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NCT02986854

Study to Assess the Safety and Immunogenicity of a Single Dose of GlaxoSmithKline's (GSK) Meningococcal MenACWY-CRM Vaccine (Menveo), Administered to Subjects 15 Through 55 Years of Age, Approximately 4-6 Years After Primary ACWY Vaccination

Completed Phase 3 Results posted Last updated 25 November 2019
What this trial tests

Phase 3 trial testing Meningococcal (groups A, C, W and Y) oligosaccharide diphtheria CRM-197 conjugate Vaccine (Menveo) in Infections, Meningococcal in 704 participants. Completed in 7 December 2017.

Timeline
8 December 2016
Primary endpoint
17 July 2017
7 December 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment704
Start date8 December 2016
Primary completion17 July 2017
Estimated completion7 December 2017
Sites37 locations across Puerto Rico, United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 15 to 55, 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.

Percentages of Subjects With Human Serum Bactericidal Antibody (hSBA) Seroresponse Against Neisseria Meningitidis Serogroups A, C, W and Y. Primary · At Day 29

Seroresponse was defined as follows:for subjects with pre-vaccination hSBA titers\< 4,postvaccination hSBA titers≥16;for subjects with pre-vaccination hSBA titers≥4,post vaccination hSBA titers of atleast 4 times the pre-vaccination titers.Criteria to demonstrate primary objectives:Immune response sufficiency was tested sequentially;first in the group of subjects who received primary vaccination with Menveo \&,if met,also in group of subjects who received primary vaccination with Menactra.Immune response is considered sufficient if lower limit of the 1-sided 97.5% CI for percentage of subjects

hSBA-Men A, Pre < 4
GroupValue95% CI
Menveo-Menveo Group97.9795.32 – 99.34
Menactra-Menveo Group97.0193.93 – 98.79
Pooled Group (Menveo-Menveo and Menactra-Menveo)97.5095.67 – 98.70
Naive Group64.7153.59 – 74.77
hSBA-Men A, Pre ≥ 4
GroupValue95% CI
Menveo-Menveo Group88.3774.92 – 96.11
Menactra-Menveo Group93.7582.8 – 98.69
Pooled Group (Menveo-Menveo and Menactra-Menveo)91.2183.41 – 96.13
Naive Group75.0034.91 – 96.81
hSBA-Men A, Total seroresponse
GroupValue95% CI
Menveo-Menveo Group96.5493.73 – 98.33
Menactra-Menveo Group96.4593.58 – 98.29
Pooled Group (Menveo-Menveo and Menactra-Menveo)96.5094.64 – 97.85
Naive Group65.5955.02 – 75.14
hSBA-Men C, Pre < 4
GroupValue95% CI
Menveo-Menveo Group10095.75 – 100
Menactra-Menveo Group10096.48 – 100
Pooled Group (Menveo-Menveo and Menactra-Menveo)10098.06 – 100
Naive Group55.8139.88 – 70.92
hSBA-Men C, Pre ≥ 4
GroupValue95% CI
Menveo-Menveo Group93.689.3 – 96.55
Menactra-Menveo Group93.7989.15 – 96.86
Pooled Group (Menveo-Menveo and Menactra-Menveo)93.6890.75 – 95.91
Naive Group58.0043.21 – 71.81
hSBA-Men C, Total seroresponse
GroupValue95% CI
Menveo-Menveo Group95.4992.4 – 97.57
Menactra-Menveo Group96.0793.08 – 98.02
Pooled Group (Menveo-Menveo and Menactra-Menveo)95.7793.78 – 97.27
Naive Group56.9946.31 – 67.22
hSBA-Men W, Pre < 4
GroupValue95% CI
Menveo-Menveo Group10093.15 – 100
Menactra-Menveo Group10093.84 – 100
Pooled Group (Menveo-Menveo and Menactra-Menveo)10096.70 – 100
Naive Group54.5536.35 – 71.89
hSBA-Men W, Pre ≥ 4
GroupValue95% CI
Menveo-Menveo Group94.9491.32 – 97.36
Menactra-Menveo Group91.4887.01 – 94.79
Pooled Group (Menveo-Menveo and Menactra-Menveo)93.2690.57 – 95.38
Naive Group25.4214.98 – 38.44
Number of Subjects Reporting Any Unsolicited Adverse Events (AEs) Secondary · Within 30 minutes after vaccination

An AE can be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom , or disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product. An unsolicited adverse event is an adverse event that was not solicited using a subject diary and that was spontaneously communicated by a subject and/or parent(s)/legal guardian(s) who has signed the informed consent.

GroupValue95% CI
Menveo-Menveo Group0
Menactra-Menveo Group8
Pooled Group (Menveo-Menveo and Menactra-Menveo)8
Naive Group1
Number of Subjects Reporting Solicited Local and Systemic AEs Secondary · From Day 1 (6 hours) through Day 7 after vaccination

Assessed solicited local symptoms were injection site pain, erythema, induration. Assessed solicited systemic symptoms were fatigue, headache, myalgia, arthralgia, loss of appetite, nausea, chills and fever \[defined and measured by a body temperature ≥37.5 degrees Celsius (ºC)\]. Threshold for Erythema and Induration: Grade 0 (\<25 mm), Any (\>= 25 mm)

Any Local symptom
GroupValue95% CI
Menveo-Menveo Group119
Menactra-Menveo Group97
Pooled Group (Menveo-Menveo and Menactra-Menveo)216
Naive Group41
Any Systemic symptom
GroupValue95% CI
Menveo-Menveo Group162
Menactra-Menveo Group148
Pooled Group (Menveo-Menveo and Menactra-Menveo)310
Naive Group35
Any Induration
GroupValue95% CI
Menveo-Menveo Group15
Menactra-Menveo Group9
Pooled Group (Menveo-Menveo and Menactra-Menveo)24
Naive Group8
Any Erythema
GroupValue95% CI
Menveo-Menveo Group12
Menactra-Menveo Group8
Pooled Group (Menveo-Menveo and Menactra-Menveo)20
Naive Group10
Any Pain
GroupValue95% CI
Menveo-Menveo Group114
Menactra-Menveo Group96
Pooled Group (Menveo-Menveo and Menactra-Menveo)210
Naive Group40
Any Nausea
GroupValue95% CI
Menveo-Menveo Group48
Menactra-Menveo Group44
Pooled Group (Menveo-Menveo and Menactra-Menveo)92
Naive Group13
Any Fatigue
GroupValue95% CI
Menveo-Menveo Group113
Menactra-Menveo Group110
Pooled Group (Menveo-Menveo and Menactra-Menveo)223
Naive Group19
Any Myalgia
GroupValue95% CI
Menveo-Menveo Group55
Menactra-Menveo Group54
Pooled Group (Menveo-Menveo and Menactra-Menveo)109
Naive Group15
Number of Subjects Reporting Other Indicators of Reactogenicity Secondary · From Day 1 (6 hours) through Day 7 after vaccination

Assessed indicators of reactogenicity were use of analgesics/antipyretics for prophylaxis, use of analgesics/antipyretics for treatment, body temperature (described as 0.5 °C increments from ≥ 36.0ºC)

Analgesics/antipyretics for prophylaxis
GroupValue95% CI
Menveo-Menveo Group13
Menactra-Menveo Group15
Pooled Group (Menveo-Menveo and Menactra-Menveo)28
Naive Group5
Analgesics/antipyretics for treatment
GroupValue95% CI
Menveo-Menveo Group18
Menactra-Menveo Group24
Pooled Group (Menveo-Menveo and Menactra-Menveo)42
Naive Group10
Body temperature (36.0 - 36.4 ºC)
GroupValue95% CI
Menveo-Menveo Group68
Menactra-Menveo Group57
Pooled Group (Menveo-Menveo and Menactra-Menveo)125
Naive Group16
Body temperature (36.5 - 36.9 ºC)
GroupValue95% CI
Menveo-Menveo Group135
Menactra-Menveo Group141
Pooled Group (Menveo-Menveo and Menactra-Menveo)276
Naive Group45
Body temperature (37.0 - 37.4 ºC)
GroupValue95% CI
Menveo-Menveo Group83
Menactra-Menveo Group77
Pooled Group (Menveo-Menveo and Menactra-Menveo)160
Naive Group33
Body temperature (37.5 - 37.9 ºC)
GroupValue95% CI
Menveo-Menveo Group6
Menactra-Menveo Group9
Pooled Group (Menveo-Menveo and Menactra-Menveo)15
Naive Group3
Body temperature (38.0 - 38.4 ºC)
GroupValue95% CI
Menveo-Menveo Group1
Menactra-Menveo Group2
Pooled Group (Menveo-Menveo and Menactra-Menveo)3
Naive Group0
Body temperature (38.5 - 38.9 ºC)
GroupValue95% CI
Menveo-Menveo Group1
Menactra-Menveo Group3
Pooled Group (Menveo-Menveo and Menactra-Menveo)4
Naive Group0
Number of Subjects Reporting All Unsolicited AEs Secondary · From Day 1 through Day 29 after vaccination

An AE can be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom , or disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product. An unsolicited adverse event was an adverse event that was not solicited using a subject diary and that was spontaneously communicated by a subject and/or parent(s)/legal guardian(s) who has signed the informed consent.

GroupValue95% CI
Menveo-Menveo Group74
Menactra-Menveo Group78
Pooled Group (Menveo-Menveo and Menactra-Menveo)152
Naive Group22
Number of Subjects Reporting Medically-attended AEs (MAAEs), AEs Leading to Withdrawal and Serious AEs (SAEs) Secondary · From Day 1 through Day 181 (entire study period)

Medically attended AEs were defined as symptoms or illnesses requiring hospitalization, or emergency room visit, or visit to/by a health care provider. SAE was defined as any untoward medical occurrence that at any dose resulted in: death, was life-threatening, required or prolonged hospitalization, persistent or significant disability/incapacity, congenital anomaly/or birth defect, an important and significant medical event that might not have been immediately life threatening or resulting in death or hospitalization but, based upon appropriate medical judgment, might jeopardized the subject

Any MAAEs
GroupValue95% CI
Menveo-Menveo Group102
Menactra-Menveo Group79
Pooled Group (Menveo-Menveo and Menactra-Menveo)181
Naive Group19
Any AEs leading to withdrawal
GroupValue95% CI
Menveo-Menveo Group0
Menactra-Menveo Group0
Pooled Group (Menveo-Menveo and Menactra-Menveo)0
Naive Group0
Any SAEs
GroupValue95% CI
Menveo-Menveo Group3
Menactra-Menveo Group2
Pooled Group (Menveo-Menveo and Menactra-Menveo)5
Naive Group3
Percentages of Subjects With hSBA Titer ≥8 Against N. Meningitidis Serogroup A Secondary · At Day 1 (pre-vaccination), Day 4, Day 6 and Day 29

For each study group and in the pooled group, percentages of subjects with hSBA titer ≥8 and associated two-sided 95%CIs were calculated.

hSBA-Men A ≥ 8, Day 1
GroupValue95% CI
Menveo-Menveo Group12.468.88 – 16.83
Menactra-Menveo Group14.8910.95 – 19.59
Pooled Group (Menveo-Menveo and Menactra-Menveo)13.6610.95 – 16.75
Naive Group4.31.18 – 10.65
hSBA-Men A ≥ 8, Day 4
GroupValue95% CI
Menveo-Menveo Group11.116.49 – 17.42
Menactra-Menveo Group13.047.92 – 19.83
Pooled Group (Menveo-Menveo and Menactra-Menveo)12.068.5 – 16.44
Naive Group4.170.51 – 14.25
hSBA-Men A ≥ 8, Day 6
GroupValue95% CI
Menveo-Menveo Group53.4244.99 – 61.71
Menactra-Menveo Group47.1438.66 – 55.75
Pooled Group (Menveo-Menveo and Menactra-Menveo)50.3544.4 – 56.29
Naive Group9.092.53 – 21.67
hSBA-Men A ≥ 8, Day 29
GroupValue95% CI
Menveo-Menveo Group98.6296.51 – 99.62
Menactra-Menveo Group98.9496.92 – 99.78
Pooled Group (Menveo-Menveo and Menactra-Menveo)98.7897.49 – 99.51
Naive Group70.9760.64 – 79.92
Percentages of Subjects With hSBA Titer ≥8 Against N. Meningitidis Serogroup C Secondary · At day 1(pre-vaccination) , day 4, day 6 and day 29

For each study group and in the pooled group, percentages of subjects with hSBA titer ≥8 and associated two-sided 95%CIs were calculated.

hSBA-Men C ≥ 8, Day 1
GroupValue95% CI
Menveo-Menveo Group61.1155.22 – 66.77
Menactra-Menveo Group53.7447.72 – 59.68
Pooled Group (Menveo-Menveo and Menactra-Menveo)57.4753.29 – 61.57
Naive Group33.3323.89 – 43.87
hSBA-Men C ≥ 8, Day 4
GroupValue95% CI
Menveo-Menveo Group70.8362.68 – 78.1
Menactra-Menveo Group60.1451.47 – 68.38
Pooled Group (Menveo-Menveo and Menactra-Menveo)65.659.74 – 71.13
Naive Group43.7529.48 – 58.82
hSBA-Men C ≥ 8, Day 6
GroupValue95% CI
Menveo-Menveo Group87.5981.09 – 92.47
Menactra-Menveo Group92.0986.28 – 95.98
Pooled Group (Menveo-Menveo and Menactra-Menveo)89.7985.66 – 93.05
Naive Group43.1828.35 – 58.97
hSBA-Men C ≥ 8, Day 29
GroupValue95% CI
Menveo-Menveo Group10098.74 – 100
Menactra-Menveo Group99.6498.03 – 99.99
Pooled Group (Menveo-Menveo and Menactra-Menveo)99.8299.03 – 100
Naive Group87.178.55 – 93.15
Percentage of Subjects With hSBA Titer ≥8 Against N. Meningitidis Serogroup W Secondary · At day 1(pre-vaccination), day 4, day 6 and day 29

For each study group and in the pooled group, percentages of subjects with hSBA titer ≥8 and associated two-sided 95%CIs were calculated.

hSBA-Men W ≥ 8, Day 1
GroupValue95% CI
Menveo-Menveo Group75.4370.05 – 80.29
Menactra-Menveo Group76.9571.59 – 81.74
Pooled Group (Menveo-Menveo and Menactra-Menveo)76.1872.47 – 79.62
Naive Group61.2950.62 – 71.22
hSBA-Men W ≥ 8, Day 4
GroupValue95% CI
Menveo-Menveo Group81.9474.67 – 87.85
Menactra-Menveo Group82.6175.24 – 88.53
Pooled Group (Menveo-Menveo and Menactra-Menveo)82.2777.3 – 86.54
Naive Group62.547.35 – 76.05
hSBA-Men W ≥ 8, Day 6
GroupValue95% CI
Menveo-Menveo Group93.8488.62 – 97.14
Menactra-Menveo Group97.8693.87 – 99.56
Pooled Group (Menveo-Menveo and Menactra-Menveo)95.892.79 – 97.81
Naive Group63.6447.77 – 77.59
hSBA-Men W ≥ 8, Day 29
GroupValue95% CI
Menveo-Menveo Group10098.74 – 100
Menactra-Menveo Group10098.7 – 100
Pooled Group (Menveo-Menveo and Menactra-Menveo)10099.36 – 100
Naive Group84.7875.79 – 91.42
Percentages of Subjects With hSBA Titer ≥8 Against N. Meningitidis Serogroup Y Secondary · At day 1(pre-vaccination), day 4, day 6 and day 29

For each study group and in the pooled group, percentages of subjects with hSBA titer ≥8 and associated two-sided 95%CIs were calculated.

hSBA-Men Y ≥ 8, Day 1
GroupValue95% CI
Menveo-Menveo Group54.0148.05 – 59.88
Menactra-Menveo Group46.9841.02 – 52.99
Pooled Group (Menveo-Menveo and Menactra-Menveo)50.5346.33 – 54.72
Naive Group32.2622.93 – 42.75
hSBA-Men Y ≥ 8, Day 4
GroupValue95% CI
Menveo-Menveo Group55.2446.71 – 63.56
Menactra-Menveo Group55.847.1 – 64.24
Pooled Group (Menveo-Menveo and Menactra-Menveo)55.5249.5 – 61.42
Naive Group33.3320.4 – 48.41
hSBA-Men Y ≥ 8, Day 6
GroupValue95% CI
Menveo-Menveo Group85.5278.72 – 90.81
Menactra-Menveo Group87.8681.27 – 92.76
Pooled Group (Menveo-Menveo and Menactra-Menveo)86.6782.16 – 90.39
Naive Group45.4530.39 – 61.15
hSBA-Men Y ≥ 8, Day 29
GroupValue95% CI
Menveo-Menveo Group10098.74 – 100
Menactra-Menveo Group99.6498.03 – 99.99
Pooled Group (Menveo-Menveo and Menactra-Menveo)99.8299.03 – 100
Naive Group77.4267.58 – 85.45
Percentages of Subjects With hSBA Titer ≥16 Against N. Meningitidis Serogroup A Secondary · At day 1(pre-vaccination), day 4, day 6 and day 29

For each study group and in the pooled group, percentages of subjects with hSBA titer ≥16 and associated two-sided 95%CIs were calculated.

hSBA-Men A ≥ 16, Day 1
GroupValue95% CI
Menveo-Menveo Group8.35.39 – 12.1
Menactra-Menveo Group9.576.4 – 13.62
Pooled Group (Menveo-Menveo and Menactra-Menveo)8.936.72 – 11.58
Naive Group1.080.03 – 5.85
hSBA-Men A ≥ 16, Day 4
GroupValue95% CI
Menveo-Menveo Group8.334.38 – 14.1
Menactra-Menveo Group8.74.57 – 14.7
Pooled Group (Menveo-Menveo and Menactra-Menveo)8.515.53 – 12.4
Naive Group2.080.05 – 11.07
hSBA-Men A ≥ 16, Day 6
GroupValue95% CI
Menveo-Menveo Group45.8937.62 – 54.33
Menactra-Menveo Group41.4333.17 – 50.05
Pooled Group (Menveo-Menveo and Menactra-Menveo)43.7137.87 – 49.67
Naive Group4.550.56 – 15.47
hSBA-Men A ≥ 16, Day 29
GroupValue95% CI
Menveo-Menveo Group98.2896.02 – 99.44
Menactra-Menveo Group97.5294.95 – 99
Pooled Group (Menveo-Menveo and Menactra-Menveo)97.996.36 – 98.91
Naive Group66.6756.13 – 76.11
Percentages of Subjects With hSBA Titer ≥16 Against N. Meningitidis Serogroup C Secondary · At day 1(pre-vaccination) , day 4, day 6 and day 29

Analysis was performed on per protocol set for immunogenicity, which included all randomized subjects who had no protocol deviations and were not excluded due to other reasons defined prior to unblinding/analysis, who received study vaccination and provided evaluable serum samples at each time point, with result available for at least 1 serogroup

hSBA-Men C ≥ 16, Day 1
GroupValue95% CI
Menveo-Menveo Group47.2241.34 – 53.16
Menactra-Menveo Group38.0832.38 – 44.04
Pooled Group (Menveo-Menveo and Menactra-Menveo)42.7138.6 – 46.89
Naive Group17.210.17 – 26.43
hSBA-Men C ≥ 16, Day 4
GroupValue95% CI
Menveo-Menveo Group54.1745.67 – 62.49
Menactra-Menveo Group44.9336.46 – 53.62
Pooled Group (Menveo-Menveo and Menactra-Menveo)49.6543.66 – 55.64
Naive Group29.1716.95 – 44.06
hSBA-Men C ≥ 16, Day 6
GroupValue95% CI
Menveo-Menveo Group82.0774.84 – 87.94
Menactra-Menveo Group81.2973.81 – 87.4
Pooled Group (Menveo-Menveo and Menactra-Menveo)81.6976.69 – 86.01
Naive Group31.8218.61 – 47.58
hSBA-Men C ≥ 16, Day 29
GroupValue95% CI
Menveo-Menveo Group99.6698.09 – 99.99
Menactra-Menveo Group99.6498.03 – 99.99
Pooled Group (Menveo-Menveo and Menactra-Menveo)99.6598.74 – 99.96
Naive Group69.8959.5 – 78.97

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited AEs were assessed between 6 hours through Day 7. Unsolicited AEs were assessed between Day 1 trough Day 29. SAEs were assessed during the entire study period (from Day 1 to Day 181).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Menveo-Menveo Group
Serious: 3/301 (1%)
Deaths: 0/301
Menactra-Menveo Group
Serious: 2/300 (1%)
Deaths: 0/300
Naive Group
Serious: 3/100 (3%)
Deaths: 0/100

Serious adverse events (11 terms)

ReactionSystemMenveo-Menveo GroupMenactra-Menveo GroupNaive Group
Suicide attemptPsychiatric disorders
Abdominal painGastrointestinal disorders
DiverticulitisInfections and infestations
Septic shockInfections and infestations
TonsillitisInfections and infestations
Intentional overdoseInjury, poisoning and procedural complications
Diabetic ketoacidotic hyperglycaemic comaNervous system disorders
Abortion spontaneousPregnancy, puerperium and perinatal conditions
Major depressionPsychiatric disorders
Suicidal ideationPsychiatric disorders
Respiratory disorderRespiratory, thoracic and mediastinal disorders
Other adverse events (188 terms — click to expand)

ReactionSystemMenveo-Menveo GroupMenactra-Menveo GroupNaive Group
Injection site painGeneral disorders
FatigueGeneral disorders
HeadacheNervous system disorders
MyalgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
Injection site indurationGeneral disorders
Injection site erythemaGeneral disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Acute sinusitisInfections and infestations
PyrexiaGeneral disorders
InfluenzaInfections and infestations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AsthmaRespiratory, thoracic and mediastinal disorders
SinusitisInfections and infestations
Gastroenteritis viralInfections and infestations
Nasal congestionRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
PharyngitisInfections and infestations
AnxietyPsychiatric disorders
AcneSkin and subcutaneous tissue disorders
Otitis mediaInfections and infestations
BronchitisInfections and infestations
Pneumonia mycoplasmalInfections and infestations
CellulitisInfections and infestations
ContusionInjury, poisoning and procedural complications
LacerationInjury, poisoning and procedural complications
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DepressionPsychiatric disorders
Dermatitis contactSkin and subcutaneous tissue disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Injection site pruritusGeneral disorders
Pharyngitis streptococcalInfections and infestations
Viral pharyngitisInfections and infestations

Most-reported serious reactions: Suicide attempt, Abdominal pain, Diverticulitis, Septic shock, Tonsillitis, Intentional overdose, Diabetic ketoacidotic hyperglycaemic coma, Abortion spontaneous.

Data from ClinicalTrials.gov NCT02986854 adverse events section.

Sponsor's own description

The purpose/aim of this study is to assess the safety and antibody response to vaccination with a booster dose of Menveo given 4-6 years after primary MenACWY vaccination and to assess the safety and antibody response to a single dose of Menveo given to vaccine-naïve subjects

Publications & conference data

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

  1. MenACWY-CRM conjugate vaccine booster dose given 4-6 years after priming: Results from a phase IIIb, multicenter, open label study in adolescents and adults.
    Tipton M, Daly W, Senders S, Block SL, et al · · 2019 · cited 9× · PMID 31495595 · DOI 10.1016/j.vaccine.2019.08.065
  2. 2454. Pertussis Vaccine Effectiveness and Waning Immunity in Alberta, Canada: 2004–2015
    Bell C, Drews S, Simmonds K, Svenson L, et al · · 2018
  3. 2457. Multivariate Analyses of Socio-Economic Inequities in Parental Awareness and Utilization of Meningococcal Serogroup B Vaccines
    Huang L, Dempsey A, Galitsky A, Fahimi M, et al · · 2018
  4. 2455. Is Category B Working? Uptake Patterns of Meningococcal Group B Vaccine Among US Adolescents and Young Adults
    Khan F, Swerdlow D, York L, Balmer P, et al · · 2018
  5. 2456. Immunogenicity and Safety of a MenACWY-CRM Booster Dose 4–6 Years After Primary Quadrivalent Meningococcal Conjugate Vaccination in Healthy US Adolescents and Adults
    Tipton M, Daly W, Senders S, Block S, et al · · 2018

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