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Dose Comparison Study of Menactra® in US Children

Exploratory Evaluation of a Two-dose Schedule Versus a One-dose Schedule of Menactra® (Meningococcal [Groups A, C, Y and W 135] Polysaccharide Diphtheria Toxoid Conjugate Vaccine) in Children in the US

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00700635
Enrollment
333
Registered
2008-06-19
Start date
2008-06-30
Completion date
2009-10-31
Last updated
2016-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Meningitis, Meningococcal Infection, Neisseria Meningitidis

Keywords

Meningitis; Meningococcal infection, Neisseria meningitidis

Brief summary

To explore the potential benefit of the administration of Menactra vaccine as a two-dose regimen to children. Primary Objective: To assess, by age group, the immune response to Menactra vaccine after each vaccine injection.

Detailed description

This is an open-label trial designed to explore the immune response to a two-dose schedule of Menactra vaccine compared with a standard one-dose schedule in children.

Interventions

BIOLOGICALMenactra®: Meningococcal Polysaccharide Diphtheria Conjugate

0.5 mL, 2 doses Intramuscular

Sponsors

Sanofi Pasteur, a Sanofi Company
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
2 Years to 10 Years
Healthy volunteers
Yes

Inclusion criteria

: * Aged 2 to \< 11 years on the day of inclusion. * Provision of assent form signed by the subject (depending on age) and informed consent form signed by the parent(s) or another legally acceptable representative. * Subject and parent/legal guardian able to attend all scheduled visits and comply with all trial procedures.

Exclusion criteria

: * Previous vaccination against meningococcal disease with either the trial vaccine or another vaccine. * Participation in the active (i.e., treatment) portion of another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding the first trial vaccination. * Planned participation in another clinical trial during the present trial period. * Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy. * Suspected or known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to a product containing any of the substances present in the study vaccine . * Chronic illness at a stage that could interfere with trial conduct or completion, in the opinion of the Investigator. * Receipt of blood or blood-derived products in the past 3 months. * Received any vaccine (other than desensitization therapy for allergies or influenza vaccine within 2 weeks before vaccination) in the 4 weeks preceding the first trial vaccination. * Planned receipt of any vaccine within the 4 weeks following any trial vaccination(s). * Known human immunodeficiency virus (HIV), hepatitis B surface antigen (HBs antigen), or hepatitis C seropositivity. * History of invasive meningococcal infection (confirmed either clinically, serologically, or microbiologically). * Thrombocytopenia, coagulation disorder, or anticoagulant use in the 3 weeks preceding inclusion contraindicating intramuscular (IM) vaccination. * Anticipated to receive oral or injected antibiotic therapy within the 72 hours prior to any of the trial blood draws. * Personal or family history of Guillain-Barré Syndrome (GBS). * Any condition which, in the opinion of the Investigator, would pose a health risk to the subject or interfere with the evaluation of the vaccine.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each Vaccination30 days post-vaccinationMeningococcal serogroups A, C, Y, and W-135 antibody titers were measured by serum bactericidal assay using human complement (SBA-HC)

Secondary

MeasureTime frameDescription
Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each Vaccination30 days post-vaccinationMeningococcal serogroups A, C, Y, and W-135 antibody titers were measured by serum bactericidal assay using human complement (SBA-HC)
Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.30 days post-vaccinationMeningococcal serogroups A, C, Y, and W-135 antibody titers were measured by serum bactericidal assay using human complement (SBA-HC)
Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 Vaccination7 days post-vaccination 1Solicited injection site reactions: Erythema, Swelling, Pain. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia.
Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 Vaccination7 days post-vaccination 2Solicited injection site reactions: Erythema, Swelling, Pain. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia.

Countries

United States

Participant flow

Recruitment details

Participants were enrolled from 17 June 2008 to 25 July 2008 in 13 of 15 medical centers in the US.

Pre-assignment details

A total of 333 participants who met the inclusion and exclusion criteria were enrolled and vaccinated.

Participants by arm

ArmCount
Menactra® Group 1
Participants aged 2 to less than 4 years who received 2 doses of vaccine
111
Menactra® Group 2
Participants aged 4 to less than 6 years who received 2 doses of vaccine
111
Menactra® Group 3
Participants aged 6 to less than 11 years who received a single dose of vaccine
111
Total333

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event100
Overall StudyLost to Follow-up130
Overall StudyProtocol Violation220
Overall StudyWithdrawal by Subject731

Baseline characteristics

CharacteristicMenactra® Group 2Menactra® Group 3Menactra® Group 1Total
Age, Categorical
<=18 years
111 Participants111 Participants111 Participants333 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants0 Participants
Age, Continuous
Age Continuous
4.46 Years
STANDARD_DEVIATION 0.5
8.05 Years
STANDARD_DEVIATION 1.31
2.46 Years
STANDARD_DEVIATION 0.5
4.99 Years
STANDARD_DEVIATION 2.47
Region of Enrollment
United States
111 participants111 participants111 participants333 participants
Sex: Female, Male
Female
55 Participants53 Participants50 Participants158 Participants
Sex: Female, Male
Male
56 Participants58 Participants61 Participants175 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
58 / 11157 / 11164 / 111
serious
Total, serious adverse events
4 / 1113 / 1110 / 111

Outcome results

Primary

Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each Vaccination

Meningococcal serogroups A, C, Y, and W-135 antibody titers were measured by serum bactericidal assay using human complement (SBA-HC)

Time frame: 30 days post-vaccination

Population: Serum bactericidal assay human complement antibody titers to each of the 4 meningococcal serogroups in the vaccine were evaluated in the per-protocol population.

ArmMeasureGroupValue (NUMBER)
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup W-135 Post-dose 2 ≥ 8 [n = 82, 89, 0]96 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup W-135 Post-dose 1 ≥ 8 [n = 82, 89, 108]66 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup C Post-dose 1 ≥ 8 [n = 82, 89, 108]72 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup A Post-dose 2 ≥ 8 [n = 81, 89, 0]83 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup A Post-dose 1 ≥ 8 [n = 82, 89, 107]59 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup C Post-dose 2 ≥ 8 [n = 82, 89, 0]95 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup Y Post-dose 2 ≥ 8 [n = 82, 89, 0]100 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup Y Post-dose 1 ≥ 8 [n = 82, 89, 108]60 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup A Post-dose 1 ≥ 8 [n = 82, 89, 107]36 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup Y Post-dose 1 ≥ 8 [n = 82, 89, 108]65 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup Y Post-dose 2 ≥ 8 [n = 82, 89, 0]96 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup W-135 Post-dose 1 ≥ 8 [n = 82, 89, 108]79 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup W-135 Post-dose 2 ≥ 8 [n = 82, 89, 0]96 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup A Post-dose 2 ≥ 8 [n = 81, 89, 0]67 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup C Post-dose 1 ≥ 8 [n = 82, 89, 108]51 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup C Post-dose 2 ≥ 8 [n = 82, 89, 0]88 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup W-135 Post-dose 2 ≥ 8 [n = 82, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup Y Post-dose 2 ≥ 8 [n = 82, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup A Post-dose 1 ≥ 8 [n = 82, 89, 107]65 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup A Post-dose 2 ≥ 8 [n = 81, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup C Post-dose 1 ≥ 8 [n = 82, 89, 108]62 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup C Post-dose 2 ≥ 8 [n = 82, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup Y Post-dose 1 ≥ 8 [n = 82, 89, 108]71 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers ≥ 8 After Each VaccinationSerogroup W-135 Post-dose 1 ≥ 8 [n = 82, 89, 108]91 Percentage of Participants
Secondary

Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.

Meningococcal serogroups A, C, Y, and W-135 antibody titers were measured by serum bactericidal assay using human complement (SBA-HC)

Time frame: 30 days post-vaccination

Population: Geometric mean titers (GMTs) of Serum Bactericidal Assay Human Complement (SBA-HC) for the vaccine Serogroups were analyzed in the per-protocol population.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup A Post-dose 2 [n = 81, 89, 0]24.3 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup A Post-dose 1 [n = 82, 89, 107]9.97 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup C Post-dose 2 [n = 82, 89, 0]92.8 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup W-135 Post-dose 2 [n = 82, 89, 0]57.8 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup W-135 Post-dose 1 [n = 82, 89, 108]12.4 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup Y Post-dose 1 [n = 82, 89, 108]8.42 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup C Post-dose 1 [n = 82, 89, 108]13.4 Titers
Menactra® Group 1Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup Y Post-dose 2 [n = 82, 89, 0]78.4 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup W-135 Post-dose 1 [n = 82, 89, 108]15.5 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup Y Post-dose 2 [n = 82, 89, 0]42.0 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup A Post-dose 2 [n = 81, 89, 0]13.6 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup W-135 Post-dose 2 [n = 82, 89, 0]50.3 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup C Post-dose 1 [n = 82, 89, 108]8.99 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup C Post-dose 2 [n = 82, 89, 0]46.1 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup A Post-dose 1 [n = 82, 89, 107]5.59 Titers
Menactra® Group 2Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup Y Post-dose 1 [n = 82, 89, 108]9.13 Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup W-135 Post-dose 2 [n = 82, 89, 0]NA Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup A Post-dose 1 [n = 82, 89, 107]12.7 Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup C Post-dose 1 [n = 82, 89, 108]18.5 Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup C Post-dose 2 [n = 82, 89, 0]NA Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup Y Post-dose 1 [n = 82, 89, 108]14.2 Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup Y Post-dose 2 [n = 82, 89, 0]NA Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup W-135 Post-dose 1 [n = 82, 89, 108]24.1 Titers
Menactra® Group 3Geometric Mean Titers (GMTs) of Meningococcal Antibodies After Each Menactra® Vaccination.Serogroup A Post-dose 2 [n = 81, 89, 0]NA Titers
Secondary

Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 Vaccination

Solicited injection site reactions: Erythema, Swelling, Pain. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia.

Time frame: 7 days post-vaccination 1

Population: Safety analysis was on all enrolled and vaccinated participants, intent-to-treat population.

ArmMeasureGroupValue (NUMBER)
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Swelling (≥ 5 cm)4 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Solicited Injection Site Reaction Post Dose 167 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Pain (Incapacitating)1 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Erythema47 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Erythema (≥ 5 cm)5 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Swelling23 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Pain53 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Solicited Systemic Reaction Post Dose 152 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Fever7 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Fever (> 39.0 ºC or > 102.2 ºF)1 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Headache7 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Headache (Prevents daily activities)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Vomiting6 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Vomiting (≥ 3 episodes per 24 hours)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Drowsiness21 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Drowsiness (Disabling)1 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Anorexia20 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Anorexia (Skips ≥ 3 meals)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Irritability35 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Irritability (>3 hours duration)2 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Arthralgia7 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Arthralgia (Unwllling to move due to pain)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Diarrhea17 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Diarrhea (≥ 5 episodes per 24 hours)2 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Arthralgia (Unwllling to move due to pain)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Anorexia10 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Solicited Injection Site Reaction Post Dose 160 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Vomiting4 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Pain53 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Headache15 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Arthralgia8 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Pain (Incapacitating)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Vomiting (≥ 3 episodes per 24 hours)1 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Diarrhea8 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Erythema27 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Fever (> 39.0 ºC or > 102.2 ºF)1 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Anorexia (Skips ≥ 3 meals)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Erythema (≥ 5 cm)4 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Drowsiness16 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Headache (Prevents daily activities)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Swelling18 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Fever4 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Diarrhea (≥ 5 episodes per 24 hours)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Swelling (≥ 5 cm)3 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Drowsiness (Disabling)4 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Irritability20 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Solicited Systemic Reaction Post Dose 143 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Irritability (>3 hours duration)4 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Solicited Systemic Reaction Post Dose 138 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Fever1 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Fever (> 39.0 ºC or > 102.2 ºF)0 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Headache23 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Irritability (>3 hours duration)2 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Headache (Prevents daily activities)0 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Diarrhea3 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Vomiting2 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Vomiting (≥ 3 episodes per 24 hours)0 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Arthralgia7 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Drowsiness14 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Diarrhea (≥ 5 episodes per 24 hours)0 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Drowsiness (Disabling)0 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Solicited Injection Site Reaction Post Dose 167 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Pain58 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Anorexia7 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Pain (Incapacitating)2 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Arthralgia (Unwllling to move due to pain)1 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Erythema32 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Erythema (≥ 5 cm)8 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Anorexia (Skips ≥ 3 meals)0 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Swelling23 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationGrade 3 Swelling (≥ 5 cm)5 Percentage of Participants
Menactra® Group 3Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 1 VaccinationAny Irritability11 Percentage of Participants
Secondary

Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 Vaccination

Solicited injection site reactions: Erythema, Swelling, Pain. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia.

Time frame: 7 days post-vaccination 2

Population: Safety analysis was on all enrolled and vaccinated participants, intent-to-treat population.

ArmMeasureGroupValue (NUMBER)
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Erythema (≥ 5 cm)8 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Headache (Prevents daily activities)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Solicited Injection Site Reaction Post Dose 260 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Vomiting (≥ 3 episodes per 24 hours)1 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Swelling20 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Drowsiness19 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Pain (Incapacitating)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Drowsiness (Disabling)1 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Swelling (≥ 5 cm)3 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Anorexia21 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Vomiting5 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Anorexia (Skips ≥ 3 meals)1 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Solicited Systemic Reaction Post Dose 253 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Irritability31 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Irritability (>3 hours duration)5 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Fever5 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Arthralgia8 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Erythema37 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Arthralgia (Unwllling to move due to pain)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Fever (> 39.0 ºC or > 102.2 ºF)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Diarrhea15 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Pain48 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Diarrhea (≥ 5 episodes per 24 hours)0 Percentage of Participants
Menactra® Group 1Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Headache6 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Diarrhea (≥ 5 episodes per 24 hours)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Headache (Prevents daily activities)1 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Irritability23 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Solicited Injection Site Reaction Post Dose 264 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Pain52 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Pain (Incapacitating)1 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Erythema36 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Erythema (≥ 5 cm)4 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Swelling15 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Swelling (≥ 5 cm)2 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Fever13 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Fever (> 39.0 ºC or > 102.2 ºF)3 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Headache14 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Vomiting7 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Vomiting (≥ 3 episodes per 24 hours)2 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Drowsiness18 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Drowsiness (Disabling)2 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Anorexia17 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Anorexia (Skips ≥ 3 meals)1 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Irritability (>3 hours duration)3 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Arthralgia7 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationGrade 3 Arthralgia (Unwllling to move due to pain)0 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Diarrhea7 Percentage of Participants
Menactra® Group 2Percentage of Participants Reporting Solicited Injection Site and Solicited Systemic Reactions After Dose 2 VaccinationAny Solicited Systemic Reaction Post Dose 249 Percentage of Participants
Secondary

Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each Vaccination

Meningococcal serogroups A, C, Y, and W-135 antibody titers were measured by serum bactericidal assay using human complement (SBA-HC)

Time frame: 30 days post-vaccination

Population: Serum bactericidal assay human complement antibody titers to each of the 4 meningococcal serogroups in the vaccine were evaluated in the per-protocol population.

ArmMeasureGroupValue (NUMBER)
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup C Post-dose 1 ≥ 4 [n = 82, 89, 108]78 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup C Post-dose 2 ≥ 4 [n = 82, 89, 0]95 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup W-135 Post-dose 2 ≥ 4 [n = 82, 89, 0]99 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup Y Post-dose 1 ≥ 4 [n = 82, 89, 108]77 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup W-135 Post-dose 1 ≥ 4 [n = 82, 89, 108]83 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup A Post-dose 2 ≥ 4 [n = 81, 89, 0]94 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup A Post-dose 1 ≥ 4 [n = 82, 89, 107]73 Percentage of Participants
Menactra® Group 1Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup Y Post-dose 2 ≥ 4 [n = 82, 89, 0]100 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup C Post-dose 1 ≥ 4 [n = 82, 89, 108]63 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup A Post-dose 1 ≥ 4 [n = 82, 89, 107]58 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup A Post-dose 2 ≥ 4 [n = 81, 89, 0]79 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup C Post-dose 2 ≥ 4 [n = 82, 89, 0]91 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup Y Post-dose 1 ≥ 4 [n = 82, 89, 108]83 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup Y Post-dose 2 ≥ 4 [n = 82, 89, 0]98 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup W-135 Post-dose 1 ≥ 4 [n = 82, 89, 108]89 Percentage of Participants
Menactra® Group 2Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup W-135 Post-dose 2 ≥ 4 [n = 82, 89, 0]100 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup C Post-dose 1 ≥ 4 [n = 82, 89, 108]69 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup Y Post-dose 2 ≥ 4 [n = 82, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup A Post-dose 1 ≥ 4 [n = 82, 89, 107]79 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup W-135 Post-dose 2 ≥ 4 [n = 82, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup C Post-dose 2 ≥ 4 [n = 82, 89, 0]NA Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup W-135 Post-dose 1 ≥ 4 [n = 82, 89, 108]96 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup Y Post-dose 1 ≥ 4 [n = 82, 89, 108]83 Percentage of Participants
Menactra® Group 3Percentage of Participants With Meningococcal Antibody Titers at ≥ 4 After Each VaccinationSerogroup A Post-dose 2 ≥ 4 [n = 81, 89, 0]NA Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026