PMID- 25969894 OWN - NLM STAT- MEDLINE DCOM- 20160311 LR - 20181113 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 11 IP - 6 DP - 2015 TI - Immunogenicity and safety of investigational vaccine formulations against meningococcal serogroups A, B, C, W, and Y in healthy adolescents. PG - 1507-17 LID - 10.1080/21645515.2015.1029686 [doi] AB - This phase 2 study assessed the immunogenicity, safety, and reactogenicity of investigational formulations of meningococcal ABCWY vaccines, consisting of recombinant proteins (rMenB) and outer membrane vesicle (OMV) components of a licensed serogroup B vaccine, combined with components of a licensed quadrivalent meningococcal glycoconjugate vaccine (MenACWY-CRM). A total of 495 healthy adolescents were randomized to 6 groups to receive 2 doses (Months 0, 2) of one of 4 formulations of rMenB antigens, with or without OMV, combined with MenACWY-CRM, or 2 doses of rMenB alone or one dose of MenACWY-CRM then a placebo. Immunogenicity was assessed by serum bactericidal assay with human complement (hSBA) against serogroups ACWY and serogroup B test strains; solicited reactions and any adverse events (AEs) were assessed. Two MenABCWY vaccinations elicited robust ACWY immune responses, with higher seroresponse rates than one dose of MenACWY-CRM. Bactericidal antibody responses against the rMenB antigens and OMV components were highest in subjects who received 2 doses of OMV-containing MenABCWY formulations, with >/=68% of subjects achieving hSBA titers >/=5 against each of the serogroup B test strains. After the first dose, solicited local reaction rates were higher in the MenABCWY or rMenB groups than the MenACWY-CRM group, but similar across groups after the second dose, consisting mainly of transient injection site pain. Fever (>/=38.0 degrees C) was rare and there were no vaccine-related serious AEs. In conclusion, investigational MenABCWY formulations containing OMV components elicited highly immunogenic responses against meningococcal serogroups ACWY, as well as serogroup B test strains, with an acceptable safety profile. [NCT01210885]. FAU - Saez-Llorens, Xavier AU - Saez-Llorens X AD - a Infectious Disease Department; Hospital del Nino ; Panama City , Panama. FAU - Aguilera Vaca, Diana Catalina AU - Aguilera Vaca DC FAU - Abarca, Katia AU - Abarca K FAU - Maho, Emmanuelle AU - Maho E FAU - Grana, Maria Gabriela AU - Grana MG FAU - Heijnen, Esther AU - Heijnen E FAU - Smolenov, Igor AU - Smolenov I FAU - Dull, Peter M AU - Dull PM LA - eng SI - ClinicalTrials.gov/NCT01210885 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Drugs, Investigational) RN - 0 (Meningococcal Vaccines) RN - 0 (Placebos) RN - 0 (Vaccines, Combined) SB - IM MH - Adolescent MH - Blood Bactericidal Activity MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Drugs, Investigational/administration & dosage/*adverse effects MH - Female MH - Healthy Volunteers MH - Humans MH - Male MH - Meningococcal Vaccines/administration & dosage/*adverse effects/*immunology MH - Placebos/administration & dosage MH - Vaccines, Combined/administration & dosage/adverse effects/immunology PMC - PMC4514249 OTO - NOTNLM OT - AE, adverse event OT - CI, confidence interval OT - GMT, geometric mean titer OT - IMD, invasive meningococcal disease OT - NHBA, Neisserial Heparin Binding Antigen OT - NadA, Neisseria adhesin A OT - Neisseria meningitidis OT - OMV, outer membrane vesicle OT - PP, per-protocol set OT - SAE, serious adverse event OT - adolescents OT - conjugate vaccine OT - fHbp, factor H-binding protein OT - hSBA, serum bactericidal assay with human complement OT - immunogenicity OT - meningococcal disease OT - safety EDAT- 2015/05/15 06:00 MHDA- 2016/03/12 06:00 PMCR- 2016/05/13 CRDT- 2015/05/14 06:00 PHST- 2015/05/14 06:00 [entrez] PHST- 2015/05/15 06:00 [pubmed] PHST- 2016/03/12 06:00 [medline] PHST- 2016/05/13 00:00 [pmc-release] AID - 1029686 [pii] AID - 10.1080/21645515.2015.1029686 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2015;11(6):1507-17. doi: 10.1080/21645515.2015.1029686.