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Immunogenicity and Safety Trial of Adjuvanted and Non-adjuvanted Trivalent Influenza Vaccine in Tropical Africa

Primary Purpose

Influenza

Status
Completed
Phase
Phase 2
Locations
Senegal
Study Type
Interventional
Intervention
Adjuvanted seasonal trivalent inactivated influenza vaccine
Seasonal trivalent inactivated influenza vaccine
Saline (bacteriostatic 0.9% sodium chloride for injection)
Sponsored by
PATH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring influenza, influenza vaccine, immunogenicity, Africa, Senegal

Eligibility Criteria

6 Months - 71 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • A male or female child at least 6 months of age and under 6 years of age (has not yet reached 72 months of age) at the enrollment visit.
  • Free of obvious health problems, as established by the medical history and screening evaluations, including physical examination.
  • Subject's parent or legal guardian is willing to provide written informed consent prior to the subject's first study vaccination.

Exclusion Criteria:

  • Known hypersensitivity to any component in adjTIV or TIV (which include egg protein) or placebo.
  • Receipt of any non-study vaccine within two weeks prior to enrollment or refusal to postpone receipt of such vaccines until after the Day 56 visit.
  • Previous receipt of any influenza vaccine.
  • Hypersensitivity after previous administration of any vaccine.
  • Acute illness accompanied by a body temperature of 37.5°C or greater (axillary measurement) within 14 days of enrollment visit. (Enrollment and administration of adjTIV, TIV, or placebo should be postponed until at least 14 days after recovery. Minor illnesses, such as mild upper respiratory infection, with an axillary temperature of <37.5°C, are not reason for exclusion or postponing study vaccination.)
  • Any condition that, in the opinion of the investigator, would pose a health risk to the participant if he/she participates in the study or would interfere with the evaluation of the study objectives.

Sites / Locations

  • Institut de Recherche pour le Développement

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

adjTIV

TIV

Placebo

Arm Description

Children randomized to receive adjTIV

Children randomized to receive TIV

Children randomized to receive Placebo

Outcomes

Primary Outcome Measures

Immunogenicity of adjTIV
serum hemagglutination-inhibition antibodies
Immunogenicity of TIV
serum hemagglutination-inhibition antibodies

Secondary Outcome Measures

Adverse events

Full Information

First Posted
March 22, 2013
Last Updated
October 18, 2013
Sponsor
PATH
Collaborators
Institut de Recherche pour le Developpement, Centers for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT01819155
Brief Title
Immunogenicity and Safety Trial of Adjuvanted and Non-adjuvanted Trivalent Influenza Vaccine in Tropical Africa
Official Title
Assessment of the Immunogenicity and Safety of an MF59™- Adjuvanted Trivalent Influenza Vaccine and a Non-adjuvanted Trivalent Influenza Vaccine Among Children in Senegal
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PATH
Collaborators
Institut de Recherche pour le Developpement, Centers for Disease Control and Prevention

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will provide the Senegal Ministry of Health with data on the safety and immunogenicity of adjuvanted trivalent inactivated influenza vaccine (adjTIV) and full-dose seasonal non-adjuvanted trivalent inactivated influenza vaccine (TIV) in children. This data will inform future policy considerations for influenza vaccine. The study is not powered to detect significant differences between vaccines or groups, and no hypotheses are to be tested; therefore, immunogenicity and safety objectives are to be analyzed descriptively.
Detailed Description
The is a phase 2b, single-center, randomized, observer-blind, parallel group, placebo-controlled trial of the immunogenicity and safety of adjTIV and seasonal TIV among healthy children aged 6 months through 71 months in the town of Niakhar, Senegal. A total of 300 healthy children will be randomized in a 2:2:1 ratio of adjTIV to TIV to placebo. Each child will receive two doses of one of the three study vaccines, with each dose given 28 days apart. Each child will be followed closely for safety after each dose for the period from one month post-dose two to 3 months post-dose two. For determination of immune response to vaccination or background influenza infection, 3 mL of blood will be obtained at three time points: pre-vaccination, 28 days post-dose one (prior to receipt of dose two), and at 28 days post-dose two. Serum anti-influenza antibodies produced against virus strains contained in the vaccine will be detected using hemagglutination inhibition assay.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
influenza, influenza vaccine, immunogenicity, Africa, Senegal

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
296 (Actual)

8. Arms, Groups, and Interventions

Arm Title
adjTIV
Arm Type
Experimental
Arm Description
Children randomized to receive adjTIV
Arm Title
TIV
Arm Type
Experimental
Arm Description
Children randomized to receive TIV
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Children randomized to receive Placebo
Intervention Type
Biological
Intervention Name(s)
Adjuvanted seasonal trivalent inactivated influenza vaccine
Other Intervention Name(s)
Fluad
Intervention Type
Biological
Intervention Name(s)
Seasonal trivalent inactivated influenza vaccine
Other Intervention Name(s)
VaxiGrip
Intervention Type
Biological
Intervention Name(s)
Saline (bacteriostatic 0.9% sodium chloride for injection)
Primary Outcome Measure Information:
Title
Immunogenicity of adjTIV
Description
serum hemagglutination-inhibition antibodies
Time Frame
28 days post-dose 2
Title
Immunogenicity of TIV
Description
serum hemagglutination-inhibition antibodies
Time Frame
28 days post-dose 2
Secondary Outcome Measure Information:
Title
Adverse events
Time Frame
through three months post-dose 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
71 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: A male or female child at least 6 months of age and under 6 years of age (has not yet reached 72 months of age) at the enrollment visit. Free of obvious health problems, as established by the medical history and screening evaluations, including physical examination. Subject's parent or legal guardian is willing to provide written informed consent prior to the subject's first study vaccination. Exclusion Criteria: Known hypersensitivity to any component in adjTIV or TIV (which include egg protein) or placebo. Receipt of any non-study vaccine within two weeks prior to enrollment or refusal to postpone receipt of such vaccines until after the Day 56 visit. Previous receipt of any influenza vaccine. Hypersensitivity after previous administration of any vaccine. Acute illness accompanied by a body temperature of 37.5°C or greater (axillary measurement) within 14 days of enrollment visit. (Enrollment and administration of adjTIV, TIV, or placebo should be postponed until at least 14 days after recovery. Minor illnesses, such as mild upper respiratory infection, with an axillary temperature of <37.5°C, are not reason for exclusion or postponing study vaccination.) Any condition that, in the opinion of the investigator, would pose a health risk to the participant if he/she participates in the study or would interfere with the evaluation of the study objectives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aldiouma Diallo, MD
Organizational Affiliation
Institut de Recherche pour le Developpement
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
John C Victor, PhD, MPH
Organizational Affiliation
PATH
Official's Role
Study Director
Facility Information:
Facility Name
Institut de Recherche pour le Développement
City
Niakhar
Country
Senegal

12. IPD Sharing Statement

Citations:
PubMed Identifier
30224199
Citation
Diallo A, Victor JC, Feser J, Ortiz JR, Kanesa-Thasan N, Ndiaye M, Diarra B, Cheikh S, Diene D, Ndiaye T, Ndiaye A, Lafond KE, Widdowson MA, Neuzil KM. Immunogenicity and safety of MF59-adjuvanted and full-dose unadjuvanted trivalent inactivated influenza vaccines among vaccine-naive children in a randomized clinical trial in rural Senegal. Vaccine. 2018 Oct 15;36(43):6424-6432. doi: 10.1016/j.vaccine.2018.08.032. Epub 2018 Sep 14.
Results Reference
derived

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Immunogenicity and Safety Trial of Adjuvanted and Non-adjuvanted Trivalent Influenza Vaccine in Tropical Africa

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