Safety and Immunogenicity in Dose-Ranging and Formulation-Finding Meningococcal B (MenB) Vaccine Study in 2-month-old Infants

Sponsor
Novartis Vaccines (Industry)
Overall Status
Completed
CT.gov ID
NCT00937521
Collaborator
(none)
1,507
38
8
31
39.7
1.3

Study Details

Study Description

Brief Summary

This study is aimed at assessing the safety and immunogenicity of different doses and formulations of a new Novartis Meningococcal B Recombinant Vaccine.

Condition or Disease Intervention/Treatment Phase
  • Biological: Meningococcal B vaccine
  • Biological: Meningococcal B vaccine
  • Biological: Meningococcal B vaccine
  • Biological: Meningococcal B vaccine
  • Biological: Meningococcal B vaccine
  • Biological: Meningococcal B vaccine
  • Biological: Control
  • Biological: Meningococcal B vaccine with antipyretic
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
1507 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Prevention
Official Title:
A Phase 2 Partially Observer-Blind Randomized Controlled Multicenter Dose-Ranging and Formulation-Finding Study of a New Novartis Meningococcal B Recombinant Vaccine Evaluating the Safety and Immunogenicity When Given Concomitantly With Routine Vaccines in 2-month-old Infants
Study Start Date :
Jul 1, 2009
Actual Primary Completion Date :
Nov 1, 2010
Actual Study Completion Date :
Feb 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Other: 1

Vaccine candidate formulation I

Biological: Meningococcal B vaccine
Vaccine candidate formulation I

Other: 2

Vaccine candidate formulation II

Biological: Meningococcal B vaccine
Vaccine candidate formulation II

Other: 3

Vaccine candidate formulation III

Biological: Meningococcal B vaccine
Vaccine candidate formulation III

Other: 4

Vaccine candidate formulation IV

Biological: Meningococcal B vaccine
Vaccine candidate formulation IV

Other: 5

Vaccine candidate formulation V

Biological: Meningococcal B vaccine
Vaccine candidate formulation V

Other: 6

Vaccine candidate formulation VI

Biological: Meningococcal B vaccine
Vaccine candidate formulation VI

Other: 7

Control

Biological: Control
Control

Other: 8

Vaccine candidate formulation I with antipyretic

Biological: Meningococcal B vaccine with antipyretic
Vaccine candidate formulation I with antipyretic

Outcome Measures

Primary Outcome Measures

  1. Percentages of Subjects With Serum Bactericidal Activity (hSBA) ≥ 1:5 at 1 Month After Third Vaccination [At baseline (pre-vaccination) and 30 days after the third vaccination.]

    To assess the immunogenicity of seven different formulations of 4CMenB (groups I-VI and VIII) given to healthy infants at 2,3 and 4 months of age as measured by percentages of subjects with serum bactericidal activity (SBA) titer≥1:5 against 44/76-SL, 5/99 and NZ98/254 reference strains, at 1 month after the third vaccination.. The analysis was done on the Per Protocol Primary Population at one month after third injection.

  2. Number of Subjects With Fever ≥ 38.5 °C (Rectal Temperature) Within 3 Days (Day 1-3) After First Vaccination [Day 1 to day 3 after first vaccination.]

    To assess if any of six different formulations of vaccine groups (Group II to Group VI, Group VIII) reduced the incidence of fever >=38.5C (rectal) occurring within three days (day 1-day3) following first vaccination. The analysis was done on the Safety Population.

Secondary Outcome Measures

  1. Geometric Mean Bactericidal Titers (GMTs), One Month After Third and Booster Vaccination (Men B at 12 Months of Age) [At baseline (pre-vaccination), 30 days after the third vaccination, at booster Baseline and at booster vaccination (12 months of age)]

    ToTo assess the immune response of seven different formulations of meningococcal multi-component recombinant, adsorbed vaccine (rMenB+OMV NZ or rMenB (no OMV)) in healthy toddlers as measured by SBA geometric mean titers (GMTs) at: One month after third vaccination. One month after booster vaccination (Men B at 12 months of age).

  2. Geometric Mean Bactericidal Titers,One Month After Primary and Booster Vaccination (Men B at 12 Months of Age) [At Baseline (pre-vaccination), at 30 days after the third vaccination, at booster Baseline, at 30 days]

    To compare the antibody response of meningococcal multi-component recombinant, adsorbed vaccine (formulation I vs. formulation VIII) and of routine infant vaccine given with or without prophylactic administration of paracetamol medication in healthy toddlers.

  3. Geometric Mean Ratios, One Month After Primary and Booster Vaccination (Men B at 12 Months of Age) [After the third and the booster vaccination.]

    To compare the antibody response between meningococcal multi-component recombinant adsorbed vaccine (formulation I) and routine infant vaccine group along with meningococcal multi-component recombinant adsorbed vaccine with prophylactic administration of paracetamol medication as measured by Geometric Mean Ratios (GMRs).

  4. Percentage of Subjects With hSBA≥1:5, Persistence of Bactericidal Antibodies at 12 Months of Age (Pre-fourth Dose) [12 months (pre-fourth vaccination)]

    To assess the persistence of bactericidal antibodies at 12 months of age after primary vaccination - three doses of one of the seven different formulations of rMenB+OMV NZ or rMenB (no OMV) (Group I-VI and VIII) and rMenB+OMV NZ with paracetamol medication.

  5. Percentage of Subjects With hSBA≥1:5, Persistence of Bactericidal Antibodies at 12 Months of Age (One Month-post Fourth Dose) [1 month after fourth vaccination]

    To assess if any of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (groups I-VI and VIII) induced sufficient immune response when given to healthy toddlers at 12 months of age, as measured by percentage of subjects with SBA titer ≥ 1:5, at 1 month after the fourth vaccination.

  6. Geometric Mean Bactericidal Titers, After Primary and Booster Vaccinations (Men B at 12 Months of Age) [At 13 months]

    To assess the induction of immunological memory of three doses of meningococcal multi-component recombinant, adsorbed vaccine by comparing the serum bactericidal antibodies Geometric Mean Bactericidal Titers (GMTs) response in healthy toddlers administered the fourth dose at 12 months of age to the response in meningococcal B vaccine naive toddlers (Group VII) receiving the first dose of meningococcal multi-component recombinant, adsorbed vaccine at 12 months of age.

  7. Percentage of Subjects With hSBA ≥1:5, First Dose of Meningococcal B Vaccine (One Month After Booster) [1 month after booster]

    To assess the immune response of first dose of meningococcal multi-component recombinant, adsorbed vaccine given at 12 months of age to toddlers who previously received three doses of MenC-CRM197 vaccine as infants (group VII).

  8. Safety and Reactogenicity of Study Vaccines Within 7 Days After Second and Third Vaccination [Day 1 through day 7 after second and third vaccination.]

    To assess if any of six different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (Group II to VI, Group VIII) reduced the incidence of fever ≥ 38.5ºC (rectal) occurring within 3 days (day 1-3) following second and third vaccination and 7 days (day 1-7) following each vaccination as compared to rMenB+OMV NZ (Group I).

  9. Number of Subjects With Solicited Local Reactions Within 7 Days (Day 1-7) After Each Vaccination [Day 1 through day 7 after each vaccination.]

    To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting solicited local reactions within 7 days (day 1-7) after each vaccination.

  10. Number of Subjects With Solicited Systemic Reactions Within 7 Days (Day 1-7) After Each Vaccination [Day 1 through day 7 after each vaccination.]

    To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting solicited systemic reactions within 7 days (day 1-7) after each vaccination.

  11. Number of Subjects With Unsolicited Adverse Events Within 7 Days (Day 1-7) After Each Vaccination [Day 1 through day 7 after each vaccination.]

    To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting unsolicited Adverse Events (AEs), serious adverse events (SAEs), medically attended AEs, AEs leading to premature withdrawal (throughout the study period) within 7 days (day 1-7) after each vaccination.

  12. Number of Subjects With Severe Adverse Events and Adverse Events Necessitating a Medical Office or Emergency Room (ER) Visit and/or Resulting in Premature Withdrawal of the Subject From the Study, Throughout the Study Period. [Overall study period.]

    To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting Severe Adverse Events (SAEs) and Adverse Events (AEs) necessitating a medical office or Emergency Room (ER) visit and/or resulting in premature withdrawal of the subject from the study, throughout the study period.

  13. Number of Subjects With Local and Systemic Reactions Within 7 Days (Day 1-7) After Second rMenB+OMV NZ Vaccination in MenC Group [Day 1 through day 7 at 13 months age.]

    To assess the safety and tolerability of two doses of rMenB+OMV NZ vaccine (Group VII) given at 12 and 13 months of age to toddlers who previously received three doses of Menjugate as infants.

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Days to 89 Days
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Healthy 2-month old infants (55-89 days, inclusive), born after full term pregnancy, gestational age ≥ 37 weeks and a birth weight ≥ 2.5 kg

  • Available for all the visits scheduled in the study and for whom a parent/legal guardian is willing/able to comply with all protocol requirements

Exclusion Criteria:
  • Any meningococcal B or C vaccine administration

  • Prior vaccination with any Diphtheria, Tetanus, Pertussis (acellular or whole cell), Polio (either Inactivated or Oral), Haemophilus influenzae type b (Hib), and Pneumococcal antigens;

  • Any ascertained or suspected disease caused by N. meningitidis

  • Household contact with and/or intimate exposure to an individual with laboratory confirmed N. meningitidis

  • History of severe allergic reaction after previous vaccinations

  • Recent significant acute or chronic infection

  • Oral or parenteral antibiotic treatment in the 7 days prior to the scheduled blood draw;

  • Any serious chronic or progressive disease according to the judgment of the investigator (e.g., neoplasm, diabetes mellitus Type I, cardiac disease, hepatic disease, progressive neurological disease or seizure, either associated with fever or as part of an underlying neurological disorder or syndrome, autoimmune disease, HIV infection or AIDS, or blood dyscrasias or diathesis, signs of cardiac or renal failure or severe malnutrition)

  • Any impairment/alteration of the immune system resulting from (for example):

  • Receipt of any immunosuppressive therapy at any time since birth

  • Receipt of immunostimulants at any time since birth

  • Use of systemic corticosteroids or chronic use of inhaled high-potency corticosteroids at any time since birth

  • Receipt of blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation

  • Participation in another clinical trial

  • Family members and household members of research staff

  • History of seizure

  • Any contraindication to paracetamol

Contacts and Locations

Locations

Site City State Country Postal Code
1 Hospital Privado de Córdoba CMC SA Naciones Unidas 346 Cordoba Argentina X5016KHE
2 Universidad de Chile, Av Independencia 1027 Comuna de Independencia Santiago Chile
3 Consultorio Manuel Bustos Lo Cruzat 486, Quilicura Santiago Chile
4 Samostatna ordinace praktickeho lekare pro deti a dorost O. Kubina 17 Boskovice Czech Republic 680 01
5 Samostatna ordinace praktickeho lekare pro deti a dorost Neklez 3 Brno Czech Republic 628 00
6 Samostatna ordinace praktickeho lekare pro deti a dorost Pernštýnská 127/l Chlumec nad Cidlinou Czech Republic 503 51
7 Zdravotní středisko Vaclavska 4186 Chomutov Czech Republic 430 03
8 Nemocnice Decin, Detske oddělení U nemocnice 1 Děčín Czech Republic 405 01
9 Fakulta vojenskeho zdravotnictvi UO Trebešská 1575 Hradec Králové Czech Republic 50001
10 Samostatna ordinace praktickeho lekare pro deti a dorost Masarykova 389 Humpolec Czech Republic 396 01
11 Samostatna ordinace praktickeho lekare pro deti a dorost Ruských legii 352 Jindřichův Hradec Czech Republic 377 01
12 Samostatna ordinace praktickeho lekare pro deti a dorost Hrnčířská 1401 Lipník nad Bečvou Czech Republic 751 31
13 Oblastni nemocnice Nachod, Destske oddělení Purkyňova 446 Náchod Czech Republic 547 01
14 Samostatna ordinace praktickeho lekare pro deti a dorost U lékárny 306 Odolena Voda Czech Republic 250 70
15 Prakticky lekar pro deti a dorost Dvouletky 54 Ostrava Czech Republic 700 30
16 KHS Ostrava, Protiepidemické oddělení Na Bělidle 7 Ostrava Czech Republic 702 00
17 Nemocnice Pardubice, Destske odděleni Kyjevská 44 Pardubice Czech Republic 532 03
18 Fakultni nemocnice Bory E. Beneše 13 Plzeň Czech Republic 305 99
19 Samostatna ordinace praktickeho lekare pro deti a dorost Chrudimska 2a Praha 3 Czech Republic 130 00
20 Samostatna ordinace praktickeho lekare pro deti a dorost Kladenská 53 Praha 6 Czech Republic 160 00
21 Samostatna ordinace praktickeho lekare pro deti a dorost Velka Michalska 22 Znojmo Czech Republic 669 00
22 Házi Gyermekorvosi szolgálat Honvéd u.2. Bordány Hungary 6795
23 Medszolg 2000 Bt, 6723, Szeged, Dandár u.4 Ányos u.4. Budapest Hungary 1031
24 Erzsébet Kórház Gyermekosztály Hodmezovasarhely dr. Imre József u.2. Hungary
25 Baby Box Bt,, 6724, Szeged, Kossuth Lajos sgt.109 Szeged Kossuth Lajos sgt.109 Hungary
26 Dr. Bán Mariann és Társa Bt. Kando Kalman u.1 Miskolc Hungary 3534
27 Futurnest Kft Selyemrét u.1. Miskolc Hungary 3527
28 Ped-Med Kft. , 3434 Mályi, Fő u.12. Fő u.12. Mályi Hungary 3434
29 S.K. Sipka és Kovács Eü. Bt. Csongrádi sgt. 63. Szeged Hungary 6723
30 Oszila Kft. 6723, Szeged, Debreceni u.10-14. Debreceni u.10-14. Szeged Hungary 6723
31 Győriné dr. Bari Eszter egyéni vállalkozó Csongrad Szentháromság tér 10 Hungary
32 Vas Megyei Markusovszky Kórház, Gyermekosztály Markusovszky u. 1-3 Szombathely Hungary 9700
33 Dipartimento di Neonatologia e Terapia Intensiva Neonatale, "Ospedale dei Bambini", Presidio Ospedaliero dell'Azienda Ospedaliera Spedali Civili di Brescia P.le Spedali di Brescia,1 Brescia Italy 25125
34 Dipartimento di Pediatria dell'Università degli Studi di Firenze Viale Pieraccini n. 24 Firenze Italy 50139
35 Università degli Studi di Messina, Pad. NI - A.O.U. Policlinico G.Martino Via Consolare Valeria, 1 Messina Italy 98125
36 Fondazione IRCCS dell'Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena di Milano Via Commenda, 9 Milano Italy 20122
37 Pediatria dell'Ospedale Sacco di Milano Via G.B.Grossi 74 Milano Italy 20157
38 Dipartimento di Pediatria Azienda Ospedaliera di Padova Via Giustiniani, 3 Padova Italy 35128

Sponsors and Collaborators

  • Novartis Vaccines

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novartis Vaccines
ClinicalTrials.gov Identifier:
NCT00937521
Other Study ID Numbers:
  • V72P16
  • 2009-010106-11
First Posted:
Jul 13, 2009
Last Update Posted:
Apr 7, 2015
Last Verified:
Mar 1, 2015
Keywords provided by Novartis Vaccines
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Period Title: Overall Study - Prior to Booster Dose
STARTED 188 190 192 188 191 188 186 184
Premature Withdrawal 3 5 6 1 3 1 5 1
COMPLETED 185 185 186 187 188 187 181 183
NOT COMPLETED 3 5 6 1 3 1 5 1
Period Title: Overall Study - Prior to Booster Dose
STARTED 155 163 169 170 168 165 165 161
Premature Withdrawal 3 2 5 3 5 5 5 2
COMPLETED 152 161 164 167 163 160 160 159
NOT COMPLETED 3 2 5 3 5 5 5 2

Baseline Characteristics

Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII) Total
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age. Total of all reporting groups
Overall Participants 188 190 192 188 191 188 186 184 1507
Age (Count of Participants)
<=18 years
188
100%
190
100%
192
100%
188
100%
191
100%
188
100%
186
100%
184
100%
1507
100%
Between 18 and 65 years
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
>=65 years
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Sex: Female, Male (Count of Participants)
Female
88
46.8%
91
47.9%
82
42.7%
96
51.1%
79
41.4%
93
49.5%
98
52.7%
72
39.1%
699
46.4%
Male
100
53.2%
99
52.1%
110
57.3%
92
48.9%
112
58.6%
95
50.5%
88
47.3%
112
60.9%
808
53.6%

Outcome Measures

1. Primary Outcome
Title Percentages of Subjects With Serum Bactericidal Activity (hSBA) ≥ 1:5 at 1 Month After Third Vaccination
Description To assess the immunogenicity of seven different formulations of 4CMenB (groups I-VI and VIII) given to healthy infants at 2,3 and 4 months of age as measured by percentages of subjects with serum bactericidal activity (SBA) titer≥1:5 against 44/76-SL, 5/99 and NZ98/254 reference strains, at 1 month after the third vaccination.. The analysis was done on the Per Protocol Primary Population at one month after third injection.
Time Frame At baseline (pre-vaccination) and 30 days after the third vaccination.

Outcome Measure Data

Analysis Population Description
Analysis as per PP population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 171 174 171 174 172 173 171 169
44/76SLBaseline(N=166,171,168,170,169,168,168,166)
5
2
4
4
4
4
2
3
44/76-SL > 3rd(N=170,170,166,166,169,167,165,167)
100
99
99
100
99
99
6
100
5/99-Baseline (N=162,162,161,161,166,166,161,157)
5
3
6
4
8
4
6
4
5/99 > 3rd (N=165,167,161,166,165,161,159,160)
99
100
99
100
100
99
3
99
NZ98/254Baseline(N=170,174,171,174,171,173,171,169
1
0
1
1
1
1
2
1
NZ98/254 > 3rd (N=171,172,169,168,172,169,168,168)
78
67
56
1
62
81
2
74
2. Secondary Outcome
Title Geometric Mean Bactericidal Titers (GMTs), One Month After Third and Booster Vaccination (Men B at 12 Months of Age)
Description ToTo assess the immune response of seven different formulations of meningococcal multi-component recombinant, adsorbed vaccine (rMenB+OMV NZ or rMenB (no OMV)) in healthy toddlers as measured by SBA geometric mean titers (GMTs) at: One month after third vaccination. One month after booster vaccination (Men B at 12 months of age).
Time Frame At baseline (pre-vaccination), 30 days after the third vaccination, at booster Baseline and at booster vaccination (12 months of age)

Outcome Measure Data

Analysis Population Description
Per Protocol Primary and Booster populations.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 171 174 171 174 172 173 171 169
44/76-SL Base(N=166,171,168,170,169,168,168,166)
1.25
1.12
1.2
1.19
1.31
1.2
1.16
1.18
44/76-SL > 3(N=170,170,166,166,169,167,165,167)
101
112
113
62
71
102
1.24
102
44/76-SL - Base Boost(N=69,78,74,78,71,71,74,70)
4.94
5.22
5.72
5.44
3.96
3.76
1.15
4.51
44/76-SL > Boost(N=65,73,70,75,76,71,75,63)
120
152
118
53
99
105
12
136
5/99-Baseline-(N=162,162,161,161,166,166,161,157)
1.18
1.09
1.12
1.13
1.3
1.16
1.21
1.07
5/99 > 3 (N=165,167,161,166,165,161,160)
396
503
534
389
316
371
1.15
455
5/99 Base Boost(N=71,76,80,72,77,78,70,71)
69
91
111
74
54
64
1.11
106
5/99 > Boost(N=73,77,79,72,76,74,69,76)
1950
1819
2238
730
983
1321
41
2182
NZ98/254-BaselineN=170,174,171,174,171,173,171,169
1.02
1.02
1.03
1.04
1.03
1.04
1.06
1.02
1month after 3rd vaccN=171,172,169,172,169,169,168
10
7.81
5.74
1.05
6.66
11
1.05
8.48
NZ98/254 Bas Bst N=141,155,155,150,150,153,148,143
1.6
1.28
1.23
1.11
1.35
1.41
1.03
1.48
1month after boosterN=138,152,150,149,152,146,140
20
18
11
1.67
14
20
2.2
20
3. Secondary Outcome
Title Geometric Mean Bactericidal Titers,One Month After Primary and Booster Vaccination (Men B at 12 Months of Age)
Description To compare the antibody response of meningococcal multi-component recombinant, adsorbed vaccine (formulation I vs. formulation VIII) and of routine infant vaccine given with or without prophylactic administration of paracetamol medication in healthy toddlers.
Time Frame At Baseline (pre-vaccination), at 30 days after the third vaccination, at booster Baseline, at 30 days

Outcome Measure Data

Analysis Population Description
As per PP population.
Arm/Group Title B+OMV (Group I) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 171 169
44/76-SL Strain - Baseline (N=166,166)
1.25
1.18
44/76-SL > 3rd (N=170,167)
101
102
44/76-SL Baseline booster (N=69,70)
4.94
4.51
44/76-SL > booster (N=65,63)
120
136
5/99 Strain - Baseline (N=162,157)
1.18
1.07
5/99 > 3rd (N=165,160)
396
455
5/99 Baseline booster (N=71,71)
69
106
5/99 > booser (N=73,76)
1950
2182
NZ98/254 Strain-Baseline (N=170,169)
1.02
1.02
NZ98/254 > 3rd (N=171,168)
10
8.48
NZ98/254 Baseline booster (N=141,143)
1.6
1.48
NZ98/254 > booster (N= 138, 140)
20
20
4. Secondary Outcome
Title Geometric Mean Ratios, One Month After Primary and Booster Vaccination (Men B at 12 Months of Age)
Description To compare the antibody response between meningococcal multi-component recombinant adsorbed vaccine (formulation I) and routine infant vaccine group along with meningococcal multi-component recombinant adsorbed vaccine with prophylactic administration of paracetamol medication as measured by Geometric Mean Ratios (GMRs).
Time Frame After the third and the booster vaccination.

Outcome Measure Data

Analysis Population Description
As per PP population.
Arm/Group Title B+OMV (Group I) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 162 160
44/76-SL > 3rd (N=157,157)
80
84
44/76-SL > Booster (N=59,56)
24
28
5/99 > 3rd (N=152,142)
345
417
5/99 > Booster (N=68,68)
27
20
NZ98/254 > 3rd (N=162,160)
9.65
8.69
NZ98/254 > Booster (N=129,127)
12
14
5. Secondary Outcome
Title Percentage of Subjects With hSBA≥1:5, Persistence of Bactericidal Antibodies at 12 Months of Age (Pre-fourth Dose)
Description To assess the persistence of bactericidal antibodies at 12 months of age after primary vaccination - three doses of one of the seven different formulations of rMenB+OMV NZ or rMenB (no OMV) (Group I-VI and VIII) and rMenB+OMV NZ with paracetamol medication.
Time Frame 12 months (pre-fourth vaccination)

Outcome Measure Data

Analysis Population Description
The analysis was done on the Per Protocol Booster population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age.. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age.. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 141 155 155 150 150 153 148 143
44/76-SL Pre-Boost(N=69,78,74,78,71,71,74,70)
55
58
66
63
45
44
4
47
5/99 Pre-Boost(N=71,76,80,72,77,78,70,71)
97
100
100
97
97
99
1
100
NZ98/254 Pre-B(N=141,155,155,150,150,153,148,143)
12
6
5
3
7
8
0
11
6. Secondary Outcome
Title Percentage of Subjects With hSBA≥1:5, Persistence of Bactericidal Antibodies at 12 Months of Age (One Month-post Fourth Dose)
Description To assess if any of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (groups I-VI and VIII) induced sufficient immune response when given to healthy toddlers at 12 months of age, as measured by percentage of subjects with SBA titer ≥ 1:5, at 1 month after the fourth vaccination.
Time Frame 1 month after fourth vaccination

Outcome Measure Data

Analysis Population Description
The analysis was done on the Per Protocol Booster population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 138 152 150 149 152 146 147 140
44/76-SL > Booster(N=65,73,70,75,76,71,63)
100
100
100
97
100
99
84
100
5/99 strain (N=73,77,79,72,76,74,76)
100
100
100
100
100
100
93
100
NZ98/254 (N=138,152,150,149,152,146,147,140)
89
89
78
18
83
88
24
90
7. Secondary Outcome
Title Geometric Mean Bactericidal Titers, After Primary and Booster Vaccinations (Men B at 12 Months of Age)
Description To assess the induction of immunological memory of three doses of meningococcal multi-component recombinant, adsorbed vaccine by comparing the serum bactericidal antibodies Geometric Mean Bactericidal Titers (GMTs) response in healthy toddlers administered the fourth dose at 12 months of age to the response in meningococcal B vaccine naive toddlers (Group VII) receiving the first dose of meningococcal multi-component recombinant, adsorbed vaccine at 12 months of age.
Time Frame At 13 months

Outcome Measure Data

Analysis Population Description
The analysis was done on the Per Protocol population.
Arm/Group Title B+OMV (Group I) MenC (Group VII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age.
Measure Participants 138 147
44/76-SL > Booster (N=65,75)
120
12
5/99 > Booster (N=73,69)
1950
41
NZ98/254 > Booster
20
2.2
8. Secondary Outcome
Title Percentage of Subjects With hSBA ≥1:5, First Dose of Meningococcal B Vaccine (One Month After Booster)
Description To assess the immune response of first dose of meningococcal multi-component recombinant, adsorbed vaccine given at 12 months of age to toddlers who previously received three doses of MenC-CRM197 vaccine as infants (group VII).
Time Frame 1 month after booster

Outcome Measure Data

Analysis Population Description
The analysis was done on the Per Protocol population.
Arm/Group Title MenC (Group VII)
Arm/Group Description Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age.
Measure Participants 147
44/76-SL > Booster (N=75)
84
5/99 > Booster (N=69)
93
NZ98/254 > Booster
24
9. Secondary Outcome
Title Safety and Reactogenicity of Study Vaccines Within 7 Days After Second and Third Vaccination
Description To assess if any of six different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (Group II to VI, Group VIII) reduced the incidence of fever ≥ 38.5ºC (rectal) occurring within 3 days (day 1-3) following second and third vaccination and 7 days (day 1-7) following each vaccination as compared to rMenB+OMV NZ (Group I).
Time Frame Day 1 through day 7 after second and third vaccination.

Outcome Measure Data

Analysis Population Description
As per safety dataset.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age.. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal multi-component recombinant, adsorbed vaccine (formulation V)and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age.. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 182 180 186 184 182 180 177 179
Second Vaccination (day1-3)
90
82
76
35
74
89
30
33
3rd vac d 1-3(N=181,179,185,183,181,180,177,179)
55
50
36
15
40
53
12
20
First Vaccination (day1-7)
94
91
74
24
60
76
22
46
Second Vaccination (day 1-7)
90
82
77
36
74
90
30
35
3rd vac d 1-7(N=181,179,185,183,181,180,177,179)
55
53
38
16
42
54
14
20
Booster d 1-7(N=155,162,169,168,168,165,164,159)
81
86
64
43
78
68
84
58
10. Secondary Outcome
Title Number of Subjects With Solicited Local Reactions Within 7 Days (Day 1-7) After Each Vaccination
Description To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting solicited local reactions within 7 days (day 1-7) after each vaccination.
Time Frame Day 1 through day 7 after each vaccination.

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 182 180 186 184 182 180 177 179
Any Local (First Vacc)
163
155
153
123
141
157
127
137
Injection Site Tenderness (First Vacc)
114
116
111
54
97
121
48
79
Injection Site Erythema (First Vacc)
108
99
94
53
77
106
45
73
Injection Site Induration (First Vacc)
101
98
85
48
86
84
25
82
Injection Site Swelling (First Vacc)
58
49
55
24
48
60
15
41
Any Local (Second Vacc)
156
156
155
126
132
156
118
140
Injection Site Tenderness (Second Vacc)
121
116
97
48
88
116
47
85
Injection Site Erythema (Second Vacc)
104
114
114
71
90
104
44
94
Injection Site Induration (Second Vacc)
103
105
97
63
83
94
38
79
Injection Site Swelling (Second Vacc)
64
61
54
34
50
58
21
52
Any Local (3rd N=181,179,185,183,181,180,177,179)
151
147
141
122
130
152
113
128
Injection Site Tenderness (Third Vacc)
102
98
78
47
77
111
42
66
Injection Site Erythema (Third Vacc)
110
106
112
72
94
101
63
91
Injection Site Induration (Third Vacc)
97
92
92
62
79
89
55
80
Injection Site Swelling (Third Vacc)
56
56
46
35
45
58
29
47
Any Local BoostN=155,162,169,168,168,165,162,159
131
132
149
113
127
130
133
121
Injection Site Tenderness (Booster Vacc)
116
107
120
77
106
112
108
92
Injection Site Erythema (Booster Vacc)
90
101
116
67
80
85
93
81
Injection Site Induration (Booster Vacc)
73
83
95
56
66
73
62
60
Injection Site Swelling (Booster Vacc)
55
59
69
31
47
52
39
47
11. Primary Outcome
Title Number of Subjects With Fever ≥ 38.5 °C (Rectal Temperature) Within 3 Days (Day 1-3) After First Vaccination
Description To assess if any of six different formulations of vaccine groups (Group II to Group VI, Group VIII) reduced the incidence of fever >=38.5C (rectal) occurring within three days (day 1-day3) following first vaccination. The analysis was done on the Safety Population.
Time Frame Day 1 to day 3 after first vaccination.

Outcome Measure Data

Analysis Population Description
The analysis was done on the Safety Population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 182 180 186 184 182 180 177 179
Number [Subjects]
94
91
74
24
60
76
21
46
12. Secondary Outcome
Title Number of Subjects With Solicited Systemic Reactions Within 7 Days (Day 1-7) After Each Vaccination
Description To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting solicited systemic reactions within 7 days (day 1-7) after each vaccination.
Time Frame Day 1 through day 7 after each vaccination.

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 182 180 186 184 182 180 177 179
Any Systemic (First Vacc)
167
173
175
152
162
171
136
150
Change Eat. Habits (First Vacc)
76
87
84
52
84
90
41
66
Sleepiness (First Vacc)
120
131
119
96
117
119
92
116
Vomiting (First Vacc)
24
18
25
15
22
26
17
22
Diarrhea (First Vacc)
57
55
54
31
41
49
45
41
Irritability (First Vacc)
128
124
128
99
131
131
79
97
Unus Crying (First Vacc)
95
101
105
61
96
108
63
74
Rash (First Vacc)
6
5
5
7
10
10
4
5
Fever ( ≥ 38.5°C ) (First Vacc)
94
91
74
24
60
76
22
46
Antipyr. Med. Used (First Vacc)
102
94
92
37
74
95
32
166
Any Systemic (Second Vacc)
168
158
166
144
156
158
126
147
Change Eat. Habits (Second Vacc)
62
55
58
53
60
80
33
54
Sleepiness (Second Vacc)
105
100
102
85
92
109
75
84
Vomiting (Second Vacc)
18
18
14
15
17
20
14
20
Diarrhea (Second Vacc)
43
41
47
40
39
47
39
40
Irritability (Second Vacc)
130
121
124
94
117
126
82
99
Unus Crying (Second Vacc)
90
90
84
70
83
99
45
71
Rash (Second Vacc)
4
9
4
5
7
4
5
5
Fever ( ≥ 38.5°C ) (Second Vacc)
90
82
77
36
74
90
30
35
Antipyr. Med. Used (Second Vacc)
100
94
83
40
79
105
39
163
Any Syst (3rdN=181,179,185,182,181,180,177,179)
146
131
132
122
141
151
106
127
Change Eat. Habits (Third Vacc)
49
50
42
37
45
60
22
48
Sleepiness (Third Vacc)
75
67
82
64
77
79
52
75
Vomiting (Third Vacc)
8
18
15
12
12
13
11
20
Diarrhea (Third Vacc)
33
29
39
31
34
40
19
32
Irritability (Third Vacc)
115
97
93
74
104
115
76
84
Unus Crying (Third Vacc)
76
82
62
47
69
100
38
47
Rash (Third Vacc)
1
6
4
2
8
10
6
6
Fever ( ≥ 38.5°C ) (Third Vacc)
55
53
38
16
42
54
14
20
Antipyr. Med. Used (Third Vacc)
66
60
51
26
49
63
20
153
Any Syst(BoosterN=155,162,169,169,168,165,164,159)
143
144
139
118
141
142
142
137
Change Eat. Habits (Booster Vacc)
74
77
79
52
70
80
59
66
Sleepiness (Booster Vacc)
76
90
90
63
86
88
85
80
Vomiting (Booster Vacc)
6
11
7
7
10
9
9
20
Diarrhea (Booster Vacc)
30
34
36
43
32
30
26
30
Irritability (Booster Vacc)
116
111
112
86
116
115
117
96
Unus Crying (Booster Vacc)
74
64
69
46
71
82
73
50
Rash (Booster Vacc)
5
5
8
2
8
4
6
5
Fever ( ≥ 38.5°C ) (Booster Vacc)
81
86
64
43
78
68
84
58
Antipyr. Med. Used (Booster Vacc)
84
82
83
42
75
80
92
128
13. Secondary Outcome
Title Number of Subjects With Unsolicited Adverse Events Within 7 Days (Day 1-7) After Each Vaccination
Description To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting unsolicited Adverse Events (AEs), serious adverse events (SAEs), medically attended AEs, AEs leading to premature withdrawal (throughout the study period) within 7 days (day 1-7) after each vaccination.
Time Frame Day 1 through day 7 after each vaccination.

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 184 184 189 187 187 185 184 183
Any AE (Day 1 to 7) (First Vacc)
55
52
51
33
35
39
27
42
At least Possibly related AE (First Vacc)
48
48
43
30
27
34
22
36
Any SAE (First Vacc)
0
1
0
0
0
1
0
1
Any AE D1-7 2nd N=182,181,186,184,183,180,178,180
55
53
50
41
36
47
28
45
At least Possibly related AE (Second Vaccination)
49
45
45
36
33
41
26
39
Any SAE (Second Vacc)
1
0
1
0
1
0
0
0
Any AE D1-7 3rd N=182,181,186,184,182,180,177,179
40
59
49
35
31
45
35
39
At least Possibly related AE (Third Vacc)
34
52
45
29
23
37
29
36
Any SAE (Third Vacc)
2
0
2
0
1
0
0
0
Any AE D 1-7Boos N=155,163,169,169,168,165,165,161
35
46
56
35
29
30
37
30
At least Possibly related AE (Booster Vacc)
28
41
48
23
23
26
30
25
Any SAE (Booster Vacc)
0
1
2
0
3
0
0
0
14. Secondary Outcome
Title Number of Subjects With Severe Adverse Events and Adverse Events Necessitating a Medical Office or Emergency Room (ER) Visit and/or Resulting in Premature Withdrawal of the Subject From the Study, Throughout the Study Period.
Description To assess the safety and tolerability of each of seven different formulations of rMenB+OMV NZ or rMenB (no OMV) vaccine (group I to VI, group VIII) in terms of number of subjects reporting Severe Adverse Events (SAEs) and Adverse Events (AEs) necessitating a medical office or Emergency Room (ER) visit and/or resulting in premature withdrawal of the subject from the study, throughout the study period.
Time Frame Overall study period.

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety population.
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII)
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenCCRM197 at 13 months of age.
Measure Participants 184 184 189 187 187 185 184 183
AE Leading to Premature Withdrawal-Primary Vacc
0
2
2
0
0
1
2
1
Treatment Emergent SAEs - Primary Vacc
16
20
12
20
13
16
11
15
Tr E SAE Boost (N=155,163,169,169,168,165,165,161)
14
7
12
5
15
9
9
16
15. Secondary Outcome
Title Number of Subjects With Local and Systemic Reactions Within 7 Days (Day 1-7) After Second rMenB+OMV NZ Vaccination in MenC Group
Description To assess the safety and tolerability of two doses of rMenB+OMV NZ vaccine (Group VII) given at 12 and 13 months of age to toddlers who previously received three doses of Menjugate as infants.
Time Frame Day 1 through day 7 at 13 months age.

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety population.
Arm/Group Title MenC (Group VII)
Arm/Group Description Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age, one dose of meningococcal B recombinant (rMenB+OMV NZ) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age, one dose of rMenB+OMV NZ and one dose of MenC at 13 months of age.
Measure Participants 156
Injection Site Tenderness
92
Injection Site Erythema
84
Injection Site Induration
59
Injection Site Swelling
35
Change Eat. Habits (N=155)
43
Sleepiness
57
Vomiting
8
Diarrhea
18
Irritability
75
Unus Crying
37
Rash
4
Fever ( ≥ 38.5°C ) (N=158)
35
Antipyr. Med. Used (N=157)
47

Adverse Events

Time Frame All solicited AEs and unsolicited AEs were collected from Day 1 to Day 7; serious adverse events (SAEs), medically attended AEs, AEs leading to premature withdrawal were collected during the overall study period.
Adverse Event Reporting Description
Arm/Group Title B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII) B+OMV (Group I) Booster Phase B+½ OMV (Group II) Booster Phase B+1/4 OMV (Group III) Booster Phase B (Group IV) Booster Phase ½ (B+OMV) (Group V) Booster Phase PH2 B+OMV (Group VI) Booster Phase MenC (Group VII) Booster Phase Par+B+OMV (Group VIII) Booster Phase
Arm/Group Description Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting.. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. SubjSubjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age and one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age. One dose of MenC at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to be applicable Prior to Booster Phase for AEs reporting. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation I) and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine(formulation II) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to include Booster Phase. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation III) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to include Booster Phase. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation IV) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to include Booster Phase. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation V) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to include Booster Phase. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation VI) and routine vaccine at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to include Booster Phase. Subjects received one dose of meningococcal C conjugate vaccine (Menjugate®; Men C) and routine vaccine at 2,3,4 months of age and one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation VII) and routine vaccine at 12 months of age. One dose of MenC at 13 months of age. Group defined to include Booster Phase. Subjects in this group received one dose of meningococcal B recombinant (rMenB) adsorbed vaccine (formulation I) with paracetamol and routine vaccines at 2,3,4,12 months of age and MenC-CRM197 at 13 months of age. Group defined to include Booster Phase.
All Cause Mortality
B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII) B+OMV (Group I) Booster Phase B+½ OMV (Group II) Booster Phase B+1/4 OMV (Group III) Booster Phase B (Group IV) Booster Phase ½ (B+OMV) (Group V) Booster Phase PH2 B+OMV (Group VI) Booster Phase MenC (Group VII) Booster Phase Par+B+OMV (Group VIII) Booster Phase
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII) B+OMV (Group I) Booster Phase B+½ OMV (Group II) Booster Phase B+1/4 OMV (Group III) Booster Phase B (Group IV) Booster Phase ½ (B+OMV) (Group V) Booster Phase PH2 B+OMV (Group VI) Booster Phase MenC (Group VII) Booster Phase Par+B+OMV (Group VIII) Booster Phase
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 16/184 (8.7%) 20/184 (10.9%) 12/189 (6.3%) 20/187 (10.7%) 13/187 (7%) 16/185 (8.6%) 11/184 (6%) 15/183 (8.2%) 14/155 (9%) 7/163 (4.3%) 12/169 (7.1%) 5/169 (3%) 15/168 (8.9%) 9/165 (5.5%) 9/165 (5.5%) 14/161 (8.7%)
Blood and lymphatic system disorders
Neutropenia 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Anaemia 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 0/161 (0%)
Lymphadenitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Cardiac disorders
Pulmonary valve stenosis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Congenital, familial and genetic disorders
Congenital megacolon 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Cryptorchism 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Phimosis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 1/161 (0.6%)
Gastrointestinal disorders
Aphthous stomatitis 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Enteritis 0/184 (0%) 0/184 (0%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Enterocolitis haemorrhagic 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Gastritis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Gastrooesophageal reflux disease 0/184 (0%) 0/184 (0%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Inguinal hernia 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 0/161 (0%)
Vomiting 0/184 (0%) 1/184 (0.5%) 1/189 (0.5%) 0/187 (0%) 1/187 (0.5%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Diarrhoea 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Intussusception 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
General disorders
Pyrexia 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Injection site erythema 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Immune system disorders
Milk allergy 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Infections and infestations
Acarodermatitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Bacterial pyelonephritis 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Bronchiolitis 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 1/187 (0.5%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Bronchitis 3/184 (1.6%) 2/184 (1.1%) 4/189 (2.1%) 4/187 (2.1%) 1/187 (0.5%) 2/185 (1.1%) 2/184 (1.1%) 1/183 (0.5%) 1/155 (0.6%) 1/163 (0.6%) 2/169 (1.2%) 0/169 (0%) 4/168 (2.4%) 1/165 (0.6%) 3/165 (1.8%) 2/161 (1.2%)
Bronchopneumonia 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 2/183 (1.1%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Corona virus infection 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Cytomegalovirus infection 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Exanthema subitum 0/184 (0%) 0/184 (0%) 2/189 (1.1%) 0/187 (0%) 1/187 (0.5%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 1/161 (0.6%)
Gastroenteritis 1/184 (0.5%) 2/184 (1.1%) 1/189 (0.5%) 3/187 (1.6%) 1/187 (0.5%) 3/185 (1.6%) 1/184 (0.5%) 1/183 (0.5%) 2/155 (1.3%) 2/163 (1.2%) 1/169 (0.6%) 1/169 (0.6%) 1/168 (0.6%) 5/165 (3%) 0/165 (0%) 3/161 (1.9%)
Gastroenteritis rotavirus 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 1/187 (0.5%) 1/185 (0.5%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 1/163 (0.6%) 2/169 (1.2%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Gastroenteritis viral 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Infection 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Laryngitis 0/184 (0%) 0/184 (0%) 1/189 (0.5%) 1/187 (0.5%) 0/187 (0%) 3/185 (1.6%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 1/169 (0.6%) 3/169 (1.8%) 2/168 (1.2%) 0/165 (0%) 2/165 (1.2%) 1/161 (0.6%)
Nasopharyngitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 1/161 (0.6%)
Oral candidiasis 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Oral herpes 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Otitis media acute 0/184 (0%) 3/184 (1.6%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Pharyngitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 1/161 (0.6%)
Pneumonia 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 1/184 (0.5%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Pneumonia respiratory syncytial viral 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Pneumonia viral 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Pyelonephritis 0/184 (0%) 1/184 (0.5%) 1/189 (0.5%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 2/184 (1.1%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Pyelonephritis acute 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 2/187 (1.1%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Respiratory syncytial virus infection 0/184 (0%) 0/184 (0%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 2/183 (1.1%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 1/165 (0.6%) 0/161 (0%)
Rhinitis 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Rhinovirus infection 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Sepsis 0/184 (0%) 0/184 (0%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Upper respiratory tract infection 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Tonsillitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 1/161 (0.6%)
Urinary tract infection 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 1/187 (0.5%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Varicella 1/184 (0.5%) 0/184 (0%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Viral infection 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 2/187 (1.1%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 2/161 (1.2%)
Acute tonsillitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Bullous impetigo 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Cystitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Device related sepsis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Ear infection 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Pharyngotonsillitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 1/165 (0.6%) 0/161 (0%)
Renal abscess 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Respiratory syncytial virus bronchitis 0/184 (0%) 0/184 (0%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 1/165 (0.6%) 0/161 (0%)
Tracheitis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 1/169 (0.6%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Viral myocarditis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 0/161 (0%)
Injury, poisoning and procedural complications
Bone fissure 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Concussion 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Fall 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 2/183 (1.1%) 0/155 (0%) 0/163 (0%) 2/169 (1.2%) 2/169 (1.2%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 0/161 (0%)
Foreign body aspiration 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 1/185 (0.5%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Foreign body 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Head injury 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Joint dislocation 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Road traffic accident 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Thermal burn 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 1/165 (0.6%) 0/161 (0%)
Toxicity to various agents 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Accidental exposure to product 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 1/169 (0.6%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Investigations
Acoustic Stimulation Tests 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Metabolism and nutrition disorders
Decreased appetite 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Dehydration 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 1/187 (0.5%) 1/185 (0.5%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Ketosis 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Weight gain poor 0/184 (0%) 1/184 (0.5%) 1/189 (0.5%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Fibroma 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Neoplasm 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 1/161 (0.6%)
Nervous system disorders
Febrile convulsion 1/184 (0.5%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 1/163 (0.6%) 0/169 (0%) 1/169 (0.6%) 0/168 (0%) 1/165 (0.6%) 1/165 (0.6%) 3/161 (1.9%)
Guillain-Barre syndrome 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Hypotonia 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 1/183 (0.5%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Myoclonic epilepsy 1/184 (0.5%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Partial seizures 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
VIth nerve paralysis 0/184 (0%) 0/184 (0%) 0/189 (0%) 1/187 (0.5%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Somnolence 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Convulsion 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Psychiatric disorders
Affective disorder 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 1/165 (0.6%) 0/165 (0%) 1/161 (0.6%)
Respiratory, thoracic and mediastinal disorders
Asthma 1/184 (0.5%) 0/184 (0%) 1/189 (0.5%) 1/187 (0.5%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 1/163 (0.6%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Dyspnoea 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Respiratory distress 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 1/187 (0.5%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Adenoidal hypertrophy 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 1/163 (0.6%) 0/169 (0%) 0/169 (0%) 1/168 (0.6%) 0/165 (0%) 1/165 (0.6%) 0/161 (0%)
Skin and subcutaneous tissue disorders
Angioedema 0/184 (0%) 1/184 (0.5%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Psoriasis 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Rash 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 1/184 (0.5%) 0/183 (0%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Surgical and medical procedures
Cleft palate repair 0/184 (0%) 0/184 (0%) 0/189 (0%) 0/187 (0%) 0/187 (0%) 0/185 (0%) 0/184 (0%) 0/183 (0%) 1/155 (0.6%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Other (Not Including Serious) Adverse Events
B+OMV (Group I) B+½ OMV (Group II) B+1/4 OMV (Group III) B (Group IV) ½ (B+OMV) (Group V) PH2 B+OMV (Group VI) MenC (Group VII) Par+B+OMV (Group VIII) B+OMV (Group I) Booster Phase B+½ OMV (Group II) Booster Phase B+1/4 OMV (Group III) Booster Phase B (Group IV) Booster Phase ½ (B+OMV) (Group V) Booster Phase PH2 B+OMV (Group VI) Booster Phase MenC (Group VII) Booster Phase Par+B+OMV (Group VIII) Booster Phase
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 181/184 (98.4%) 183/184 (99.5%) 186/189 (98.4%) 183/187 (97.9%) 180/187 (96.3%) 180/185 (97.3%) 175/184 (95.1%) 175/183 (95.6%) 151/155 (97.4%) 159/163 (97.5%) 162/169 (95.9%) 152/169 (89.9%) 154/168 (91.7%) 156/165 (94.5%) 155/165 (93.9%) 150/161 (93.2%)
Gastrointestinal disorders
Diarrhoea 84/184 (45.7%) 87/184 (47.3%) 80/189 (42.3%) 67/187 (35.8%) 80/187 (42.8%) 81/185 (43.8%) 74/184 (40.2%) 73/183 (39.9%) 31/155 (20%) 37/163 (22.7%) 39/169 (23.1%) 47/169 (27.8%) 34/168 (20.2%) 31/165 (18.8%) 40/165 (24.2%) 34/161 (21.1%)
Vomiting 38/184 (20.7%) 37/184 (20.1%) 42/189 (22.2%) 32/187 (17.1%) 36/187 (19.3%) 43/185 (23.2%) 34/184 (18.5%) 46/183 (25.1%) 6/155 (3.9%) 13/163 (8%) 7/169 (4.1%) 7/169 (4.1%) 10/168 (6%) 10/165 (6.1%) 15/165 (9.1%) 20/161 (12.4%)
General disorders
Crying 122/184 (66.3%) 135/184 (73.4%) 137/189 (72.5%) 99/187 (52.9%) 125/187 (66.8%) 141/185 (76.2%) 87/184 (47.3%) 112/183 (61.2%) 74/155 (47.7%) 64/163 (39.3%) 69/169 (40.8%) 46/169 (27.2%) 71/168 (42.3%) 82/165 (49.7%) 85/165 (51.5%) 50/161 (31.1%)
Injection site erythema 151/184 (82.1%) 150/184 (81.5%) 155/189 (82%) 132/187 (70.6%) 131/187 (70.1%) 150/185 (81.1%) 119/184 (64.7%) 132/183 (72.1%) 97/155 (62.6%) 107/163 (65.6%) 120/169 (71%) 83/169 (49.1%) 89/168 (53%) 96/165 (58.2%) 110/165 (66.7%) 88/161 (54.7%)
Injection site induration 141/184 (76.6%) 139/184 (75.5%) 141/189 (74.6%) 126/187 (67.4%) 130/187 (69.5%) 130/185 (70.3%) 122/184 (66.3%) 126/183 (68.9%) 81/155 (52.3%) 90/163 (55.2%) 105/169 (62.1%) 71/169 (42%) 76/168 (45.2%) 81/165 (49.1%) 97/165 (58.8%) 70/161 (43.5%)
Injection site pain 150/184 (81.5%) 157/184 (85.3%) 139/189 (73.5%) 101/187 (54%) 131/187 (70.1%) 152/185 (82.2%) 105/184 (57.1%) 119/183 (65%) 121/155 (78.1%) 110/163 (67.5%) 126/169 (74.6%) 92/169 (54.4%) 111/168 (66.1%) 116/165 (70.3%) 125/165 (75.8%) 97/161 (60.2%)
Pyrexia 136/184 (73.9%) 127/184 (69%) 122/189 (64.6%) 71/187 (38%) 114/187 (61%) 126/185 (68.1%) 62/184 (33.7%) 78/183 (42.6%) 86/155 (55.5%) 94/163 (57.7%) 70/169 (41.4%) 49/169 (29%) 85/168 (50.6%) 72/165 (43.6%) 92/165 (55.8%) 59/161 (36.6%)
Injection site swelling 97/184 (52.7%) 94/184 (51.1%) 103/189 (54.5%) 80/187 (42.8%) 88/187 (47.1%) 100/185 (54.1%) 75/184 (40.8%) 77/183 (42.1%) 57/155 (36.8%) 63/163 (38.7%) 76/169 (45%) 46/169 (27.2%) 53/168 (31.5%) 57/165 (34.5%) 65/165 (39.4%) 50/161 (31.1%)
Infections and infestations
Bronchitis 34/184 (18.5%) 34/184 (18.5%) 40/189 (21.2%) 31/187 (16.6%) 31/187 (16.6%) 43/185 (23.2%) 34/184 (18.5%) 35/183 (19.1%) 25/155 (16.1%) 18/163 (11%) 25/169 (14.8%) 28/169 (16.6%) 28/168 (16.7%) 19/165 (11.5%) 35/165 (21.2%) 17/161 (10.6%)
Conjunctivitis 14/184 (7.6%) 13/184 (7.1%) 14/189 (7.4%) 13/187 (7%) 15/187 (8%) 22/185 (11.9%) 10/184 (5.4%) 17/183 (9.3%) 7/155 (4.5%) 7/163 (4.3%) 5/169 (3%) 13/169 (7.7%) 8/168 (4.8%) 7/165 (4.2%) 6/165 (3.6%) 10/161 (6.2%)
Ear infection 10/184 (5.4%) 5/184 (2.7%) 10/189 (5.3%) 6/187 (3.2%) 7/187 (3.7%) 12/185 (6.5%) 9/184 (4.9%) 7/183 (3.8%) 8/155 (5.2%) 4/163 (2.5%) 2/169 (1.2%) 5/169 (3%) 9/168 (5.4%) 7/165 (4.2%) 11/165 (6.7%) 4/161 (2.5%)
Exanthema subitum 9/184 (4.9%) 18/184 (9.8%) 17/189 (9%) 17/187 (9.1%) 19/187 (10.2%) 13/185 (7%) 20/184 (10.9%) 11/183 (6%) 6/155 (3.9%) 7/163 (4.3%) 8/169 (4.7%) 5/169 (3%) 5/168 (3%) 6/165 (3.6%) 7/165 (4.2%) 10/161 (6.2%)
Gastroenteritis 10/184 (5.4%) 11/184 (6%) 6/189 (3.2%) 9/187 (4.8%) 6/187 (3.2%) 13/185 (7%) 7/184 (3.8%) 8/183 (4.4%) 5/155 (3.2%) 4/163 (2.5%) 8/169 (4.7%) 11/169 (6.5%) 12/168 (7.1%) 15/165 (9.1%) 9/165 (5.5%) 7/161 (4.3%)
Nasopharyngitis 20/184 (10.9%) 22/184 (12%) 25/189 (13.2%) 17/187 (9.1%) 19/187 (10.2%) 24/185 (13%) 16/184 (8.7%) 19/183 (10.4%) 15/155 (9.7%) 10/163 (6.1%) 18/169 (10.7%) 11/169 (6.5%) 14/168 (8.3%) 15/165 (9.1%) 14/165 (8.5%) 7/161 (4.3%)
Pharyngitis 21/184 (11.4%) 18/184 (9.8%) 15/189 (7.9%) 21/187 (11.2%) 25/187 (13.4%) 15/185 (8.1%) 18/184 (9.8%) 19/183 (10.4%) 11/155 (7.1%) 16/163 (9.8%) 13/169 (7.7%) 14/169 (8.3%) 22/168 (13.1%) 15/165 (9.1%) 16/165 (9.7%) 15/161 (9.3%)
Rhinitis 21/184 (11.4%) 14/184 (7.6%) 12/189 (6.3%) 19/187 (10.2%) 21/187 (11.2%) 26/185 (14.1%) 20/184 (10.9%) 12/183 (6.6%) 7/155 (4.5%) 9/163 (5.5%) 8/169 (4.7%) 11/169 (6.5%) 10/168 (6%) 8/165 (4.8%) 6/165 (3.6%) 6/161 (3.7%)
Tonsillitis 6/184 (3.3%) 3/184 (1.6%) 2/189 (1.1%) 12/187 (6.4%) 7/187 (3.7%) 5/185 (2.7%) 5/184 (2.7%) 4/183 (2.2%) 6/155 (3.9%) 10/163 (6.1%) 4/169 (2.4%) 8/169 (4.7%) 5/168 (3%) 8/165 (4.8%) 6/165 (3.6%) 9/161 (5.6%)
Upper respiratory tract infection 13/184 (7.1%) 13/184 (7.1%) 10/189 (5.3%) 10/187 (5.3%) 8/187 (4.3%) 12/185 (6.5%) 9/184 (4.9%) 9/183 (4.9%) 8/155 (5.2%) 7/163 (4.3%) 8/169 (4.7%) 9/169 (5.3%) 7/168 (4.2%) 9/165 (5.5%) 8/165 (4.8%) 5/161 (3.1%)
Varicella 5/184 (2.7%) 10/184 (5.4%) 2/189 (1.1%) 5/187 (2.7%) 7/187 (3.7%) 5/185 (2.7%) 5/184 (2.7%) 5/183 (2.7%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Viral infection 19/184 (10.3%) 27/184 (14.7%) 23/189 (12.2%) 24/187 (12.8%) 24/187 (12.8%) 17/185 (9.2%) 16/184 (8.7%) 21/183 (11.5%) 12/155 (7.7%) 14/163 (8.6%) 6/169 (3.6%) 16/169 (9.5%) 18/168 (10.7%) 9/165 (5.5%) 12/165 (7.3%) 11/161 (6.8%)
Nervous system disorders
Somnolence 145/184 (78.8%) 149/184 (81%) 146/189 (77.2%) 131/187 (70.1%) 142/187 (75.9%) 143/185 (77.3%) 113/184 (61.4%) 134/183 (73.2%) 76/155 (49%) 90/163 (55.2%) 90/169 (53.3%) 63/169 (37.3%) 86/168 (51.2%) 88/165 (53.3%) 100/165 (60.6%) 80/161 (49.7%)
Psychiatric disorders
Eating disorder 105/184 (57.1%) 106/184 (57.6%) 104/189 (55%) 84/187 (44.9%) 112/187 (59.9%) 119/185 (64.3%) 63/184 (34.2%) 93/183 (50.8%) 74/155 (47.7%) 77/163 (47.2%) 79/169 (46.7%) 52/169 (30.8%) 70/168 (41.7%) 80/165 (48.5%) 72/165 (43.6%) 66/161 (41%)
Irritability 157/184 (85.3%) 159/184 (86.4%) 155/189 (82%) 139/187 (74.3%) 151/187 (80.7%) 153/185 (82.7%) 121/184 (65.8%) 137/183 (74.9%) 116/155 (74.8%) 111/163 (68.1%) 112/169 (66.3%) 86/169 (50.9%) 116/168 (69%) 115/165 (69.7%) 126/165 (76.4%) 96/161 (59.6%)
Respiratory, thoracic and mediastinal disorders
Cough 22/184 (12%) 21/184 (11.4%) 9/189 (4.8%) 19/187 (10.2%) 13/187 (7%) 19/185 (10.3%) 12/184 (6.5%) 10/183 (5.5%) 5/155 (3.2%) 12/163 (7.4%) 11/169 (6.5%) 9/169 (5.3%) 11/168 (6.5%) 8/165 (4.8%) 10/165 (6.1%) 7/161 (4.3%)
Skin and subcutaneous tissue disorders
Dermatitis 10/184 (5.4%) 3/184 (1.6%) 7/189 (3.7%) 0/187 (0%) 6/187 (3.2%) 2/185 (1.1%) 13/184 (7.1%) 9/183 (4.9%) 0/155 (0%) 0/163 (0%) 0/169 (0%) 0/169 (0%) 0/168 (0%) 0/165 (0%) 0/165 (0%) 0/161 (0%)
Rash 15/184 (8.2%) 18/184 (9.8%) 15/189 (7.9%) 18/187 (9.6%) 24/187 (12.8%) 26/185 (14.1%) 16/184 (8.7%) 19/183 (10.4%) 8/155 (5.2%) 6/163 (3.7%) 11/169 (6.5%) 2/169 (1.2%) 9/168 (5.4%) 6/165 (3.6%) 12/165 (7.3%) 7/161 (4.3%)

Limitations/Caveats

[Not Specified]

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 Novartis Vaccines
Organization Novartis Vaccines
Phone
Email RegistryContactVaccinesUS@novartis.com
Responsible Party:
Novartis Vaccines
ClinicalTrials.gov Identifier:
NCT00937521
Other Study ID Numbers:
  • V72P16
  • 2009-010106-11
First Posted:
Jul 13, 2009
Last Update Posted:
Apr 7, 2015
Last Verified:
Mar 1, 2015