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Meningococcal Polysaccharide Tetanus Protein Conjugate Vaccine

Phase 2

Meningitis | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: Dec 11, 2023

Target and mechanism

ModalityMonoclonal antibody

Also known as Meningococcal Polysaccharide Tetanus Protein Conjugate

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment661

FDA Designations

No designations recorded

Clinical trial landscape

Meningococcal Polysaccharide Tetanus Protein Conjugate Vaccine · 3 trials · 6 indications

Phase 2 1Phase 1 2
NCT01732627Study of a Quadrivalent Meningococcal Conjugate Vaccine in Subjects Aged 56 and OlderMeningitis
COMPLETED301 Analytics
PHASE2COMPLETED
Study of a Quadrivalent Meningococcal Conjugate Vaccine in Subjects Aged 56 and Older
MeningitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Antibody Titers ≥1:4 and ≥1:8 Measured by Serum Bactericidal Assay Using Human Complement (hSBA) Against Meningococcal Serogroups A, C, Y, and W 135 Before Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 0 (pre-vaccination)

Antibody titers against meningococcal serogroups A, C, Y, and W 135 were measured by hSBA assay method.

Percentage of Participants With Antibody Titers ≥1:4 and ≥1:8 Measured by hSBA Against Meningococcal Serogroups A, C, Y, and W 135 Following Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 30 (post-vaccination)

Antibody titers against meningococcal serogroups A, C, Y, and W 135 were measured by hSBA assay method.

Percentage of Participants With Vaccine Seroresponse Measured by hSBA Against Meningococcal Serogroups A, C, Y, and W 135 Following Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 30 (post-vaccination)

Vaccine seroresponse for serogroups A, C, Y, and W 135 was measured by hSBA assay method. Seroresponse was defined as post-vaccination hSBA titers ≥1:8 for participants with pre-vaccination hSBA titers less than (\<) 1:8, or at least a 4-fold increase in hSBA titers from pre- to post-vaccination for participants with pre-vaccination hSBA titers ≥1:8.

Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W 135 Measured by hSBA Before Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 0 (pre-vaccination)

GMTs of antibodies against meningococcal serogroups A, C, Y, and W 135 were measured by hSBA assay method.

Geometric Mean Titers (GMTs) of Antibodies Against Meningococcal Serogroups A, C, Y, and W 135 Measured by hSBA Following Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 30 (post-vaccination)

GMTs of antibodies against meningococcal serogroups A, C, Y, and W 135 were measured by hSBA assay method.

Percentage of Participants With Antibody Titers ≥1:8 and ≥1:128 Measured by Serum Bactericidal Assay Using Baby Rabbit Complement (rSBA) Against Meningococcal Serogroups A, C, Y, and W 135 Before Vaccination With MenACYW Conjugate Vaccine or Menomune®
Day 0 (pre-vaccination)

Antibody titers against meningococcal serogroups A, C, Y, and W 135 were measured by rSBA assay method.

Percentage of Participants With Antibody Titers ≥1:8 and ≥1:128 Measured by rSBA Against Meningococcal Serogroups A, C, Y, and W 135 Following Vaccination With MenACYW Conjugate Vaccine or Menomune®
Day 30 (post-vaccination)

Antibody titers against meningococcal serogroups A, C, Y, and W 135 were measured by rSBA assay method.

Percentage of Participants With Vaccine Seroresponse Measured by rSBA Against Meningococcal Serogroups A, C, Y, and W 135 Following Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 30 (post-vaccination)

Vaccine seroresponse for serogroups A, C, Y, and W 135 was measured by rSBA assay method. Seroresponse was defined as post-vaccination rSBA titers ≥1:8 for participants with pre-vaccination rSBA titers \<1:8, or at least a 4-fold increase in rSBA titers from pre- to post-vaccination for participants with pre-vaccination rSBA titers ≥1:8.

Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W 135 Measured by rSBA Before Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 0 (pre-vaccination)

GMTs of antibodies against meningococcal serogroups A, C, Y, and W 135 antibody titers were measured by rSBA assay method.

Geometric Mean Titers of Antibodies Against Meningococcal Serogroups A, C, Y, and W 135 Measured by rSBA Following Vaccination With MenACYW Conjugate Vaccine or Menomune® Vaccine
Day 30 (post-vaccination)

GMTs of antibodies against meningococcal serogroups A, C, Y, and W 135 antibody titers were measured by rSBA assay method.

Number of Participants With Immediate Unsolicited Adverse Events (AEs) After Vaccination
Within 30 minutes after vaccination

An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the case report form (CRF) in terms of symptom and/or onset post-vaccination. Unsolicited AEs includes both serious and non-serious unsolicited AEs. A serious adverse event (SAE) was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event. All participants were observed for 30 minutes after vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs in the CRF.

Number of Participants With Solicited Injection Site Reactions and Systemic Reactions After Vaccination
Within 7 days after vaccination

A solicited reaction (SR) was an adverse reaction (AR) observed and reported under the conditions (symptom and onset) prelisted in the CRF. Solicited injection site reactions included: pain, erythema, and swelling. Solicited systemic reactions included: fever, headache, malaise and, myalgia.

Number of Participants With Unsolicited Adverse Events After Vaccination
Within 30 days after vaccination

An unsolicited AE was an observed AE that does not fulfill the conditions prelisted in the CRF in terms of symptom and/or onset post-vaccination. Unsolicited AEs included both serious and non-serious unsolicited AEs. An SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event. Non-serious AE (AE excluding SAE) which was significant and prevented daily activity was considered as Grade 3 unsolicited non-serious AE.

To provide information concerning the safety and immunogenicity after administration of TetraMenT
30 days after each injection
Presence of solicited injection site reactions (ie, prelisted in the participant's diary card [DC] and in the electronic case report form [eCRF]) occurring up to 7 days after injection
Up to 7 days after injection
Presence of any unsolicited systemic adverse events (AEs) reported up to 28 days after injection
Up to 28 days after injection
Presence of serious adverse events (SAEs) throughout the trial.
From baseline up to 24 months
Incidence of treatment-emergent antibodies responses
From baseline up to 24 months

Secondary Endpoints

After booster dose of TetraMen-T: Presence of solicited injection site reactions (ie, prelisted in the participant's diary card [DC] and in the electronic case report form [eCRF]) occurring up to 7 days after injection
Up to 7 days after injection
After booster dose of TetraMen-T: Presence of any unsolicited systemic adverse events (AEs) reported up to 28 days after injection
Up to 28 days after injection
After booster dose of TetraMen-T: Presence of serious adverse events (SAEs) throughout the trial.
From baseline up to 24 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group 1: MenACYW Conjugate VaccineEXPERIMENTALAdult participants aged greater than or equal to (≥) 56 years received a single dose of Meningococcal Polysaccharide (Serogroups A, C, Y, and W 135) Tetanus Toxoid (MenACYW) Conjugate vaccine on Day 0.
Group 2: Menomune® A/C/Y/W 135 vaccineACTIVE_COMPARATORAdult participants aged ≥56 years received a single dose of Meningococcal Polysaccharide Vaccine, Groups A, C, Y, and W 135 Combined (Menomune®) vaccine on Day 0.
Group 1EXPERIMENTAL -
Group 2EXPERIMENTAL -
Group 3EXPERIMENTAL -
Group 4EXPERIMENTAL -
Group 5EXPERIMENTAL -
Group 6ACTIVE_COMPARATOR -
Group 7EXPERIMENTALInfants receiving High Dose TetraMen-T without adjuvant. Subjects were to receive a booster dose of the same formulation at age 13 months
Group 8ACTIVE_COMPARATORInfants receiving Menjugate ®. Subjects were to receive a booster dose of low-dose adjuvanted TetraMen-T at age 13 months. Routine vaccines were deferred.

Interventions

NameTypeDescription
Meningococcal Polysaccharide (A, C, Y, and W 135) Tetanus Protein Conjugate VaccineBIOLOGICAL0.5 milliliter (mL), Intramuscular (IM)
Meningococcal Polysaccharide Vaccine, Groups A, C, Y, W 135 CombinedBIOLOGICAL0.5 mL, Subcutaneous (SC)
Meningococcal Polysaccharide Tetanus Protein ConjugateBIOLOGICAL0.5 mL, Intramuscular
Meningococcal polysaccharide group C conjugatedDIETARY_SUPPLEMENT0.5 mL, Intramuscular
Meningococcal (Groups A, C, Y and W-135) Polysaccharide Tetanus Protein Conjugate Vaccine (TetraMen-T).BIOLOGICALPharmaceutical form:suspension for injection-Route of administration:Intramuscular (IM)
Meningococcal Group C-CRM197 Conjugate VaccineBIOLOGICALPharmaceutical form:suspension for injection-Route of administration:Intramuscular (IM)
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Eligibility Criteria

Age Range56 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites12

Inclusion Criteria: * Aged 56 or older on the day of inclusion. * Informed consent form had been signed and dated. * Able to attend all scheduled visits and complied with all trial procedures. Exclusion Criteria: * Participant was pregnant, or lactating, or of childbearing potential (were conside...

Countries:United StatesAustralia
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