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Study of Inactivated, Split-Virion Influenza Vaccine Compared With Standard Fluzone Vaccine in Elderly Subjects

Primary Purpose

Orthomyxoviridae Infection, Influenza, Myxovirus Infection

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Split, Inactivated, Trivalent Influenza Vaccine
Split, Inactivated, Trivalent Influenza Vaccine
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Orthomyxoviridae Infection focused on measuring Influenza, Orthomyxoviruses, Inactivated Split-virion influenza vaccine, Elderly.

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Aged ≥ 65 years on the day of vaccination.
  • Informed consent form signed.
  • Medically stable (Subjects may have underlying illnesses such as hypertension, diabetes, ischemic heart disease, congestive cardiac disorders or hypothyroidism, as long as their symptoms/signs are controlled).
  • Able to attend all scheduled visits and to comply with all trial procedures.

Exclusion Criteria:

  • 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 the same substances (the list of vaccine components is included in the Investigator's Brochure).
  • Congenital or history of acquired immunodeficiency, or immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 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 dose of > 40 mg/day of oral prednisone for > 14 days in the 90 days preceding vaccination.

Note: Use of topical or inhalant corticosteroids is acceptable.

  • 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 abuse of alcohol or drug addiction that may interfere with the subject's ability to comply with trial procedures.
  • Receipt of blood or blood-derived products in the past 3 months.
  • Vaccination against influenza in the past 6 months.
  • Any vaccination in the 4 weeks preceding the trial vaccination.
  • Vaccination planned in the 4 weeks following the trial vaccination.
  • Participation in another clinical trial in the 4 weeks preceding trial vaccination.
  • Planned participation in another clinical trial during the present trial period. Concomitant participation in an observational trial (not involving drugs, vaccines, or medical devices) is acceptable.
  • Chronic illness at a stage that could interfere with trial conduct or completion.
  • Known current HIV, hepatitis B (HBsAg) or hepatitis C infection or seropositivity.
  • Known thrombocytopenia or bleeding disorder contraindicating IM vaccination.
  • Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent.
  • Acute illness and febrile illness with a temperature ≥ 38.0°C [or 100.4°F]) 72 hours before or on the day of inclusion.
  • Received antibiotics therapy within 72 hours preceding the trial vaccination.
  • Received any allergy shots in the 7-day period preceding trial vaccination and/or scheduled to receive any allergy shots in the 7-day period after trial vaccination.
  • Any condition, which in the opinion of the investigator would pose a health risk to the participant.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Fluzone Intradermal (ID) Vaccine Group

Fluzone Intramuscular (IM) Vaccine Group

Arm Description

Participants received a dose of Fluzone Intradermal (ID) Influenza Vaccine

Participants received a dose of Fluzone Intramuscular (IM) Influenza Vaccine.

Outcomes

Primary Outcome Measures

Number of Participants With at Least a 4-Fold Increase in Serum HAI Antibody Titer Post-vaccination With Either Fluzone Intradermal or Fluzone Intramuscular Vaccine.
The serological determinations of total anti-influenza antibodies were performed using an Hemagglutinin inhibition (HAI) test.
Number of Participants Who Achieved Seroprotection Post-vaccination With Either Fluzone Intradermal or Fluzone Intramuscular Vaccine.
Seroprotection was defined as a post-vaccination Hemagglutinin inhibition (HAI) antibody titer ≥ 40

Secondary Outcome Measures

Geometric Mean Antibody Titers (GMTs) Before and Post-vaccination With Either Fluzone Intradermal and Fluzone Intramuscular Vaccine.
The serological determinations of total anti influenza antibodies were performed using an Hemagglutinin inhibition (HAI) test.
Number of Participants Reporting a Solicited Injection Site or Systemic Reaction, Post Vaccination With Either Fluzone Intradermal or Fluzone Intramuscular Vaccine
Solicited injection site reactions: Pain, Erythema, Swelling, Induration, Ecchymosis, and Pruritus. Solicited systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia.

Full Information

First Posted
October 16, 2006
Last Updated
April 13, 2012
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT00388583
Brief Title
Study of Inactivated, Split-Virion Influenza Vaccine Compared With Standard Fluzone Vaccine in Elderly Subjects
Official Title
Immunogenicity and Safety of The Split, Inactivated, Trivalent Influenza Vaccine Administered by Intradermal Route in Comparison With Intramuscular Vaccination With Standard Fluzone® in Ambulatory Elderly Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2012
Overall Recruitment Status
Completed
Study Start Date
September 2006 (undefined)
Primary Completion Date
June 2007 (Actual)
Study Completion Date
September 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

5. Study Description

Brief Summary
As a result of the safety and immunogenicity data generated from earlier dose-ranging studies, the present formulation has been selected for further development in the elderly. Primary Objective: To compare the immunogenicity in subjects receiving investigational Fluzone with those of subjects receiving standard Fluzone®. Secondary Objectives: Immunogenicity: To describe the immunogenicity in subjects receiving investigational Fluzone and standard Fluzone®. Safety: To evaluate and describe the safety profile of investigational Fluzone in terms of solicited- and unsolicited adverse events and serious adverse events post-vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Orthomyxoviridae Infection, Influenza, Myxovirus Infection
Keywords
Influenza, Orthomyxoviruses, Inactivated Split-virion influenza vaccine, Elderly.

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
817 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Fluzone Intradermal (ID) Vaccine Group
Arm Type
Experimental
Arm Description
Participants received a dose of Fluzone Intradermal (ID) Influenza Vaccine
Arm Title
Fluzone Intramuscular (IM) Vaccine Group
Arm Type
Active Comparator
Arm Description
Participants received a dose of Fluzone Intramuscular (IM) Influenza Vaccine.
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine
Other Intervention Name(s)
Fluzone
Intervention Description
0.1 mL, Intradermal
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine
Other Intervention Name(s)
Fluzone® 2006/2007 Formulation
Intervention Description
0.5 mL, Intramuscular
Primary Outcome Measure Information:
Title
Number of Participants With at Least a 4-Fold Increase in Serum HAI Antibody Titer Post-vaccination With Either Fluzone Intradermal or Fluzone Intramuscular Vaccine.
Description
The serological determinations of total anti-influenza antibodies were performed using an Hemagglutinin inhibition (HAI) test.
Time Frame
Pre-vaccination and Day 28 post-vaccination
Title
Number of Participants Who Achieved Seroprotection Post-vaccination With Either Fluzone Intradermal or Fluzone Intramuscular Vaccine.
Description
Seroprotection was defined as a post-vaccination Hemagglutinin inhibition (HAI) antibody titer ≥ 40
Time Frame
Day 28 post-vaccination
Secondary Outcome Measure Information:
Title
Geometric Mean Antibody Titers (GMTs) Before and Post-vaccination With Either Fluzone Intradermal and Fluzone Intramuscular Vaccine.
Description
The serological determinations of total anti influenza antibodies were performed using an Hemagglutinin inhibition (HAI) test.
Time Frame
Pre- and Day 28 post-vaccination
Title
Number of Participants Reporting a Solicited Injection Site or Systemic Reaction, Post Vaccination With Either Fluzone Intradermal or Fluzone Intramuscular Vaccine
Description
Solicited injection site reactions: Pain, Erythema, Swelling, Induration, Ecchymosis, and Pruritus. Solicited systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia.
Time Frame
Day 0 up to 7 days post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged ≥ 65 years on the day of vaccination. Informed consent form signed. Medically stable (Subjects may have underlying illnesses such as hypertension, diabetes, ischemic heart disease, congestive cardiac disorders or hypothyroidism, as long as their symptoms/signs are controlled). Able to attend all scheduled visits and to comply with all trial procedures. Exclusion Criteria: 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 the same substances (the list of vaccine components is included in the Investigator's Brochure). Congenital or history of acquired immunodeficiency, or immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 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 dose of > 40 mg/day of oral prednisone for > 14 days in the 90 days preceding vaccination. Note: Use of topical or inhalant corticosteroids is acceptable. 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 abuse of alcohol or drug addiction that may interfere with the subject's ability to comply with trial procedures. Receipt of blood or blood-derived products in the past 3 months. Vaccination against influenza in the past 6 months. Any vaccination in the 4 weeks preceding the trial vaccination. Vaccination planned in the 4 weeks following the trial vaccination. Participation in another clinical trial in the 4 weeks preceding trial vaccination. Planned participation in another clinical trial during the present trial period. Concomitant participation in an observational trial (not involving drugs, vaccines, or medical devices) is acceptable. Chronic illness at a stage that could interfere with trial conduct or completion. Known current HIV, hepatitis B (HBsAg) or hepatitis C infection or seropositivity. Known thrombocytopenia or bleeding disorder contraindicating IM vaccination. Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent. Acute illness and febrile illness with a temperature ≥ 38.0°C [or 100.4°F]) 72 hours before or on the day of inclusion. Received antibiotics therapy within 72 hours preceding the trial vaccination. Received any allergy shots in the 7-day period preceding trial vaccination and/or scheduled to receive any allergy shots in the 7-day period after trial vaccination. Any condition, which in the opinion of the investigator would pose a health risk to the participant.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Sanofi Pasteur Inc.
Official's Role
Study Director
Facility Information:
City
Alabaster
State/Province
Alabama
Country
United States
City
Tucson
State/Province
Arizona
Country
United States
City
Fountain Valley
State/Province
California
Country
United States
City
Pinellas Park
State/Province
Florida
Country
United States
City
Chicago
State/Province
Illinois
Country
United States
City
Springfield
State/Province
Missouri
Country
United States
City
Brooklyn
State/Province
New York
Country
United States
City
New York
State/Province
New York
Country
United States
City
Bensalem
State/Province
Pennsylvania
Country
United States
City
Grove City
State/Province
Pennsylvania
Country
United States
City
Johnstown
State/Province
Pennsylvania
Country
United States
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
City
Fort Worth
State/Province
Texas
Country
United States
City
Galveston
State/Province
Texas
Country
United States
City
Layton
State/Province
Utah
Country
United States
City
South Jordan
State/Province
Utah
Country
United States
City
Norfolk
State/Province
Virginia
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.sanofipasteur.com
Description
Related Info

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Study of Inactivated, Split-Virion Influenza Vaccine Compared With Standard Fluzone Vaccine in Elderly Subjects

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