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Nimenrix

Phase 3

Infections, Meningococcal | Monoclonal antibody | Other |GSK plc|Last Updated: Dec 31, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials5
Total Enrollment5,299
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01266993Persistence and Booster Study of GSK Biologicals' Meningococcal Vaccine (GSK134612) in Healthy ChildrenPHASE3 COMPLETED 271Jan 3, 2011May 17, 2014Nov 23, 202024 France, Germany
NCT01144663Immunogenicity and Safety of Meningococcal Vaccine GSK 134612 Co-administered With Pneumococcal and DTPa-HBV-IPV/Hib VaccinesPHASE3 COMPLETED 2,095Jul 1, 2010Sep 10, 2013Dec 31, 202044 Estonia, Germany +1
NCT00514904Non-Inferiority of Meningococcal Vaccine GSK134612 Versus Mencevax™ in 2-10 Year Old SubjectsPHASE3 COMPLETED 1,504Sep 18, 2007Jan 6, 2009Oct 27, 20207 India, Lebanon +2
NCT00465816Primary Study to Demonstrate Non-inferiority and Immunogenicity of GSK Biologicals' Meningococcal Vaccine 134612PHASE3 COMPLETED 611Apr 11, 2007Apr 28, 2008Jun 8, 20186 Denmark, Sweden
NCT00715910The Long-term Antibody Persistence of GSK Biologicals' Meningococcal Vaccine GSK134612 in Healthy Adolescents/AdultsPHASE2 COMPLETED 818Jul 1, 2008Oct 1, 2013Nov 27, 201410 United States
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Study Endpoints
Primary Endpoints
Number of Subjects With Serum Bactericidal Assay, Using Baby Rabbit Complement, Against Neisseria Meningitides Serogroup A, C, W-135, Y (rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY) Antibody Titers Was Greater Than or Equal to (≥) 1:8, at Month 32.
At Month 32, post-primary vaccination

The pre-defined cut-off value of the assay for the rSBA titers was greater than or equal to (≥) 1:8. These analyses have been performed by the Health Protection Agency (HPA) laboratory.

Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ 1:8, at Month 44.
At Month 44, post-primary vaccination

The pre-defined cut-off value of the assay for the rSBA titers was greater than or equal to (≥) 1:8. These analyses have been performed by the Health Protection Agency (HPA) laboratory.

Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ 1:8, at Month 56.
At Month 56, post-primary vaccination

The pre-defined cut-off value of the assay for the rSBA titers was greater than or equal to (≥) 1:8. These analyses have been performed by the Health Protection Agency (HPA) laboratory.

Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ 1:8, at Month 68.
At Month 68, post-primary vaccination

The pre-defined cut-off value of the assay for the rSBA titers was greater than or equal to (≥) 1:8. These analyses have been performed by the Health Protection Agency (HPA) laboratory.

Percentage of Subjects With Serum Bactericidal Assay Using Baby Rabbit Complement Against Meningococcal Serogroups A, W-135 and Y (rSBA-MenA, rSBA-MenW-135 and rSBA-Y) Antibody Titers Greater Than or Equal to (≥) the Cut-off Value.
One month after the final primary vaccination at Month 3

The cut-off value for the rSBA-MenA, rSBA-MenW-135 and rSBA-Y titers was greater than or equal to (≥) 1:8. Indication of the immunogenicity of the 2-dose and 3-dose schedules: the lower limit of the two-sided exact 95% CI for the percentage of subjects with post-primary vaccination rSBA antibody titre ≥ 1:8 is greater than or equal to the pre-defined clinical limit of 80%.

Number of Subjects With rSBA-MenC Antibody Titers ≥ the Cut-off Value
One month after the final primary vaccination at Month 3

The cut-off value for rSBA-MenC titers was ≥ 1:8.

Number of Subjects With Vaccine Response to N. Meningitidis Serogroups A (MenA), MenC, MenY and MenW-135
One month after vaccination (Post-vaccination, study Month 1)

Vaccine response was defined as an rSBA titer of at least 1:32 in subjects initially seronegative (\< 1:8) and as 4-fold increase in titer from pre- to post-vaccination in subjects initially seropositive (≥ 1:8).

Number of Subjects With Grade 3 General Symptoms (Solicited and Unsolicited)
During the 4-day (Days 0-3) post-vaccination period

Grade 3 symptom was defined as symptom that prevented normal, everyday activities.

Meningococcal Polysaccharide A Serum Bactericidal Antibodies/Assay, Using Baby Rabbit Complement for Assay (rSBA-MenA), rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Titers
At 1 month after vaccination with Nimenrix vaccine (Month 1)

The rSBA titers were expressed as geometric mean titers (GMTs).

Number of Subjects Seroconverted for Hepatitis A
At 1 month after the third dose of Twinrix vaccine (Month 7)

A seroconverted subject was defined as a subject with anti-Hepatitis A virus (HAV) antibody concentration greater than or equal to 15 milli-International Units per Milliliter (mIU/mL) in previously seronegative subjects.

Number of Subjects Seroprotected for Hepatitis B
At 1 month after the third dose of Twinrix vaccine (Month 7)

A seroprotected subject was defined as a subject with anti-Hepatitis B surface antigen (HBs) antibody concentration greater than or equal to 10 milli-International Units per Milliliter (mIU/mL).

Number of Subjects With Serum Bactericidal Assay (Using Human Complement) (hSBA) Titers Equal to or Above the Cut-off Values
At year 1 persistence

hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:8.

Number of Subjects With hSBA Titers Equal to or Above the Cut-off Values
At year 3 persistence

hSBA antibody titers were assessed for the hSBA-MenA, hSBA-MenC, hSBA-MenW-135, and hSBA-MenY serogroups respectively. The antibody cut-off value assessed was equal to or above 1:8.

Secondary Endpoints
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ 1:128, at Month 32.
At Month 32, post-primary vaccination
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ 1:128, at Month 44.
At Month 44, post-primary vaccination
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ 1:128, at Month 56.
At Month 56, post-primary vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Nimenrix GroupEXPERIMENTALHealthy male or female subjects aged 2 through 10 years old, who were primed with one dose of Nimenrix vaccine during the primary 111414 study (NCT00674583), additionally received one booster dose of Nimenrix vaccine in the current study, at Month 68, administered intramuscularly in the deltoid region of the non-dominant arm.
Menjugate GroupEXPERIMENTALHealthy male or female subjects aged 2 through 10 years old, who were primed with one dose of Menjugate vaccine during the primary 111414 study (NCT00674583), additionally received one booster dose of Menjugate vaccine in the current study, at Month 68, administered intramuscularly in the deltoid region of the non-dominant arm.
Nimenrix 3 GroupEXPERIMENTALHealthy male or female subjects aged between and including, 6 and 12 weeks of age, intramuscularly received 3 primary doses of Nimenrix™ vaccine at 2, 3 and 4 months of age, followed by a booster dose of Nimenrix™ vaccine at 12 months of age. Subjects were also administered intramuscular injections of Infanrix™ hexa and Synflorix™ vaccines at 2, 3, 4 and 12 months of age.
Nimenrix 2 GroupEXPERIMENTALHealthy male or female subjects aged between and including, 6 and 12 weeks of age, intramuscularly received 2 primary doses of Nimenrix™ vaccine at 2 and 4 months of age, followed by a booster dose of Nimenrix™ vaccine at 12 months of age. Subjects were also administered intramuscular injections of Infanrix™ hexa and Synflorix™ vaccines at 2, 4 and 12 months of age.
NeisVac-C GroupACTIVE_COMPARATORHealthy male or female subjects aged between and including, 6 and 12 weeks of age, intramuscularly received 2 primary doses of NeisVac-C™ vaccine at 2 and 4 months of age, followed by a booster dose of NeisVac-C™ vaccine at 12 months of age. Subjects were also administered intramuscular injections of Infanrix™ hexa and Synflorix™ vaccines at 2, 4 and 12 months of age.
Mencevax ACWY GroupACTIVE_COMPARATORSubjects received 1 dose of Mencevax ACWY vaccine at Month 0. Mencevax ACWY vaccine was administered subcutaneously into the upper region of the non-dominant arm.
Nimenrix + Twinrix GroupEXPERIMENTALSubjects received 1 dose of Nimenrix™ vaccine at Month 0 and 1 dose of Twinrix™ vaccine at Months 0, 1 and 6.
Twinrix GroupACTIVE_COMPARATORSubjects received 1 dose of Twinrix™ vaccine at Months 0, 1 and 6.
Nimenrix 1 GroupEXPERIMENTALSubjects 11-25 years of age who were previously vaccinated with 1 dose of Nimenrix vaccine at the time of vaccination
Menactra GroupACTIVE_COMPARATORSubjects 11-25 years of age who were previously vaccinated with 1 dose of Menactra vaccine at the time of vaccination
Nimenrix Naive GroupEXPERIMENTALSubjects 15 to \<31 years of age at the time of primary vaccination with 1 dose of Nimenrix vaccine at year 5 of the current study
Nimenrix Pooled GroupEXPERIMENTALPooled group of subjects 10-25 years of age from Nimenrix 1 and Nimenrix 2 groups in the primary study (NCT00454909) who had received 1 dose of Nimenrix vaccine in that study and will receive a booster dose in this current study.
Menactra Booster GroupACTIVE_COMPARATORSubjects 11-25 years of age who had received 1 dose of Menactra vaccine in primary study (NCT00454909) and will receive 1 dose of Nimenrix vaccine in this current study.
Interventions
NameTypeDescription
Nimenrix (GSK134612 vaccine)BIOLOGICALIntramuscular, 1 dose
MenjugateBIOLOGICALIntramuscular, 1 dose
Nimenrix™BIOLOGICAL4- or 3-dose intramuscular injection
Menjugate®BIOLOGICAL3-dose intramuscular injection
NeisVac-CTMBIOLOGICAL3-dose intramuscular injection
Infanrix™ hexaBIOLOGICAL4-dose intramuscular injection
Synflorix™BIOLOGICAL4-dose intramuscular injection
NimenrixBIOLOGICALSingle dose, intramuscular injection
MencevaxBIOLOGICALSingle dose, subcutaneous injection
Nimenrix (Meningococcal vaccine 134612)BIOLOGICALSingle dose intramuscular injection
TwinrixBIOLOGICAL3-dose intramuscular injection. Twinrix Adult will be administered to subjects aged 16 years and above and Twinrix Junior will be administered to subjects aged from 11 years up to and including 15 years of age.
Blood samplingPROCEDUREBlood samples will be collected from subjects 10-25 years of age as per enrollment in primary study and from subjects in the Nimerix Naive Group at Month 60 (Year 5) and 1 month post booster vaccination (Month 61).
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Eligibility Criteria
Age Range4 Years — 16 Years
SexALL
Healthy VolunteersYes
Study Sites24

Inclusion Criteria: * Subjects who the investigator believes that their parent(s)/Legally Acceptable Representative(s) can and will comply with the requirements of the protocol should be enrolled in the study. * A male or female who was primed with MenACWY-TT or Menjugate in the primary vaccination...

Countries:FranceGermanyEstoniaSpainIndiaLebanonPhilippinesSaudi ArabiaDenmarkSwedenUnited States
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