Safety and Immunogenicity Evaluation After One or Two Doses of Novartis Meningococcal ACWY Conjugate Vaccine in Healthy Infants and Toddlers

Sponsor
Novartis Vaccines (Industry)
Overall Status
Completed
CT.gov ID
NCT00667602
Collaborator
(none)
662
28
3
31
23.6
0.8

Study Details

Study Description

Brief Summary

The primary immunogenicity objective is to assess and compare the immunogenicity of one dose of MenACWY to one dose of Menjugate given to healthy toddlers at 12 months of age as measured by the percentage of subjects with serum bactericidal titers directed against N. meningitidis serogroup C ≥ 1:8 obtained in the serum bactericidal assay using human complement (hSBA).

Condition or Disease Intervention/Treatment Phase
  • Biological: MenACWY-CRM197 (two doses)
  • Biological: MenC
  • Biological: PCV7
  • Biological: DTPa-IPV-HepB-Hib
  • Biological: MenACWY-CRM197 (one dose)
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
662 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
A Phase 3, Open-Label, Randomized, Multi-Center Study to Evaluate the Safety and Immunogenicity After One or Two Doses of Novartis Meningococcal ACWY Conjugate Vaccine Administered to Healthy Infants and Toddlers
Study Start Date :
Mar 1, 2008
Actual Primary Completion Date :
Jul 1, 2009
Actual Study Completion Date :
Oct 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: MenACWY-CRM197 (2 doses) + Concomitant Vaccines

Infants received two doses of MenACWY-CRM197 at 6 to 8 and 12 months of age and concomitant dose of PCV7 (Pneumococcal 7-valent Conjugate Vaccine) and DTPa-IPV-HepB-Hib (Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b) at 12 months.

Biological: MenACWY-CRM197 (two doses)
Two 0.5mL doses of MenACWY conjugate vaccine (MenACWY-CRM197) was administered by intramuscular injection.

Biological: PCV7
One 0.5mL dose of Pneumococcal 7-valent Conjugate Vaccine (PCV7) was administered by intramuscular injection.

Biological: DTPa-IPV-HepB-Hib
One 0.5mL dose of Combined Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b (DTPa-IPV-HepB-Hib) vaccine was administered by intramuscular injection.

Experimental: MenACWY-CRM197 (1 dose) + Concomitant Vaccines

Infants received one dose of MenACWY-CRM197 at 12 months of age and concomitant dose of PCV7 (Pneumococcal 7-valent Conjugate Vaccine) and DTPa-IPV-HepB-Hib (Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b) at 12 months of age.

Biological: PCV7
One 0.5mL dose of Pneumococcal 7-valent Conjugate Vaccine (PCV7) was administered by intramuscular injection.

Biological: DTPa-IPV-HepB-Hib
One 0.5mL dose of Combined Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b (DTPa-IPV-HepB-Hib) vaccine was administered by intramuscular injection.

Biological: MenACWY-CRM197 (one dose)
One 0.5mL dose of MenACWY conjugate vaccine (MenACWY-CRM197) was administered by intramuscular injection.

Active Comparator: MenC (1 dose) + Concomitant Vaccines

Infants received one dose of MenC vaccine at 12 months of age and concomitant dose of PCV7 (Pneumococcal 7-valent Conjugate Vaccine) and DTPa-IPV-HepB-Hib (Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b) at 12 months of age.

Biological: MenC
One 0.5mL dose of MenC vaccine was administered by intramuscular injection.

Biological: PCV7
One 0.5mL dose of Pneumococcal 7-valent Conjugate Vaccine (PCV7) was administered by intramuscular injection.

Biological: DTPa-IPV-HepB-Hib
One 0.5mL dose of Combined Diphtheria-Tetanus-acellular Pertussis, Hepatitis B, Inactivated Poliovirus and Haemophilus influenzae type b (DTPa-IPV-HepB-Hib) vaccine was administered by intramuscular injection.

Outcome Measures

Primary Outcome Measures

  1. Percentages of Subjects With Serum Bactericidal Titer ≥ 1:8 Against N.Meningitidis Serogroup C [1 month postvaccination]

    Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was measured using serum bactericidal assay with human complement (hSBA) titer ≥ 1:8 against N.meningitidis serogroup C.

Secondary Outcome Measures

  1. Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:4 Against N.Meningitidis Serogroup C [1 month postvaccination]

    Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentage of subjects with serum bactericidal activity using human complement (hSBA) titers ≥ 1:4 against N. meningitidis serogroup C.

  2. Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 and Titer ≥ 1:4 Against N. Meningitidis Serogroups A, C, W, Y [1 month postvaccination.]

    Immunogenicity of two doses of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month postvaccination was assessed and compared as percentages of subjects with serum bactericidal titer with human complement (hSBA) ≥ 1:8, ≥ 1:4 against N.meningitidis Serogroup C. Immunogenicity of two doses of MenACWY-CRM197 vaccine one month postvaccination was assessed as percentages of subjects with serum bactericidal titer with human complement (hSBA) ≥ 1:8, ≥ 1:4 against N.meningitidis Serogroup A, W, Y.

  3. Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 and Titer ≥ 1:4 Against N. Meningitidis Serogroups A, W, Y [1 month postvaccination.]

    Immunogenicity for one dose of MenACWY was assessed as percentages of subjects with serum bactericidal titer with human complement (hSBA) ≥ 1:8 and titer ≥ 1:4 by serogroups A, W, Y. Serogroup C is not shown here as it is shown in other outcome measures.

  4. Human Serum Bactericidal Activity Geometric Mean Titers After One Dose of MenACWY-CRM197 and MenC Against N.Meningitidis Serogroup C [1 month postvaccination]

    Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed with geometric mean titer (GMT) of serum bactericidal assay with human complement (hSBA) against N. meningitidis serogroup C.

  5. Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroups A, W, Y [1 month postvaccination]

    Immunogenicity of one dose of MenACWY-CRM197 one month postvaccination was assessed with GMT of serum bactericidal assay with hSBA against Serogroups A, W, Y.

  6. Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroups A, C, W, Y [1 month postvaccination]

    The immunogenicity of two doses of MenACWY-CRM197, to a single dose of MenC was assessed and compared as measured by human Serum Bactericidal Activity Geometric Mean Titers directed against N. meningitidis serogroup C. The immunogenicity of two doses of MenACWY-CRM197, to a single dose of MenC was assessed as measured by human Serum Bactericidal Activity Geometric Mean Titers directed against N. meningitidis serogroups A, W, Y.

  7. Percentages of Subjects With Seroresponse Rates After One Dose of DTPa-IPV-HepB-Hib (Concomitant Vaccine) [1 month postvaccination]

    The immunogenicity of one dose of MenC to one dose of DTPa-IPV-HepB-Hib concomitant vacccine was assessed. For Pertussis antigens, Pertussis Toxin (PT), Filamentous Hemagglutinin (FHA) and Pertactin (PRN), the seroresponse in initially seronegative subjects (pre-vaccination antibody concentration < LLQ) is defined as post-vaccination antibody concentration >= LLQ; in initially seropositive subjects (pre-vaccination antibody concentration >=LLQ) seroresponse is defined as at least two fold increase of the pre-vaccination antibody concentration. Diptheria and Tetanus: primary endpoint ELISA (Enzyme-linked immunosorbent assay) >=0.1 (international unit -IU) IU/mL and the secondary endpoint is ELISA>=1.0 IU/mL. Polio type 1, 2 and 3: bNT (neutralization test) with >=1:8. HepB (HBV): primary endpoint ELISA >=10mU/mL. PRP-T: primary endpoint ≥ 0.15 mcg/mL and ≥ 1.00 mcg/mL.

  8. Percentages of Subjects With Seroresponse Rates After One Dose of PCV7 (Concomitant Vaccine) [1 month postvaccination]

    To compare the immunogenicity of PCV7 (Pneumococcal 7-valent Conjugate)Vaccine when given concomitantly with one dose or two doses of MenACWY-CRM197 or with MenC to infants at 12 months of age. Seroresponse for PCV7 (PnC 4, PnC 6B, PnC 9V, PnC 14, PnC 18C, PnC 19F, PnC 23F) is defined as: a subject with primary endpoint ELISA ≥ 0.35 mcg/mL and secondary endpoint ELISA ≥ 1.0 mcg/mL.

  9. Persistence of Immune Response Measured as Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 and Titer ≥ 1:4 Against N. Meningitidis Serogroup C [1 month postvaccination and 6-18 months postvaccination.]

    Persistence of immune response to either one or two doses of MenACWY-CRM197 or one dose of MenC as measured by serum bactericidal assay with human complement (hSBA) titers ≥ 1:8, and titers ≥ 1:4 directed against N.meningitidis serogroup C (only for subjects enrolled in Australia).

  10. Persistence of Immune Response Measured as Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 ,and Titer ≥ 1:4 Against N. Meningitidis Serogroups A, W, Y [1 month postvaccination 6-18 months postvaccination]

    Persistence of immune response to either one or two doses of MenACWY-CRM197 or one dose of MenC as measured by serum bactericidal assay with human complement (hSBA) titer ≥ 1:8 and titer ≥ 1:4 directed against N. meningitidis serogroups A, W and Y (only for subjects enrolled in Australia).

  11. Persistence of Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroup C [1 month postvaccination and 6-18 months postvaccination.]

    Persistence of immunogenicity of either one or two doses of MenACWY or one dose of MenC as measured by human serum bactericidal activity geometric mean titers directed against N.meningitidis serogroup C (only for subjects enrolled in Australia).

  12. Persistence of Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroups A, W, Y [6-18 months postvaccination.]

    Immunogenicity of two doses of MenACWY to one dose of MenACWY as measured by hSBA GMTs directed against N.meningitidis serogroups A, W, Y (only for subjects enrolled in Australia).

  13. Percentages of Subjects With Rabbit Serum Bactericidal ≥ 1:8, ≥ 1:128 and Four Fold Rise Against N.Meningitidis Serogroup C [1 month postvaccination.]

    Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup C. Immunogenicity of two doses of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup C.

  14. Percentages of Subjects With Rabbit Serum Bactericidal ≥ 1:8, ≥ 1:128, and Four Fold Rise Against N.Meningitidis Serogroup A, W, Y [1 month postvaccination.]

    Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup A, W, Y. Immunogenicity of two doses of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup A, W, Y.

  15. Rabbit Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroup C [1 month postvaccination.]

    Immunogenicity of one dose of MenACWY-CRM197 to one dose of MenC vaccine at 12 months of age was assessed with geometric mean titer (GMT) of serum bactericidal assay with rabbit complement (rSBA) against Serogroup C. Immunogenicity of two doses of MenACWY-CRM197 to one dose of MenC vaccine at 6 to 8 and 12 months of age was assessed with geometric mean titer (GMT) of serum bactericidal assay with rabbit complement (rSBA) against Serogroup C.

  16. Rabbit Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroup A, W, Y [1 month postvaccination.]

    Immunogenicity of one dose of MenACWY-CRM197 to one dose of MenC vaccine at 12 months of age was assessed with GMT of SBA with rabbit complement (rSBA) against Serogroup A, W, Y. Immunogenicity of two doses of MenACWY-CRM197 to one dose of MenC vaccine at 6 to 8 and 12 months of age was assessed with geometric mean titer (GMT) of serum bactericidal assay with rabbit complement (rSBA) against Serogroup A, W, Y.

  17. Number of Subjects Who Reported Solicited Local and Systemic Reactions (Day 1 to Day 7 Postvaccination), After Any Vaccination [From day 1 to day 7 postvaccination]

    Safety was assessed as the number of subjects who reported solicited local reactions from day 1 to day 7 postvaccination for all the three vaccination groups. safety was assessed as the number of subjects who reported solicited systemic reactions from day 1 to day 7 Following the Month 12 vaccination in all three vaccination groups

Eligibility Criteria

Criteria

Ages Eligible for Study:
6 Months to 8 Months
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • infants 6 to 8 months old inclusive, who were born after full term pregnancy and previously received three doses of both Prevenar and Infanrix-hexa vaccines at least 30 days before study entry
Exclusion Criteria:
  • who previously received any meningococcal vaccine;

  • who have had a previous confirmed or suspected disease caused by N. meningitidis, C. diphtheriae, C. tetani, Poliovirus, Hepatitis B, Hib, Pneumococcus or B. pertussis;

  • who have had household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis (serogroups A, C, W135, or Y), B. pertussis, Hib,

  1. diphtheriae, Polio, or pneumococcal infection at any time since birth;
  • Subjects with any serious, acute or chronic progressive disease

Contacts and Locations

Locations

Site City State Country Postal Code
1 Site 22 Bad Kreuznach Germany 55543
2 Site 38 Bad Lobenstein Germany 07356
3 Site 24 Balve Germany 58802
4 Site 3 Berlin Germany 12589
5 Site 27 Berlin Germany 12619
6 Site 20 Berlin Germany 12627
7 Site 26 Berlin Germany 12627
8 Site 13 Berlin Germany 13189
9 Site 31 Berlin Germany 13189
10 Site 25 Berlin Germany 13347
11 Site 15 Bönnigheim Germany 74357
12 Site 39 Eschwege Germany 37269
13 Site 32 Flensburg Germany 24937
14 Site 16 Frankenthal Germany 67227
15 Site 33 Glücksburg Germany 24960
16 Site 35 Hamburg Germany 22147
17 Site 2 Kehl Germany 77694
18 Site 28 Mainz Germany 55127
19 Site 44 Mainz Germany 55131
20 Site 43 München-Ramersdorf Germany 81669
21 Site 42 Neuhaus am Rennweg Germany 98724
22 Site 21 Neumünster Germany 24534
23 Site 9 Neumünster Germany 24534
24 Site 10 Oberstenfeld Germany 71720
25 Site 4 Stuttgart Germany 70193
26 Site 19 Stuttgart Germany 70469
27 Site 30 Weilheim i OB Germany 82362
28 Site 6 Wiesloch Germany 69168

Sponsors and Collaborators

  • Novartis Vaccines

Investigators

  • Study Chair: Novartis Vaccines, Novartis Vaccines

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novartis Vaccines
ClinicalTrials.gov Identifier:
NCT00667602
Other Study ID Numbers:
  • V59P22
  • 2007-004754-82
First Posted:
Apr 28, 2008
Last Update Posted:
Nov 7, 2013
Last Verified:
Sep 1, 2013
Keywords provided by Novartis Vaccines
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail All participants enrolled were included in the trial.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Period Title: Overall Study
STARTED 219 228 215
COMPLETED 211 213 197
NOT COMPLETED 8 15 18

Baseline Characteristics

Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines Total
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Total of all reporting groups
Overall Participants 219 228 215 662
Age (Days) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Days]
208.4
(23.7)
209.8
(22.2)
209.3
(21.9)
209.2
(22.6)
Sex: Female, Male (Count of Participants)
Female
105
47.9%
106
46.5%
94
43.7%
305
46.1%
Male
114
52.1%
122
53.5%
121
56.3%
357
53.9%

Outcome Measures

1. Primary Outcome
Title Percentages of Subjects With Serum Bactericidal Titer ≥ 1:8 Against N.Meningitidis Serogroup C
Description Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was measured using serum bactericidal assay with human complement (hSBA) titer ≥ 1:8 against N.meningitidis serogroup C.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on the per-protocol (PP) set, i.e. the subjects who received the vaccine correctly; provided evaluable serum samples at the relevant time points; and had no major protocol violations as defined prior to analysis.
Arm/Group Title MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received one dose of MenACWY-CRM197 at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 175 153
Number (95% Confidence Interval) [Percentages of subjects]
83
92
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments The primary criterion for immunogenicity was that the lower limit of the two-sided 95% confidence interval (CI) for the difference between one dose of MenACWY-CRM197 and MenC in the percentage of subjects with hSBA ≥1:8 for serogroup C at 1 month following the 12 months vaccination was greater than -10% .
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC)
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value -8
Confidence Interval (2-Sided) 95%
-15 to -1
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:4 Against N.Meningitidis Serogroup C
Description Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentage of subjects with serum bactericidal activity using human complement (hSBA) titers ≥ 1:4 against N. meningitidis serogroup C.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 175 153
Number (95% Confidence Interval) [Percentages of subjects]
90
97
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments The primary criterion for immunogenicity was that the lower limit of the two-sided 95% confidence interval (CI) for the difference between one dose of MenACWY-CRM197 and MenC in the percentage of subjects with hSBA ≥ 1:4 for serogroup C at 1 month following the 12 months vaccination was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC)
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -7
Confidence Interval (2-Sided) 95%
-13 to -2
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 and Titer ≥ 1:4 Against N. Meningitidis Serogroups A, C, W, Y
Description Immunogenicity of two doses of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month postvaccination was assessed and compared as percentages of subjects with serum bactericidal titer with human complement (hSBA) ≥ 1:8, ≥ 1:4 against N.meningitidis Serogroup C. Immunogenicity of two doses of MenACWY-CRM197 vaccine one month postvaccination was assessed as percentages of subjects with serum bactericidal titer with human complement (hSBA) ≥ 1:8, ≥ 1:4 against N.meningitidis Serogroup A, W, Y.
Time Frame 1 month postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 167 153
titer ≥ 1:8, prevacc, Men A, (N=159,23)
21
0
titer ≥ 1:8, postvacc, Men A (N=166,23)
93
0
titer ≥ 1:8, prevacc, Men C (N=161,152)
78
6
titer ≥ 1:8, postvacc, Men C (N=167,153)
99
92
titer ≥ 1:8, prevacc, Men W, (N=157,23)
68
0
titer ≥ 1:8, postvacc, Men W, (N=165,22)
98
5
titer ≥ 1:8, prevacc, Men Y, (N=156, 23)
69
0
titer ≥ 1:8, postvacc, Men Y, (N=163,22)
96
5
titer ≥ 1:4, prevacc, Men A, (N=159,23)
26
0
titer ≥ 1:4, postvacc, Men A, (N=166,23)
95
0
titer ≥ 1:4, prevacc, Men C, (N=161,152)
88
7
titer ≥ 1:4, postvacc, Men C, (N=167,153)
99
97
titer ≥ 1:4, prevacc, Men W, (N=157,23)
74
0
titer ≥ 1:4, postvacc, Men W, (N=165,22)
98
5
titer ≥ 1:4, prevacc, Men Y, (N=156,23)
78
0
titer ≥ 1:4, postvacc, Men Y, (N=163,22)
99
5
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Comparisons to MenC were based on the percentages of subjects with response (hSBA ≥1:8, prevaccination) to serogroup C. MenACWY was determined to be noninferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY and MenC in the percentage of subjects with response towards serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PMenACWY - PMenC > -10%).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 72
Confidence Interval (2-Sided) 95%
64 to 79
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Comparisons to MenC were based on the percentages of subjects with response (hSBA ≥1:8, one month postvaccination) to serogroup C. MenACWY was determined to be noninferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY and MenC in the percentage of subjects with response towards serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PMenACWY - PMenC > -10%).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 7
Confidence Interval (2-Sided) 95%
3 to 13
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Comparisons to MenC were based on the percentages of subjects with response (hSBA ≥1:4, prevaccination) to serogroup C. MenACWY was determined to be noninferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY and MenC in the percentage of subjects with response towards serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PMenACWY - PMenC > -10%).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 80
Confidence Interval (2-Sided) 95%
73 to 86
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Comparisons to MenC were based on the percentages of subjects with response (hSBA ≥1:4, one month postvaccination) to serogroup C. MenACWY was determined to be noninferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY and MenC in the percentage of subjects with response towards serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PMenACWY - PMenC > -10%).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 1
Confidence Interval (2-Sided) 95%
-2 to 5
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 and Titer ≥ 1:4 Against N. Meningitidis Serogroups A, W, Y
Description Immunogenicity for one dose of MenACWY was assessed as percentages of subjects with serum bactericidal titer with human complement (hSBA) ≥ 1:8 and titer ≥ 1:4 by serogroups A, W, Y. Serogroup C is not shown here as it is shown in other outcome measures.
Time Frame 1 month postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (1dose) + Concomitant Vaccines
Arm/Group Description Infants received one dose of MenACWY-CRM197 at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 175
titer ≥ 1:8, pre-vacc, Men A, (N=171)
1
titer ≥ 1:8, post-vacc, Men A, (N=172)
49
titer ≥ 1:8, pre-vacc, Men W, (N=168)
3
titer ≥ 1:8, post-vacc, Men W, (N=170)
61
titer ≥ 1:8, pre-vacc, Men Y, (N=160)
3
titer ≥ 1:8, post-vacc, Men Y, (N=167)
50
titer ≥ 1:4, pre-vacc, Men A, (N=171)
1
titer ≥ 1:4, post-vacc, Men A, (N=172)
58
titer ≥ 1:4, pre-vacc, Men W, (N=168)
4
titer ≥ 1:4, post-vacc, Men W, (N=170)
62
titer ≥ 1:4, pre-vacc, Men Y, (N=160)
3
titer ≥ 1:4, post-vacc, Men Y, (N=167)
56
5. Secondary Outcome
Title Human Serum Bactericidal Activity Geometric Mean Titers After One Dose of MenACWY-CRM197 and MenC Against N.Meningitidis Serogroup C
Description Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed with geometric mean titer (GMT) of serum bactericidal assay with human complement (hSBA) against N. meningitidis serogroup C.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received one dose of MenACWY-CRM197 at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 175 153
Prevaccination (month 12) (N=174, 152)
2.11
2.29
Postvaccination (month 13) (N=175,153)
22
31
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For comparison of the Geometric Mean Titers, prevaccination at 12 months of age, MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the 2-sided 95% CI for the ratio of the MenACWY-CRM197 to MenC Geometric Mean Titers for serogroup C was greater than 0.5.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (GMTMenACWY/GMTMenC > 0.5).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio
Estimated Value 0.92
Confidence Interval (2-Sided) 95%
0.76 to 1.12
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For comparison of the Geometric Mean Titers, one month postvaccination at 12 months of age, MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the 2-sided 95% CI for the ratio of the MenACWY-CRM197 to MenC Geometric Mean Titers for serogroup C was greater than 0.5.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (GMTMenACWY/GMTMenC > 0.5).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio
Estimated Value 0.73
Confidence Interval (2-Sided) 95%
0.57 to 0.93
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroups A, W, Y
Description Immunogenicity of one dose of MenACWY-CRM197 one month postvaccination was assessed with GMT of serum bactericidal assay with hSBA against Serogroups A, W, Y.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (1dose) + Concomitant Vaccines
Arm/Group Description Infants received one dose of MenACWY-CRM197 at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 172
prevacc, Men A (N=171)
1.99
postvacc Men A (N=172)
10
prevacc, Men W (N=168)
2.12
postvacc Men W (N=170)
14
prevacc, Men Y (N=160)
1.92
postvacc Men Y (N=167)
7.05
7. Secondary Outcome
Title Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroups A, C, W, Y
Description The immunogenicity of two doses of MenACWY-CRM197, to a single dose of MenC was assessed and compared as measured by human Serum Bactericidal Activity Geometric Mean Titers directed against N. meningitidis serogroup C. The immunogenicity of two doses of MenACWY-CRM197, to a single dose of MenC was assessed as measured by human Serum Bactericidal Activity Geometric Mean Titers directed against N. meningitidis serogroups A, W, Y.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 167 153
prevacc, Men A (N=159,23)
3.4
2
postvacc Men A (N=166,23)
75
2.22
prevacc, Men C (N=161,152)
23
2.29
postvacc, Men C (N=167,153)
249
31
prevacc, Men W (N=157,23)
14
1.71
postvacc, Men W (N=165,22)
213
2
prevacc, Men Y (N=156,23)
11
1.76
postvacc, Men Y (N=163,22)
156
1.93
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For comparison of the GMTs (prevaccination), MenACWY was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the ratio of the MenACWY to MenC GMTs for serogroup C was greater than 0.5 .
Type of Statistical Test Non-Inferiority or Equivalence
Comments (GMTMenACWY/GMTMenjugate > 0.5).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio
Estimated Value 10
Confidence Interval (2-Sided) 95%
8.43 to 13
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For comparison of the GMTs (one month postvaccination), MenACWY was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the ratio of the MenACWY to MenC GMTs for serogroup C was greater than 0.5.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (GMTMenACWY/GMTMenjugate > 0.5).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio
Estimated Value 8.1
Confidence Interval (2-Sided) 95%
6.35 to 10
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Percentages of Subjects With Seroresponse Rates After One Dose of DTPa-IPV-HepB-Hib (Concomitant Vaccine)
Description The immunogenicity of one dose of MenC to one dose of DTPa-IPV-HepB-Hib concomitant vacccine was assessed. For Pertussis antigens, Pertussis Toxin (PT), Filamentous Hemagglutinin (FHA) and Pertactin (PRN), the seroresponse in initially seronegative subjects (pre-vaccination antibody concentration < LLQ) is defined as post-vaccination antibody concentration >= LLQ; in initially seropositive subjects (pre-vaccination antibody concentration >=LLQ) seroresponse is defined as at least two fold increase of the pre-vaccination antibody concentration. Diptheria and Tetanus: primary endpoint ELISA (Enzyme-linked immunosorbent assay) >=0.1 (international unit -IU) IU/mL and the secondary endpoint is ELISA>=1.0 IU/mL. Polio type 1, 2 and 3: bNT (neutralization test) with >=1:8. HepB (HBV): primary endpoint ELISA >=10mU/mL. PRP-T: primary endpoint ≥ 0.15 mcg/mL and ≥ 1.00 mcg/mL.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and concomitant dose of PCV7 and DTPa-IPV-HepBHib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 168 173 152
Anti-Diphtheria Toxin ≥ 0.1 IU/mL N= (168,173,152)
100
100
100
Anti-Diphtheria Toxin ≥ 1.0 IU/mL N= (168,173,152)
99
98
98
Anti-Tetanus Toxin ≥ 0.1 IU/mL N= (168,173,152)
100
100
100
Anti-Tetanus Toxin ≥ 1.0 IU/mL N= (168,173,152)
96
96
97
FHA ELISA N=(160,169,152)
97
91
96
PRN ELISA N=(160,169,152)
99
98
99
PT ELISA N=(159,165,151)
97
95
97
polio 1 N=(157,161,148)
100
100
99
polio 2 N=157,(161,148)
100
99
100
polio 3 N=(146,151,143)
100
100
100
Hep B N=(157,161,147)
99
99
99
Anti-PRP (HIB) ≥ 0.15 μg/mL N=(168,173,151)
100
100
100
Anti-PRP (HIB) ≥ 1.0 μg/mL N=(168,173,151)
100
98
99
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Diptheria Toxin ≥0.1 IU/mL, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Diptheria Toxin ≥0.1 IU/mL, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Diptheria Toxin ≥1.0 IU/mL, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 1
Confidence Interval (2-Sided) 95%
-3 to 5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Diptheria Toxin ≥1.0 IU/mL, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-3 to 4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Tetanus Toxin ≥ 0.1 IU/mL, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Tetanus Toxin ≥ 0.1 IU/mL, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, for any of the antigens, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Tetanus Toxin ≥ 1.0 IU/mL, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -2
Confidence Interval (2-Sided) 95%
-6 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti-Tetanus Toxin ≥ 1.0 IU/mL, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -1
Confidence Interval (2-Sided) 95%
-6 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (polio 1, one month postvaccination), given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 1
Confidence Interval (2-Sided) 95%
-2 to 4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (polio 1, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 1
Confidence Interval (2-Sided) 95%
-2 to 4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (polio 2, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (polio 2, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -1
Confidence Interval (2-Sided) 95%
-3 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (polio 3, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-3 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Polio 3, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti- PRP ≥ 0.15 μg/mL, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti- PRP ≥ 0.15 μg/mL, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-2 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti- PRP ≥ 1.0 μg/mL, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value 1
Confidence Interval (2-Sided) 95%
-2 to 4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Anti- PRP ≥ 1.0 μg/mL, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value -1
Confidence Interval (2-Sided) 95%
-4 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Hep B, one month postvaccination) given concomitantly with two dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-3 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of DTPa-IPV-HepB-Hib (Hep B, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to DTPa-IPV-HepB-Hib given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC)
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value -1
Confidence Interval (2-Sided) 95%
-4 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
9. Secondary Outcome
Title Percentages of Subjects With Seroresponse Rates After One Dose of PCV7 (Concomitant Vaccine)
Description To compare the immunogenicity of PCV7 (Pneumococcal 7-valent Conjugate)Vaccine when given concomitantly with one dose or two doses of MenACWY-CRM197 or with MenC to infants at 12 months of age. Seroresponse for PCV7 (PnC 4, PnC 6B, PnC 9V, PnC 14, PnC 18C, PnC 19F, PnC 23F) is defined as: a subject with primary endpoint ELISA ≥ 0.35 mcg/mL and secondary endpoint ELISA ≥ 1.0 mcg/mL.
Time Frame 1 month postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 163 168 150
PNC 4 N=(168,150)
83
82
87
PNC 6B N=(168,149)
92
91
97
PNC 9V N=(168,150)
90
89
93
PNC 14 N=(167,150)
99
99
99
PNC 18C N=(168,150)
71
76
86
PNC 19 F N=(168,150)
81
80
90
PNC 23 F N=(168,150)
88
89
94
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC4, one month postvaccination)given concomitantly with one dose of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-13 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7(PNC 6B, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -6
Confidence Interval (2-Sided) 95%
-12 to -1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7(PnC 9V, one month postvaccination) given concomitantly with MenACWY-CRM197 or MenC was considered non-inferior, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-11 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC 14, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 0
Confidence Interval (2-Sided) 95%
-3 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7( PNC 18C, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -10
Confidence Interval (2-Sided) 95%
-19 to -2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC 19F, one month postvaccination), given concomitantly with one dose of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -10
Confidence Interval (2-Sided) 95%
-17 to -2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC 23F, one month postvaccination) given concomitantly with one dose of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-12 to 1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC4, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-12 to 4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC6B, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-11 to 0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC 9V, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -3
Confidence Interval (2-Sided) 95%
-10 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC14, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -1
Confidence Interval (2-Sided) 95%
-4 to 3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC18C, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -15
Confidence Interval (2-Sided) 95%
-24 to -6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC19F, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -9
Confidence Interval (2-Sided) 95%
-17 to -1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments Immunogenicity of PCV7 (PNC23F, one month postvaccination) given concomitantly with two doses of MenACWY was considered non-inferior to PCV7 given concomitantly with one dose of MenC, if the lower limit of the two-sided 95% CI for the difference in the percentage of subjects with antibody response was greater than the cut-off level specified for that antigen was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY - PConcomitant Vaccine+MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -6
Confidence Interval (2-Sided) 95%
-13 to 0
Parameter Dispersion Type:
Value:
Estimation Comments
10. Secondary Outcome
Title Persistence of Immune Response Measured as Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 and Titer ≥ 1:4 Against N. Meningitidis Serogroup C
Description Persistence of immune response to either one or two doses of MenACWY-CRM197 or one dose of MenC as measured by serum bactericidal assay with human complement (hSBA) titers ≥ 1:8, and titers ≥ 1:4 directed against N.meningitidis serogroup C (only for subjects enrolled in Australia).
Time Frame 1 month postvaccination and 6-18 months postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set (persistence subgroup).
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 17 14 13
hSBA ≥ 1:8, postvacc, Men C. N=(17,14,13)
100
86
92
hSBA ≥ 1:8, perisistence, Men C. N=(17,14,13)
71
64
54
hSBA ≥ 1:4, postvacc, Men C. N=(17,14,13)
100
93
100
hSBA ≥ 1:4, persistence, Men C. N=(17,14,13)
76
71
77
11. Secondary Outcome
Title Persistence of Immune Response Measured as Percentages of Subjects With Human Serum Bactericidal Titer ≥ 1:8 ,and Titer ≥ 1:4 Against N. Meningitidis Serogroups A, W, Y
Description Persistence of immune response to either one or two doses of MenACWY-CRM197 or one dose of MenC as measured by serum bactericidal assay with human complement (hSBA) titer ≥ 1:8 and titer ≥ 1:4 directed against N. meningitidis serogroups A, W and Y (only for subjects enrolled in Australia).
Time Frame 1 month postvaccination 6-18 months postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set (persistence subset).
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 17 14
hSBA ≥ 1:8, postvacc, Men A (N=17,14)
88
42
hSBA ≥ 1:8, persistence, Men A (N=16,14)
31
7
hSBA ≥ 1:4, post-vacc, Men A (N=17,12)
100
50
hSBA ≥ 1:4, persistence, Men A (N=16,14)
38
14
hSBA ≥ 1:8, postvacc, Men W (N=17,12)
100
67
hSBA ≥ 1:8, persistence, Men W (N=16,14)
75
71
hSBA ≥ 1:4, postvacc, Men W (N=17,13)
86
0
hSBA ≥ 1:4, persistence, Men W (N=16,14)
88
71
hSBA ≥ 1:8, postvacc, Men Y (N=17,12)
100
33
hSBA ≥ 1:8, persistence, Men Y (N=14,14)
79
79
hSBA ≥ 1:4, postvacc, Men Y (N=17,12)
100
50
hSBA ≥ 1:4, persistence, Men Y (N=14,14)
86
93
12. Secondary Outcome
Title Persistence of Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroup C
Description Persistence of immunogenicity of either one or two doses of MenACWY or one dose of MenC as measured by human serum bactericidal activity geometric mean titers directed against N.meningitidis serogroup C (only for subjects enrolled in Australia).
Time Frame 1 month postvaccination and 6-18 months postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set (subjects enrolled in Australia).
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC(1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 17 14 13
Month 13
241
36
30
6 - 18 months after month 12
15
12
8.95
13. Secondary Outcome
Title Persistence of Human Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroups A, W, Y
Description Immunogenicity of two doses of MenACWY to one dose of MenACWY as measured by hSBA GMTs directed against N.meningitidis serogroups A, W, Y (only for subjects enrolled in Australia).
Time Frame 6-18 months postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set (only for subjects enrolled in Australia).
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 17 14
Month 12, Ser A (N= 17, 12)
47
6.69
6 - 18 months after Month 12, Ser A (N=16,14)
4.41
2.78
Month 12, Ser W (N= 17, 12)
180
13
6 - 18 months after Month 12, Ser W (N=16,14)
20
20
Month 12, Ser Y (N= 17, 12)
151
5.13
6 - 18 months after Month 12, Ser Y (N=14,14)
22
16
14. Secondary Outcome
Title Percentages of Subjects With Rabbit Serum Bactericidal ≥ 1:8, ≥ 1:128 and Four Fold Rise Against N.Meningitidis Serogroup C
Description Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup C. Immunogenicity of two doses of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup C.
Time Frame 1 month postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 156 157 145
rSBA titer ≥ 1:8, prevacc (N=140,140,139)
72
4
1
rSBA titer ≥ 1:8, postvacc (N=156,157,145)
98
92
97
rSBA titer ≥ 1:128, prevacc (N=140,140,139)
31
1
0
rSBA titer ≥ 1:128, postvacc (N=156,157,145)
92
75
88
four fold rise (N=132,140,139)
86
91
96
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:8, prevaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 71
Confidence Interval (2-Sided) 95%
63 to 78
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:8, one month postvaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 2
Confidence Interval (2-Sided) 95%
-3 to 6
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:8, prevaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 2
Confidence Interval (2-Sided) 95%
-2 to 7
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:8, one month postvaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-11 to 1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:128, prevaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 31
Confidence Interval (2-Sided) 95%
24 to 39
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:128, one month postvaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage difference
Estimated Value 1
Confidence Interval (2-Sided) 95%
-2 to 4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:128, prevaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value 4
Confidence Interval (2-Sided) 95%
-3 to 11
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (rSBA ≥1:128, one month postvaccination), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value -13
Confidence Interval (2-Sided) 95%
-22 to -5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (four-fold rise in titers), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value -10
Confidence Interval (2-Sided) 95%
-17 to -4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection MenC (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For the comparisons to MenC based on percentages of subjects with response (four-fold rise in titers), MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the two-sided 95% CI for the difference between MenACWY-CRM197 and MenC in the percentage of subjects with response against serogroup C was greater than -10%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC).
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Percentage Difference
Estimated Value -5
Confidence Interval (2-Sided) 95%
-11 to 1
Parameter Dispersion Type:
Value:
Estimation Comments
15. Secondary Outcome
Title Percentages of Subjects With Rabbit Serum Bactericidal ≥ 1:8, ≥ 1:128, and Four Fold Rise Against N.Meningitidis Serogroup A, W, Y
Description Immunogenicity of one dose of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup A, W, Y. Immunogenicity of two doses of MenACWY-CRM197 vaccine to one dose of MenC vaccine one month post vaccination was assessed as percentages of subjects with serum bactericidal titer with rabbit complement (rSBA) ≥ 1:8, ≥ 1:128, and four fold rise in titer against N.meningitidis Serogroup A, W, Y.
Time Frame 1 month postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 76 83
rSBA titer ≥ 1:128, Men A
100
98
rSBA titer ≥ 1:128, Men W
96
93
rSBA titer ≥ 1:128, Men Y
89
86
rSBA titer ≥ 1:8, Men A
100
98
rSBA titer ≥ 1:8, Men W
100
95
rSBA titer ≥ 1:8, Men Y
97
88
Four Fold Rise of rSBA titer, Men A
75
95
Four Fold Rise of rSBA titer, Men W
95
95
Four Fold Rise of rSBA titer, Men Y
91
87
16. Secondary Outcome
Title Rabbit Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroup C
Description Immunogenicity of one dose of MenACWY-CRM197 to one dose of MenC vaccine at 12 months of age was assessed with geometric mean titer (GMT) of serum bactericidal assay with rabbit complement (rSBA) against Serogroup C. Immunogenicity of two doses of MenACWY-CRM197 to one dose of MenC vaccine at 6 to 8 and 12 months of age was assessed with geometric mean titer (GMT) of serum bactericidal assay with rabbit complement (rSBA) against Serogroup C.
Time Frame 1 month postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 156 157 145
GMT, prevacc (N=140,140,139)
26
2.22
2.03
GMT, postvacc (N=156,157,145)
353
131
266
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MenACWY-CRM197 (1dose) + Concomitant Vaccines, MenC (1dose) + Concomitant Vaccines
Comments For comparison of the Geometric Mean Titers at one month postvaccination at 12 months of age, MenACWY-CRM197 was determined to be non-inferior to MenC if the lower limit of the 2-sided 95% CI for the ratio of the MenACWY-CRM197 to MenC Geometric Mean Titers for serogroup C was greater than 0.5.
Type of Statistical Test Non-Inferiority or Equivalence
Comments (PConcomitant Vaccine + MenACWY-CRM - PConcomitant Vaccine + MenC)
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio
Estimated Value 1.33
Confidence Interval (2-Sided) 95%
0.96 to 1.83
Parameter Dispersion Type:
Value:
Estimation Comments
17. Secondary Outcome
Title Rabbit Serum Bactericidal Activity Geometric Mean Titers Against N.Meningitidis Serogroup A, W, Y
Description Immunogenicity of one dose of MenACWY-CRM197 to one dose of MenC vaccine at 12 months of age was assessed with GMT of SBA with rabbit complement (rSBA) against Serogroup A, W, Y. Immunogenicity of two doses of MenACWY-CRM197 to one dose of MenC vaccine at 6 to 8 and 12 months of age was assessed with geometric mean titer (GMT) of serum bactericidal assay with rabbit complement (rSBA) against Serogroup A, W, Y.
Time Frame 1 month postvaccination.

Outcome Measure Data

Analysis Population Description
Analysis was done on PP set.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 76 83
GMT, prevacc, Men A (N=73,82)
281
6.83
GMT, postvacc, Men A
3136
3258
GMT, prevacc, Men W (N=59,75)
20
2.32
GMT, postvacc, Men W
708
1306
GMT, prevacc, Men Y (N=32,49)
22
2.4
GMT, postvacc, Men Y (N=76,81)
574
598
18. Secondary Outcome
Title Number of Subjects Who Reported Solicited Local and Systemic Reactions (Day 1 to Day 7 Postvaccination), After Any Vaccination
Description Safety was assessed as the number of subjects who reported solicited local reactions from day 1 to day 7 postvaccination for all the three vaccination groups. safety was assessed as the number of subjects who reported solicited systemic reactions from day 1 to day 7 Following the Month 12 vaccination in all three vaccination groups
Time Frame From day 1 to day 7 postvaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on the safety dataset, i.e. the subjects in the exposed population who provided postvaccination safety data.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
Measure Participants 195 192 179
Any Local N=(195,192,179)
130
131
135
Tenderness (MenACWY-CRM197/MenC)N=(194,192,178)
57
65
44
Erythema (MenACWY-CRM197/MenC) N=(194,192,178)
94
62
64
Induration (MenACWY-CRM197/MenC) N=(194,192,178)
53
24
43
Tenderness (DTPa-IPV-HepB-Hib) N=(189,190,176)
62
83
73
Erythema (DTPa-IPV-HepB-Hib)B N=(189,190,176)
80
81
96
Induration (DTPa-IPV-HepB-Hib) N=(189,190,176)
62
66
81
Tenderness (PCV7) N=(189,190,176)
58
68
60
Erythema (PCV7) N=(189,190,176)
71
68
77
Induration (PCV7) N=(189,190,176)
50
50
59
Any Systemic reactions N=(195,192,179)
173
149
150
Change in eating habits N=(189, 191,177)
62
66
49
Sleepiness N=(191,191,179)
93
99
94
Persistent crying N=(189,191,177)
77
93
76
Irritability N=(191,191,179)
67
68
73
Vomiting N=(191,191,179)
10
18
16
Diarrhoea N=(191,191,179)
26
41
42
Rash N=(191,191,179)
7
17
7
Fever ≥ 38.5C N=(191,192,179)
54
62
50
Others N=(195,192,179)
64
62
62
Analgesic-Antipyretic medication N=(191,192,179)
58
62
62

Adverse Events

Time Frame Solicited Adverse Events (AEs) were collected from Days 1-7 after any vaccination. Other AEs and Serious AEs were collected from days 1 to 180.
Adverse Event Reporting Description Data collected from one site were not included in the data analysis for outcome measures and the AE section.
Arm/Group Title MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Arm/Group Description Infants received two doses of MenACWY-CRM197 at 6-8 months and 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenACWY-CRM197 at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months. Infants received one dose of MenC vaccine at 12 months and Concomitant dose of PCV7 and DTPa-IPV-HepB-Hib at 12 months.
All Cause Mortality
MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 13/195 (6.7%) 19/192 (9.9%) 12/179 (6.7%)
Blood and lymphatic system disorders
Lymphadenitis 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Gastrointestinal disorders
Amphthous stomatitis 1/195 (0.5%) 0/192 (0%) 0/179 (0%)
Diarrhoea 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Intussusception 1/195 (0.5%) 0/192 (0%) 0/179 (0%)
Stomatitis 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Vomiting 0/195 (0%) 2/192 (1%) 0/179 (0%)
General disorders
Hyperpyrexia 1/195 (0.5%) 1/192 (0.5%) 0/179 (0%)
Immune system disorders
Food Allergy 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Infections and infestations
Appendicitis 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Bronchitis 2/195 (1%) 3/192 (1.6%) 0/179 (0%)
Croup infectious 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Febrile infection 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Gastroenteritis 3/195 (1.5%) 4/192 (2.1%) 4/179 (2.2%)
Influenza 1/195 (0.5%) 1/192 (0.5%) 0/179 (0%)
Malaria 1/195 (0.5%) 0/192 (0%) 0/179 (0%)
Otitis media 0/195 (0%) 1/192 (0.5%) 3/179 (1.7%)
Pneumonia 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Pneumonia respiratory syncytial viral 1/195 (0.5%) 1/192 (0.5%) 0/179 (0%)
Sepsis 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Tonsillitis 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Upper respiratory tract infection 1/195 (0.5%) 1/192 (0.5%) 0/179 (0%)
Viral infection 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Injury, poisoning and procedural complications
Accidental exposure 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Concussion 1/195 (0.5%) 2/192 (1%) 0/179 (0%)
Contusion 1/195 (0.5%) 1/192 (0.5%) 0/179 (0%)
Thermal burn 0/195 (0%) 0/192 (0%) 1/179 (0.6%)
Metabolism and nutrition disorders
Dehydration 2/195 (1%) 0/192 (0%) 1/179 (0.6%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neuroblastoma 0/195 (0%) 1/192 (0.5%) 0/179 (0%)
Nervous system disorders
Febrile convulsion 0/195 (0%) 1/192 (0.5%) 1/179 (0.6%)
Skin and subcutaneous tissue disorders
Rash 2/195 (1%) 0/192 (0%) 0/179 (0%)
Other (Not Including Serious) Adverse Events
MenACWY-CRM197 (2dose) + Concomitant Vaccines MenACWY-CRM197 (1dose) + Concomitant Vaccines MenC (1dose) + Concomitant Vaccines
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 192/195 (98.5%) 184/192 (95.8%) 170/179 (95%)
Eye disorders
Conjunctivitis 36/195 (18.5%) 15/192 (7.8%) 18/179 (10.1%)
Gastrointestinal disorders
Diarrhoea 54/195 (27.7%) 44/192 (22.9%) 44/179 (24.6%)
Enteritis 13/195 (6.7%) 4/192 (2.1%) 5/179 (2.8%)
Teething 21/195 (10.8%) 6/192 (3.1%) 7/179 (3.9%)
Vomiting 38/195 (19.5%) 24/192 (12.5%) 19/179 (10.6%)
General disorders
Injection site erythema 110/195 (56.4%) 102/192 (53.1%) 110/179 (61.5%)
Injection site induration 86/195 (44.1%) 82/192 (42.7%) 104/179 (58.1%)
Injection site pain 90/195 (46.2%) 97/192 (50.5%) 84/179 (46.9%)
Irritability 85/195 (43.6%) 68/192 (35.4%) 73/179 (40.8%)
Pyrexia 127/195 (65.1%) 111/192 (57.8%) 102/179 (57%)
Infections and infestations
Bronchitis 47/195 (24.1%) 29/192 (15.1%) 29/179 (16.2%)
Gastroenteritis 22/195 (11.3%) 14/192 (7.3%) 12/179 (6.7%)
Nasopharyngitis 19/195 (9.7%) 14/192 (7.3%) 14/179 (7.8%)
Otitis media 33/195 (16.9%) 22/192 (11.5%) 21/179 (11.7%)
Rhinitis 24/195 (12.3%) 7/192 (3.6%) 8/179 (4.5%)
Upper respiratory tract infection 67/195 (34.4%) 31/192 (16.1%) 29/179 (16.2%)
Viral infection 38/195 (19.5%) 26/192 (13.5%) 26/179 (14.5%)
Nervous system disorders
Crying 100/195 (51.3%) 93/192 (48.4%) 76/179 (42.5%)
Somnolence 126/195 (64.6%) 99/192 (51.6%) 94/179 (52.5%)
Psychiatric disorders
Eating disorder 87/195 (44.6%) 66/192 (34.4%) 49/179 (27.4%)
Respiratory, thoracic and mediastinal disorders
Cough 25/195 (12.8%) 11/192 (5.7%) 10/179 (5.6%)
Skin and subcutaneous tissue disorders
Dermatitis Diaper 24/195 (12.3%) 20/192 (10.4%) 9/179 (5%)
Rash 28/195 (14.4%) 24/192 (12.5%) 7/179 (3.9%)

Limitations/Caveats

GCP compliance issues were identified at one site, data collected for this site were not used in this data posting.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Posting Director
Organization Novartis Vaccines and Diagnostics
Phone
Email RegistryContactVaccinesUS@novartis.com
Responsible Party:
Novartis Vaccines
ClinicalTrials.gov Identifier:
NCT00667602
Other Study ID Numbers:
  • V59P22
  • 2007-004754-82
First Posted:
Apr 28, 2008
Last Update Posted:
Nov 7, 2013
Last Verified:
Sep 1, 2013