AzTrials
AzTrials

Orthomyxoviridae InfectionPhase 3NCT00391053

Immunogenicity of High-dose Inactivated, Split-virion Influenza Vaccine Versus Standard Fluzone Vaccine in the Elderly

A Phase 3 study testing High-Dose Inactivated, Split-Virion Influenza Vaccine and Inactivated, Split-Virion Influenza Vaccine in people with Orthomyxoviridae Infection and Influenza, run by Sanofi Pasteur, a Sanofi Company at 28 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Compared to young adults, the elderly mount a lower antibody response to vaccination. Thus, improvement of the immune response to influenza vaccination in this age group, which is at higher risk for influenza-related morbidity and mortality, represents an important unmet need. Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
What is being tested?
High-Dose Inactivated, Split-Virion Influenza Vaccine and Inactivated, Split-Virion Influenza Vaccine
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,851 participants
Where
28 sitesUnited States
Study dates
Oct 2006to Feb 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Aged ≥ 65 years on the day of vaccination.
  • Informed consent form signed.
  • Medically stable. (Subjects may have underlying chronic conditions such as hypertension, diabetes, ischemic heart disease, or hypothyroidism, as long as their symptoms/signs are controlled. If they are on medication for a condition, the medication dose must have been stable for at least 3 weeks preceding vaccination.)
  • Able to attend all scheduled visits and to comply with all trial procedures.

Who cannot join

  • Systemic hypersensitivity to eggs, chicken proteins, or any of the vaccine components, or a history of a life-threatening reaction to the standard-dose Fluzone® vaccine or a vaccine containing any of the same substances.
  • Congenital or history of acquired immunodeficiency, or immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding six months.
  • Systemic corticosteroid therapy, as follows:
  • Continuous use with a dosage equivalent to > 15 mg/day of oral prednisone for 90 days preceding vaccination.
  • Sporadic use with a dosage equivalent to > 40 mg/day of oral prednisone for > 14 consecutive days in the 90 days preceding vaccination.
  • Note:Use of topical or inhalant corticosteroids is acceptable.
Show all 21Show fewer
  • Neoplastic disease or any hematologic malignancy (except localized skin or prostate cancer that is stable at the time of vaccination in the absence of therapy, as well as subjects who have a history of neoplastic disease and who have been disease-free for ≥ 5 years).
  • Current alcohol abuse or drug addiction that in the opinion of the investigator may interfere with the subject's ability to comply with trial procedures.
  • Receipt of blood or blood-derived products in the past three months.
  • Participation in a trial of a high-dose influenza vaccine in the past 12 months.
  • Receipt of influenza vaccine in the past six months.
  • Receipt of any other vaccine in the past four weeks.
  • Planned receipt of any other vaccine in the four weeks following the trial vaccination.
  • Participation in another clinical trial in the past four weeks.
  • Planned participation in another clinical trial during the present trial period.
  • Note:Concomitant participation in an observational trial (not involving drugs, vaccines, or medical devices) is acceptable.
  • Thrombocytopenia or bleeding disorder contraindicating intramuscular (IM) vaccination.
  • History of Guillain-Barré syndrome.
  • Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent.
  • An acute febrile illness (oral temperature ≥ 99.5ºF [≥ 37.5ºC]) within 24 hours prior to vaccination. If this contraindication exists, vaccination will be deferred until the participant has been afebrile for at least 24 hours.
  • Signs and symptoms of an acute infectious respiratory illness. If this exists, vaccination will be deferred until the symptoms resolve.

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • Study site

    Cary, North Carolina

  • Study site

    Clearwater, Florida

  • Study site

    Coral Gables, Florida

  • Study site

    Dallas, Texas

  • Study site

    Downington, Pennsylvania

  • Study site

    Endwell, New York

  • Study site

    Erie, Pennsylvania

  • Study site

    Kansas City, Missouri

  • Study site

    Marshfield, Wisconsin

  • Study site

    Mesa, Arizona

  • Study site

    Norfolk, Virginia

  • Study site

    Orlando, Florida

  • Study site

    Pembroke Pines, Florida

  • Study site

    Phoenix, Arizona

  • Study site

    Plano, Texas

  • Study site

    Raleigh, North Carolina

  • Study site

    Richmond, Virginia

  • Study site

    Rochester, Minnesota

  • Study site

    Rochester, New York

  • Study site

    Rockville, Maryland

  • Study site

    San Diego, California

  • Study site

    St Louis, Missouri

  • Study site

    Stratford, Connecticut

  • Study site

    Tempe, Arizona

  • Study site

    Tucson, Arizona

  • Study site

    Warwick, Rhode Island

  • Study site

    West Jordan, Utah

  • Study site

    Wichita, Kansas

Other trials in United States

About this study

Official title: Phase III Lot Consistency, Immunogenicity and Safety Study of Three Lots of Fluzone High Dose Vaccine Compared With One Lot of Standard Fluzone® in Adults ≥ 65 Years of Age.

Compared to young adults, the elderly mount a lower antibody response to vaccination. Thus, improvement of the immune response to influenza vaccination in this age group, which is at higher risk for influenza-related morbidity and mortality, represents an important unmet need.

Primary Objectives:

Read more

Immunogenicity:

  • To demonstrate lot consistency of the Fluzone High Dose (Fluzone HD) manufacturing process through evaluation of the immune responses elicited by three different lots.
  • To demonstrate the superiority of Fluzone HD vaccine compared to standard-dose Fluzone® vaccine.

Secondary Objectives:

Immunogenicity:

  • To describe the seroprotection of Fluzone HD compared to that of standard dose Fluzone® vaccine.

Safety:

  • To describe the safety profile of Fluzone HD, in terms of solicited -, unsolicited adverse and serious adverse events post-vaccination.
  • To describe clinical information on some additional defined criteria during the six months following vaccination.
Being tested
High-Dose Inactivated, Split-Virion Influenza Vaccine, Inactivated, Split-Virion Influenza Vaccine
Keywords
Influenza, Orthomyxoviruses, Inactivated Split-virion influenza vaccine, Adults
Medical subject headings
Orthomyxoviridae Infections, Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High-Dose Inactivated, Split-Virion Influenza VaccineBiological

    Also called Fluzone® High-Dose

    0.5 mL, IM

  • High-Dose Inactivated, Split-Virion Influenza VaccineBiological

    Also called Fluzone® High-Dose

    0.5 mL, IM

  • High-Dose Inactivated, Split-Virion Influenza VaccineBiological

    Also called Fluzone® High-Dose

    0.5 mL, IM

  • Inactivated, Split-Virion Influenza VaccineBiological

    Also called Fluzone® 2006-2007 formulation

    0.5 mL, IM

Study groups in NCT00391053
Study groupRoleWhat they receive
Study Group 1ExperimentalParticipants will receive the High-Dose Inactivated, Split-Virion Influenza Vaccine Lot 1
Receives: Biological: High-Dose Inactivated, Split-Virion Influenza Vaccine
Study Group 2ExperimentalParticipants will receive the High-Dose Inactivated, Split-Virion Influenza Vaccine Lot 2
Receives: Biological: High-Dose Inactivated, Split-Virion Influenza Vaccine
Study Group 3ExperimentalParticipants will receive the High-Dose Inactivated, Split-Virion Influenza Vaccine Lot 3
Receives: Biological: High-Dose Inactivated, Split-Virion Influenza Vaccine
Group 4Active comparatorParticipants will receive the Standard Fluzone® vaccine
Receives: Biological: Inactivated, Split-Virion Influenza Vaccine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Geometric Mean Titers (GMTs) of Hemagglutination Inhibition Antibody Titers Pre- and Post-vaccination With Fluzone® High Dose or Standard Fluzone® Vaccines.

    Antibodies against each of three Influenza antigens (virus) in Fluzone® High-Dose and Standard Fluzone® vaccines (A/H1N1 New-Caledonia; A/H3N2 Wisconsin; and B Malaysia) were determined by the Hemagglutination inhibition assay method.

    Measured: Day 0 and Day 28 Post-vaccination

  2. Percentage of Participants With Seroconversion Post-vaccination With Fluzone® High-Dose or Standard Fluzone® Vaccines.

    Seroconversion was defined as a Hemagglutination Inhibition Antibody Titers of Titer ≥40 (1/dil) on Day 28 if pre-vaccination (Day 0) titer <10 (1/dil); or a four-fold increase of titer on Day 28, if pre-vaccination (Day 0) titer is ≥10 (1/dil) for each of the three Influenza vaccine antigens (A/H1N1 New-Caledonia; A/H3N2 Wisconsin; and B Malaysia).

    Measured: Day 28 Post-vaccination

Secondary outcomes (2)
  1. Percentage of Participants With Seroprotection Pre- and Post-Vaccination With Fluzone® High-Dose or Standard Fluzone® Vaccines.

    Seroprotection was defined as a Hemagglutination Inhibition Titers of at least 40 (≥ 1:40) for each of the Influenza vaccine antigens (A/H1N1 New-Caledonia; A/H3N2 Wisconsin; and B Malaysia) pre- or post-vaccination with Fluzone® High-Dose or Standard Fluzone® vaccines.

    Measured: Day 0 and Day 28 Post-vaccination

  2. Percentage of Participants Reporting Solicited Injection Site and Systemic Reactions After Fluzone® High-Dose or Standard Fluzone® Vaccination

    The occurrence, time to onset, number of days of occurrence, and severity of solicited injection site reactions: Injection Site Pain, Erythema, and Swelling; Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia were collected.

    Measured: Day 0 to Day 7 Post-vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2006 (estimated)
  2. Study startOct 2006
  3. Primary completionJul 2007
  4. Study completionFeb 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3,851 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00391053
Sponsor's protocol ID
FIM05
Status last verified
Apr 2016
First submitted
20 Oct 2006
Last updated
14 Apr 2016
Data monitoring committee
Yes

Publications

  • Falsey AR, Treanor JJ, Tornieporth N, Capellan J, Gorse GJ. Randomized, double-blind controlled phase 3 trial comparing the immunogenicity of high-dose and standard-dose influenza vaccine in adults 65 years of age and older. J Infect Dis. 2009 Jul 15;200(2):172-80. doi: 10.1086/599790.

    PubMed 19508159

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing High-Dose Inactivated, Split-Virion Influenza Vaccine and Inactivated, Split-Virion Influenza Vaccine in people with Orthomyxoviridae Infection and Influenza, run by Sanofi Pasteur, a Sanofi Company at 28 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Apr 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Geometric Mean Titers (GMTs) of Hemagglutination Inhibition Antibody Titers Pre- and Post-vaccination With Fluzone® High Dose or Standard Fluzone® Vaccines. (time frame: Day 0 and Day 28 Post-vaccination). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00391053, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Apr 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in