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rMenB+OMV NZ

Phase 3

Prevention of the Meningococcal Disease | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Jun 8, 2017

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment13

FDA Designations

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Clinical trial landscape

rMenB+OMV NZ · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT01911221A Phase 3b, Single-Center, Open-label Study to Assess the Immunogenicity and Safety of Novartis Meningococcal B Recombinant Vaccine When Administered at a 0, 2-Month Schedule in Healthy At-Risk Adults Aged 18 to 65 Years Inclusive.Prevention of the Meningococcal Disease
COMPLETED13 Analytics
PHASE3COMPLETED
A Phase 3b, Single-Center, Open-label Study to Assess the Immunogenicity and Safety of Novartis Meningococcal B Recombinant Vaccine When Administered at a 0, 2-Month Schedule in Healthy At-Risk Adults Aged 18 to 65 Years Inclusive.
Prevention of the Meningococcal DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Geometric Mean Human Serum Bactericidal Activity Titers Against N Meningitidis Serogroup B Strains Following A Two-dose Vaccination Schedule
Day1 and Day 91

The immunogenicity was assessed to evaluate the human serum bactericidal activity (hSBA) against the indicator strains of N meningitidis serogroup B (H44/76, 5/99, NZ98/254) and M10713 strain at baseline and at one month after the second vaccination.

Geometric Mean Ratios Against N Meningitidis Serogroup B Strains Following A Two-dose Vaccination Schedule
Day1 and Day 91

The immunogenicity was assessed to evaluate the hSBA in terms of geometric mean ratios within subjects against the indicator strains of N meningitidis serogroup B (H44/76, 5/99, NZ98/254) and strain M10713 at one month after the second vaccination versus baseline.

Percentages Of Subjects With hSBA≥ 1:5 Titers Against N Meningitidis Serogroup B Strains Following Two-Dose Vaccination Schedule.
Day1 and Day91

The immunogenicity was assessed to evaluate the hSBA titers ≥ 1:5 in terms of percentages of subjects against N meningitidis serogroup B (H44/76, 5/99, NZ98/254) and strain M10713 following a two dose vaccination schedule with rMenB+OMV NZ vaccine.

Percentages Of Subjects With hSBA≥ 1:8 Titers Against N Meningitidis Serogroup B Strains Following Two-Dose Vaccination Schedule.
Day1 and Day91

The immunogenicity was assessed to evaluate the human serum bactericidal activity titers ≥ 1:8 in terms of percentages of subjects against N meningitidis serogroup B (H44/76, 5/99, NZ98/254) and strain M10713 following a two dose vaccination schedule with rMenB+OMV NZ vaccine.

Percentages Of Subjects With Four-Fold Increase In Human Serum Bactericidal Activity From Baseline Against N Meningitidis Serogroup B Strains Following a Two Dose Vaccination Schedule.
Day 91

The antibody responses were assessed to evaluate the four fold increase in human serum bactericidal activity titers in terms of percentages of subjects against N meningitidis serogroup B (H44/76, 5/99, NZ98/254) and strain M10713 following a two dose vaccination schedule with rMenB+OMV NZ vaccine.

Geometric Mean Concentrations For Vaccine Antigen 287-953 Following A Two-dose Vaccination Schedule
Day 1 and Day 91

The antibody responses were assessed to evaluate the geometric mean concentrations as measured by Enzyme Linked Immunosorbent Assay (ELISA) in terms of percentages of subjects for the vaccine antigen 287-953 following a two dose vaccination schedule with rMenB+OMV NZ vaccine at baseline and at one month the second vaccination.

Geometric Mean Ratios For Vaccine Antigen 287-953 Following A Two-dose Vaccination Schedule.
Day 1 and Day 91

The antibody responses were assessed to evaluate the geometric mean ratios as measured by ELISA within the subjects for the vaccine antigen 287-953 following a two dose vaccination schedule with rMenB+OMV NZ vaccine at one month after the second vaccination versus baseline.

Percentages of Subjects With Four Fold Increase From Baseline For Vaccine Antigen 287-953 Following A Two-dose Vaccination Schedule.
Day 1 and Day 91

The antibody responses were assessed to evaluate the four fold increases in ELISA concentrations as measured by ELISA to the vaccine antigen 287-953 following a two dose vaccination schedule with rMenB+OMV NZ vaccine at one month the second vaccination over baseline.

Number of Subjects Reporting Solicited Local and Systemic Adverse Events After Receiving rMenB+OMV NZ Vaccine ( After Any Vaccination)
Day 1 through Day 7 postvaccination.

The number of subjects with solicited local and systemic adverse events after receiving rMenB+OMV NZ (a two dose vaccination schedule) collected from day 1 through day 7 are reported.

Number of Subjects Reporting Unsolicited Adverse Events After Receiving rMenB+OMV NZ Vaccine ( After Any Vaccination).
Day 1 through Day 91 postvaccination.

Safety was assessed as the number of subjects who reported unsolicited adverse events as collected from Day 1 to Day 91 following rMenB+OMV vaccination (a two dose schedule). Unsolicited adverse events were collected from day 1 through day 7 after each vaccination, while serious adverse events, medically attended adverse events and adverse events leading to withdrawal from study were reported from day 1 through day 91.

Number of Subjects Reporting Unsolicited Serious Adverse Events After Receiving rMenB+OMV NZ Vaccine ( After Any Vaccination).
Day 1 through Day 91 postvaccination.

Safety was assessed as the number of subjects who reported Serious Adverse Events (SAEs), medically attended AEs, AEs leading to withdrawal from the study, as collected from day 1 to day 91 following vaccination with rMenB+OMV NZ (a two dose schedule ) are reported.

Percentage of Subjects With Serum Bactericidal Activity ≥1:5 After Receiving Three Doses of rMenB+OMV NZ Vaccine
One month after third Men B vaccination

The percentage of subjects with serum bactericidal activity(hSBA)titer ≥1:5 after receiving three doses of rMenB+OMV NZ vaccine were evaluated to demonstrate sufficient immune response following rMenB+OMV NZ vaccination, when given concomitantly with routine infant vaccines to healthy infants. The serum bactericidal antibodies directed against serogroup B meningococci, are measured by human complement Serum Bactericidal Assay (hSBA). The immune response was considered sufficient for groups B+R246 and B+R234 if the lower limit of the 2-sided 95% confidence interval was ≥ 70% for all three strains.

Safety and Tolerability of 3 Doses of rMenB - Concomitantly With Routine Infant Vaccines at 2, 4 and 6 Months of Age - Concomitantly With Routine Vaccines at 2, 3 and 4 Months of Age - Alone at 2, 4 and 6 Months of Age
10 months (groups 1 and 2); 8 months (groups 3 and 4)

Safety and Tolerability of 3 Doses of rMenB was assessed in terms of the number of subjects who reported solicited local and systemic adverse events when administered concomitantly with routine infant vaccines at 2,4,6 months of age (B+R246) to when rMenB+OMV NZ and routine vaccines were administered separately (group B246\_R357).

Secondary Endpoints

Non-inferiority of Immune Response to rMenB+OMV NZ Vaccination When Administered Concomitantly With Routine Infant Vaccines at 2,4,6 Months of Age
One month after 3rd Men B vaccination
Non-inferiority of Immune Response to Diphtheria and Tetanus Antigens When Routine Vaccines Are Administered Concomitantly With rMen+OMV NZ Vaccine
One month after 3rd vaccination
Geometric Mean Titers Against Neisseria Meningitidis Serogroup B, When rMenB+OMV NZ Vaccine is Administered Concomitantly With Routine Infant Vaccines.
One month after third Men B vaccination
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
rMenB+OMV NZEXPERIMENTALA single 0.5mL dose of the study vaccine will be administered intramuscularly in the deltoid muscle.
B+R246EXPERIMENTALSubjects in this group received rMenB+OMV NZ vaccine at 2, 4, and 6 months of age, administered concomitantly with routine infant vaccinations.
B246_R357EXPERIMENTALSubjects in this group received rMenB+OMV NZ vaccine at at 2, 4, and 6 months of age; routine infant vaccinations were administered at 3, 5 and 7 months of age.
B+R234EXPERIMENTALSubjects in this group received rMenB+OMV NZ vaccine at 2, 3, 4 months of age, administered concomitantly with routine infant vaccinations.
R234ACTIVE_COMPARATORSubjects in this group received routine infant vaccines administered at 2, 3 and 4 months of age.

Interventions

NameTypeDescription
rMenB+OMV NZBIOLOGICALRecombinant MenB with Outer Member Vesicle (OMV) from the New Zealand strain
combined diphtheria,tetanus,pertussis+polio+Hepatitis B+Haemophilus influenzae B vaccineBIOLOGICAL -
Pneumococcal vaccineBIOLOGICAL -
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. 18 - 65 years of age inclusive who have given written informed consent at the time of enrollment; 2. Who are available for all the visits scheduled in the study (i.e., not planning to leave the area before the end of the study period); 3. In good health as determined by medic...

Countries:GermanyBelgiumCzechiaItalySpainUnited Kingdom
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Frequently asked questions about rMenB+OMV NZ

What is rMenB used for?

rMenB is an investigational vaccine being developed for the prevention of meningococcal disease, including meningococcal infections and meningococcal meningitis. It is intended for use in healthy individuals, with clinical trials conducted in infants, toddlers, children, and adolescents.

Who makes rMenB?

rMenB is being developed by Novartis AG, a global healthcare company traded on the New York Stock Exchange under the ticker symbol NVS. The vaccine is currently in Phase 2 clinical development.

What phase is rMenB in?

rMenB is in Phase 2 clinical development. It has completed seven clinical trials with a total enrollment of 5,555 participants. The vaccine is investigational and has not been approved by regulatory authorities.

What clinical trials is rMenB in?

rMenB has completed several Phase 2 trials, including NCT00433914 in healthy infants in the United Kingdom, NCT00661713 in healthy adolescents in Chile, NCT00944034 as a booster dose in toddlers across multiple European countries, and NCT01026974 as an extension study in UK children.

How does rMenB work?

rMenB is a recombinant meningococcal B vaccine designed to elicit an immune response against Neisseria meningitidis serogroup B, the bacteria that cause meningococcal disease. Clinical trials evaluated its safety, tolerability, and immunogenicity, measuring antibody responses after vaccination.

Is rMenB the same as a meningococcal B vaccine?

rMenB is a meningococcal B recombinant vaccine. In clinical trials, it was studied alone and in combination with an outer membrane vesicle (OMV) component, referred to as rMenB plus OMV NZ, to assess antibody persistence and booster responses.