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    Clinical Trial Results:
    A Phase 3b, Open-Label, Study to Evaluate the Safety and Immunogenicity of Nimenrix® in Healthy Infants, Given at 3 and 12 Months of Age

    Summary
    EudraCT number
    2020-005059-19
    Trial protocol
    FI   PL  
    Global end of trial date
    09 Sep 2022

    Results information
    Results version number
    v2(current)
    This version publication date
    23 Sep 2023
    First version publication date
    05 Mar 2023
    Other versions
    v1
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    C0921062
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04819113
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    235 E 42nd Street, New York, United States, NY 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 8007181021, ClinicalTrials.gov_Inquiries@pfizer.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
    10 Jan 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    09 Sep 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Safety: To describe the safety of 2 doses of Nimenrix when administered in healthy infants at 3 and 12 months of age. Immunogenicity: To describe the immune response for Neisseria meningitidis serogroups A, C, W-135, and Y induced by 2 doses of Nimenrix administered at 3 and 12 months of age.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Council for Harmonisation (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Apr 2021
    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
    Finland: 95
    Country: Number of subjects enrolled
    Poland: 26
    Country: Number of subjects enrolled
    Spain: 24
    Worldwide total number of subjects
    145
    EEA total number of subjects
    145
    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)
    145
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Total of 153 subjects were screened, of which 4 were screen failures. 149 subjects were enrolled and randomised in study of which 2 subjects did not receive any vaccination. 147 subjects received vaccination of which 2 subjects received at least 1 dose of vaccination but had no available safety information; hence, excluded from safety population.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Nimenrix
    Arm description
    Subjects aged 3 months were administered a single dose of 0.5 milliliter (mL) Nimenrix (Vaccination 1) intramuscularly into the left thigh muscle on Day 1 (Visit 1) and a second dose of Nimenrix (Vaccination 2) at 12 months of age (Visit 3). Subjects had a safety follow-up visit 1 month after each vaccination (Visit 2 and Visit 4 respectively).
    Arm type
    Experimental

    Investigational medicinal product name
    Nimenrix
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solvent for solution for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received 0.5 mL of Nimenrix intramuscularly into the left thigh muscle at Visits 1 and 3.

    Number of subjects in period 1
    Nimenrix
    Started
    145
    Completed
    141
    Not completed
    4
         Lost to follow-up
    1
         Withdrawal by parent/guardian
    3

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Nimenrix
    Reporting group description
    Subjects aged 3 months were administered a single dose of 0.5 milliliter (mL) Nimenrix (Vaccination 1) intramuscularly into the left thigh muscle on Day 1 (Visit 1) and a second dose of Nimenrix (Vaccination 2) at 12 months of age (Visit 3). Subjects had a safety follow-up visit 1 month after each vaccination (Visit 2 and Visit 4 respectively).

    Reporting group values
    Nimenrix Total
    Number of subjects
    145 145
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    145 145
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age Continuous
    Units: Days
        arithmetic mean (standard deviation)
    94.4 ± 6.09 -
    Sex: Female, Male
    Units: Subjects
        Female
    76 76
        Male
    69 69
    Race
    Units: Subjects
        American Indian or Alaska Native
    0 0
        Asian
    1 1
        Native Hawaiian or Other Pacific Islander
    0 0
        Black or African American
    0 0
        White
    141 141
        More than one race
    2 2
        Unknown or Not Reported
    1 1
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    26 26
        Not Hispanic or Latino
    119 119
        Unknown or Not Reported
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Nimenrix
    Reporting group description
    Subjects aged 3 months were administered a single dose of 0.5 milliliter (mL) Nimenrix (Vaccination 1) intramuscularly into the left thigh muscle on Day 1 (Visit 1) and a second dose of Nimenrix (Vaccination 2) at 12 months of age (Visit 3). Subjects had a safety follow-up visit 1 month after each vaccination (Visit 2 and Visit 4 respectively).

    Primary: Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 2 [1]
    End point description
    Local reactions included pain at injection site, redness and swelling and were recorded by the subject's parents/legal guardians in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm) and graded as mild: greater than (>) 0.0 to 2.0 cm; moderate: >2.0 to 7.0 cm; and severe: >7.0 cm. Pain at injection site was graded as mild: hurts if gently touched; moderate: hurts if gently touched with crying; severe: limited limb movement. Exact 2-sided confidence interval (CI) was based on the Clopper and Pearson method. Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, "Number of Subjects Analysed (N)" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 7 days after vaccination 2
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    142
    Units: Percentage of participants
    number (confidence interval 95%)
        Pain at injection site: Mild
    19.7 (13.5 to 27.2)
        Pain at injection site: Moderate
    7.7 (3.9 to 13.4)
        Pain at injection site: Severe
    0 (0.0 to 2.6)
        Redness: Mild
    14.1 (8.8 to 20.9)
        Redness: Moderate
    2.8 (0.8 to 7.1)
        Redness: Severe
    0 (0.0 to 2.6)
        Swelling: Mild
    4.9 (2.0 to 9.9)
        Swelling: Moderate
    1.4 (0.2 to 5.0)
        Swelling: Severe
    0 (0.0 to 2.6)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 2 [2]
    End point description
    Systemic event:fever, decreased appetite, increased sleep, irritability were recorded by subject’s parents/legal guardian in e-diary. Fever: temperature greater than or equal to (>=) 38.0 degrees (deg) Celsius (C), categorised: >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C,>38.9 to 40.0 deg C; >40.0 deg C; decreased appetite graded as mild: decreased interest in eating, moderate: decreased oral intake; severe: refusal to feed; increased sleep graded as mild: increased/prolonged sleeping bouts, moderate: slightly subdued, interfered with daily activity; severe: disabling, not interested in usual daily activity; irritability graded as mild: easily consolable, moderate: required increased attention; severe: inconsolable, crying could not be comforted. Exact 2-sided CI was based on Clopper & Pearson method. Dose 2 safety population: subjects who received investigational product at Visit(V) 1 and 3 and safety information was available from V3. Here, N= subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 7 days after vaccination 2
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    142
    Units: Percentage of participants
    number (confidence interval 95%)
        Fever: >=38.0 deg C to 38.4 deg C
    6.3 (2.9 to 11.7)
        Fever: >38.4 deg C to 38.9 deg C
    4.9 (2.0 to 9.9)
        Fever: >38.9 deg C to 40.0 deg C
    3.5 (1.2 to 8.0)
        Fever: >40.0 deg C
    0 (0.0 to 2.6)
        Decreased appetite: Mild
    19.7 (13.5 to 27.2)
        Decreased appetite: Moderate
    11.3 (6.6 to 17.7)
        Decreased appetite: Severe
    1.4 (0.2 to 5.0)
        Increased sleep: Mild
    38.0 (30.0 to 46.5)
        Increased sleep: Moderate
    11.3 (6.6 to 17.7)
        Increased sleep: Severe
    1.4 (0.2 to 5.0)
        Irritability: Mild
    18.3 (12.3 to 25.7)
        Irritability: Moderate
    42.3 (34.0 to 50.8)
        Irritability: Severe
    2.8 (0.8 to 7.1)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 2 [3]
    End point description
    The use of antipyretic medication was recorded by the subject's parents/legal guardians in an e-diary for 7 days after vaccination. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, "Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 7 days after vaccination 2
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    142
    Units: Percentage of participants
        number (confidence interval 95%)
    55.6 (47.1 to 64.0)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Adverse Events (AEs) Within 30 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Adverse Events (AEs) Within 30 Days After Vaccination 2 [4]
    End point description
    An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. Exact 2-sided CI was based on the Clopper and Pearson method. Only AEs collected by non-systematic assessment (i.e., excluding local reactions and systemic events) were reported in this endpoint. Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, " Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 30 days after vaccination 2
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    143
    Units: Percentage of participants
        number (confidence interval 95%)
    19.6 (13.4 to 27.0)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Serious Adverse Events (SAEs) Within 30 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Serious Adverse Events (SAEs) Within 30 Days After Vaccination 2 [5]
    End point description
    An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, " Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 30 days after vaccination 2
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    143
    Units: Percentage of participants
        number (confidence interval 95%)
    1.4 (0.2 to 5.0)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 30 Days After Vaccination 2

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    End point title
    Percentage of Subjects With Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 30 Days After Vaccination 2 [6]
    End point description
    An NDCMC was defined as a significant disease or medical condition, not previously identified, that was expected to be persistent or was otherwise long-lasting in its effects. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, " Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 30 days after vaccination 2
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    143
    Units: Percentage of subjects
        number (confidence interval 95%)
    0.0 (0.0 to 2.5)
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Immediate AE Within 30 Minutes After Vaccination 2

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    End point title
    Percentage of Subjects With Immediate AE Within 30 Minutes After Vaccination 2 [7]
    End point description
    Immediate AEs were defined as AEs occurring within the first 30 minutes after administration of the investigational product. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, " Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Within 30 minutes after vaccination 2
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    143
    Units: Percentage of subjects
        number (confidence interval 95%)
    0.0 (0.0 to 2.5)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Achieving Serum Bactericidal Assay Using Rabbit Complement (rSBA) Titers >=1:8 for Each Serogroup, Neisseria Meningitidis Group (Men) A, MenC, MenW-135 and MenY at Baseline: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving Serum Bactericidal Assay Using Rabbit Complement (rSBA) Titers >=1:8 for Each Serogroup, Neisseria Meningitidis Group (Men) A, MenC, MenW-135 and MenY at Baseline: Post Dose 2 Evaluable Immunogenicity Population [8]
    End point description
    Percentage of subjects achieving rSBA titer >=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at baseline in subjects who received vaccinations 1 and 2 were reported in this endpoint. Exact 2-sided confidence interval (CI) using the Clopper and Pearson method was presented. Analysis was performed on Post Dose (PD) 2 Evaluable Immunogenicity Population (EIP) (PD2 EIP). PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    At baseline (before vaccination 1)
    Notes
    [8] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    128
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA
    0.0 (0.0 to 2.8)
        MenC
    4.7 (1.7 to 9.9)
        MenW-135
    0.8 (0.0 to 4.3)
        MenY
    7.8 (3.8 to 13.9)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at 1 Month After vaccination 1: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at 1 Month After vaccination 1: Post Dose 2 Evaluable Immunogenicity Population [9]
    End point description
    Percentage of subjects achieving rSBA titer >=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at 1 month after vaccination 1 in subjects who received vaccination 1 and 2 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    1 month after vaccination 1
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    124
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA
    82.3 (74.4 to 88.5)
        MenC
    91.1 (84.7 to 95.5)
        MenW-135
    89.5 (82.7 to 94.3)
        MenY
    90.3 (83.7 to 94.9)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY before Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY before Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population [10]
    End point description
    Percentage of subjects achieving rSBA titer >=1:8 for each serogroup MenA, MenC, MenW-135 and MenY before vaccination 2 in subjects who received vaccination 1 and 2 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Before vaccination 2
    Notes
    [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    125
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA
    33.6 (25.4 to 42.6)
        MenC
    64.8 (55.8 to 73.1)
        MenW-135
    67.2 (58.2 to 75.3)
        MenY
    66.4 (57.4 to 74.6)
    No statistical analyses for this end point

    Primary: Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population [11]
    End point description
    Percentage of subjects achieving rSBA titer >=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at 1 month after vaccination 2 in subjects who received vaccination 1 and 2 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    1 month after vaccination 2
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    128
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA
    100.0 (97.2 to 100.0)
        MenC
    100.0 (97.2 to 100.0)
        MenW-135
    100.0 (97.2 to 100.0)
        MenY
    100.0 (97.2 to 100.0)
    No statistical analyses for this end point

    Primary: Geometric Mean Titers (GMTs) of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Geometric Mean Titers (GMTs) of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline: Post Dose 2 Evaluable Immunogenicity Population [12]
    End point description
    GMT was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the rSBA titers (based on the Student t distribution). PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    At baseline (before vaccination 1)
    Notes
    [12] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    128
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA
    4.0 (4.0 to 4.0)
        MenC
    4.4 (4.0 to 4.7)
        MenW-135
    4.1 (3.9 to 4.3)
        MenY
    5.0 (4.3 to 5.8)
    No statistical analyses for this end point

    Primary: GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at 1 Month After Vaccination 1: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at 1 Month After Vaccination 1: Post Dose 2 Evaluable Immunogenicity Population [13]
    End point description
    GMT was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the rSBA titers (based on the Student t distribution). PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    1 month after vaccination 1
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    124
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA
    54.7 (41.1 to 72.9)
        MenC
    107.6 (81.3 to 142.5)
        MenW-135
    202.4 (149.6 to 274.0)
        MenY
    187.2 (141.6 to 247.5)
    No statistical analyses for this end point

    Primary: GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups before Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups before Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population [14]
    End point description
    GMT was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the rSBA titers (based on the Student t distribution). Dose 2 safety population included subjects who received the first and second dose of investigational product at Visit 1 and Visit 3 and for whom safety information was available from Visit 3. Here, "Overall Number of Subjects Analyzed" signifies subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Before vaccination 2
    Notes
    [14] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    125
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA
    9.9 (7.6 to 13.0)
        MenC
    21.8 (16.1 to 29.5)
        MenW-135
    21.7 (16.3 to 28.9)
        MenY
    24.5 (18.0 to 33.4)
    No statistical analyses for this end point

    Primary: GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population [15]
    End point description
    GMT was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the rSBA titers (based on the Student t distribution). PD2 EIP: subjects enrolled and eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and at 1 month after dose 2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviations through V4. Here, N =subjects evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    1 month after vaccination 2
    Notes
    [15] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint
    End point values
    Nimenrix
    Number of subjects analysed
    128
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA
    1818.0 (1497.8 to 2206.6)
        MenC
    1299.5 (1052.3 to 1604.9)
        MenW-135
    2714.1 (2233.0 to 3298.8)
        MenY
    1667.1 (1393.9 to 1993.8)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 1

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    End point title
    Percentage of Subjects With Local Reactions Within 7 Days After Vaccination 1
    End point description
    Local reactions included pain at injection site, redness and swelling and were recorded by the subject's parents/legal guardians in an e-diary. Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm and graded as mild: >0.0 to 2.0 cm; moderate: >2.0 to 7.0 cm; and severe: >7.0 cm. Pain at injection site was graded as mild: hurts if gently touched; moderate: hurts if gently touched with crying; severe: limited limb movement. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 1 safety population included subjects who received the first dose of investigational product at Visit 1 and for whom safety information was available from Visit 1 to prior to Visit 3.
    End point type
    Secondary
    End point timeframe
    Within 7 days after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    145
    Units: Percentage of subjects
    number (confidence interval 95%)
        Pain at injection site: Mild
    13.8 (8.6 to 20.5)
        Pain at injection site: Moderate
    2.8 (0.8 to 6.9)
        Pain at injection site: Severe
    0 (0.0 to 2.5)
        Redness: Mild
    6.2 (2.9 to 11.5)
        Redness: Moderate
    1.4 (0.2 to 4.9)
        Redness: Severe
    0 (0.0 to 2.5)
        Swelling: Mild
    1.4 (0.2 to 4.9)
        Swelling: Moderate
    1.4 (0.2 to 4.9)
        Swelling: Severe
    0 (0.0 to 2.5)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 1

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    End point title
    Percentage of Subjects With Systemic Events Within 7 Days After Vaccination 1
    End point description
    Systemic events included fever, decreased appetite, increased sleep and irritability and were recorded in e-diary. Fever was defined as temperature >=38.0 deg C, categorized as >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C,>38.9 to 40.0 deg C and >40.0 deg C; decreased appetite graded as mild: decreased interest in eating, moderate: decreased oral intake and severe: refusal to feed; increased sleep graded as mild: increased or prolonged sleeping bouts, moderate: slightly subdued, interfered with daily activity and severe: disabling, not interested in usual daily activity; irritability graded as mild: easily consolable, moderate: required increased attention and severe: inconsolable, crying could not be comforted. Exact 2-sided CI was based on Clopper and Pearson method. Dose 1 safety population included subjects who received the first dose of investigational product at Visit 1 and for whom safety information was available from Visit 1 to prior to Visit 3.
    End point type
    Secondary
    End point timeframe
    Within 7 days after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    145
    Units: Percentage of subjects
    number (confidence interval 95%)
        Fever: >=38.0 deg C to 38.4 deg C
    7.6 (3.8 to 13.2)
        Fever: >38.4 deg C to 38.9 deg C
    2.1 (0.4 to 5.9)
        Fever: >38.9 deg C to 40.0 deg C
    0 (0.0 to 2.5)
        Fever: >40.0 deg C
    0 (0.0 to 2.5)
        Decreased appetite: Mild
    15.2 (9.8 to 22.1)
        Decreased appetite: Moderate
    8.3 (4.3 to 14.0)
        Decreased appetite: Severe
    0 (0.0 to 2.5)
        Increased sleep: Mild
    57.2 (48.8 to 65.4)
        Increased sleep: Moderate
    7.6 (3.8 to 13.2)
        Increased sleep: Severe
    1.4 (0.2 to 4.9)
        Irritability: Mild
    27.6 (20.5 to 35.6)
        Irritability: Moderate
    40.0 (32.0 to 48.5)
        Irritability: Severe
    4.8 (2.0 to 9.7)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 1

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    End point title
    Percentage of Subjects With Use of Antipyretic Medication Within 7 Days After Vaccination 1
    End point description
    The use of antipyretic medication was recorded by the participant’s parents/legal guardians in an e-diary for 7 days after vaccination. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 1 safety population included subjects who received the first dose of investigational product at Visit 1 and for whom safety information was available from Visit 1 to prior to Visit 3.
    End point type
    Secondary
    End point timeframe
    Within 7 days after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    145
    Units: Percentage of subjects
        number (confidence interval 95%)
    39.3 (31.3 to 47.8)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With AEs Within 30 Days After Vaccination 1

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    End point title
    Percentage of Subjects With AEs Within 30 Days After Vaccination 1
    End point description
    An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. Exact 2-sided CI was based on the Clopper and Pearson method. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this endpoint. Dose 1 safety population included subjects who received the first dose of investigational product at Visit 1 and for whom safety information was available from Visit 1 to prior to Visit 3.
    End point type
    Secondary
    End point timeframe
    Within 30 days after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    145
    Units: Percentage of subjects
        number (confidence interval 95%)
    6.9 (3.4 to 12.3)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With SAEs and NDCMCs: Within 30 Days After Vaccination 1, From 1 Month After Vaccination 1 to 9 Months After Vaccination 1, From Vaccination 1 to 9 Months After Vaccination 1

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    End point title
    Percentage of Subjects With SAEs and NDCMCs: Within 30 Days After Vaccination 1, From 1 Month After Vaccination 1 to 9 Months After Vaccination 1, From Vaccination 1 to 9 Months After Vaccination 1
    End point description
    An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalisation or prolongation of existing hospitalisation; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. An NDCMC was defined as a significant disease or medical condition, not previously identified, that was expected to be persistent or was otherwise long-lasting in its effects. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 1 safety population included subjects who received the first dose of investigational product at Visit 1 and for whom safety information was available from Visit 1 to prior to Visit 3.
    End point type
    Secondary
    End point timeframe
    Within 30 days after vaccination (vacc.) 1, from 1 month (M) after vaccination 1 to 9 months after vaccination 1 and from vaccination 1 on Day 1 to 9 months after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    145
    Units: Percentage of subjects
    number (confidence interval 95%)
        SAE: Within 30 days after Vacc. 1
    1.4 (0.2 to 4.9)
        SAE: From 1 M after Vacc. 1 to 9 M after Vacc. 1
    4.1 (1.5 to 8.8)
        SAE: From Vacc. 1 to 9 M after Vacc. 1
    5.5 (2.4 to 10.6)
        NDCMC: Within 30 days after Vacc. 1
    0.0 (0.0 to 2.5)
        NDCMC: From 1 M after Vacc. 1 to 9 M after Vacc. 1
    0.0 (0.0 to 2.5)
        NDCMC: From Vacc. 1 to 9 M after Vacc. 1
    0.0 (0.0 to 2.5)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Immediate AE Within 30 Minutes After Vaccination 1

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    End point title
    Percentage of Subjects With Immediate AE Within 30 Minutes After Vaccination 1
    End point description
    Immediate AEs were defined as AEs occurring within the first 30 minutes after administration of the investigational product. Exact 2-sided CI was based on the Clopper and Pearson method. Dose 1 safety population included subjects who received the first dose of investigational product at Visit 1 and for whom safety information was available from Visit 1 to prior to Visit 3.
    End point type
    Secondary
    End point timeframe
    Within 30 minutes after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    145
    Units: Percentage of subjects
        number (confidence interval 95%)
    0.0 (0.0 to 2.5)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving rSBA titer >=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at baseline and 1 month after Vaccination 1 in subjects who received Vaccination 1 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. Analysis was performed on post-dose 1 (PD1) evaluable immunogenicity population (EIP). PD1 EIP: subjects enrolled and eligible through V2; received vaccine at V1; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and Month 1 (V2; 1 month after dose 1: window 28-42 days); had at least 1 valid, determinate MenA, MenC, MenW-135 and MenY assay result at V2, received no prohibited vaccines/treatment and had no protocol deviations through V2. Here, " Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1) and 1 month after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    116
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1)
    0.0 (0.0 to 3.1)
        MenA, 1 Month after Vaccination 1
    81.0 (72.7 to 87.7)
        MenC, Baseline (Before Vaccination 1)
    5.2 (1.9 to 10.9)
        MenC, 1 Month after Vaccination 1
    89.7 (82.6 to 94.5)
        MenW-135, Baseline (Before Vaccination 1)
    0.9 (0.0 to 4.7)
        MenW-135, 1 Month after Vaccination 1
    88.8 (81.6 to 93.9)
        MenY, Baseline (Before Vaccination 1)
    7.8 (3.6 to 14.2)
        MenY, 1 Month after Vaccination 1
    87.9 (80.6 to 93.2)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving rSBA Titers >= 1:128 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving rSBA Titers >= 1:128 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving rSBA titer >= 1:128 for each serogroup MenA, MenC, MenW-135 and MenY at baseline and 1 month after vaccination 1 in subjects who received vaccination 1 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD1 EIP: subjects enrolled and eligible through V2; received vaccine at V1; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and Month 1 (V2; 1 month after dose 1: window 28-42 days); had at least 1 valid, determinate MenA, MenC, MenW-135 and MenY assay result at V2, received no prohibited vaccines/treatment and had no protocol deviations through V2. Here, "Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1) and 1 month after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    116
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1)
    0.0 (0.0 to 3.1)
        MenA, 1 Month after Vaccination 1
    35.3 (26.7 to 44.8)
        MenC, Baseline (Before Vaccination 1)
    0.0 (0.0 to 3.1)
        MenC, 1 Month after Vaccination 1
    65.5 (56.1 to 74.1)
        MenW-135, Baseline (Before Vaccination 1)
    0.9 (0.0 to 4.7)
        MenW-135, 1 Month after Vaccination 1
    79.3 (70.8 to 86.3)
        MenY, Baseline (Before Vaccination 1)
    2.6 (0.5 to 7.4)
        MenY, 1 Month after Vaccination 1
    81.0 (72.7 to 87.7)
    No statistical analyses for this end point

    Secondary: GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population

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    End point title
    GMTs of rSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population
    End point description
    GMT was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the rSBA titers (based on the Student t distribution). Post Dose 1 Evaluable Immunogenicity Population (PD1 EIP): subjects enrolled and eligible through V2; received vaccine at V1; blood drawn for assay testing within time frames at Month 0 (V1; before dose 1) and Month 1 (V2; 1 month after dose 1: window 28-42 days); had at least 1 valid, determinate MenA, MenC, MenW-135 and MenY assay result at V2, received no prohibited vaccines/treatment and had no protocol deviations through V2. Here, " Number of Subjects Analysed" signifies subjects evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1) and 1 month after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    116
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1)
    4.0 (4.0 to 4.0)
        MenA, 1 Month after Vaccination 1
    50.1 (37.2 to 67.5)
        MenC, Baseline (Before Vaccination 1)
    4.3 (4.0 to 4.5)
        MenC, 1 Month after Vaccination 1
    96.7 (71.8 to 130.1)
        MenW-135, Baseline (Before Vaccination 1)
    4.1 (3.9 to 4.4)
        MenW-135, 1 Month after Vaccination 1
    193.3 (140.8 to 265.5)
        MenY, Baseline (Before Vaccination 1)
    4.8 (4.2 to 5.4)
        MenY, 1 Month after Vaccination 1
    172.6 (126.6 to 235.2)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titers >= 1:4 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titers >= 1:4 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving hSBA titers >= 1:4 for each serogroup MenA, MenC, MenW-135 and MenY at baseline and 1 month after vaccination 1 in subjects who received Vaccination 1 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD1 EIP: subjects enrolled & eligible through V2; received vaccine at V1; blood drawn for assay testing within time frames at Month 0 (V1; before dose1) and Month1 (V2;1 month after dose1: window 28-42 days); had at least 1 valid, determinate MenA, MenC, MenW-135 and MenY assay result at V2, received no prohibited vaccines/treatment and had no protocol deviation through V2. Here, N=signifies subjects evaluable for this endpoint and n=subjects evaluable for specified rows.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1) and 1 month after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    107
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=92
    7.6 (3.1 to 15.1)
        MenA, 1 Month after Vaccination 1, n=106
    94.3 (88.1 to 97.9)
        MenC, Baseline (Before Vaccination 1), n=100
    13.0 (7.1 to 21.2)
        MenC, 1 Month after Vaccination 1, n=107
    91.6 (84.6 to 96.1)
        MenW-135, Baseline (Before Vaccination 1), n=58
    13.8 (6.1 to 25.4)
        MenW-135, 1 Month after Vaccination 1, n=62
    33.9 (22.3 to 47.0)
        MenY, Baseline (Before Vaccination 1), n=66
    25.8 (15.8 to 38.0)
        MenY, 1 Month after Vaccination 1, n=68
    48.5 (36.2 to 61.0)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving hSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving hSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving hSBA titers >= 1:8 for each serogroup MenA, MenC, MenW-135 and MenY at baseline and 1 month after vaccination 1 in subjects who received Vaccination 1 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD1 EIP: subjects enrolled and eligible through V2; received vaccine at V1; blood drawn for assay testing within time frames at Month 0 (V1; before dose1) and Month1 (V2;1 month after dose1: window 28-42 days); had at least 1 valid, determinate MenA, MenC, MenW-135 and MenY assay result at V2, received no prohibited vaccines/treatment and had no protocol deviation through V2. Here, N= subjects evaluable for this endpoint and n=signifies subjects evaluable for specified row.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1) and 1 month after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    107
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=92
    6.5 (2.4 to 13.7)
        MenA, 1 Month after Vaccination 1, n=106
    94.3 (88.1 to 97.9)
        MenC, Baseline (Before Vaccination 1), n=100
    13.0 (7.1 to 21.2)
        MenC, 1 Month after Vaccination 1, n=107
    91.6 (84.6 to 96.1)
        MenW-135, Baseline (Before Vaccination 1), n=58
    13.8 (6.1 to 25.4)
        MenW-135, 1 Month after Vaccination 1, n=62
    33.9 (22.3 to 47.0)
        MenY, Baseline (Before Vaccination 1), n=66
    25.8 (15.8 to 38.0)
        MenY, 1 Month after Vaccination 1, n=68
    48.5 (36.2 to 61.0)
    No statistical analyses for this end point

    Secondary: GMTs of hSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population

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    End point title
    GMTs of hSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline and 1 Month After Vaccination 1: Post Dose 1 Evaluable Immunogenicity Population
    End point description
    GMT was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the hSBA titers (based on the Student t distribution). PD1 EIP:subjects enrolled & eligible through V2;received vaccine at V1;blood drawn for assay testing within time frames at Month 0 (V1; before dose1) & Month1 (V2;1 month after dose1:window 28-42 days); had at least 1 valid, determinate MenA, MenC, MenW-135 & MenY assay result at V2, received no prohibited vaccines/treatment & had no protocol deviation through V2. Here, N= subjects evaluable for this endpoint and ‘n’ signifies subjects evaluable for specified row.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1) and 1 month after vaccination 1
    End point values
    Nimenrix
    Number of subjects analysed
    107
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=92
    2.4 (2.1 to 2.7)
        MenA, 1 Month after Vaccination 1, n=106
    82.0 (63.9 to 105.0)
        MenC, Baseline (Before Vaccination 1), n=100
    2.9 (2.4 to 3.6)
        MenC, 1 Month after Vaccination 1, n=107
    128.4 (93.3 to 176.8)
        MenW-135, Baseline (Before Vaccination 1), n=58
    2.9 (2.3 to 3.7)
        MenW-135, 1 Month after Vaccination 1, n=62
    6.9 (4.4 to 10.9)
        MenY, Baseline (Before Vaccination 1), n=66
    6.6 (3.9 to 11.3)
        MenY, 1 Month after Vaccination 1, n=68
    19.2 (10.2 to 36.3)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving hSBA Titers >= 1:4 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving hSBA Titers >= 1:4 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving hSBA titers >= 1:4 for each serogroup MenA, MenC, MenW-135 and MenY at baseline, 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2 in subjects who received vaccination 1 and 2 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD2 EIP: subject enrolled and eligible through 1month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frame at Month0 (V1;before dose1) and at 1 month after dose2 (V4:window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccine/treatment and had no protocol deviation through V4. Here, N=subjects evaluable for endpoint and n=subjects evaluable for specified row.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1), 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2
    End point values
    Nimenrix
    Number of subjects analysed
    123
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=100
    8.0 (3.5 to 15.2)
        MenA, 1 Month after Vaccination 1, n=111
    95.5 (89.8 to 98.5)
        MenA, Before Vaccination 2, n=108
    49.1 (39.3 to 58.9)
        MenA, 1 Month after Vaccination 2, n=123
    100.0 (97.0 to 100.0)
        MenC, Baseline (Before Vaccination 1), n=111
    11.7 (6.4 to 19.2)
        MenC, 1 Month after Vaccination 1, n=116
    93.1 (86.9 to 97.0)
        MenC, Before Vaccination 2, n=121
    85.1 (77.5 to 90.9)
        MenC, 1 Month after Vaccination 2, n=123
    100.0 (97.0 to 100.0)
        MenW-135, Baseline (Before Vaccination 1), n=65
    12.3 (5.5 to 22.8)
        MenW-135, 1 Month after Vaccination 1, n=67
    38.8 (27.1 to 51.5)
        MenW-135, Before Vaccination 2, n=100
    94.0 (87.4 to 97.8)
        MenW-135, 1 Month after Vaccination 2, n=119
    100.0 (96.9 to 100.0)
        MenY, Baseline (Before Vaccination 1), n=73
    21.9 (13.1 to 33.1)
        MenY, 1 Month after Vaccination 1, n=72
    50.0 (38.0 to 62.0)
        MenY, Before Vaccination 2, n=106
    70.8 (61.1 to 79.2)
        MenY, 1 Month after Vaccination 2, n=123
    100.0 (97.0 to 100.0)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving hSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving hSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving hSBA titers >= 1:8 for each serogroup MenA, MenC, MenW-135 and MenY at baseline, 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2 in subjects who received vaccination 1 and 2 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD2 EIP: subjects enrolled and eligible through 1month after vaccination2; received vaccine at V 1 and 3; blood drawn for assay testing within time frames at Month0 (V1;before dose1) and at 1month after dose2(V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, & MenY assay result at V4, received no prohibited vaccine/treatment and had no protocol deviation through V4. Here, N=subjects evaluable for endpoint and n=subjects evaluable for specified row.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1), 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2
    End point values
    Nimenrix
    Number of subjects analysed
    123
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=100
    7.0 (2.9 to 13.9)
        MenA, 1 Month after Vaccination 1, n=111
    95.5 (89.8 to 98.5)
        MenA, Before Vaccination 2, n=108
    46.3 (36.7 to 56.2)
        MenA, 1 Month after Vaccination 2, n=123
    100.0 (97.0 to 100.0)
        MenC, Baseline (Before Vaccination 1), n=111
    11.7 (6.4 to 19.2)
        MenC, 1 Month after Vaccination 1, n=116
    93.1 (86.9 to 97.0)
        MenC, Before Vaccination 2, n=121
    85.1 (77.5 to 90.9)
        MenC, 1 Month after Vaccination 2, n=123
    100.0 (97.0 to 100.0)
        MenW-135, Baseline (Before Vaccination 1), n=65
    12.3 (5.5 to 22.8)
        MenW-135, 1 Month after Vaccination 1, n=67
    38.8 (27.1 to 51.5)
        MenW-135, Before Vaccination 2, n=100
    94.0 (87.4 to 97.8)
        MenW-135, 1 Month after Vaccination 2, n=119
    100.0 (96.9 to 100.0)
        MenY, Baseline (Before Vaccination 1), n=73
    21.9 (13.1 to 33.1)
        MenY, 1 Month after Vaccination 1, n=72
    50.0 (38.0 to 62.0)
        MenY, Before Vaccination 2, n=106
    70.8 (61.1 to 79.2)
        MenY, 1 Month after Vaccination 2, n=123
    100.0 (97.0 to 100.0)
    No statistical analyses for this end point

    Secondary: GMTs of hSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    GMTs of hSBA Titer for Each of MenA, MenC, MenW-135 and MenY Serogroups at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population
    End point description
    GMTs was derived by calculating the mean on the natural log scale based on the t-distribution, then exponentiating the results. CIs were obtained by exponentiating the limits of CIs for the mean logarithm of the hSBA titers (based on the Student t distribution). PD2 EIP: subjects enrolled & eligible through 1 month after vaccination 2; received vaccine at V1 and V3; blood drawn for assay testing within time frames at Month0 (V1; before dose 1) and at 1 month after dose2 (V4: window 28-42 days);at least 1 valid, determinate MenA, MenC, MenW-135, & MenY assay result at V4,received no prohibited vaccines/treatment & had no protocol deviation through V4.Here, N=subjects evaluable for this endpoint and n=subjects evaluable for specified row.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1), 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2
    End point values
    Nimenrix
    Number of subjects analysed
    123
    Units: Titer
    geometric mean (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=100
    2.4 (2.1 to 2.7)
        MenA, 1 Month after Vaccination 1, n=111
    86.9 (68.8 to 109.8)
        MenA, Before Vaccination 2, n=108
    9.5 (6.8 to 13.2)
        MenA, 1 Month after Vaccination 2, n=123
    1208.4 (976.9 to 1494.8)
        MenC, Baseline (Before Vaccination 1), n=111
    2.9 (2.3 to 3.6)
        MenC, 1 Month after Vaccination 1, n=116
    149.8 (111.3 to 201.6)
        MenC, Before Vaccination 2, n=121
    74.8 (52.3 to 107.0)
        MenC, 1 Month after Vaccination 2, n=123
    7299.6 (5362.8 to 9936.0)
        MenW-135, Baseline (Before Vaccination 1), n=65
    2.8 (2.2 to 3.5)
        MenW-135, 1 Month after Vaccination 1, n=67
    8.8 (5.5 to 14.2)
        MenW-135, Before Vaccination 2, n=100
    121.6 (90.0 to 164.2)
        MenW-135, 1 Month after Vaccination 2, n=119
    6955.8 (5922.4 to 8169.4)
        MenY, Baseline (Before Vaccination 1), n=73
    5.7 (3.5 to 9.5)
        MenY, 1 Month after Vaccination 1, n=72
    19.9 (10.8 to 36.6)
        MenY, Before Vaccination 2, n=106
    45.7 (28.8 to 72.5)
        MenY, 1 Month after Vaccination 2, n=123
    5062.1 (4202.9 to 6097.0)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects Achieving rSBA Titers >= 1:128 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population

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    End point title
    Percentage of Subjects Achieving rSBA Titers >= 1:128 for Each Serogroup MenA, MenC, MenW-135 and MenY at Baseline, 1 Month After Vaccination 1, before Vaccination 2 and 1 Month After Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population
    End point description
    Percentage of subjects achieving rSBA Titers >= 1:128 for each serogroup MenA, MenC, MenW-135 and MenY at baseline, 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2 in subjects who received vaccination 1 and 2 were reported in this endpoint. Exact 2-sided CI using the Clopper and Pearson method was presented. PD2 EIP: subjects enrolled and eligible through 1 month after vaccination2; received vaccine at V 1 and V3; blood drawn for assay testing within time frames at Month0 (V1; before dose 1) and at 1 month after dose2 (V4: window 28-42 days); at least 1 valid, determinate MenA, MenC, MenW-135, and MenY assay result at V4, received no prohibited vaccines/treatment and had no protocol deviation through V4. Here, N=subjects evaluable for this endpoint and n=subjects evaluable for specified row.
    End point type
    Secondary
    End point timeframe
    At baseline (before vaccination 1), 1 month after vaccination 1, before vaccination 2 and 1 month after vaccination 2
    End point values
    Nimenrix
    Number of subjects analysed
    128
    Units: Percentage of subjects
    number (confidence interval 95%)
        MenA, Baseline (Before Vaccination 1), n=128
    0 (0.0 to 2.8)
        MenA, 1 Month after Vaccination 1, n=124
    40.3 (31.6 to 49.5)
        MenA, Before Vaccination 2, n=125
    15.2 (9.4 to 22.7)
        MenA, 1 Month after Vaccination 2, n=128
    100.0 (97.2 to 100.0)
        MenC, Baseline (Before Vaccination 1), n=128
    0.8 (0.0 to 4.3)
        MenC, 1 Month after Vaccination 1, n=124
    67.7 (58.8 to 75.9)
        MenC, Before Vaccination 2, n=125
    20.8 (14.1 to 29.0)
        MenC, 1 Month after Vaccination 2, n=128
    98.4 (94.5 to 99.8)
        MenW-135, Baseline (Before Vaccination 1), n=128
    0.8 (0.0 to 4.3)
        MenW-135, 1 Month after Vaccination 1, n=124
    79.8 (71.7 to 86.5)
        MenW-135, Before Vaccination 2, n=125
    23.2 (16.1 to 31.6)
        MenW-135, 1 Month after Vaccination 2, n=128
    100.0 (97.2 to 100.0)
        MenY, Baseline (Before Vaccination 1), n=128
    3.9 (1.3 to 8.9)
        MenY, 1 Month after Vaccination 1, n=124
    83.1 (75.3 to 89.2)
        MenY, Before Vaccination 2, n=125
    27.2 (19.6 to 35.9)
        MenY, 1 Month after Vaccination 2, n=128
    99.2 (95.7 to 100.0)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Systematic assessment (SA): local reactions/systemic events recorded within 7 days after Vaccination(Vacc) 1 & 2; Non-SA: SAEs: Day 1 up to 42 days after Vacc 2; other AEs: from Day 1 up to 42 days after Vacc & from Day of Vacc 2 up to 42 days after Vacc2
    Adverse event reporting additional description
    Same event may appear as both an non-SAE and SAE. However, what is presented are distinct events. An event may be categorised as serious in one subject and as non-serious in another, or a subject may have experienced both a serious and non-serious event. Safety population was evaluated.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.0
    Reporting groups
    Reporting group title
    Nimenrix
    Reporting group description
    Participants aged 3 months were administered a single dose of 0.5 milliliter (mL) Nimenrix (Vaccination 1) intramuscularly into the left thigh muscle on Day 1 (Visit 1) and a second dose of Nimenrix (Vaccination 2) at 12 months of age (Visit 3). Participants had a safety follow-up visit 1 month after each vaccination (Visit 2 and Visit 4 respectively).

    Serious adverse events
    Nimenrix
    Total subjects affected by serious adverse events
         subjects affected / exposed
    10 / 145 (6.90%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    Concussion
         subjects affected / exposed
    1 / 145 (0.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Head injury
         subjects affected / exposed
    1 / 145 (0.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Food protein-induced enterocolitis syndrome
         subjects affected / exposed
    1 / 145 (0.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Laryngitis
         subjects affected / exposed
    1 / 145 (0.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nasopharyngitis
         subjects affected / exposed
    1 / 145 (0.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory syncytial virus bronchiolitis
         subjects affected / exposed
    3 / 145 (2.07%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Respiratory syncytial virus infection
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    Nimenrix
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    139 / 145 (95.86%)
    Injury, poisoning and procedural complications
    Head injury
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Nervous system disorders
    Hypersomnia (INCREASED SLEEP)
    alternative assessment type: Systematic
         subjects affected / exposed
    115 / 145 (79.31%)
         occurrences all number
    168
    General disorders and administration site conditions
    Injection site pain (PAIN AT INJECTION SITE)
    alternative assessment type: Systematic
         subjects affected / exposed
    51 / 145 (35.17%)
         occurrences all number
    63
    Pyrexia (FEVER)
    alternative assessment type: Systematic
         subjects affected / exposed
    31 / 145 (21.38%)
         occurrences all number
    35
    Swelling (SWELLING)
    alternative assessment type: Systematic
         subjects affected / exposed
    12 / 145 (8.28%)
         occurrences all number
    13
    Pyrexia
         subjects affected / exposed
    5 / 145 (3.45%)
         occurrences all number
    5
    Skin and subcutaneous tissue disorders
    Erythema (REDNESS)
    alternative assessment type: Systematic
         subjects affected / exposed
    32 / 145 (22.07%)
         occurrences all number
    35
    Psychiatric disorders
    Irritability (IRRITABILITY)
    alternative assessment type: Systematic
         subjects affected / exposed
    119 / 145 (82.07%)
         occurrences all number
    195
    Infections and infestations
    Conjunctivitis
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Viral infection
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Upper respiratory tract infection
         subjects affected / exposed
    7 / 145 (4.83%)
         occurrences all number
    9
    Respiratory tract infection
         subjects affected / exposed
    3 / 145 (2.07%)
         occurrences all number
    3
    Otitis media
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Bronchiolitis
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Gastroenteritis
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Hand-foot-and-mouth disease
         subjects affected / exposed
    2 / 145 (1.38%)
         occurrences all number
    2
    Laryngitis
         subjects affected / exposed
    4 / 145 (2.76%)
         occurrences all number
    4
    Nasopharyngitis
         subjects affected / exposed
    8 / 145 (5.52%)
         occurrences all number
    8
    Metabolism and nutrition disorders
    Decreased appetite (DECREASED APPETITE)
    alternative assessment type: Systematic
         subjects affected / exposed
    65 / 145 (44.83%)
         occurrences all number
    80

    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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