MenABCWY Noninferiority Study in Healthy Participants ≥10 to <26 Years of Age
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ClinicalTrials.gov Identifier: NCT04440163 |
Recruitment Status :
Completed
First Posted : June 19, 2020
Results First Posted : April 18, 2023
Last Update Posted : April 18, 2023
|
Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Factorial Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Prevention |
Condition |
Meningococcal Vaccine |
Interventions |
Biological: MenABCWY Biological: Saline Biological: Trumenba Biological: MenACWY-CRM |
Enrollment | 2431 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | A total of 2431 participants were enrolled and randomized in the study of which 18 participants did not receive any vaccination. Out of 2431 participants, 2413 participants received at least 1 dose of vaccination. |
Arm/Group Title | ACWY-Naive: Group 1 MenABCWY + Saline (Immunogenicity and Safety Set) | ACWY-Naive: Group 2 Trumenba+ MenACWY - CRM (Immunogenicity and Safety Set) | ACWY-Experienced: Group 3 MenABCWY + Saline (Immunogenicity and Safety Set) | ACWY-Experienced: Group 4 Trumenba+ MenACWY - CRM (Immunogenicity and Safety Set) | ACWY-Naive: Group 5 MenABCWY + Saline (Safety Set) | ACWY-Naive: Group 6 Trumenba+ MenACWY - CRM (Safety Set) | ACWY-Experienced: Group 7 MenABCWY + Saline (Safety Set) | ACWY-Experienced: Group 8 Trumenba+ MenACWY - CRM (Safety Set) |
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Arm/Group Description | On Day 1 (Visit 1), Neisseria meningitidis group A, C, W, and Y (ACWY) naive participants received a single dose of 0.5 milliliter (mL) Neisseria meningitidis serogroup A, B, C, W, Y (MenABCWY) intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of meningococcal (groups A, C, Y, and W-135) oligosaccharide diphtheria conjugate vaccine (MenACWY-CRM) intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3,participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2). and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. |
Period Title: Vaccination Phase (Approx. 7 Months) | ||||||||
Started | 552 | 276 | 528 | 261 [1] | 544 | 57 | 154 | 59 |
Vaccination 1 | 547 | 274 | 526 | 261 | 537 | 56 | 153 | 59 |
Vaccination 2 | 500 | 254 | 453 | 218 | 481 | 46 | 123 | 45 |
Completed | 490 | 248 | 440 | 209 | 476 | 45 | 122 | 44 |
Not Completed | 62 | 28 | 88 | 52 | 68 | 12 | 32 | 15 |
Reason Not Completed | ||||||||
Lost to Follow-up | 26 | 15 | 42 | 22 | 30 | 3 | 18 | 5 |
Medication error without associated adverse event | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 |
No longer met eligibility criteria | 5 | 1 | 5 | 2 | 3 | 0 | 2 | 3 |
Pregnancy | 1 | 0 | 2 | 0 | 1 | 0 | 0 | 0 |
Protocol Violation | 1 | 0 | 5 | 3 | 0 | 0 | 3 | 0 |
Other | 0 | 0 | 3 | 2 | 0 | 1 | 0 | 1 |
Adverse Event | 3 | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
Withdrawal by Subject | 11 | 5 | 18 | 14 | 10 | 3 | 5 | 4 |
Withdrawal by parent/guardian | 10 | 4 | 11 | 7 | 16 | 4 | 3 | 2 |
Withdrawn before vaccination | 5 | 2 | 2 | 0 | 7 | 1 | 1 | 0 |
[1]
One participant initially randomized to group 3 was included in group 4 as participant received the wrong vaccination (Trumenba + saline).
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Period Title: Follow-up Phase (Approx. 5 Months) | ||||||||
Started | 490 | 248 | 440 | 209 | 476 | 45 | 122 | 44 |
Completed | 487 | 243 | 440 | 208 | 475 | 45 | 120 | 43 |
Not Completed | 3 | 5 | 0 | 1 | 1 | 0 | 2 | 1 |
Reason Not Completed | ||||||||
Lost to Follow-up | 3 | 5 | 0 | 0 | 1 | 0 | 2 | 1 |
Protocol Violation | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | ACWY-Naive: Group 1 MenABCWY + Saline (Immunogenicity and Safety Set) | ACWY-Naive: Group 2 Trumenba+ MenACWY - CRM (Immunogenicity and Safety Set) | ACWY-Experienced: Group 3 MenABCWY + Saline (Immunogenicity and Safety Set) | ACWY-Experienced: Group 4 Trumenba+ MenACWY - CRM (Immunogenicity and Safety Set) | ACWY-Naive: Group 5 MenABCWY + Saline (Safety Set) | ACWY-Naive: Group 6 Trumenba+ MenACWY - CRM (Safety Set) | ACWY-Experienced: Group 7 MenABCWY + Saline (Safety Set) | ACWY-Experienced: Group 8 Trumenba+ MenACWY - CRM (Safety Set) | Total | |
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Arm/Group Description | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to both safety and immunogenicity analyses. . Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY naive participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL MenABCWY intramuscularly into the left deltoid muscle along with 0.5 mL of saline intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of MenABCWY intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | On Day 1 (Visit 1), ACWY experienced participants received a single dose of 0.5 mL Trumenba intramuscularly into the left deltoid muscle along with 0.5 mL of MenACWY-CRM intramuscularly into the right deltoid muscle (Vaccination 1). Participants were followed up for 1 month after Vaccination 1 (Visit 2). After 6 months of Vaccination 1 at Visit 3, participants received 0.5 mL of Trumenba intramuscularly into the left deltoid muscle (Vaccination 2) and were followed up for 1 month after Vaccination 2 (Visit 4). Vaccination phase was from Day 1 of Vaccination 1 through 1 month after Vaccination 2 (from Visit 1 to Visit 4). Participants were followed up for 6 months after last vaccination and contributed to safety analyses only. Follow-up phase was from 1 month after Vaccination 2 through 6 months after Vaccination 2. | Total of all reporting groups | |
Overall Number of Baseline Participants | 547 | 274 | 526 | 260 | 537 | 56 | 153 | 59 | 2412 | |
Baseline Analysis Population Description |
Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. One participant initially randomized to group 3 was excluded from safety population set as the participant received the wrong vaccination (Trumenba + saline).
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 547 participants | 274 participants | 526 participants | 260 participants | 537 participants | 56 participants | 153 participants | 59 participants | 2412 participants | |
16.7 (5.49) | 16.7 (5.39) | 17.3 (3.17) | 17.4 (3.28) | 13.5 (4.05) | 13.5 (4.50) | 17.1 (3.04) | 16.0 (2.75) | 16.1 (4.55) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 547 participants | 274 participants | 526 participants | 260 participants | 537 participants | 56 participants | 153 participants | 59 participants | 2412 participants | |
Female |
289 52.8%
|
140 51.1%
|
279 53.0%
|
131 50.4%
|
253 47.1%
|
20 35.7%
|
96 62.7%
|
28 47.5%
|
1236 51.2%
|
|
Male |
258 47.2%
|
134 48.9%
|
247 47.0%
|
129 49.6%
|
284 52.9%
|
36 64.3%
|
57 37.3%
|
31 52.5%
|
1176 48.8%
|
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 547 participants | 274 participants | 526 participants | 260 participants | 537 participants | 56 participants | 153 participants | 59 participants | 2412 participants | |
Hispanic or Latino |
93 17.0%
|
53 19.3%
|
156 29.7%
|
86 33.1%
|
131 24.4%
|
15 26.8%
|
58 37.9%
|
29 49.2%
|
621 25.7%
|
|
Not Hispanic or Latino |
450 82.3%
|
217 79.2%
|
366 69.6%
|
173 66.5%
|
405 75.4%
|
41 73.2%
|
93 60.8%
|
30 50.8%
|
1775 73.6%
|
|
Unknown or Not Reported |
4 0.7%
|
4 1.5%
|
4 0.8%
|
1 0.4%
|
1 0.2%
|
0 0.0%
|
2 1.3%
|
0 0.0%
|
16 0.7%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 547 participants | 274 participants | 526 participants | 260 participants | 537 participants | 56 participants | 153 participants | 59 participants | 2412 participants | |
American Indian or Alaska Native |
2 0.4%
|
2 0.7%
|
2 0.4%
|
2 0.8%
|
4 0.7%
|
1 1.8%
|
2 1.3%
|
1 1.7%
|
16 0.7%
|
|
Asian |
19 3.5%
|
4 1.5%
|
18 3.4%
|
6 2.3%
|
7 1.3%
|
1 1.8%
|
1 0.7%
|
1 1.7%
|
57 2.4%
|
|
Native Hawaiian or Other Pacific Islander |
1 0.2%
|
0 0.0%
|
2 0.4%
|
0 0.0%
|
1 0.2%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
4 0.2%
|
|
Black or African American |
26 4.8%
|
19 6.9%
|
74 14.1%
|
32 12.3%
|
57 10.6%
|
5 8.9%
|
27 17.6%
|
5 8.5%
|
245 10.2%
|
|
White |
467 85.4%
|
239 87.2%
|
370 70.3%
|
195 75.0%
|
419 78.0%
|
46 82.1%
|
103 67.3%
|
42 71.2%
|
1881 78.0%
|
|
More than one race |
9 1.6%
|
3 1.1%
|
12 2.3%
|
3 1.2%
|
7 1.3%
|
2 3.6%
|
2 1.3%
|
0 0.0%
|
38 1.6%
|
|
Unknown or Not Reported |
23 4.2%
|
7 2.6%
|
48 9.1%
|
22 8.5%
|
42 7.8%
|
1 1.8%
|
18 11.8%
|
10 16.9%
|
171 7.1%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title: | Pfizer ClinicalTrials.gov Call Center |
Organization: | Pfizer Inc. |
Phone: | 1-800-718-1021 |
EMail: | ClinicalTrials.gov_Inquiries@pfizer.com |
Responsible Party: | Pfizer |
ClinicalTrials.gov Identifier: | NCT04440163 |
Other Study ID Numbers: |
C3511001 2019-004313-13 ( EudraCT Number ) |
First Submitted: | June 15, 2020 |
First Posted: | June 19, 2020 |
Results First Submitted: | March 22, 2023 |
Results First Posted: | April 18, 2023 |
Last Update Posted: | April 18, 2023 |