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A Pilot Study to Assess the Immunogenicity and Reactogenicity of High Versus Standard Dose TIV

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Fluzone High-Dose
Fluzone (standard dose)
Sponsored by
Mount Sinai Hospital, Canada
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring influenza vaccine, adult, immunogenicity, reactogenicity

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. 18-64 years old, inclusive, as of October 1st of year of enrolment;
  2. Healthcare worker, broadly defined as a person either providing health care, or working in an acute care hospital or long term healthcare facility;
  3. Has access to email and the internet for adverse event reporting, or is willing to complete forms on paper and deliver to the site study office;
  4. Understand the study, agree to its requirements, and give written consent;

Exclusion Criteria:

  1. Receipt of influenza vaccine for the current northern hemisphere season prior to randomization;
  2. Serious adverse event to a previous dose of influenza vaccine;
  3. Immunoglobulin E mediated allergic reaction to a previous dose of influenza vaccine or to any excipients in the study vaccines
  4. Previous episode of Guillain-Barré syndrome with 6 weeks of receiving an influenza vaccine;
  5. Receipt of immunoglobulins, blood or blood-derived products in the past 3 months;
  6. Receipt of another vaccine, or initiation of new medication, or hospital admission for any reason within the 30 days prior to the study dose of vaccine
  7. Plans to receive any vaccine, initiate any medication, or be admitted to hospital before day 21 after vaccination (visit 2);
  8. Known or suspected congenital or acquired immunodeficiency (including HIV infection); or receipt of 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)
  9. Any condition, including but not limited to drug and alcohol addiction, which, in the opinion of the investigator might interfere with the ability to comply with trial conduct or completion;
  10. Moderate or severe acute illness or active infection or fever (temperature ≥37.8oC) on the day the vaccine dose is due (participant may receive dose of vaccine 48 hours after symptoms have resolved and body temperature has returned to normal without the use of antipyretics.

Sites / Locations

  • Mount Sinai Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

High Dose Fluzone

Fluzone (standard dose)

Arm Description

Fluzone High-Dose® Licensed for use in the USA in persons ≥ 65 years of age as a single dose of 0.5 mL containing 60μg hemagglutinin per virus strain

Fluzone ® Licensed for the prevention of influenza as a single dose of 0.5 mL containing 15μg hemagglutinin per virus strain for adults

Outcomes

Primary Outcome Measures

Number of Participants With Seroconversion to A/California/07/2009 (H1N1)
Seroconversion to influenza strains contained in the vaccine, as measured by hemagglutination inhibition (HAI) assay. 4-fold or greater increase.
Number of Participants With Seroconversion to A/Texas/50/2012 (H3N2)
Four-fold or higher rise in titres to A/Texas/50/2012 (H3N2) as measured by hemagglutination inhibition assay
Number of Participants With Seroconversion to Influenza B/Phuket/3073/2013
Four fold or higher increase in titres to B/Phuket/3073/2013 as measured by hemagglutination inhibition assay
Number of Participants With Seroconversion to A/Switzerland/9715293/2013 (H3N2)
Four-fold or higher rise in titres against A/Switzerland/9715293/2013 (H3N2) as measured by hemagglutination inhibition assay
Number of Participants With Seroconversion to B/Massachusetts/02/2012
Four fold or higher increase in titres to B/Massachusetts/02/2012 as measured by hemagglutination inhibition assay

Secondary Outcome Measures

Geometric Mean Fold Ratio (GMFR) Against A/California/07/2009 (H1N1)
GMFR (mean fold increase) time2/time1, as measured by hemagglutination inhibition assay
Geometric Mean Fold Ratio (GMFR): A/Switzerland/9715293/2013
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Geometric Mean Fold Ratio (GMFR): A/Texas/50/2012
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Geometric Mean Fold Ratio (GMFR): B/Phuket/3073/2013 Ether-treated
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Geometric Mean Fold Ratio (GMFR): B/Massachusetts/02/2012 Ether-treated
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Number of Participants Reporting Adverse Event: Injection Site
Any local adverse event following immunization,self reported in daily diary Includes the maximum values for any one of: redness, warmth, swelling, or bruising
Number of Participants Reporting Adverse Event: Systemic
Any systemic adverse event following immunization,self reported in daily diary Includes the maximum value reported for any one of: myalgia, arthralgia, headache, malaise, fatigue, weakness, sweating, shivering, or feverishness Defined as: None: Not at all Mild: Present, but did not interfere with activities Moderate: Interfered with activities, but didn't prevent them Extreme: Prevented activities

Full Information

First Posted
October 8, 2014
Last Updated
August 14, 2018
Sponsor
Mount Sinai Hospital, Canada
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1. Study Identification

Unique Protocol Identification Number
NCT02263040
Brief Title
A Pilot Study to Assess the Immunogenicity and Reactogenicity of High Versus Standard Dose TIV
Official Title
A Pilot Study to Assess the Immunogenicity and Reactogenicity of High Versus Standard Dose Trivalent Inactivated Influenza Vaccine for Healthcare Workers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
July 2016 (Actual)
Study Completion Date
December 31, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mount Sinai Hospital, Canada

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this pilot study is to assess the immunogenicity and reactogenicity of Fluzone High Dose with Fluzone (standard adult dose) influenza vaccines in healthcare workers.
Detailed Description
This is a prospective, randomized controlled, observer blind trial of Fluzone High Dose trivalent inactivated influenza vaccine (HDTIV) versus Fluzone, standard dose TIV (SDTIV) in 100 healthcare workers 18-64 years of age. Participants will receive, in a 1:1 ratio, one dose of either SDTIV or HDTIV containing the strains of influenza virus as recommended by the World Health Organization for the season of recruitment. All adverse events will be collected for 7 days following the injection, serious adverse events will be collected through day 21, and serum for antibody testing will be obtained on day 0 and day 21. The primary outcome will be seroconversion to each strain of vaccine included in the vaccine, as measured by change in hemagglutination inhibition assay (HAI) titer between day 0 to day 21.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
170 (Actual)

8. Arms, Groups, and Interventions

Arm Title
High Dose Fluzone
Arm Type
Experimental
Arm Description
Fluzone High-Dose® Licensed for use in the USA in persons ≥ 65 years of age as a single dose of 0.5 mL containing 60μg hemagglutinin per virus strain
Arm Title
Fluzone (standard dose)
Arm Type
Active Comparator
Arm Description
Fluzone ® Licensed for the prevention of influenza as a single dose of 0.5 mL containing 15μg hemagglutinin per virus strain for adults
Intervention Type
Biological
Intervention Name(s)
Fluzone High-Dose
Intervention Description
Influenza vaccine
Intervention Type
Biological
Intervention Name(s)
Fluzone (standard dose)
Intervention Description
Influenza vaccine
Primary Outcome Measure Information:
Title
Number of Participants With Seroconversion to A/California/07/2009 (H1N1)
Description
Seroconversion to influenza strains contained in the vaccine, as measured by hemagglutination inhibition (HAI) assay. 4-fold or greater increase.
Time Frame
21 days (18-28)
Title
Number of Participants With Seroconversion to A/Texas/50/2012 (H3N2)
Description
Four-fold or higher rise in titres to A/Texas/50/2012 (H3N2) as measured by hemagglutination inhibition assay
Time Frame
21 days post vaccination (18-28)
Title
Number of Participants With Seroconversion to Influenza B/Phuket/3073/2013
Description
Four fold or higher increase in titres to B/Phuket/3073/2013 as measured by hemagglutination inhibition assay
Time Frame
21 days post-vaccination (18-28)
Title
Number of Participants With Seroconversion to A/Switzerland/9715293/2013 (H3N2)
Description
Four-fold or higher rise in titres against A/Switzerland/9715293/2013 (H3N2) as measured by hemagglutination inhibition assay
Time Frame
21 days post vaccination (18-28)
Title
Number of Participants With Seroconversion to B/Massachusetts/02/2012
Description
Four fold or higher increase in titres to B/Massachusetts/02/2012 as measured by hemagglutination inhibition assay
Time Frame
21 days post-vaccination (18-28)
Secondary Outcome Measure Information:
Title
Geometric Mean Fold Ratio (GMFR) Against A/California/07/2009 (H1N1)
Description
GMFR (mean fold increase) time2/time1, as measured by hemagglutination inhibition assay
Time Frame
21 days (18-28)
Title
Geometric Mean Fold Ratio (GMFR): A/Switzerland/9715293/2013
Description
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Time Frame
21 days (18-28)
Title
Geometric Mean Fold Ratio (GMFR): A/Texas/50/2012
Description
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Time Frame
21 days (18-28)
Title
Geometric Mean Fold Ratio (GMFR): B/Phuket/3073/2013 Ether-treated
Description
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Time Frame
21 days (18-28)
Title
Geometric Mean Fold Ratio (GMFR): B/Massachusetts/02/2012 Ether-treated
Description
GMFR (mean fold increase) time2/time1, as measured by HAI titres
Time Frame
21 days (18-28)
Title
Number of Participants Reporting Adverse Event: Injection Site
Description
Any local adverse event following immunization,self reported in daily diary Includes the maximum values for any one of: redness, warmth, swelling, or bruising
Time Frame
7 days
Title
Number of Participants Reporting Adverse Event: Systemic
Description
Any systemic adverse event following immunization,self reported in daily diary Includes the maximum value reported for any one of: myalgia, arthralgia, headache, malaise, fatigue, weakness, sweating, shivering, or feverishness Defined as: None: Not at all Mild: Present, but did not interfere with activities Moderate: Interfered with activities, but didn't prevent them Extreme: Prevented activities
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 18-64 years old, inclusive, as of October 1st of year of enrolment; Healthcare worker, broadly defined as a person either providing health care, or working in an acute care hospital or long term healthcare facility; Has access to email and the internet for adverse event reporting, or is willing to complete forms on paper and deliver to the site study office; Understand the study, agree to its requirements, and give written consent; Exclusion Criteria: Receipt of influenza vaccine for the current northern hemisphere season prior to randomization; Serious adverse event to a previous dose of influenza vaccine; Immunoglobulin E mediated allergic reaction to a previous dose of influenza vaccine or to any excipients in the study vaccines Previous episode of Guillain-Barré syndrome with 6 weeks of receiving an influenza vaccine; Receipt of immunoglobulins, blood or blood-derived products in the past 3 months; Receipt of another vaccine, or initiation of new medication, or hospital admission for any reason within the 30 days prior to the study dose of vaccine Plans to receive any vaccine, initiate any medication, or be admitted to hospital before day 21 after vaccination (visit 2); Known or suspected congenital or acquired immunodeficiency (including HIV infection); or receipt of 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) Any condition, including but not limited to drug and alcohol addiction, which, in the opinion of the investigator might interfere with the ability to comply with trial conduct or completion; Moderate or severe acute illness or active infection or fever (temperature ≥37.8oC) on the day the vaccine dose is due (participant may receive dose of vaccine 48 hours after symptoms have resolved and body temperature has returned to normal without the use of antipyretics.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Allison J McGeer, MD
Organizational Affiliation
MOUNT SINAI HOSPITAL
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mount Sinai Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1X5
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
Following publication of results

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A Pilot Study to Assess the Immunogenicity and Reactogenicity of High Versus Standard Dose TIV

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