InfluenzaPhase 3NCT00630331
Efficacy Study of Two Influenza Vaccines and Placebo in Healthy Adult Subjects
A Phase 3 study testing Cell culture-derived influenza vaccine and Egg-derived influenza virus vaccine in people with Influenza, run by Novartis Vaccines at 56 sites in 3 countries.
Trial summary
The present study will evaluate clinical efficacy, safety, tolerability and immunogenicity of both Novartis Vaccines' cell-derived influenza vaccine and egg-derived influenza vaccine in healthy adults 18 to 49 years of age. Read more about this study
- Who is it for?
- Ages 18 to 49 yearsHealthy volunteers can take part
- Conditions the study is for
- Influenza
- What is being tested?
- Cell culture-derived influenza vaccine and Egg-derived influenza virus vaccine
- Type of treatment
- Vaccines
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 11,404 participants
- Where
- 56 sitesin 3 countries
- Study dates
- Oct 2007to Jul 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 to 49 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- subjects 18 to 49 years of age;
- in good health as determined by medical history and physical examination;
- able and willing to provide written informed consent prior to any study procedure;
- able to comply with all study procedures, including availability and willingness to be actively followed throughout the ensuing influenza season with weekly telephone calls and to comply with the need for prompt collection of nasal and throat specimens in the event of influenza symptoms.
Who cannot join
- history of anaphylaxis or serious reaction after administration of any vaccine, or hypersensitivity to eggs, egg protein, chicken feathers, influenza viral protein, neomycin, kanamycin, or any other vaccine component, chemically related substance, or component of the potential packaging materials;
- any health condition for which the inactivated vaccine is recommended by the Advisory Committee on Immunization Practices (ACIP) including chronic diseases of the pulmonary or cardiovascular systems (including asthma), chronic metabolic diseases (including diabetes), renal dysfunction, hemoglobinopathies, immune deficiency disease (including HIV infection) or on-going immunosuppressive therapy;
- employment in professions prone to influenza transmission to or from high-risk populations (this exclusion specifically includes nurses, physicians, all other healthcare workers with direct patient contact; and police, fire, and rescue personnel); or living in the same household as an immunocompromised person;
- history of Guillain-Barré syndrome;
- bleeding diathesis;
- receipt of another investigational agent within 90 days prior to enrollment in the study or before completion of the safety follow-up period in another study, whichever is longer, and unwilling to refuse participation in another clinical study through the end of the study;
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- receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to Visit 1;
- laboratory-confirmed influenza disease within 6 months prior to Visit 1;
- receipt of an influenza vaccine within 6 months prior to Visit 1 or plans to receive influenza vaccine outside of this study;
- experienced a temperature (≥100.0°F / ≥37.8°C) and/or any acute illness within 3 days prior to study vaccination;
- pregnant or breast-feeding female;
- if female of childbearing potential and sexually active, has not used any of the birth control methods detailed in the section entitled "Females of Childbearing Potential" for at least 2 months prior to study entry;
- if female of childbearing potential and sexually active, refusal to use a reliable contraceptive method as detailed in the section entitled "Females of Childbearing Potential" during the first 3 weeks after vaccination;
- research staff directly involved with the clinical study or family members or household members of research staff. Research staff are individuals with direct or indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc.;
- any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives or with the safety of the study subject.
Trial locations and contacts
56 sites in 3 countries.
56 sites in 3 countries
Poland24 sites
Site 49
Bydgoszcz, 85-316
Site 62
Gmina Końskie, 26-200
Site 53
Gniewkowo, 88-140
Site 59
Katowice, 40-084
Site 63
Kielce, 25-711
Site 57
Krakow, 30-510
Site 41
Krakow, 30-969
Site 43
Krakow, 31-115
Site 42
Krakow, 31-503
Site 50
Krakow, 31-832
Site 51
Łodź, 90-302
Site 44
Lubartów, 21 - 100
Site 45
Lublin, 20-044
Site 65
Oleśnica, 56-400
Site 47
Olsztyn, 10-117
Site 48
Olsztyn, 10-295
Site 46
Olsztyn, 10-461
Site 58
Radziszów, 32-052
Site 61
Ruda Śląska, 41-703
Site 60
Rzeszów, 35-324
Site 54
Wąbrzeźno, 87-200
Site 52
Warsaw, 02-777
Site 55
Wilkowice, 43-365
Site 64
Wroclaw, 51-312
United States17 sites
Site 12
Anderson, South Carolina, 29621
Site 9
Austin, Texas, 78705
Site 2
Bardstown, Kentucky, 40004
Site 10
Binghamton, New York, 13901
Site 6
Burke, Virginia, 22105
Site 8
Dallas, Texas, 75234
Site 14
Denver, Colorado, 80212
Site 4
Edison, New Jersey, 08817
Site 5
Endwell, New York, 13760
Site 13
Lenexa, Kansas, 66219
Site 15
Pembroke Pines, Florida, 33024
Site 7
Salt Lake City, Utah, 84109
Site 3
Salt Lake City, Utah, 84121
Site 17
South Miami, Florida, 33143
Site 1
St Louis, Missouri, 63140
Site 11
Warwick, Rhode Island, 02886
Site 16
Winston-Salem, North Carolina, 27103
Finland15 sites
Site 25
Espoo, 02100
Site 26
Helsinki, 00100
Site 27
Helsinki, 00930
Site 33
Jarvenpaa, 04400
Site 35
Kokkola, 67100
Site 34
Kotka, 48600
Site 30
Kuopio, 70100
Site 22
Lahti, 15140
Site 31
Oulu, 90100
Site 23
Pori, 28120
Site 32
Seinäjoki, 60100
Site 21
Tampere, 33100
Site 24
Turku, 20520
Site 28
Vantaa, 01300
Site 29
Vantaa, 01600
About this study
Official title: A Phase III, Randomized, Observer-Blind, Placebo-Controlled, Multicenter Study to Assess Clinical Efficacy of a Cell-Derived Subunit Influenza Vaccine and an Egg-Derived Subunit Influenza Vaccine in the 2007-2008 Influenza Season in Healthy Adult Subjects
The present study will evaluate clinical efficacy, safety, tolerability and immunogenicity of both Novartis Vaccines' cell-derived influenza vaccine and egg-derived influenza vaccine in healthy adults 18 to 49 years of age.
- Conditions
- Influenza
- Being tested
- Cell culture-derived influenza vaccine, Egg-derived influenza virus vaccine, Placebo
- Keywords
- Influenza, Flu, Cell Culture-Derived, Egg-Derived, Healthy Adults, Efficacy, Safety, Immunogenicity, Trivalent, Inactivated, Influenza-Like Illness, Vaccination
- Medical subject headings
- Influenza, Human
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cell culture-derived influenza vaccineBiological
One dose (0.5 mL) of cell culture-derived influenza vaccine, administered in the deltoid muscle.
Egg-derived influenza virus vaccineBiological
One dose (0.5 mL) of the trivalent egg-derived influenza virus vaccine, administered in the deltoid muscle.
PlaceboBiological
One dose (0.5 mL) of phosphate buffered solution.
| Study group | Role | What they receive |
|---|---|---|
| CCI | Experimental | Subjects received one dose of cell culture-derived influenza vaccine. Receives: Biological: Cell culture-derived influenza vaccine |
| IVV | Experimental | Subjects received one dose of the trivalent egg-derived influenza vaccine. Receives: Biological: Egg-derived influenza virus vaccine |
| Placebo | Placebo comparator | Subjects received one dose of phosphate buffered solution (PBS). Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With Culture-Confirmed Influenza Illness Caused by Vaccine-like Strains
The vaccine efficacy of CCI and IVV vaccines was estimated relative to Placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza illness caused by each of three vaccine-like virus strains.
Measured: 6 Months
Secondary outcomes (11)
Number of Subjects With Culture-confirmed Influenza Illness Caused by Non-Vaccine Like Strains
The vaccine efficacy of CCI and IVV vaccines was estimated relative to placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza A or B illness caused by non-vaccine-like strains.
Measured: 6 Months
Number of Subjects With Influenza Caused by Vaccine-like and Non-vaccine-like Strains
The vaccine efficacy of CCI and IVV vaccines was estimated relative to placebo as the number of subjected prevented against virus-confirmed symptomatic influenza A or B illness caused by vaccine-like and non-vaccine-like strains.
Measured: 6 Months
Influenza-Associated Days in Bed, All Subjects
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Measured: 6 Months
Influenza-Associated Days in Bed, Subset of Subjects With Virus-Confirmed- Influenza
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Measured: 6 Months
Number Of Medical Visits (Inpatient and Outpatient) Due to Influenza Illness or Symptoms of Influenza, All Subjects
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Measured: 6 Months
Number of Medical Visits (Inpatient and Outpatient), Subset of Subjects With Virus-Confirmed-Influenza
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Measured: 6 Months
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost Due to Influenza Disease, All Subjects
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Measured: 6 Months
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost, Subset of Subjects With Virus-Confirmed-Influenza
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Measured: 6 Months
Percentages of Subjects Who Achieved HI Titers ≥40 After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
Immunogenicity was measured as the percentage of subjects achieving HI titers ≥40 at baseline (day 1) and three weeks after (day 22) one vaccination of either cell-culture or egg-derived vaccine or placebo for each of the three influenza vaccine strains (A/H1N1, A/H3N2 and B), evaluated using hemagglutination inhibition (HI) egg-derived antigen assay. This criterion is met according to US (CBER) guideline if the lower limit of the two-sided 95% CI for the percentage of subjects achieving HI titers ≥40 is ≥70%.
Measured: Before vaccination (day 1) and three weeks after vaccination (day 22)
Percentages of Subjects Achieving Seroconversion After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
As per the CBER guideline, seroconversion is defined as the percentage of subjects with a prevaccination HI titer <10, a postvaccination titer ≥40; or in subjects with prevaccination HI titer ≥10, a ≥4-fold increase in postvaccination HI antibody titer. According to CBER criteria, the lower limit of the two-sided 95% CI for the percentage of subjects achieving seroconversion for HI antibody titer at day 22 met exceeded 40%.
Measured: Three weeks after vaccination (day 22)
Number of Subjects Reported Solicited Local and Systemic Reactions up to 7 Days After Vaccination
The solicited local and systemic reactogenicity were collected up to 7 days after vaccination for all three vaccine groups.
Measured: Up to 7 days post vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2008 (estimated)
- Study startOct 2007
- Primary completionJul 2008
- Study completionJul 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for InfluenzaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Single blind
- Who is masked
- Participant
- Enrolment
- 11,404 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Vaccines
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Vaccines, Study chair, Novartis Vaccines
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00630331
- Sponsor's protocol ID
- V58P13
- Other IDs
- 2007-002871-15, 11580
- Status last verified
- May 2024
- First submitted
- 28 Feb 2008
- Last updated
- 24 May 2024
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Frey S, Vesikari T, Szymczakiewicz-Multanowska A, Lattanzi M, Izu A, Groth N, Holmes S. Clinical efficacy of cell culture-derived and egg-derived inactivated subunit influenza vaccines in healthy adults. Clin Infect Dis. 2010 Nov 1;51(9):997-1004. doi: 10.1086/656578.
PubMed 20868284
Study at a glance
From the registry record, last updated by the sponsor on 24 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Observer-Blind, Placebo-Controlled, Multicenter Study to Assess Clinical Efficacy of a Cell-Derived Subunit Influenza Vaccine and an Egg-Derived Subunit Influenza Vaccine in the 2007-2008 Influenza Season in Healthy Adult Subjects
- ClinicalTrials.gov ID
- NCT00630331
- Acronym / sponsor ID
- V58P13
- Conditions
- Influenza
- Keywords
- Influenza, Flu, Cell Culture-Derived, Egg-Derived, Healthy Adults, Efficacy, Safety, Immunogenicity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 11,404 participants (actual)
- Lead sponsor
- Novartis VaccinesIndustry (pharma, biotech, devices)
- Study start
- Oct 2007
- Primary completion
- Jul 2008 (actual)
- Study completion
- Jul 2008 (actual)
- First posted
- 7 Mar 2008 (estimated)
- Results
- Posted 16 Jan 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The present study will evaluate clinical efficacy, safety, tolerability and immunogenicity of both Novartis Vaccines' cell-derived influenza vaccine and egg-derived influenza vaccine in healthy adults 18 to 49 years of age.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| CCI | Experimental | Biological: Cell culture-derived influenza vaccineSubjects received one dose of cell culture-derived influenza vaccine. |
| IVV | Experimental | Biological: Egg-derived influenza virus vaccineSubjects received one dose of the trivalent egg-derived influenza vaccine. |
| Placebo | Placebo comparator | Biological: PlaceboSubjects received one dose of phosphate buffered solution (PBS). |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- subjects 18 to 49 years of age;
- in good health as determined by medical history and physical examination;
- able and willing to provide written informed consent prior to any study procedure;
- able to comply with all study procedures, including availability and willingness to be actively followed throughout the ensuing influenza season with weekly telephone calls and to comply with the need for prompt collection of nasal and throat specimens in the event of influenza symptoms.
Key exclusion criteria (15 listed)
- history of anaphylaxis or serious reaction after administration of any vaccine, or hypersensitivity to eggs, egg protein, chicken feathers, influenza viral protein, neomycin, kanamycin, or any other vaccine component, chemically related substance, or component of the potential packaging materials;
- any health condition for which the inactivated vaccine is recommended by the Advisory Committee on Immunization Practices (ACIP) including chronic diseases of the pulmonary or cardiovascular systems (including asthma), chronic metabolic diseases (including diabetes), renal dysfunction, hemoglobinopathies, immune deficiency disease (including HIV infection) or on-going immunosuppressive therapy;
- employment in professions prone to influenza transmission to or from high-risk populations (this exclusion specifically includes nurses, physicians, all other healthcare workers with direct patient contact; and police, fire, and rescue personnel); or living in the same household as an immunocompromised person;
- history of Guillain-Barré syndrome;
- bleeding diathesis;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cell culture-derived influenza vaccineOne dose (0.5 mL) of cell culture-derived influenza vaccine, administered in the deltoid muscle. | Biological | CCI |
| Egg-derived influenza virus vaccineOne dose (0.5 mL) of the trivalent egg-derived influenza virus vaccine, administered in the deltoid muscle. | Biological | IVV |
| PlaceboOne dose (0.5 mL) of phosphate buffered solution. | Biological | Placebo |
Primary outcome
Number of Subjects With Culture-Confirmed Influenza Illness Caused by Vaccine-like Strains
Time frame: 6 Months
The vaccine efficacy of CCI and IVV vaccines was estimated relative to Placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza illness caused by each of three vaccine-like virus strains.
11 secondary outcomes
Number of Subjects With Culture-confirmed Influenza Illness Caused by Non-Vaccine Like Strains
Time frame: 6 Months
Number of Subjects With Influenza Caused by Vaccine-like and Non-vaccine-like Strains
Time frame: 6 Months
Influenza-Associated Days in Bed, All Subjects
Time frame: 6 Months
Influenza-Associated Days in Bed, Subset of Subjects With Virus-Confirmed- Influenza
Time frame: 6 Months
Number Of Medical Visits (Inpatient and Outpatient) Due to Influenza Illness or Symptoms of Influenza, All Subjects
Time frame: 6 Months
Number of Medical Visits (Inpatient and Outpatient), Subset of Subjects With Virus-Confirmed-Influenza
Time frame: 6 Months
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost Due to Influenza Disease, All Subjects
Time frame: 6 Months
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost, Subset of Subjects With Virus-Confirmed-Influenza
Time frame: 6 Months
Percentages of Subjects Who Achieved HI Titers ≥40 After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
Time frame: Before vaccination (day 1) and three weeks after vaccination (day 22)
Percentages of Subjects Achieving Seroconversion After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
Time frame: Three weeks after vaccination (day 22)
Number of Subjects Reported Solicited Local and Systemic Reactions up to 7 Days After Vaccination
Time frame: Up to 7 days post vaccination
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 May 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 20868284Frey S, Vesikari T, Szymczakiewicz-Multanowska A, Lattanzi M, Izu A, Groth N, Holmes S. Clinical efficacy of cell culture-derived and egg-derived inactivated subunit influenza vaccines in healthy adults. Clin Infect Dis. 2010 Nov 1;51(9):997-1004. doi: 10.1086/656578.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Vaccines study chair
Novartis Vaccines
56 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cell culture-derived influenza vaccine and Egg-derived influenza virus vaccine in people with Influenza, run by Novartis Vaccines at 56 sites in 3 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 4 inclusion and 15 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 24 May 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 56 sites in Poland, United States, Finland. 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. Some participants in this study may receive a placebo. 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 16 Jan 2013). 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 With Culture-Confirmed Influenza Illness Caused by Vaccine-like Strains (time frame: 6 Months). 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 NCT00630331, 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 24 May 2024.