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InfluenzaPhase 1/2NCT02035696

Safety and Immunogenicity of a Four Influenza Vaccines in Children Ages 6 Months Old to Less Than 48 Months Old

A Phase 1/2 study testing Trivalent influenza vaccine (TIVc) and Trivalent influenza vaccine-licensed in people with Influenza, run by Seqirus at 27 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

To evaluate the safety and immunogenicity of four influenza vaccines in children 6 months to < 48 months of age Read more about this study

Who is it for?
Ages 6 to 48 monthsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
Trivalent influenza vaccine (TIVc) and Trivalent influenza vaccine-licensed
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
671 participants
Where
27 sitesin 4 countries
Study dates
Dec 2013to Dec 2014
Phase
Phase 1/2
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 6 to 48 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy subject, male or female, 6 through < 48 months of age at the time of enrollment, who has never previously received an influenza vaccine
  • Individual who has a parent or guardian that can give written informed consent after understanding the nature of the study and are available for follow-up

Who cannot join

  • Individuals recently vaccinated against influenza
  • Subjects with contraindications to receive influenza vaccine

Trial locations and contacts

27 sites in 4 countries.

27 sites in 4 countries

United States21 sites
  • Site 102

    Charleston, South Carolina

  • Site 121

    Gainesville, Georgia

  • Site 115

    Houston, Texas

  • Site 109

    Little Rock, Arkansas

  • Site 112

    Long Beach, California

  • Site 111

    Miami, Florida

  • Site 108

    Miami Beach, Florida

  • Site 101

    Omaha, Nebraska

  • Site 104

    Omaha, Nebraska

  • Site 105

    Omaha, Nebraska

  • Site 106

    Omaha, Nebraska

  • Site 113

    Ontario, California

  • Site 116

    Phoenix, Arizona

  • Site 110

    Salt Lake City, Utah

  • Site 117

    San Diego, California

  • Site 120

    Spokane, Washington

  • Site 118

    St. George, Utah

  • Site 107

    Thornton, Colorado

  • Site 119

    Tucson, Arizona

  • Site 114

    West Covina, California

  • Site 103

    Youngstown, Ohio

Other trials in United States

Finland2 sites
  • Site 502

    Kuopio

  • Site 506

    Tampere

Other trials in Finland

Philippines2 sites
  • Site 302

    City of Muntinlupa

  • Site 301

    Manila

Other trials in Philippines

Thailand2 sites
  • Site 201

    Bangkok

  • Site 202

    Bangkok

Other trials in Thailand

About this study

Official title: A Phase I/II, Randomized, Observer-Blind, Multicenter Study to Evaluate Immunogenicity and Safety of Four Influenza Vaccines in Healthy Pediatric Subjects 6 to < 48 Months of Age.

To evaluate the safety and immunogenicity of four influenza vaccines in children 6 months to < 48 months of age

Conditions
Influenza
Being tested
Trivalent influenza vaccine (TIVc), Trivalent influenza vaccine-licensed
Keywords
influenza, children, safety, tolerability, immunogenicity
Medical subject headings
Influenza, Human

What participants receive

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

  • Trivalent influenza vaccine (TIVc)Biological

  • Trivalent influenza vaccine-licensedBiological

    Licensed influenza vaccine

Study groups in NCT02035696
Study groupRoleWhat they receive
TIVc-High DoseExperimentalSubjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine
Receives: Biological: Trivalent influenza vaccine (TIVc)
TIVc-Full DoseExperimentalSubjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine
Receives: Biological: Trivalent influenza vaccine (TIVc)
TIVc- Half DoseExperimentalSubjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine
Receives: Biological: Trivalent influenza vaccine (TIVc)
TIVeActive comparatorSubjects (6 to <48 months old) received two doses of TIVe vaccine(IM/0.25mL -for ages 6 to <36 months and IM/ 0.5 mL -for ages 36 to <48 months)
Receives: Biological: Trivalent influenza vaccine-licensed

What is being measured

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

  1. Ratios of Geometric Mean Titer (GMT) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of ratios of GMTs in subjects (6 to <48 months old), measured by hemagglutination inhibition (HI) assay, day 1 to day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    Measured: Day 50/Day 1

  2. Percentages of Subjects (6 to <48 Months Old) Achieving Seroconversion or Significant Increase After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms number (%) of subjects (6 to <48 months old) achieving seroconversion as measured by HI antibody titer, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Seroconversion was defined as subjects with either a pre-vaccination (baseline) HI titer < 1:10 and post-vaccination HI titer ≥ 1:40 or with a pre-vaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination HI antibody titer

    Measured: Day 50 post vaccination

  3. Desirability Index Score of Subjects (6 to <48 Months Old) Reporting Severe Solicited Local and Systemic Reactions After Vaccination With Either TIVc or TIVe Vaccine

    Differences in percentages of subjects (6 to <48 months old) with severe local solicited AEs and severe solicited systemic AEs, 3 days after vaccination with either TIVc or TIVe vaccine was assessed in terms of an individual desirability index score (High dose, Full dose, Half dose TIVc vs. TIVe vaccine). An individual desirability index score was assigned to each (non-transformed) safety value based on predefined functions. Each desirability index score is assigned a value between 0 and 1, wherein 0 is an undesirable response and 1 is a highly desirable response.

    Measured: Day 1 to Day 3

Secondary outcomes (9)
  1. Percentages of Subjects (6 to <48 Months Old) Achieving Seroconversion or Significant Increase After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving seroconversion as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    Seroconversion was defined as subjects with either a pre-vaccination (baseline) HI titer < 1:10 and post-vaccination HI titer ≥ 1:40 or with a pre-vaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination HI antibody titer

    The Center for Biologics Evaluation, Research, and Review (CBER) criterion for pediatric population is that the lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%

    The Committee for Medicinal Products for Human Use (CHMP) criterion for pediatric population is that the percentage of subjects achieving seroconversion or significant increase in HI antibody titers >40%

    Measured: Day 50 post vaccination

  2. Percentages of Subjects (6 to <48 Months Old) Achieving HI Titer ≥1:40 After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving HI titer ≥1:40 as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    The CBER criterion for pediatric population is that the lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%

    The CHMP criterion for pediatric population is that the percentage of subjects achieving HI antibody titers ≥1:40 should be >70%

    Measured: Day 1, Day 50 post vaccination

  3. Geometric Mean Ratios (GMR) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of GMR in subjects (6 to <48 months old) as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    The CHMP criterion is mean geometric ratio (GMR) >2.5

    Measured: Day 50 post vaccination over day 1

  4. Geometric Mean Ratios (GMR) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of GMR in subjects (6 to <48 months old) as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    Measured: Day 50 post vaccination over day 1

  5. Percentages of Subjects (6 to <48 Months Old) With High Post Vaccination HI Titers (i.e. HI Titers ≥1:110, ≥1:150, ≥1:330 and ≥1:629) After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving post vaccination HI titers (i.e. HI titers ≥1:110, ≥1:150, ≥1:330 and ≥1:629) as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    Measured: Day 1 and Day 50 post vaccination

  6. Percentages of Subjects (6 to <48 Months Old) Achieving MN Titer ≥1:20 After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving MN titer ≥1:20 as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    Post-vaccination MN titer ≥1:20 was defined as for subjects with baseline (day 1) MN titer <1:10, or a minimum 2-fold increase in titer on day 50 for subjects with baseline titer ≥1:10 and corresponding 95% CI

    Measured: Day 1 and Day 50 post vaccination

  7. Percentages of Subjects (6 to <48 Months Old) Achieving MN Titer ≥1:40 After Receiving Two Doses of Either TIVc or TIVe Vaccine

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving MN titer ≥1:40 as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

    Post-vaccination MN titer ≥1:40 was defined as for subjects with baseline (day 1) MN titer <1:10, or a minimum 4-fold increase in titer on day 50 for subjects with baseline titer ≥1:10 and corresponding 95% CI

    Measured: Day 1 and Day 50 post vaccination

  8. Number of Subjects (6 to <48 Months Old) Reporting Solicited Local (Grading Type I) and Systemic Adverse Events (AEs) After Two Doses of Either TIVc or TIVe Vaccine

    Safety was assessed in terms of number of subjects (6 to <48 months old) reporting solicited local and systemic reactions, day 1 to day 7 after vaccination with two doses of either TIVc or TIVe vaccine (By Any Vaccination)

    Measured: Day 1 to Day 7

  9. Number of Subjects (6 to <48 Months Old) Reporting Unsolicited Adverse Events (AEs) After Two Doses of Either TIVc or TIVe Vaccine

    Safety was assessed in terms of number of subjects (6 to <48 months old) reporting unsolicited reactions after Each /any Vaccination from Day 1 [Post Vaccination] to Day 29 [Pre Clinic Visit] and Day 29 [Post Vaccination] to Day 50 [Pre Clinic Visit] , Serious Adverse Events (SAEs), AEs leading to New Onset of Chronic Diseases (NOCD), AEs leading to withdrawal from the study and concomitant medications (day 1 to day 209) after vaccination with two doses of either TIVc or TIVe vaccine (By Any Vaccination)

    Measured: Unsolicited AEs after Each/any Vaccination from Day 1 to Day 29 and Day 29 to Day 50 , Day 1 to Day 209

Timeline

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

  1. First posted14 Jan 2014 (estimated)
  2. Study startDec 2013
  3. Primary completionJun 2014
  4. Study completionDec 2014

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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
671 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02035696
Sponsor's protocol ID
V58P16
Other IDs
2013-002081-39
Status last verified
Jun 2018
First submitted
7 Jan 2014
Last updated
10 Jul 2018
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Trivalent influenza vaccine (TIVc) and Trivalent influenza vaccine-licensed in people with Influenza, run by Seqirus at 27 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 2 inclusion and 2 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 10 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, Finland, Philippines, Thailand. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 27 Jun 2017). 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?

Ratios of Geometric Mean Titer (GMT) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine (time frame: Day 50/Day 1). The study lists 3 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 10 Jul 2018.

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