Clinical trial • Phase IV • Infectious Disease

RECOMBINANT NEISSERIA MENINGITIDIS GROUP B NHBA FUSION PROTEIN; RECOMBINANT NEISSERIA MENINGITIDIS GROUP B NADA PROTEIN; RECOMBINANT NEISSERIA MENINGITIDIS GROUP B FHBP FUSION PROTEIN; OUTER MEMBRANE VESICLES (OMV) FROM NEISSERIA MENINGITIDIS GROUP B STRAIN NZ98/254 (measured as amount of total protein containing the PorA P1.4) (all adsorbed on aluminium hydroxide) for Asplenia

Phase IV trial of RECOMBINANT NEISSERIA MENINGITIDIS GROUP B NHBA FUSION PROTEIN; RECOMBINANT NEISSERIA MENINGITIDIS GROUP B NADA PROTEIN; RECOMBINANT NEI…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Asplenia
Trial Stage
Phase IV
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
17-10-2023
First CTIS Authorization Date
05-02-2024

Trial design

Healthy control group (healthy volunteers) receiving the same vaccine (Bexsero); no other comparator drug or placebo specified Phase IV trial across 1 site in Austria.

Comparator
Healthy control group (healthy volunteers) receiving the same vaccine (Bexsero); no other comparator drug or placebo specified
Target Sample Size
80

Eligibility

Recruits 80 No vulnerable population selected; participants are adults (18-60) and must provide written informed consent. No assent procedures described..

Pregnancy Exclusion
pregnant or lactating
Vulnerable Population
No vulnerable population selected; participants are adults (18-60) and must provide written informed consent. No assent procedures described.

Inclusion criteria

  • {"criterion_text":"- asplenia due to splenectomy or functional asplenia (only patients)\n- 18 to 60 years of age\n- if female: have a negative urine pregnancy test result at study entry and agree to employ adequate birth control measures for the duration of the study\n- providing written informed consent"}

Exclusion criteria

  • {"criterion_text":"- previous vaccination against meningococcal serogroup B\n- pregnant or lactating\n- febrile illness within last two weeks prior to enrolment\n- allergic reactions to vaccination in past\n- chemotherapy with Rituximab within last six months or during study period (only patients)\n- more than 20mg prednisone per day within last four weeks prior or at the time of enrolment (only patients)\n- any immunosuppressive condition or medication (only healthy controls)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary end point is the mean log-titre over the three meningococcal strains (NZ98/254 for PorA, 5/99 for NadA and 44/76-SL for fHbp) as measured by the hSBA one month after second vaccination. The non-inferiority margin was set to a 2-fold titre difference between the geometric mean titre of the asplenic group and the healthy control group.","definition_or_measurement_approach":"Measured by human serum bactericidal antibody assay (hSBA) one month after second vaccination; non-inferiority margin = 2-fold difference between geometric mean titres of asplenic vs healthy control group."}

Secondary endpoints

  • {"endpoint_text":"- The persistence of antibodies will be measured six months after second vaccination and the difference between the means of the log-titers between the asplenic and the control group will be calculated.","definition_or_measurement_approach":"Antibody persistence measured six months after second vaccination; difference between means of log-titres calculated between groups."}
  • {"endpoint_text":"- The cellular immune response as measured by lymphocyte proliferation assay and cytokine levels.","definition_or_measurement_approach":"Cellular response assessed by lymphocyte proliferation assay and measurement of cytokine (interleukin) levels at baseline and one month after second vaccination."}
  • {"endpoint_text":"- Adverse events (AEs) during the observation period will be tabulated by single events with the number of the vaccination, the type of the event, its severity and evaluation concerning its relation to the vaccination, potential treatment and sequelae.","definition_or_measurement_approach":"AEs tabulated by event, vaccination number, type, severity, relation to vaccination, treatment and sequelae."}

Recruitment

Planned Sample Size
80
Recruitment Window Months
17
Consent Approach
Written informed consent required from participants (document: L1_SIS and ICF adults_Redacted available). Participants are adults (18-60). No assent or child consent procedures described. Languages of consent not specified.

Methods

  • Healthy controls recruited mostly among health care workers and medical students (no other recruitment channels specified in available documents)

Geography

Total Number Of Sites
1
Total Number Of Participants
80

Austria

Earliest CTIS Part Ii Submission Date
05-01-2024
Latest Decision Or Authorization Date
02-01-2025
Processing Time Days
363
Number Of Sites
1
Number Of Participants
80

Sites

Site Name
Medical University of Vienna
Department Name
Department of Medicine I Division of Infectious Diseases and Tropical Medicine
Contact Person Name
Nicole Harrison

Sponsor

Primary sponsor

Full Name
Medical University of Vienna
Organisation Type
Educational Institution
Country Of Registered Address
Austria

Third parties

  • {"country":"","full_name":"Austrian Science Fund","duties_or_roles":"Monetary support","organisation_type":"Other"}

Investigational products

Investigational Product Name
Bexsero suspension for injection in pre-filled syringe Meningococcal group B Vaccine (rDNA, component, adsorbed)
Active Substance
RECOMBINANT NEISSERIA MENINGITIDIS GROUP B NHBA FUSION PROTEIN; RECOMBINANT NEISSERIA MENINGITIDIS GROUP B NADA PROTEIN; RECOMBINANT NEISSERIA MENINGITIDIS GROUP B FHBP FUSION PROTEIN; OUTER MEMBRANE VESICLES (OMV) FROM NEISSERIA MENINGITIDIS GROUP B STRAIN NZ98/254 (measured as amount of total protein containing the PorA P1.4) (all adsorbed on aluminium hydroxide)
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
INTRAMUSCULAR INJECTION
Authorisation Status
Authorised
Starting Dose
0.5 ml
Dose Levels
0.5 ml
Maximum Dose
1 ml

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