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MenACWY-CRM conjugate vaccine, adjuvanted

Phase 3

Meningococcal Meningitis | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Jun 14, 2017

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-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment1,012
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00856297Evaluation of Persistence of Anti-meningococcal Bactericidal Antibodies Among Adolescents Who Previously Received MenACWY Conjugate VaccinePHASE3 COMPLETED 389Feb 1, 2009Nov 1, 2012Jun 14, 201732 United States
NCT00310817Safety and Immunogenicity of Novartis Meningococcal ACWY Conjugate Vaccine in Healthy Children Aged 12-59 Months.PHASE2 COMPLETED 623Mar 1, 2005May 1, 2006Nov 6, 20152 Finland, Poland
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Study Endpoints
Primary Endpoints
Percentages of Subjects With Human Complement Serum Bactericidal Activity (hSBA) Titers≥ 1:8, After One Dose of Either MenACWY-CRM Conjugate or Licensed Comparator Vaccine
21 months, 3 years and 5 years postvaccination

Immune response of one dose of MenACWY-CRM conjugate vaccine compared to that of one dose of licensed comparator vaccine at 21 months, 3 years and 5 years after vaccination, as measured by the percentages of subjects with human complement serum bactericidal activity (hSBA) titers≥ 1:8 directed against N meningitidis serogroups A, C, W and Y.

Percentages of Subjects With Human Complement Serum Bactericidal Activity (hSBA) Titers ≥ 1:4, After One Dose Of Either MenACWY-CRM(Ad-) or MenACWY-PS Vaccine In Subjects 36-59 Months Of Age
28 days after first vaccination.

Immune response of one dose of MenACWY-CRM(Ad-) compared to that of one dose of MenACWY polysaccharide(MenACWY-PS) vaccine, 28 days after administration to subjects aged 36 to 59 months, as measured by the percentage of subjects with human complement serum bactericidal activity (hSBA) titers ≥ 1:4 against N. meningitidis serogroups A, C, W, and Y.

Secondary Endpoints
Percentages of Subjects With hSBA Titers≥ 1:4, After One Dose of Either MenACWY-CRM Conjugate or Licensed Comparator Vaccine
21 months, 3 years and 5 years postvaccination
hSBA Geometric Mean Titers (GMTs), After One Dose of Either MenACWY-CRM Conjugate or Licensed Comparator Vaccine
21 months, 3 years and 5 years postvaccination
Percentages of Subjects With No Previous Meningococcal Vaccination With hSBA Titers≥ 1:4 and ≥ 1:8
day 1
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
MenACWY-CRMEXPERIMENTALSubjects received one primary dose of MenACWY-CRM conjugate vaccine in the parent study and were followed for persistence in the present study.
Licensed comparatorACTIVE_COMPARATORSubjects received one primary dose of a quadrivalent meningococcal conjugate vaccine with diphtheria toxoid as the protein carrier in the parent study and were followed for persistence in the present study at 5 years postvaccination.
NaiveOTHERSubjects who were age-matched to the other study groups and had not received any previous meningococcal vaccinations.
MenACWY-CRM/MenACWY-CRMEXPERIMENTALSubjects received one primary dose of the MenACWY-CRM conjugate vaccine in the parent study and one booster dose of MenACWY-CRM conjugate vaccine at 3 years after primary vaccination.
Licensed comparator/MenACWY-CRMEXPERIMENTALSubjects received one primary dose of quadrivalent meningococcal diphtheria toxoid conjugate vaccine in the parent study and one booster dose of MenACWY-CRM conjugate vaccine at 3 years after primary vaccination.
MenACWY-CRM(Ad+) 12 to 35 MonthsEXPERIMENTALSubjects received one dose of MenACWY-CRM conjugate vaccine with adjuvant (Ad+) on day 1 and second dose at 28 days or at 6 months or at 12 months after the first vaccination.
MenACWY-CRM(Ad-) 12 to 35 MonthsEXPERIMENTALSubjects received one dose of MenACWY-CRM conjugate vaccine without adjuvant (Ad-) on day 1 and second dose either at 28 days or at 6 months or at 12 months after the first vaccination.
MenACWY-CRM(Ad-) 36 to 59 MonthsEXPERIMENTALSubjects received one dose of MenACWY-CRM conjugate vaccine without adjuvant on day 1 and second dose on day 169 or day 337.
MenACWY-PS (36 to 59 Months)ACTIVE_COMPARATORSubjects received one dose of MenACWY polysaccharide (PS) vaccine on day 1 and second dose of MenACWY-CRM conjugate vaccine without adjuvant on day 169 or day 337.
Interventions
NameTypeDescription
MenACWY-CRM conjugate vaccineBIOLOGICAL -
Licensed comparatorBIOLOGICAL -
MenACWY-CRM conjugate vaccine, adjuvantedBIOLOGICAL -
MenACWY polysaccharide vaccineBIOLOGICAL -
MenACWY-CRM conjugate vaccine, unadjuvantedBIOLOGICAL -
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Eligibility Criteria
Age Range11 Years — 18 Years
SexALL
Healthy VolunteersYes
Study Sites32

Inclusion Criteria: Subjects enrolled in V59P13: * healthy subjects who have completed the V59P13 study. Naïve subjects: * healthy subjects aged-matched with subjects who had completed the V59P13 trial.(currently 16-23 years old). Exclusion Criteria: Subjects who had completed the V59P13 study...

Countries:United StatesFinlandPoland
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