Immunogenicity and Safety of a Meningococcal Conjugate Vaccine Given Concomitantly With Other Vaccines in Toddlers
Condition: Meningitis, Meningococcal
MeSH terms: Meningitis, Meningococcal; Meningitis
Intervention: MenACYW conjugate vaccine; MMR; Varicella; DTaP-IPV-HB-Hib; PCV13
Intervention description: Meningococcal Polysaccharide (Serogroups A, C, Y, and W) Tetanus Toxoid Conjugate Vaccine; 0.5 milliliter (mL), Intramuscular; Measles, Mumps, and Rubella Virus Vaccine Live; 0.5 mL, Subcutaneous; Varicella Virus Vaccine Live; 0.5 mL, Subcutaneous; Diphtheria, Tetanus, Pertussis (acellular component), Hepatitis B, Poliomyelitis (inactivated), and Haemophilus influenzae type-b conjugate vaccine (adsorbed); 0.5 mL, Intramuscular; Pneumococcal 13-valent Conjugate Vaccine; 0.5 mL, Intramuscular
Phase: Phase 3
Study type: Interventional
Primary purpose: Prevention
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Phase III, open-label, randomized, parallel-group, active-controlled, multicenter study
Masking: Single (Outcomes Assessor)
Masking description: The study had an open-label design; however, as per the protocol, the laboratory technicians who were responsible for performing the serological testing remained blinded to the participants' group allocations throughout the study to avoid any bias.
Enrollment: 1183.0
Sex: All
Minimum age: 12 Months
Maximum age: 23 Months
Healthy volunteers: Accepts Healthy Volunteers
Keywords: Meningitis; Meningococcal Meningitis; Meningococcal Infections; MenACYW Conjugate vaccine

Summary:

      This Phase III, open-label, randomized, parallel-group, active-controlled, multicenter study
      was conducted to assess the immunogenicity and safety of a single dose of Meningococcal
      Polysaccharide (Serogroups A, C, Y and W) Tetanus Toxoid (MenACYW) Conjugate vaccine when
      administered alone and in combination with other pediatric vaccines in healthy toddlers in
      South Korea, Thailand, the Russian Federation, and Mexico.

      Primary Objective:

        -  To describe the immunogenicity profile of MenACYW Conjugate vaccine administered alone
           or concomitantly with licensed pediatric vaccine(s) (measles-mumps-rubella vaccine [MMR]
           + Varicella, diphtheria, tetanus, acellular pertussis, hepatitis B, poliomyelitis, and
           Haemophilus influenzae type-b Conjugate vaccine [DTaP-IPV-HB-Hib], or pneumococcal
           Conjugate vaccine [PCV13]).

      Secondary Objective:

        -  To describe the immunogenicity profile of licensed pediatric vaccine(s) (MMR +
           Varicella, DTaP-IPV-HB-Hib, or PCV13) when administered alone or concomitantly with
           MenACYW Conjugate vaccine.
    

Eligibility criteria:

        Inclusion Criteria:

          -  For South Korea: Korean males and females aged 12 to 23 months on the day of the first
             study visit.

          -  For Mexico: Males and females aged 12 to 23 months on the day of the first study
             visit.

          -  For the Russian Federation: Males and females aged 12 to 14 months or 16 to 23 months
             on the day of the first study visit (eligible for enrollment to MenACYW Conjugate
             vaccine group) or 15 to 23 months on the day of the first study visit (eligible for
             enrollment to the MenACYW Conjugate vaccine positive(+) PCV13 group or the PCV13
             group).

          -  For Thailand: Thai males and females aged 12 to 23 months on the day of the first
             study visit

          -  Participants had received all recommended standard of care vaccinations according to
             their age as per local regulations*.

          -  For the Russian Federation only, participants aged 15 to 23 months on the day of the
             first study visit (eligible for enrollment to MenACYW Conjugate vaccine+PCV13 group or
             the PCV13 group) must not had received the third PCV13 vaccination corresponding to
             his or her age as per the country's National Immunization Program (NIP). The 2nd dose
             of PCV13 must had been administered at least 4 weeks before the 3rd dose of PCV13 was
             administered in the study.

          -  For South Korea, participants must not had received the MMR or Varicella vaccination
             corresponding to his or her age at inclusion.

          -  For Mexico, participants must not had received the DTaP-IPV-HB-Hib vaccination
             corresponding to his or her age at inclusion.

          -  For Thailand, participants must not have received the any dose of MMR or V
             vaccination.

          -  Informed consent form was signed and dated by the parent(s) or guardian if allowed by
             local regulations (and by independent witnesses if required by local regulations)†.

          -  Participant and parent/guardian were able to attend all scheduled visits and to comply
             with all trial procedures.

          -  *Participants must had received the total number of doses expected for each vaccine
             recommended for his/her age in the respective NIPs, but inclusion of participants with
             variations in the vaccine administration timeframes is considered acceptable if the
             total number of doses for the corresponding vaccines had been completed (e.g., in
             Mexico, 3 infant doses of the pentavalent vaccine must had been administered but the
             4th dose due in the 2nd year of life should not had been administered for participants
             to be included in the trial). For the Russian Federation only, participants that had
             not received a seasonal flu vaccination from 6 months of age according to the Russian
             NIP were still eligible to participate in this study. For Thailand only, participants
             who had received a vaccine ahead of the schedule can still be included in the study
             provided the first doses of MMR and Varicella vaccines have not been administered
             prior to inclusion.

          -  †In the Russian Federation, as per local regulations, only the participant's parent(s)
             are entitled to sign an informed consent form. A child under the responsibility of a
             guardian were not included in the study.

        Exclusion Criteria:

          -  Participation in the 4 weeks preceding the first trial vaccination or planned
             participation during the present trial period in another clinical trial investigating
             a vaccine, drug, medical device, or medical procedure.

          -  Receipt of any vaccine in the 4 weeks (28 days) preceding the first trial vaccination
             or planned receipt of any vaccine prior to Visit 2 except for influenza vaccination,
             which may be received at least 2 weeks before or after the study investigational
             vaccines. This exception includes monovalent pandemic influenza vaccines and
             multivalent influenza vaccines.

          -  Previous vaccination against meningococcal disease with either the trial vaccine or
             another vaccine (i.e., mono- or polyvalent, polysaccharide, or conjugate meningococcal
             vaccine containing serogroups A, C, Y, or W; or meningococcal B vaccine).

          -  For participants enrolled at sites in the Russian Federation: previous vaccination
             with the third dose of PCV13 in participants 15 to 23 months of age (eligible for
             MenACYW Conjugate vaccine+PCV13 group or the PCV13).

          -  For participants enrolled at sites in Mexico: known history of seizures, or
             uncontrolled neurologic disorder (including epilepsy); or encephalopathy of unknown
             etiology occurring within 7 days following previous vaccination with pertussis
             containing vaccine; previous vaccination with DTaP-IPV-HB-Hib or DTaP-containing
             vaccine at 12 to 23 months of age.

          -  For participants enrolled at sites in South Korea and Thailand: known history of
             seizures, cerebral injury, or encephalopathy; previous vaccination with MMR or
             Varicella at 12 to 23 months of age.

          -  Receipt of immune globulins, blood or blood-derived products in the past 3 months.

          -  Known or suspected congenital or acquired immunodeficiency; or receipt of
             immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy,
             within the preceding 6 months; or long-term systemic corticosteroid therapy
             (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).

          -  History of meningococcal infection, confirmed either clinically, serologically, or
             microbiologically.

          -  At high risk for meningococcal infection during the trial, according to the
             Investigator's judgment (specifically, but not limited to, participants with
             persistent complement deficiency, with anatomic or functional asplenia, or
             participants traveling to countries with high endemic or epidemic disease).

          -  Known systemic hypersensitivity to any of the vaccine components, or history of a
             life-threatening reaction to the vaccine(s) used in the trial or to a vaccine
             containing any of the same substances.

          -  Verbal report of thrombocytopenia, as reported by the parent/guardian,
             contraindicating intramuscular (IM) vaccination by the Investigator's judgment.

          -  Known bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding
             inclusion, contraindicating IM vaccination by the Investigator's judgment.

          -  Personal history of Guillain-Barré syndrome (GBS).

          -  Personal history of an Arthus-like reaction after vaccination with a tetanus
             toxoid-containing vaccine.

          -  Chronic illness that, in the opinion of the investigator, is at a stage where it might
             interfere with trial conduct or completion.

          -  For participants enrolled at sites in South Korea or Mexico and Thailand: Moderate or
             severe acute illness/infection (according to investigator's judgment) on the day of
             vaccination or febrile illness (temperature >= 38.0 degree Celsius [°C]). A
             prospective participant should not be included in the study until the condition has
             resolved or the febrile event has subsided.

          -  For participants enrolled at sites in the Russian Federation: Acute disease of any
             severity on the day of vaccination or febrile illness (axillary temperature >=
             37.0°C). A prospective participant should not be included in the study until the
             condition has resolved or the febrile event had subsided.

          -  Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first
             blood draw.

          -  Identified as a natural or adopted child of the Investigator or employee with direct
             involvement in the proposed study.