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A Study of Swine-origin A/H1N1 Influenza Vaccines in Healthy Europeans Children Aged 6 to 35 Months

Primary Purpose

Influenza, Swine-origin A/H1N1 Influenza

Status
Completed
Phase
Phase 2
Locations
Finland
Study Type
Interventional
Intervention
Swine A/H1N1 influenza vaccine (split virion, inactivated)
Swine A/H1N1 influenza vaccine (split virion, inactivated + Adjuvant)
Swine A/H1N1 influenza vaccine (split virion, inactivated + adjuvant)
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, Pandemic Flu, Swine-origin A/H1N1 Influenza, Swine-origin Influenza Virus, Infants

Eligibility Criteria

6 Months - 35 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria :

All subjects

  • Aged 6 to 35 months on the day of inclusion
  • Informed consent form has been signed and dated by the parent(s) or other legally acceptable representative
  • Subject and parent/legal representative are able to attend all scheduled visits and to comply with all trial procedures
  • Completion of vaccination according to the national immunization schedule.

Subjects ≥ 6 to < 24 months of age - Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg

At Month 8 for antibody persistence assessment:

  • Having received two half-doses of either the formulation 1 or 2 of the vaccine
  • Addendum 1 to Informed Consent Form has been signed and dated by the parents or other legally acceptable representative.

At Visit 06, for subjects eligible for the Antibody persistence evaluation who will receive the Trivalent Influenza Vaccine (TIV):

- Addendum 2 to Informed Consent Form has been signed by the subject's parents/legal representative.

Exclusion Criteria :

All subjects

  • Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding the first trial vaccination
  • Planned participation in another clinical trial during the present trial period
  • Receipt of any vaccine in the 4 weeks preceding the first trial vaccination
  • Planned receipt of any vaccine prior to the Day 42 blood sample
  • Receipt of blood or blood-derived products in the past 3 months which might interfere with the assessment of immune response
  • Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Seropositivity for Human Immunodeficiency Virus (HIV), Hepatitis B antigen, or Hepatitis C as reported by parents/legal representative
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances
  • Thrombocytopenia contraindicating intramuscular (IM) vaccination as reported by parents/legal representative
  • Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion contraindicating IM vaccination
  • Chronic illness that in the opinion of the Investigator is at a stage where it might interfere with trial conduct or completion
  • Family members of the employees or the Investigator
  • Previous participation in a trial investigating a vaccine with the swine-origin A/H1N1 influenza strain
  • Confirmed infection with the swine-origin A/H1N1 influenza strain (different from the seasonal strain) in 2009
  • Febrile illness (temperature ≥ 38.0°C) or moderate or severe acute illness/infection on the day of vaccination, according to Investigator judgment
  • Receipt of any allergy shots and/or seasonal allergy medication in the 7-day period prior to enrollment (vaccination), or scheduled to receive any allergy shots and/or seasonal allergy medication in the 7-day period after enrollment (vaccination)

Subjects ≥ 6 to < 24 months of age - History of seizures

At Month 8, for antibody persistence assessment:

- Subjects who received, in the context of a pandemic immunization program, another A/H1N1 pandemic influenza vaccine than the Investigational Medicinal Products.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

A/H1N1 Vaccine Group 1

A/H1N1 Vaccine Group 2

A/H1N1 Vaccine Group 3

Arm Description

All participants will receive A/H1N1 Influenza vaccine formulation 1 at Visits 1 and 2; and a subset will receive a trivalent influenza vaccine (TIV) at Month 13 (antibody persistence subset)

All participants will receive A/H1N1 Influenza vaccine formulation 2 at Visits 1 and 2; and a subset will receive a trivalent influenza vaccine (TIV) at Month 13 (antibody persistence subset).

Participants will receive A/H1N1 Influenza vaccine formulation 3

Outcomes

Primary Outcome Measures

Immunogenicity: To provide information concerning the immunogenicity of Swine A/H1N1 influenza vaccines
Safety: To provide information concerning the safety in terms of solicited injection site and systemic reactions of Swine A/H1N1 influenza vaccines.

Secondary Outcome Measures

Full Information

First Posted
August 3, 2009
Last Updated
January 10, 2014
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT00956046
Brief Title
A Study of Swine-origin A/H1N1 Influenza Vaccines in Healthy Europeans Children Aged 6 to 35 Months
Official Title
Immunogenicity and Safety of Multiple Formulations of an Intramuscular Inactivated, Split Virion Swine-origin A/H1N1 Influenza Vaccine With and Without Adjuvant in Healthy European Subjects Aged 6 to 35 Months
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
September 2009 (undefined)
Primary Completion Date
January 2011 (Actual)
Study Completion Date
June 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to generate data on immunogenicity and safety of the monovalent H1N1 vaccine in support of the development and registration. Primary objectives: To describe the immune response to vaccines 21 days after each vaccination in all participants. To describe the antibody persistence eight months after the first vaccine administration using hemagglutination inhibition (HAI) method in a subset of participants who received two half-doses of either formulation 1 or 2. To describe the immune response against the A/H1N1 strain using the HAI method 21 days after last vaccination with the 2010-2011 NH seasonal Trivalent Influenza Vaccine (TIV) administered 13 months after the first vaccination in a subset of subjects who received two half-doses of either t either formulation 1 or 2 of the A/H1N1 influenza vaccines as primary series. To describe the safety profile of each vaccine in all participants.
Detailed Description
All participants will receive two injections of their randomized vaccine on Day 0 and Day 21, respectively. A subset of the participants eligible who received two half-doses of either formulation 1 or 2 will also be proposed to receive the 2010-2011 Northern Hemisphere (NH) seasonal Trivalent Influenza Vaccine (TIV) 13 months after the first vaccination as Follows: Subjects less than 36 months at the time of TIV injection will receive two half-doses and additional sampling for immunogenicity assessment (one before the first TIV vaccination and one 21 days after last TIV vaccination). Subjects aged more than 36 months at the time of TIV injection will receive a full TIV dose and additional sampling for immunogenicity assessment (one before TIV vaccination and one 21 days after TIV vaccination).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Swine-origin A/H1N1 Influenza
Keywords
Influenza, Pandemic Flu, Swine-origin A/H1N1 Influenza, Swine-origin Influenza Virus, Infants

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
A/H1N1 Vaccine Group 1
Arm Type
Experimental
Arm Description
All participants will receive A/H1N1 Influenza vaccine formulation 1 at Visits 1 and 2; and a subset will receive a trivalent influenza vaccine (TIV) at Month 13 (antibody persistence subset)
Arm Title
A/H1N1 Vaccine Group 2
Arm Type
Experimental
Arm Description
All participants will receive A/H1N1 Influenza vaccine formulation 2 at Visits 1 and 2; and a subset will receive a trivalent influenza vaccine (TIV) at Month 13 (antibody persistence subset).
Arm Title
A/H1N1 Vaccine Group 3
Arm Type
Experimental
Arm Description
Participants will receive A/H1N1 Influenza vaccine formulation 3
Intervention Type
Biological
Intervention Name(s)
Swine A/H1N1 influenza vaccine (split virion, inactivated)
Intervention Description
0.5 mL, Intramuscular on Day 0 and Day 21 (all participants); and 0.5 mL of a trivalent influenza vaccine (TIV) at Month 13 (antibody persistence subset).
Intervention Type
Biological
Intervention Name(s)
Swine A/H1N1 influenza vaccine (split virion, inactivated + Adjuvant)
Intervention Description
0.5 mL, Intramuscular on Day 0 and Day 21 (all participants); and 0.5 mL of a trivalent influenza vaccine (TIV) at Month 13 (antibody persistence subset)
Intervention Type
Biological
Intervention Name(s)
Swine A/H1N1 influenza vaccine (split virion, inactivated + adjuvant)
Intervention Description
0.5 mL, Intramuscular on Day 0 and Day 21
Primary Outcome Measure Information:
Title
Immunogenicity: To provide information concerning the immunogenicity of Swine A/H1N1 influenza vaccines
Time Frame
21 days post vaccination
Title
Safety: To provide information concerning the safety in terms of solicited injection site and systemic reactions of Swine A/H1N1 influenza vaccines.
Time Frame
0-7 days post-vaccination and entire study duration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
35 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria : All subjects Aged 6 to 35 months on the day of inclusion Informed consent form has been signed and dated by the parent(s) or other legally acceptable representative Subject and parent/legal representative are able to attend all scheduled visits and to comply with all trial procedures Completion of vaccination according to the national immunization schedule. Subjects ≥ 6 to < 24 months of age - Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg At Month 8 for antibody persistence assessment: Having received two half-doses of either the formulation 1 or 2 of the vaccine Addendum 1 to Informed Consent Form has been signed and dated by the parents or other legally acceptable representative. At Visit 06, for subjects eligible for the Antibody persistence evaluation who will receive the Trivalent Influenza Vaccine (TIV): - Addendum 2 to Informed Consent Form has been signed by the subject's parents/legal representative. Exclusion Criteria : All subjects Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding the first trial vaccination Planned participation in another clinical trial during the present trial period Receipt of any vaccine in the 4 weeks preceding the first trial vaccination Planned receipt of any vaccine prior to the Day 42 blood sample Receipt of blood or blood-derived products in the past 3 months which might interfere with the assessment of immune response Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) Seropositivity for Human Immunodeficiency Virus (HIV), Hepatitis B antigen, or Hepatitis C as reported by parents/legal representative Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances Thrombocytopenia contraindicating intramuscular (IM) vaccination as reported by parents/legal representative Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion contraindicating IM vaccination Chronic illness that in the opinion of the Investigator is at a stage where it might interfere with trial conduct or completion Family members of the employees or the Investigator Previous participation in a trial investigating a vaccine with the swine-origin A/H1N1 influenza strain Confirmed infection with the swine-origin A/H1N1 influenza strain (different from the seasonal strain) in 2009 Febrile illness (temperature ≥ 38.0°C) or moderate or severe acute illness/infection on the day of vaccination, according to Investigator judgment Receipt of any allergy shots and/or seasonal allergy medication in the 7-day period prior to enrollment (vaccination), or scheduled to receive any allergy shots and/or seasonal allergy medication in the 7-day period after enrollment (vaccination) Subjects ≥ 6 to < 24 months of age - History of seizures At Month 8, for antibody persistence assessment: - Subjects who received, in the context of a pandemic immunization program, another A/H1N1 pandemic influenza vaccine than the Investigational Medicinal Products.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Sanofi Pasteur Inc.
Official's Role
Study Director
Facility Information:
City
Espoo
ZIP/Postal Code
FIN-02100
Country
Finland
City
Helsinki
ZIP/Postal Code
FIN-00100
Country
Finland
City
Helsinki
ZIP/Postal Code
FIN-00930
Country
Finland
City
Järvenpää
ZIP/Postal Code
FIN-04400
Country
Finland
City
Kokkola
ZIP/Postal Code
67100
Country
Finland
City
Kotka
ZIP/Postal Code
FIN-48600
Country
Finland
City
Kuopio
ZIP/Postal Code
FIN-70100
Country
Finland
City
Lahti
ZIP/Postal Code
FIN-15140
Country
Finland
City
Oulu
ZIP/Postal Code
FIN-90220
Country
Finland
City
Pori
ZIP/Postal Code
FIN-28100
Country
Finland
City
Seinäjoki
ZIP/Postal Code
60100
Country
Finland
City
Tampere
ZIP/Postal Code
FIN-33100
Country
Finland
City
Turku
ZIP/Postal Code
FIN-20520
Country
Finland
City
Vantaa
ZIP/Postal Code
FIN-01300
Country
Finland
City
Vantaa
ZIP/Postal Code
FIN-01600
Country
Finland

12. IPD Sharing Statement

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

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A Study of Swine-origin A/H1N1 Influenza Vaccines in Healthy Europeans Children Aged 6 to 35 Months

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