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Safety and Immunogenicity of Different Formulations of an Adjuvanted, Trivalent Subunit Influenza Vaccine in Elderly Subjects 65 Years of Age and Above

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Adjuvanted, trivalent subunit influenza vaccine
Adjuvant level modified adjuvanted, trivalent subunit influenza vaccine
Antigen level modified adjuvanted, trivalent subunit influenza vaccine
Antigen and adjuvant level modified adjuvanted, trivalent subunit influenza vaccine
Sponsored by
Seqirus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, elderly, adjuvant

Eligibility Criteria

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

Inclusion Criteria:

  1. Male and female subjects ≥65 years of age on the day of screening who are healthy or have chronic illnesses that are stable and well controlled.
  2. Subjects assessed as mentally competent, who have given informed consent after the nature of the study has been explained according to local requirements
  3. In good health as determined by:

    1. Ability to live independently
    2. Medical history
    3. Physical examination
    4. Clinical judgment of the Investigator
  4. Able to understand and comply with all study procedures and visits, and are able to complete an eDiary
  5. Individuals who have access to a working telephone and are able to receive periodic telephone calls

Exclusion Criteria:

  1. Individuals who have received any type of influenza vaccine (licensed or experimental) within the past 6 months
  2. Individuals who have received any other licensed vaccines within 30 days (for inactivated vaccines) or 42 days (for live vaccines) prior to enrollment in this study
  3. Individuals who have cancer except for:

    1. Benign localized skin cancer
    2. Localized prostate cancer that has been clinically stable for ≥ 2 years without treatment
    3. Cancer in remission for ≥ 10 years (from end of cancer treatment)
  4. Individuals with autoimmune disease (including rheumatoid arthritis)
  5. Individuals with diabetes mellitus, type I
  6. Individuals with a body mass index (BMI) ≤18 or ≥35.
  7. Asthma that is greater than mild in severity and / or has exacerbations more than 2 days per week
  8. Congestive heart failure with symptoms as severe as or more severe than dyspnea with short walks or climbing a single flight of stairs (for example, greater than New York Heart Association class 2)
  9. History of progressive or severe neurologic disorders including but not limited to multiple sclerosis, Parkinson's disease, Guillain-Barré syndrome, amyotrophic lateral sclerosis, Creutzfeldt-Jakob disease, epilepsy disorders requiring medication for control, encephalitis, Alzheimer's and CVA
  10. Individuals who are hypersensitive to ovalbumin, chicken protein, chicken feathers, influenza viral protein, kanamycin and neomycin sulfate or any other component of the vaccines in study
  11. Individuals who have a history of neurological symptoms or signs, or anaphylactic shock following administration of any vaccine
  12. Individuals who have a known or suspected (or have a high risk of developing) impairment/alteration of immune function resulting from, for example,

    a. Receipt of immunosuppressive therapy (defined as follows) within the past 60 days and/or anticipated to receive immunosuppressive therapy at any point within 21 days of Visit 1.

    i. Cancer chemotherapy/radiotherapy ii. Systemic corticosteroids ( i.e., 15 mg or greater per day of prednisone or equivalent) iii. Chronic use of inhaled/intranasal high potency corticosteroids (budesonide 800 μg per day or fluticasone 750 μg per day) b. Receipt of immunostimulants c. Receipt of parenteral immunoglobulin preparation, blood products and/or plasma derivate within the past 3 months and for the full length of the study d. Suspected or known HIV infection or HIV-related disease

  13. Individuals who have a known or suspected history of drug or alcohol abuse
  14. Individuals who, within the past 12 months, have had laboratory confirmed influenza disease
  15. Individuals who, within the past 30 days have received any investigational agent.
  16. Individuals who plan to receive another vaccine within 30 days of receipt of the study vaccination.
  17. Individuals who, within the past 14 days, have experienced:

    1. Any acute disease including any worsening of underlying respiratory diseases such as asthma or COPD
    2. Infections requiring systemic antibiotic or antiviral therapy (chronic antibiotic therapy for urinary tract prophylaxis is acceptable)
  18. Individuals who are taking part in another clinical study
  19. Individuals who are research staff directly involved with the clinical study or family members or household members of research staff. Research staff includes an individual with direct or indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc.
  20. Individuals with behavioral or cognitive impairment or a psychiatric condition that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study.
  21. Vulnerable subjects, e.g. subjects kept in detention, soldiers, employees of the sponsor or a clinical research organization involved in this study
  22. Individuals who have any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives.

Sites / Locations

  • PAREXEL Early Phase Clinical Unit

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Active Comparator

Experimental

Experimental

Arm Label

Group 1

Group 2

Group 3

Group 4

Group 5

Group 6

Group 7

Arm Description

aTIV

aTIV + 1X MF59

aTIV + TIV

aTIV + aTIV

aTIV (Left deltoid) Saline (Right deltoid)

aTIV+2X MF59 (Left deltoid) Saline (Right deltoid)

aTIV (Left deltoid) aTIV (Right deltoid)

Outcomes

Primary Outcome Measures

Reactogenicity up to 7 days after vaccination
Safety of aTIV or aTIV-modified formulations
Unsolicited AEs within 28 days after vaccination
SAEs, non-scheduled physician visits, unsolicited medically attended AEs, unsolicited AEs leading to study withdrawal, NOCDs, and AESIs from study start to study completion.
Seroconversion/significant increase in antibody HI titers; ≥4-fold rise in MN titer 21 days post-vaccination.
Antibody responses to all three influenza virus vaccine strains, 21days after a dose or doses of aTIV or aTIV-modified formulations, as measured by hemagglutination inhibition (HI) assay and microneutralization (MN) assay.
HI and MN GMT and GMR at baseline and 21 days post-vaccination.

Secondary Outcome Measures

Seroconversion/significant increase in antibody HI titers; ≥4-fold rise in MN titer, 7 days and 6 months post-vaccination.
HI and MN (GMT) 7 days and 6 months post-vaccination.
To compare HI and MN responses to a aTIV or aTIV-modified formulations, at 7 days and 6 months post-vaccination.
HI and MN (GMR) 7 days, 21 days, and 6 months post-vaccination.
Percentage of subjects with HI titers ≥1:40, ≥1:110, ≥1:160, and ≥1:330 7 days, 21 days, and 6 months post-vaccination.
To compare antibody responses in subjects receiving aTIV-modified formulations in a single intramuscular injection (in one deltoid) to two intramuscular injections (one in each deltoid) at 7 days, 21 days, and 6 months post-vaccination.

Full Information

First Posted
April 28, 2014
Last Updated
July 28, 2016
Sponsor
Seqirus
Collaborators
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT02126761
Brief Title
Safety and Immunogenicity of Different Formulations of an Adjuvanted, Trivalent Subunit Influenza Vaccine in Elderly Subjects 65 Years of Age and Above
Official Title
A Phase 1, Randomized, Observer Blind, Antigen and Adjuvant Dosage-Finding Study to Evaluate the Safety and Immunogenicity of an Adjuvanted, Trivalent Subunit Influenza Vaccine in Elderly Subjects ≥65 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
In this study, the safety and immunogenicity of the current formulation of aTIV will be compared to aTIV-modified formulations in which the dosage of the MF59 adjuvant will be doubled or tripled and/or the dosage of the 3 influenza virus strains will be doubled, in independently-living elderly subjects ≥ 65 years of age.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza, elderly, adjuvant

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Factorial Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
196 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Active Comparator
Arm Description
aTIV
Arm Title
Group 2
Arm Type
Experimental
Arm Description
aTIV + 1X MF59
Arm Title
Group 3
Arm Type
Experimental
Arm Description
aTIV + TIV
Arm Title
Group 4
Arm Type
Experimental
Arm Description
aTIV + aTIV
Arm Title
Group 5
Arm Type
Active Comparator
Arm Description
aTIV (Left deltoid) Saline (Right deltoid)
Arm Title
Group 6
Arm Type
Experimental
Arm Description
aTIV+2X MF59 (Left deltoid) Saline (Right deltoid)
Arm Title
Group 7
Arm Type
Experimental
Arm Description
aTIV (Left deltoid) aTIV (Right deltoid)
Intervention Type
Biological
Intervention Name(s)
Adjuvanted, trivalent subunit influenza vaccine
Intervention Description
Group 1 and group 5 are active comparators; group 5 includes placebo comparator as a second injection in contralateral deltoid
Intervention Type
Biological
Intervention Name(s)
Adjuvant level modified adjuvanted, trivalent subunit influenza vaccine
Intervention Description
Group 2 and group 6 are experimental; group 2 has double dosage of MF59 in a single injection; group 6 has triple dosage of MF59 and includes placebo comparator in contralateral deltoid
Intervention Type
Biological
Intervention Name(s)
Antigen level modified adjuvanted, trivalent subunit influenza vaccine
Intervention Description
Group 3 is experimental with double the usual antigen dosage
Intervention Type
Biological
Intervention Name(s)
Antigen and adjuvant level modified adjuvanted, trivalent subunit influenza vaccine
Intervention Description
Group 4 and 7 are experimental; group 4 has one injection with double the antigen and adjuvant; group 7 has two injections with double the antigen and adjuvant
Primary Outcome Measure Information:
Title
Reactogenicity up to 7 days after vaccination
Description
Safety of aTIV or aTIV-modified formulations
Time Frame
Days 1-7 post-vaccination
Title
Unsolicited AEs within 28 days after vaccination
Time Frame
Days 1-28 post-vaccination
Title
SAEs, non-scheduled physician visits, unsolicited medically attended AEs, unsolicited AEs leading to study withdrawal, NOCDs, and AESIs from study start to study completion.
Time Frame
Days 1-366 post-vaccination
Title
Seroconversion/significant increase in antibody HI titers; ≥4-fold rise in MN titer 21 days post-vaccination.
Description
Antibody responses to all three influenza virus vaccine strains, 21days after a dose or doses of aTIV or aTIV-modified formulations, as measured by hemagglutination inhibition (HI) assay and microneutralization (MN) assay.
Time Frame
Day 22 post-vaccination
Title
HI and MN GMT and GMR at baseline and 21 days post-vaccination.
Time Frame
Day 1; Day 22 post-vaccination
Secondary Outcome Measure Information:
Title
Seroconversion/significant increase in antibody HI titers; ≥4-fold rise in MN titer, 7 days and 6 months post-vaccination.
Time Frame
Day 8 and 181 post-vaccination
Title
HI and MN (GMT) 7 days and 6 months post-vaccination.
Description
To compare HI and MN responses to a aTIV or aTIV-modified formulations, at 7 days and 6 months post-vaccination.
Time Frame
Day 8 and 181 post-vaccination
Title
HI and MN (GMR) 7 days, 21 days, and 6 months post-vaccination.
Time Frame
Day 1, 8, 22, and 181 post-vaccination
Title
Percentage of subjects with HI titers ≥1:40, ≥1:110, ≥1:160, and ≥1:330 7 days, 21 days, and 6 months post-vaccination.
Description
To compare antibody responses in subjects receiving aTIV-modified formulations in a single intramuscular injection (in one deltoid) to two intramuscular injections (one in each deltoid) at 7 days, 21 days, and 6 months post-vaccination.
Time Frame
Day 8, 22, and 181 post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female subjects ≥65 years of age on the day of screening who are healthy or have chronic illnesses that are stable and well controlled. Subjects assessed as mentally competent, who have given informed consent after the nature of the study has been explained according to local requirements In good health as determined by: Ability to live independently Medical history Physical examination Clinical judgment of the Investigator Able to understand and comply with all study procedures and visits, and are able to complete an eDiary Individuals who have access to a working telephone and are able to receive periodic telephone calls Exclusion Criteria: Individuals who have received any type of influenza vaccine (licensed or experimental) within the past 6 months Individuals who have received any other licensed vaccines within 30 days (for inactivated vaccines) or 42 days (for live vaccines) prior to enrollment in this study Individuals who have cancer except for: Benign localized skin cancer Localized prostate cancer that has been clinically stable for ≥ 2 years without treatment Cancer in remission for ≥ 10 years (from end of cancer treatment) Individuals with autoimmune disease (including rheumatoid arthritis) Individuals with diabetes mellitus, type I Individuals with a body mass index (BMI) ≤18 or ≥35. Asthma that is greater than mild in severity and / or has exacerbations more than 2 days per week Congestive heart failure with symptoms as severe as or more severe than dyspnea with short walks or climbing a single flight of stairs (for example, greater than New York Heart Association class 2) History of progressive or severe neurologic disorders including but not limited to multiple sclerosis, Parkinson's disease, Guillain-Barré syndrome, amyotrophic lateral sclerosis, Creutzfeldt-Jakob disease, epilepsy disorders requiring medication for control, encephalitis, Alzheimer's and CVA Individuals who are hypersensitive to ovalbumin, chicken protein, chicken feathers, influenza viral protein, kanamycin and neomycin sulfate or any other component of the vaccines in study Individuals who have a history of neurological symptoms or signs, or anaphylactic shock following administration of any vaccine Individuals who have a known or suspected (or have a high risk of developing) impairment/alteration of immune function resulting from, for example, a. Receipt of immunosuppressive therapy (defined as follows) within the past 60 days and/or anticipated to receive immunosuppressive therapy at any point within 21 days of Visit 1. i. Cancer chemotherapy/radiotherapy ii. Systemic corticosteroids ( i.e., 15 mg or greater per day of prednisone or equivalent) iii. Chronic use of inhaled/intranasal high potency corticosteroids (budesonide 800 μg per day or fluticasone 750 μg per day) b. Receipt of immunostimulants c. Receipt of parenteral immunoglobulin preparation, blood products and/or plasma derivate within the past 3 months and for the full length of the study d. Suspected or known HIV infection or HIV-related disease Individuals who have a known or suspected history of drug or alcohol abuse Individuals who, within the past 12 months, have had laboratory confirmed influenza disease Individuals who, within the past 30 days have received any investigational agent. Individuals who plan to receive another vaccine within 30 days of receipt of the study vaccination. Individuals who, within the past 14 days, have experienced: Any acute disease including any worsening of underlying respiratory diseases such as asthma or COPD Infections requiring systemic antibiotic or antiviral therapy (chronic antibiotic therapy for urinary tract prophylaxis is acceptable) Individuals who are taking part in another clinical study Individuals who are research staff directly involved with the clinical study or family members or household members of research staff. Research staff includes an individual with direct or indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc. Individuals with behavioral or cognitive impairment or a psychiatric condition that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study. Vulnerable subjects, e.g. subjects kept in detention, soldiers, employees of the sponsor or a clinical research organization involved in this study Individuals who have any condition which, in the opinion of the investigator, might 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
PAREXEL Early Phase Clinical Unit
City
Berlin
ZIP/Postal Code
14050
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of Different Formulations of an Adjuvanted, Trivalent Subunit Influenza Vaccine in Elderly Subjects 65 Years of Age and Above

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