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    Clinical Trial Results:
    A Phase 3b, Open Label, Controlled, Multi-Center, Extension Study to Assess the Persistence of Bactericidal Activity at 4 to 7.5 Years After Two Dose Primary Series of GlaxoSmithKline Biologicals Meningococcal B Recombinant Vaccine and the Response to a Third Dose in Adolescents and Young Adult Subjects who Previously Participated in Parent Studies V72_41 and V72P10, Compared to Naïve Healthy Controls

    Summary
    EudraCT number
    2017-000093-11
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    23 Sep 2016

    Results information
    Results version number
    v2
    This version publication date
    30 Nov 2017
    First version publication date
    14 Oct 2017
    Other versions
    v1 , v3 , v4
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    205218
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02446743
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline Biologicals
    Sponsor organisation address
    Rue de l’Institut 89, Rixensart, Belgium, B-1330
    Public contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
    Scientific contact
    Clinical Trials Call Center, GlaxoSmithKline Biologicals, 44 2089904466, GSKClinicalSupportHD@gsk.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    22 Jun 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    22 Sep 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    23 Sep 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    •To assess and compare the safety and tolerability of a single dose (booster) of rMenB+OMV NZ administered to follow-on subjects approximately 4 to 7.5 years after a 2 dose primary series, with that of two doses of rMenB+OMV NZ administered to naïve subjects according to a 0, 1-month schedule. •To assess serum bactericidal activity at approximately 4 to 7.5 years following a 2 dose primary series (persistence) compared to serum bactericidal activity at baseline in vaccination-naïve subjects.
    Protection of trial subjects
    The subjects were observed closely for at least 30 minutes following the administration of vaccine(s), with appropriate medical treatment readily available in case of a rare anaphylactic reaction.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    17 Nov 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 63
    Country: Number of subjects enrolled
    Canada: 187
    Country: Number of subjects enrolled
    Chile: 281
    Worldwide total number of subjects
    531
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    122
    Adults (18-64 years)
    409
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects were recruited from 4 sites in Australia, 6 sites in Canada and 2 sites in Chile.

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

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    The study was an open- label study. Therefore, no blinding procedures were utilized.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Group 3B
    Arm description
    Subjects who received a third dose booster of rMenB+OMV NZ at 4 to 7.5 years after the last dose received during studies V72P10 (NCT00661713) or V72_41(NCT0142384), and had blood collected at baseline and at 3, 7 and 30 days after the third dose booster.
    Arm type
    Experimental

    Investigational medicinal product name
    GlaxoSmithKline Meningococcal group B multicomponent recombinant adsorbed vaccine
    Investigational medicinal product code
    Other name
    rMenB+OMV NZ
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    One dose (0.5 mL) vaccine administered by intramuscular (IM) injection in the deltoid area of the nondominant arm

    Arm title
    Group B_0_1
    Arm description
    Subjects who received two doses of rMenB+OMV NZ at a 0 and 1 month schedule and had blood collected at baseline, 30 days after the first dose and 3 or 7, and 30 days after the second dose.
    Arm type
    Active comparator

    Investigational medicinal product name
    GlaxoSmithKline Meningococcal group B multicomponent recombinant adsorbed vaccine
    Investigational medicinal product code
    Other name
    rMenB+OMV NZ
    Pharmaceutical forms
    Suspension for injection in pre-filled syringe
    Routes of administration
    Intramuscular use
    Dosage and administration details
    One dose (0.5 mL) vaccine administered by intramuscular (IM) injection in the deltoid area of the nondominant arm

    Number of subjects in period 1
    Group 3B Group B_0_1
    Started
    276
    255
    Completed
    271
    250
    Not completed
    5
    5
         Consent withdrawn by subject
    1
    1
         Adverse event, non-fatal
    1
    1
         Unspecified
    2
    3
         Lost to follow-up
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Group 3B
    Reporting group description
    Subjects who received a third dose booster of rMenB+OMV NZ at 4 to 7.5 years after the last dose received during studies V72P10 (NCT00661713) or V72_41(NCT0142384), and had blood collected at baseline and at 3, 7 and 30 days after the third dose booster.

    Reporting group title
    Group B_0_1
    Reporting group description
    Subjects who received two doses of rMenB+OMV NZ at a 0 and 1 month schedule and had blood collected at baseline, 30 days after the first dose and 3 or 7, and 30 days after the second dose.

    Reporting group values
    Group 3B Group B_0_1 Total
    Number of subjects
    276 255 531
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age<37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    65 57 122
        Adults (18-64 years)
    211 198 409
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    19.5 ± 2.42 20.0 ± 2.69 -
    Gender categorical
    Units: Subjects
        Female
    133 128 261
        Male
    143 127 270
    Race/Ethnicity, Customized
    Units: Subjects
        Race/Ethinicity American Indian or Alaska Native
    11 1 12
        Race/Ethinicity Asian
    22 18 40
        Race/Ethinicity Black or African American
    3 2 5
        Race/Ethinicity NativeHawaiian/pacific Islander
    3 8 11
        Race/Ethinicity White
    98 74 172
        Race/Ethinicity Other
    139 152 291

    End points

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    End points reporting groups
    Reporting group title
    Group 3B
    Reporting group description
    Subjects who received a third dose booster of rMenB+OMV NZ at 4 to 7.5 years after the last dose received during studies V72P10 (NCT00661713) or V72_41(NCT0142384), and had blood collected at baseline and at 3, 7 and 30 days after the third dose booster.

    Reporting group title
    Group B_0_1
    Reporting group description
    Subjects who received two doses of rMenB+OMV NZ at a 0 and 1 month schedule and had blood collected at baseline, 30 days after the first dose and 3 or 7, and 30 days after the second dose.

    Primary: Percentage of subjects with human serum bactericidal activity (hSBA) ≥1:5

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    End point title
    Percentage of subjects with human serum bactericidal activity (hSBA) ≥1:5
    End point description
    Bactericidal activity was measured against each of the N. meningitidis group B indicator strains H44/76, 5/99, NZ98/254 a nd M10713.
    End point type
    Primary
    End point timeframe
    Group 3B: Day 1 (prior to booster dose); Group B_0_1: Day 1 (prior to first dose).
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    275
    255
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    33 (27.9 to 39.4)
    9 (5.5 to 12.8)
        5/99
    84 (78.7 to 88.2)
    15 (10.4 to 19.8)
        NZ98/254
    18 (13.3 to 22.6)
    8 (5.2 to 12.4)
        M10713
    74 (68.9 to 79.5)
    70 (64.2 to 75.7)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain H44/76and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [1]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    25
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    18.2
         upper limit
    31.4
    Notes
    [1] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [2]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    69
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    62.3
         upper limit
    75
    Notes
    [2] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [3]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    3.6
         upper limit
    15.1
    Notes
    [3] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [4]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.4
         upper limit
    11.9
    Notes
    [4] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)

    Primary: Percentage of subjects with hSBA≥1:8

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    End point title
    Percentage of subjects with hSBA≥1:8
    End point description
    Bactericidal activity was measured against each of the N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713
    End point type
    Primary
    End point timeframe
    Group 3B: Day 1 (prior to booster dose); Group B_0_1: Day 1 (prior to first dose).
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    275
    255
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    28 (23.1 to 34.1)
    6 (3.3 to 9.5)
        5/99
    81 (75.3 to 85.4)
    13 (9.0 to 17.9)
        NZ98/254
    14 (10.4 to 19.0)
    6 (3.1 to 9.1)
        M10713
    68 (62.0 to 73.4)
    63 (56.9 to 69.1)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [5]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    22
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    16.5
         upper limit
    28.6
    Notes
    [5] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [6]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    68
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    60.8
         upper limit
    73.7
    Notes
    [6] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [7]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    3.7
         upper limit
    14
    Notes
    [7] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis group B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [8]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.4
         upper limit
    12.8
    Notes
    [8] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)

    Primary: Percentage of subjects with hSBA≥1:16

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    End point title
    Percentage of subjects with hSBA≥1:16
    End point description
    Bactericidal activity was measured against each of the N. meningitidis group B Indicator strains H44/76,5/99,NZ98/254 and M10713
    End point type
    Primary
    End point timeframe
    Group 3B: Day 1 (prior to booster dose); Group B_0_1: Day 1 (prior to first dose).
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    275
    255
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    20 (15.1 to 24.8)
    4 (2.2 to 7.6)
        5/99
    75 (69.0 to 80.0)
    8 (5.2 to 12.6)
        NZ98/254
    11 (7.8 to 15.7)
    2 (0.9 to 5.1)
        M10713
    57 (51.2 to 63.2)
    56 (49.4 to 61.9)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [9]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    15
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    10.1
         upper limit
    20.9
    Notes
    [9] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [10]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    66
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    59.6
         upper limit
    72.4
    Notes
    [10] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [11]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    4.9
         upper limit
    13.6
    Notes
    [11] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [12]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.8
         upper limit
    10
    Notes
    [12] - Vaccine comparison at Persistence at 4/7.5 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)

    Primary: hSBA Geometric Mean Titers (GMTs) after the last dose of rMenB+OMV NZ vaccination in the parent study.

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    End point title
    hSBA Geometric Mean Titers (GMTs) after the last dose of rMenB+OMV NZ vaccination in the parent study.
    End point description
    Bactericidal activity was measured against each of the N. meningitidis group B indicator strains H44/76, 5/99, NZ98/254 a nd M10713.
    End point type
    Primary
    End point timeframe
    Group 3B: 1 month after the last rMenB+OMV NZ vaccination in parent study and Day 1(prior to booster dose); Group B_0_1: Day 1(prior to first dose)
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    275
    255
    Units: Titers
    geometric mean (confidence interval 95%)
        H44/76(1 month post last vacc in parent study)
    124 (108 to 143)
    0 (0 to 0)
        H44/76( Day 1)
    3.05 (2.61 to 3.56)
    1.20 (1.02 to 1.42)
        5/99(1 month post last vacc in parent study)
    270 (234 to 311)
    0 (0 to 0)
        5/99 (Day 1)
    26 (21 to 31)
    1.57 (1.26 to 1.95)
        NZ98/254(1 month post last vacc in parent study)
    22 (19 to 27)
    0 (0 to 0)
        NZ98/254( Day 1)
    1.66 (1.46 to 1.89)
    1.11 (0.97 to 1.27)
        M10713(1 month post last vacc in parent study)
    19 (16 to 24)
    0 (0 to 0)
        M10713(Day 1)
    16 (13 to 20)
    12 (9.86 to 16)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Adjusted geometric mean titers for H44/76 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [13]
    Method
    ANOVA
    Parameter type
    vaccine group ratio of GMTs
    Point estimate
    2.54
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.07
         upper limit
    3.12
    Notes
    [13] - Vaccine Comparison at Persistence at 4 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Adjusted geometric mean titers for 5/99 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [14]
    Method
    ANOVA
    Parameter type
    Vaccine group ratio of GMTs
    Point estimate
    16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12
         upper limit
    21
    Notes
    [14] - Vaccine Comparison at Persistence at 4 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Adjusted geometric mean titers for NZ98/254 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [15]
    Method
    ANOVA
    Parameter type
    Vaccine group ratio of GMTs
    Point estimate
    1.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.26
         upper limit
    1.78
    Notes
    [15] - Vaccine Comparison at Persistence at 4 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Adjusted geometric mean titers for M10713 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    530
    Analysis specification
    Pre-specified
    Analysis type
    other [16]
    Method
    ANOVA
    Parameter type
    Vaccine group ratio of GMTs
    Point estimate
    1.26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.94
         upper limit
    1.68
    Notes
    [16] - Vaccine Comparison at Persistence at 4 years/Baseline in V72_75 (Group 3B vs. Group B_0_1)

    Primary: Geometric Mean Ratios (GMRs) of GMTs after the last dose of rMenB+OMV NZ Vaccination in the Parent Study.

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    End point title
    Geometric Mean Ratios (GMRs) of GMTs after the last dose of rMenB+OMV NZ Vaccination in the Parent Study. [17] [18]
    End point description
    The GMRs of GMTs at Day 1 versus one month after the last dose of rMenB+OMV NZ vaccination in the parent study were calculated. Bactericidal activity was measured against each of the N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713.
    End point type
    Primary
    End point timeframe
    Group 3B: 1 month after the last vaccination in parent study and Day1 (prior to booster dose)
    Notes
    [17] - 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 scope of this primary end point was descriptive, no statistical hypothesis test was performed.
    [18] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group 3B
    Number of subjects analysed
    275
    Units: Ratio
    geometric mean (confidence interval 95%)
        H44/76
    0.025 (0.020 to 0.030)
        5/99
    0.098 (0.079 to 0.12)
        NZ98/254
    0.073 (0.059 to 0.089)
        M10713
    0.81 (0.65 to 1.01)
    No statistical analyses for this end point

    Primary: Number of subjects with solicited local and systemic AEs.

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    End point title
    Number of subjects with solicited local and systemic AEs. [19]
    End point description
    Solicited adverse events are signs and symptoms derived from organized data collection systems, such as Subject Diaries or interview. The percentage and frequencies of subjects reporting solicited local and systemic AEs were tabulated. Threshold for any Erythema, Swelling and Induration: >= 25 mm Note:Vaccination 2 was performed only on group B_0_1 subjects.
    End point type
    Primary
    End point timeframe
    7 days (including the day of vaccination) after each vaccination
    Notes
    [19] - 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 scope of this primary end point was descriptive, no statistical hypothesis test was performed.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    266
    254
    Units: Subjects
        Any
    263
    251
        Any Local (vaccination 1)
    258
    247
        Injection site pain (vaccination 1)
    258
    247
        Erythema (vaccination 1)
    54
    18
        Swelling (vaccination 1)
    60
    34
        Induration (vaccination 1)
    54
    26
        Any systemic (vaccination 1)
    203
    163
        Fever (≥ 38.0°C) (vaccination 1)
    16
    4
        High fever (≥ 39.5°C) (vaccination 1)
    0
    0
        Nausea (vaccination 1)
    56
    30
        Fatigue (vaccination 1)
    155
    110
        Myalgia (vaccination 1)
    120
    71
        Arthralgia (vaccination 1)
    84
    47
        Headache (vaccination 1)
    146
    94
        Any Local (vaccination 2)
    0
    226
        Injection site pain (vaccination 2)
    0
    226
        Erythema (vaccination 2)
    0
    21
        Swelling (vaccination 2)
    0
    32
        Induration (vaccination 2)
    0
    31
        Any systemic (vaccination 2)
    0
    140
        Fever (≥ 38.0°C) (vaccination 2)
    0
    5
        High fever (≥ 39.5°C) (vaccination 2)
    0
    0
        Nausea (vaccination 2)
    0
    33
        Fatigue (vaccination 2)
    0
    92
        Myalgia (vaccination 2)
    0
    64
        Arthralgia (vaccination 2)
    0
    36
        Headache (vaccination 2)
    0
    84
    No statistical analyses for this end point

    Primary: Number of subjects with any unsolicited adverse events (AEs).

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    End point title
    Number of subjects with any unsolicited adverse events (AEs). [20]
    End point description
    An unsolicited adverse event is an adverse event that was not solicited using a Subject Diary and that was spontaneously communicated by a subject and/or parent(s)/legal guardian(s) who has signed the informed consent. Note : Vaccination 2 was performed only on group B_0_1 subjects.
    End point type
    Primary
    End point timeframe
    30 days (including the day of vaccination) after each vaccination.
    Notes
    [20] - 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 scope of this primary end point was descriptive, no statistical hypothesis test was performed.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    275
    255
    Units: Subjects
        Any
    87
    131
        Any unsolicited AEs ( vaccination 1)
    87
    96
        Any unsolicited AEs (vaccination 2)
    0
    73
    No statistical analyses for this end point

    Primary: Number of subjects with any SAEs, AEs leading to withdrawal and medically attended AEs.

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    End point title
    Number of subjects with any SAEs, AEs leading to withdrawal and medically attended AEs. [21]
    End point description
    A serious adverse event is any untoward medical occurrence that at any dose results in death or is life threatening or requires prolonged hospitalization, leads to Persistent or significant disability/incapacity.
    End point type
    Primary
    End point timeframe
    Group 3B: from Day 1 to Day 31 (30 days after the vaccination) and Group B_0_1: from Day 1 to Day 61 (30 days after the second dose)
    Notes
    [21] - 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 scope of this primary end point was descriptive, no statistical hypothesis test was performed.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    275
    255
    Units: Subjects
        Any SAEs
    0
    1
        Any Medically Attended AEs
    17
    34
        Any AEs leading to premature withdrawal
    0
    1
    No statistical analyses for this end point

    Secondary: Percentage of subjects with hSBA ≥1:5 after booster dose/first vaccination of rMenB+OMV NZ.

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    End point title
    Percentage of subjects with hSBA ≥1:5 after booster dose/first vaccination of rMenB+OMV NZ.
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713.
    End point type
    Secondary
    End point timeframe
    Group 3B: 1 month after booster dose, Group B_0_1 : 30 days after first vaccination.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    268
    253
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    99 (96.8 to 99.77)
    79 (73.5 to 83.9)
        5/99
    100 (98.4 to 100.0)
    84 (78.9 to 88.6)
        NZ98/254
    93 (88.9 to 95.6)
    52 (45.4 to 58.1)
        M10713
    99 (96.8 to 99.77)
    87 (82.1 to 90.8)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [22]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    20
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    15
         upper limit
    25.4
    Notes
    [22] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [23]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    11.7
         upper limit
    21
    Notes
    [23] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [24]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    41
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    33.9
         upper limit
    47.8
    Notes
    [24] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [25]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    12
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    8
         upper limit
    16.8
    Notes
    [25] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)

    Secondary: Percentage of subjects with hSBA ≥1:8 after booster dose/first vaccination of rMenB+OMV NZ

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    End point title
    Percentage of subjects with hSBA ≥1:8 after booster dose/first vaccination of rMenB+OMV NZ
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713.
    End point type
    Secondary
    End point timeframe
    Group 3B : 1 month after booster dose, Group B_0_1 : 30 days after first vaccination.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    268
    253
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    99 (96.8 to 99.77)
    72 (65.6 to 77.0)
        5/99
    100 (98.4 to 100.0)
    81 (75.6 to 86.0)
        NZ98/254
    87 (82.8 to 91.2)
    45 (38.4 to 51.0)
        M10713
    98 (95.7 to 99.4)
    85 (79.9 to 89.1)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [26]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    27
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    21.9
         upper limit
    33.3
    Notes
    [26] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [27]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    14.3
         upper limit
    24.3
    Notes
    [27] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [28]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    43
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    35.2
         upper limit
    49.9
    Notes
    [28] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference were calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [29]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    13
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    8.8
         upper limit
    18.3
    Notes
    [29] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)

    Secondary: Percentage of subjects with hSBA ≥1:16 after booster dose/first vaccination of rMenB+OMV NZ

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    End point title
    Percentage of subjects with hSBA ≥1:16 after booster dose/first vaccination of rMenB+OMV NZ
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains.
    End point type
    Secondary
    End point timeframe
    Group 3B: 1 month after booster dose, Group B_0_1 : 30 days after first vaccination.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    268
    253
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    99 (96.2 to 99.59)
    58 (52.2 to 64.6)
        5/99
    100 (98.4 to 100.0)
    73 (66.9 to 78.6)
        NZ98/254
    79 (73.6 to 83.8)
    36 (29.9 to 42.1)
        M10713
    95 (91.8 to 97.4)
    77 (70.9 to 81.7)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [30]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    40
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    33.9
         upper limit
    46.3
    Notes
    [30] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [31]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    27
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    21.6
         upper limit
    33
    Notes
    [31] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [32]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    43
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    35.1
         upper limit
    50.6
    Notes
    [32] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [33]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12.9
         upper limit
    24.6
    Notes
    [33] - Vaccine comparison at 1 month after booster /1st dose in V72_75 (Group 3B vs. Group B_0_1)

    Secondary: hSBA Geometric Mean Titers prior to booster/first dose of vaccination & post booster/first dose of vaccination.

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    End point title
    hSBA Geometric Mean Titers prior to booster/first dose of vaccination & post booster/first dose of vaccination.
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76, 5/99,NZ98/254 and M10713
    End point type
    Secondary
    End point timeframe
    Group 3B subjects: Day 1(pre-booster dose) and 1 month post-booster dose. Group B_0_1: Day 1 (pre-first dose) and 30 days post-first dose.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    268
    253
    Units: Titers
    geometric mean (confidence interval 95%)
        H44/76- pre booster/ pre first dose
    3.10 (2.65 to 3.62)
    1.19 (1.01 to 1.41)
        H44/76-1 month post booster/first dose
    188 (155 to 228)
    16 (13 to 20)
        5/99- pre booster/ pre first dose
    24 (19 to 30)
    1.51 (1.21 to 1.88)
        5/99-1 month post booster/first dose
    2089 (1690 to 2582)
    31 (25 to 38)
        NZ98/254-pre booster/ pre first dose
    1.64 (1.44 to 1.86)
    1.11 (0.97 to 1.28)
        NZ98/254-1 month post booster/first dose
    32 (26 to 39)
    5.39 (4.33 to 6.72)
        M10713-pre booster/ pre first dose
    16 (13 to 20)
    12 (9.62 to 15)
        M10713-1 month post booster/first dose
    78 (66 to 92)
    30 (25 to 36)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Pre booster/Pre first dose-Adjusted geometric mean titers for H44/76 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [34]
    Method
    ANOVA
    Parameter type
    Vaccine group ratios
    Point estimate
    2.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.11
         upper limit
    3.2
    Notes
    [34] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Post booster/Post first dose-Adjusted geometric mean titers for H44/76 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [35]
    Method
    ANOVA
    Parameter type
    vaccine group ratios
    Point estimate
    11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    8.85
         upper limit
    15
    Notes
    [35] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Pre booster/Pre first dose-Adjusted geometric mean titers for 5/99 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [36]
    Method
    ANOVA
    Parameter type
    vaccine group ratios
    Point estimate
    16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12
         upper limit
    21
    Notes
    [36] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Post booster/Post first dose-Adjusted geometric mean titers for 5/99 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [37]
    Method
    ANOVA
    Parameter type
    Vaccine group ratios
    Point estimate
    68
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    51
         upper limit
    90
    Notes
    [37] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    Pre booster/Pre first dose-Adjusted geometric mean titers for NZ98/254 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [38]
    Method
    ANOVA
    Parameter type
    Vaccine group ratios
    Point estimate
    1.48
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.24
         upper limit
    1.75
    Notes
    [38] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    post booster dose/ first dose-Adjusted geometric mean titers for NZ98/254 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [39]
    Method
    ANOVA
    Parameter type
    vaccine group ratios
    Point estimate
    5.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    4.49
         upper limit
    7.76
    Notes
    [39] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    Pre booster/Pre first dose-Adjusted geometric mean titers for M10713 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [40]
    Method
    ANOVA
    Parameter type
    vaccine group ratios
    Point estimate
    1.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.97
         upper limit
    1.75
    Notes
    [40] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    Post booster/Post first dose-Adjusted geometric mean titers for M10713 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    521
    Analysis specification
    Pre-specified
    Analysis type
    other [41]
    Method
    ANOVA
    Parameter type
    vaccine group ratios
    Point estimate
    2.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.08
         upper limit
    3.25
    Notes
    [41] - Vaccine comparison Pre-booster or pre-1st dose in V72_75 (Group 3B vs. Group B _0_1)

    Secondary: Geometric mean ratio (GMRs) of GMTs after booster dose/first rMenB+OMV NZ vaccination.

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    End point title
    Geometric mean ratio (GMRs) of GMTs after booster dose/first rMenB+OMV NZ vaccination.
    End point description
    Bactericidal activity was measured against each of the fout N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713 by calculating the GMRs of GMTs one month post-vaccination of a booster dose versus pre-booster dose (follow-on subjects) or first dose of rMenB+OMV NZ versus pre-first dose (naïve subjects) to each N. meningitidis group B indicator strain.
    End point type
    Secondary
    End point timeframe
    At Day 31 (30 days post booster dose/first dose of vaccination) versus Day 1 (prior to booster dose/first dose of vaccination).
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    268
    253
    Units: Ratio
    geometric mean (confidence interval 95%)
        H44/76
    61 (50 to 74)
    14 (11 to 17)
        5/99
    87 (67 to 112)
    20 (16 to 26)
        NZ98/254
    19 (16 to 24)
    4.92 (3.97 to 6.10)
        M10713
    4.85 (4.10 to 5.72)
    2.44 (2.04 to 2.91)
    No statistical analyses for this end point

    Secondary: Percentages of subjects with at least 4-fold increase in hSBA titers pre vaccination compared to one month post-booster/first rMenB+OMV NZ vaccination

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    End point title
    Percentages of subjects with at least 4-fold increase in hSBA titers pre vaccination compared to one month post-booster/first rMenB+OMV NZ vaccination
    End point description
    The percentage of subjects with 4-fold rise at one month post-vaccination with a booster dose (follow-on subjects) /first dose (naive subjects) of rMenB+OMV NZ with respect to day 1 (follow-on subjects) / pre-first dose of rMenB+OMV NZ (naïve subjects)
    End point type
    Secondary
    End point timeframe
    Group 3B: 1 month after booster dose; Group B_0_1: 1 month after first vaccination
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    268
    253
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    96 (93.2 to 98.2)
    70 (63.5 to 75.2)
        5/99
    98 (94.6 to 99.2)
    76 (69.9 to 81.4)
        NZ98/254
    80 (75.0 to 85.0)
    43 (36.3 to 49.0)
        M10713
    49 (42.6 to 54.9)
    26 (20.5 to 31.7)
    No statistical analyses for this end point

    Secondary: Percentage of subjects with hSBA ≥1:5 after booster dose/second vaccination of rMenB+OMV NZ

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    End point title
    Percentage of subjects with hSBA ≥1:5 after booster dose/second vaccination of rMenB+OMV NZ
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. On day 1, subjects in the Group B_0_1 were to be randomized into 2 different blood draw schedules according to a 1:1 ratio : 2 blood samples at different time points: Group B_0_1_1: blood draws at 3 and 30 days after the second dose. Group B_0_1_2: blood draws at 7 and 30 days after the second dose.
    End point type
    Secondary
    End point timeframe
    Group 3B: 3, 7 and 30 days after third dose booster; Group B_0_1: At 3 (group B_0_1_1 only), 7 (sub-group B_0_1_2 only) and 30 days post-second dose."
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    242
    203
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76 3 days post vaccination
    36 (30.3 to 42.8)
    80 (71.1 to 87.2)
        H44/76 7 days post vaccination
    98 (95.2 to 99.3)
    99 (94.4 to 99.97)
        H44/76 1 month post vaccination
    99 (96.4 to 99.74)
    99 (96.5 to 99.88)
        5/99- 3 days post-vaccination
    78 (71.7 to 84.1)
    83 (72.9 to 89.9)
        5/99- 7 days post-vaccination
    100 (98.0 to 100.0)
    99 (93.8 to 99.97)
        5/99- 1 month post-vaccination
    100 (98.0 to 100.0)
    99 (95.9 to 99.86)
        NZ98/254- 3 days post-vaccination
    18 (12.9 to 23.1)
    44 (34.1 to 53.8)
        NZ98/254- 7 days post-vaccination
    74 (67.7 to 79.3)
    79 (69.1 to 86.2)
        NZ98/254- 1 month post-vaccination
    93 (88.6 to 95.7)
    76 (69.9 to 82.0)
        M10713- 3 days post-vaccination
    78 (72.2 to 83.1)
    82 (73.2 to 88.7)
        M10713- 7 days post-vaccination
    98 (94.7 to 99.1)
    96 (89.9 to 98.9)
        M10713- 1 month post-vaccination
    99 (97.0 to 99.90)
    93 (88.7 to 96.2)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [42]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -44
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -52.7
         upper limit
    -33.1
    Notes
    [42] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [43]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.9
         upper limit
    3.6
    Notes
    [43] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [44]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.7
         upper limit
    2.4
    Notes
    [44] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [45]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -13.6
         upper limit
    6.6
    Notes
    [45] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [46]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.9
         upper limit
    6.2
    Notes
    [46] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [47]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.9
         upper limit
    4.1
    Notes
    [47] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [48]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -36.9
         upper limit
    -15.7
    Notes
    [48] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [49]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -14.1
         upper limit
    5.8
    Notes
    [49] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [50]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    9.8
         upper limit
    23.3
    Notes
    [50] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [51]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -12.4
         upper limit
    5.8
    Notes
    [51] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [52]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.2
         upper limit
    7.7
    Notes
    [52] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group 3B v Group B_0_1
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [53]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.8
         upper limit
    10.5
    Notes
    [53] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)

    Secondary: Percentage of subjects with hSBA ≥1:8 after booster dose/second vaccination of rMenB+OMV NZ

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    End point title
    Percentage of subjects with hSBA ≥1:8 after booster dose/second vaccination of rMenB+OMV NZ
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. On day 1, subjects in the Group B_0_1 were to be randomized into 2 different blood draw schedules according to a 1:1 ratio : 2 blood samples at different time points: Group B_0_1_1: blood draws at 3 and 30 days after the second dose. Group B_0_1_2: blood draws at 7 and 30 days after the second dose.
    End point type
    Secondary
    End point timeframe
    Group 3B: 3, 7 and 30 days after third dose booster; Group B_0_1: At 3 (group B_0_1_1 only), 7 (sub-group B_0_1_2 only) and 30 days post-second dose.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    242
    203
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76 3 days post vaccination
    30 (24.5 to 36.4)
    75 (65.9 to 83.1)
        H44/76 7 days post vaccination
    96 (93.1 to 98.3)
    97 (91.3 to 99.4)
        H44/76 1 month post vaccination
    99 (96.4 to 99.74)
    98 (95.0 to 99.5)
        5/99- 3 days post-vaccination
    76 (69.4 to 82.2)
    83 (72.9 to 89.9)
        5/99- 7 days post-vaccination
    100 (98.0 to 100.0)
    99 (93.8 to 99.97)
        5/99- 1 month post-vaccination
    100 (98.0 to 100.0)
    99 (95.9 to 99.86)
        NZ98/254- 3 days post-vaccination
    16 (11.4 to 21.2)
    42 (32.3 to 51.9)
        NZ98/254- 7 days post-vaccination
    67 (60.1 to 72.6)
    69 (59.3 to 78.3)
        NZ98/254- 1 month post-vaccination
    88 (82.6 to 91.5)
    67 (60.1 to 73.4)
        M10713- 3 days post-vaccination
    70 (63.5 to 75.4)
    73 (63.8 to 81.5)
        M10713- 7 days post-vaccination
    95 (92.0 to 97.7)
    94 (87.1 to 97.7)
        M10713- 1 month post-vaccination
    98 (95.8 to 99.55)
    90 (85.2 to 93.9)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [54]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -45
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -54.4
         upper limit
    -34.3
    Notes
    [54] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [55]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.5
         upper limit
    5.2
    Notes
    [55] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [56]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.9
         upper limit
    3.9
    Notes
    [56] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [57]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -15.9
         upper limit
    4.6
    Notes
    [57] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [58]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.9
         upper limit
    6.2
    Notes
    [58] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [59]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.9
         upper limit
    4.1
    Notes
    [59] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [60]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -26
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -36.6
         upper limit
    -15.7
    Notes
    [60] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [61]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -13.3
         upper limit
    8.5
    Notes
    [61] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [62]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    21
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12.8
         upper limit
    28.3
    Notes
    [62] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [63]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -13.4
         upper limit
    7.1
    Notes
    [63] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [64]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.2
         upper limit
    8.5
    Notes
    [64] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [65]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    4.2
         upper limit
    13.2
    Notes
    [65] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)

    Secondary: Percentage of subjects with hSBA ≥1:16 after booster dose/second vaccination of rMenB+OMV NZ

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    End point title
    Percentage of subjects with hSBA ≥1:16 after booster dose/second vaccination of rMenB+OMV NZ
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. On day 1, subjects in the Group B_0_1 were to be randomized into 2 different blood draw schedules according to a 1:1 ratio : 2 blood samples at different time points: Group B_0_1_1: blood draws at 3 and 30 days after the second dose. Group B_0_1_2: blood draws at 7 and 30 days after the second dose.
    End point type
    Secondary
    End point timeframe
    Group 3B: 3, 7 and 30 days after third dose booster; Group B_0_1: At 3 (group B_0_1_1 only), 7 (sub-group B_0_1_2 only) and 30 days post-second dose
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    242
    203
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76 3 days post vaccination
    21 (15.7 to 26.3)
    50 (40.5 to 60.4)
        H44/76 7 days post vaccination
    95 (91.0 to 97.1)
    92 (84.5 to 96.4)
        H44/76 1 month post vaccination
    99 (96.4 to 99.74)
    91 (86.3 to 94.7)
        5/99- 3 days post-vaccination
    70 (63.1 to 76.8)
    76 (65.1 to 84.2)
        5/99- 7 days post-vaccination
    100 (98.0 to 100.0)
    99 (93.8 to 99.97)
        5/99- 1 month post-vaccination
    100 (98.0 to 100.0)
    98 (95.0 to 99.64)
        NZ98/254- 3 days post-vaccination
    9 (6.0 to 13.9)
    30 (21.0 to 39.2)
        NZ98/254- 7 days post-vaccination
    51 (44.5 to 57.7)
    47 (36.8 to 57.3)
        NZ98/254- 1 month post-vaccination
    81 (75.0 to 85.6)
    49 (41.7 to 55.9)
        M10713- 3 days post-vaccination
    59 (52.0 to 64.8)
    64 (53.9 to 73.0)
        M10713- 7 days post-vaccination
    88 (83.2 to 91.8)
    88 (79.6 to 93.5)
        M10713- 1 month post-vaccination
    95 (91.5 to 97.4)
    84 (78.5 to 89.0)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [66]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -30
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -40.4
         upper limit
    -19
    Notes
    [66] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [67]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.6
         upper limit
    10.3
    Notes
    [67] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [68]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    8
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    3.9
         upper limit
    12.5
    Notes
    [68] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [69]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -16
         upper limit
    6.5
    Notes
    [69] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [70]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.9
         upper limit
    6.2
    Notes
    [70] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [71]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.33
         upper limit
    5
    Notes
    [71] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [72]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -20
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -30
         upper limit
    -11.1
    Notes
    [72] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [73]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.6
         upper limit
    15.7
    Notes
    [73] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [74]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    32
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    23.2
         upper limit
    40.2
    Notes
    [74] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [75]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -16
         upper limit
    6
    Notes
    [75] - Vaccine comparison at Day 4 Group 3B vs Day 34 Group B_0_1 (3 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [76]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    0
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.8
         upper limit
    8.9
    Notes
    [76] - Vaccine comparison at Day 8 Group 3B vs Day 38 Group B_0_1 (7 days after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [77]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    11
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    5.3
         upper limit
    16.9
    Notes
    [77] - Vaccine comparison at Day 31 Group 3B vs Day 61 Group B_0_1 (1 month after booster or 2nd dose)

    Secondary: hSBA Geometric Mean Titers prior to booster/second dose of vaccination & post booster/second dose of vaccination.

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    End point title
    hSBA Geometric Mean Titers prior to booster/second dose of vaccination & post booster/second dose of vaccination.
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. On day 1, subjects in the Group B_0_1 were to be randomized into 2 different blood draw schedules according to a 1:1 ratio : 2 blood samples at different time points: Group B_0_1_1: blood draws at 3 and 30 days after the second dose. Group B_0_1_2: blood draws at 7 and 30 days after the second dose.
    End point type
    Secondary
    End point timeframe
    Group 3B: Day 1 (pre-booster dose) and 3, 7 and 30 days after third dose booster; Group B_0_1: Pre 2nd dose and at 3 (group B_0_1_1 only), 7 (group B_0_1_2 only) and 30 days post second dose.
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    242
    203
    Units: Titers
    geometric mean (confidence interval 95%)
        H44/76 - pre-vaccination
    2.99 (2.41 to 3.70)
    17 (14 to 22)
        H44/76 - 3 days post-vacc
    3.20 (2.60 to 3.94)
    17 (13 to 23)
        H44/76 - 7 days post-vacc
    115 (98 to 136)
    57 (44 to 73)
        H44/76 - 1 month post-vacc.
    196 (170 to 228)
    56 (48 to 66)
        5/99- pre-vaccination
    24 (18 to 32)
    31 (23 to 41)
        5/99- 3 days post-vacc
    24 (18 to 31)
    27 (19 to 41)
        5/99- 7 days post-vacc
    1787 (1477 to 2162)
    337 (257 to 442)
        5/99- 1 month post-vacc.
    2026 (1714 to 2395)
    248 (208 to 295)
        NZ98/254- pre-vaccination
    1.57 (1.29 to 1.92)
    5.11 (4.10 to 6.38)
        NZ98/254- 3 days post-vacc
    1.62 (1.35 to 1.96)
    4.45 (3.38 to 5.84)
        NZ98/254- 7 days post-vacc
    12 (10 to 15)
    12 (8.46 to 16)
        NZ98/254- 1 month post-vacc.
    35 (29 to 42)
    14 (11 to 17)
        M10713- pre-vaccination
    15 (12 to 19)
    32 (25 to 41)
        M10713- 3 days post-vacc
    16 (13 to 21)
    23 (17 to 33)
        M10713- 7 days post-vacc
    54 (46 to 62)
    45 (36 to 57)
        M10713- 1 month post-vacc.
    78 (67 to 92)
    41 (35 to 49)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    Adjusted geometric mean titers for H44/76 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [78]
    Method
    ANOVA
    Parameter type
    vaccine group difference
    Point estimate
    3.49
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.85
         upper limit
    4.29
    Notes
    [78] - Vaccine Comparison Day 31 Group 3B vs Day 61 Group B_0_1(1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    Adjusted geometric mean titers for 5/99 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [79]
    Method
    ANOVA
    Parameter type
    vaccine group difference
    Point estimate
    8.18
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    6.51
         upper limit
    10
    Notes
    [79] - Vaccine Comparison Day 31 Group 3B vs Day 61 Group B_0_1(1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    Adjusted geometric mean titers for NZ98/254 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [80]
    Method
    ANOVA
    Parameter type
    vaccine group difference
    Point estimate
    2.58
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.98
         upper limit
    3.36
    Notes
    [80] - Vaccine Comparison Day 31 Group 3B vs Day 61 Group B_0_1(1 month after booster or 2nd dose)
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    Adjusted geometric mean titers for M10713 indicator strain were obtained by exponentiating (base 10) the least square means and the lower and upper limits of the 95% confidence intervals of the log-transformed titers obtained from an ANOVA estimation adjusting for vaccine group and country
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [81]
    Method
    ANOVA
    Parameter type
    vaccine group difference
    Point estimate
    1.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.52
         upper limit
    2.36
    Notes
    [81] - Vaccine Comparison Day 31 Group 3B vs Day 61 Group B_0_1(1 month after booster or 2nd dose)

    Secondary: Geometric Mean Ratios (GMRs) of GMTs after booster/second vaccination versus before booster/second vaccination.

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    End point title
    Geometric Mean Ratios (GMRs) of GMTs after booster/second vaccination versus before booster/second vaccination.
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713 by calculating the GMRs of GMTs post-vaccination with a booster dose (Group 3B) versus pre-booster dose or second dose (Group B_0_1) of vaccination versus pre-second dose.
    End point type
    Secondary
    End point timeframe
    Group 3B: Day 1 and 30 days after third dose booster; Group B_0_1: 30 days post-first dose and at 30 days post-second dose
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    242
    203
    Units: Ratio
    geometric mean (confidence interval 95%)
        H44/76
    66 (55 to 79)
    3.27 (2.66 to 4.03)
        5/99
    85 (65 to 111)
    8.10 (6.12 to 11)
        NZ98/25
    22 (19 to 27)
    2.63 (2.15 to 3.21)
        M10713
    5.07 (4.33 to 5.94)
    1.27 (1.07 to 1.52)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects with at Least Four-fold Increase in hSBA Titers Pre-booster/Second dose vaccination- compared to 3, 7 and 30 Days Post- booster/Second Vaccination

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    End point title
    Percentages of Subjects with at Least Four-fold Increase in hSBA Titers Pre-booster/Second dose vaccination- compared to 3, 7 and 30 Days Post- booster/Second Vaccination
    End point description
    The percentage of subjects with 4-fold rise at three, seven, thirty days post-vaccination with a booster dose (follow-on subjects) /second dose (naive subjects) of rMenB+OMV NZ with respect to day 1 (follow-on subjects) / pre-second dose of rMenB+OMV NZ (naïve subjects). Percentage of subjects with four-fold rise in hSBA titers relative to baseline were defined as: • for a pre-vaccination titer < 4, a post-vaccination titer of at least 16; • for a pre-vaccination titer ≥ 4 but <LLOQ, a post vaccination titer of at least fourfold the LLOQ; • for a pre-vaccination titer ≥LLOQ, a post vaccination titer of at least fourfold the pre-vaccination titer
    End point type
    Secondary
    End point timeframe
    Group 3B: at 3, 7 and 30 days after third dose booster; Group B_0_1: at 3 (group B_0_1_1 only), 7 (group B_0_1_2 only) and 30 days post second dose
    End point values
    Group 3B Group B_0_1
    Number of subjects analysed
    242
    203
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76 3 days post vaccination
    2 (0.7 to 4.8)
    4 (1.0 to 9.5)
        H44/76 - 7 days post-vacc
    88 (82.8 to 91.5)
    35 (25.4 to 45.0)
        H44/76 - 1 month post-vacc.
    96 (93.1 to 98.3)
    38 (31.7 to 45.5)
        5/99- 3 days post-vacc
    5 (2.0 to 8.8)
    6 (2.0 to 13.5)
        5/99- 7 days post-vacc
    97 (92.7 to 98.7)
    59 (48.2 to 69.8)
        5/99- 1 month post-vacc.
    97 (93.5 to 99.1)
    64 (56.8 to 71.7)
        NZ98/254- 3 days post-vacc
    2 (0.7 to 5.0)
    2 (0.23 to 6.8)
        NZ98/254- 7 days post-vacc
    55 (48.3 to 61.5)
    19 (11.4 to 27.7)
        NZ98/254- 1 month post-vacc.
    81 (75.3 to 85.8)
    27 (21.3 to 34.1)
        M10713- 3 days post-vacc
    3 (0.9 to 5.4)
    0 (0.0 to 3.5)
        M10713- 7 days post-vacc
    34 (27.8 to 40.1)
    6 (2.3 to 13.0)
        M10713- 1 month post-vacc.
    49 (42.3 to 55.3)
    9 (5.8 to 14.3)
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [82]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    -2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.5
         upper limit
    1.8
    Notes
    [82] - 3 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [83]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    53
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    42.1
         upper limit
    62.5
    Notes
    [83] - 7 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 3
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain H44/76 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [84]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    58
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    50.5
         upper limit
    64.7
    Notes
    [84] - 1 Month Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 4
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [85]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    -1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.1
         upper limit
    4
    Notes
    [85] - 3 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 5
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [86]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    37
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    27
         upper limit
    48.1
    Notes
    [86] - 7 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 6
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain 5/99 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [87]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    33
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    25.2
         upper limit
    40.4
    Notes
    [87] - 1 Month Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 7
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [88]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    0
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.7
         upper limit
    3.4
    Notes
    [88] - 3 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 8
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [89]
    Method
    Miettinen and Nurminen score method
    Parameter type
    Vaccine group difference
    Point estimate
    36
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    25.6
         upper limit
    45.7
    Notes
    [89] - 7 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 9
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain NZ98/254 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [90]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    54
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    45.2
         upper limit
    61.1
    Notes
    [90] - 1 Month Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 10
    Statistical analysis description
    3 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [91]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.1
         upper limit
    5.4
    Notes
    [91] - 3 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 11
    Statistical analysis description
    7 days post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen.
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [92]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    28
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    19.1
         upper limit
    34.9
    Notes
    [92] - 7 Days Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference
    Statistical analysis title
    Statistical analysis 12
    Statistical analysis description
    1 month post vaccination-The group difference in percentages of subjects with response against N. meningitidis serogroup B indicator strain M10713 and the associated confidence interval for the difference was calculated using the method of Miettinen and Nurminen
    Comparison groups
    Group B_0_1 v Group 3B
    Number of subjects included in analysis
    445
    Analysis specification
    Pre-specified
    Analysis type
    other [93]
    Method
    Miettinen and Nurminen score method
    Parameter type
    vaccine group difference
    Point estimate
    39
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    31.6
         upper limit
    46.6
    Notes
    [93] - 1 Month Post Booster/Second Vaccination. Four-fold Increase (Group 3B vs. Group B_0_1) Difference

    Secondary: Percentage of subjects with hSBA ≥1:5 after second vaccination of rMenB+OMV NZ

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    End point title
    Percentage of subjects with hSBA ≥1:5 after second vaccination of rMenB+OMV NZ [94]
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. Only subjects receiving a second vaccination (group B_0_1) were assessed for this outcome measure.
    End point type
    Secondary
    End point timeframe
    At Day 61 (30 days post second dose of vaccination.)
    Notes
    [94] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group B_0_1
    Number of subjects analysed
    215
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    99 (96.7 to 99.89)
        5/99
    98 (95.6 to 99.68)
        NZ98/254
    77 (70.5 to 82.2)
        M10713
    93 (88.7 to 96.0)
    No statistical analyses for this end point

    Secondary: Percentage of subjects with hSBA ≥1:8 after second vaccination of rMenB+OMV NZ.

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    End point title
    Percentage of subjects with hSBA ≥1:8 after second vaccination of rMenB+OMV NZ. [95]
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. Only subjects receiving a second vaccination (group B_0_1) were assessed for this outcome measure.
    End point type
    Secondary
    End point timeframe
    At Day 61 (30 days post second vaccination)
    Notes
    [95] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group B_0_1
    Number of subjects analysed
    215
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    98 (95.3 to 99.5)
        5/99
    98 (95.6 to 99.68)
        NZ98/254
    67 (60.3 to 73.2)
        M10713
    90 (85.4 to 93.8)
    No statistical analyses for this end point

    Secondary: Percentage of subjects with hSBA ≥1:16 after second vaccination of rMenB+OMV NZ.

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    End point title
    Percentage of subjects with hSBA ≥1:16 after second vaccination of rMenB+OMV NZ. [96]
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. Only subjects receiving a second vaccination (group B_0_1) were assessed for this outcome measure.
    End point type
    Secondary
    End point timeframe
    At Day 61 (30 days post second vaccination)
    Notes
    [96] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group B_0_1
    Number of subjects analysed
    215
    Units: Percentage of subjects
    number (confidence interval 95%)
        H44/76
    91 (86.0 to 94.2)
        5/99
    98 (94.8 to 99.4)
        NZ98/254
    48 (41.5 to 55.3)
        M10713
    84 (78.5 to 88.7)
    No statistical analyses for this end point

    Secondary: hSBA Geometric Mean Titers (GMTs) after second vaccination of rMenB+OMV NZ.

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    End point title
    hSBA Geometric Mean Titers (GMTs) after second vaccination of rMenB+OMV NZ. [97]
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. Only subjects receiving a second vaccination (group B_0_1) were assessed for this outcome measure.
    End point type
    Secondary
    End point timeframe
    At Day 1 & Day 61 (30 days post second dose of vaccination)
    Notes
    [97] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group B_0_1
    Number of subjects analysed
    215
    Units: Titers
    geometric mean (confidence interval 95%)
        H44/76 Day 1
    1.32 (1.18 to 1.47)
        H44/76 1 month post 2nd vaccination
    61 (53 to 70)
        5/99 Day 1
    1.63 (1.35 to 1.96)
        5/99 1 month post 2nd vaccination
    257 (217 to 305)
        NZ98/254 Day 1
    1.28 (1.15 to 1.42)
        NZ98/254 1 month post 2nd vaccination
    14 (11 to 17)
        M10713 Day 1
    14 (11 to 18)
        M10713 1 month post 2nd vaccination
    46 (38 to 55)
    No statistical analyses for this end point

    Secondary: Geometric mean ratio (GMRs) of GMTs one month post second vaccination versus pre vaccination at Day 1

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    End point title
    Geometric mean ratio (GMRs) of GMTs one month post second vaccination versus pre vaccination at Day 1 [98]
    End point description
    Bactericidal activity was measured against each of the four N. meningitidis group B indicator strains H44/76,5/99,NZ98/254 and M10713. Only subjects receiving a second vaccination (group B_0_1) were assessed for this outcome measure.
    End point type
    Secondary
    End point timeframe
    At Day 1 & Day 61 (30 days post 2nd vaccination)
    Notes
    [98] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group B_0_1
    Number of subjects analysed
    215
    Units: Ratio
    geometric mean (confidence interval 95%)
        H44/76
    46 (39 to 54)
        5/99
    156 (117 to 209)
        NZ98/254
    11 (8.88 to 14)
        M10713
    3.23 (2.76 to 3.77)
    No statistical analyses for this end point

    Secondary: Percentages of Subjects with at Least Four-fold Increase in hSBA Titers at pre-First Vaccination compared to One Month Post-Second Vaccination

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    End point title
    Percentages of Subjects with at Least Four-fold Increase in hSBA Titers at pre-First Vaccination compared to One Month Post-Second Vaccination [99]
    End point description
    The percentage of subjects with 4-fold rise at one month post-vaccination with a second dose (naïve subjects) of rMenB+OMV NZ with respect to day 1, to each and any one, two, three or all 4 indicator strains. Percentage of subjects with four-fold rise in hSBA titers relative to baseline were defined as: • for a pre-vaccination titer < 4, a post-vaccination titer of at least 16; • for a pre-vaccination titer ≥ 4 but <LLOQ, a post vaccination titer of at least fourfold the LLOQ; • for a pre-vaccination titer ≥LLOQ, a post vaccination titer of at least fourfold the pre-vaccination titer. Only subjects receiving the second dose of vaccination(group B_0_1) were considered for this outcome measure.
    End point type
    Secondary
    End point timeframe
    At Day 61 (30 days post second dose of vaccination)
    Notes
    [99] - 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: The results in this study were tabulated by age group and study period. Hence for each related endpoint, they are presented for only the respective groups in the baseline period, while the results for multiple endpoints account for all baseline groups.
    End point values
    Group B_0_1
    Number of subjects analysed
    215
    Units: Percentage of Subjects
    number (confidence interval 95%)
        H44/76
    95 (91.6 to 97.7)
        5/99
    97 (92.9 to 98.8)
        NZ98/254
    67 (59.9 to 73)
        M10713
    35 (28.2 to 41.4)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Solicited AEs were collected until 7 days after vaccinations. Unsolicited AEs were collected 30 days after vaccination at day 31 (all subjects) and at day 61 (group B_0_1 subjects only).
    Adverse event reporting additional description
    Serious Adverse Events (SAEs) were collected until study termination (1 month for group 3B subjects/ 2 months for group B_0_1 subjects)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.0
    Reporting groups
    Reporting group title
    Group B_0_1
    Reporting group description
    Subjects who received two doses of rMenB+OMV NZ at a 0 and 1 month schedule and had blood collected at baseline, 30 days after the first dose and 3 or 7, and 30 days after the second dose.

    Reporting group title
    Group 3B
    Reporting group description
    Subjects who received a third dose booster of rMenB+OMV NZ at 4 to 7.5 years after the last dose received during studies V72P10 (NCT00661713) or V72_41(NCT0142384), and had blood collected at baseline and at 3, 7 and 30 days after the third dose booster.

    Serious adverse events
    Group B_0_1 Group 3B
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 255 (0.39%)
    0 / 275 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 255 (0.39%)
    0 / 275 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Group B_0_1 Group 3B
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    253 / 255 (99.22%)
    266 / 275 (96.73%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    126 / 255 (49.41%)
    150 / 275 (54.55%)
         occurrences all number
    442
    361
    General disorders and administration site conditions
    Injection site pain
         subjects affected / exposed
    251 / 255 (98.43%)
    259 / 275 (94.18%)
         occurrences all number
    2029
    1088
    Injection site erythema
         subjects affected / exposed
    135 / 255 (52.94%)
    162 / 275 (58.91%)
         occurrences all number
    724
    575
    Fatigue
         subjects affected / exposed
    141 / 255 (55.29%)
    156 / 275 (56.73%)
         occurrences all number
    489
    394
    Injection site induration
         subjects affected / exposed
    136 / 255 (53.33%)
    135 / 275 (49.09%)
         occurrences all number
    834
    548
    Injection site swelling
         subjects affected / exposed
    111 / 255 (43.53%)
    123 / 275 (44.73%)
         occurrences all number
    675
    475
    Pyrexia
         subjects affected / exposed
    9 / 255 (3.53%)
    17 / 275 (6.18%)
         occurrences all number
    16
    22
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    53 / 255 (20.78%)
    56 / 275 (20.36%)
         occurrences all number
    128
    113
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    100 / 255 (39.22%)
    121 / 275 (44.00%)
         occurrences all number
    313
    291
    Arthralgia
         subjects affected / exposed
    63 / 255 (24.71%)
    85 / 275 (30.91%)
         occurrences all number
    212
    203
    Infections and infestations
    Viral upper respiratory tract infection
         subjects affected / exposed
    23 / 255 (9.02%)
    13 / 275 (4.73%)
         occurrences all number
    26
    13

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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