Trial Outcomes & Findings for A Study to Evaluate Safety and Immune Response of Novartis Meningococcal ACWY Conjugate Vaccine In Adolescents (NCT NCT00518180)

NCT ID: NCT00518180

Last Updated: 2016-05-18

Results Overview

Immune responses to MenACWY, as measured by the percentage of hSBA seroresponders, when given: (a) alone; (b) concomitantly with a Tetanus diphtheria acellular pertussis (Tdap) vaccine and a Human Papillomavirus Recombinant (HPV) vaccine; and (c) when given one month after a Tdap vaccine. Seroresponse to MenACWY: For a subject with baseline hSBA titer \<1:4, seroresponse is defined as a postvaccination hSBA titer ≥ 1:8; for a subject with baseline hSBA titer ≥ 1:4, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1620 participants

Primary outcome timeframe

1 month post MenACWY vaccination

Results posted on

2016-05-18

Participant Flow

Participants were enrolled at a single center in Costa Rica.

All enrolled subjects were randomized at a 1:1:1 ratio to receive the MenACWY vaccine when given alone and concomitantly with the Tdap vaccine and the HPV vaccine at different schedules.

Participant milestones

Participant milestones
Measure
MenACWY+Tdap+HPV
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Overall Study
STARTED
540
541
539
Overall Study
COMPLETED
475
472
457
Overall Study
NOT COMPLETED
65
69
82

Reasons for withdrawal

Reasons for withdrawal
Measure
MenACWY+Tdap+HPV
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Overall Study
Withdrawal by Subject
29
30
42
Overall Study
Lost to Follow-up
30
28
34
Overall Study
Administrative reason
0
2
2
Overall Study
Protocol Violation
5
7
4
Overall Study
Unable to classify
0
2
0
Overall Study
Adverse Event
1
0
0

Baseline Characteristics

A Study to Evaluate Safety and Immune Response of Novartis Meningococcal ACWY Conjugate Vaccine In Adolescents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MenACWY+Tdap+HPV
n=540 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=541 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=539 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Total
n=1620 Participants
Total of all reporting groups
Age, Continuous
13.9 years
STANDARD_DEVIATION 2.1 • n=99 Participants
13.9 years
STANDARD_DEVIATION 2.2 • n=107 Participants
13.8 years
STANDARD_DEVIATION 2.2 • n=206 Participants
13.9 years
STANDARD_DEVIATION 2.1 • n=7 Participants
Sex: Female, Male
Female
308 Participants
n=99 Participants
309 Participants
n=107 Participants
307 Participants
n=206 Participants
924 Participants
n=7 Participants
Sex: Female, Male
Male
232 Participants
n=99 Participants
232 Participants
n=107 Participants
232 Participants
n=206 Participants
696 Participants
n=7 Participants
Race/Ethnicity, Customized
Hispanic
539 participants
n=99 Participants
541 participants
n=107 Participants
539 participants
n=206 Participants
1619 participants
n=7 Participants
Race/Ethnicity, Customized
Black
1 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
1 participants
n=7 Participants

PRIMARY outcome

Timeframe: 1 month post MenACWY vaccination

Population: The analysis was performed on the per-protocol (PP) population. A total of 182 subjects were excluded from the PP population due to protocol deviations. The most common protocol deviations were blood draw performed outside the protocol-specified window.

Immune responses to MenACWY, as measured by the percentage of hSBA seroresponders, when given: (a) alone; (b) concomitantly with a Tetanus diphtheria acellular pertussis (Tdap) vaccine and a Human Papillomavirus Recombinant (HPV) vaccine; and (c) when given one month after a Tdap vaccine. Seroresponse to MenACWY: For a subject with baseline hSBA titer \<1:4, seroresponse is defined as a postvaccination hSBA titer ≥ 1:8; for a subject with baseline hSBA titer ≥ 1:4, seroresponse is defined as a postvaccination hSBA titer of at least 4 times the baseline.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=494 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=487 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=458 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Percentage of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse
Serogroup A (N=494, 486, 458)
80 Percentage of participants
Interval 76.0 to 84.0
82 Percentage of participants
Interval 78.0 to 85.0
87 Percentage of participants
Interval 83.0 to 90.0
Percentage of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse
Serogroup C (N=476, 472, 457)
83 Percentage of participants
Interval 79.0 to 86.0
84 Percentage of participants
Interval 81.0 to 88.0
84 Percentage of participants
Interval 80.0 to 87.0
Percentage of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse
Serogroup W (N=487, 474, 458)
77 Percentage of participants
Interval 73.0 to 80.0
81 Percentage of participants
Interval 77.0 to 84.0
65 Percentage of participants
Interval 61.0 to 70.0
Percentage of Subjects With Human Serum Bactericidal Assay (hSBA) Seroresponse
Serogroup Y (N=493, 487, 460)
83 Percentage of participants
Interval 79.0 to 86.0
82 Percentage of participants
Interval 79.0 to 86.0
78 Percentage of participants
Interval 74.0 to 82.0

PRIMARY outcome

Timeframe: 1 month post Tdap vaccination

Population: The analysis was performed on the per-protocol (PP) population. A total of 183 subjects were excluded from the PP population due to protocol deviations. The most common protocol deviations were blood draw performed outside the protocol-specified window.

To compare the immune response to Tdap given concomitantly with MenACWY and HPV vaccine with the immune response to Tdap when administered alone

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=492 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=458 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=487 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Percentage of Subjects With Antidiphtheria and Antitetanus Toxin ≥1.0 IU/mL
Diphtheria
100 Percentage of subjects
Interval 99.0 to 100.0
100 Percentage of subjects
Interval 99.0 to 100.0
98 Percentage of subjects
Interval 96.0 to 99.0
Percentage of Subjects With Antidiphtheria and Antitetanus Toxin ≥1.0 IU/mL
Tetanus
100 Percentage of subjects
Interval 99.0 to 100.0
100 Percentage of subjects
Interval 99.0 to 100.0
100 Percentage of subjects
Interval 99.0 to 100.0

PRIMARY outcome

Timeframe: 1 month post Tdap vaccination

Population: The analysis was performed on the per-protocol (PP) population.

To compare the immune response of Tdap given concomitantly with MenACWY and HPV vaccine with the immune response of Tdap when administered alone

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=492 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=458 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=487 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Geometric Mean Concentrations (GMC) of Antipertussis Toxin (Anti-PT), Antifilamentous Hemagglutinin (Anti-FHA), and Antipertactin (Anti-PRN)
Anti-PT (N=479, 451, 477)
51 IU/mL
Interval 47.0 to 55.0
79 IU/mL
Interval 72.0 to 87.0
63 IU/mL
Interval 58.0 to 69.0
Geometric Mean Concentrations (GMC) of Antipertussis Toxin (Anti-PT), Antifilamentous Hemagglutinin (Anti-FHA), and Antipertactin (Anti-PRN)
Anti-FHA (N=489, 457, 485)
342 IU/mL
Interval 310.0 to 376.0
1106 IU/mL
Interval 989.0 to 1238.0
511 IU/mL
Interval 464.0 to 563.0
Geometric Mean Concentrations (GMC) of Antipertussis Toxin (Anti-PT), Antifilamentous Hemagglutinin (Anti-FHA), and Antipertactin (Anti-PRN)
Anti-PRN (N=492, 458, 487)
819 IU/mL
Interval 727.0 to 923.0
1563 IU/mL
Interval 1390.0 to 1758.0
1197 IU/mL
Interval 1061.0 to 1350.0

SECONDARY outcome

Timeframe: 1 month post MenACWY vaccination

Population: The analysis was performed on the per-protocol (PP) population.

The immune responses to the MenACWY conjugate vaccine, as measured by the hSBA Geometric Mean Titers (GMTs) when given: (a) alone, (b) concomitantly with the Tdap vaccine and the HPV vaccine, and (c) when given one month after the Tdap vaccine.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=494 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=487 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=460 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Effect of Concomitant and Sequential Vaccination on hSBA Geometric Mean Titers (GMTs) for A, C, W, and Y Serogroups
Serogroup A (N=494, 486, 458)
62 Titers
Interval 52.0 to 74.0
67 Titers
Interval 56.0 to 80.0
95 Titers
Interval 79.0 to 113.0
Effect of Concomitant and Sequential Vaccination on hSBA Geometric Mean Titers (GMTs) for A, C, W, and Y Serogroups
Serogroup C (N=476, 472, 457)
66 Titers
Interval 56.0 to 77.0
70 Titers
Interval 60.0 to 83.0
68 Titers
Interval 58.0 to 79.0
Effect of Concomitant and Sequential Vaccination on hSBA Geometric Mean Titers (GMTs) for A, C, W, and Y Serogroups
Serogroup W (N=487, 474, 458)
146 Titers
Interval 129.0 to 165.0
159 Titers
Interval 140.0 to 181.0
104 Titers
Interval 91.0 to 119.0
Effect of Concomitant and Sequential Vaccination on hSBA Geometric Mean Titers (GMTs) for A, C, W, and Y Serogroups
Serogroup Y (N=493, 487, 460)
72 Titers
Interval 62.0 to 84.0
81 Titers
Interval 70.0 to 95.0
57 Titers
Interval 49.0 to 67.0

SECONDARY outcome

Timeframe: 1 month post third HPV vaccination

Population: The analysis was performed on the per-protocol (PP) population.

To compare the immune response of HPV vaccine given concomitantly with MenACWY and Tdap to the response when HPV vaccine is given alone. (Immune response against HPV virus-like particles (VLPs) for types 6, 11, 16, and 18 was measured at one month after the third HPV vaccination.) Anti-HPV Seroconversion (SC): SC was defined as negative (baseline HPV titer \< type-specific cut-off) for anti-HPV and anti-HPV ≥ an HPV type-specific cut-off at one month after the third HPV injection.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=364 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=744 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Percentage of Subjects With Anti-HPV Seroconversion
HPV 6 (N=361, 737)
99 Percentage of subjects
Interval 98.0 to 100.0
100 Percentage of subjects
Interval 99.0 to 100.0
Percentage of Subjects With Anti-HPV Seroconversion
HPV 11 (N=362, 744)
100 Percentage of subjects
Interval 99.0 to 100.0
100 Percentage of subjects
Interval 99.0 to 100.0
Percentage of Subjects With Anti-HPV Seroconversion
HPV 16 (N=360, 744)
100 Percentage of subjects
Interval 99.0 to 100.0
100 Percentage of subjects
Interval 99.0 to 100.0
Percentage of Subjects With Anti-HPV Seroconversion
HPV 18 (N=364, 743)
100 Percentage of subjects
Interval 98.0 to 100.0
99 Percentage of subjects
Interval 99.0 to 100.0

SECONDARY outcome

Timeframe: 1 month post third HPV vaccination

Population: The analysis was performed on the per-protocol (PP) population.

To compare the immune response of HPV vaccine given concomitantly with MenACWY and Tdap to the response when HPV vaccine is given alone. (Immune response against HPV virus-like particles (VLPs) for types 6, 11, 16, and 18 was measured at one month after the third HPV vaccine vaccination.)

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=364 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=745 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Geometric Mean Titers (GMTs) of Anti-HPV by Competitive Luminex Immunoassay
HPV 6 (N=361, 737)
1059 Titers
Interval 926.0 to 1212.0
1461 Titers
Interval 1327.0 to 1608.0
Geometric Mean Titers (GMTs) of Anti-HPV by Competitive Luminex Immunoassay
HPV 11 (N=362, 744)
1264 Titers
Interval 1134.0 to 1408.0
1701 Titers
Interval 1575.0 to 1837.0
Geometric Mean Titers (GMTs) of Anti-HPV by Competitive Luminex Immunoassay
HPV 16 (N=360, 744)
5286 Titers
Interval 4705.0 to 5939.0
6590 Titers
Interval 6068.0 to 7158.0
Geometric Mean Titers (GMTs) of Anti-HPV by Competitive Luminex Immunoassay
HPV 18 (N=364, 743)
908 Titers
Interval 798.0 to 1032.0
1117 Titers
Interval 1019.0 to 1224.0

SECONDARY outcome

Timeframe: 1 month post MenACWY vaccination

Population: The analysis was performed on the per-protocol (PP) population.

The immune responses to MenACWY, as measured by the percentage of subjects with hSBA titer ≥ 1:8, hSBA titer ≥ 1:4, when given: (a) alone, (b) concomitantly with Tdap and HPV vaccine; and (c) when given one month after Tdap.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=475 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=472 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=457 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup Y hSBA ≥ 1:8 (N=493, 487, 460)
93 Percentage of subjects
Interval 90.0 to 95.0
93 Percentage of subjects
Interval 90.0 to 95.0
92 Percentage of subjects
Interval 90.0 to 95.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup A hSBA ≥ 1:4 (N=408, 404, 412)
83 Percentage of subjects
Interval 79.0 to 86.0
83 Percentage of subjects
Interval 79.0 to 86.0
90 Percentage of subjects
Interval 87.0 to 93.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup C hSBA ≥ 1:4 (N=456, 447, 430)
92 Percentage of subjects
Interval 90.0 to 94.0
92 Percentage of subjects
Interval 89.0 to 94.0
94 Percentage of subjects
Interval 92.0 to 96.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup W hSBA ≥ 1:4 (N=478, 471, 443)
98 Percentage of subjects
Interval 97.0 to 99.0
99 Percentage of subjects
Interval 98.0 to 100.0
97 Percentage of subjects
Interval 95.0 to 98.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup Y hSBA ≥ 1:4 (N=465, 456, 438)
94 Percentage of subjects
Interval 92.0 to 96.0
94 Percentage of subjects
Interval 91.0 to 96.0
95 Percentage of subjects
Interval 93.0 to 97.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup A hSBA ≥ 1:8 (N=494, 486, 458)
81 Percentage of subjects
Interval 78.0 to 85.0
82 Percentage of subjects
Interval 79.0 to 86.0
89 Percentage of subjects
Interval 85.0 to 91.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup C hSBA ≥ 1:8 (N=476, 472, 457)
92 Percentage of subjects
Interval 89.0 to 94.0
90 Percentage of subjects
Interval 87.0 to 93.0
93 Percentage of subjects
Interval 90.0 to 95.0
Percentage of Subjects With hSBA ≥ 1:8, hSBA Titer ≥ 1:4, for A, C, W, and Y Serogroups
Serogroup W hSBA ≥ 1:8 (N=487, 474, 458)
98 Percentage of subjects
Interval 96.0 to 99.0
99 Percentage of subjects
Interval 98.0 to 100.0
95 Percentage of subjects
Interval 93.0 to 97.0

SECONDARY outcome

Timeframe: 1 month post Tdap vaccination

Population: The analysis was performed on the per-protocol (PP) population.

The immune response to the Tdap vaccine, as measured by the percentage of subjects with antidiphtheria and antitetanus toxin ≥1.0 IU/mL.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=492 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=458 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=487 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
The Effect of Sequential Vaccination on Immunogenicity for Diphtheria and Tetanus
Diphtheria (% ≥1.0 IU/mL)
100 Percentages of subjects
Interval 99.0 to 100.0
100 Percentages of subjects
Interval 99.0 to 100.0
98 Percentages of subjects
Interval 96.0 to 99.0
The Effect of Sequential Vaccination on Immunogenicity for Diphtheria and Tetanus
Tetanus (% ≥1.0 IU/mL)
100 Percentages of subjects
Interval 99.0 to 100.0
100 Percentages of subjects
Interval 99.0 to 100.0
100 Percentages of subjects
Interval 99.0 to 100.0

SECONDARY outcome

Timeframe: 1 month post Tdap vaccination

Population: The analysis was performed on the per-protocol (PP) population.

To compare the immune response of Tdap, as measured by the antidiphtheria and antitetanus GMCs, when administered one month after the MenACWY vaccine with the immune response of the Tdap vaccine when administered alone.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=492 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=458 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=487 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Geometric Mean Concentrations (GMC) for Diphtheria and Tetanus
Tetanus
8.75 IU/mL
Interval 8.23 to 9.3
12 IU/mL
Interval 11.0 to 13.0
10 IU/mL
Interval 9.46 to 11.0
Geometric Mean Concentrations (GMC) for Diphtheria and Tetanus
Diphtheria
37 IU/mL
Interval 34.0 to 41.0
10 IU/mL
Interval 9.12 to 12.0
10 IU/mL
Interval 9.38 to 11.0

SECONDARY outcome

Timeframe: 1 month post Tdap vaccination

Population: The analysis was performed on the per-protocol (PP) population.

To compare the immune response to Tdap administered one month after MenACWY with the immune response to Tdap administered alone.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=492 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=458 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=487 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Geometric Mean Titers (GMT) of Pertussis Antigens
Anti-PT (N=479, 451, 477)
51 Titers
Interval 47.0 to 55.0
79 Titers
Interval 72.0 to 87.0
63 Titers
Interval 58.0 to 69.0
Geometric Mean Titers (GMT) of Pertussis Antigens
Anti-FHA (N=489, 457, 485)
342 Titers
Interval 310.0 to 376.0
1106 Titers
Interval 989.0 to 1238.0
511 Titers
Interval 464.0 to 563.0
Geometric Mean Titers (GMT) of Pertussis Antigens
Anti-PRN (N=492, 458, 487)
819 Titers
Interval 727.0 to 923.0
1563 Titers
Interval 1390.0 to 1758.0
1197 Titers
Interval 1061.0 to 1350.0

SECONDARY outcome

Timeframe: 1 month post Tdap vaccination

Population: The analysis was performed on the per-protocol (PP) population.

To compare the immune response of Tdap, defined by the percentage of subjects with a 4-fold rise in antibody titer over baseline against PT, FHA, PRN, when administered one month after the MenACWY with the immune response of Tdap when administered alone.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=492 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=458 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=487 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Percentages of Subjects With at Least a 4-fold Rise for PT, FHA, and PRN
Anti-PT (N=479, 451, 477)
83 Percentages of subjects
Interval 79.0 to 86.0
89 Percentages of subjects
Interval 86.0 to 92.0
86 Percentages of subjects
Interval 83.0 to 89.0
Percentages of Subjects With at Least a 4-fold Rise for PT, FHA, and PRN
Anti-FHA (N=489, 457, 485)
67 Percentages of subjects
Interval 63.0 to 71.0
90 Percentages of subjects
Interval 87.0 to 93.0
78 Percentages of subjects
Interval 74.0 to 82.0
Percentages of Subjects With at Least a 4-fold Rise for PT, FHA, and PRN
Anti-PRN (N=492, 458, 487)
86 Percentages of subjects
Interval 83.0 to 89.0
95 Percentages of subjects
Interval 92.0 to 97.0
89 Percentages of subjects
Interval 85.0 to 91.0

SECONDARY outcome

Timeframe: Days 1 to 7

Population: The analysis was performed on the safety set.

Number of subjects with specified local and systemic reactions were assessed when MenACWY was given alone, one month after Tdap, and concomitantly with Tdap and HPV vaccine.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=540 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=541 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=539 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Analgesic/Antipyretic Med. Used post-vaccination 1
110 Subjects
83 Subjects
96 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Injection site pain MenACWY
263 Subjects
246 Subjects
239 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Injection site pain Tdap
367 Subjects
310 Subjects
383 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Injection site erythema MenACWY
68 Subjects
66 Subjects
64 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Injection site erythema Tdap
78 Subjects
38 Subjects
70 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Injection site induration MenACWY
68 Subjects
70 Subjects
63 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Injection site induration Tdap
90 Subjects
64 Subjects
110 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Chills post-vaccination 1
77 Subjects
66 Subjects
70 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Chills post-vaccination 2
0 Subjects
42 Subjects
45 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Nausea post-vaccination 1
88 Subjects
72 Subjects
82 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Nausea post-vaccination 2
0 Subjects
42 Subjects
64 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Malaise post-vaccination 1
133 Subjects
110 Subjects
115 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Malaise post-vaccination 2
0 Subjects
91 Subjects
88 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Myalgia post-vaccination 1
146 Subjects
104 Subjects
142 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Myalgia post-vaccination 2
0 Subjects
81 Subjects
82 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Arthralgia post-vaccination 1
94 Subjects
62 Subjects
76 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Arthralgia post-vaccination 2
0 Subjects
52 Subjects
52 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Headache post-vaccination 1
217 Subjects
194 Subjects
200 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Headache post-vaccination 2
0 Subjects
125 Subjects
138 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Rash post-vaccination 1
21 Subjects
17 Subjects
20 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Rash post-vaccination 2
0 Subjects
15 Subjects
13 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Fever ≥ 38°Celsius post-vaccination 1
27 Subjects
19 Subjects
17 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Fever ≥ 38°Celsius post-vaccination 2
0 Subjects
25 Subjects
30 Subjects
Number of Subjects With at Least One Reactogenicity Sign After MenACWY and Tdap Vaccination.
Analgesic/Antipyretic Med. Used post-vaccination 2
0 Subjects
58 Subjects
49 Subjects

SECONDARY outcome

Timeframe: Days 1 to 7

Population: The analysis was performed on the safety population.

Number of subjects with specified local and systemic reactions were solicited for 7 days after the HPV vaccination.

Outcome measures

Outcome measures
Measure
MenACWY+Tdap+HPV
n=540 Participants
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two injections of the HPV vaccine at months 2 and 6.
MenACWY→Tdap→HPV
n=494 Participants
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdap vaccine at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Tdap →MenACWY → HPV
n=486 Participants
Tdap vaccine was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of the HPV vaccine at months 2, 4, and 8.
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site pain postvaccination 1
265 Subjects
180 Subjects
204 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site erythema postvaccination 1
74 Subjects
36 Subjects
42 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site induration postvaccination 1
54 Subjects
27 Subjects
26 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site pain (N=498, 483, 468) postvac 2
208 Subjects
208 Subjects
189 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site erythema postvaccination 2
62 Subjects
48 Subjects
57 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site induration postvaccination 2
46 Subjects
37 Subjects
50 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site pain postvaccination 3
229 Subjects
227 Subjects
208 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site erythema postvaccination 3
60 Subjects
56 Subjects
55 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Injection site induration postvaccination 3
60 Subjects
47 Subjects
48 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Chills postvaccination 1
77 Subjects
27 Subjects
30 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Nausea postvaccination 1
88 Subjects
39 Subjects
32 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Malaise postvaccination 1
133 Subjects
49 Subjects
55 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Myalgia postvaccination 1
146 Subjects
32 Subjects
56 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Arthralgia postvaccination 1
94 Subjects
33 Subjects
28 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Headache postvaccination 1
217 Subjects
93 Subjects
97 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Rash postvaccination 1
21 Subjects
7 Subjects
6 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Fever (≥ 38°C) postvaccination 1
27 Subjects
21 Subjects
23 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Stayed home postvaccination 1
110 Subjects
26 Subjects
34 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Chills postvaccination 2
23 Subjects
22 Subjects
26 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Nausea postvaccination 2
38 Subjects
30 Subjects
29 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Malaise postvaccination 2
53 Subjects
45 Subjects
34 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Myalgia postvaccination 2
42 Subjects
38 Subjects
51 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Arthralgia postvaccination 2
30 Subjects
28 Subjects
21 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Headache postvaccination 2
88 Subjects
78 Subjects
71 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Rash postvaccination 2
4 Subjects
11 Subjects
9 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Fever (≥ 38°C) postvaccination 2
17 Subjects
22 Subjects
22 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Chills postvaccination 3
22 Subjects
24 Subjects
25 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Nausea postvaccination 3
32 Subjects
35 Subjects
34 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Malaise postvaccination 3
49 Subjects
50 Subjects
41 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Myalgia postvaccination 3
53 Subjects
49 Subjects
37 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Arthralgia postvaccination 3
37 Subjects
26 Subjects
30 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Headache postvaccination 3
79 Subjects
85 Subjects
79 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Rash postvaccination 3
9 Subjects
7 Subjects
10 Subjects
Number of Subjects With at Least One Reactogenicity Sign After Each HPV Vaccination
Fever (≥ 38°C) postvaccination 3
20 Subjects
16 Subjects
25 Subjects

Adverse Events

MenACWY+Tdap+HPV

Serious events: 1 serious events
Other events: 495 other events
Deaths: 0 deaths

MenACWY→Tdap→HPV

Serious events: 7 serious events
Other events: 489 other events
Deaths: 0 deaths

Tdap → MenACWY → HPV

Serious events: 3 serious events
Other events: 482 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MenACWY+Tdap+HPV
n=540 participants at risk
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two vaccinations of the HPV vaccine at month 2 and 6.
MenACWY→Tdap→HPV
n=541 participants at risk
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdpa vaccine at month 1, followed by three injections of the HPV at months 2,4 and 8.
Tdap → MenACWY → HPV
n=539 participants at risk
Tdpa was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of HPV at months 2,4 and 8.
Endocrine disorders
CUSHING'S SYNDROME
0.19%
1/540 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/541 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Gastrointestinal disorders
BEZOAR
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.18%
1/541 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Infections and infestations
APPENDICITIS
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.37%
2/541 • Number of events 2 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Injury, poisoning and procedural complications
ROAD TRAFFIC ACCIDENT
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/541 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.19%
1/539 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PITUITARY TUMOUR BENIGN
0.19%
1/540 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/541 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Pregnancy, puerperium and perinatal conditions
ABORTION SPONTANEOUS
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.18%
1/541 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.19%
1/539 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Renal and urinary disorders
HYDRONEPHROSIS
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/541 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.19%
1/539 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Reproductive system and breast disorders
HAEMORRHAGIC OVARIAN CYST
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.18%
1/541 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Reproductive system and breast disorders
TESTICULAR TORSION
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.18%
1/541 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Vascular disorders
BEHCET'S SYNDROME
0.00%
0/540 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.18%
1/541 • Number of events 1 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
0.00%
0/539 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.

Other adverse events

Other adverse events
Measure
MenACWY+Tdap+HPV
n=540 participants at risk
The MenACWY vaccine was administered concomitantly with the Tdap vaccine and the HPV vaccine at study month 0 followed by two vaccinations of the HPV vaccine at month 2 and 6.
MenACWY→Tdap→HPV
n=541 participants at risk
The MenACWY vaccine was administered at study month 0 followed by one injection of the Tdpa vaccine at month 1, followed by three injections of the HPV at months 2,4 and 8.
Tdap → MenACWY → HPV
n=539 participants at risk
Tdpa was administered at month 0 followed by one injection of MenACWY at month 1, followed by three injections of HPV at months 2,4 and 8.
Gastrointestinal disorders
NAUSEA
23.0%
124/540 • Number of events 191 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
24.6%
133/541 • Number of events 255 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
26.3%
142/539 • Number of events 289 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
CHILLS
18.5%
100/540 • Number of events 131 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
21.6%
117/541 • Number of events 201 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
24.1%
130/539 • Number of events 238 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE ERYTHEMA HPV
24.8%
134/540 • Number of events 212 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
19.4%
105/541 • Number of events 147 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
18.7%
101/539 • Number of events 166 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE INDURATION HPV
22.0%
119/540 • Number of events 179 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
15.0%
81/541 • Number of events 116 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
15.8%
85/539 • Number of events 134 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE PAIN HPV
71.7%
387/540 • Number of events 778 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
59.1%
320/541 • Number of events 666 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
58.1%
313/539 • Number of events 648 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
MALAISE
31.7%
171/540 • Number of events 284 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
38.6%
209/541 • Number of events 402 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
36.0%
194/539 • Number of events 428 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
PYREXIA
11.5%
62/540 • Number of events 77 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
16.3%
88/541 • Number of events 129 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
15.6%
84/539 • Number of events 123 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Musculoskeletal and connective tissue disorders
ARTHRALGIA
22.0%
119/540 • Number of events 188 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
24.4%
132/541 • Number of events 225 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
24.3%
131/539 • Number of events 248 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Musculoskeletal and connective tissue disorders
MYALGIA
33.0%
178/540 • Number of events 276 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
34.6%
187/541 • Number of events 339 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
37.1%
200/539 • Number of events 440 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Nervous system disorders
HEADACHE
48.1%
260/540 • Number of events 519 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
52.5%
284/541 • Number of events 749 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
51.6%
278/539 • Number of events 802 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
Skin and subcutaneous tissue disorders
RASH
5.7%
31/540 • Number of events 36 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
8.7%
47/541 • Number of events 64 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
7.8%
42/539 • Number of events 66 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE ERYTHEMA MENVEO
12.8%
69/540 • Number of events 80 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
12.2%
66/541 • Number of events 68 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
12.1%
65/539 • Number of events 71 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE ERYTHEMA Tdap
14.4%
78/540 • Number of events 93 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
7.0%
38/541 • Number of events 40 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
13.4%
72/539 • Number of events 82 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE INDURATION MENVEO
12.6%
68/540 • Number of events 76 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
12.9%
70/541 • Number of events 72 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
12.1%
65/539 • Number of events 68 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE INDURATION Tdap
16.7%
90/540 • Number of events 101 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
11.8%
64/541 • Number of events 67 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
20.4%
110/539 • Number of events 125 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE PAIN MENVEO
48.9%
264/540 • Number of events 307 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
45.5%
246/541 • Number of events 289 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
44.3%
239/539 • Number of events 266 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
General disorders
INJECTION SITE PAIN Tdap
68.1%
368/540 • Number of events 407 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
57.3%
310/541 • Number of events 343 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.
71.1%
383/539 • Number of events 427 • During the 30-day period following each vaccination.
Data provided in Other Adverse Events (\>5%) were collected during the 7-day period after each vaccination.

Additional Information

Posting Director

Novartis Vaccine and Diagnostics

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place