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InfluenzaPhase 3NCT00529516

Evaluate Safety & Immunogenicity of GSK Bio's Influenza Vaccine GSK576389A After Repeated Vaccination in Elderly Adults

A Phase 3 study testing Fluarix and GSK Biologicals Influenza Vaccine GSK576389A in people with Influenza, run by GlaxoSmithKline at 29 sites in 4 countries.

Completed

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

Official record
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Trial summary

Since influenza vaccines are administered every year because of the frequent change in their antigenic composition, the safety and immunogenicity profile of GSK Biologicals' influenza vaccine GSK576389A will be re-evaluated after repeated vaccine administration. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
Fluarix and GSK Biologicals Influenza Vaccine GSK576389A
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,252 participants
Where
29 sitesin 4 countries
Study dates
15 Oct 2007to 4 Jun 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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects who the investigator believes can and will comply with the requirements of the protocol should be enrolled in the study.
  • Written informed consent obtained from the subject.
  • Free of an acute aggravation of the health status as established by clinical evaluation before entering into the study.
  • If the subject is female, she must be of non-childbearing potential or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test and continue such precautions for 2 months after completion of the vaccination series.
  • Male or female subjects who participated in the 104888 study (NCT00377585) and were enrolled in the >= 65 years age group or in the 18-40 years age group .

Who cannot join

  • Administration of other licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to enrolment in this study.
  • Planned administration of a vaccine not foreseen by the study protocol up to 30 days after vaccination
  • Planned administration of an influenza vaccine other than the study vaccines during the entire study period
  • Any vaccination against influenza since January 2007
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
Show all 14Show fewer
  • History of hypersensitivity to a previous dose of influenza vaccine
  • History of allergy or reactions likely to be exacerbated by any component of the vaccine(s)
  • Acute (active) clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or pre-existing laboratory screening tests
  • Acute disease at the time of enrolment
  • Administration of immunoglobulins and/or any blood products within the three months preceding the first dose of study vaccine or planned administration during the study period
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days prior to vaccination, or planned use during the study period
  • Any medical conditions in which IM injections are contraindicated
  • Pregnant or lactating female, or planning to become pregnant or to discontinue contraceptive precautions.

Trial locations and contacts

29 sites in 4 countries.

29 sites in 4 countries

Germany12 sites
  • GSK Investigational Site

    Augsburg, Bavaria, 86150

  • GSK Investigational Site

    Berlin, 10365

  • GSK Investigational Site

    Berlin, 10367

  • GSK Investigational Site

    Berlin, 12687

  • GSK Investigational Site

    Berlin, 13086

  • GSK Investigational Site

    Berlin, 13507

  • GSK Investigational Site

    Haag, Bavaria, 83527

  • GSK Investigational Site

    Höhenkirchen-Siegertsbrunn, Bavaria, 85635

  • GSK Investigational Site

    Langquaid, Bavaria, 84085

  • GSK Investigational Site

    Leipzig, Saxony, 04129

  • GSK Investigational Site

    Messkirch, Baden-Wurttemberg, 88605

  • GSK Investigational Site

    Rüdersdorf, Brandenburg, 15562

Other trials in Germany

United States9 sites
  • GSK Investigational Site

    Carnegie, Pennsylvania, 15106

  • GSK Investigational Site

    Chaska, Minnesota, 55318

  • GSK Investigational Site

    Clearwater, Florida, 33761

  • GSK Investigational Site

    Coral Gables, Florida, 33134

  • GSK Investigational Site

    Erie, Pennsylvania, 16506

  • GSK Investigational Site

    Milford, Massachusetts, 01757

  • GSK Investigational Site

    Pittsburgh, Pennsylvania, 15236

  • GSK Investigational Site

    Poughkeepsie, New York, 12601

  • GSK Investigational Site

    Somers Point, New Jersey, 08244

Other trials in United States

Norway7 sites
  • GSK Investigational Site

    Bekkestua, 1319

  • GSK Investigational Site

    Bergen, 5094

  • GSK Investigational Site

    Elverum, 2408

  • GSK Investigational Site

    Fredrikstad, N-1601

  • GSK Investigational Site

    Hamar, 2317

  • GSK Investigational Site

    Haugesund, 5507

  • GSK Investigational Site

    Skien, 3717

Other trials in Norway

Belgium1 site
  • GSK Investigational Site

    Ghent, 9000

Other trials in Belgium

About this study

Official title: Observer Blind Study to Evaluate Safety, Reactogenicity and Immunogenicity of GSK Biologicals Influenza Vaccine GSK576389A Administered to Adults Over 65 Years Previously Vaccinated With the Same Vaccine, Compared to Fluarix™

Since influenza vaccines are administered every year because of the frequent change in their antigenic composition, the safety and immunogenicity profile of GSK Biologicals' influenza vaccine GSK576389A will be re-evaluated after repeated vaccine administration. In this observer blind study, the subjects previously enrolled in study 104888 (NCT00377585) will receive a dose with the 2007-2008 season's formulations of Fluarix or GSK576389A. Only subjects who were previously enrolled in study 104888 (NCT00377585) are eligible for participation in this study.

Read the detailed description

This study involves 2 age groups (based on primary study):

Subjects enrolled in the >= 65 yrs age group in the primary study. Subjects enrolled in the 18-40 yrs age group in the primary study. The study will be conducted in an open manner for this age group.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Conditions
Influenza
Being tested
Fluarix, GSK Biologicals Influenza Vaccine GSK576389A
Keywords
Fluarix, GSK Bio's influenza vaccine GSK576389A, Influenza infection
Medical subject headings
Influenza, Human

What participants receive

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

  • FluarixBiological

    Single dose, Intramuscular injection

  • GSK Biologicals Influenza Vaccine GSK576389ABiological

    Single dose, Intramuscular injection

Study groups in NCT00529516
Study groupRoleWhat they receive
FluAS25 GroupExperimentalSubjects aged 65 years and above, who had received one dose of GlaxoSmithKline (GSK) Biologicals' AS25 adjuvanted influenza vaccine (GSK576389A) in study NCT00377585, received one dose of GlaxoSmithKline (GSK) Biologicals' AS25 adjuvanted influenza vaccine (GSK576389A) in the current study.
Receives: Biological: GSK Biologicals Influenza Vaccine GSK576389A
Fluarix ≥ 65 years age GroupActive comparatorSubjects aged 65 years and above, who had received one dose of Fluarix™ vaccine in study NCT00377585, received one dose of Fluarix™ vaccine in the current study.
Receives: Biological: Fluarix
Fluarix 18-40 years age GroupActive comparatorSubjects aged between 18 and 40 years, who had received one dose of Fluarix™ vaccine in study NCT00377585, received one dose of Fluarix™ vaccine in the current study.
Receives: Biological: Fluarix

What is being measured

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

  1. Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs)

    Solicited local AEs assessed include ecchymosis, pain, redness and swelling. Any: any symptom regardless of intensity grade. Grade 3 pain: considerable pain at rest, which prevented normal everyday activities. Grade 3 ecchymosis, redness and swelling: more than 100 millimeter.

    Measured: During a 7-day follow-up period after vaccination

  2. Duration of Solicited Local Adverse Events

    Duration was expressed as the median number of days the symptom was experienced.

    Measured: During a 7-day follow-up period after vaccination

  3. Number of Subjects Reporting Any, Grade 3 and Related Solicited General Adverse Events (AEs)

    Solicited general AEs assessed include arthralgia, fatigue, headache, myalgia, nausea, shivering and fever. Any: any symptom regardless of intensity grade; any fever: oral temperature greater than or equal to 38 degrees Celsius (°C). Grade 3: symptoms that prevented normal activity ; Grade 3 fever: oral temperature greater than 40°C. Related: symptom assessed by the investigator as causally related to the study vaccination.

    Measured: During a 7-day follow-up period after vaccination

  4. Duration of Solicited General Adverse Events

    Duration was expressed as the median number of days the symptom was experienced.

    Measured: During a 7-day follow-up period after vaccination

  5. Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AEs)

    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any: any AE regardless of intensity or relationship to vaccination. Grade 3: AE that prevented normal activity. Related: AE considered by the investigator to be causally related to the study vaccination.

    Measured: During a 21-day follow-up period after vaccination

Secondary outcomes (16)
  1. Number of Subjects With Any and Related Serious Adverse Events (SAEs)

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: During the vaccination phase of the study (Day 0 to Day 20) and during the long term follow-up phase of the study (Day 21 to Day 179)

  2. Number of Subjects Reporting Any and Related Medically Significant Conditions (MSCs)

    Medically significant conditions assessed include conditions prompting emergency room visits, hospitalizations or physician visits.

    Measured: During the vaccination phase of the study (Day 0 to Day 20) and during the long term follow-up phase of the study (Day 21 to Day 179)

  3. Serum Hemagglutination-inhibition (HI) Antibody Titers Against Each of the Three Vaccine Strains

    Titers were expressed as Geometric Mean Titers. The three vaccine strains assessed included A/Solomon Islands, A/Wisconsin and B/Malaysia.

    Measured: At Days 0 and 21

  4. Number of Subjects Seroconverted for HI Antibodies Against Each of the Three Vaccine Strains

    A seroconverted subject was defined as a subject who had either a pre-vaccination titer below1:10 and a post-vaccination titer greater than or equal to1:40 or a pre-vaccination titer greater than or equal to1:10 and at least a four-fold increase in post-vaccination titer. The three vaccine strains assessed included A/Solomon Islands, A/Wisconsin and B/Malaysia.

    Measured: At Day 21

  5. Seroconversion Factors for HI Antibodies Against Each of the Three Vaccine Strains

    Seroconversion factor was defined as the fold increase in serum HI Geometric Mean Titers post-vaccination compared to Day 0.

    Measured: At Day 21

  6. Number of Subjects Seroprotected for HI Antibodies Against Each of the Three Vaccine Strains

    A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to1:40 that is usually accepted as indicating protection. The three vaccine strains assessed included A/Solomon Islands, A/Wisconsin and B/Malaysia.

    Measured: At Days 0 and 21

  7. Number of Cluster of Differentiation 4 (CD4) T-cells (Per Million CD4 T-cells) Producing at Least 2 Different Immune Markers

    Results are presented as the geometric mean number of immune response marker-positive CD4 T-cells (per million CD4 T-cells) for pooled vaccine strains. Immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L), interleukin-2 (IL-2), tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  8. Number of CD4 T-cells (Per Million CD4 T-cells) Producing at Least CD40L and Another Immune Marker

    Results are presented as the geometric mean number of CD40L-positive CD4 T-cells (per million CD4 T-cells) for pooled vaccine strains. Other immune markers assessed include interleukin-2 (IL-2), tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  9. Number of CD4 T-cells (Per Million CD4 T-cells) Producing at Least IFN-γ and Another Immune Marker

    Results are presented as the geometric mean number of IFN-γ -positive CD4 T-cells (per million CD4 T-cells) for pooled vaccine strains. Other immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L), interleukin-2 (IL-2) and tumor necrosis factor alpha (TNF-α).

    Measured: At Day 0 and 21

  10. Number of CD4 T-cells (Per Million CD4 T-cells) Producing at Least IL-2 and Another Immune Marker

    Results are presented as the geometric mean number of IFN-γ -positive CD4 T-cells (per million CD4 T-cells) for pooled vaccine strains. Other immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L), tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  11. Number of CD4 T-cells (Per Million CD4 T-cells) Producing at Least TNF-α and Another Immune Marker

    Results are presented as the geometric mean number of IFN-γ -positive CD4 T-cells (per million CD4 T-cells) for pooled vaccine strains. Other immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  12. Number of Cluster of Differentiation 8 (CD8) T-cells (Per Million CD8 T-cells) Expressing at Least 2 Different Immune Markers

    Results are presented as the geometric mean number of immune response marker-positive CD8 T-cells (per million CD8 T-cells) for pooled vaccine strains. Immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L), interleukin-2 (IL-2), tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  13. Number of CD8 T-cells (Per Million CD8 T-cells) Producing at Least CD40L and Another Immune Marker

    Results are presented as the geometric mean number of CD40L-positive CD8 T-cells (per million CD8 T-cells) for pooled vaccine strains. Other immune markers assessed include interleukin-2 (IL-2), tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  14. Number of CD8 T-cells (Per Million CD8 T-cells) Producing at Least IFN-γ and Another Immune Marker

    Results are presented as the geometric mean number of IFN-γ -positive CD8 T-cells (per million CD8 T-cells) for pooled vaccine strains. Other immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L), interleukin-2 (IL-2) and tumor necrosis factor alpha (TNF-α).

    Measured: At Day 0 and 21

  15. Number of CD8 T-cells (Per Million CD8 T-cells) Producing at Least IL-2 and Another Immune Marker

    Results are presented as the geometric mean number of IFN-γ -positive CD8 T-cells (per million CD8 T-cells) for pooled vaccine strains. Other immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L), tumor necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

  16. Number of CD8 T-cells (Per Million CD8 T-cells) Producing at Least TNF-α and Another Immune Marker

    Results are presented as the geometric mean number of IFN-γ -positive CD8 T-cells (per million CD8 T-cells) for pooled vaccine strains. Other immune markers assessed include Cluster of Differentiation 40 Ligand (CD40L) and interferon gamma (IFN-γ).

    Measured: At Day 0 and 21

Timeline

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

  1. First posted14 Sep 2007 (estimated)
  2. Study start15 Oct 2007
  3. Primary completion21 Dec 2007
  4. Study completion4 Jun 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
Non-randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,252 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00529516
Sponsor's protocol ID
109821
Status last verified
Apr 2017
First submitted
13 Sep 2007
Last updated
8 Jun 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Fluarix and GSK Biologicals Influenza Vaccine GSK576389A in people with Influenza, run by GlaxoSmithKline at 29 sites in 4 countries.

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 5 inclusion and 14 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 8 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in Germany, United States, Norway, Belgium. 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 May 2012). 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?

Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs) (time frame: During a 7-day follow-up period after vaccination). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Jun 2018.

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