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    Summary
    EudraCT Number:2016-003722-16
    Sponsor's Protocol Code Number:205419
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-08-02
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2016-003722-16
    A.3Full title of the trial
    A Phase IIIB, Randomized, Observer-blind, Multicenter Study to Assess the Safety and Immunogenicity of GSK Meningococcal Group B Vaccine when Administered Concomitantly with GSK Meningococcal MenACWY Conjugate Vaccine to Healthy Subjects 16-18 Years of Age
    Studio di fase 3b, randomizzato, con osservatore in cieco, multicentrico, per valutare la sicurezza e l’immunogenicità del vaccino meningococcico gruppo B quando somministrato in concomitanza con il vaccino meningococcico coniugato MenACWY in soggetti sani di età compresa tra 16 e 18 anni.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study to assess the immunogenicity and safety of GSK's meningococcal group B vaccine when administered concomitantly with GSK's meningococcal MenACWY conjugate vaccine in healthy subjects of 16-18 years of age.
    Studio per valutare l'immunogenicità e la sicurezza del vaccino meningococcico di gruppo B di GSK quando somministrato in concomitanza con il vaccino coniugato meningococcico MenACWY di GSK in soggetti sani di età compresa tra 16 e 18 anni.
    A.3.2Name or abbreviated title of the trial where available
    MENB REC 2ND GEN-045 (V72_79)
    MENB REC 2ND GEN-045 (V72_79)
    A.4.1Sponsor's protocol code number205419
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGLAXOSMITHKLINE BIOLOGICALS
    B.1.3.4CountryBelgium
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportGlaxoSmtihKline Biologicals
    B.4.2CountryBelgium
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGlaxoSmithKline Biologicals
    B.5.2Functional name of contact pointClinical Disclosure Advisor
    B.5.3 Address:
    B.5.3.1Street AddressRue de l'Institut , 89
    B.5.3.2Town/ cityRixensart
    B.5.3.3Post code1330
    B.5.3.4CountryBelgium
    B.5.4Telephone number00442089904460
    B.5.5Fax number00442089904460
    B.5.6E-mailGSKClinicalSupportHD@gsk.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Menveo
    D.2.1.1.2Name of the Marketing Authorisation holderGSK Vaccines S.r.l.
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMENVEO
    D.3.2Product code [GSK3536820A]
    D.3.4Pharmaceutical form Powder for solution for injection/infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNMeningococcal group A oligosaccharide conjugated to C. diphtheriae CRM197 protein
    D.3.9.2Current sponsor codeMenA-CRM197 conjugate
    D.3.9.4EV Substance CodeSUB31082
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNMeningococcal group C oligosaccharide conjugated to C. diphtheriae CRM197 protein
    D.3.9.2Current sponsor codeMenC-CRM197
    D.3.9.4EV Substance CodeSUB26743
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN. MENINGITIDIS GROUP W135 OLIGOSACCHARIDE CONJUGATED CRM197
    D.3.9.2Current sponsor codeMenY-CRM197 conjugate
    D.3.9.4EV Substance CodeSUB31083
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNMeningococcal group Y oligosaccharide conjugated to C. diphtheriae CRM197 protein
    D.3.9.2Current sponsor codeMenY-CRM197 conjugate
    D.3.9.4EV Substance CodeSUB126362
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name BEXSERO
    D.2.1.1.2Name of the Marketing Authorisation holderGSK Vaccines S.r.l.
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameBexsero
    D.3.2Product code [GSK3536829A]
    D.3.4Pharmaceutical form Suspension for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRecombinant Neisseria meningitidis group B NadA protein
    D.3.9.2Current sponsor codeNadA
    D.3.9.4EV Substance CodeSUB96089
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRecombinant Neisseria meningitidis group B fHbp fusion protein
    D.3.9.2Current sponsor codefHbp
    D.3.9.4EV Substance CodeSUB96090
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNOuter membrane vesicles (OMV) from Neisseria meningitidis group B strain NZ98/254
    D.3.9.2Current sponsor codeOMV
    D.3.9.4EV Substance CodeSUB96091
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRecombinant Neisseria meningitidis group B NHBA fusion protein
    D.3.9.2Current sponsor codeNA
    D.3.9.4EV Substance CodeSUB96088
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection in pre-filled syringe
    D.8.4Route of administration of the placeboIntramuscular use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection in pre-filled syringe
    D.8.4Route of administration of the placeboIntramuscular use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Active immunization against invasive meningococcal disease caused by 5 different serogroups of N. meningitidis by concomitant administration of meningococcal group B vaccine and meningococcal MenACWY conjugate vaccine
    Immunizzazione attiva contro la malattia meningococcica invasiva causata da 5 diversi sierogruppi di N. meningitidis mediante somministrazione concomitante di vaccino meningococcico di gruppo B e vaccino meningococcico coniugato MenACWY
    E.1.1.1Medical condition in easily understood language
    Meningitis, invasive meningococcal disease
    Meningite, malattia invasiva da meningococco
    E.1.1.2Therapeutic area Diseases [C] - Bacterial Infections and Mycoses [C01]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10027199
    E.1.2Term Meningitis
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess the safety and tolerability of rMenB+OMV NZ and MenACWY, when administered concomitantly or alone, in healthy subjects 16-18 years of age.
    To demonstrate the non-inferiority of the antibody response to rMenB+OMV NZ given concomitantly with MenACWY to healthy subjects 16-18 years of age compared to rMenB+OMV NZ administered alone, as measured by serum bactericidal assay using human complement (hSBA) Geometric Mean Titers (GMTs) against N. meningitidis serogroup B indicator strains, at one month after the second vaccination with rMenB+OMV NZ.
    To demonstrate the non-inferiority of the antibody response to MenACWY given concomitantly with rMenB+OMV NZ to healthy subjects 16-18 years of age compared to MenACWY administered alone, as measured by hSBA GMTs against each of the N. meningitidis serogroups A, C, W and Y, at one month after the (study) vaccination with MenACWY.
    Valutare sicurezza e tollerabilità di rMenB+OMV NZ e MenACWY, quando somministrati in concomitanza o singolarmente, in soggetti sani di età compresa tra 16-18 anni.
    Dimostrare la non-inferiorità della risposta anticorpale di rMenB+OMV NZ somministrato in concomitanza con MenACWY a soggetti sani di età compresa tra 16-18 anni, rispetto a rMenB+OMV NZ somministrato da solo, sulla base del valore della Media Geometrica dei Titoli anticorpali (GMT) misurati mediante il saggio dell'attività battericida sierica con complemento umano (hSBA) diretta contro il sierogruppo B di N. meningitidis, a distanza di un mese dalla seconda vaccinazione con rMenB+OMV NZ.
    Dimostrare la non inferiorità della risposta anticorpale di MenACWY somministrato in concomitanza con rMenB+OMV NZ a soggetti sani di 16–18 anni di età rispetto a MenACWY somministrato da solo, misurata con hSBA GMT contro ciascuno dei sierogruppi di N. meningitidis A, C, W e Y, a distanza di un mese dalla vaccinazione con MenACWY.
    E.2.2Secondary objectives of the trial
    To assess the non-inferiority of the responses to MenACWY when given concomitantly with rMenB+OMV NZ to healthy subjects 16-18 years of age compared to MenACWY administered alone as measured by Enzyme-Linked Immunosorbent Assay (ELISA) Geometric Mean Concentrations (GMCs) against each of the serogroups A, C, W and Y, at one month after the (study) vaccination with MenACWY.
    To assess the immune response to rMenB+OMV NZ in healthy subjects 16-18 years of age against N. meningitidis serogroup B test strains, at one month after the first and the second vaccination with rMenB+OMV NZ.
    To assess the immune response to MenACWY in healthy subjects 16-18 years of age against each of the serogroups A, C, W and Y, at one month after the (study) vaccination with MenACWY.
    Valutare la non inferiorità della risposta verso MenACWY quando somministrato in concomitanza con rMenB+OMV NZ a soggetti sani di 16 – 18 anni di età rispetto alla somministrazione del solo MenACWY, sulla base della media geometrica delle concentrazioni (GMC) misurate con il test di immunoassorbimento enzimatico (ELISA) contro ognuno dei sierogruppi A, C, W e Y, ad un mese dalla vaccinazione con MenACWY.
    Valutare la risposta immunitaria verso rMenB+OMV NZ in soggetti sani di 16–18 anni di età contro ceppi di prova di N. meningitidis del sierogruppo B ad un mese dalla prima e dalla seconda vaccinazione con rMenB+OMV NZ.
    Valutare la risposta immunitaria verso MenACWY in soggetti sani di età compresa tra 16–18 anni, contro ciascuno dei sierogruppi A, C, W e Y, ad un mese di distanza dalla vaccinazione con MenACWY.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol or/and subjects' parent(s)/Legally Acceptable Representative(s) [LAR(s)] who, in the opinion of the investigator, can and will comply, with the requirements of the protocol.
    • Previous vaccination with 1 dose of quadrivalent meningococcal
    conjugate vaccine (MenACWY, Menveo or Menactra) at least 4 years
    prior to informed consent and assent as applicable.
    • Written or /witnessed/thumb printed informed consent obtained
    from the subject/parent(s)/LAR(s) of the subject prior to performance
    of any study specific procedure.
    • Written informed assent obtained from the subject (if applicable)
    along with informed consent from the subject's parent(s)/LAR(s) prior
    to performing any study specific procedure.
    • A male or female between, and including, 16 and 18 years of age at
    the time of the first vaccination.
    • Healthy subjects as established by medical history and clinical
    examination before entering into the study.
    • Female subjects of non-childbearing potential may be enrolled in the
    study. Non-childbearing potential is defined as pre-menarche, current
    bilateral tubal ligation or occlusion, hysterectomy, bilateral
    ovariectomy or post-menopause.
    • Female subjects of childbearing potential may be enrolled in the
    study, if the subject:
    has practiced adequate contraception for 30 days prior to vaccination,
    and
    has a negative pregnancy test on the day of vaccination, and
    has agreed to continue adequate contraception during the entire
    treatment period and for 2 months after completion of the vaccination
    series.
    Un soggetto sarà eleggibile per questo studio soltanto se TUTTI i seguenti criteri di inclusione saranno soddisfatti:
    • Soggetti e/o genitori/tutori Legali di soggetti che, secondo il giudizio dello Sperimentatore, siano in grado di rispettare le richieste del protocollo studio (ad esempio: completare le schede diario, ritornare per le visite di follow-up).
    • Precedente vaccinazione con una dose di vaccino meningococcico quadrivalente coniugato (MenACWY, Menveo o Menactra) almeno 4 anni prima della firma del consenso e assenso informato, a seconda dei casi (in base all'età del soggetto).
    • Consenso informato scritto fornito dal soggetto/genitori/tutori legali del soggetto prima dell'esecuzione di qualsiasi procedura studio specifica. Nel caso di soggetti minorenni dovrà essere ottenuto l’assenso dal soggetto e il consenso informato da parte dei genitori/tutori legali.
    • Soggetti, di sesso maschile o femminile, con età compresa fra 16 e 18 anni al momento della prima vaccinazione.
    • Soggetti sani come stabilito dall'anamnesi e dall'esame clinico prima di entrare nello studio.
    • Soggetti di sesso femminile non potenzialmente fertili. Questo è definito come pre-menarca, legatura tubarica bilaterale corrente o occlusione, isterectomia, ovariectomia bilaterale o post-menopausa.
    • Soggetti di sesso femminile potenzialmente fertili potranno essere arruolate nello studio se: hanno praticato un’adeguata contraccezione nei 30 giorni che precedono la vaccinazione, e hanno un test di gravidanza negativo il giorno della vaccinazione, e accettano di continuare un'adeguata contraccezione durante l'intero periodo di trattamento e per 2 mesi dopo il completamento della serie di vaccinazioni.
    E.4Principal exclusion criteria
    Medical conditions
    • Progressive, unstable or uncontrolled clinical conditions.
    • Clinical conditions representing a contraindication to intramuscular
    vaccination and blood draws.
    • Abnormal function of the immune system resulting from:
    Clinical conditions.
    Systemic administration of corticosteroids (PO/IV/IM) for more than
    14 consecutive days within 90 days prior to study vaccination. This will
    mean prednisone =20 mg/day (for adult subjects) or =0.5 mg/kg/day
    or 20 mg/day whichever is the maximum dose for paediatric subjects,
    or equivalent. Inhaled and topical steroids are allowed.
    Administration of antineoplastic or immunomodulating agents or
    radiotherapy within 90 days prior to informed consent.
    • Are obese at screening (obesity is defined as a BMI of = 95th
    percentile for age and gender).
    • Any other clinical condition that, in the opinion of the investigator,
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    might pose additional risk to the subject due to participation in the
    study.
    • History of any reaction or hypersensitivity likely to be exacerbated by
    any component of the vaccines.
    • History of any reaction or hypersensitivity likely to be exacerbated by
    any medicinal products or medical equipment whose use is foreseen in
    this study.
    • Current or previous, confirmed or suspected disease caused by N.
    meningitidis.
    • Known contact to an individual with any laboratory-confirmed N.
    meningitidis infection within 60 days, prior to enrolment.
    • History of neuroinflammatory or autoimmune condition.
    • Recurrent history or un-controlled neurological disorders or seizures.
    Prior/Concomitant therapy
    • Use of any investigational or non-registered product other than the
    study vaccine(s) during the period starting 30 days before the informed
    consent or planned use during the study period.
    • Administration of immunoglobulins and/or any blood products or
    plasma derivatives during the period starting 180 days before the
    informed consent or planned administration during the study period.
    • Previous vaccination with any group B meningococcal vaccine at any
    time prior to informed consent and assent as applicable.
    • Previous vaccination with 2 doses of quadrivalent meningococcal
    conjugate vaccine (MenACWY, Menveo or Menactra).
    Prior/Concurrent clinical study experience
    • Subject concurrently participating in another clinical study, at any
    time during the study period, in which the subject has been or will be
    exposed to an investigational or a non-investigational vaccine/product,
    will not be enrolled.
    Other exclusions
    • Child in care.
    • Pregnant or lactating female.
    • Female planning to become pregnant or planning to discontinue
    contraceptive precautions.
    • Any study personnel or immediate dependants, family, or household
    member.
    Un soggetto non potrà partecipare allo studio se rientra ANCHE IN UNO SOLO dei seguenti criteri:
    • Condizioni mediche
    o Condizioni cliniche progressive, instabili o incontrollate.
    o Condizioni cliniche che rappresentano una controindicazione alla vaccinazione intramuscolare e ai prelievi di sangue.
    o Funzione anormale del sistema immunitario risultante da:
    ¿ Condizioni cliniche.
    ¿ Somministrazione sistemica di corticosteroidi (orale/endovena/intramuscolo) per più di 14 giorni consecutivi nei 90 giorni che precedono la vaccinazione di studio. Ciò significa prednisone 20 mg/giorno (per soggetti adulti) o 0,5 mg/kg/giorno o 20 mg/giorno qualunque sia la dose massima per i soggetti pediatrici, o equivalente. Gli steroidi inalatori e topici sono ammessi.
    ¿ Somministrazione di agenti antineoplastici o immunomodulanti o radioterapia nei 90 giorni precedenti alla firma del consenso informato.
    o Soggetti obesi allo screening (l'obesità è definita come un IMC di = 95° percentile per età e genere).
    o Qualsiasi altra condizione clinica che, secondo l'opinione dello sperimentatore, potrebbe rappresentare un rischio aggiuntivo per il soggetto a causa della partecipazione allo studio.
    o Storia di qualsiasi reazione o ipersensibilità che potrebbe essere aggravata da un qualsiasi componente dei vaccini.
    o Storia di qualsiasi reazione o ipersensibilità che potrebbe essere esacerbata da qualsiasi medicinale o apparecchiatura medica il cui uso è previsto in questo studio.
    o Malattia attuale o precedente, confermata o sospetta, causata da N. meningitidis.
    o Contatto noto con un individuo affetto da una qualsiasi infezione da N. meningitidis confermata in laboratorio, nei 60 giorni prima dell'arruolamento.
    o Storia di condizione neuroinfiammatoria o autoimmune.
    o Storia ricorrente o disturbi neurologici incontrollati o convulsioni.
    • Terapia precedente/concomitante
    o Uso di qualsiasi prodotto sperimentale o non registrato (farmaco, vaccino o dispositivo medicale) diverso dal/i vaccino/i dello studio, nei 30 giorni che precedono la firma del consenso informato o previsione di utilizzo durante lo studio.
    o Somministrazione di immunoglobuline e/o di qualsiasi prodotto di derivazione ematica o dal plasma nei 180 giorni che precedono la firma consenso informato o previsione di somministrazione durante il periodo di studio.
    o Precedente vaccinazione con qualsiasi vaccino meningococcico di gruppo B in qualsiasi momento prima del consenso e dell’assenso informato, a seconda dei casi (a seconda dell'età del soggetto).
    o Precedente vaccinazione con due dosi di vaccino coniugato meningococcico quadrivalente (MenACWY, Menveo o Menactra).
    • Precedente/attuale esperienza in studi clinici
    o Partecipazione concomitante ad un altro studio clinico, in qualsiasi momento durante il periodo di studio, che abbia esposto o possa esporre il soggetto ad un prodotto sperimentale o non registrato (farmaco, vaccino o dispositivo medico).
    • Altri criteri di esclusione
    o Bambini in affidamento.
    o Ragazze in gravidanza o in allattamento.
    o Soggetti di sesso femminile che pianifichino una gravidanza o programmino di interrompere le precauzioni contraccettive.
    o Personale del centro o alle sue immediate dipendenze, familiari o parenti più prossimi.
    E.5 End points
    E.5.1Primary end point(s)
    A. Percentage of subjects with solicited local adverse events (AEs). An adverse event is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Solicited local adverse events assessed are injection site pain, erythema, swelling, induration. Any erythema, swelling and swelling is defined as a symptom with a surface diameter equal or greater than 25 millimeter.
    B. Percentage of subjects with solicited systemic adverse events Solicited systemic adverse events assessed are (i.e., fever [temperature = 38.0°C/100.4°F], nausea, fatigue, myalgia, arthralgia, headache). C. Percentage of subjects with any unsolicited adverse events, Serious Adverse Events (SAEs), AEs leading to withdrawal and medically attended AEs . Unsolicited adverse events are defined as any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms are reported as an unsolicited adverse event. XML File Identifier: LC2h0w8o+1kUDrK+HIYC3dHFyec= Page 18/30
    SAEs are any untoward medical occurrence that result in death, are life-threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity and is a congenital anomaly/birth defect in the offspring of a study subject Medically attended AEs are symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider.
    D. Percentage of subjects with any SAEs, AEs leading to withdrawal and medically attended AEs. Serious adverse events, AEs leading to withdrawal and medically attended AEs throughout the study period are assessed.
    E. Percentage of subjects with adverse events of special interest (AESI). AESIs are predefined (serious or non-serious) adverse events of scientific and medical concern specific to the product or program, for which ongoing monitoring and rapid communication by the
    investigator to the sponsor can be appropriate, because such an event might warrant further investigation in order to characterize and understand it.
    F. hSBA GMTs against each of the N. meningitidis serogroup B strains
    after the second vaccination with rMenB+OMV NZ.
    Immune responses to rMenB+OMV NZ given with or without
    MenACWY, as measured by serum bactericidal assay using human
    complement (hSBA), are expressed as Geometric Mean Titers (GMTs)
    against N. meningitidis serogroup B indicator strains (M14459, 96217,
    NZ98/254 and M07-0241084).
    G. hSBA GMTs against each of the N. meningitidis serogroups A, C, W
    and Y after vaccination with MenACWY.
    Immune responses to MenACWY given with or without rMenB+OMV
    NZ, as measured by serum bactericidal assay using human
    complement (hSBA) are expressed as Geometric Mean Titers (GMTs)
    against each of the 4 serogroups A, C, W and Y
    A. Percentuale di soggetti con eventi avversi (AE) attesi locali (es. dolore al sito d’iniezione o eritema, gonfiore, indurimento al sito d'iniezione con diametro ¿ 25mm).
    B. Percentuale di soggetti con eventi avversi (AE) attesi sistemici (es. febbre [temperatura = 38,0°C], nausea, stanchezza, mialgia, artralgia, mal di testa).
    C. Percentuale di soggetti con qualsiasi AE non atteso (compresi tutti i SAE), AE che portano al ritiro dallo studio e che richiedono assistenza medica.
    D. Percentuale di soggetti con SAE, AE che portano al ritiro e AE che richiedono assistenza medica.
    E. Percentuale di soggetti (che hanno ricevuto rMenB+OMV NZ) con AESI.
    F. Valori di hSBA GMT contro ciascuno dei quattro ceppi di prova per il sierogruppo B (M14459, 96217, NZ98/254 e M07-0241084) dopo la seconda vaccinazione con rMenB+OMV NZ.
    G. Valori di hSBA GMT contro ciascuno dei quattro sierogruppi A, C, W e Y dopo la vaccinazione con MenACWY.
    E.5.1.1Timepoint(s) of evaluation of this end point
    A. During the 7 days (including the day of vaccination) after each
    vaccination (Administered on day 1, day 61 and day 91)
    B. During the 7 days (including the day of vaccination) after each
    vaccination (Administered on day 1, day 61 and day 91)
    C. During the 30 days (including the day of vaccination) after each
    vaccination (Administered at Day 1, Day 61 and Day 91)
    D. Throughout the study period (Day 1 to Day 451).
    E. Throughout the study period (Day 1- Day 451).
    F. At 1 month after the second vaccination with rMenB+OMV NZ in
    MenB+MenACWY and MenB groups (i.e. at Day 91).
    G. At 1 month after the vaccination with MenACWY in MenACWY and
    MenB+MenACWY groups (i.e. at Day 31).
    A. Durante i 7 giorni (compreso il giorno della vaccinazione) dopo ciascuno
    vaccinazione (somministrata il giorno 1, il giorno 61 e il giorno 91)
    B. Durante i 7 giorni (compreso il giorno della vaccinazione) dopo ciascuno
    vaccinazione (somministrata il giorno 1, il giorno 61 e il giorno 91)
    C. Durante i 30 giorni (compreso il giorno della vaccinazione) dopo ciascuno
    vaccinazione (somministrata al giorno 1, giorno 61 e giorno 91)
    D. Durante il periodo di studio (dal giorno 1 al giorno 451).
    E. Durante il periodo di studio (Giorno 1 - Giorno 451).
    F. A 1 mese dalla seconda vaccinazione con rMenB + OMV NZ in
    Gruppi MenB + MenACWY e MenB (cioè al giorno 91).
    G. A 1 mese dalla vaccinazione con MenACWY in MenACWY e
    MenB + MenACWY gruppi (cioè al giorno 31).
    E.5.2Secondary end point(s)
    A. hSBA GMCs measured by ELISA against each of the serogroups after MenACWY vaccination. Immune response to MenACWY given with or without rMenB+OMV NZ, as measured by ELISA GMCs against each of the serogroups A, C, W and Y.
    B. hSBA GMTs against each of the serogroup B strains in both MenB+MenACWY and MenB Groups after first rMenB+OMV NZ vaccination. Immune response to rMenB+OMV NZ given with or without MenACWY, as measured by bactericidal activity against N. meningitidis serogroup B indicator strains and expressed in GMTs.
    C. Geometric mean ratios (GMRs) against each of the serogroup B strains in both MenB+MenACWY and MenB groups after the first rMenB+OMV NZ dose. Immune response to rMenB+OMV NZ given with or without MenACWY as measured by bactericidal activity against N. meningitidis serogroup B indicator strains in terms of GMRs at one month after the first rMenB+OMV NZ vaccination compared to the baseline at Day 1/Month 0.
    D. GMRs against each of the serogroup B strains in both MenB+MenACWY and MenB groups after the second rMenB+OMV NZ dose. Immune response to rMenB+OMV NZ given with or without MenACWY,as measured by bactericidal activity against serogroup B indicator strains in terms of GMRs at one month after the second rMenB+OMV NZ vaccination compared to the baseline at Day 1/Month 0.
    E. % of subjects with hSBA titers = lower limit of quantitation (LLOQ) for each of the serogroup B test strains in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose. The immune response to rMenB+OMV NZ vaccine is evaluated bymeasuring bactericidal activity in terms of subjects with hSBA titers = LLOQ against serogroup B test strains.
    F. % of subjects with hSBA titers = LLOQ for each of the serogroup B test strains in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose. The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity in terms of subjects with hSBA titers = LLOQ against serogroup B test strains.
    G. % of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenB Groups after the first rMenB+OMV NZ dose. The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity against each of serogroup B test strains in terms of the 4-fold increase.
    H. % of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenB Groups after the second rMenB+OMV NZ dose The immune response to rMenB+OMV NZ vaccine is evaluated by measuring bactericidal activity against each of the serogroup B test strains in terms of the 4-fold increase
    I. % of subjects with hSBA titers = LLOQ for each of the serogroup A, C, W and Y in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination The immune response to MenACWY vaccines is expressed in terms of % of subjects with hSBA titers = lower limit of quantitation (LLOQ) for each of the serogroup A, C, W and Y.
    J. GMRs against each of the N. meningitidis serogroup A, C, W and Y in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination. Immune response to MenACWY given with or without rMenB+OMV NZ as measured by bactericidal activity against the four serogroups A, C, W and Y in terms of GMRs at one month after MenACWY vaccination compared to the baseline at Day 1/Month 0.
    K. % of subjects with 4-fold increase in hSBA titers relative to baseline in both MenB+MenACWY and MenACWY Groups after MenACWY vaccination. The immune response to MenACWY vaccine is evaluated by measuring for the four serogroups A, C, W and Y, the 4-fold increase.
    A. Valori di hSBA GMC contro i sierogruppi A, C, W e Y, misurati tramite test ELISA, per valutare la risposta immunitaria verso MenACWY, quando somministrato con/senza rMenB+OMV NZ.
    B. Valori di hSBA GMT contro i ceppi di N. meningitidis del sierogruppo B (M14459, 96217, NZ98/254 e M07-0241084), per valutare la risposta immunitaria verso rMenB+OMV NZ, quando somministrato con/senza MenACWY.
    C. Valori di hSBA GMR contro i ceppi di N. meningitidis del sierogruppo B (M14459, 96217, NZ98/254 e M07-0241084) per valutare la risposta immunitaria verso rMenB+OMV NZ, quando somministrato con/senza MenACWY, in entrambi i gruppi di trattamento MenB+MenACWY e MenB.
    D. Rapporto medio geometrico (GMR), dopo la seconda dose di rMenB+OMV NZ, contro i ceppi di N. meningitidis del sierogruppo B (M14459, 96217, NZ98/254 e M07-0241084) in entrambi i gruppi di trattamento MenB+MenACWY e MenB.
    E. Percentuale di soggetti con titolo hSBA = al limite inferiore di rivelabilità quantitativo (LLOQ) per ciascuno e per tutti i ceppi del sierogruppo B, dopo la prima dose di MenB.
    F. Percentuale di soggetti con titolo hSBA = al limite inferiore di rivelabilità quantitativo (LLOQ) per ciascuno e per tutti i ceppi del sierogruppo B, dopo la seconda dose di MenB.
    G. Percentuale di soggetti con un aumento pari a quattro volte del titolo hSBA rispetto ai valori basali nel gruppo MenB+MenACWY e MenB, dopo la prima dose di MenB.
    H. Percentuale di soggetti con un aumento pari a quattro volte del titolo hSBA rispetto ai valori basali nel gruppo MenB+MenACWY e MenB, dopo la seconda dose di MenB.
    I. Percentuale di soggetti con titoli hSBA = LLOQ, per i sierogruppi A, C, W e Y nel gruppo MenB+MenACWY e MenACWY, dopo la somministrazione di MenACWY.
    J. GMR contro i sierogruppi A, C, W e Y nel gruppo MenB+MenACWY e MenACWY, dopo la somministrazione di MenACWY.
    K. Percentuale di soggetti con un aumento pari a quattro volte del titolo hSBA rispetto ai valori basali nel gruppo MenB+MenACWY e MenACWY, dopo la somministrazione di MenACWY.
    E.5.2.1Timepoint(s) of evaluation of this end point
    A. 1 month/D31 after the vaccination of MenACWY in MenACWY and MenB+MenACWY groups.
    B. 1 month/D31 after first vaccination with rMenB+OMV NZ.
    C. 1 month/D31 after first rMenB+OMV NZ vaccination compared to the baseline (Day 1).
    D. 1 month/D91 after second rMenB+OMV NZ vaccination compared to the baseline (Day 1).
    E. 1 month/D31 after first rMenB+OMV NZ vaccination.
    F. 1 month/D91 after second rMenB+OMV NZ vaccination.
    G. 1 month/D31 after first rMenB+OMV NZ vaccination relative to baseline (Day 1).
    H. 1 month/D91 after second rMenB+OMV vaccination relative to baseline (Day 1).
    I. 1 month/D31 after MenACWY vaccination.
    J. At 1 month/D31 after MenACWY vaccination compared to the baseline (Day 1).
    K. At 1 month/D31 after MenACWY vaccination relative to baseline (i.e. Day 1).
    A. 1 mese/D31 dopo la vaccinaz di MenACWY nei gruppi MenACWY e MenB + MenACWY.
    B. 1 mese/D31 dopo la prima vaccinaz con rMenB + OMV NZ.
    C. 1 mese/D31 dopo la prima vaccinaz rMenB+OMV NZ rispetto al basale (Giorno 1).
    D. 1 mese/D91 dopo la seconda vaccinaz rMenB+OMV NZ rispetto al basale (Giorno 1).
    E. 1 mese/D31 dopo la prima vaccinaz rMenB + OMV NZ.
    F. 1 mese/D91 dopo la seconda vaccinaz rMenB + OMV NZ.
    G. 1 mese/D31 dopo la prima vaccinaz rMenB+OMV NZ relativa al basale (Giorno 1).
    H. 1 mese/D91 dopo la seconda vaccinaz rMenB+OMV NZ rispetto al basale (Giorno 1).
    I. 1 mese/D31 dopo la vaccinaz MenACWY.
    J. A 1 mese/D31 dopo la vaccinaz MenACWY rispetto al basale (giorno 1).
    K. A 1 mese/D31 dopo la vaccinaz MenACWY relativamente al basale (es. Giorno 1).
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis Yes
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy No
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Tolerability and Immunogenicity
    Tollerabilità e immunogenicità
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Osservatore in cieco, nè il medico ne il partecipante alla sperimentazione saranno a conoscenza del
    Observer-blinded study. Recipients & study evaluators will be unaware of vaccine administered
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial3
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned6
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    United States
    E.8.7Trial has a data monitoring committee No
    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
    LSLV+8 months; the date of release of the last testing results, to be achieved not later than 8 months after LSLV.
    La conclusione della sperimentazione è definita come LVLS + 8 mesi
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months3
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months3
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 445
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 500
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers Yes
    F.3.2Patients No
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state150
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 150
    F.4.2.2In the whole clinical trial 945
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    none
    Nessuno
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2021-02-09
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2020-12-15
    P. End of Trial
    P.End of Trial StatusOngoing
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