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Safety and Immunogenicity of Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture Using the Strain Composition 2007/2008

Primary Purpose

Seasonal Influenza Vaccine

Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
cTIV
Sponsored by
Novartis Vaccines
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Seasonal Influenza Vaccine focused on measuring Influenza vaccine

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Subjects eligible for enrollment into this study are male and female adults who were:

  1. ≥ 18 years of age, mentally competent, willing and able to give informed consent prior to study entry
  2. available for all the visits scheduled in the study and able to comply with all study requirements
  3. in good health as determined by:

    • medical history
    • physical examination
    • clinical judgment of the investigator Written informed consent had to be obtained from all the subjects before enrollment in the study after the nature of the study had been explained.

Exclusion Criteria:

Subjects were not to be enrolled into the study if at least one of the following criteria was fulfilled:

  1. Any serious chronic or acute disease such as:

    1. Cancer (leukemia, lymphomas, neoplasm), except for benign or localized skin cancer and non-metastatic prostate cancer not presently treated with chemotherapy
    2. Congestive heart failure
    3. Advanced arteriosclerotic disease
    4. Chronic obstructive pulmonary disease (COPD) requiring oxygen therapy and/or acute exacerbation of a COPD within the last 14 days.
    5. Autoimmune disease (including rheumatoid arthritis), if under immunosuppressive therapy (see below)
    6. Insulin dependent diabetes mellitus
    7. Acute or progressive hepatic disease
    8. Acute or progressive renal disease
    9. Severe neurological or psychiatric disorder
  2. History of any anaphylactic reaction and/or serious allergic reaction following a vaccination, a proven hypersensitivity to any component of the study vaccine or chemically related substances
  3. Known or suspected (or have a high risk of developing) impairment/alteration of immune function (excluding that normally associated with advanced age) resulting for example from:

    1. Receipt of immunosuppressive therapy (chronic therapy with immunosuppressive drugs, any parenteral or oral corticosteroid (substitution dose in case of absence of suprarenal function allowed) or cancer chemotherapy/radiotherapy) within the last 2 months and for the full length of the study,
    2. Receipt of immunostimulants,
    3. Receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 3 months and for the full length of the study,
    4. Suspected or known HIV infection or HIV-related disease.
  4. Known or suspected history of drug or alcohol abuse
  5. Bleeding diathesis or receive anticoagulants of the coumarin type
  6. Women who are pregnant or woman of childbearing potential unwilling to practice acceptable contraception for the duration of the study (21 days)
  7. Influenza immunization or laboratory confirmed influenza within the last 6 months and more than one influenza immunization within the past 12 months
  8. Immunization with any other vaccine and/or any investigational vaccine four weeks prior to study start
  9. Any significant acute or chronic infections requiring systemic antibiotic treatment or antiviral therapy within the last 7 days
  10. Fever (i.e. body temperature ≥ 38.0°C) within the past 3 days prior to study entry
  11. Simultaneous participation in another clinical study
  12. Any condition, which, in the opinion of the investigator, might prevent the subject from participation or interfere with the evaluation of the study objectives.

Sites / Locations

  • Betriebsaerztlicher Dienst, Standort Marburg
  • Z29, Blutspendezentrale, Gebaude Z29, Behringwerke

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

cTIV (Adults)

cTIV (Elderly)

Arm Description

Received one dose of cell-culture derived trivalent influenza vaccine (cTIV).

Received one dose of cell-culture derived trivalent influenza vaccine (cTIV).

Outcomes

Primary Outcome Measures

Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
Pre and postvaccination geometric mean titers against all 3 strains were assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects.
Geometric Mean Ratio After 1 Dose of the Cell Culture Derived Vaccine (cTIV)
Geometric mean ratio (GMR) of Day 22 / Day 1 geometric mean antibody titers was assessed by hemagglutination inhibition (HI)assay using egg derived antigen in adults and elderly subjects. The criterion is met according to European (CHMP) guideline if the mean geometric increase GMR (Day22 / Day1) in HI antibody titer is >2.5 for adults and >2.0 for elderly subjects.
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
HI titer as assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects. This criterion is met according to European (CHMP) guideline if the percentages of subjects achieving HI titers ≥40 is >70% for adults and >60% for elderly subjects.
Percentages of Subjects With Seroconversion or Significant Increase After 1 Dose of Cell Culture Derived Vaccine (cTIV).
Proportion of subjects with either seroconversion (antibody increase from < 10 pre vaccination to ≥40 post vaccination) or significant increase (antibody titer of ≥10 pre vaccination and 4-fold antibody increase post vaccination). According to the CHMP criteria, the percentages of subjects achieving seroconversion or significant increase should be >40% for adults and >30% for elderly subjects.

Secondary Outcome Measures

Number of Subjects Reporting Local and Systemic Reactions
To evaluate the safety and tolerability of cell culture derived vaccine (cTIV) in adults and elderly subjects in terms of number of subjects reporting local and systemic reactions after 1 vaccine dose.

Full Information

First Posted
August 3, 2007
Last Updated
January 18, 2013
Sponsor
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT00511914
Brief Title
Safety and Immunogenicity of Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture Using the Strain Composition 2007/2008
Official Title
A Phase III, Multicenter, Uncontrolled, Open-label Study to Evaluate Safety and Immunogenicity of a Single Intramuscular Dose of a Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture, Using the Strain Composition 2007/2008, When Administered to Adult and Elderly Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
July 2007 (undefined)
Primary Completion Date
August 2007 (Actual)
Study Completion Date
August 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Vaccines

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Annual trial for registration of sub-unit influenza vaccine produced in mammalian cell culture, using the strain composition 2007/2008, when administered to adult and elderly subjects

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Influenza Vaccine
Keywords
Influenza vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
135 (Actual)

8. Arms, Groups, and Interventions

Arm Title
cTIV (Adults)
Arm Type
Experimental
Arm Description
Received one dose of cell-culture derived trivalent influenza vaccine (cTIV).
Arm Title
cTIV (Elderly)
Arm Type
Experimental
Arm Description
Received one dose of cell-culture derived trivalent influenza vaccine (cTIV).
Intervention Type
Biological
Intervention Name(s)
cTIV
Intervention Description
One dose (0.5 mL) of cell culture-derived influenza vaccine, administered in the deltoid muscle
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
Description
Pre and postvaccination geometric mean titers against all 3 strains were assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects.
Time Frame
3 weeks postvaccination (Day 22)
Title
Geometric Mean Ratio After 1 Dose of the Cell Culture Derived Vaccine (cTIV)
Description
Geometric mean ratio (GMR) of Day 22 / Day 1 geometric mean antibody titers was assessed by hemagglutination inhibition (HI)assay using egg derived antigen in adults and elderly subjects. The criterion is met according to European (CHMP) guideline if the mean geometric increase GMR (Day22 / Day1) in HI antibody titer is >2.5 for adults and >2.0 for elderly subjects.
Time Frame
3 weeks postvaccination (Day 22)
Title
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
Description
HI titer as assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects. This criterion is met according to European (CHMP) guideline if the percentages of subjects achieving HI titers ≥40 is >70% for adults and >60% for elderly subjects.
Time Frame
3 weeks postvaccination (Day 22)
Title
Percentages of Subjects With Seroconversion or Significant Increase After 1 Dose of Cell Culture Derived Vaccine (cTIV).
Description
Proportion of subjects with either seroconversion (antibody increase from < 10 pre vaccination to ≥40 post vaccination) or significant increase (antibody titer of ≥10 pre vaccination and 4-fold antibody increase post vaccination). According to the CHMP criteria, the percentages of subjects achieving seroconversion or significant increase should be >40% for adults and >30% for elderly subjects.
Time Frame
3 weeks postvaccination (Day 22)
Secondary Outcome Measure Information:
Title
Number of Subjects Reporting Local and Systemic Reactions
Description
To evaluate the safety and tolerability of cell culture derived vaccine (cTIV) in adults and elderly subjects in terms of number of subjects reporting local and systemic reactions after 1 vaccine dose.
Time Frame
3 days postvaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects eligible for enrollment into this study are male and female adults who were: ≥ 18 years of age, mentally competent, willing and able to give informed consent prior to study entry available for all the visits scheduled in the study and able to comply with all study requirements in good health as determined by: medical history physical examination clinical judgment of the investigator Written informed consent had to be obtained from all the subjects before enrollment in the study after the nature of the study had been explained. Exclusion Criteria: Subjects were not to be enrolled into the study if at least one of the following criteria was fulfilled: Any serious chronic or acute disease such as: Cancer (leukemia, lymphomas, neoplasm), except for benign or localized skin cancer and non-metastatic prostate cancer not presently treated with chemotherapy Congestive heart failure Advanced arteriosclerotic disease Chronic obstructive pulmonary disease (COPD) requiring oxygen therapy and/or acute exacerbation of a COPD within the last 14 days. Autoimmune disease (including rheumatoid arthritis), if under immunosuppressive therapy (see below) Insulin dependent diabetes mellitus Acute or progressive hepatic disease Acute or progressive renal disease Severe neurological or psychiatric disorder History of any anaphylactic reaction and/or serious allergic reaction following a vaccination, a proven hypersensitivity to any component of the study vaccine or chemically related substances Known or suspected (or have a high risk of developing) impairment/alteration of immune function (excluding that normally associated with advanced age) resulting for example from: Receipt of immunosuppressive therapy (chronic therapy with immunosuppressive drugs, any parenteral or oral corticosteroid (substitution dose in case of absence of suprarenal function allowed) or cancer chemotherapy/radiotherapy) within the last 2 months and for the full length of the study, Receipt of immunostimulants, Receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 3 months and for the full length of the study, Suspected or known HIV infection or HIV-related disease. Known or suspected history of drug or alcohol abuse Bleeding diathesis or receive anticoagulants of the coumarin type Women who are pregnant or woman of childbearing potential unwilling to practice acceptable contraception for the duration of the study (21 days) Influenza immunization or laboratory confirmed influenza within the last 6 months and more than one influenza immunization within the past 12 months Immunization with any other vaccine and/or any investigational vaccine four weeks prior to study start Any significant acute or chronic infections requiring systemic antibiotic treatment or antiviral therapy within the last 7 days Fever (i.e. body temperature ≥ 38.0°C) within the past 3 days prior to study entry Simultaneous participation in another clinical study Any condition, which, in the opinion of the investigator, might prevent the subject from participation or interfere with the evaluation of the study objectives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Vaccines
Organizational Affiliation
Novartis Vaccines
Official's Role
Study Chair
Facility Information:
Facility Name
Betriebsaerztlicher Dienst, Standort Marburg
City
Baldingerstrasse
State/Province
Marburg Hessen
ZIP/Postal Code
35033
Country
Germany
Facility Name
Z29, Blutspendezentrale, Gebaude Z29, Behringwerke
City
Emil-von-Behring-Str. 76
State/Province
Marburg
ZIP/Postal Code
35041
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture Using the Strain Composition 2007/2008

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