Clinical Trial Results:
A Phase 2, Open-label, Controlled, Multi-Center Extension Study to Evaluate 4-Year Antibody Persistence and Booster Response Following MenABCWY Vaccination in Healthy Adolescents and Young Adults who Previously Participated in Studies V102_02 (NCT01210885) and V102_02E1 (NCT01367158).
Summary
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EudraCT number |
2016-004420-29 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
10 Dec 2015
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Results information
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Results version number |
v1 |
This version publication date |
16 Mar 2017
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First version publication date |
16 Mar 2017
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Other versions |
v2 , v3 |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
205213
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT02451514 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
GlaxoSmithKline Biologicals
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Sponsor organisation address |
Rue de l'Institut 89, Rixensart, Belgium, B-1330
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Public contact |
Clinical Trials Call Center, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
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Scientific contact |
Clinical Trials Call Center, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
07 Nov 2016
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
14 Nov 2015
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Global end of trial reached? |
Yes
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Global end of trial date |
10 Dec 2015
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
• To assess the antibody persistence against N. meningitidis serogroups A, C, W and Y and serogroup B test strains in subjects who previously received MenABCWY+OMV or MenACWY approximately 4 years earlier, as measured by the percentage of subjects with hSBA titers ≥ lower limit quantitation (LLQ) and other thresholds, hSBA Geometric Mean Titers (GMTs) and geometric mean ratios (GMRs).
• To evaluate the immune response against N. meningitidis serogroups A, C, W and Y and serogroup B test strains 30 days after a single dose of MenABCWY+OMV in previously vaccinated subjects, and in vaccine-naïve subjects (VNS) of similar age, as measured by the percentage of subjects with hSBA titers ≥LLQ and other thresholds, hSBA GMTs and GMRs.
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Protection of trial subjects |
The study was conducted in compliance with the protocol, Good Clinical Practices (GCPs) and applicable regulatory requirement(s). This clinical study was designed, implemented and reported in accordance with the ICH Harmonized Tripartite Guidelines for Good Clinical Practice, with applicable local regulations, Novartis codes on protection of human rights, and with the ethical principles laid down in the Declaration of Helsinki (European Council 2001, US Code of Federal Regulations, ICH 1997).
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
30 Jun 2015
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Chile: 13
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Country: Number of subjects enrolled |
Panama: 88
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Country: Number of subjects enrolled |
Colombia: 28
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Worldwide total number of subjects |
129
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
45
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Adults (18-64 years) |
84
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Subjects were recruited from 5 sites in Panama, 3 sites in Colombia and 1 site in Chile. | ||||||||||||
Pre-assignment
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Screening details |
Healthy adolescents and young adults, who previously participated in studies V102_02 (NCT01210885) and V102_02E1 (NCT01367158) and who received a 2-dose series of MenABCWY+OMV or 1 dose of Menveo (MenACWY), were included in the present study, along with vaccine-naïve subjects of similar age. | ||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||||||||
Blinding implementation details |
The study was an open-label study. Therefore, no blinding procedures were utilized.
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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MenABCWY+OMV Group | ||||||||||||
Arm description |
Subjects who received 2 doses of MenABCWY+OMV vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received a booster dose of MenABCWY+OMV vaccine in the current study at Day 1. | ||||||||||||
Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
Meningococcal (groups A, C, W, Y-135) Oligosaccharide Diphtheria CRM197 Conjugate combined with Meningococcal (group B) Multi-Component Recombinant Vaccine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and suspension for suspension for injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
1 dose (0.5 mL)
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Arm title
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MenACWY Group | ||||||||||||
Arm description |
Subjects who received MenACWY vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received 2 doses of MenABCWY+OMV vaccine, one month apart (Day 1 and Day 31), in the current study. | ||||||||||||
Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
Meningococcal (groups A, C, W, Y-135) Oligosaccharide Diphtheria CRM197 Conjugate combined with Meningococcal (group B) Multi-Component Recombinant Vaccine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and suspension for suspension for injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
2 doses (0.5 mL each), 1 month apart
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Arm title
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Naive Group | ||||||||||||
Arm description |
Subjects similar in age to subjects in the MenABCWY+OMV and MenACWY groups, who had not previously received any meningococcal vaccine and who received 2 doses of MenABCWY+OMV vaccine, 1 month apart (Day 1 and Day 31), in the current study. | ||||||||||||
Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
Meningococcal (groups A, C, W, Y-135) Oligosaccharide Diphtheria CRM197 Conjugate combined with Meningococcal (group B) Multi-Component Recombinant Vaccine
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder and suspension for suspension for injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
2 doses (0.5 mL each), 1 month apart
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Baseline characteristics reporting groups
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Reporting group title |
MenABCWY+OMV Group
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Reporting group description |
Subjects who received 2 doses of MenABCWY+OMV vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received a booster dose of MenABCWY+OMV vaccine in the current study at Day 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
MenACWY Group
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Reporting group description |
Subjects who received MenACWY vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received 2 doses of MenABCWY+OMV vaccine, one month apart (Day 1 and Day 31), in the current study. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Naive Group
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Reporting group description |
Subjects similar in age to subjects in the MenABCWY+OMV and MenACWY groups, who had not previously received any meningococcal vaccine and who received 2 doses of MenABCWY+OMV vaccine, 1 month apart (Day 1 and Day 31), in the current study. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
MenABCWY+OMV Group
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Reporting group description |
Subjects who received 2 doses of MenABCWY+OMV vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received a booster dose of MenABCWY+OMV vaccine in the current study at Day 1. | ||
Reporting group title |
MenACWY Group
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Reporting group description |
Subjects who received MenACWY vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received 2 doses of MenABCWY+OMV vaccine, one month apart (Day 1 and Day 31), in the current study. | ||
Reporting group title |
Naive Group
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Reporting group description |
Subjects similar in age to subjects in the MenABCWY+OMV and MenACWY groups, who had not previously received any meningococcal vaccine and who received 2 doses of MenABCWY+OMV vaccine, 1 month apart (Day 1 and Day 31), in the current study. |
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End point title |
Percentage of subjects with hSBA ≥ LLQ against N. meningitidis serogroups A, C, W and Y and serogroup B test strains [1] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Antibody levels against N. meningitidis serogroups A, C, W and Y and serogroup B test strains (H44/76, 5/99, M14459, M07-024184, M01-0240364, NZ98/254) in subjects who previously received MenABCWY+OMV or MenACWY approximately 4 years earlier, and in Naïve subjects, as measured by the percentages of subjects with hSBA (human serum bactericidal assay) ≥ LLQ (lower limit of quantitation).
The data were reported based on the FAS (Full Analysis Set) immunogenicity persistence population set, which included all subjects in the Enrolled population who provided at least one evaluable serum sample at baseline (Visit 1 in V102_02E2) and whose assay results were available for at least one strain.
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End point type |
Primary
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End point timeframe |
Day 1 (4 years persistence)
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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: The immunogenicity results will be updated when they become available. |
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Notes [2] - The immunogenicity results will be updated when they become available. [3] - The immunogenicity results will be updated when they become available. [4] - The immunogenicity results will be updated when they become available. |
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No statistical analyses for this end point |
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End point title |
Number of subjects reporting any unsolicited and solicited adverse events (AEs) within 30 min after each vaccination | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Any solicited and unsolicited AEs reported within 30 minutes after each vaccination. Assessed solicited local symptoms were: Erythema, Swelling and Induration. Any = occurrence of the symptom spreading beyond 25 millimeters (mm) of injection site. Assessed solicited general symptoms were: Arthralgia, Chills, Fatigue, Headache, Loss of Appetite, Myalgia, Nausea and Fever (body temperature ≥ 38°C). Other solicited data included: Prevention of Pain and/or Fever and Treatment of Pain and/or Fever. Any = occurrence of the symptom regardless of intensity grade.
Note: There were no unsolicited AEs reported within 30 minutes after vaccination.
The data were reported based on the Solicited Safety Set, which included all subjects in the FAS Immunogenicity population who provided post-vaccination reactogenicity data.
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End point type |
Secondary
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End point timeframe |
Within 30 min after each vaccination
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No statistical analyses for this end point |
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End point title |
Number of subjects with any solicited local symptoms | ||||||||||||||||||||||||||||||||||||||||||||
End point description |
Assessed solicited local symptoms were Erythema, Induration and Pain. Any = occurrence of the symptom spreading beyond 25 millimeters (mm) of injection site.
The data were reported based on the Solicited Safety Set, which included all subjects in the FAS Immunogenicity population who provided post-vaccination reactogenicity data.
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End point type |
Secondary
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End point timeframe |
From Day 1 (6 h) to Day 7 after each vaccination
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No statistical analyses for this end point |
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End point title |
Number of subjects with solicited systemic symptoms and other solicited data | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Assessed solicited systemic symptoms were Arthralgia, Chills, Fatigue, Headache, Loss of Appetite, Myalgia, Nausea and Fever (body temperature ≥ 38°C). Other solicited data included: Prevention of pain and/or fever and Treatment of pain and/or fever. Any = occurrence of the symptom regardless of intensity grade.
The data were reported based on the Solicited Safety Set, which included all subjects in the FAS Immunogenicity population who provided post-vaccination reactogenicity data.
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End point type |
Secondary
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End point timeframe |
From Day 1 (6 h) to Day 7 after each vaccination
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No statistical analyses for this end point |
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End point title |
Number of subjects with unsolicited AEs | ||||||||||||||||||||
End point description |
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Possibly or Probably related = AE assessed by the investigator as related to the vaccination.
The data were reported based on the Unsolicited Safety Set, which included all subjects in the Exposed Set who had post-vaccination unsolicited adverse event records.
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End point type |
Secondary
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End point timeframe |
From Day 1 to Day 31
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No statistical analyses for this end point |
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End point title |
Number of subjects with medically attended AEs reported during the entire study period | ||||||||||||||||
End point description |
Medically attended AEs = were defined as events for which the subject received medical attention defined as hospitalization, an emergency room visit, or a visit to or from medical personnel (medical doctor) for any reason. Any medically attended AE(s) = Occurrence of any medically attended AE(s) regardless of intensity grade or relation to vaccination.
The data were reported based on the Unsolicited Safety Set, which included all subjects in the Exposed Set who had post-vaccination unsolicited adverse event records.
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End point type |
Secondary
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End point timeframe |
From Day 1 to Day 31 (MenABCWY+OMV Group) and from Day 1 to Day 61 (MenACWY and Naive Groups)
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No statistical analyses for this end point |
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End point title |
Number of subjects with unsolicited AEs leading to premature withdrawal from study reported during the entire study period | ||||||||||||||||
End point description |
The number of subjects who reported unsolicited AEs leading to premature withdrawal from study after any vaccination.
The data were reported based on the Unsolicited Safety Set, which included all subjects in the Exposed Set who had post-vaccination unsolicited adverse event records.
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End point type |
Secondary
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End point timeframe |
From Day 1 to Day 31 (MenABCWY+OMV Group) and from Day 1 to Day 61 (MenACWY and Naive Groups)
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No statistical analyses for this end point |
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End point title |
Number of subjects with serious adverse events (SAEs) reported during the entire study period | ||||||||||||||||||||||||
End point description |
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Any SAE(s) = Occurrence of any SAE(s) regardless of intensity grade or relation to vaccination. Possibly or probably related SAE(s) = SAE(s) assessed by the investigator as related to the vaccination.
The data were reported based on the Unsolicited Safety Set, which included all subjects in the Exposed Set who had post-vaccination unsolicited adverse event records.
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End point type |
Secondary
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End point timeframe |
From Day 1 to Day 31 (MenABCWY+OMV Group) and from Day 1 to Day 61 (MenACWY and Naive Groups)
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Solicited local and systemic symptoms: from Day 1 (6 hours) to Day 7 after each study vaccination; Unsolicited AEs: from Day 1 to Day 31 after each study vaccination; SAEs: during the entire study period (from Day 1 to Day 61).
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
19.0
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Reporting groups
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Reporting group title |
MenABCWY+OMV Group
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Reporting group description |
Subjects who received 2 doses of MenABCWY+OMV vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received a booster dose of MenABCWY+OMV vaccine in the current study at Day 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
MenACWY Group
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Reporting group description |
Subjects who received MenACWY vaccine in the parent study V102_02 (NCT01210885) and received no subsequent meningococcal vaccines, received 2 doses of MenABCWY+OMV vaccine, one month apart (Day 1 and Day 31), in the current study. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Naive Group
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Reporting group description |
Subjects similar in age to subjects in the MenABCWY+OMV and MenACWY groups, who had not previously received any meningococcal vaccine and who received 2 doses of MenABCWY+OMV vaccine, 1 month apart (Day 1 and Day 31), in the current study. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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18 Nov 2014 |
Allow pregnancy test be performed in urine or blood sample. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |