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MenABCWY+OMV

Phase 2

Meningococcal Disease | Monoclonal antibody | Other |Novartis AG|Last Updated: Sep 12, 2018

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment499
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02140762Effectiveness, Immunogenicity and Safety of Meningococcal ABCWY Vaccine Administered to Healthy AdolescentsPHASE2 COMPLETED 305May 1, 2014Feb 1, 2015Sep 12, 20188 United States
NCT01992536Phase 2, Observer-Blind, Placebo-Controlled, Randomized, Multi-Center Extension Study to Evaluate the Safety and Immunogenicity of a Booster Dose of a MenABCWY Vaccine Administered 24 Months Following the Primary Series to Adolescents and Young Adults Who Participated in V102_03 (NCT01272180)PHASE2 COMPLETED 194Dec 1, 2013Apr 1, 2015Oct 25, 201613 United States, Poland
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Study Endpoints
Primary Endpoints
Percentage of Subjects Without Bactericidal Activity at 1:4 Dilution Against Each US Neisseria Meningitidis (N. Meningitidis) Serogroup B Strain at One Month After the Second Vaccination.
One month after the second vaccination (month 3)

The combined percentage of subjects without bactericidal activity at 1:4 dilution using the endogenous complement human Serum Bactericidal Assay (enc-hSBA) across all strains in MenABCWY group and MenACWY group is reported at one month after the second injection. The percentage of subjects without bactericidal activity at 1:4 dilution was used to assess the effectiveness of two doses of MenABCWY vaccine when compared to one dose of Men ACWY vaccine against a panel of US N. meningitidis serogroup B invasive disease strains. Least Square (LS)-mean computed from the generalized linear model.

1. Percentages of Subjects With HT-hSBA (High-throughput Human Serum Bactericidal Assay) Seroresponse Against N. Meningitidis Serogroups A, C, W and Y.
Day 30

Percentages of subjects having HT-hSBA seroresponse against N. meningitidis serogroups A, C, W and Y, following administration of a booster dose of MenABCWY, in the present study, in subjects who previously received the same MenABCWY vaccine formulation in study V102\_03 (NCT01272180). Seroresponse to N. meningitidis serogroups A, C, W and Y is defined as: for subjects with a pre-vaccination HT-hSBA titer \< 1:4, a post-vaccination hSBA titer ≥ 1:8; for subjects with a pre-vaccination hSBA titer ≥ 1:4, an increase in hSBA titer of at least four times the pre-vaccination titer.

2. Percentage of Subjects With HT-hSBA Titers ≥ 1:5 Against Strains of N. Meningitidis Serogroups B.
Day 1 and Day 30

Percentage of subjects reporting HT-hSBA titers ≥ 1:5 against strains of N. meningitidis serogroups B at baseline (Day 1) and one month (Day 30) following administration of a booster dose of MenABCWY, in the present study, in subjects who previously received the same MenABCWY vaccine formulation in study V102\_03 (NCT01272180).

Secondary Endpoints
Percentages of Subjects Without Bactericidal Activity at 1:4 Dilution Against Each US N. Meningitidis Serogroup B Strain at 4 Months After the Second Vaccination.
Four months after the second vaccination (month 6)
Percentages of Subjects Without Bactericidal Activity at 1:8 Dilution Against Each US N. Meningitidis Serogroup B Strain at One Month After the Second Vaccination
One month after the second vaccination (month 3)
Percentages of Subjects Without Bactericidal Activity at 1:8 Dilution Against Each US N. Meningitidis Serogroup B Strain at Four Months After the Second Vaccination.
Four months after the second vaccination (month 6)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
MenABCWYEXPERIMENTALSubjects received one dose of MenABCWY vaccine at day 1 and a second dose after 2 months
Placebo/MenACWYACTIVE_COMPARATORSubjects received one dose of placebo at day 1 and one dose of MenACWY vaccine after 2 months
Ia: MenABCWY+OMVEXPERIMENTALInvestigational
Ib: PlaceboPLACEBO_COMPARATORSaline
IIa: MenABCWY+¼OMVEXPERIMENTALInvestigational
IIb: PlaceboPLACEBO_COMPARATORSaline
IIIa: MenABCWY+OMVEXPERIMENTALInvestigational
IIIb: MenABCWY+¼OMVEXPERIMENTALInvestigational
IVa: MenABCWY+OMVEXPERIMENTALInvestigational
IVb: MenABCWY+¼OMVEXPERIMENTALInvestigational
IVc: PlaceboPLACEBO_COMPARATORSaline
Interventions
NameTypeDescription
MenABCWYBIOLOGICALSubjects received one dose of 0.5 mL MenABCWY vaccine (intramuscular (IM) injection) at day 1 and a second dose after 2 months.
PlaceboOTHER0.5 mL saline solution (IM)
MenACWYBIOLOGICALSubjects received one dose of 0.5 mL placebo (IM) at day 1 and one dose of 0.5 mL MenACWY vaccine (IM) after 2 months.
MenABCWY+OMVBIOLOGICALVaccine contains rMenB (50 µg per antigen) with 25 µg of OMV (a "full" dose) plus the fully lyophilized MenACWY vaccine
MenABCWY+¼OMVBIOLOGICALVaccine contains rMenB (50 µg per antigen) with 6.25 µg OMV (1/4 dose) plus the fully lyophilized MenACWY vaccine
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Eligibility Criteria
Age Range10 Years — 18 Years
SexALL
Healthy VolunteersYes
Study Sites8

Inclusion Criteria: * Adolescents from 10-18 years of age, generally in good health, and available for all study visits, who/whose legally acceptable representative has given written informed consent at the time of enrollment. * Female subjects of childbearing potential must have a negative urine p...

Countries:United StatesPoland
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