunogenicity of a single dose of the Novartis MenACWY-CRM, directed against N. meningitidis serogroups A, C, W-135, and Y. Seroresponse: For a subject with hSBA <1:4 at baseline, seroresponse is defined as a postvaccination hSBA ≥ 1:8; for a subject with hSBA ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination
    Notes
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years
    Number of subjects analysed
    293
    607
    Units: Percentages of subjects
    number (confidence interval 95%)
        Serogroup A (N=291, 606)
    91 (87 to 94)
    72 (68 to 75)
        Serogroup C (N=293, 607)
    98 (95 to 99)
    60 (56 to 64)
        Serogroup W (N=288, 594)
    89 (85 to 92)
    72 (68 to 75)
        Serogroup Y (N=286, 593)
    95 (91 to 97)
    66 (62 to 70)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 5 Years of Age (2 Doses v/s 1 Dose)

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    End point title
    Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 5 Years of Age (2 Doses v/s 1 Dose) [11]
    End point description
    The immunogenicity of two doses of the Novartis MenACWY-CRM, administered 2 months apart, is compared with the immunogenicity of a single dose of the Novartis MenACWY-CRM in terms of the percentages of subjects with hSBA ≥ 1:8 directed against N. meningitidis serogroups A, C, W-135, and Y. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years
    Number of subjects analysed
    293
    607
    Units: Percentages of Subjects
    number (confidence interval 95%)
        Serogroup A (N=291, 606)
    91 (88 to 94)
    72 (68 to 75)
        Serogroup C (N=293, 607)
    99 (97 to 100)
    68 (64 to 72)
        Serogroup W (N=288, 594)
    99 (98 to 100)
    90 (87 to 92)
        Serogroup Y (N=286, 593)
    98 (95 to 99)
    76 (72 to 79)
    No statistical analyses for this end point

    Secondary: GMTs (hSBA) in Healthy Children 2 to 5 Years of Age (2 Doses v/s 1 Dose)

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    End point title
    GMTs (hSBA) in Healthy Children 2 to 5 Years of Age (2 Doses v/s 1 Dose) [12]
    End point description
    The immunogenicity of two doses of the Novartis MenACWY-CRM vaccine, administered 2 months apart, is compared with the immunogenicity of a single dose of the Novartis MenACWY-CRM vaccine, in terms of hSBA (human Serum Bactericidal Activity) GMTs (Geometric Mean Titers) against N.meningitidis serogroups A, C, W, and Y. The analysis was performed on the per-protocol (PP) population.
    End point type
    Secondary
    End point timeframe
    1 month postvaccination
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years
    Number of subjects analysed
    293
    607
    Units: Titers
    geometric mean (confidence interval 95%)
        Serogroup A (N=291, 606)
    64 (51 to 81)
    27 (23 to 32)
        Serogroup C (N=293, 607)
    144 (118 to 177)
    18 (15 to 21)
        Serogroup W (N=288, 594)
    132 (111 to 157)
    41 (36 to 47)
        Serogroup Y (N=286, 593)
    102 (82 to 126)
    23 (20 to 27)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects With at Least One Reactogenicity Sign After Vaccination in Children 2 to 5 Years of Age

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    End point title
    Percentages of Subjects With at Least One Reactogenicity Sign After Vaccination in Children 2 to 5 Years of Age [13]
    End point description
    Safety was assessed in terms of the percenatges of subjects with reported local and systemic reactions up to 7 days after each vaccination per vaccination group. The analysis was performed on the safety population.
    End point type
    Secondary
    End point timeframe
    Study days 1 to 7
    Notes
    [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 5 Years Menactra_2 to 5 Years
    Number of subjects analysed
    693
    684
    Units: Percentages of subjects
        Injection site pain
    226
    241
        Injection site erythema
    186
    170
        Injection site induration
    126
    126
        Change in Eating Habits (N=683, 671)
    64
    69
        Sleepiness (N=692, 684)
    109
    126
        Irritability (N=692, 684)
    147
    152
        Vomiting (N=692, 684)
    21
    21
        Diarrhoea (N=692, 684)
    50
    53
        Arthralgia
    24
    24
        Headache
    33
    39
        Rash
    30
    34
        Fever ( ≥ 38C ; N=692, 684)
    15
    17
        Temperature ( ≥ 40.0C )
    0
    0
        Stayed home (N=682, 670)
    20
    14
        Analgesic/Antipyretic medication used
    77
    87
    No statistical analyses for this end point

    Secondary: Percentages of subjects With at Least One Reactogenicity Sign After Vaccination in Children 6 to 10 Years of Age

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    End point title
    Percentages of subjects With at Least One Reactogenicity Sign After Vaccination in Children 6 to 10 Years of Age [14]
    End point description
    Safety was assessed in terms of the percentages of subjects with reported local and systemic reactions up to 7 days after each vaccination per vaccination group. The analysis was performed on the safety population.
    End point type
    Secondary
    End point timeframe
    Study days 1 to 7
    Notes
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_6 to 10 Years
    Number of subjects analysed
    582
    571
    Units: Percentages of Subjects
        Injection site pain
    226
    256
        Injection site erythema
    164
    126
        Injection site induration
    97
    73
        Chills
    30
    26
        Nausea
    37
    49
        Malaise
    82
    62
        Myalgia
    61
    59
        Arthralgia
    37
    25
        Headache
    103
    77
        Rash
    28
    19
        Fever ( ≥ 38C ; N=582, 570)
    13
    10
        Temperature ( ≥ 40.0C; N=582, 570)
    0
    2
        Stayed home (N=575,566)
    17
    13
        Analgesic/Antipyretic medication used
    52
    56
    No statistical analyses for this end point

    Secondary: Percentages of subjects with unsolicited AEs occurring throughout the study in children aged 2 to 10 years

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    End point title
    Percentages of subjects with unsolicited AEs occurring throughout the study in children aged 2 to 10 years [15]
    End point description
    Safety was assessed in terms of the percentage of subjects with unsolicited AEs occurring throughout the study . The analysis was performed on the safety population.
    End point type
    Secondary
    End point timeframe
    Throughout the study
    Notes
    [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: statistical analyses not applicable for this endpoint.
    End point values
    MenACWY-CRM (1 Dose)_2 to 10 Years Menactra_2 to 10 Years
    Number of subjects analysed
    1275
    1255
    Units: Percentages of Subjects
        Any AEs
    248
    226
        Possibly probably related AEs
    60
    62
        SAEs
    8
    7
        AEs leading to discontinuation
    0
    0
        Possibly probably related SAEs
    0
    0
        Death
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All adverse events and serious adverse events were collected throughout the entire study period.
    Adverse event reporting additional description
    If the adverse event was solicited then the event is listed as systematic assessment. However, if the adverse event was not solicited (i.e., unsolicited), then the event is listed under non-systematic method of collection. Subjects not vaccinated were excluded from the safety analysis.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    12.1
    Reporting groups
    Reporting group title
    MenACWY-CRM (2 Doses)
    Reporting group description
    2 injections of the Novartis MenACWY-CRM vaccine administered on study days 1 and 61 in children 2 to 5 years of age.

    Reporting group title
    MenACWY-CRM (1 Dose)_2 to 5 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 2 to 5 years of age.

    Reporting group title
    MenACWY-CRM (1 Dose)_6 to 10 Years
    Reporting group description
    1 injection of the Novartis MenACWY-CRM vaccine administered on study day 1 in children 6 to 10 years of age.

    Reporting group title
    Menactra_2 to 5 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 2 to 5 years of age.

    Reporting group title
    Menactra_6 to 10 Years
    Reporting group description
    1 injection of the licensed meningococcal MenACWY polysaccharide vaccine administered on study day 1 in children 6 to 10 years of age.

    Serious adverse events
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_2 to 5 Years Menactra_6 to 10 Years
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 351 (0.57%)
    5 / 693 (0.72%)
    3 / 582 (0.52%)
    5 / 684 (0.73%)
    2 / 571 (0.35%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    Injury, poisoning and procedural complications
    ADRENAL HAEMATOMA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LACERATION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PULMONARY CONTUSION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    RIB FRACTURE
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SKIN ABRASION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    1 / 684 (0.15%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    TRAUMATIC LIVER INJURY
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    LOSS OF CONSCIOUSNESS
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    PYREXIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    1 / 684 (0.15%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    INGUINAL HERNIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    1 / 684 (0.15%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INTESTINAL OBSTRUCTION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    1 / 351 (0.28%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MOUTH CYST
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    1 / 571 (0.18%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    BRONCHOSPASM
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    1 / 693 (0.14%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMOTHORAX
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    PSYCHIATRIC SYMPTOM
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    1 / 571 (0.18%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    ARTHRITIS BACTERIAL
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    1 / 684 (0.15%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BRONCHOPNEUMONIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    1 / 351 (0.28%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CELLULITIS STAPHYLOCOCCAL
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PARVOVIRUS INFECTION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    1 / 351 (0.28%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PERITONSILLAR ABSCESS
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    1 / 693 (0.14%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PNEUMONIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    2 / 693 (0.29%)
    0 / 582 (0.00%)
    1 / 684 (0.15%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SHIGELLA INFECTION
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    1 / 582 (0.17%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    VIRAL INFECTION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    0 / 582 (0.00%)
    1 / 684 (0.15%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    DEHYDRATION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    2 / 693 (0.29%)
    0 / 582 (0.00%)
    0 / 684 (0.00%)
    0 / 571 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    MenACWY-CRM (2 Doses) MenACWY-CRM (1 Dose)_2 to 5 Years MenACWY-CRM (1 Dose)_6 to 10 Years Menactra_2 to 5 Years Menactra_6 to 10 Years
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    253 / 351 (72.08%)
    424 / 693 (61.18%)
    340 / 582 (58.42%)
    419 / 684 (61.26%)
    342 / 571 (59.89%)
    Nervous system disorders
    HEADACHE
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    27 / 351 (7.69%)
    37 / 693 (5.34%)
    105 / 582 (18.04%)
    39 / 684 (5.70%)
    79 / 571 (13.84%)
         occurrences all number
    35
    39
    136
    47
    105
    SOMNOLENCE
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    81 / 351 (23.08%)
    109 / 693 (15.73%)
    0 / 582 (0.00%)
    126 / 684 (18.42%)
    0 / 571 (0.00%)
         occurrences all number
    118
    122
    0
    145
    0
    General disorders and administration site conditions
    CHILLS
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    30 / 582 (5.15%)
    0 / 684 (0.00%)
    26 / 571 (4.55%)
         occurrences all number
    0
    0
    33
    0
    26
    INJECTION SITE ERYTHEMA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    131 / 351 (37.32%)
    186 / 693 (26.84%)
    164 / 582 (28.18%)
    170 / 684 (24.85%)
    126 / 571 (22.07%)
         occurrences all number
    198
    199
    170
    177
    132
    INJECTION SITE INDURATION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    82 / 351 (23.36%)
    126 / 693 (18.18%)
    97 / 582 (16.67%)
    126 / 684 (18.42%)
    73 / 571 (12.78%)
         occurrences all number
    112
    134
    99
    130
    79
    INJECTION SITE PAIN
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    151 / 351 (43.02%)
    226 / 693 (32.61%)
    226 / 582 (38.83%)
    241 / 684 (35.23%)
    256 / 571 (44.83%)
         occurrences all number
    211
    238
    242
    251
    264
    MALAISE
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    82 / 582 (14.09%)
    0 / 684 (0.00%)
    62 / 571 (10.86%)
         occurrences all number
    0
    0
    88
    0
    71
    PYREXIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    20 / 351 (5.70%)
    25 / 693 (3.61%)
    15 / 582 (2.58%)
    20 / 684 (2.92%)
    13 / 571 (2.28%)
         occurrences all number
    23
    28
    18
    22
    15
    Gastrointestinal disorders
    DIARRHOEA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    35 / 351 (9.97%)
    52 / 693 (7.50%)
    4 / 582 (0.69%)
    55 / 684 (8.04%)
    2 / 571 (0.35%)
         occurrences all number
    47
    66
    4
    67
    2
    NAUSEA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    3 / 351 (0.85%)
    2 / 693 (0.29%)
    50 / 582 (8.59%)
    0 / 684 (0.00%)
    37 / 571 (6.48%)
         occurrences all number
    3
    2
    57
    0
    39
    VOMITING
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    19 / 351 (5.41%)
    25 / 693 (3.61%)
    2 / 582 (0.34%)
    22 / 684 (3.22%)
    5 / 571 (0.88%)
         occurrences all number
    23
    28
    2
    25
    5
    Skin and subcutaneous tissue disorders
    RASH
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    31 / 351 (8.83%)
    33 / 693 (4.76%)
    28 / 582 (4.81%)
    35 / 684 (5.12%)
    21 / 571 (3.68%)
         occurrences all number
    34
    36
    29
    38
    26
    Psychiatric disorders
    EATING DISORDER
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    56 / 351 (15.95%)
    64 / 693 (9.24%)
    0 / 582 (0.00%)
    69 / 684 (10.09%)
    0 / 571 (0.00%)
         occurrences all number
    71
    66
    0
    77
    0
    IRRITABILITY
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    98 / 351 (27.92%)
    147 / 693 (21.21%)
    0 / 582 (0.00%)
    152 / 684 (22.22%)
    0 / 571 (0.00%)
         occurrences all number
    156
    172
    0
    176
    0
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    20 / 351 (5.70%)
    25 / 693 (3.61%)
    38 / 582 (6.53%)
    24 / 684 (3.51%)
    25 / 571 (4.38%)
         occurrences all number
    21
    27
    41
    27
    29
    MYALGIA
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    0 / 351 (0.00%)
    0 / 693 (0.00%)
    62 / 582 (10.65%)
    0 / 684 (0.00%)
    59 / 571 (10.33%)
         occurrences all number
    0
    0
    66
    0
    62
    Infections and infestations
    UPPER RESPIRATORY TRACT INFECTION
    alternative dictionary used: MedDRA 17.1
         subjects affected / exposed
    20 / 351 (5.70%)
    13 / 693 (1.88%)
    4 / 582 (0.69%)
    9 / 684 (1.32%)
    1 / 571 (0.18%)
         occurrences all number
    22
    13
    4
    10
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    28 Jan 2008
    Change in the primary objective: At the request of FDA the primary objective is changed as measure of seroresponse within each age group rather than in the total group of children aged 2-10 Addition of Data monitoring Committee

    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 reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/20943209
    For support, Contact us.
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