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A Clinical Trial to Assess the Safety, Tolerability and Immunogenicity of MenABCWY in Healthy Infants

A PHASE 2b TRIAL TO ASSESS THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF MenABCWY IN HEALTHY INFANTS 2 AND 6 MONTHS OF AGE

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04645966
Enrollment
326
Registered
2020-11-27
Start date
2020-11-26
Completion date
2022-09-15
Last updated
2024-03-25

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

Conditions

Meningococcal Vaccine

Keywords

Meningococcal Vaccine, Invasive Meningococcal Disease, Meningococcal Serogroups A, B, C W and Y, MenABCWY Vaccine

Brief summary

The aim of the study is to describe the safety, tolerability, and immunogenicity of MenABCWY in healthy infants 2 and 6 months of age.

Interventions

BIOLOGICALMenABCWY

Neisseria meningitis groups A, B, C W, and Y vaccine

BIOLOGICALBivalent rLP2086 (60-µg Dose)

Trumenba (half dose) - Meningococcal Group B vaccine

BIOLOGICALBivalent rLP2086 (120-µg Dose)

Trumenba - Meningococcal Group B vaccine

BIOLOGICALBexsero

Bexsero - Meningococcal Group B vaccine

DRUGProphylactic Liquid Paracetamol (PLP)

PLP administration during primary vaccinations 1 and 2

BIOLOGICALNimenrix

Nimenrix - Meningococcal Group A, C, W and Y vaccine

OTHERPlacebo

Normal Saline

DRUGScheduled Liquid Paracetamol (SLP)

SLP administration after primary vaccinations 1 and 2.

DRUGTherapeutic Liquid Paracetamol (TLP)

TLP administration after primary vaccinations 1 and 2

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
DOUBLE (Caregiver, Investigator)

Masking description

Open label for Groups 1-5,7,8,10 and 11, no masking; Groups 13-14 is blinded.

Eligibility

Sex/Gender
ALL
Age
2 Months to 6 Months
Healthy volunteers
Yes

Inclusion criteria

1. Male and female participants, 2 months of age (≥60 to ≤98 days) or 6 months of age (≥150 to ≤210 days) at the time of randomization. 2. Participant's parent(s)/legal guardian who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, and other study procedures. 3. Participant is available for the entire study period and the participant's parent(s)/legal guardian can be reached by telephone. 4. Healthy participant as determined by medical history, physical examination, and judgment of the investigator. 5. Body weight ≥4 kg for participants 2 months of age at the time of randomization. 6. Participants whose parent(s)/legal guardian are capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol.

Exclusion criteria

1. Prior adverse reaction to paracetamol use, including allergic reactions. 2. Participant was born prematurely (\<37 weeks of gestation). 3. A previous anaphylactic reaction to any vaccine or vaccine-related component. 4. Bleeding diathesis or condition associated with prolonged bleeding time that would contraindicate intramuscular injection. 5. A known or suspected defect of the immune system that would prevent an immune response to the vaccine, such as participants with congenital or acquired defects in B-cell function, those receiving chronic systemic (oral, intravenous, or intramuscular) corticosteroid therapy, or those receiving immunosuppressive therapy. Please refer to the SRM for additional details. 6. History of microbiologically proven disease caused by N meningitidis or Neisseria gonorrhoeae. 7. Significant neurological disorder or history of seizure (including simple febrile seizure). 8. Any neuroinflammatory or autoimmune condition, including, but not limited to, transverse myelitis, uveitis, optic neuritis, and multiple sclerosis. 9. Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. 10. Previous vaccination with any meningococcal vaccine. Written vaccination history must be obtained prior to randomization. 11. For participants 2 months of age, prior vaccination with any of the following licensed or investigational vaccines: pneumococcal vaccine and hexavalent DTPa-HBV-IPV-Hib or its component, except for the birth dose of hepatitis B vaccine. 12. Participants receiving any allergen immunotherapy with a nonlicensed product or receiving allergen immunotherapy with a licensed product and are not on stable maintenance doses. 13. Receipt of any blood products, including immunoglobulin, before the first study vaccination. 14. Current chronic use of systemic antibiotics. 15. Participation in other studies involving investigational drug(s) or investigational vaccine(s) within 28 days prior to study entry and/or during study participation.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Booster Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFrom 1 month after booster vaccination up to 6 months after booster vaccination (maximum up to 6 months)An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With Immediate AEs After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 30 minutes after booster vaccinationImmediate AEs were defined as AEs occurring within the first 30 minutes after investigational product administration.
Percentage of Participants With Local Reactions Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 7 Days after booster vaccinationLocal reactions included tenderness at injection site, redness and swelling and were recorded by participant's parents/legal guardians in an electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 centimeter (cm) and graded as mild: 0.5 to 2.0 cm, moderate: \>2.0 to 7.0 cm and severe: \>7.0 cm. Tenderness at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched with crying and severe: caused limitation of limb movement.
Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 7 days after booster vaccinationSystemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 deg C, categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Decreased appetite was graded as Mild: decreased interest in eating, Moderate: decreased oral intake, Severe: refusal to feed. Drowsiness: Mild: Increased or prolonged sleeping bouts, Moderate: Slightly subdued interfering with daily activity, Severe; Disabling, not interested in usual daily activity. Irritability; Mild: Easily consolable, Moderate: required increased attention, Severe: Inconsolable; crying could not be comforted. Exact 2-sided CI was based on Clopper and Pearson method.
Percentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFrom date of booster vaccination through 1 month after booster vaccinationAn AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Follow-up Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFrom 1 month after booster vaccination up to 6 months after booster vaccination (maximum up to 5 months)An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 Combined1 month after primary vaccination 2Percentage of participants achieving hSBA titer greater than or equal to (\>=) lower limit of quantitation (LLOQ) (i.e.,1:8) for each MenA, MenC, MenW and MenY test strains were reported in this outcome measure. Exact 2-sided confidence interval (CI) using the Clopper and Pearson method was presented. Analysis was performed on Post-primary vaccination 2 (post-PV2) evaluable immunogenicity population (EIP). No serum samples collected after vaccination 2 for participants in Group 11 as participants were not administered PV 2 due to study termination.
Percentage of Participants Achieving hSBA Titer >= LLOQ for Each MenACWY MenA, MenC, MenW and MenY Test Strains 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined1 month after booster vaccinationPercentage of participants achieving hSBA titer \>= LLOQ (1:8) for each MenA, MenC, MenW and MenY test strains were reported in this outcome measure. Exact 2-sided CI using the Clopper and Pearson method was presented. No participants in Group 7 and Group 11 received booster vaccination due to study termination.
Percentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 Combined1 month After primary vaccination 2Percentage of participants achieving hSBA titer\>= LLOQ for each MenB test strain (1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented. No serum samples collected after vaccination 2 for participants in Group 11 as participants were not administered PV 2 due to study termination.
Percentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 3 and 4 Combined Versus Group 51 month after primary vaccination 2Percentage of participants achieving hSBA titer\>= LLOQ for each MenB test strain(1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented.
Percentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined1 Month after booster vaccinationPercentage of participants achieving hSBA titer\>= LLOQ for each MenB test strain (1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented. No participants in Group 7 and Group 11 received booster vaccination due to study termination.
Percentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Groups 3, 4 and 51 Month after booster vaccinationPercentage of participants achieving hSBA titer \>= LLOQ for each MenB test strain (1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented. Groups 4 and 5 had no serum samples collected post-booster for serology testing due to study termination.
Percentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 7 days after primary vaccination 1Local reactions included tenderness at injection site, redness and swelling and were recorded by participant's parents/legal guardians in an electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 centimeter (cm) and graded as mild: 0.5 to 2.0 cm, moderate: \>2.0 to 7.0 cm and severe: \>7.0 cm. Tenderness at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched with crying and severe: caused limitation of limb movement. Exact 2-sided CI was based on the Clopper and Pearson method.
Percentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedWithin 7 Days after primary Vaccination 2Local reactions included tenderness at injection site, redness and swelling and were recorded by participant's parents/legal guardians in an e-diary. Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 cm and graded as mild: 0.5 to 2.0 cm, moderate: \>2.0 to 7.0 cm and severe: \>7.0 cm. Tenderness at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched with crying and severe: caused limitation of limb movement. Exact 2-sided CI was based on the Clopper and Pearson method.
Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 7 Days after primary Vaccination 1Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 degrees (deg) Celsius(C) and was categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Decreased appetite was categorized as Mild: decreased interest in eating, Moderate: decreased oral intake, Severe: refusal to feed. Drowsiness: Mild: Increased or prolonged sleeping bouts, Moderate: Slightly subdued interfering with daily activity, Severe; Disabling, not interested in usual daily activity. Irritability; Mild: Easily consolable, Moderate: required increased attention, Severe: Inconsolable; crying could not be comforted. Exact 2-sided CI was based on the Clopper and Pearson method
Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedWithin 7 days after primary vaccination 2Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 deg C and was categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Decreased appetite was categorized as Mild: decreased interest in eating, Moderate: decreased oral intake, Severe: refusal to feed. Drowsiness was graded as Mild: Increased or prolonged sleeping bouts, Moderate: Slightly subdued interfering with daily activity, Severe; Disabling, not interested in usual daily activity. Irritability; Mild: Easily consolable, Moderate: required increased attention, Severe: Inconsolable; crying could not be comforted. Exact 2-sided CI was based on the Clopper and Pearson method.
Percentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 30 days after primary vaccination 1An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. A serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. Medically attended adverse event (MAE) was defined as a nonserious AE that resulted in an evaluation at a medical facility. Newly diagnosed chronic medical condition (NDCMC) was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedWithin 30 days after primary vaccination 2An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that wasis expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedWithin 30 days after any primary vaccinationAn AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that is was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFrom day of primary vaccination 1 at Day 1 up to 1 month after primary vaccination 2An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedFrom 1 month after primary vaccination 2 up to booster vaccinationAn AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFrom the date of primary vaccination 1 up to 8 months after primary vaccination 2 (maximum up to 9 months)Infant participants aged 2 months were administered single IM injection of 0.5mL of Bexsero into left thigh, 0.5mL of Nimenrix into right thigh at Day 1(primary vaccination 1), Month 2 (primary vaccination 2) and approximately 10 months after vaccination 1 (booster vaccination). Participants in Group 8 were administered PLP orally with 3 required doses, first dose starting 30 minutes before vaccination at Day1 and Month 2. All participants received single IM injection of Prevenar 13 and Vaxelis into right thigh at 2 and 4 months of age.
Percentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 1: Groups 7 and 11 Combined Versus Groups 8 and 10 CombinedWithin 30 minutes After primary vaccination 1Immediate AEs were defined as AEs occurring within the first 30 minutes after investigational product administration.
Percentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 2: Group 7 Versus Groups 8 and 10 CombinedWithin 30 minutes After primary vaccination 2Immediate AEs were defined as AEs occurring within the first 30 minutes after investigational product administration.

Secondary

MeasureTime frameDescription
Percentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5Within 30 days after any vaccinationInfant participants aged 2 months were administered single IM injection of 0.5mL of Bexsero into left thigh, 0.5mL of Nimenrix into right thigh at Day 1(primary vaccination 1), Month 2 (primary vaccination 2) and approximately 10 months after vaccination 1 (booster vaccination). Participants in Group 8 were administered PLP orally with 3 required doses, first dose starting 30 minutes before vaccination at Day1 and Month 2. All participants received single IM injection of Prevenar 13 and Vaxelis into right thigh at 2 and 4 months of age.
hSBA Geometric Mean Titers (GMTs) for Each of the MenB Test Strains: 1 Month After Primary Vaccination 2 in Group 3 and 4 Combined Versus Group 51 Month after primary Vaccination 2GMTs were calculated by exponentiating mean logarithm of titers and CIs were calculated by exponentiating confidence limits based on the Student t distribution for the mean logarithm of the titers.
hSBA GMTs for Each of the MenB Test Strains: 1 Month After Booster Vaccination in Groups 3, 4 and 51 month after booster vaccinationGMTs were calculated by exponentiating the mean logarithm of the titers and CIs were calculated by exponentiating the confidence limits based on the Student t distribution for the mean logarithm of the titers. No serum samples were collected after booster dose for groups 4 and 5 due to study termination.
Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Within 7 Days after primary Vaccination(Vac) 1 and 2Local reactions included pain at injection site, redness and swelling and were recorded by participant's in an electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 centimeter (cm) and graded as mild: \>2.0 to 5.0 cm, moderate: \>5.0 to 10.0 cm and severe: \>10.0 cm. Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity and severe: prevented daily activity. Percentage of participants with local reactions at injection site on left arm were reported in this outcome measure.
Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Within 7 Days after primary Vaccination 1 and 2Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 degrees (deg) Celsius(C) and was categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Exact 2-sided CI was based on the Clopper and Pearson method. Decreased appetite was categorized as Grade 1:decreased interest in eating, Grade 2:decreased oral intake, Grade3: refusal to feed. Drowsiness: Grade 1 Increased or prolonged sleeping bouts,Grade2: Slightly subdued interfering with daily activity, Grade3; Disabling, not interested in usual daily activity. Irritability; Grade1: Easily consolable, Grade2: requiring increased attention, Grade 3: Inconsolable; crying could not be comforted.

Countries

Germany, Greece, Spain

Participant flow

Pre-assignment details

326 participants signed the informed consent form and were enrolled in the study. Out of which 1 participant was not vaccinated as parent withdrew consent. 325 participants received vaccination. The Sponsor decided to discontinue the study based on Sponsor's careful review of available safety data in concert with the recommendation of an independent Data Monitoring Committee.

Participants by arm

ArmCount
Group 1 (MenABCWY +PLP)
Infant participants aged 6 months were administered a single intramuscular injection of 0.5 milliliter (mL) Neisseria meningitidis group A, B, C, W, and Y vaccine (MenABCWY) into left thigh at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). Prophylactic liquid paracetamol regimen (PLP) was administered orally with 3 required doses, the first dose starting 30 minutes before vaccination (Day 1 \[primary vaccination {vacc}1\] and Month 2 \[primary vaccination 2\]). Participants received a single intramuscular injection of MenABCWY approximately 6 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into right thigh on Day 1.
23
Group 2 (MenABCWY)
Infant participants aged 6 months were administered a single intramuscular injection of 0.5 mL MenABCWY into the left thigh at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). Participants received a single intramuscular injection of MenABCWY approximately 6 months after vaccination 1 (booster vaccination). All subjects received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at Day 1.
25
Group 3 (60 mcg rLP2086 +Nimenrix +PLP/SLP)
Infant participants aged 2 months were administered a single intramuscular injection of 0.25 mL bivalent rLP2086 (60 microgram \[mcg\]) into the left thigh and 0.5 mL of Nimenrix into the right thigh at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). PLP or SLP was administered orally. Participants received a single intramuscular injection of 0.25 mL bivalent rLP2086 (60 mcg) into the left thigh and 0.5 mL of Nimenrix into the right thigh approximately 10 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 and 4 months of age.
36
Group 4 (60 mcg rLP2086 +Nimenrix)
Infant participants aged 2 months were administered a single intramuscular injection of 0.25 mL of bivalent rLP2086 (60 mcg) into the left thigh and 0.5 mL of Nimenrix into the right thigh at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). Participants received a single intramuscular injection of 0.25 mL of bivalent rLP2086 (60 mcg) into the left thigh and 0.5 mL of Nimenrix into the right thigh approximately 10 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 and 4 months of age.
16
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)
Infant participants aged 2 months were administered a single intramuscular injection of 0.5 mL of bivalent rLP2086 (120 mcg) into the left thigh and 0.5 mL of Nimenrix into the right thigh at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). PLP was administered orally with 3 required doses, the first dose starting 30 minutes before vaccination at Day 1 and Month 2. Participants received a single intramuscular injection of 0.5 mL of bivalent rLP2086 (120 mcg) into the left thigh and 0.5 mL of Nimenrix into the right thigh approximately 10 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 and 4 months of age.
53
Group 7 (MenABCWY +SLP)
Infant participants aged 2 months were administered a single intramuscular injection of 0.5 mL MenABCWY into the left thigh. Scheduled liquid paracetamol (SLP) was administered orally at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). Participants received a single intramuscular injection of 0.5 mL MenABCWY approximately 10 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 and 4 months of age. No participants received booster dose due to study termination.
50
Group 8 (Bexsero +Nimenrix +PLP)
Infant participants aged 2 months were administered a single intramuscular injection of 0.5 mL of Bexsero into the left thigh and 0.5 mL of Nimenrix into the right thigh at Day 1 (primary vaccination 1) and Month 2 (primary vaccination 2). PLP was administered orally with 3 required doses, the first dose starting 30 minutes before vaccination at Day 1 and Month 2. Participants received a single intramuscular injection of 0.5 mL of Bexsero into the left thigh and 0.5 mL of Nimenrix into the right thigh approximately 10 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 and 4 months of age.
55
Group 10 (Bexsero +Nimenrix)
Infant participants aged 2 months were administered a single intramuscular injection of 0.5 mL of Bexsero into the left thigh and 0.5 mL of Nimenrix into the right thigh at Day 1 (primary vaccination 1), Month 2 (primary vaccination 2) and at approximately 10 months after vaccination 1 (booster vaccination). All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 and 4 months of age.
55
Group 11 (MenABCWY +TLP)
Infant participants aged 2 months were administered a single intramuscular injection of 0.5 mL MenABCWY into the left thigh at Day 1 (primary vaccination 1). Therapeutic Liquid Paracetamol regimen (TLP) was administered orally. No participants received Vaccination 2 and booster dose due to study termination. All participants received a single intramuscular injection of Prevenar 13 and Vaxelis into the right thigh at 2 months of age.
12
Total325

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Follow-up PhaseLost to Follow-up000000010
Vaccination PhaseAdverse Event100000100
Vaccination PhaseDeath000001000
Vaccination PhaseLost to Follow-up000000010
Vaccination PhaseNo longer meets eligibility criteria000000010
Vaccination PhaseOther000002000
Vaccination PhaseProtocol Violation000010000
Vaccination PhaseStudy terminated by sponsor0014154743292912
Vaccination PhaseWithdrawal by parent/guardian002134020

Baseline characteristics

CharacteristicGroup 1 (MenABCWY +PLP)Group 2 (MenABCWY)Group 3 (60 mcg rLP2086 +Nimenrix +PLP/SLP)Group 4 (60 mcg rLP2086 +Nimenrix)Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Group 7 (MenABCWY +SLP)Group 8 (Bexsero +Nimenrix +PLP)Group 10 (Bexsero +Nimenrix)Group 11 (MenABCWY +TLP)Total
Age, Continuous158.5 Days
STANDARD_DEVIATION 6.87
161.6 Days
STANDARD_DEVIATION 14.45
71.1 Days
STANDARD_DEVIATION 7
67.6 Days
STANDARD_DEVIATION 5.81
68.9 Days
STANDARD_DEVIATION 6.39
68.0 Days
STANDARD_DEVIATION 5.99
67.4 Days
STANDARD_DEVIATION 7.89
67.5 Days
STANDARD_DEVIATION 7.3
69.4 Days
STANDARD_DEVIATION 7.69
81.9 Days
STANDARD_DEVIATION 33.51
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants9 Participants21 Participants8 Participants10 Participants25 Participants18 Participants22 Participants6 Participants132 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants16 Participants15 Participants8 Participants43 Participants25 Participants37 Participants33 Participants6 Participants193 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
White
20 Participants24 Participants35 Participants16 Participants52 Participants50 Participants55 Participants55 Participants12 Participants319 Participants
Sex: Female, Male
Female
12 Participants10 Participants21 Participants7 Participants24 Participants27 Participants32 Participants20 Participants7 Participants160 Participants
Sex: Female, Male
Male
11 Participants15 Participants15 Participants9 Participants29 Participants23 Participants23 Participants35 Participants5 Participants165 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 250 / 360 / 160 / 531 / 500 / 550 / 550 / 12
other
Total, other adverse events
23 / 2325 / 2536 / 3616 / 1653 / 5350 / 5054 / 5555 / 5512 / 12
serious
Total, serious adverse events
0 / 231 / 251 / 361 / 1611 / 535 / 501 / 556 / 551 / 12

Outcome results

Primary

Percentage of Participants Achieving hSBA Titer >= LLOQ for Each MenACWY MenA, MenC, MenW and MenY Test Strains 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Percentage of participants achieving hSBA titer \>= LLOQ (1:8) for each MenA, MenC, MenW and MenY test strains were reported in this outcome measure. Exact 2-sided CI using the Clopper and Pearson method was presented. No participants in Group 7 and Group 11 received booster vaccination due to study termination.

Time frame: 1 month after booster vaccination

Population: Post-booster vaccination EIP: randomized participants eligible through V6;received vaccine at V1, V3, V5;blood drawn for assay testing within required timeframes at V6; had at least 1 valid, determinate MenA, MenC, MenW, MenY, or MenB assay result at V6; received no prohibited vaccines/treatment and had no protocol deviations through V6. Here, ''N''=participants evaluable for the outcome measure and ''n''=participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenACWY MenA, MenC, MenW and MenY Test Strains 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenA100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenACWY MenA, MenC, MenW and MenY Test Strains 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenC100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenACWY MenA, MenC, MenW and MenY Test Strains 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenW100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenACWY MenA, MenC, MenW and MenY Test Strains 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenY100.0 Percentage of participants
Primary

Percentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Percentage of participants achieving hSBA titer\>= LLOQ for each MenB test strain (1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented. No participants in Group 7 and Group 11 received booster vaccination due to study termination.

Time frame: 1 Month after booster vaccination

Population: Post booster vacc. evaluable immunogenicity population=randomised to study group of interest,eligible through V6. Received investigational products at V1,3,5 as randomised,blood drawn for assay testing at required time frames at V6(1 month after booster vacc\[28-42 days\]).At least 1 valid,determinate MenA, C, W, Y,or B assay result at V6, received no prohibited vaccines/treatment, no protocol deviations through V6.''N''=participants evaluable here; ''n''=participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedPMB80 (A22)25.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedPMB2707 (B44)34.1 Percentage of participants
Primary

Percentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Groups 3, 4 and 5

Percentage of participants achieving hSBA titer \>= LLOQ for each MenB test strain (1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented. Groups 4 and 5 had no serum samples collected post-booster for serology testing due to study termination.

Time frame: 1 Month after booster vaccination

Population: Post booster vacc. evaluable immunogenicity population=randomised to study group of interest,eligible through V6. Received investigational products at V1,3,5 as randomised,blood drawn for assay testing at required time frames at V6(1 month after booster vacc\[28-42 days\]).At least 1 valid,determinate MenA, C, W, Y,or B assay result at V6, received no prohibited vaccines/treatment, no protocol deviations through V6.''N''=participants evaluable here.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Groups 3, 4 and 5PMB80 (A22)38.9 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each MenB Test Strain 1 Month After Booster Vaccination: Groups 3, 4 and 5PMB2707 (B44)83.3 Percentage of participants
Primary

Percentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 3 and 4 Combined Versus Group 5

Percentage of participants achieving hSBA titer\>= LLOQ for each MenB test strain(1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented.

Time frame: 1 month after primary vaccination 2

Population: Post-PV 2 EIP: participants randomized,eligible through Visit(V)4;received vaccine at V1,V3;blood drawn for assay test within required timeframes at V4;had at least 1 valid, determinate MenA,C,W,Y,or B assay result at V4;received no prohibited vaccines/treatment,no protocol deviation through V4.''N''=participants evaluable for outcome measure; ''n''=participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 3 and 4 Combined Versus Group 5PMB80 (A22)46.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 3 and 4 Combined Versus Group 5PMB2707 (B44)82.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 3 and 4 Combined Versus Group 5PMB80 (A22)47.7 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 3 and 4 Combined Versus Group 5PMB2707 (B44)97.8 Percentage of participants
Primary

Percentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Percentage of participants achieving hSBA titer\>= LLOQ for each MenB test strain (1:16 for strain A22 and 1:8 for strain B44) is reported in this outcome measure. Exact 2-sided CI using Clopper and Pearson method is presented. No serum samples collected after vaccination 2 for participants in Group 11 as participants were not administered PV 2 due to study termination.

Time frame: 1 month After primary vaccination 2

Population: Post-PV 2 EIP: participants randomized,eligible through Visit(V)4;received vaccine at V1,V3;blood drawn for assay test within required timeframes at V4;had at least 1 valid, determinate MenA,C,W,Y,or B assay result at V4;received no prohibited vaccines/treatment,no protocol deviation through V4.''N''=participants evaluable for outcome measure; ''n''=participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedPMB80 (A22)44.4 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedPMB2707 (B44)88.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedPMB80 (A22)9.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving hSBA Titer >= LLOQ for Each Neisseria Meningitidis Group B (MenB) Test Strain 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedPMB2707 (B44)29.5 Percentage of participants
Primary

Percentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Percentage of participants achieving hSBA titer greater than or equal to (\>=) lower limit of quantitation (LLOQ) (i.e.,1:8) for each MenA, MenC, MenW and MenY test strains were reported in this outcome measure. Exact 2-sided confidence interval (CI) using the Clopper and Pearson method was presented. Analysis was performed on Post-primary vaccination 2 (post-PV2) evaluable immunogenicity population (EIP). No serum samples collected after vaccination 2 for participants in Group 11 as participants were not administered PV 2 due to study termination.

Time frame: 1 month after primary vaccination 2

Population: Post-PV 2 EIP: participants randomized,eligible through Visit(V)4;received vaccine at V1,V3;blood drawn for assay test within required timeframes at V4;had at least 1 valid, determinate MenA,C,W,Y,or B assay result at V4;received no prohibited vaccines/treatment,no protocol deviation through V4.''N''=participants evaluable for outcome measure; ''n''=participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenA100.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenC100.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenW100.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenY100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenY100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenA100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenW100.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants Achieving Serum Bactericidal Assay Using Human Complement (hSBA) Titer >=LLOQ for Each MenA, MenC, MenW and MenY Test Strains 1 Month After Primary Vaccination 2: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMenC100.0 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Follow-up Phase: Group 7 and 11 Combined Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

Time frame: From 1 month after booster vaccination up to 6 months after booster vaccination (maximum up to 5 months)

Population: Booster vaccination follow-up safety population included participants who received the booster dose of investigational product and who had safety follow-up between Visit 6 and up to and including Visit 7 (after booster vaccination). Here, ''N''=participants evaluable for this outcome measure. Data was not collected from participants in Groups 7 and 11 as no participants received booster vaccination due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Follow-up Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Follow-up Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs17.4 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Follow-up Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs2.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Follow-up Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs15.2 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

Time frame: From date of booster vaccination through 1 month after booster vaccination

Population: Booster vaccination safety population included participants who received booster dose of investigational product, had safety follow-up between Visit 5 and prior to Visit 6 (after booster vaccination). Here, 'N'=participants evaluable for this outcome measure. Data was not collected from participants in Groups 7 and 11 as no participants received booster vaccination due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs27.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs92 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Booster Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC0 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

Time frame: From day of primary vaccination 1 at Day 1 up to 1 month after primary vaccination 2

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC1.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs6.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs56.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs43.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs33.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs24.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC During Primary Series Vaccination Phase: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs1.8 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Booster Stage: Group 7 and 11 Combined Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

Time frame: From 1 month after booster vaccination up to 6 months after booster vaccination (maximum up to 6 months)

Population: Booster vaccination safety population included participants who received booster dose of investigational product, had safety follow-up between Visit 5 and prior to Visit 6 (after booster vaccination). Here, ''N''=participants evaluable for this outcome measure. Data was not collected from participants in Groups 7 and 11 as no participants received booster vaccination due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Booster Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs25.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Booster Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs40.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Booster Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs2.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Booster Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC0 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Infant participants aged 2 months were administered single IM injection of 0.5mL of Bexsero into left thigh, 0.5mL of Nimenrix into right thigh at Day 1(primary vaccination 1), Month 2 (primary vaccination 2) and approximately 10 months after vaccination 1 (booster vaccination). Participants in Group 8 were administered PLP orally with 3 required doses, first dose starting 30 minutes before vaccination at Day1 and Month 2. All participants received single IM injection of Prevenar 13 and Vaxelis into right thigh at 2 and 4 months of age.

Time frame: From the date of primary vaccination 1 up to 8 months after primary vaccination 2 (maximum up to 9 months)

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs59.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs45.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC1.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs9.7 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC1.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs40.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs4.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Throughout Primary Series Stage: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs30.0 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that is was expected to be persistent or otherwise long-lasting in its effects.

Time frame: Within 30 days after any primary vaccination

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs40.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs29.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs6.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMC0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs24.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Any Primary Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs16.4 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 Combined

An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. A serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. Medically attended adverse event (MAE) was defined as a nonserious AE that resulted in an evaluation at a medical facility. Newly diagnosed chronic medical condition (NDCMC) was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

Time frame: Within 30 days after primary vaccination 1

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs24.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs14.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMCs0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedNDCMCs0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedAEs16.4 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedMAEs10.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC Within 30 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSAEs0 Percentage of participants
Primary

Percentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that wasis expected to be persistent or otherwise long-lasting in its effects.

Time frame: Within 30 days after primary vaccination 2

Population: Primary vaccination 2 safety population included all participants who received the second dose of investigational product at Visit 3 and who had safety follow-up between Visit 3 and prior to Visit 4. Here, ''N''=participants evaluable for this outcome measure. Data was not collected from participants in Group 11 as no participants received primary vaccination 2 due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSAEs2.4 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedAEs33.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedMAEs23.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedNDCMC0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedNDCMC0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedMAEs11.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedAEs12.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs,MAEs and NDCMC Within 30 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSAEs0 Percentage of participants
Primary

Percentage of Participants With Immediate AEs After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Immediate AEs were defined as AEs occurring within the first 30 minutes after investigational product administration.

Time frame: Within 30 minutes after booster vaccination

Population: Booster vaccination safety population included participants who received booster dose of investigational product, had safety follow-up between Visit 5 and prior to Visit 6 (after booster vaccination). Here, 'N'=participants evaluable for this outcome measure. Data was not collected from participants in Groups 7 and 11 as no participants received booster vaccination due to study termination.

ArmMeasureValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants With Immediate AEs After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined0 Percentage of participants
Primary

Percentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 1: Groups 7 and 11 Combined Versus Groups 8 and 10 Combined

Immediate AEs were defined as AEs occurring within the first 30 minutes after investigational product administration.

Time frame: Within 30 minutes After primary vaccination 1

Population: Primary vaccination 1 safety population included all participants who received the first dose of investigational product at Visit 1 and who had safety follow-up between Visit 1 and prior to Visit 3. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 1: Groups 7 and 11 Combined Versus Groups 8 and 10 Combined0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 1: Groups 7 and 11 Combined Versus Groups 8 and 10 Combined0 Percentage of participants
Primary

Percentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 2: Group 7 Versus Groups 8 and 10 Combined

Immediate AEs were defined as AEs occurring within the first 30 minutes after investigational product administration.

Time frame: Within 30 minutes After primary vaccination 2

Population: Primary vaccination 2 safety population included all participants who received the second dose of investigational product at Visit 3 and who had safety follow-up between Visit 3 and prior to Visit 4. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 2: Group 7 Versus Groups 8 and 10 Combined0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Immediate AEs Within 30 Minutes After Primary Vaccination 2: Group 7 Versus Groups 8 and 10 Combined0 Percentage of participants
Primary

Percentage of Participants With Local Reactions Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Local reactions included tenderness at injection site, redness and swelling and were recorded by participant's parents/legal guardians in an electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 centimeter (cm) and graded as mild: 0.5 to 2.0 cm, moderate: \>2.0 to 7.0 cm and severe: \>7.0 cm. Tenderness at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched with crying and severe: caused limitation of limb movement.

Time frame: Within 7 Days after booster vaccination

Population: Booster vaccination safety population included participants who received booster dose of investigational product, had safety follow-up between Visit 5 and prior to Visit 6 (after booster vaccination). Here, 'N'=participants evaluable for this outcome measure. Data was not collected from participants in Groups 7 and 11 as no participants received booster vaccination due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness38 Participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling35 Participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site63 Participants
Primary

Percentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Local reactions included tenderness at injection site, redness and swelling and were recorded by participant's parents/legal guardians in an electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 centimeter (cm) and graded as mild: 0.5 to 2.0 cm, moderate: \>2.0 to 7.0 cm and severe: \>7.0 cm. Tenderness at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched with crying and severe: caused limitation of limb movement. Exact 2-sided CI was based on the Clopper and Pearson method.

Time frame: Within 7 days after primary vaccination 1

Population: Primary vaccination 1 safety population included all randomised participants who received the first dose of investigational product at Visit 1 and had safety follow-up between Visit 1 and prior to Visit 3. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site: Mild22.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site: Moderate48.4 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness: Mild22.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness: Moderate11.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling: Mild21.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling: Moderate17.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling: Moderate12.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site: Moderate24.1 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site: Mild25.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedTenderness at injection site: Severe0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling: Mild22.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness: Mild23.1 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedSwelling: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedRedness: Moderate6.5 Percentage of participants
Primary

Percentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 Combined

Local reactions included tenderness at injection site, redness and swelling and were recorded by participant's parents/legal guardians in an e-diary. Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 cm and graded as mild: 0.5 to 2.0 cm, moderate: \>2.0 to 7.0 cm and severe: \>7.0 cm. Tenderness at injection site was graded as mild: hurt if gently touched, moderate: hurt if gently touched with crying and severe: caused limitation of limb movement. Exact 2-sided CI was based on the Clopper and Pearson method.

Time frame: Within 7 Days after primary Vaccination 2

Population: Primary vaccination 2 safety population included all participants who received the second dose of investigational product at Visit 3 and who had safety follow-up between Visit 3 and prior to Visit 4. Here, ''N''=participants evaluable for this outcome measure. Data was not collected from participants in Group 11 as no participants received primary vaccination 2 due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedRedness: Moderate12.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSwelling: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSwelling: Mild19.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedTenderness at injection site: Mild22.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedRedness: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedTenderness at injection site: Moderate34.1 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSwelling: Moderate14.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedTenderness at injection site: Severe4.9 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedRedness: Mild26.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedTenderness at injection site: Severe2.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedRedness: Mild27.1 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedRedness: Moderate11.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedRedness: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSwelling: Mild25.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSwelling: Moderate12.1 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedSwelling: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedTenderness at injection site: Mild27.1 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedTenderness at injection site: Moderate23.4 Percentage of participants
Primary

Percentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 Combined

An AE was any untoward medical occurrence in a participant, temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE was any untoward medical occurrence that, at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; congenital anomaly/birth defect and other important medical events. MAE was defined as a nonserious AE that resulted in an evaluation at a medical facility. NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.

Time frame: From 1 month after primary vaccination 2 up to booster vaccination

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure. Data was not collected from participants in Group 11 as no participants received primary vaccination 2 due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedAEs17.1 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedSAEs4.9 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedMAEs12.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedNDCMC0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedMAEs15.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedAEs18.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedNDCMC0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With SAEs, MAEs and NDCMC During Primary Series Follow-up Phase: Group 7 Versus Group 8 and 10 CombinedSAEs2.8 Percentage of participants
Primary

Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 deg C, categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Decreased appetite was graded as Mild: decreased interest in eating, Moderate: decreased oral intake, Severe: refusal to feed. Drowsiness: Mild: Increased or prolonged sleeping bouts, Moderate: Slightly subdued interfering with daily activity, Severe; Disabling, not interested in usual daily activity. Irritability; Mild: Easily consolable, Moderate: required increased attention, Severe: Inconsolable; crying could not be comforted. Exact 2-sided CI was based on Clopper and Pearson method.

Time frame: Within 7 days after booster vaccination

Population: Booster vaccination safety population included participants who received booster dose of investigational product, had safety follow-up between Visit 5 and prior to Visit 6 (after booster vaccination). Here, 'N'=participants evaluable for this outcome measure. Data was not collected from participants in Groups 7 and 11 as no participants received booster vaccination due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: 38.0°C to 38.4°C19.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >38.4°C to 38.9°C11.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >38.9°C to 40.0°C4.4 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Severe2.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Mild22.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Moderate42.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Severe7.7 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Mild26.4 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Moderate18.7 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Severe1.1 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedUse of antipyretic medication63.7 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Mild17.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Booster Vaccination: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Moderate27.5 Percentage of participants
Primary

Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 Combined

Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 degrees (deg) Celsius(C) and was categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Decreased appetite was categorized as Mild: decreased interest in eating, Moderate: decreased oral intake, Severe: refusal to feed. Drowsiness: Mild: Increased or prolonged sleeping bouts, Moderate: Slightly subdued interfering with daily activity, Severe; Disabling, not interested in usual daily activity. Irritability; Mild: Easily consolable, Moderate: required increased attention, Severe: Inconsolable; crying could not be comforted. Exact 2-sided CI was based on the Clopper and Pearson method

Time frame: Within 7 Days after primary Vaccination 1

Population: Primary vaccination 1 safety population included all randomized participants who received the first dose of investigational product at Visit 1 and had safety follow-up between Visit 1 and prior to Visit 3. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: 38.0°C to 38.4°C29.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >38.4°C to 38.9°C24.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >38.9°C to 40.0°C9.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >40.0°C0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Mild17.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Moderate43.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Severe4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Mild21.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Moderate59.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Severe14.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Mild37.1 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Moderate32.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Severe4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedUse of antipyretic medication46.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Mild39.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: 38.0°C to 38.4°C15.7 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Mild19.4 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >38.4°C to 38.9°C5.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Severe0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >38.9°C to 40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Moderate45.4 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedFever: >40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDrowsiness: Moderate18.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Mild17.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedIrritability: Severe6.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Moderate21.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedUse of antipyretic medication50.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 1: Group 7 and 11 Combined Versus Group 8 and 10 CombinedDecreased appetite: Severe0.9 Percentage of participants
Primary

Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 Combined

Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 deg C and was categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Decreased appetite was categorized as Mild: decreased interest in eating, Moderate: decreased oral intake, Severe: refusal to feed. Drowsiness was graded as Mild: Increased or prolonged sleeping bouts, Moderate: Slightly subdued interfering with daily activity, Severe; Disabling, not interested in usual daily activity. Irritability; Mild: Easily consolable, Moderate: required increased attention, Severe: Inconsolable; crying could not be comforted. Exact 2-sided CI was based on the Clopper and Pearson method.

Time frame: Within 7 days after primary vaccination 2

Population: Primary vaccination 2 safety population included all participants who received the second dose of investigational product at Visit 3 and who had safety follow-up between Visit 3 and prior to Visit 4. Here, ''N''=participants evaluable for this outcome measure. Data was not collected from participants in Group 11 as no participants received primary vaccination 2 due to study termination.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: 38.0°C to 38.4°C26.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: >38.4°C to 38.9°C26.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: >38.9°C to 40.0°C12.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: >40.0°C0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDecreased appetite: Mild22.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDecreased appetite: Moderate31.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDecreased appetite: Severe4.9 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedIrritability: Mild12.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedIrritability: Moderate53.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedIrritability: Severe22.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDrowsiness: Mild29.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDrowsiness: Moderate34.1 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDrowsiness: Severe4.9 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedUse of antipyretic medication41.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDrowsiness: Mild45.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: 38.0°C to 38.4°C31.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedIrritability: Mild21.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: >38.4°C to 38.9°C14.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDrowsiness: Severe0.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: >38.9°C to 40.0°C2.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedIrritability: Moderate48.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedFever: >40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDrowsiness: Moderate14.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDecreased appetite: Mild20.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedIrritability: Severe6.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDecreased appetite: Moderate25.2 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedUse of antipyretic medication72.9 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Primary Vaccination 2: Group 7 Versus Group 8 and 10 CombinedDecreased appetite: Severe3.7 Percentage of participants
Secondary

hSBA Geometric Mean Titers (GMTs) for Each of the MenB Test Strains: 1 Month After Primary Vaccination 2 in Group 3 and 4 Combined Versus Group 5

GMTs were calculated by exponentiating mean logarithm of titers and CIs were calculated by exponentiating confidence limits based on the Student t distribution for the mean logarithm of the titers.

Time frame: 1 Month after primary Vaccination 2

Population: Post-primary vaccination 2 evaluable immunogenicity population: participants randomized to study group of interest; eligible through Visit(V)4; received vaccine at V1,V3;blood drawn for assay testing at required timeframes at V4; had at least 1 valid, determinate MenA, MenC, MenW, MenY, or MenB assay result at V4;received no prohibited vaccines/treatment,no protocol deviations through V4. Here,''N''= participants evaluable for the outcome measure;''n''= participants evaluable for specific rows.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 7 and 11 CombinedhSBA Geometric Mean Titers (GMTs) for Each of the MenB Test Strains: 1 Month After Primary Vaccination 2 in Group 3 and 4 Combined Versus Group 5PMB2707 (B44)25.0 Titers
Group 7 and 11 CombinedhSBA Geometric Mean Titers (GMTs) for Each of the MenB Test Strains: 1 Month After Primary Vaccination 2 in Group 3 and 4 Combined Versus Group 5PMB80 (A22)13.9 Titers
Group 8 and 10 CombinedhSBA Geometric Mean Titers (GMTs) for Each of the MenB Test Strains: 1 Month After Primary Vaccination 2 in Group 3 and 4 Combined Versus Group 5PMB80 (A22)15.3 Titers
Group 8 and 10 CombinedhSBA Geometric Mean Titers (GMTs) for Each of the MenB Test Strains: 1 Month After Primary Vaccination 2 in Group 3 and 4 Combined Versus Group 5PMB2707 (B44)25.0 Titers
Secondary

hSBA GMTs for Each of the MenB Test Strains: 1 Month After Booster Vaccination in Groups 3, 4 and 5

GMTs were calculated by exponentiating the mean logarithm of the titers and CIs were calculated by exponentiating the confidence limits based on the Student t distribution for the mean logarithm of the titers. No serum samples were collected after booster dose for groups 4 and 5 due to study termination.

Time frame: 1 month after booster vaccination

Population: Post-primary vaccination 2 evaluable immunogenicity population:eligible participants randomized through Visit(V)4;received vaccine at V1,V3;blood drawn for assay testing within required timeframes at V4;had at least 1 valid, determinate MenA, C, W, Y, or B assay result at V4;received no prohibited vaccines/treatment;no protocol deviation through V4. Here,''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Group 7 and 11 CombinedhSBA GMTs for Each of the MenB Test Strains: 1 Month After Booster Vaccination in Groups 3, 4 and 5PMB80 (A22)21.8 Titers95% Confidence Interval 11.1
Group 7 and 11 CombinedhSBA GMTs for Each of the MenB Test Strains: 1 Month After Booster Vaccination in Groups 3, 4 and 5PMB2707 (B44)25.4 Titers95% Confidence Interval 12.6
Secondary

Percentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5

Infant participants aged 2 months were administered single IM injection of 0.5mL of Bexsero into left thigh, 0.5mL of Nimenrix into right thigh at Day 1(primary vaccination 1), Month 2 (primary vaccination 2) and approximately 10 months after vaccination 1 (booster vaccination). Participants in Group 8 were administered PLP orally with 3 required doses, first dose starting 30 minutes before vaccination at Day1 and Month 2. All participants received single IM injection of Prevenar 13 and Vaxelis into right thigh at 2 and 4 months of age.

Time frame: Within 30 days after any vaccination

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5MAEs47.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5AEs52.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5NDCMC0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5SAEs2.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5MAEs62.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5SAEs6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5AEs68.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5NDCMC6.3 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5NDCMC0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5AEs60.4 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5SAEs20.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With AEs, SAEs, MAEs and NDCMC: Groups 3, 4 and 5MAEs47.2 Percentage of participants
Secondary

Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5

Local reactions included pain at injection site, redness and swelling and were recorded by participant's in an electronic diary (e-diary). Redness and swelling were measured and recorded in caliper units. 1 caliper unit =0.5 centimeter (cm) and graded as mild: \>2.0 to 5.0 cm, moderate: \>5.0 to 10.0 cm and severe: \>10.0 cm. Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity and severe: prevented daily activity. Percentage of participants with local reactions at injection site on left arm were reported in this outcome measure.

Time frame: Within 7 Days after primary Vaccination(Vac) 1 and 2

Population: Safety population included all randomized participants who received at least 1 dose of investigational product and had safety data reported after vaccination. Here, ''N''=participants evaluable for this outcome measure; ''n''= participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Moderate4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Mild16.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site:Mild19.4 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.siteSevere0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Mild33.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling: Mild19.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vaccination 1:Redness:Mild27.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Moderate11.1 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling: Moderate0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1Redness: Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site: Moderate41.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling Severe0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.siteModerate9.5 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1Redness:Moderate8.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.site Mild28.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.site Mild12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.siteModerate18.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.siteSevere6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1Redness:Moderate0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1Redness: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Mild6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vaccination 1:Redness:Mild18.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Mild18.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Moderate12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Moderate0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site:Mild12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling: Mild12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling: Moderate12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site: Moderate18.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling Severe0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Moderate5.7 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Severe0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site:Mild22.6 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site: Moderate20.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac1Tenderness at inj.site: Severe1.9 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Mild19.2 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Moderate3.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Redness: Severe0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling: Mild9.6 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Swelling: Moderate1.9 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1Redness:Moderate3.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.site Mild32.7 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.siteModerate17.3 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vac2Tenderness at inj.siteSevere1.9 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1Redness: Severe0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vacc1:Swelling: Mild9.4 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Local Reactions Within 7 Days After Each Primary Vaccination: Group 3, 4 and 5Vaccination 1:Redness:Mild13.2 Percentage of participants
Secondary

Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5

Systemic events were recorded by participant's parents/legal guardians in e-diary. Fever was defined as temperature \>=38.0 degrees (deg) Celsius(C) and was categorized as 38.0 to 38.4 deg C, \>38.4 to 38.9 deg C, \>38.9 to 40.0 deg C and \>40.0 deg C. Exact 2-sided CI was based on the Clopper and Pearson method. Decreased appetite was categorized as Grade 1:decreased interest in eating, Grade 2:decreased oral intake, Grade3: refusal to feed. Drowsiness: Grade 1 Increased or prolonged sleeping bouts,Grade2: Slightly subdued interfering with daily activity, Grade3; Disabling, not interested in usual daily activity. Irritability; Grade1: Easily consolable, Grade2: requiring increased attention, Grade 3: Inconsolable; crying could not be comforted.

Time frame: Within 7 Days after primary Vaccination 1 and 2

Population: Primary vaccination 1 safety population included all randomized participants who received the first dose of investigational product at Visit 1 and had safety follow-up between Visit 1 and prior to Visit 3. Here, ''N''=participants evaluable for this outcome measure; ''n''= participants evaluable for specific rows.

ArmMeasureGroupValue (NUMBER)
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2IrritabilityModerate23.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever>38.9°C to 40.0°C0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2IrritabilitySevere4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilitySevere8.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessMild47.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessModertae23.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessSevere0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessMild36.1 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessModerate33.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreasedappetite Severe2.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever>38.4°C to 38.9°C27.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilityMild16.7 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessSevere2.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilityModerate58.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Use of antipyretic medication58.3 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever38.0°C to 38.4°C30.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever >40.0°C0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 >38.0°C to 38.4°C23.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 >>38.4°C to 38.9°C23.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreased appetite Mild25.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Use of antipyretic medication81.0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2>>38.9°C to 40.0°C4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2>40.0°C0 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetiteMild4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetiteModerate28.6 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreased appetite Moderate22.2 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetite Severe4.8 Percentage of participants
Group 7 and 11 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 Irritability Mild28.6 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetiteMild6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Use of antipyretic medication56.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever38.0°C to 38.4°C18.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2IrritabilitySevere0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 >38.0°C to 38.4°C25.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever >40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessMild43.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilitySevere6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2IrritabilityModerate68.8 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessModertae12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever>38.9°C to 40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 >>38.4°C to 38.9°C25.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessSevere0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever>38.4°C to 38.9°C6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Use of antipyretic medication87.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessMild37.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetiteModerate50.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 Irritability Mild12.5 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreasedappetite Severe0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilityMild6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2>>38.9°C to 40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetite Severe6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2>40.0°C0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilityModerate75.0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessSevere0 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessModerate31.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreased appetite Mild6.3 Percentage of participants
Group 8 and 10 CombinedPercentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreased appetite Moderate43.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Use of antipyretic medication83.0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever38.0°C to 38.4°C35.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever>38.4°C to 38.9°C17.0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever>38.9°C to 40.0°C11.3 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Fever >40.0°C0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreased appetite Mild28.3 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilityModerate58.5 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilitySevere13.2 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessModerate39.6 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessSevere3.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 >38.0°C to 38.4°C28.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 >>38.4°C to 38.9°C25.0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2>>38.9°C to 40.0°C13.5 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2>40.0°C0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetiteMild28.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetiteModerate38.5 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Decreased appetite Severe5.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2 Irritability Mild21.2 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2IrritabilityModerate48.1 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2IrritabilitySevere9.6 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessMild40.4 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessModertae28.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2DrowsinessSevere3.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac2Use of antipyretic medication86.5 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreased appetite Moderate34.0 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1Decreasedappetite Severe3.8 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1IrritabilityMild5.7 Percentage of participants
Group 5 (120 mcg rLP2086 +Nimenrix +PLP)Percentage of Participants With Systemic Events and Antipyretic Use Within 7 Days After Each Primary Vaccination: Group 3,4 and 5Vac1DrowsinessMild49.1 Percentage of participants

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