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InfluenzaPhase 3NCT00992784

Study to Evaluate the Safety and Immunogenicity of GlaxoSmithKline Biologicals' Influenza Vaccine in Elderly People

A Phase 3 study testing GSK investigational vaccine 2186877A and FluarixTM in people with Influenza, run by GlaxoSmithKline at 24 sites in 3 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

The purpose of the study is to evaluate the safety of GSK Biologicals' influenza vaccine. Elderly subjects were randomized in the primary study (NCT00760617) and will now receive the same vaccine for the third time. For this study the masking is "observer-blind" for elderly subjects and "open" for young adult subjects. Read more about this study

Who is it for?
Ages 19 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
GSK investigational vaccine 2186877A and FluarixTM
Could I receive a placebo?
No, everyone receives an active treatment
How many people
370 participants
Where
24 sitesin 3 countries
Study dates
15 Oct 2009to 27 May 2010
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 19 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All subjects must satisfy ALL the following criteria at study entry:
  • Subjects who the investigator believes that they can and will comply with the requirements of the protocol should be enrolled in the study. Specific attention should be given to the compliance potential of subjects with suspected drug or alcohol abuse.
  • A male or female aged 19-43 years or >=66 years at the time of the vaccination and who participated in the study NCT00760617 and completed the 6-month follow-up.
  • 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.
  • Female subjects of non-childbearing potential may be enrolled in the study.
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  • Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause.
  • Female subjects of childbearing potential may be enrolled in the study if the subject:
  • has practiced adequate contraception for 30 days prior to vaccination, and
  • has a negative pregnancy test on the day of vaccination, and
  • has agreed to continue adequate contraception for 2 months after the vaccination.

Who cannot join

  • The following criteria should be checked at the time of study entry. If ANY exclusion criterion applies, the subject must not be included in the study:
  • Use of any investigational or non-registered product other than the study vaccine(s) within 30 days prior to vaccination, or planned use during the study period.
  • 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 an influenza vaccine other than the study vaccines or of a vaccine not foreseen in the study protocol during the entire study period.
  • Vaccination against influenza since January 2009 with a seasonal influenza vaccine.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the administration of the study vaccine.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
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  • History of hypersensivity to a previous dose of influenza vaccine.
  • History of allergy or reactions likely to be exacerbated by any component of the vaccine(s).
  • Acute clinically significant pulmonary, cardiovascular, hepatic, renal, neurological and psychiatric disorders, as determined by clinical evaluation or pre-existing laboratory screening tests.
  • Acute disease and/or fever at the time of enrolment.
  • Fever is defined as temperature >=37.5°C on oral setting.
  • Subjects with a minor illness without fever may be enrolled at the discretion of the investigator.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the administration of the study vaccine or planned administration during the study.
  • Any medical conditions in which IM injections are contraindicated
  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions.

Trial locations and contacts

24 sites in 3 countries.

24 sites in 3 countries

Germany19 sites
  • GSK Investigational Site

    Augsburg, Bavaria, 86150

  • GSK Investigational Site

    Berlin, 10435

  • GSK Investigational Site

    Berlin, 12627

  • GSK Investigational Site

    Berlin, 13347

  • GSK Investigational Site

    Cologne, North Rhine-Westphalia, 51069

  • GSK Investigational Site

    Dresden, Saxony, 01067

  • GSK Investigational Site

    Essen, North Rhine-Westphalia, 45359

  • GSK Investigational Site

    Freital, Saxony, 01705

  • GSK Investigational Site

    Güglingen, Baden-Wurttemberg, 74363

  • GSK Investigational Site

    Hamburg, 22335

  • GSK Investigational Site

    Hamburg, 22415

  • GSK Investigational Site

    Leipzig, Saxony, 04103

  • GSK Investigational Site

    Magdeburg, Saxony-Anhalt, 39112

  • GSK Investigational Site

    Mainz, Rhineland-Palatinate, 55131

  • GSK Investigational Site

    Mannheim, Baden-Wurttemberg, 68161

  • GSK Investigational Site

    Rhaunen, Rhineland-Palatinate, 55624

  • GSK Investigational Site

    Rudersberg, Baden-Wurttemberg, 73635

  • GSK Investigational Site

    Weinheim, Baden-Wurttemberg, 69469

  • GSK Investigational Site

    Wolmirstedt, Saxony-Anhalt, 39326

Other trials in Germany

Sweden3 sites
  • GSK Investigational Site

    Eskilstuna, SE-631 88

  • GSK Investigational Site

    Karlskrona, SE-371 41

  • GSK Investigational Site

    Uppsala, SE-751 85

Other trials in Sweden

Netherlands2 sites
  • GSK Investigational Site

    Rotterdam, 3011 AA

  • GSK Investigational Site

    Rotterdam, 3011 EN

Other trials in Netherlands

About this study

Official title: Observer-blind Safety and Immunogenicity Study of GlaxoSmithKline Biologicals' Influenza Vaccine GSK2186877A When Administered to Elderly Subjects

The purpose of the study is to evaluate the safety of GSK Biologicals' influenza vaccine. Elderly subjects were randomized in the primary study (NCT00760617) and will now receive the same vaccine for the third time. For this study the masking is "observer-blind" for elderly subjects and "open" for young adult subjects.

Conditions
Influenza
Being tested
GSK investigational vaccine 2186877A, FluarixTM
Keywords
Influenza Vaccines, GSK Bio's influenza vaccine GSK2186877A, 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.

  • GSK investigational vaccine 2186877ABiological

    Single dose, intramuscular injection

  • FluarixTMBiological

    Single dose, intramuscular injection

Study groups in NCT00992784
Study groupRoleWhat they receive
New generation influenza vaccine GSK2186877A GroupExperimentalSubjects aged ≥ 66 years receiving 1 dose of New generation influenza vaccine GSK2186877A
Receives: Biological: GSK investigational vaccine 2186877A
Fluarix elderly GroupActive comparatorSubjects aged ≥ 66 years receiving 1 dose of Fluarix vaccine
Receives: Biological: FluarixTM
Fluarix young GroupActive comparatorSubjects aged 19-43 years receiving 1 dose of Fluarix vaccine
Receives: Biological: FluarixTM

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)

    Grade 3 ecchymosis, redness and swelling was ≥ 100 millimeter (mm) and grade 3 pain was considerable pain at rest, that prevented normal everyday activities.

    Measured: Day 0-6

  2. Duration of Solicited Local AEs

    Duration was defined as number of days with any grade of local symptoms.

    Measured: Day 0-6

  3. Number of Subjects Reporting Any, Grade 3 and Related Solicited General AEs

    Any fever was defined as oral temperature ≥ 38.0 degree centigrade (°C), grade 3 fever was oral temperature ≥ 39.0°C-≤ 40.0°C. For other symptoms, any was defined as occurrence of any general symptom regardless of intensity grade, grade 3 was defined as general symptom that prevented normal activity and related was general symptom assessed by the investigator as causally related to the study vaccination.

    Measured: Day 0-6

  4. Duration of Solicited General AEs

    Duration was defined as number of days with any grade of general symptoms.

    Measured: Day 0-6

  5. Number of Subjects Reporting Any, Grade 3 and Related Unsolicited 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 was defined as occurrence of any unsolicited symptom regardless of intensity grade, grade 3 was unsolicited symptom that prevented normal activity and related was event assessed by the investigator as causally related to the study vaccination.

    Measured: Day 0-20

  6. Number of Subjects Reporting Any, Grade 3 and Related AEs With a Medically Attended Visit

    For each solicited and unsolicited AE the subject experienced, the subject was asked if they had received medical attention defined as hospitalization, an emergency room visit or a visit to or from medical personnel (medical doctor) for any reason. Any was defined as occurrence of any symptom regardless of intensity grade, grade 3 was defined as symptom that prevented normal activity and related was general symptom assessed by the investigator as causally related to the study vaccination.

    Measured: Day 0-179

  7. Number of Subjects Reporting AEs of Specific Interest (AESI)

    AESI for safety monitoring are a subset of AEs that include both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology. Any was defined as occurrence of any symptom regardless of intensity grade, grade 3 was defined as symptom that prevented normal activity and related was general symptom assessed by the investigator as causally related to the study vaccination.

    Measured: Day 0-179

  8. Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs) up to Day 180

    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. Any was defined as occurrence of any symptom regardless of intensity grade and related was event assessed by the investigator as causally related to the study vaccination.

    Measured: Up to Day 180

  9. Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs) After Day 180

    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. Any was defined as occurrence of any symptom regardless of intensity grade and related was event assessed by the investigator as causally related to the study vaccination.

    Measured: After Day 180

Secondary outcomes (12)
  1. Haemagglutination Inhibition (HI) Antibody Titers at Days 0 and 21

    Antibody titers were expressed as Geometric mean titers (GMTs) against separate vaccine strains. The vaccine strains included A/Brisbane, A/Uruguay and B/Brisbane antigens.

    Measured: Day 0 and Day 21

  2. HI Antibody Titers at Day 180

    Antibody titers were expressed as GMTs against separate vaccine strains. The vaccine strains included A/Brisbane, A/Uruguay and B/Brisbane antigens.

    Measured: Day 180

  3. The Number of Subjects Seropositive to HI Antibodies at Days 0 and 21

    Seropositivity was defined as antibody titer greater than or equal to the cut-off value i.e ≥ 1:10.

    Measured: Day 0 and Day 21

  4. The Number of Subjects Seropositive to HI Antibodies at Day 180

    Seropositivity was defined as antibody titer greater than or equal to the cut-off value i.e ≥ 1:10.

    Measured: Day 180

  5. The Number of Subjects Seroconverted to HI Antibodies at Day 21

    A seroconverted subject was defined as a subject who had either a pre-vaccination titer < 1:10 and a post-vaccination titer ≥ 1:40 or a pre-vaccination titer ≥ 1:10 and at least a 4-fold increase in post-vaccination titer.

    Measured: Day 21

  6. The Number of Subjects Seroconverted to HI Antibodies at Day 180

    A seroconverted subject was defined as a subject who had either a pre-vaccination titer < 1:10 and a post-vaccination titer ≥ 1:40 or a pre-vaccination titer ≥ 1:10 and at least a 4-fold increase in post-vaccination titer.

    Measured: Day 180

  7. HI Antibody Seroconversion Factors (SCF) at Day 21

    SCF was defined as the fold increase in serum HI GMTs post-vaccination compared to Day 0.

    Measured: At Day 21

  8. HI Antibody SCF at Day 180

    SCF was defined as the fold increase in serum HI GMTs post-vaccination compared to Day 0.

    Measured: At Day 180

  9. The Number of Subjects Seroprotected to HI Antibodies at Days 0 and 21

    A seroprotected subject was defined as a subject with a serum HI titer ≥ to 1:40 that usually is accepted as indicating protection.

    Measured: At Day 0 and Day 21

  10. The Number of Subjects Seroprotected to HI Antibodies at Day 180

    A seroprotected subject was defined as a subject with a serum HI titer ≥ 1:40 that usually is accepted as indicating protection.

    Measured: At Day 180

  11. The Geometric Mean (GM) Number of Influenza Specific Cluster of Differentiation 4 (CD4) T-cells Per Million CD4 T-cells for Each Vaccine Strains Expressing at Least Two Different Markers or Expressing Different Combinations of Markers at Days 0 and 21

    The markers assessed were Cluster of Differentiation 40 Ligand (CD40L), interleukin 2 (IL-2), tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ) and vaccine strains tested included A/Brisbane, A/Uruguay and B/Brisbane antigens.

    Measured: At Day 0 and Day 21

  12. The GM Number of Influenza Specific Cluster of Differentiation 4 (CD4) T-cells Per Million CD4 T-cells for Each Vaccine Strain Expressing at Least Two Different Markers or Expressing Different Combinations of Markers at Day 180

    The markers assessed were CD40L, IL-2, TNF-α and IFN-γ and vaccine strains tested included A/Brisbane, A/Uruguay and B/Brisbane antigens.

    Measured: At Day 180

Timeline

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

  1. First posted9 Oct 2009 (estimated)
  2. Study start15 Oct 2009
  3. Primary completion27 May 2010
  4. Study completion27 May 2010

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
370 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00992784
Sponsor's protocol ID
113094
Status last verified
May 2018
First submitted
1 Oct 2009
Last updated
21 Sep 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 GSK investigational vaccine 2186877A and FluarixTM in people with Influenza, run by GlaxoSmithKline at 24 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 11 inclusion and 16 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 21 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in Germany, Sweden, Netherlands. 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 5 Apr 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: Day 0-6). The study lists 9 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 21 Sep 2018.

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