Clinical trial • Not applicable • Infectious Disease

N. MENINGITIDIS GROUP C (STRAIN C11) POLYSACCHARIDE (DE-O-ACETYLATED) CONJUGATED TO TETANUS TOXOID; NEISSERIA MENINGITIDIS GROUP A POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN; NEISSERIA MENINGITIDIS GROUP W-135 POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN; NEISSERIA MENINGITIDIS GROUP Y POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN for Invasive meningococcal disease | Sepsis | Meningitis

Not applicable trial of N. MENINGITIDIS GROUP C (STRAIN C11) POLYSACCHARIDE (DE-O-ACETYLATED) CONJUGATED TO TETANUS TOXOID; NEISSERIA MENINGITIDIS GROUP A…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Invasive meningococcal disease | Sepsis | Meningitis
Trial Stage
Not applicable
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
26-04-2024
First CTIS Authorization Date
13-05-2024

Trial design

Not applicable trial across 1 site in Netherlands.

Target Sample Size
280
Trial Duration For Participant
1825

Eligibility

Recruits 280 No vulnerable population selected; participants are adults aged 65-85; informed consent is required (subject information and informed consent form for adults available)..

Vulnerable Population
No vulnerable population selected; participants are adults aged 65-85; informed consent is required (subject information and informed consent form for adults available).

Inclusion criteria

  • {"criterion_text":"- Participants eligible for this study are Dutch older persons 65-85 years of age"}
  • {"criterion_text":"- Moderate to good general health with regard to age"}
  • {"criterion_text":"- Did not receive a MenACWY-TT vaccine before"}

Exclusion criteria

  • {"criterion_text":"- Antibiotic use within 14 days of enrolment"}
  • {"criterion_text":"- Serious surgery within the last 3 months"}
  • {"criterion_text":"- Previous vaccination with the MenC, MenC-TT or MenACWY-TT vaccine"}
  • {"criterion_text":"- Previous confirmed or suspected meningococcal disease"}
  • {"criterion_text":"- Any vaccination within a month before enrolment"}
  • {"criterion_text":"- Known or suspected allergy to any of the vaccine components (by medical history)"}
  • {"criterion_text":"- Severe acute infectious illness or fever above 38.0 °C within 14 days before vaccination"}
  • {"criterion_text":"- Present evidence of serious diseases either demanding regular use of oral immunosuppressive medical treatment, like corticosteroids, that might interfere with the results of the study within the last 3 months or demanding acute use of high dose oral immunosuppressive that might interfere with the results of the study within the last 2 weeks"}
  • {"criterion_text":"- Occurrence of a serious adverse event after other vaccination by medical history"}
  • {"criterion_text":"- Known or suspected immune deficiency"}
  • {"criterion_text":"- Known or suspected coagulation disorder"}
  • {"criterion_text":"- Oral hormone use, such as postmenopausal hormones, within the last 3 months"}
  • {"criterion_text":"- History of one of the following neurological disorders: multiple sclerosis, Parkinson’s disease, or epilepsy"}
  • {"criterion_text":"- Previous administration of plasma-serum products including immunoglobulins within 6 months before vaccination and blood sampling"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Functional antibody levels against MenA, MenC, MenW and MenY are measured using the serum bactericidal antibody (SBA) assay.","definition_or_measurement_approach":"Measured using the serum bactericidal antibody (SBA) assay to determine functional antibody levels against MenA, MenC, MenW and MenY."}

Secondary endpoints

  • {"endpoint_text":"- To compare SBA levels of ≥8 (persistence of vaccine induced protective antibody levels) at 1 month and 1 year within the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort","definition_or_measurement_approach":"Comparison of SBA levels; threshold of ≥8 used to indicate persistence of protective antibody levels at 1 month and 1 year, and after booster."}
  • {"endpoint_text":"- To determine serum MenA-PS, MenC-PS, MenW-PS and MenY-PS specific IgG levels at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort","definition_or_measurement_approach":"Measurement of MenA-PS, MenC-PS, MenW-PS and MenY-PS specific IgG levels in serum at 1 month and 1 year (and after booster) and comparison between age groups."}
  • {"endpoint_text":"- To determine serum IgG antibody levels against tetanus, the carrier protein for both vaccines, at 1 month and 1 year and compare within the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort","definition_or_measurement_approach":"Measurement of serum IgG levels against tetanus at 1 month and 1 year and comparison between groups and after booster."}
  • {"endpoint_text":"- To determine serum IgA and IgM levels against MenA, MenC, MenW and MenY at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort","definition_or_measurement_approach":"Measurement of serum IgA and IgM specific to MenA, MenC, MenW and MenY at specified timepoints and group comparisons."}
  • {"endpoint_text":"- To determine MenC-PS specific IgG subclasses (IgG1/IgG2 ratio) and avidity at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort","definition_or_measurement_approach":"Assessment of MenC-PS specific IgG subclasses (IgG1/IgG2 ratio) and avidity at 1 month and 1 year with comparisons."}
  • {"endpoint_text":"- To determine long-term persistence of functional serum antibody (IgG, IgA and IgM) titers (GMTs)/levels (GMCs) 5 years after primary vaccination","definition_or_measurement_approach":"Measurement of GMTs/GMCs of functional serum antibodies (IgG, IgA, IgM) at 5 years post-primary vaccination."}
  • {"endpoint_text":"- To determine salivary MenA-PS, MenC-PS, MenW-PS and MenY-PS-specific IgG, IgA and IgM levels after primary and booster vaccination.","definition_or_measurement_approach":"Measurement of salivary IgG, IgA and IgM specific to MenA-PS, MenC-PS, MenW-PS and MenY-PS after primary and booster vaccination."}
  • {"endpoint_text":"- To compare the serum MenA-Ps, MenC-PS, MenW-PS and MenY-PS specific IgG, IgA and IgM levels and SBA titers from this study to the results found in the StimulAge study (NL48510.100.14)","definition_or_measurement_approach":"Comparative analysis of serum antibody levels and SBA titers against results from the StimulAge study."}
  • {"endpoint_text":"- To compare the salivary MenA-Ps, MenC-PS, MenW-PS and MenY-PS specific IgG, IgA and IgM levels from this study to the results found in the StimulAge study (NL48510.100.14)","definition_or_measurement_approach":"Comparative analysis of salivary antibody levels with results from the StimulAge study."}

Recruitment

Planned Sample Size
280
Recruitment Window Months
61
Consent Approach
Informed consent obtained from participants (adult population 65-85). Subject information and informed consent form for adults available (document: L1_SIS and ICF adults Redacted). Study documentation includes Dutch translations of study title/information.

Geography

Total Number Of Sites
1
Total Number Of Participants
280

Netherlands

Earliest CTIS Part Ii Submission Date
07-05-2024
Latest Decision Or Authorization Date
27-10-2025
Processing Time Days
538
Number Of Sites
1
Number Of Participants
280

Sites

Site Name
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Department Name
IIV
Principal Investigator Name
Gerco den Hartog
Principal Investigator Email
gerco.den.hartog@rivm.nl
Contact Person Name
Gerco den Hartog
Contact Person Email
gerco.den.hartog@rivm.nl
Number Of Participants
280

Sponsor

Primary sponsor

Full Name
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Nimenrix powder and solvent for solution for injection in pre-filled syringe Meningococcal groups A, C, W-135 and Y conjugate vaccine
Active Substance
N. MENINGITIDIS GROUP C (STRAIN C11) POLYSACCHARIDE (DE-O-ACETYLATED) CONJUGATED TO TETANUS TOXOID; NEISSERIA MENINGITIDIS GROUP A POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN; NEISSERIA MENINGITIDIS GROUP W-135 POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN; NEISSERIA MENINGITIDIS GROUP Y POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN
Modality
Vaccine
Routes Of Administration
Intramuscular
Route
Intramuscular
Authorisation Status
Authorised (EU MA: EU/1/12/767/003)
Starting Dose
0.5 ml
Frequency
Single administration
Maximum Dose
0.5 ml

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