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NCT04819113

Study to Evaluate the Safety and Immunogenicity of Nimenrix (Registered) in Healthy Infants, Given at 3 and 12 Months of Age

Completed Phase 3 Results posted Last updated 18 March 2024
What this trial tests

Phase 3 trial testing Nimenrix in Meningococcal Vaccine in 149 participants. Completed in 9 September 2022.

Timeline
9 April 2021
Primary endpoint
9 September 2022
9 September 2022

Quick facts

Lead sponsorPfizer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment149
Start date9 April 2021
Primary completion9 September 2022
Estimated completion9 September 2022
Sites16 locations across Spain, Finland, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 76 Days to 104 Days, any sex, with Meningococcal Vaccine. 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.

Percentage of Participants With Local Reactions Within 7 Days After Vaccination 2 Primary · Within 7 days after vaccination 2

Local reactions included pain at injection site, redness and swelling and were recorded by the participant'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 a

Pain at injection site: Mild
GroupValue95% CI
Nimenrix19.713.5 – 27.2
Pain at injection site: Moderate
GroupValue95% CI
Nimenrix7.73.9 – 13.4
Pain at injection site: Severe
GroupValue95% CI
Nimenrix00.0 – 2.6
Redness: Mild
GroupValue95% CI
Nimenrix14.18.8 – 20.9
Redness: Moderate
GroupValue95% CI
Nimenrix2.80.8 – 7.1
Redness: Severe
GroupValue95% CI
Nimenrix00.0 – 2.6
Swelling: Mild
GroupValue95% CI
Nimenrix4.92.0 – 9.9
Swelling: Moderate
GroupValue95% CI
Nimenrix1.40.2 – 5.0
Percentage of Participants With Systemic Events Within 7 Days After Vaccination 2 Primary · Within 7 days after vaccination 2

Systemic events included fever, decreased appetite, increased sleep and irritability and were recorded by the participant's parents/legal guardians in an e-diary. Fever was defined as temperature greater than or equal to (\>=) 38.0 degrees (deg) Celsius (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 da

Fever: >=38.0 deg C to 38.4 deg C
GroupValue95% CI
Nimenrix6.32.9 – 11.7
Fever: >38.4 deg C to 38.9 deg C
GroupValue95% CI
Nimenrix4.92.0 – 9.9
Fever: >38.9 deg C to 40.0 deg C
GroupValue95% CI
Nimenrix3.51.2 – 8.0
Fever: >40.0 deg C
GroupValue95% CI
Nimenrix00.0 – 2.6
Decreased appetite: Mild
GroupValue95% CI
Nimenrix19.713.5 – 27.2
Decreased appetite: Moderate
GroupValue95% CI
Nimenrix11.36.6 – 17.7
Decreased appetite: Severe
GroupValue95% CI
Nimenrix1.40.2 – 5.0
Increased sleep: Mild
GroupValue95% CI
Nimenrix38.030.0 – 46.5
Percentage of Participants With Use of Antipyretic Medication Within 7 Days After Vaccination 2 Primary · Within 7 days after vaccination 2

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.

GroupValue95% CI
Nimenrix55.647.1 – 64.0
Percentage of Participants With Adverse Events (AEs) Within 30 Days After Vaccination 2 Primary · Within 30 days after vaccination 2

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 outcome measure.

GroupValue95% CI
Nimenrix19.613.4 – 27.0
Percentage of Participants With Serious Adverse Events (SAEs) Within 30 Days After Vaccination 2 Primary · Within 30 days after vaccination 2

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.

GroupValue95% CI
Nimenrix1.40.2 – 5.0
Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) Within 30 Days After Vaccination 2 Primary · Within 30 days after vaccination 2

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.

GroupValue95% CI
Nimenrix0.00.0 – 2.5
Percentage of Participants With Immediate AE Within 30 Minutes After Vaccination 2 Primary · Within 30 minutes after vaccination 2

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.

GroupValue95% CI
Nimenrix0.00.0 – 2.5
Percentage of Participants 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 Primary · At baseline (before vaccination 1)

Percentage of participants achieving rSBA titer \>=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at baseline in participants who received vaccinations 1 and 2 were reported in this outcome measure. Exact 2-sided CI using the Clopper and Pearson method was presented. Analysis was performed on Post Dose (PD) 2 Evaluable Immunogenicity Population (EIP) (PD2 EIP).

MenA
GroupValue95% CI
Nimenrix0.00.0 – 2.8
MenC
GroupValue95% CI
Nimenrix4.71.7 – 9.9
MenW-135
GroupValue95% CI
Nimenrix0.80.0 – 4.3
MenY
GroupValue95% CI
Nimenrix7.83.8 – 13.9
Percentage of Participants 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 Primary · 1 month after vaccination 1

Percentage of participants achieving rSBA titer \>=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at 1 month after vaccination 1 in participants who received vaccination 1 and 2 were reported in this outcome measure. Exact 2-sided CI using the Clopper and Pearson method was presented.

MenA
GroupValue95% CI
Nimenrix82.374.4 – 88.5
MenC
GroupValue95% CI
Nimenrix91.184.7 – 95.5
MenW-135
GroupValue95% CI
Nimenrix89.582.7 – 94.3
MenY
GroupValue95% CI
Nimenrix90.383.7 – 94.9
Percentage of Participants Achieving rSBA Titers >= 1:8 for Each Serogroup MenA, MenC, MenW-135 and MenY at Vaccination 2: Post Dose 2 Evaluable Immunogenicity Population Primary · At vaccination 2

Percentage of participants achieving rSBA titer \>=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at vaccination 2 in participants who received vaccination 1 and 2 were reported in this outcome measure. Exact 2-sided CI using the Clopper and Pearson method was presented.

MenA
GroupValue95% CI
Nimenrix33.625.4 – 42.6
MenC
GroupValue95% CI
Nimenrix64.855.8 – 73.1
MenW-135
GroupValue95% CI
Nimenrix67.258.2 – 75.3
MenY
GroupValue95% CI
Nimenrix66.457.4 – 74.6
Percentage of Participants 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 Primary · 1 month after vaccination 2

Percentage of participants achieving rSBA titer \>=1:8 for each serogroup MenA, MenC, MenW-135 and MenY at 1 month after vaccination 2 in participants who received vaccination 1 and 2 were reported in this outcome measure. Exact 2-sided CI using the Clopper and Pearson method was presented.

MenA
GroupValue95% CI
Nimenrix100.097.2 – 100.0
MenC
GroupValue95% CI
Nimenrix100.097.2 – 100.0
MenW-135
GroupValue95% CI
Nimenrix100.097.2 – 100.0
MenY
GroupValue95% CI
Nimenrix100.097.2 – 100.0
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 Primary · At baseline (before vaccination 1)

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).

MenA
GroupValue95% CI
Nimenrix4.04.0 – 4.0
MenC
GroupValue95% CI
Nimenrix4.44.0 – 4.7
MenW-135
GroupValue95% CI
Nimenrix4.13.9 – 4.3
MenY
GroupValue95% CI
Nimenrix5.04.3 – 5.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Local reactions and systemic events were recorded using systematic assessment within 7 days after Vaccination 1 and 2; SAEs and all-cause mortality recorded using non-systematic assessment from Day 1 up to 42 days after Vaccination 2 (approximately 10 months and 12 days); other AEs recorded using non-systematic assessment from Day 1 up to 42 days after Vaccination 1 and from Day of Vaccination 2 up to 42 days after Vaccination 2. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nimenrix
Serious: 10/145 (7%)
Deaths: 0/145

Serious adverse events (7 terms)

ReactionSystemNimenrix
Respiratory syncytial virus bronchiolitisInfections and infestations
Respiratory syncytial virus infectionInfections and infestations
Food protein-induced enterocolitis syndromeGastrointestinal disorders
LaryngitisInfections and infestations
NasopharyngitisInfections and infestations
ConcussionInjury, poisoning and procedural complications
Head injuryInjury, poisoning and procedural complications
Other adverse events (19 terms — click to expand)

ReactionSystemNimenrix
Irritability (IRRITABILITY)Psychiatric disorders
Hypersomnia (INCREASED SLEEP)Nervous system disorders
Decreased appetite (DECREASED APPETITE)Metabolism and nutrition disorders
Injection site pain (PAIN AT INJECTION SITE)General disorders
Erythema (REDNESS)Skin and subcutaneous tissue disorders
Pyrexia (FEVER)General disorders
Swelling (SWELLING)General disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
PyrexiaGeneral disorders
LaryngitisInfections and infestations
Respiratory tract infectionInfections and infestations
BronchiolitisInfections and infestations
ConjunctivitisInfections and infestations
GastroenteritisInfections and infestations
Hand-foot-and-mouth diseaseInfections and infestations
Otitis mediaInfections and infestations
Viral infectionInfections and infestations
Head injuryInjury, poisoning and procedural complications

Most-reported serious reactions: Respiratory syncytial virus bronchiolitis, Respiratory syncytial virus infection, Food protein-induced enterocolitis syndrome, Laryngitis, Nasopharyngitis, Concussion, Head injury.

Data from ClinicalTrials.gov NCT04819113 adverse events section.

Sponsor's own description

This study will evaluate the safety and immunogenicity of a single dose of Nimenrix in infants at 3 months of age, followed by a second dose at 12 months of age. Current posology allows for 2 doses of Nimenrix before 6 months of age, where the first dose is administered from 6 weeks onwards with a second dose at least 2 months later, with a booster at 12 months; and in infants from 6 months of age, a single dose at 6 months, with a booster dose at 12 months. This study will provide valuable immunogenicity and safety data for a single dose in healthy infants \<6 months of age, followed by the booster at 12 months

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A Phase 3B, Open-Label Study to Evaluate the Immunogenicity and Safety of the Quadrivalent Meningococcal Nimenrix<sup>®</sup> Vaccine When Given to Healthy Infants at 3 and 12 Months of Age.
    Koski S, Martinon-Torres F, Rämet M, Zolotas L, et al · · 2025 · PMID 39883399 · DOI 10.1007/s40121-024-01098-8

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing