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Adolescent MenACWY Booster Study

Sponsor:
Collaborators:
Information provided by (Responsible Party):
October 1, 2018
October 3, 2018
October 3, 2018
September 20, 2018
December 2019   (Final data collection date for primary outcome measure)
Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between groups with differing priming schedules[ Time Frame: 1 year following MenACWY adolescent booster ]
N. meningitidis capsular group C serum bactericidal antibody titer

Confirm non-inferiority of MenC protection at 1-year post-MenACWY booster between differing vaccines[ Time Frame: 1 year following MenACWY adolescent booster ]
N. meningitidis capsular group C serum bactericidal antibody titer

Same as current
  • Confirm non-inferiority of MenC protection at 1 month post-MenACWY booster between groups with differing MenC priming schedules.[ Time Frame: 1 month following MenACWY booster ]
    N. meningitidis capsular group C serum bactericidal antibody titer
  • Confirm non-inferiority of MenC protection at 1 month post-MenACWY booster between groups with different MenACWY vaccines[ Time Frame: 1 month following MenACWY booster ]
    N. meningitidis capsular group C serum bactericidal antibody titer
  • Subgroup analysis to determine effects of different MenACWY vaccines in subjects primed with different MenC schedules at 1 month and 1 year post-MenACWY booster[ Time Frame: 1 month and 1 year following MenACWY booster ]
    N. meningitidis capsular group C serum bactericidal antibody titer
  • Subgroup analysis to determine effects of different MenC priming schedules in subjects receiving different MenACWY booster immunizations at 1 month and 1 year post-MenACWY booster[ Time Frame: 1 month and 1 year following MenACWY booster ]
    N. meningitidis capsular group C serum bactericidal antibody titer
  • Confirm safety of MenACWY conjugate vaccines[ Time Frame: Up to 1 month post-vaccine ]
    Adverse events as reported by study participants
 

Adolescent MenACWY Booster Study

A Randomized, Controlled Trial to Compare Protection in Adolescents Between Different Meningococcal Immunization Schedules Used in Canada; a Canadian Immunization Research Network (CIRN) Study.

This study is to confirm non-inferiority of the three MenACWY vaccines (Menveo, Menactra or Nimenrix) in adolescents, and to identify whether the number of previous doses of MenC influences the response to the MenACWY vaccine.

Participants will be randomized to receive one of the three doses of licensed MenACWY as a booster dose in adolescents. Serology will be collect at 3 time points; prior to the booster dose and 1 month and 1 year post-vaccination to measure antibody levels. The participants are healthy students in grades 7-9 who have not received their MenACWY vaccine yet and received their routine infant MenC vaccines per previous Canadian schedules.
Interventional
Phase 4
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Group 1 = 3 prior doses of MenC vaccine (Alberta), Group 2 = 2 prior doses of MenC vaccine (British Columbia), Group 3 = 1 prior dose of MenC vaccine (Nova Scotia). Group A = Menveo (MenACWY-CRM), Group B = Menactra (MenACWY-DT), Group C = Nimenrix (MenACWY-TT)
Masking: Interventional
Masking Description:
Primary Purpose: Prevention
  • Biological: MenACWY-CRM
    Booster vaccination with MenACWY-CRM
  • Biological: MenACWY-DT
    Booster vaccination with MenACWY-DT
  • Biological: MenACWY-TT
    Booster vaccination with MenACWY-TT
  • Experimental: Group 1A
    3 doses prior MenC , randomized to receive MenACWY-CRM (Menveo)
  • Experimental: Group 1B
    3 doses prior MenC, randomized to receive MenACWY-DT (Menactra)
  • Experimental: Group 1C
    3 doses prior MenC, randomized to receive MenACWY-TT (Nimenrix)
  • Experimental: Group 2A
    2 doses prior MenC, randomized to receive MenACWY-CRM (Menveo)
  • Experimental: Group 2B
    2 doses prior MenC, randomized to receive MenACWY-DT (Menactra)
  • Experimental: Group 2C
    2 doses prior MenC, randomized to receive MenACWY-TT (Nimenrix)
  • Experimental: Group 3A
    1 dose prior MenC, randomized to receive MenACWY-CRM (Menveo)
  • Experimental: Group 3B
    1 dose prior MenC, randomized to receive MenACWY-DT (Menactra)
  • Experimental: Group 3C
    1 dose prior MenC, randomized to receive MenACWY-TT (Nimenrix)
 
Recruiting
324
Same as current
March 2020
December 2019   (Final data collection date for primary outcome measure)
INCLUSION CRITERIA All the following need to be fulfilled: 1. Healthy adolescent 2. Previous receipt of appropriate MenC vaccine according to the relevant provincial schedule (see above) 3. Parent/legal guardian has given informed consent OR participant has given consent (if participant demonstrates capacity to consent) 4. Participant has given consent (as above) OR assent. EXCLUSION CRITERIA The participant may not enter the trial if ANY of the following apply: 1. Has already received any doses of MenACWY vaccine at any age 2. Previous confirmed or suspected meningococcal disease 3. Close contact with an individual with laboratory-confirmed N. meningitidis in prior 12 months 4. Previous allergic reaction to a component of any of the 3 vaccines 5. Serious chronic or progressive disease 6. Confirmed/suspected immunodeficiency 7. Receipt of more than 1 week of immunosuppressants or immune modifying drugs (e.g. oral prednisolone >0.5mL/kg/day or intravenous glucocorticoid steroid). Nasal, topical or inhaled steroids are allowed 8. Administration of immunoglobulins within the prior 12 months and/or any blood products planned during the study period 9. Pregnancy (based on history from adolescent and parent/legal guardian) 10. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial. TEMPORARY EXCLUSION CRITERIA If the adolescent has a temperature ≥ 38°C, then vaccination (and blood sampling if due to occur at same visit) will be postponed until resolution of fever.
Sexes Eligible for Study: All
11 Years and older   (Adult, Older Adult)
No
Canada
 
 
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
Canadian Immunization Research Network
Principal Investigator: Manish Sadarangani, BM BCh DPhil University of British Columbia
October 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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