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MenACWY-CRM+ MMRV

Phase 3

Meningococcal Infections | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Feb 15, 2016

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment8,076

FDA Designations

No designations recorded

Clinical trial landscape

MenACWY-CRM+ MMRV · 3 trials · 2 indications

Phase 3 3
NCT00616421Safety and Immune Response of Novartis of MenACWY Conjugate Vaccine When Given to Healthy ChildrenMeningococcal Infections
COMPLETED2,907 Analytics
NCT00626327Safety and Immune Response of Novartis MenACWY-CRM Conjugate Vaccine When Given to Healthy ToddlersMeningococcal Infections
COMPLETED1,630 Analytics
NCT00450437A Study to Evaluate Safety and Immune Response of Novartis Meningococcal ACWY Conjugate Vaccine In US Adolescents and AdultsMeningococcal Infections
COMPLETED3,539 Analytics
PHASE3COMPLETED
Safety and Immune Response of Novartis of MenACWY Conjugate Vaccine When Given to Healthy Children
Meningococcal InfectionsUnlock trial analytics
PHASE3COMPLETED
Safety and Immune Response of Novartis MenACWY-CRM Conjugate Vaccine When Given to Healthy Toddlers
Meningococcal InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Safety and Immune Response of Novartis Meningococcal ACWY Conjugate Vaccine In US Adolescents and Adults
Meningococcal InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentages of Subjects With hSBA Seroresponse, in Healthy Children 2 to 5 Years of Age
1 month postvaccination

The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine, in terms of the percentages of subjects with seroresponse directed against N. meningitidis serogroups A, C, W-135, and Y. Seroresponse: For a subject with hSBA \<1:4 at baseline, seroresponse is defined as a postvaccination hSBA ≥ 1:8; for a subject with hSBA ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline.

Percentages of Subjects With hSBA Seroresponse, in Healthy Children 6 to 10 Years of Age.
1 month postvaccination

The immunogenicity of a single dose of MenACWY-CRM is compared with the immunogenicity of a single dose of the licensed ACWY polysaccharide vaccine, in terms of the percenatages of subjects with seroresponse directed against N. meningitidis serogroups A, C, W-135, and Y. Seroresponse: For a subject with hSBA \<1:4 at baseline, seroresponse is defined as a postvaccination hSBA ≥ 1:8; for a subject with hSBA ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline.

Percentages of Subjects With a Seroresponse to Measles, Mumps, Rubella and Varicella Following Concomitant Administration of MMRV Vaccine With MenACWY-CRM Vaccine
6 weeks post vaccination

Percentages of subjects with seroresponses to measles, mumps, rubella and varicella after one dose of MMRV vaccine (at 12 months) when given concomitantly with MenACWY-CRM vaccine compared to when MMRV vaccine was given alone, are reported. Seroresponse was defined as the percentage of initially seronegative subjects who show seroconversion to measles (≥255 mIU/mL), mumps (≥10 ELISA Ab units), rubella (≥10 IU/mL) and the percentage of initially seronegative subjects who show seroprotection (≥5 gp ELISA units/mL) for varicella. Immunogenicity to measles, mumps, rubella and varicella at 6 weeks after vaccination with one dose of MMRV given concomitantly with MenACWY-CRM was considered non-inferior to immunogenicity of MMRV administered alone if the lower limit of two-sided 95% CI of the difference in the percentage of subjects with seroconversion for measles, mumps, and rubella, and seroprotection for varicella was greater than -5% (measles, mumps and rubella) and -10% (varicella).

Percentages of Subjects With Serum Bactericidal Titers ≥1:8 Following Concomitant Administration of MenACWY-CRM Vaccine With MMRV Vaccine.
6 weeks post second dose

Percentages of subjects with hSBA ≥1:8, against N.meningitidis serogroups A, C, W-135, and Y following two doses of MenACWY-CRM vaccine (at 7-9 months and 12 months) when concomitantly administered with MMRV vaccine (12 months) compared to when MenACWY-CRM vaccine was given alone, are reported. The serum bactericidal antibodies directed against N.meningitidis serogroups A, C, W-135, and Y, were measured by human complement Serum Bactericidal Assay (hSBA). The immune response of MenACWY-CRM given concomitantly with MMRV was considered non-inferior to the immunogenicity of MenACWY-CRM administered alone if the lower limit of the two-sided 95% CI around the difference of the percentage of subjects with hSBA ≥1:8 at 6 weeks after the second dose of MenACWY-CRM given to 12-month old toddlers {P MMRV+MenACWY minus P MenACWY} was greater than -10% for each serogroup.

Percentages of Subjects With hSBA ≥1:8 Following Two Doses of MenACWY-CRM Vaccine
6 weeks post vaccine dose 2

The antibody response following two doses of MenACWY-CRM vaccine (at 7-9 months and 12 months) was considered adequate if the lower limit of the two-sided 95% CI for the percentage of subjects with hSBA ≥1:8, at 6 weeks following the second dose of MenACWY-CRM, was greater than 85% for serogroups C, W-135, or Y and greater than 65% for serogroup A.

Lot to Lot Consistency of MenACWY as Measured by hSBA GMT Vaccine Group Ratios, Ages 11 to 18 Years
28 days after vaccination

The consistency of immune response for the three lots of Meningococcal ACWY (MenACWY), as measured by human serum bactericidal activity (hSBA) geometric mean titer (GMT) response using human complement (hSBA GMTs) directed against N. meningitidis serogroups A, C, W, and Y (healthy subjects 11 to 18 years of age)

Percentage of Seroresponders, Ages 11 to 18 Years
28 days after vaccination

Immunogenicity of a single injection of Meningococcal ACWY (3 lots pooled) to that of a licensed meningococcal ACWY conjugate vaccine, defined as the percentage of subjects with seroresponse directed against N meningitidis serogroups A, C, W, and Y (healthy adolescents 11 to 18 years of age). Seroresponse to MenACWY: For a subject with hSBA titer \<1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer ≥ 1:8; for a subject with hSBA titer ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline.

Number of Participants With at Least One Severe Systemic Reaction, Ages 11 to 55 Years
6 days after vaccination

Safety of Novartis Meningococcal ACWY and of a licensed meningococcal ACWY conjugate vaccine as measured by the number of participants presenting at least one severe systemic reaction during the first 7 days (Days 1-7) following a single vaccination. Note: severe adverse events: unable to perform normal daily activity

Percentage of Seroresponders, Ages 19 to 55 Years
28 days after vaccination

Immunogenicity of a single injection of Meningococcal ACWY (3 lots pooled) to that of a licensed meningococcal ACWY conjugate vaccine, defined as the percentage of subjects with seroreponse directed against N. meningitidis serogroups A, C, W, and Y (healthy subjects 19 to 55 years of Age). Seroresponse to MenACWY: For a subject with hSBA titer \<1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer ≥ 1:8; for a subject with hSBA titer ≥ 1:4 at baseline, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline.

Secondary Endpoints

Percentages of Subjects With hSBA Seroresponse, in Healthy Children 2 to 10 Years of Age.
1 month postvaccination
Percentages of Subjects With hSBA ≥ 1:8, in Healthy Children 2 to 10 Years of Age
1 month postvaccination
Geometric Mean Titers (hSBA), in Healthy Children 2 to 10 Years of Age.
1 month postvaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
MenACWY-CRM (1 dose)EXPERIMENTAL1 injection of the Novartis MenACWY-CRM (a nontoxic mutant of diptheria toxin) conjugate vaccine administered by intramuscular (IM) injection on study day 1.
Licensed polysaccharide vaccineACTIVE_COMPARATOR1 injection of a licensed meningococcal MenACWY polysaccharide-protein conjugate vaccine administered by intramuscular (IM) injection on study day 1
MenACWY-CRM (2 doses)EXPERIMENTAL2 injections of the Novartis MenACWY-CRM (a nontoxic mutant of diptheria toxin) conjugate vaccine administered by intramuscular (IM) injection on study days 1 and 61.
MenACWY-CRM+ MMRVEXPERIMENTAL -
MMRVACTIVE_COMPARATOR -
MenACWY-CRMEXPERIMENTAL -
Licensed Meningococcal VaccineACTIVE_COMPARATORLicensed meningococcal ACWY polysaccharide-protein conjugate vaccine
Novartis MenACWY Conjugate VaccineEXPERIMENTALNovartis meningococcal ACWY conjugate Vaccine

Interventions

NameTypeDescription
MenACWY-CRMBIOLOGICAL1 injection of the Novartis MenACWY-CRM conjugate vaccine administered intramuscularly
Licensed meningococcal ACWY vaccineBIOLOGICAL1 injection of the licensed meningococcal ACWY was administered intramuscularly
MenACWY-CRM + MMRVBIOLOGICALOne injection of MenACWY-CRM vaccine at 7-9 months of age; the second injection of MenACWY-CRM vaccine concomitantly administered with MMRV (Measles, Mumps, Rubella and Varicella) vaccine at 12 months of age.
MMRVBIOLOGICALone injection of MMRV (Measles, Mumps, Rubella and Varicella) vaccine at 12 months of age
MenACWY CRMBIOLOGICALOne dose of the Novartis meningococcal ACWY conjugate vaccine was administered intramuscularly.
Meningococcal ACWY Conjugate vaccineBIOLOGICALOne dose of the licensed meningococcal ACWY polysaccharide-protein conjugate vaccine was administered intramuscularly.
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Eligibility Criteria

Age Range2 Years to 10 Years
SexALL
Healthy VolunteersYes
Study Sites68

Inclusion Criteria: * healthy 2-10 years of age children, inclusive and for whom, after the nature of the study has been explained, the parent or legal guardian has provided written informed consent * who are available for all visits and telephone calls scheduled for the study * who are up-to-date ...

Countries:United StatesCanada
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Frequently asked questions about MenACWY-CRM+ MMRV

What is MenACWY-CRM used for?

MenACWY-CRM is an investigational vaccine being developed for the prevention of meningococcal disease, including meningococcal meningitis and other meningococcal infections. It is designed to protect against serogroups A, C, W, and Y of the Neisseria meningitidis bacteria.

Who makes MenACWY-CRM?

MenACWY-CRM is being developed by Novartis AG, a multinational pharmaceutical company. Novartis is listed on the stock exchange under the ticker symbol NVS.

What phase is MenACWY-CRM in?

MenACWY-CRM is in Phase 3 clinical development. It is an investigational vaccine and has not yet been approved by regulatory authorities. All eight clinical trials listed for MenACWY-CRM have been completed, with no active trials currently ongoing.

What clinical trials is MenACWY-CRM in?

MenACWY-CRM has been studied in several completed clinical trials, including NCT00262028, NCT00488683, NCT00560313, and NCT01994629. These trials evaluated the safety and immune response of the vaccine in healthy children, infants, and adults across the United States, United Kingdom, and Italy.

How does MenACWY-CRM work?

MenACWY-CRM is a conjugate vaccine that works by stimulating the immune system to produce antibodies against the Neisseria meningitidis bacteria. It targets the bacterial capsular polysaccharides of serogroups A, C, W, and Y, which are chemically linked to a carrier protein to enhance the immune response.

Is MenACWY-CRM the same as Menveo?

MenACWY-CRM is also known as Menveo, a meningococcal ACWY conjugate vaccine. The name MenACWY-CRM refers to the CRM197 carrier protein used in the vaccine. This vaccine is designed to prevent invasive meningococcal disease caused by serogroups A, C, W, and Y.