A Clinical Trial to Study the Safety, Tolerance and Immunogenic Response to MCV4, Tdap and Bivalent rLP2086 Vaccine When Given at the Same Time to Children Between the Ages of 10 Through 12 Years of Age

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT01461980
Collaborator
(none)
2,648
117
3
31.3
22.6
0.7

Study Details

Study Description

Brief Summary

This is a clinical study to assess the safety, tolerance and immunogenic response to MCV4(quadrivalent meningococcal polysaccharide conjugate, meningococcal serogroups A,C,Y, and W135), Tdap (diphtheria, tetanus, and acellular pertussis), and bivalent rLP2086 vaccine. Healthy male and female subjects, between the ages of 10 to 12 years old, will be randomized into 1 of 3 groups. The subjects, investigators, site staff and sponsor will be blinded to all injections given throughout the study. An unblinded administrator will be responsible to administer the vaccinations to all subjects and will be unblinded to the subject randomization in order to determine which subjects were in randomized to group 3 so they may receive their catch-up vaccinations of MCV4 and Tdap. A final telephone contact will be conducted with all subjects 6-months post their last vaccination to obtain safety information.

Condition or Disease Intervention/Treatment Phase
  • Biological: rLP2086 + MCV4 + Tdap
  • Biological: MCV4 + Tdap + saline
  • Biological: rLP2086 + saline
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
2648 participants
Allocation:
Randomized
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
A Phase 2, Randomized, Active-controlled, Observer-blinded Trial, To Assess The Safety, Tolerability, And Immunogenicity Of Mcv4, Tdap Vaccine And Bivalent Rlp2086 Vaccine When Administered Concomitantly In Healthy Subjects Aged > = 10 To <13 Years
Actual Study Start Date :
Sep 28, 2011
Actual Primary Completion Date :
May 8, 2014
Actual Study Completion Date :
May 8, 2014

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: MCV4 + Tdap+ rLP2086

Group 1 - MCV4 + Tdap + rLP2086

Biological: rLP2086 + MCV4 + Tdap
At visit 1, group 1 will receive MCV4 + Tdap vaccines concomitantly with an injection of rLP2086. At visits 3 and 5 (Months 2 and 6), group 1 will receive an injection of rLP2086.

Active Comparator: MCV4 + Tdap + saline

Group 2, MCV4 + Tdap+ saline

Biological: MCV4 + Tdap + saline
At visit 1, group 2 will receive MCV4 + Tdap vaccines concomitantly with an injection of saline. At visits 3 and 5 (months 2 and 6), this group will receive a saline injection only.

Placebo Comparator: Saline + saline + rLP2086

Group 3- rLP2086 + saline

Biological: rLP2086 + saline
At visit 1, group 3 will receive 2 injections of saline concomitantly with an injection of rLP2086. At visits 3 and 5 (Months 2 and 6), group 3 will receive an injection of rLP2086. Subjects randomized to this group will receive MCV4 and Tdap following their final visit blood draw (Visit 6).

Outcome Measures

Primary Outcome Measures

  1. Geometric Mean Concentrations (GMC) for Diphtheria and Tetanus Antigens [1 Month after Vaccination 1]

    Antibody GMCs of 2 antigens of diphtheria and tetanus toxoid were computed in International Units per milliliter (IU/mL) along with corresponding 2-sided 95 percent (%) confidence intervals (CIs). Here, 'number of participants analyzed' signifies participants with valid and determinate assay results for given antigen.

  2. Geometric Mean Concentrations (GMC) for Acellular Pertussis Antigens [1 Month after Vaccination 1]

    Antibody GMCs of 4 acellular pertussis antigens (pertussis toxoid, pertussis filamentous hemagglutinin, pertussis pertactin and pertussis fimbrial agglutinogens types 2+3) were computed in Enzyme-linked immunosorbent assay (ELISA) units per milliliter (EU/mL) along with corresponding 2-sided 95% CIs.

  3. Geometric Mean Titer (GMT) for Meningococcal Conjugate Vaccine (MCV4) Antigens [1 Month after Vaccination 1]

    Antibody GMTs of 4 MCV4 antigens (serogroup A, serogroup C, serogroup Y and serogroup W-135) were computed along with corresponding 2-sided 95% CIs.

  4. Serum Bactericidal Assay Using Human Complement (hSBA) GMTs of PMB80 [A22] and PMB2948 [B24] 1 Month After Vaccination 3 [1 Month after Vaccination 3]

    Antibody hSBA GMTs of primary strain PMB80 [A22] and PMB2948 [B24] were computed along with corresponding 2-sided 95% CIs. hSBA titers from the 2 primary strains were logarithmically transformed for analysis. Here, 'number of participants analyzed' signifies evaluable immunogenicity population and 'N' signifies participants with valid and determinate assay results for given strain for each group, respectively.

Secondary Outcome Measures

  1. Percentage of Participants With Seroresponse for Tetanus, Diphtheria and Acellular Pertussis (Tdap) and Meningococcal Conjugate Vaccine (MCV4) Antigens [1 Month after Vaccination 1]

    Seroconversion rate for Tdap antigens was defined as greater than or equal to (>=) 4-, 2-fold rise in antibody concentration, if prevaccination antibody concentration was less than or equal to (<=), greater than (>) cutoff value, respectively. For MCV4 antigens >=4-fold rise on serum bactericidal assay using rabbit complement (rSBA) titers if baseline value >= lower limit of quantitation (LLOQ), postdose rSBA titers >=2×LLOQ if baseline value was less than (<) LLOQ. Cutoff value =0.1 IU/mL for diphtheria and tetanus, 0.9,2.9,3.0,10.6 EU/mL for pertussis toxoid, filamentous hemagglutinin, pertactin, fimbriae agglutinogens types 2 + 3, respectively.

  2. Percentage of Participants Achieving Predefined Antibody Level for Diphtheria and Tetanus Antigens [1 Month after Vaccination 1]

    Participants with antibody concentration level of greater than or equal to 1.0 IU/mL for diphtheria and tetanus antigens were computed along with corresponding 2-sided 95% CIs.

  3. Serum Bactericidal Assay Using Human Complement (hSBA) GMTs of PMB80 [A22] and PMB2948 [B24] Before Vaccination 1 and 1 Month After Vaccination 2 [Before Vaccination 1, 1 Month after Vaccination (Vac) 2]

    Antibody hSBA of primary strain PMB80 [A22] and PMB2948 [B24] were computed along with corresponding 2-sided 95% CIs. hSBA titers from the 2 primary strains were logarithmically transformed for analysis.

  4. Percentage of Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titer >= Lower Limit of Quantitation (LLOQ) [Before Vaccination 1, 1 Month after Vaccination (Vac) 2, 3]

    Percentage of participants achieving hSBA titer >= LLOQ were computed along with corresponding 2-sided 95% CIs. LLOQ was 1:16 for PMB80 [A22] and 1:8 for PMB2948 [B24].

  5. Percentage of Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titer >= Prespecified Titer Level [Before Vaccination 1, 1 Month after Vaccination (Vac) 2, 3]

    Antibody hSBA of primary strain PMB80 [A22] and PMB2948 [B24] with hSBA titers >=1:4, >=1:8, >=1:16, >=1:32, >=1:64, and >=1:128 were computed along with corresponding 2-sided 95% CIs.

Other Outcome Measures

  1. Immunogloblulin G (IgG) Measured by GMC [Before Vaccination 1, 1 Month after Vaccination 1]

    IgG GMCs of 4 MCV4 antigens (serogroup A, serogroup C, serogroup Y and serogroup W-135) of participants were computed along with corresponding 2-sided 95% CIs. CIs were back transformations of confidence levels based on Student t distribution for mean logarithm of titers.

  2. Percentage of Participants Achieving at Least 4-Fold Increase in Serum Bactericidal Assay Using Human Complement (hSBA) Titer Level [1 Month after Vaccination (Vac) 2, 3]

  3. Percentage of Participants With at Least One Adverse Event (AE) [Vaccination phase (baseline up to 1 month after Vaccination 3); Follow-up phase (from 1 month up to 6 months after Vaccination 3)]

    An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship.

Eligibility Criteria

Criteria

Ages Eligible for Study:
10 Years to 12 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Evidence of a personally signed and dated informed consent document (ICD) indicating that the subject (and a legally authorized representative) has been informed of all pertinent aspects of the study.

  • Parent /legally authorized representative and subjects who are willing and able to comply with scheduled visits, laboratory tests, and other study procedures.

  • Male or female subject aged greater than or equal to 10 and <13 years at the time of enrollment.

  • Available for the entire study period and can be reached by telephone.

  • Healthy subject as determined by medical history, physical examination, and judgment of the investigator.

  • Has received full series (5-dose series is preferred, 4-dose catch up series is allowed) of diphtheria, tetanus and pertussis (whole cell or acellular) vaccines per country specific recommendations applicable at the time of receipt.

  • Male and female subjects of childbearing potential must agree to use a highly effective method of contraception throughout the study.

Exclusion Criteria:
  • Previous vaccination with any meningococcal serogroup B vaccine.

  • Vaccination with any diphtheria, tetanus or pertussis vaccine within 5 years of the first study vaccination.

  • Previous vaccination with any MCV4 vaccine.

  • A previous anaphylactic reaction to any vaccine or vaccine-related component.

  • Contraindication to vaccination with MCV4 and/or Tdap vaccine.

  • Subjects receiving any allergen immunotherapy with a non-licensed product or receiving allergen immunotherapy with a licensed product and are not on stable maintenance doses.

  • Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection.

  • A known or suspected defect of the immune system that would prevent an immune response to the vaccine, such as subjects with congenital or acquired defects in B cell function, those receiving chronic systemic (oral, intravenous or intramuscular) corticosteroid therapy, or those receiving immunosuppressive therapy. Subjects with terminal complement deficiency may not be included.

  • History of culture-proven disease caused by Neisseria meningitidis or Neisseria gonorrhoea.

  • Significant neurological disorder or history of seizure (excluding simple febrile seizure).

  • Receipt of any blood products, including immunoglobulin within 6 months before the first study vaccination.

  • Current chronic use of systemic antibiotics.

  • Any neuroinflammatory or autoimmune condition, including, but not limited to, transverse myelitis, uveitis, optic neuritis, and multiple sclerosis.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Radiant Research, Inc. Birmingham Alabama United States 35209
2 Costal Clinical Research, Inc. Daphne Alabama United States 36526
3 Clinical Research Advantage Inc/ East Valley Family Physicians, PLC Chandler Arizona United States 85224
4 Radiant Research, Inc. Chandler Arizona United States 85224
5 Clinical Research Advantage, Inc./Mesa Family Medical Center, PC Mesa Arizona United States 85203
6 Clinical Research Advantage, Inc./Desert Mesa Arizona United States 85213
7 Radiant Research, Inc. Tucson Arizona United States 85710
8 Radiant Research, Inc. Tucson Arizona United States 85712
9 The Children's Clinic of Jonesboro, PA Jonesboro Arkansas United States 72401
10 Arkansas Pediatric Clinic Little Rock Arkansas United States 72205
11 Kaiser Permanente Fresno Fresno California United States 93726
12 Kaiser Permanente Hayward Hayward California United States 94545
13 Pediatric Care Medical Group Huntington Beach California United States 92647
14 Loma Linda University Loma Linda California United States 92350
15 Loma Linda University Health Care Pediatric Clinic Loma Linda California United States 92354
16 Loma Linda University Medical Center Loma Linda California United States 92354
17 Loma Linda University Health Care - Moreno Valley Pediatrics Moreno Valley California United States 92557
18 Bayview Research Group, LLC Paramount California United States 90723
19 Center for Clinical Trials, LLC Paramount California United States 90723
20 Kaiser Permanente Sacramento Sacramento California United States 95815
21 California Research Foundation San Diego California United States 92103
22 Bayview Research Group, LLC Valley Village California United States 91607
23 Lynn Institute of the Rockies Colorado Springs Colorado United States 80907
24 Colorado Springs Family Practice Colorado Springs Colorado United States 80909
25 Radiant Research, Inc. Denver Colorado United States 80239
26 Norwich Pediatric Group, P.C. Norwich Connecticut United States 06360
27 University of South Florida Tampa Florida United States 33606
28 Emory University School of Medicine Department of Pediatrics Atlanta Georgia United States 30322
29 Emory University School of Medicine Atlanta Georgia United States 30322
30 Radiant Research, Inc Atlanta Georgia United States 30342
31 North Georgia Clinical Research Center dba Whites Pediatrics Dalton Georgia United States 30721
32 Pediatrics and Adolescent Medicine, PA Marietta Georgia United States 30062
33 Pediatrics and Adolescent Medicine Woodstock Georgia United States 30189
34 Advanced Clinical Research Meridian Idaho United States 83642
35 Northern Illinois Research Associates DeKalb Illinois United States 60115
36 Clinical Research Advantage, Inc./ Ridge Family Practice, PC Council Bluffs Iowa United States 51503
37 Heartland Research Associates, LLC Augusta Kansas United States 67010
38 Heartland Research Associates, LLC Wichita Kansas United States 67207
39 Via Christi Clinic, P.A. Wichita Kansas United States 67208
40 Kentucky Pediatric/Adult Research Bardstown Kentucky United States 40004
41 University of Louisville Pediatrics: Children and Youth Project Louisville Kentucky United States 40202
42 Brownsboro Park Pediatrics Louisville Kentucky United States 40207
43 Bluegrass Clinical Research, Inc. Louisville Kentucky United States 40291
44 Southwestern Medical Clinic Lakeland Healthcare Affiliate Stevensville Michigan United States 49127
45 Allina Health Bandana Square Clinic Saint Paul Minnesota United States 55108
46 Aspen Medical Group/ Odyssey Research Saint Paul Minnesota United States 55108
47 Aspen Medical Group Saint Paul Minnesota United States 55108
48 The Center for Pharmaceutical Research, PC Kansas City Missouri United States 64114
49 Saint Louis University Saint Louis Missouri United States 63104
50 Mercy Health Research Saint Louis Missouri United States 63141
51 Radiant Research, Inc. Saint Louis Missouri United States 63141
52 Sundance Clinical Research, LLC Saint Louis Missouri United States 63141
53 Clinical Research Advantage, Inc. / Prairie Fields Family Medicine, PC Fremont Nebraska United States 68025
54 Midwest Children's Health Research Institute Lincoln Nebraska United States 68504
55 Quality Clinical Research, Inc. Omaha Nebraska United States 68114
56 Creighton Pediatric Infectious Diseases Creighton University Medical Center Omaha Nebraska United States 68131
57 Clinical Research Center of Nevada Henderson Nevada United States 89014
58 Clinical Research Center of Nevada Las Vegas Nevada United States 89105
59 Child Health Care Associates East Syracuse New York United States 13057
60 Duke University Medical Center - Duke Health Center Durham North Carolina United States 27704
61 Durham Pediatrics Durham North Carolina United States 27704
62 Duke Health Center Durham North Carolina United States 27705
63 PMG Research of Raleigh, LLC - Raleigh North Carolina United States 27609
64 PMG Research of Raleigh, LLC Raleigh North Carolina United States 27609
65 PMG Research of Raleigh, LLC Raleigh North Carolina United States 27612
66 Innovis Health Fargo North Dakota United States 58103
67 Odyssey Research Fargo North Dakota United States 58104
68 Radiant Research, Inc Akron Ohio United States 44311
69 Cincinnati Center for Clinical Research, Satellite Site - Clinic Cincinnati Ohio United States 45206
70 Cincinnati Childrens Hospital Medical Center Gamble Program for Clinical Studies Cincinnati Ohio United States 45229-3039
71 Dr. Shelly David Senders, MD Inc. dba Senders Pediatrics Cleveland Ohio United States 44121
72 Senders Pediatrics Cleveland Ohio United States 44121
73 Rapid Medical Research, Inc. Cleveland Ohio United States 44122
74 Radiant Research Columbus Ohio United States 43212
75 Ohio Pediatric Research Association Dayton Ohio United States 45414
76 Ohio Pediatrics, Inc. Dayton Ohio United States 45414
77 Ohio Pediatrics, Inc. Huber Heights Ohio United States 45424
78 Ohio Pediatric Research Kettering Ohio United States 45420
79 Christopher Brad Redden, ARNP Healthcare One Urgent Care and Family Practice El Reno Oklahoma United States 73036
80 Lynn Institute of Norman (LION) Norman Oklahoma United States 73069
81 Lynn Health Science Institute Oklahoma City Oklahoma United States 73112
82 Oklahoma State University - Center for Health Sciences - Pediatric Research Tulsa Oklahoma United States 74127
83 Office of Richard Ohnmacht Cranston Rhode Island United States 02920
84 Omega Medical Research Warwick Rhode Island United States 02886
85 Radiant Research, Inc. Anderson South Carolina United States 29621
86 Charleston Pediatrics Charleston South Carolina United States 29401
87 PMG Research of Charleson Mount Pleasant South Carolina United States 29464
88 Internal Medicine & Pediatric Associates of Bristol, PC Bristol Tennessee United States 37620
89 PMG Research of Bristol Bristol Tennessee United States 37620
90 Clinical Research Associates, Inc. Nashville Tennessee United States 37203
91 Tekton Research, Inc. Austin Texas United States 78745
92 Radiant Research, Inc. Dallas Texas United States 75231
93 Advances in Health Research, Inc Houston Texas United States 77030
94 West Houston Clinical Research Service Houston Texas United States 77055
95 Pediatric Healthcare of Northwest Houston Houston Texas United States 77065
96 Pediatric Healthcare of Northwest Houston Houston Texas United States 77070
97 Texas Center for Drug Development, Inc. Houston Texas United States 77081
98 Child Care Associates San Antonio Texas United States 78212
99 Clinical Trials of Texas, Inc. San Antonio Texas United States 78229
100 Radiant Research, Inc. San Antonio Texas United States 78229
101 First Steps Pediatrics San Antonio Texas United States 78254
102 Pediatric Healthcare of Northwest Houston, PA Tomball Texas United States 77375
103 Pediatric Healthcare of Northwest Houston Tomball Texas United States 77375
104 Radiant Research, Inc. Murray Utah United States 84123
105 J. Lewis Resarch Incorporated, Foothill Family Clinic Salt Lake City Utah United States 84109
106 J. Lewis Research Inc. - Foothill Family Clinic South Salt Lake City Utah United States 84121
107 Jean Brown Research Salt Lake City Utah United States 84124
108 J. Lewis Research, Inc. - Jordan River Family Medicine South Jordan Utah United States 84095
109 Advanced Clinical Research West Jordan Utah United States 84088
110 PI-Coor Clinical Research, LLC Burke Virginia United States 22015
111 Pediatric Associates of Charlottesville, PLC Charlottesville Virginia United States 22902
112 Pediatric Associates of Charlottesville, PLC - West Satellite Charlottesville Virginia United States 22903
113 Pediatric Associates of Charlottesville, PLC - North Satellite Charlottesville Virginia United States 22911
114 The Vancouver Clinic Vancouver Washington United States 98664
115 The Vancouver Clinic Vancouver Washington United States 98686
116 Gundersen Clinic, LTD La Crosse Wisconsin United States 54601
117 Monroe Clinic Monroe Wisconsin United States 53566

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01461980
Other Study ID Numbers:
  • B1971015
  • 6108A1-2005
First Posted:
Oct 28, 2011
Last Update Posted:
Dec 20, 2018
Last Verified:
Nov 1, 2018

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail A total of 2648 participants were enrolled in this study. Of these, 19 participants were randomized but did not receive study vaccination.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Period Title: Overall Study
STARTED 888 878 882
Vaccination 1 884 870 875
Vaccination 2 802 819 799
Vaccination 3 757 777 748
COMPLETED 722 733 717
NOT COMPLETED 166 145 165

Baseline Characteristics

Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086 Total
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month. Total of all reporting groups
Overall Participants 888 878 882 2648
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
10.6
(0.70)
10.6
(0.69)
10.6
(0.67)
10.6
(0.69)
Sex: Female, Male (Count of Participants)
Female
454
51.1%
427
48.6%
417
47.3%
1298
49%
Male
434
48.9%
451
51.4%
465
52.7%
1350
51%

Outcome Measures

1. Primary Outcome
Title Geometric Mean Concentrations (GMC) for Diphtheria and Tetanus Antigens
Description Antibody GMCs of 2 antigens of diphtheria and tetanus toxoid were computed in International Units per milliliter (IU/mL) along with corresponding 2-sided 95 percent (%) confidence intervals (CIs). Here, 'number of participants analyzed' signifies participants with valid and determinate assay results for given antigen.
Time Frame 1 Month after Vaccination 1

Outcome Measure Data

Analysis Population Description
Post vaccination 1 evaluable immunogenicity population: eligible participants randomized to Group 1 or 2, received scheduled investigational product, had pre and post vaccination blood drawn at pre-specified time points, had valid, determinate assay results for proposed analysis, received no prohibited vaccines, no other major protocol violations.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule.
Measure Participants 778 780
Diphtheria
9.3
9.8
Tetanus
9.4
10.3
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Diphtheria: CIs for GMC ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Diphtheria antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMC ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMC ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMC Ratio
Estimated Value 0.94
Confidence Interval (2-Sided) 95%
0.86 to 1.03
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Tetanus: CIs for GMC ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Tetanus antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMC ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMC ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMC Ratio
Estimated Value 0.92
Confidence Interval (2-Sided) 95%
0.85 to 0.99
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Geometric Mean Concentrations (GMC) for Acellular Pertussis Antigens
Description Antibody GMCs of 4 acellular pertussis antigens (pertussis toxoid, pertussis filamentous hemagglutinin, pertussis pertactin and pertussis fimbrial agglutinogens types 2+3) were computed in Enzyme-linked immunosorbent assay (ELISA) units per milliliter (EU/mL) along with corresponding 2-sided 95% CIs.
Time Frame 1 Month after Vaccination 1

Outcome Measure Data

Analysis Population Description
Post vaccination 1 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies participants with valid and determinate assay results for given antigen.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule.
Measure Participants 778 780
Pertussis toxoid
13.2
14.2
Pertussis filamentous hemagglutinin
112.0
122.9
Pertussis pertactin
202.0
228.9
Pertussis fimbrial agglutinogens types 2+3
138.1
154.2
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Pertussis toxoid: CIs for GMC ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Pertussis toxoid).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMC ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMC ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMC Ratio
Estimated Value 0.93
Confidence Interval (2-Sided) 95%
0.85 to 1.02
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Pertussis filamentous hemagglutinin: CIs for GMC ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for pertussis filamentous hemagglutinin antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMC ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMC ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMC Ratio
Estimated Value 0.91
Confidence Interval (2-Sided) 95%
0.84 to 0.98
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Pertussis pertactin: CIs for GMC ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for pertussis pertactin antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMC ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMC ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMC Ratio
Estimated Value 0.88
Confidence Interval (2-Sided) 95%
0.80 to 0.98
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Pertussis fimbriae agglutinogens types 2 + 3: CIs for GMC ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for pertussis fimbriae agglutinogens types 2 + 3 antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMC ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMC ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMC Ratio
Estimated Value 0.90
Confidence Interval (2-Sided) 95%
0.74 to 1.08
Parameter Dispersion Type:
Value:
Estimation Comments
3. Primary Outcome
Title Geometric Mean Titer (GMT) for Meningococcal Conjugate Vaccine (MCV4) Antigens
Description Antibody GMTs of 4 MCV4 antigens (serogroup A, serogroup C, serogroup Y and serogroup W-135) were computed along with corresponding 2-sided 95% CIs.
Time Frame 1 Month after Vaccination 1

Outcome Measure Data

Analysis Population Description
Post vaccination 1 evaluable immunogenicity population. Here, 'N' signifies participants with valid and determinate assay results for given strain for each group, respectively.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule.
Measure Participants 779 781
Serogroup A (N=763, 772)
4647.3
5113.0
Serogroup C (N=768, 767)
1679.2
1650.2
Serogroup Y (N=771, 770)
2212.6
2244.9
Serogroup W-135 (N=751, 765)
5925.1
6367.9
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Serogroup A: CIs for GMT ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Serogroup A antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMT ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMT ratios after vaccination 1 was greater than 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMT Ratio
Estimated Value 0.91
Confidence Interval (2-Sided) 95%
0.82 to 1.01
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Serogroup C: CIs for GMT ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Serogroup C antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMT ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMT ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMT Ratio
Estimated Value 1.02
Confidence Interval (2-Sided) 95%
0.90 to 1.15
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Serogroup Y: CIs for GMT ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Serogroup Y antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMT ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMT ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMT Ratio
Estimated Value 0.99
Confidence Interval (2-Sided) 95%
0.89 to 1.09
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments Serogroup W-135: CIs for GMT ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for Serogroup W-135 antigens).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMT ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMT ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMT Ratio
Estimated Value 0.93
Confidence Interval (2-Sided) 95%
0.83 to 1.04
Parameter Dispersion Type:
Value:
Estimation Comments
4. Primary Outcome
Title Serum Bactericidal Assay Using Human Complement (hSBA) GMTs of PMB80 [A22] and PMB2948 [B24] 1 Month After Vaccination 3
Description Antibody hSBA GMTs of primary strain PMB80 [A22] and PMB2948 [B24] were computed along with corresponding 2-sided 95% CIs. hSBA titers from the 2 primary strains were logarithmically transformed for analysis. Here, 'number of participants analyzed' signifies evaluable immunogenicity population and 'N' signifies participants with valid and determinate assay results for given strain for each group, respectively.
Time Frame 1 Month after Vaccination 3

Outcome Measure Data

Analysis Population Description
Post vaccination 3 evaluable immunogenicity population: eligible participants randomized to Group 1 or 3, received scheduled investigational product, had pre and post vaccination blood drawn at pre-specified time points, had valid, determinate assay results for proposed analysis, received no prohibited vaccines, no other major protocol violations.
Arm/Group Title MCV4+Tdap+rLP2086 Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Measure Participants 683 679
PMB80 [A22] (N=679, 674)
45.9
49.7
PMB2948 [B24] (N=670, 656)
24.8
27.4
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments PMB80 [A22]: CIs for GMT ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for hSBA strain titers).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMT ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMT ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMT Ratio
Estimated Value 0.92
Confidence Interval (2-Sided) 95%
0.84 to 1.02
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MCV4+Tdap+rLP2086, MCV4+Tdap+Saline
Comments PMB2948 [B24]: CIs for GMT ratio were back transformations of a confidence interval based on the Student t distribution for the mean difference of the logarithms of the measures (Group 1 - Group 2 for hSBA strain titers).
Type of Statistical Test Non-Inferiority or Equivalence
Comments The non-inferiority criteria margin was 1.5-fold and statistical inference was based on the CIs of the GMT ratios. Non-inferiority was achieved when the lower limit of the 2-sided 95% CI for the GMT ratios after vaccination 1 was greater than 0.67.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter GMT Ratio
Estimated Value 0.90
Confidence Interval (2-Sided) 95%
0.82 to 1.00
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Percentage of Participants With Seroresponse for Tetanus, Diphtheria and Acellular Pertussis (Tdap) and Meningococcal Conjugate Vaccine (MCV4) Antigens
Description Seroconversion rate for Tdap antigens was defined as greater than or equal to (>=) 4-, 2-fold rise in antibody concentration, if prevaccination antibody concentration was less than or equal to (<=), greater than (>) cutoff value, respectively. For MCV4 antigens >=4-fold rise on serum bactericidal assay using rabbit complement (rSBA) titers if baseline value >= lower limit of quantitation (LLOQ), postdose rSBA titers >=2×LLOQ if baseline value was less than (<) LLOQ. Cutoff value =0.1 IU/mL for diphtheria and tetanus, 0.9,2.9,3.0,10.6 EU/mL for pertussis toxoid, filamentous hemagglutinin, pertactin, fimbriae agglutinogens types 2 + 3, respectively.
Time Frame 1 Month after Vaccination 1

Outcome Measure Data

Analysis Population Description
Post vaccination 1 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies participants with valid, determinate assay results for given antigen at specified time point and baseline. 'N' signifies number of participants with seroresponse.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule.
Measure Participants 779 781
Diphtheria (N=774, 780)
98.6
11.1%
98.3
11.2%
Tetanus (N=774, 780)
97.7
11%
97.4
11.1%
Pertussis toxoid (N=774, 780)
68.1
7.7%
72.7
8.3%
Pertussis filamentous hemagglutinin (N=774, 780)
85.3
9.6%
89.2
10.2%
Pertussis pertactin (N=774, 780)
96.0
10.8%
96.2
11%
Pertussis fimbriae AG types 2+3 (N=774, 780)
79.5
9%
81.9
9.3%
Serogroup A (N=712, 736)
85.4
9.6%
88.6
10.1%
Serogroup C (N=738, 742)
89.3
10.1%
88.9
10.1%
Serogroup Y (N=754, 753)
90.5
10.2%
93.6
10.7%
Serogroup W-135 (N=729, 752)
97.1
10.9%
97.2
11.1%
6. Secondary Outcome
Title Percentage of Participants Achieving Predefined Antibody Level for Diphtheria and Tetanus Antigens
Description Participants with antibody concentration level of greater than or equal to 1.0 IU/mL for diphtheria and tetanus antigens were computed along with corresponding 2-sided 95% CIs.
Time Frame 1 Month after Vaccination 1

Outcome Measure Data

Analysis Population Description
Post vaccination 1 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies participants with valid, determinate assay results for given antigen.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule.
Measure Participants 778 780
Tetanus
99.1
11.2%
99.0
11.3%
Diphtheria
98.1
11%
99.0
11.3%
7. Secondary Outcome
Title Serum Bactericidal Assay Using Human Complement (hSBA) GMTs of PMB80 [A22] and PMB2948 [B24] Before Vaccination 1 and 1 Month After Vaccination 2
Description Antibody hSBA of primary strain PMB80 [A22] and PMB2948 [B24] were computed along with corresponding 2-sided 95% CIs. hSBA titers from the 2 primary strains were logarithmically transformed for analysis.
Time Frame Before Vaccination 1, 1 Month after Vaccination (Vac) 2

Outcome Measure Data

Analysis Population Description
Post vaccination 3 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies evaluable immunogenicity population and 'N' signifies participants with valid and determinate assay results for given strain for each group, respectively.
Arm/Group Title MCV4+Tdap+rLP2086 Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Measure Participants 683 679
Before Vaccination 1: PMB80 [A22] (N=677, 677)
8.5
8.6
Before Vaccination 1: PMB2948 [B24] (N=677, 676)
4.1
4.2
1 Month after Vac 2: PMB80 [A22] (N=669, 665)
23.7
23.8
1 Month after Vac 2: PMB2948 [B24] (N=656, 650)
12.0
13.0
8. Secondary Outcome
Title Percentage of Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titer >= Lower Limit of Quantitation (LLOQ)
Description Percentage of participants achieving hSBA titer >= LLOQ were computed along with corresponding 2-sided 95% CIs. LLOQ was 1:16 for PMB80 [A22] and 1:8 for PMB2948 [B24].
Time Frame Before Vaccination 1, 1 Month after Vaccination (Vac) 2, 3

Outcome Measure Data

Analysis Population Description
Post vaccination 3 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies evaluable immunogenicity population and 'N' signifies participants with valid and determinate assay results for given strain for each group, respectively.
Arm/Group Title MCV4+Tdap+rLP2086 Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Measure Participants 683 679
Before Vaccination 1: PMB80[A22] 1:16 (N=677, 677)
4.4
0.5%
5.6
0.6%
1 month after Vac 2: PMB80[A22] 1:16 (N= 669, 665)
68.0
7.7%
68.0
7.7%
1 month after Vac 3: PMB80 [A22] 1:16 (N=679, 674)
87.5
9.9%
91.4
10.4%
Before Vaccination 1: PMB2948[B24] 1:8 (N=677,676)
1.6
0.2%
3.4
0.4%
1 month after Vac 2: PMB2948[B24] 1:8 (N=656, 650)
62.3
7%
66.0
7.5%
1 month after Vac 3: PMB2948[B24] 1:8 (N=670, 656)
90.0
10.1%
92.7
10.6%
9. Secondary Outcome
Title Percentage of Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titer >= Prespecified Titer Level
Description Antibody hSBA of primary strain PMB80 [A22] and PMB2948 [B24] with hSBA titers >=1:4, >=1:8, >=1:16, >=1:32, >=1:64, and >=1:128 were computed along with corresponding 2-sided 95% CIs.
Time Frame Before Vaccination 1, 1 Month after Vaccination (Vac) 2, 3

Outcome Measure Data

Analysis Population Description
Post vaccination 3 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies evaluable immunogenicity population and 'N' signifies participants with valid and determinate assay results for given strain for each group, respectively.
Arm/Group Title MCV4+Tdap+rLP2086 Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Measure Participants 683 679
Before Vaccination 1: PMB80[A22] 1:4 (N=677,677)
6.9
0.8%
7.5
0.9%
1 month after Vac 2: PMB80[A22] 1:4 (N=669, 665)
68.2
7.7%
68.6
7.8%
1 month after Vac 3: PMB80[A22] 1:4 (N=679, 674)
87.8
9.9%
91.7
10.4%
Before Vaccination 1: PMB80[A22] 1:8 (N=677, 677)
5.0
0.6%
6.4
0.7%
1 month after Vac 2: PMB80[A22] 1:8 (N=669, 665)
68.2
7.7%
68.1
7.8%
1 month after Vac 3: PMB80[A22] 1:8 (N=679, 674)
87.6
9.9%
91.5
10.4%
Before Vaccination 1: PMB80[A22] 1:32 (N=677, 677)
2.7
0.3%
3.2
0.4%
1 month after Vac 2: PMB80[A22] 1:32 (N=669, 665)
55.0
6.2%
54.4
6.2%
1 month after Vac 3: PMB80[A22] 1:32 (N=679, 674)
81.3
9.2%
84.7
9.6%
Before Vaccination 1: PMB80[A22] 1:64 (N=677,677)
0.7
0.1%
1.0
0.1%
1 month after Vac 2: PMB80[A22] 1:64 (N= 669, 665)
25.6
2.9%
25.0
2.8%
1 month after Vac 3: PMB80[A22] 1:64 (N=679, 674)
52.7
5.9%
55.6
6.3%
Before Vaccination 1: PMB80[A22] 1:128 (N=677,677)
0.1
0%
0.4
0%
1 month after Vac 2: PMB80[A22] 1:128 (N=669, 665)
6.9
0.8%
7.5
0.9%
1 month after Vac 3: PMB80[A22] 1:128 (N=679, 674)
23.6
2.7%
23.3
2.7%
Before Vaccination 1: PMB2948[B24] 1:4 (N=677,676)
2.1
0.2%
3.7
0.4%
1 month after Vac 2: PMB2948[B24] 1:4 (N=656, 650)
64.8
7.3%
68.2
7.8%
1 month after Vac 3: PMB2948[B24] 1:4 (N=670, 656)
90.7
10.2%
93.1
10.6%
Before Vaccination 1: PMB2948[B24] 1:16(N=677,676)
1.5
0.2%
2.1
0.2%
1 month after Vac 2: PMB2948[B24] 1:16(N=656,650)
57.6
6.5%
60.3
6.9%
1 month after Vac 3: PMB2948[B24] 1:16(N=670,656)
86.7
9.8%
88.9
10.1%
Before Vaccination 1: PMB2948[B24] 1:32(N=677,676)
0.4
0%
0.6
0.1%
1 month after Vac 2: PMB2948[B24] 1:32(N=656,650)
26.2
3%
28.2
3.2%
1 month after Vac 3: PMB2948[B24] 1:32(N=670, 656)
55.1
6.2%
60.7
6.9%
Before Vaccination 1:PMB2948[B24] 1:64(N= 677,676)
0.4
0%
0.3
0%
1 month after Vac 2: PMB2948[B24] 1:64 (N=656,650)
8.7
1%
10.3
1.2%
1 month after Vac 3: PMB2948[B24] 1:64 (N=670,656)
22.5
2.5%
24.1
2.7%
Before Vaccination 1:PMB2948[B24] 1:128(N=677,676)
0.1
0%
0.1
0%
1 month after Vac 2: PMB2948[B24] 1:128(N=656,650)
2.4
0.3%
3.4
0.4%
1 month after Vac 3: PMB2948[B24] 1:128(N=670,656)
6.6
0.7%
7.8
0.9%
10. Other Pre-specified Outcome
Title Immunogloblulin G (IgG) Measured by GMC
Description IgG GMCs of 4 MCV4 antigens (serogroup A, serogroup C, serogroup Y and serogroup W-135) of participants were computed along with corresponding 2-sided 95% CIs. CIs were back transformations of confidence levels based on Student t distribution for mean logarithm of titers.
Time Frame Before Vaccination 1, 1 Month after Vaccination 1

Outcome Measure Data

Analysis Population Description
Post vaccination 1 evaluable immunogenicity population.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule.
Measure Participants 779 781
Before Vaccination 1: Serogroup A
0.17
0.15
1 Month after Vaccination 1: Serogroup A
11.42
11.38
Before Vaccination 1: Serogroup C
0.11
0.11
1 Month after Vaccination 1: Serogroup C
5.59
5.47
Before Vaccination 1: Serogroup Y
0.14
0.13
1 Month after Vaccination 1: Serogroup Y
2.49
2.14
Before Vaccination 1: Serogroup W-135
0.13
0.13
1 Month after Vaccination 1: Serogroup W-135
1.79
1.84
11. Other Pre-specified Outcome
Title Percentage of Participants Achieving at Least 4-Fold Increase in Serum Bactericidal Assay Using Human Complement (hSBA) Titer Level
Description
Time Frame 1 Month after Vaccination (Vac) 2, 3

Outcome Measure Data

Analysis Population Description
Post vaccination 3 evaluable immunogenicity population. Here, 'number of participants analyzed' signifies evaluable immunogenicity population and 'N' signifies participants with valid and determinate hSBA titers for the given strain at both the specified time point and baseline.
Arm/Group Title MCV4+Tdap+rLP2086 Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Measure Participants 683 679
1 month after Vac 2 : PMB80 [A22] (N=663, 663)
64.3
7.2%
63.7
7.3%
1 month after Vac 3 : PMB80 [A22] (N=673, 672)
84.0
9.5%
88.7
10.1%
1 month after Vac 2 : PMB2948 [B24] (N=650, 647)
56.3
6.3%
58.4
6.7%
1 month after Vac 3 : PMB2948 [B24] (N=664, 653)
85.7
9.7%
87.7
10%
12. Other Pre-specified Outcome
Title Percentage of Participants With at Least One Adverse Event (AE)
Description An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship.
Time Frame Vaccination phase (baseline up to 1 month after Vaccination 3); Follow-up phase (from 1 month up to 6 months after Vaccination 3)

Outcome Measure Data

Analysis Population Description
Safety population included all participants who received at least 1 dose of the investigational product and had safety information available. 'N' signifies participants evaluable for this measure during specified time period.
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
Measure Participants 883 870 875
Vaccination phase: Adverse Events (N=883,870,875)
42.9
4.8%
42.6
4.9%
46.2
5.2%
Follow-up phase: Adverse Events (N=777,776,771)
1.0
0.1%
0.5
0.1%
1.3
0.1%

Adverse Events

Time Frame AEs: recorded from signing of informed consent form (ICF) to completion of study. SAEs: recorded from signing of ICF to 196 days of follow up period. Participant recorded pre--specified AEs in electronic diary (up to 7 days after vaccination)
Adverse Event Reporting Description SAEs and AEs were grouped by system organ class and preferred term. AEs included AEs collected in the electronic diary (local and systemic reactions; systematic assessment) and AEs collected on the case report form at each visit (nonsystematic assessment).
Arm/Group Title MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086
Arm/Group Description Randomized to receive Quadrivalent meningococcal polysaccharide conjugate (MCV4) and Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine on 0- month, Neisseria meningitidis serogroup B (MnB) bivalent recombinant lipoprotein 2086 (rLP2086) vaccine on a 0-, 2-, 6- month schedule. Randomized to receive MCV4 and Tdap vaccine on 0- month, Saline on a 0-, 2-, 6- month schedule. Randomized to receive Saline on 0- month, rLP2086 vaccine on a 0-, 2-, 6- month schedule, MCV4 and Tdap vaccine on 7- month.
All Cause Mortality
MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 15/883 (1.7%) 9/870 (1%) 11/875 (1.3%)
Congenital, familial and genetic disorders
Adrenogenital syndrome 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Congenital spinal cord anomaly 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Gastrointestinal disorders
Pancreatitis acute 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Infections and infestations
Appendicitis 1/883 (0.1%) 0/870 (0%) 1/875 (0.1%)
Bone abscess 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Gastroenteritis 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Influenza 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Pneumonia 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Pneumonia viral 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Tooth abscess 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Injury, poisoning and procedural complications
Concussion 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Epiphyseal fracture 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Excoriation 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Joint injury 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Radius fracture 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Wound secretion 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Metabolism and nutrition disorders
Type 1 diabetes mellitus 0/883 (0%) 1/870 (0.1%) 1/875 (0.1%)
Diabetic ketoacidosis 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Hyperglycaemia 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Musculoskeletal and connective tissue disorders
Bone cyst 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Scoliosis 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Nervous system disorders
Convulsion 0/883 (0%) 1/870 (0.1%) 1/875 (0.1%)
Dural arteriovenous fistula 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Hemiplegic migraine 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Migraine 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Syncope 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Cerebrovascular accident 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Psychiatric disorders
Affective disorder 1/883 (0.1%) 1/870 (0.1%) 0/875 (0%)
Depression suicidal 0/883 (0%) 1/870 (0.1%) 0/875 (0%)
Disorientation 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Encopresis 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Post-traumatic stress disorder 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Psychogenic seizure 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Respiratory, thoracic and mediastinal disorders
Asthma 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Pneumomediastinum 0/883 (0%) 0/870 (0%) 1/875 (0.1%)
Vascular disorders
Haemorrhage 1/883 (0.1%) 0/870 (0%) 0/875 (0%)
Other (Not Including Serious) Adverse Events
MCV4+Tdap+rLP2086 MCV4+Tdap+Saline Saline+Saline+rLP2086
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 277/883 (31.4%) 260/870 (29.9%) 292/875 (33.4%)
Gastrointestinal disorders
Vomiting 18/883 (2%) 21/870 (2.4%) 19/875 (2.2%)
Nausea 10/883 (1.1%) 9/870 (1%) 14/875 (1.6%)
Abdominal pain 2/883 (0.2%) 7/870 (0.8%) 10/875 (1.1%)
General disorders
Injection site pain 19/883 (2.2%) 21/870 (2.4%) 15/875 (1.7%)
Pyrexia 20/883 (2.3%) 14/870 (1.6%) 17/875 (1.9%)
Infections and infestations
Upper respiratory tract infection 47/883 (5.3%) 61/870 (7%) 70/875 (8%)
Pharyngitis 38/883 (4.3%) 27/870 (3.1%) 28/875 (3.2%)
Pharyngitis streptococcal 23/883 (2.6%) 20/870 (2.3%) 30/875 (3.4%)
Nasopharyngitis 22/883 (2.5%) 19/870 (2.2%) 16/875 (1.8%)
Gastroenteritis viral 15/883 (1.7%) 15/870 (1.7%) 25/875 (2.9%)
Gastroenteritis 15/883 (1.7%) 20/870 (2.3%) 16/875 (1.8%)
Sinusitis 18/883 (2%) 13/870 (1.5%) 17/875 (1.9%)
Otitis media 17/883 (1.9%) 11/870 (1.3%) 14/875 (1.6%)
Bronchitis 5/883 (0.6%) 6/870 (0.7%) 15/875 (1.7%)
Viral infection 4/883 (0.5%) 7/870 (0.8%) 12/875 (1.4%)
Conjunctivitis 9/883 (1%) 6/870 (0.7%) 3/875 (0.3%)
Otitis externa 17/883 (1.9%) 11/870 (1.3%) 14/875 (1.6%)
Injury, poisoning and procedural complications
Fall 12/883 (1.4%) 13/870 (1.5%) 16/875 (1.8%)
Ligament sprain 12/883 (1.4%) 12/870 (1.4%) 13/875 (1.5%)
Musculoskeletal and connective tissue disorders
Pain in extremity 9/883 (1%) 4/870 (0.5%) 8/875 (0.9%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Skin papilloma 9/883 (1%) 2/870 (0.2%) 3/875 (0.3%)
Nervous system disorders
Headache 24/883 (2.7%) 29/870 (3.3%) 26/875 (3%)
Respiratory, thoracic and mediastinal disorders
Cough 26/883 (2.9%) 20/870 (2.3%) 31/875 (3.5%)
Oropharyngeal pain 17/883 (1.9%) 13/870 (1.5%) 23/875 (2.6%)
Nasal congestion 4/883 (0.5%) 5/870 (0.6%) 11/875 (1.3%)
Rhinitis allergic 6/883 (0.7%) 4/870 (0.5%) 10/875 (1.1%)
Asthma 6/883 (0.7%) 4/870 (0.5%) 9/875 (1%)
Skin and subcutaneous tissue disorders
Dermatitis contact 11/883 (1.2%) 1/870 (0.1%) 5/875 (0.6%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01461980
Other Study ID Numbers:
  • B1971015
  • 6108A1-2005
First Posted:
Oct 28, 2011
Last Update Posted:
Dec 20, 2018
Last Verified:
Nov 1, 2018