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NCT00454909

Immunogenicity and Safety of Meningococcal Vaccine GSK134612 vs. Menactra® in Healthy Adolescent/Adults Aged 10-25 Years.

Completed Phase 2 Results posted Last updated 8 June 2018
What this trial tests

Phase 2 trial testing Meningococcal vaccine 134612 in Infections, Meningococcal in 873 participants. Completed in 11 April 2008.

Timeline
23 April 2007
Primary endpoint
31 October 2007
11 April 2008

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeprevention
Enrollment873
Start date23 April 2007
Primary completion31 October 2007
Estimated completion11 April 2008
Sites10 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 10 to 25, any sex, with Infections, Meningococcal. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Subjects With Serum Bactericidal Assay Using Human Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (hSBA-MenA, hSBA-MenC , hSBA-MenW -135 and hSBA-Men-Y) Antibody Titers Greater Than or Equal to the Cut-off Value Primary · At Day 0 (PRE)

The cut-off value for the hSBA titers was greater than or equal to (≥) 1:8.

hSBA-MenA
GroupValue95% CI
Nimenrix 11-25Y Group49
Menactra Group13
Nimenrix 10Y Group5
hSBA-MenC
GroupValue95% CI
Nimenrix 11-25Y Group275
Menactra Group113
Nimenrix 10Y Group40
hSBA-MenW-135
GroupValue95% CI
Nimenrix 11-25Y Group114
Menactra Group51
Nimenrix 10Y Group11
hSBA-MenY
GroupValue95% CI
Nimenrix 11-25Y Group269
Menactra Group94
Nimenrix 10Y Group31
Number of Subjects With Serum Bactericidal Assay Using Human Complement Against Neisseria Meningitides Serogroups A, C , W-135, Y (hSBA-MenA, hSBA-MenC, hSBA-MenW -135 and hSBA-Men-Y) Antibody Titers Greater Than or Equal to the Cut-off Value Primary · At Month 1

The cut-off value for the hSBA titers was greater than or equal to (≥) 1:8.

hSBA-MenA
GroupValue95% CI
Nimenrix 11-25Y Group415
Menactra Group118
Nimenrix 10Y Group70
hSBA-MenC
GroupValue95% CI
Nimenrix 11-25Y Group490
Menactra Group171
Nimenrix 10Y Group78
hSBA-MenW-135
GroupValue95% CI
Nimenrix 11-25Y Group438
Menactra Group114
Nimenrix 10Y Group73
hSBA-MenY
GroupValue95% CI
Nimenrix 11-25Y Group492
Menactra Group139
Nimenrix 10Y Group76
Number of Subjects With hSBA-MenA, hSBA-MenC, hSBA-MenW -135 and hSBA-Men-Y Antibody Titers Greater Than or Equal to the Cut-off Value Secondary · At Day 0 (PRE) and Month 1

The cut-off value for the hSBA titers was greater than or equal to (≥) 1:4.

hSBA-MenA, PRE
GroupValue95% CI
Nimenrix 11-25Y Group68
Menactra Group18
Nimenrix 10Y Group7
hSBA-MenA, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group421
Menactra Group118
Nimenrix 10Y Group71
hSBA-MenC, PRE
GroupValue95% CI
Nimenrix 11-25Y Group276
Menactra Group114
Nimenrix 10Y Group40
hSBA-MenC, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group490
Menactra Group171
Nimenrix 10Y Group78
hSBA-MenW-135, PRE
GroupValue95% CI
Nimenrix 11-25Y Group118
Menactra Group51
Nimenrix 10Y Group11
hSBA-MenW-135, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group441
Menactra Group117
Nimenrix 10Y Group73
hSBA-MenY, PRE
GroupValue95% CI
Nimenrix 11-25Y Group273
Menactra Group94
Nimenrix 10Y Group32
hSBA-MenY, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group492
Menactra Group139
Nimenrix 10Y Group76
hSBA-MenA, hSBA-MenC, hSBA-MenW -135 and hSBA-Men-Y Antibody Titers Secondary · At Day 0 (PRE) and Month 1

Antibody titers are presented as geometric mean titers (GMTs).

hSBA-MenA, PRE
GroupValue95% CI
Nimenrix 11-25Y Group2.62.5 – 2.8
Menactra Group2.42.2 – 2.6
Nimenrix 10Y Group2.42.1 – 2.9
hSBA-MenA, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group57.248.8 – 67.0
Menactra Group36.026.1 – 49.7
Nimenrix 10Y Group91.564.0 – 130.8
hSBA-MenC, PRE
GroupValue95% CI
Nimenrix 11-25Y Group12.810.9 – 15.1
Menactra Group17.913.5 – 23.6
Nimenrix 10Y Group9.76.7 – 14.2
hSBA-MenC, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group506.7419.1 – 612.5
Menactra Group285.8214.7 – 380.5
Nimenrix 10Y Group765.9505.3 – 1160.9
hSBA-MenW-135, PRE
GroupValue95% CI
Nimenrix 11-25Y Group5.74.8 – 6.8
Menactra Group8.66.1 – 12.1
Nimenrix 10Y Group4.22.8 – 6.4
hSBA-MenW-135, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group124.2106.2 – 145.2
Menactra Group74.151.1 – 107.5
Nimenrix 10Y Group153.8109.9 – 215.1
hSBA-MenY, PRE
GroupValue95% CI
Nimenrix 11-25Y Group22.618.3 – 27.8
Menactra Group27.619.0 – 40.2
Nimenrix 10Y Group13.78.0 – 23.6
hSBA-MenY, Month 1
GroupValue95% CI
Nimenrix 11-25Y Group260.0225.2 – 300.2
Menactra Group110.677.6 – 157.9
Nimenrix 10Y Group315.0223.6 – 443.7
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Secondary · During the 4-day (Days 0-3) and the 8-day (Days 0-7) post-vaccination period

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal activity. Grade 3 redness/swelling = redness/swelling spreading beyond 50 millimeters (mm) of injection site.

Pain, Any, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group317
Menactra Group105
Nimenrix 10Y Group48
Pain, Grade 3, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group9
Menactra Group2
Nimenrix 10Y Group0
Redness, Any, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group77
Menactra Group21
Nimenrix 10Y Group15
Redness, Grade 3, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group9
Menactra Group0
Nimenrix 10Y Group2
Swelling, Any, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group62
Menactra Group13
Nimenrix 10Y Group18
Swelling, Grade 3, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group11
Menactra Group1
Nimenrix 10Y Group3
Pain, Any, D0-7
GroupValue95% CI
Nimenrix 11-25Y Group318
Menactra Group105
Nimenrix 10Y Group48
Pain, Grade 3, D0-7
GroupValue95% CI
Nimenrix 11-25Y Group9
Menactra Group2
Nimenrix 10Y Group0
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms Secondary · During the 4-day (Days 0-3) and the 8-day (Days 0-7) post-vaccination period

Assessed solicited general symptoms were fatigue, fever \[defined as orally temperature equal to or above 37.5 degrees Celsius (°C)\], gastrointestinal symptoms and headache. Any = occurrence of the symptom regardless of intensity grade. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever \> 39.5 °C. Related = symptom assessed by the investigator as related to the vaccination.

Fatigue, Any, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group156
Menactra Group55
Nimenrix 10Y Group24
Fatigue, Grade 3, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group10
Menactra Group2
Nimenrix 10Y Group3
Fatigue, Related, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group139
Menactra Group49
Nimenrix 10Y Group21
Fever (orally), Any, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group34
Menactra Group11
Nimenrix 10Y Group6
Fever (orally), Grade 3, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group0
Menactra Group0
Nimenrix 10Y Group0
Fever (orally), Related, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group28
Menactra Group9
Nimenrix 10Y Group5
Gastrointestinal symptoms, Any, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group87
Menactra Group26
Nimenrix 10Y Group11
Gastrointestinal symptoms, Grade 3, D0-3
GroupValue95% CI
Nimenrix 11-25Y Group4
Menactra Group2
Nimenrix 10Y Group0
Number of Subjects With Any Unsolicited Adverse Events (AEs) Secondary · During the 31-day (Days 0-30) follow-up period after vaccination

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

GroupValue95% CI
Nimenrix 11-25Y Group104
Menactra Group37
Nimenrix 10Y Group13
Number of Subjects With Serious Adverse Events (SAEs) Secondary · From Day 0 to Month 6

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

GroupValue95% CI
Nimenrix 11-25Y Group5
Menactra Group2
Nimenrix 10Y Group2
Number of Subjects With New Onset Chronic Illness(es) (NOCI) Secondary · From Day 0 to Month 6

NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.

GroupValue95% CI
Nimenrix 11-25Y Group8
Menactra Group2
Nimenrix 10Y Group1
Number of Subjects Reporting Rash Secondary · From Day 0 to Month 6

Rash assessed was hives, idiopathic thrombocytopenic purpura, petechiae.

GroupValue95% CI
Nimenrix 11-25Y Group14
Menactra Group3
Nimenrix 10Y Group2
Number of Subjects Reporting Adverse Events Resulting in Emergency Room (ER) Visits Secondary · From Day 0 to Month 6
GroupValue95% CI
Nimenrix 11-25Y Group24
Menactra Group9
Nimenrix 10Y Group2

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited local/general symptoms: during the 4-day and 8-day post-vaccination period (Days 0-3 and Days 0-7), Unsolicited AEs: during the 31-day post-vaccination (Days 0-30), SAEs: during the entire study period (Day 0 - Month 6).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nimenrix 11-25Y Group
Serious: 5/587 (1%)
Deaths: 0/587
Menactra Group
Serious: 2/197 (1%)
Deaths: 0/197
Nimenrix 10Y Group
Serious: 2/88 (2%)
Deaths: 0/88

Serious adverse events (12 terms)

ReactionSystemNimenrix 11-25Y GroupMenactra GroupNimenrix 10Y Group
AppendicitisInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
CellulitisInfections and infestations
Lower limb fractureInjury, poisoning and procedural complications
PancreatitisGastrointestinal disorders
Post procedural diarrhoeaInjury, poisoning and procedural complications
Procedural nauseaInjury, poisoning and procedural complications
Procedural vomitingInjury, poisoning and procedural complications
Respiratory distressRespiratory, thoracic and mediastinal disorders
Suicidal ideationPsychiatric disorders
SwellingGeneral disorders
Type 1 diabetes mellitusMetabolism and nutrition disorders
Other adverse events (14 terms — click to expand)

ReactionSystemNimenrix 11-25Y GroupMenactra GroupNimenrix 10Y Group
Pain (Days 0-7)General disorders
Pain (Days 0-3)General disorders
Headache (Days 0-7)General disorders
Fatigue (Days 0-7)General disorders
Headache (Days 0-3)General disorders
Fatigue (Days 0-3)General disorders
Gastrointestinal (Days 0-7)General disorders
Gastrointestinal (Days 0-3)General disorders
Redness (Days 0-3)General disorders
Redness (Days 0-7)General disorders
Swelling (Days 0-7)General disorders
Swelling (Days 0-3)General disorders
Fever/Orally (Days 0-7)General disorders
Fever/Orally (Days 0-3)General disorders

Most-reported serious reactions: Appendicitis, Ankle fracture, Cellulitis, Lower limb fracture, Pancreatitis, Post procedural diarrhoea, Procedural nausea, Procedural vomiting.

Data from ClinicalTrials.gov NCT00454909 adverse events section.

Sponsor's own description

The purpose of the study is to characterize the safety and immunogenicity of 1 dose of GSK Biologicals' meningococcal vaccine GSK134612 as compared to Menactra® in adolescents/adults 11-25 years of age. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007. The protocol posting has been updated following a protocol amendment.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Routinely vaccinating adolescents against meningococcus: targeting transmission & disease.
    Vetter V, Baxter R, Denizer G, Sáfadi MA, et al · · 2016 · cited 53× · PMID 26651380 · DOI 10.1586/14760584.2016.1130628
  2. Meningococcal serogroups A, C, W-135, and Y tetanus toxoid conjugate vaccine: a new conjugate vaccine against invasive meningococcal disease.
    Hedari CP, Khinkarly RW, Dbaibo GS. · · 2014 · cited 27× · PMID 24729718 · DOI 10.2147/idr.s36243
  3. Five-year Antibody Persistence and Booster Response to a Single Dose of Meningococcal A, C, W and Y Tetanus Toxoid Conjugate Vaccine in Adolescents and Young Adults: An Open, Randomized Trial.
    Baxter R, Baine Y, Kolhe D, Baccarini CI, et al · · 2015 · cited 25× · PMID 26237742 · DOI 10.1097/inf.0000000000000866
  4. Conjugate Meningococcal Vaccines Development: GSK Biologicals Experience.
    Miller JM, Mesaros N, Van Der Wielen M, Baine Y. · · 2011 · cited 18× · PMID 21991444 · DOI 10.4061/2011/846756

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