Men4age study

2024-513640-29-00 Protocol IIV-407 Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 13 May 2024 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol IIV-407

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 280
Countries 1
Sites 1

Invasive meningococcal disease, sepsis, meningitis

Functional antibody levels against MenA, MenC, MenW and MenY are measured using the serum bactericidal antibody (SBA) assay.

Key facts

Sponsor
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Participant type
Healthy volunteers
Age range
65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
13 May 2024 → ongoing
Decision date (initial)
2024-05-13
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
RIVM

External identifiers

EU CT number
2024-513640-29-00
EudraCT number
2019-001301-24

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic

Functional antibody levels against MenA, MenC, MenW and MenY are measured using the serum bactericidal antibody (SBA) assay.

Secondary objectives 9

  1. To compare SBA levels of ≥8 (persistence of vaccine induced protective antibody levels) at 1 month and 1 year within the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  2. To determine serum MenA-PS, MenC-PS, MenW-PS and MenY-PS specific IgG levels at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  3. To determine serum IgG antibody levels against tetanus, the carrier protein for both vaccines, at 1 month and 1 year and compare within the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  4. To determine serum IgA and IgM levels against MenA, MenC, MenW and MenY at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  5. To determine MenC-PS specific IgG subclasses (IgG1/IgG2 ratio) and avidity at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  6. To determine long-term persistence of functional serum antibody (IgG, IgA and IgM) titers (GMTs)/levels (GMCs) 5 years after primary vaccination
  7. To determine salivary MenA-PS, MenC-PS, MenW-PS and MenY-PS-specific IgG, IgA and IgM levels after primary and booster vaccination.
  8. To compare the serum MenA-Ps, MenC-PS, MenW-PS and MenY-PS specific IgG, IgA and IgM levels and SBA titers from this study to the results found in the StimulAge study (NL48510.100.14)
  9. To compare the salivary MenA-Ps, MenC-PS, MenW-PS and MenY-PS specific IgG, IgA and IgM levels from this study to the results found in the StimulAge study (NL48510.100.14)

Conditions and MedDRA coding

Invasive meningococcal disease, sepsis, meningitis

VersionLevelCodeTermSystem organ class
20.0 PT 10076061 Meningococcal immunisation 100000004865

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Participants eligible for this study are Dutch older persons 65-85 years of age
  2. Moderate to good general health with regard to age
  3. Did not receive a MenACWY-TT vaccine before

Exclusion criteria 14

  1. Antibiotic use within 14 days of enrolment
  2. Severe acute infectious illness or fever above 38.0 °C within 14 days before vaccination
  3. Present evidence of serious diseases either demanding regular use of oral immunosuppressive medical treatment, like corticosteroids, that might interfere with the results of the study within the last 3 months or demanding acute use of high dose oral immunosuppressive that might interfere with the results of the study within the last 2 weeks
  4. Occurrence of a serious adverse event after other vaccination by medical history
  5. Known or suspected immune deficiency
  6. Known or suspected coagulation disorder
  7. Oral hormone use, such as postmenopausal hormones, within the last 3 months
  8. History of one of the following neurological disorders: multiple sclerosis, Parkinson’s disease, or epilepsy
  9. Previous administration of plasma-serum products including immunoglobulins within 6 months before vaccination and blood sampling
  10. Serious surgery within the last 3 months
  11. Previous vaccination with the MenC, MenC-TT or MenACWY-TT vaccine
  12. Previous confirmed or suspected meningococcal disease
  13. Any vaccination within a month before enrolment
  14. Known or suspected allergy to any of the vaccine components (by medical history)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Functional antibody levels against MenA, MenC, MenW and MenY are measured using the serum bactericidal antibody (SBA) assay.

Secondary endpoints 9

  1. To compare SBA levels of ≥8 (persistence of vaccine induced protective antibody levels) at 1 month and 1 year within the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  2. To determine serum MenA-PS, MenC-PS, MenW-PS and MenY-PS specific IgG levels at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  3. To determine serum IgG antibody levels against tetanus, the carrier protein for both vaccines, at 1 month and 1 year and compare within the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  4. To determine serum IgA and IgM levels against MenA, MenC, MenW and MenY at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  5. To determine MenC-PS specific IgG subclasses (IgG1/IgG2 ratio) and avidity at 1 month and 1 year and compare between the two age groups and 1 month and 1 year after the booster vaccination in the booster-subcohort
  6. To determine long-term persistence of functional serum antibody (IgG, IgA and IgM) titers (GMTs)/levels (GMCs) 5 years after primary vaccination
  7. To determine salivary MenA-PS, MenC-PS, MenW-PS and MenY-PS-specific IgG, IgA and IgM levels after primary and booster vaccination.
  8. To compare the serum MenA-Ps, MenC-PS, MenW-PS and MenY-PS specific IgG, IgA and IgM levels and SBA titers from this study to the results found in the StimulAge study (NL48510.100.14)
  9. To compare the salivary MenA-Ps, MenC-PS, MenW-PS and MenY-PS specific IgG, IgA and IgM levels from this study to the results found in the StimulAge study (NL48510.100.14)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Nimenrix powder and solvent for solution for injection in pre-filled syringe Meningococcal groups A, C, W-135 and Y conjugate vaccine

PRD6527232 · Product

Active substance
N. Meningitidis Group C (Strain C11) Polysaccharide (De-O-Acetylated) Conjugated to Tetanus Toxoid
Substance synonyms
MENINGOCOCCAL GROUP C CONJUGATE VACCINE (TETANUS TOXOID CONJUGATE), NEISSERIA MENINGITIDIS GROUP C POLYSACCHARIDE CONJUGATED TO TETANUS TOXOID CARRIER PROTEIN
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AH08 — -
Marketing authorisation
EU/1/12/767/003
MA holder
PFIZER EUROPE MA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rijksinstituut voor Volksgezondheid en Milieu (RIVM)

5 Total trials 4 Ended
Academic / Non-commercial
Sponsor organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Address
Antonie Van Leeuwenhoeklaan 9
City
Bilthoven
Postcode
3721 MA
Country
Netherlands

Scientific contact point

Organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Contact name
Gerco den Hartog

Public contact point

Organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Contact name
Gerco den Hartog

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruitment ended 280 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruitment ended
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
IIV, Antonie Van Leeuwenhoeklaan 9, 3721 MA, Bilthoven

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-05-13 2024-05-13 2025-10-30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-513640-29-00 Redacted 9
Protocol (for publication) D4_Patient Facing documents_Questionnaires 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 2024-513640-29-00 1
Recruitment arrangements (for publication) K2_NL_Recruitment material_tekst folder 5
Recruitment arrangements (for publication) K2_NL_Recruitment material_wervingsbrief 5.1
Subject information and informed consent form (for publication) L1_SIS and ICF adults Redacted 7.1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Nimenrix 1
Synopsis of the protocol (for publication) D1_Protocol_synopsis MS NL 2024-513640-29-00 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-26 Netherlands Acceptable
2024-05-13
2024-05-13
2 SUBSTANTIAL MODIFICATION SM-1 2025-10-09 Netherlands Acceptable
2025-10-27
2025-10-27