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Nimenrix

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials5
Total Enrollment5,299

FDA Designations

No designations recorded

Clinical trial landscape

Nimenrix · 5 trials · 2 indications

Phase 3 4Phase 2 1
NCT01266993Persistence and Booster Study of GSK Biologicals' Meningococcal Vaccine (GSK134612) in Healthy ChildrenInfections, Meningococcal
COMPLETED271 Analytics
NCT01144663Immunogenicity and Safety of Meningococcal Vaccine GSK 134612 Co-administered With Pneumococcal and DTPa-HBV-IPV/Hib VaccinesInfections, Meningococcal
COMPLETED2,095 Analytics
NCT00514904Non-Inferiority of Meningococcal Vaccine GSK134612 Versus Mencevax™ in 2-10 Year Old SubjectsInfections, Meningococcal
COMPLETED1,504 Analytics
NCT00465816Primary Study to Demonstrate Non-inferiority and Immunogenicity of GSK Biologicals' Meningococcal Vaccine 134612Infections, Meningococcal
COMPLETED611 Analytics
PHASE3COMPLETED
Persistence and Booster Study of GSK Biologicals' Meningococcal Vaccine (GSK134612) in Healthy Children
Infections, MeningococcalUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety of Meningococcal Vaccine GSK 134612 Co-administered With Pneumococcal and DTPa-HBV-IPV/Hib Vaccines
Infections, MeningococcalUnlock trial analytics
PHASE3COMPLETED
Non-Inferiority of Meningococcal Vaccine GSK134612 Versus Mencevax™ in 2-10 Year Old Subjects
Infections, MeningococcalUnlock trial analytics
PHASE3COMPLETED
Primary Study to Demonstrate Non-inferiority and Immunogenicity of GSK Biologicals' Meningococcal Vaccine 134612
Infections, MeningococcalUnlock trial analytics

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 to 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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Frequently asked questions about Nimenrix

What is Nimenrix used for?

Nimenrix is a vaccine used for meningococcal infections, specifically to prevent disease caused by Neisseria meningitidis. It is being developed for use in adults, adolescents, and children as young as 2 years old. The vaccine is designed to provide protection against multiple serogroups of the bacteria.

Who makes Nimenrix?

Nimenrix is developed by GSK plc, a global biopharma company traded on the London Stock Exchange under the ticker GSK. GSK is conducting clinical trials to evaluate the vaccine's safety and immunogenicity in various age groups and geographic regions.

What phase is Nimenrix in?

Nimenrix is in Phase 3 clinical development. It has completed five trials, including four Phase 3 studies and one Phase 2 study, with a total enrollment of 5,299 participants. The vaccine is investigational and has not been approved by regulatory authorities.

What clinical trials is Nimenrix in?

Nimenrix has completed five clinical trials, including NCT00465816, a Phase 3 non-inferiority study in adolescents in Denmark and Sweden; NCT00514904, a Phase 3 trial in children aged 2-10 years across India, Lebanon, Philippines, and Saudi Arabia; NCT00715910, a Phase 2 antibody persistence study in US adults; and NCT01266993, a Phase 3 persistence and booster study in children in France and Germany.

How does Nimenrix work?

Nimenrix is a monoclonal antibody-based vaccine that works by stimulating the immune system to produce antibodies against Neisseria meningitidis, the bacteria that cause meningococcal disease. It is designed to elicit a protective immune response against multiple serogroups of the bacteria.

Is Nimenrix FDA approved?

Nimenrix is not FDA approved. It is an investigational vaccine currently in Phase 3 clinical development. All completed trials have been in healthy volunteers, and the vaccine has not yet received regulatory approval in the United States or other markets.