Research Trial Assessing the Immunogenicity and Safety of Three Meningococcal B Vaccine Strategies Among Patients With Asplenia.

ConditionSplenectomy
Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

The purpose of the study is to evaluate the immunological response and tolerance of 3 vaccine strategies against meningococcus B, a potentially fatal invasive infection.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female, >=18 to <=75 years old.

Asplenic patient (for at least 2 weeks) with Howell Jolly bodies visible on blood film

Splenectomy confirmed by consultation and/or hospitalization report or the ultrasound if it has been performed during the routine follow-up

Women of childbearing age must have an effective contraception during the first 9 months of the study.

Disqualifiers

History of meningococcal vaccination B.

History of anaphylaxis post vaccination.

Known allergy to any components (active substances or excipients) of both vaccines.

Patients who cannot stop antibiotics 3 days before blood collection.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Trumenba®

    Biological/Vaccine

    Trumenba® (Pfizer): Suspension for intramuscular injection in 0.5 mL single-dose prefilled.

  • Bexsero®

    Biological/Vaccine

    Bexsero® (GSK): available as a suspension for intramuscular injection in a prefilled syringe

Treatment groups

84 Participants
are divided into 3 treatment groups
Group A: Arm A : Trumenba®: Standard vaccinationOther 1 intervention
Group B: Arm B:Bexsero®: standard vaccination regimenOther 1 intervention
Group C: Arm C : Bexsero® Innovative vaccine strategyOther 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of responders defined as participants with seroconversion

Proportion of responders defined as participants with seroconversion (i.e. hSBA titer increases from \<4 before vaccination to at least 4) or with hSBA titer showing a 4-fold increase (if hSBA titer was at least 4 before vaccination) one month after the completeness of three anti-meningococci B vaccine strategies (at M7 for all arms) in asplenic adults.

Time frame
One month after the completeness of three anti-meningococci B vaccine strategies (at M7 for all arms) in asplenic adults.

Secondary outcomes

1

Immunogenicity

Immunogenicity at M2/M7, i.e. one month after the completeness of each vaccine strategy: * Serum bactericidal antibody (hSBA) Geometric Mean Titer (GMT). * Proportion of responding participants using the conservative threshold of 8. * Proportion of participants achieving an hSBA titer equal to or greater than the lower limit of quantification of the assay.

Time frame
one month after the completeness of each vaccine strategy
2

Persistence of immunogenicity

Persistence of immunogenicity at M12 M24, M36 and M48 for each vaccine strategy * Serum bactericidal antibody (hSBA), GMT. * Proportion of responding participants using the conservative threshold of 8. * Proportion of participants achieving an SBA titre equal to or greater than the lower limit of quantification of the assay.

Time frame
At M12 M24, M36 and M48
3

Modeling of the determinants of immunogenicity

Modeling of the determinants of immunogenicity: reason for splenectomy, age, gender, immunosuppressive or immunomodulatory agent

Time frame
during the trial
4

Any event or serious adverse event

Any event or serious adverse event during the trial possibly or not related to vaccine immunization.

Time frame
7 days following each vaccination.

Other outcomes

Sponsors and contacts

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Assistance Publique - Hôpitaux de Paris

Lead sponsor

EUCLID Clinical Trial Platform

Collaborator

Recherche Clinique Paris Descartes Necker Cochin Sainte Anne

Collaborator

CIC 1417 Cochin-Pasteur

Collaborator

Innovative clinical research in vaccinologie (I-REIVAC)

Collaborator

Institut Pasteur

Collaborator

URC-CIC Paris Descartes Necker Cochin

Collaborator